A Phase 2/3 interventional study of GB08 and Norditropin NordiFlex in Growth Hormone Deficiency in Children, Growth Hormone Deficiency (GHD) and Growth Hormone, sponsored by Shenzhen Kexing Pharmaceutical Co., Ltd.. Not yet recruiting at 16 sites in China. Open to participants aged 3 Years to 11 Years. Per ClinicalTrials.gov, last updated 2025-08-22.
Sponsored by Shenzhen Kexing Pharmaceutical Co., Ltd. · Phase 2/3, Interventional, and Treatment
This study aims to evaluate the efficacy and safety of GB08 injection compared to Norditropin NordiFlex in pediatric patients with growth hormone deficiency (PGHD). It seeks to resolve the following questions:
This is a Phase II/III, Seamless, Multicenter, Randomized, Open-Label, Positive-Comparator Controlled Clinical Trial with two stages. Stage 1 answers questions #1 and #2 by comparing the efficacy and safety of GB08 injection and Norditropin NordiFlex intervention among PGHD at 24 weeks. It involves four groups (n=16 each): GB08 0.4 mg/kg, GB08 0.8 mg/kg, GB08 1.2 mg/kg, and Norditropin NordiFlex 0.035 mg/kg. GB08 and Norditropin NordiFlex will be administered once weekly and once daily, respectively. The primary outcome measurement is annualized height velocity (AHV) at 24 weeks. Other measurements include growth hormone levels, safety parameters, immunogenicity markers, and pharmacokinetic/pharmacodynamic profiles.
The optimal GB08 dose will be further investigated in Stage 2, which answers question #3. At this stage, PGHD patients will randomly receive either GB08 injection or Norditropin NordiFlex intervention for 52 weeks (n=102 for each). After that, the efficacy and safety of GB08 will also be detected.
This is a multicenter, randomized, open-label, positive-controlled Phase II/III seamless design clinical study evaluating the efficacy and safety of GB08 injection in pediatric patients with growth hormone deficiency (PGHD). It aims to compare the efficacy and safety of GB08 injection with Norditropin NordiFlex in PGHD patients, thereby benefiting this population. This study involves two parts: Phase II and Phase III.
Phase II: Identifying the Optimal Dose This part assesses the efficacy and safety of three doses of GB08 in treating PGHD to recommend the optimal dose for the phase III.
Eligible patients with PGHD will be randomly divided into four groups (n=16 per group) and stratified by GH peak value (≤5 μg/L and >5 μg/L). They will receive GB08 0.4 mg/kg, GB08 0.8 mg/kg, GB08 1.2 mg/kg, or Norditropin NordiFlex 0.035 mg/kg (positive control) treatment for 24 weeks with another 28 weeks of follow-up. GB08 and Norditropin NordiFlex therapy will be provided once weekly and once daily, respectively. All participants will have blood samples collected for pharmacokinetics (GB08 groups only), pharmacodynamics, immunogenicity, and safety and efficacy assessments, as well as records of concomitant medications/treatments and adverse events. The primary outcome measurement is the annualized height velocity (AHV) at 24 weeks among the four groups. The optimal GB08 dose will be identified based on the 24-week data.
Phase III: The 52-week efficacy and safety of GB08 injection compared to Norditropin NordiFlex This part aims to evaluate the efficacy of GB08 injection compared to Norditropin NordiFlex in PGHD patients at 52 weeks.
It contains a treatment group (GB08 injection) and a control group (Norditropin NordiFlex), each with 102 participants. Accordingly, they will receive GB08 or Norditropin NordiFlex intervention for 52 weeks. The dose of GB08 will be determined by Phase II. Stratified randomization will be based on age (\<6 years vs. ≥6 years), gender (male vs. female), and GH peak value (≤ 5 ug/L, 5-7 ug/L, >7 ug/L). The treatment period will last for 52 weeks with a 2-week follow-up. The primary endpoint measurement is the efficacy of GB08 injection at the 52nd week compared to Norditropin NordiFlex.
164 studies on the registry are indexed under Dwarfism, Pituitary; 25 are open to participants now.
This study's planned enrollment of 268 is above the median of 72 across 122 interventional studies indexed under Dwarfism, Pituitary.
Browse Dwarfism, Pituitary studies →Shenzhen Kexing Pharmaceutical Co., Ltd. is the lead sponsor of 6 studies on the registry; 4 are open to participants now.
Counted across the registry records on this site, refreshed daily.
1. Diagnosed with Growth Hormone Deficiency (GHD) based on medical history, clinical symptoms and signs, GH stimulation tests, and imaging studies. The participant must meet the following:
2. Aging > 3 years and ≤ 10 years (girls) or ≤ 11 years (boys) based on birth date; Tanner stage I (testicular volume \< 4 ml for boys and no palpable breast tissue for girls) 3. Uniform short stature with normal intellectual development. 4. IGF-1 levels below the mean for children and adolescents of the same age and sex, at least 1 SD below (IGF-1 SDS ≤ -1.0).
5. Body mass index (BMI) within ±2 SD of the mean BMI for children and adolescents of the same age and sex.
6. For subjects with GHD as part of multiple pituitary hormone deficiencies, must be stable for ≥1 month, as determined by the investigator.
7. Guardians understand and sign the Informed Consent Form (ICF). If the participant is ≥8 years old, they must also sign the ICF. For participants \<8 years old who can express consent, their consent must be recorded.
Exclusion Criteria:
GB08 0.4mg/kg subcutaneous injection, once a week for 24 weeks
Drug: GB08
GB08 0.8mg/kg subcutaneous injection, once a week for 24 weeks
Drug: GB08
GB08 1.2mg/kg subcutaneous injection, once a week for 24 weeks
Drug: GB08
Norditropin NordiFlex 0.035 mg/kg subcutaneous injection, daily, for 24 weeks
Drug: Norditropin NordiFlex
GB08 subcutaneous injection (The dose will be determined by data from PhaseII), once a week for 52 weeks
Drug: GB08
Norditropin NordiFlex 0.035 mg/kg subcutaneous injection, daily, for 52 weeks
Drug: Norditropin NordiFlex
In Phase II trial, eligible PGHD patients will receive GB08 0.4mg/kg, 0.8mg/kg, or 1.2mg/kg subcutaneous injection, once a week for 24 weeks. In Phase III trial, the individuals will receive GB08 subcutaneous injection, once a week for 52 weeks. The dose of GB08 at this stage will be determined by the outcomes of Phase II.
Norditropin NordiFlex 0.035 mg/kg subcutaneous injection, daily, for 24 weeks (Phase II) or 52 weeks (Phase III)
PhaseII-Comparison of annualized height velocity at 24 weeks
Comparison of annualized height velocity of PGHD patients receiving 24-week GB08 and Norditropin NordiFlex treatment
Time frame: From enrollment to end of treatment at 24 weeks
PhaseIII-Comparison of annualized height velocity at week 52
Comparison of annualized height velocity between PGHD patients receiving GB08 and Norditropin NordiFlex at 52 weeks
Time frame: From enrollment to end of treatment at week 52
PhaseII-annualized height velocity at weeks 4, 12, 36, 48, 52
Time frame: From enrollment to weeks 4, 12, 36, 48, 52
PhaseII-Standard deviation (SD) scores of AHV of GB08 injection and Norditropin NordiFlex at baseline, and at weeks 4, 12, 36, 48, 52
Time frame: From enrollment to weeks 4, 12, 36, 48, 52
PhaseII-Standard deviation of actual height SDS (Ht SDS CA) of GB08 injection and Norditropin NordiFlex at weeks 4, 12, 24, 36, 48, 52
Time frame: From enrollment to weeks 4, 12, 24, 36, 48, 52
PhaseII-Standard deviation of bone age (BA) SDS (Ht SDS BA) of GB08 injection and Norditropin NordiFlex at week 24 and 52
Time frame: From enrollment to weeks 24 and 52
PhaseII-Tanner stage changes at baseline and at weeks 12, 24, 52
Time frame: From enrollment to weeks 12, 24, and 52
PhaseII-Body weight and BMI changes at baseline and at weeks 2, 4, 8, 12, 24, 52
Time frame: From enrollment to weeks 2, 4, 8, 12, 24, and 52
PhaseII-Ratio of BA to CA at baseline and at weeks 24, 52
Time frame: From enrollment to weeks 24 and 52
PhaseII-Serum IGF-1, IGF-1 SDS, and IGFBP-3 levels, and their changes from baseline at weeks 2, 4, 8, 12, 24, 36, 48, 52
Time frame: From enrollment to weeks 2, 4, 8, 12, 24, 36, 48, and 52
PhaseII-Serum IGF-1, IGF-1 SDS, and IGFBP-3 levels, and their changes from baseline at 48 hours post-dose of GB08 injection at weeks 2, 4, 8, 12, 24, 36, 48, 52
Time frame: From enrollment to weeks 2, 4, 8, 12, 24, 36, 48, and 52
PhaseIII-AHV of GB08 injection and Norditropin NordiFlex at baseline, and at weeks 4, 12, 24, 36, 48, 52
Time frame: From enrollment to weeks 4, 12, 24, 36, 48, and 52
PhaseIII-Standard deviation (SD) scores of AHV of GB08 injection and Norditropin NordiFlex at baseline, and at weeks 4, 12, 24, 36, 48, 52
Time frame: From enrollment to weeks 4, 12, 24, 36, 48, and 52
PhaseIII-Standard deviation of actual height SDS (Ht SDS CA) of GB08 injection and Norditropin NordiFlex at weeks 4, 12, 24, 36, 48, 52
Time frame: From enrollment to weeks 4, 12, 24, 36, 48, and 52
PhaseIII-Standard deviation of bone age (BA) SDS (Ht SDS BA) of GB08 injection and Norditropin NordiFlex at week 52
Time frame: From enrollment to week 52
PhaseIII-Tanner stage changes at baseline and at weeks 12, 24, 52
Time frame: From enrollment to weeks 12, 24, and 52
PhaseIII-Body weight and BMI changes at baseline and at weeks 2, 4, 8, 12, 24, 52
Time frame: From enrollment to weeks 2, 4, 8, 12, 24, and 52
PhaseIII-Serum IGF-1, IGF-1 SDS, and IGFBP-3 levels, and their changes from baseline at weeks 2, 4, 8, 12, 24, 36, 48, 52
Time frame: From enrollment to weeks 2, 4, 8, 12, 24, 36, 48, and 52
PhaseIII-Serum IGF-1, IGF-1 SDS, and IGFBP-3 levels, and their changes from baseline at 48 hours post-dose of GB08 injection at weeks 2, 4, 8, 12, 24, 36, 48, 52
Time frame: From enrollment to weeks 2, 4, 8, 12, 24, 36, 48, and 52
PhaseII-Safety Evaluation Endpoints
Adverse events (AEs), vital signs, ECG, physical examination, abnormal clinical laboratory parameters (including but not limited to complete blood count, blood biochemistry, urinalysis, thyroid function, fasting insulin, prolactin, HbA1c, fasting serum cortisol), and injection site examination.
Time frame: weeks 2, 4, 8, 12, 24, 36, 48, 52.
PhaseII-Immunogenicity Evaluation Endpoints
Blood samples will be collected at baseline and at weeks 12, 24, 36, 52 to determine the presence of anti-drug antibodies (ADA). If ADA is positive, neutralizing antibody and titer analysis will be performed. If ADA-positive subjects are needed for safety and efficacy analysis, additional ADA, neutralizing antibody, and titer testing may be conducted.
Time frame: weeks 12, 24, 36, 52
PhaseII-Pharmacokinetics Evaluation Endpoints
PK parameters: maximum concentration (Cmax), area under the curve from time 0 to the last measurable concentration (AUC0-t), area under the curve from time 0 to infinity (AUC0-inf), time to peak concentration (Tmax), elimination rate constant (λz), elimination half-life (t1/2), apparent volume of distribution (Vd/F), apparent clearance (CL/F), AUC0-inf extrapolated percentage (AUC\_%Extrap).
Time frame: weeks 2, 4, 8, 12, 24, 36, 48, 52.
PhaseII-Pharmacodynamics Evaluation Endpoints
Observed maximum effect (Emax), time to reach maximum effect (TEmax), area under the effect-time curve from time 0 to the last measurable time point (AUEC0-t), area under the effect-time curve from time 0 to 24 hours (AUEC0-24h), area under the effect-time curve from time 0 to 168 hours (AUEC0-168h).
Time frame: time 0 to 168 hours
PhaseIII-Safety Evaluation Endpoints
Adverse events (AEs), vital signs, 12-lead ECG, physical examination, abnormal clinical laboratory parameters (including but not limited to complete blood count, blood biochemistry, urinalysis, thyroid function, fasting insulin, prolactin, HbA1c, fasting serum cortisol), and injection site examination.
Time frame: weeks 2, 4, 8, 12, 24, 36, 48, 52
PhaseIII-Immunogenicity Evaluation Endpoints
Blood samples will be collected at baseline and at weeks 12, 24, 36, 52 to determine the presence of anti-drug antibodies (ADA). If ADA is positive, neutralizing antibody and titer analysis will be performed. If ADA-positive subjects are needed for safety and efficacy analysis, additional ADA, neutralizing antibody, and titer testing may be conducted.
Time frame: weeks 12, 24, 36, 52
PhaseIII-Pharmacodynamics Evaluation Endpoints
GB08 injection and Norditropin NordiFlex concentrations of IGF-1 and IGFBP-3, relative changes from baseline, and percentage changes at baseline and at weeks 12, 24, 36, 52.
Time frame: weeks 12, 24, 36, 52
Plan to share: No
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Shenzhen Kexing Pharmaceutical Co., Ltd.