Clinical trial • Phase II • Endocrinology

SOMAPACITAN for Short stature in children born small for gestational age (SGA)

Phase II trial of SOMAPACITAN for Short stature in children born small for gestational age (SGA).

Overview

Trial Therapeutic Area
Endocrinology
Trial Disease
Short stature in children born small for gestational age (SGA)
Trial Stage
Phase II
Drug Modality
Peptide/protein/enzyme
Paediatric Trial
Yes
Orphan Drug
Yes

Key dates

Initial CTIS Submission Date
22-03-2024
First CTIS Authorization Date
07-05-2024

Trial design

Norditropin FlexPro (somatropin) — daily administration (Comparator) (dose not specified in CTIS record).-controlled Phase II trial in Austria, France, Hungary and others.

Comparator
Norditropin FlexPro (somatropin) — daily administration (Comparator) (dose not specified in CTIS record).
Single Multiple Or Escalation Dose Combined
Yes
Target Sample Size
52
Trial Duration For Participant
377

Eligibility

Recruits 52 paediatric patients.

Vulnerable Population
Participants are children (prepubertal). Consent is obtained from parents/legal representatives; age-appropriate assent and consent forms are used (child assent and consent forms for ages 6-11 and 12-17 are documented). Subject information and consent/assent documents and legal representative forms are provided in multiple languages (examples in the dossier: English, French, German, Hungarian, Italian, Latvian, Russian).

Inclusion criteria

  • {"criterion_text":"- Prepubertal children: a)\tBoys: o\tAge ≥ 2 years and 26 weeks and < 11.0 years at screening o Testis volume < 4 ml b)\tGirls: o\tAge ≥ 2 years and 26 weeks and <10.0 years at screening o\tTanner stage 1 for breast development (no palpable glandular breast tissue)"}
  • {"criterion_text":"- Born small for gestational age (birth length and/or weight < -2 standard deviation scores) (according to national standards)."}
  • {"criterion_text":"- Impaired height defined as at least 2.5 standard deviations below the mean height for chronological age and gender at screening according to the standards of Centers for Disease Control and Prevention at screening."}
  • {"criterion_text":"- Impaired height velocity defined as annualised height velocity below the 50th percentile for chronological age and gender according to the standards of Prader calculated over a time span of minimum 6 months and maximum 18 months prior to screening."}
  • {"criterion_text":"- No prior exposure to growth hormone therapy or Insulin-like Growth Factor-I (IGF-I) treatment."}

Exclusion criteria

  • {"criterion_text":"- Any known or suspected clinically significant abnormality likely to affect growth or the ability to evaluate growth with standing height measurements."}
  • {"criterion_text":"- Children with hormonal deficiencies including suspected or confirmed growth hormone deficiency according to local practise."}
  • {"criterion_text":"- Current inflammatory diseases requiring systemic corticosteroid treatment for longer than 2 consecutive weeks within the last 3 months prior to screening."}
  • {"criterion_text":"- Children requiring inhaled glucocorticoid therapy at a dose of greater than 400 µg/day of inhaled budesonide or equivalents for longer than 4 consecutive weeks within the last 12 months prior to screening."}
  • {"criterion_text":"- Concomitant administration of other treatments that may have an effect on growth, e.g but not limited to methylphenidate for treatment of attention deficit hyperactivity disorder."}
  • {"criterion_text":"- Diagnosis of attention deficit hyperactivity disorder."}
  • {"criterion_text":"- Prior history or presence of malignancy including intracranial tumours."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Endpoint title: Height velocity (HV) Time frame: From baseline (week 0) to visit 6 (week 26) Unit: cm/year","definition_or_measurement_approach":"Height velocity measured in cm/year from baseline (week 0) to visit 6 (week 26)."}

Secondary endpoints

  • {"endpoint_text":"- Effect Endpoint title: Change in bone age Time frame: From baseline (week 0) to visit 8 (week 52) Unit: Years","definition_or_measurement_approach":"Change in bone age (years) from baseline to week 52."}
  • {"endpoint_text":"- Effect Endpoint title: Change in height SDS Time frame: From baseline (week 0) to visit 6 (week 26) Unit: -10 to +10","definition_or_measurement_approach":"Change in height standard deviation score (SDS) from baseline to week 26; unit scale reported as -10 to +10."}
  • {"endpoint_text":"- Effect Endpoint title: Change in Height velocity SDS Time frame: From baseline (week 0) to visit 6 (week 26) Unit: -10 to +10","definition_or_measurement_approach":"Change in height velocity SDS from baseline to week 26; unit scale reported as -10 to +10."}
  • {"endpoint_text":"- Safety Endpoint title: Change in fasting plasma glucose Time frame: From screening (visit 1) to visit 6 (week 26) Unit: mmol/l","definition_or_measurement_approach":"Change in fasting plasma glucose (mmol/l) from screening to week 26."}
  • {"endpoint_text":"- Safety Endpoint title: Change in homeostatic model assessment (HOMA) Time frame: From screening (visit 1) to visit 6 (week 26) Unit: %","definition_or_measurement_approach":"Change in HOMA index (%) from screening to week 26."}
  • {"endpoint_text":"- Safety Endpoint title: Change in Glycated haemoglobin (HbA1c) Time frame: From screening (visit 1) to visit 6 (week 26) Unit: % point","definition_or_measurement_approach":"Change in HbA1c (% point) from screening to week 26."}
  • {"endpoint_text":"- Pharmacodynamics Endpoint title: Change in IGF-I SDS Time frame: From baseline (week 0) to visit 6 (week 26) Unit: -10 to +10","definition_or_measurement_approach":"Change in IGF-I SDS from baseline to week 26; unit scale reported as -10 to +10."}
  • {"endpoint_text":"- Pharmacodynamics Endpoint title: Change in IGFBP-3 SDS Time frame: From baseline (week 0) to visit 6 (week 26) Unit: -10 to +10","definition_or_measurement_approach":"Change in IGFBP-3 SDS from baseline to week 26; unit scale reported as -10 to +10."}

Recruitment

Planned Sample Size
52
Recruitment Window Months
70
Consent Approach
Informed consent is provided by parents/legal representatives. Age-appropriate assent and consent documents are used (child assent forms and child consent forms for ages 6-11 and 12-17, legal representative/parent consent forms). Subject information and consent/assent materials are available in multiple languages as evidenced in the submission (examples: English, French, German, Hungarian, Italian, Latvian, Russian).

Geography

Total Number Of Sites
7
Total Number Of Participants
10

Austria

Earliest CTIS Part Ii Submission Date
10-04-2024
Latest Decision Or Authorization Date
23-03-2026
Processing Time Days
712
Number Of Sites
1
Number Of Participants
1

Sites

Site Name
Kepler Universitaetsklinikum GmbH
Department Name
Med Campus IV, Abteilung für Kinder- und Jugendheilkunde
Principal Investigator Name
Thomas Hörtenhuber
Principal Investigator Email
thomas.hoertenhuber@kepleruniklinikum.at
Contact Person Name
Thomas Hörtenhuber

France

Earliest CTIS Part Ii Submission Date
10-04-2024
Latest Decision Or Authorization Date
17-03-2026
Processing Time Days
706
Number Of Sites
2
Number Of Participants
3

Sites

Site Name
Assistance Publique Hopitaux De Paris
Contact Person Name
Agnès Linglart
Contact Person Email
agnes.linglart@aphp.fr
Site Name
Assistance Publique Hopitaux De Paris
Contact Person Name
Michel Polak
Contact Person Email
michel.polak@aphp.fr

Hungary

Earliest CTIS Part Ii Submission Date
10-04-2024
Latest Decision Or Authorization Date
23-03-2026
Processing Time Days
712
Number Of Sites
1
Number Of Participants
1

Sites

Site Name
University Of Szeged
Department Name
Pediatric Clinic A-department
Contact Person Name
Balázs Gellén
Contact Person Email
balazs.gellen@gmail.com

Latvia

Earliest CTIS Part Ii Submission Date
10-04-2024
Latest Decision Or Authorization Date
30-09-2024
Processing Time Days
173
Number Of Sites
1
Number Of Participants
2

Sites

Site Name
Bernu Kliniska Universitates Slimnica VSIA
Contact Person Name
Iveta Dzivite-Krisane
Contact Person Email
iveta.dzivite@bkus.lv

Italy

Earliest CTIS Part Ii Submission Date
10-04-2024
Latest Decision Or Authorization Date
20-03-2026
Processing Time Days
709
Number Of Sites
2
Number Of Participants
3

Sites

Site Name
Azienda Ospedaliera Universitaria Meyer IRCCS
Contact Person Name
Stefano Stagi
Contact Person Email
stefano.stagi@unifi.it
Site Name
Bambino Gesu Childrens Hospital
Contact Person Name
Laura Chioma
Contact Person Email
laura.chioma@opbg.net

Sponsor

Primary sponsor

Full Name
Novo Nordisk A/S
Organisation Type
Pharmaceutical company
Country Of Registered Address
Denmark

Contract research organisations

Name
WCG Clinical Inc.
Responsibilities
sponsorDuties code: 10
Name
IQVIA Limited
Responsibilities
sponsorDuties code: 4
Name
Syneos Health Clinique Inc.
Responsibilities
sponsorDuties code: 4

Third parties

  • {"country":"United States","full_name":"WCG Clinical Inc.","duties_or_roles":"sponsorDuties code: 10","organisation_type":"Pharmaceutical company"}
  • {"country":"United Kingdom","full_name":"IQVIA Limited","duties_or_roles":"sponsorDuties code: 4","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Eresearchtechnology Inc.","duties_or_roles":"eDiary supplier (sponsorDuties code: 15)","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Perceptive Informatics Inc.","duties_or_roles":"Imaging Laboratory (sponsorDuties code: 15)","organisation_type":"Pharmaceutical company"}
  • {"country":"Canada","full_name":"Syneos Health Clinique Inc.","duties_or_roles":"sponsorDuties code: 4","organisation_type":"Hospital/Clinic/Other health care facility"}
  • {"country":"United Kingdom","full_name":"Perceptive Eclinical Limited","duties_or_roles":"IWRS Supplier (sponsorDuties code: 15)","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Oracle America Inc.","duties_or_roles":"CRF supplier (sponsorDuties code: 15)","organisation_type":"Pharmaceutical company"}

Investigational products

Investigational Product Name
Sogroya 5 mg/1.5 mL solution for injection in pre-filled pen
Active Substance
SOMAPACITAN
Modality
Peptide/protein/enzyme
Routes Of Administration
SUBCUTANEOUS
Route
Subcutaneous
Authorisation Status
Authorised
Orphan Designation
Yes
Dose Levels
5 mg; 10 mg; 15 mg
Frequency
Once-weekly (as per trial description)
Dose Escalation Increase
Initial and following doses: 5 mg; 10 mg; 15 mg
Investigational Product Name
Sogroya 10 mg/1.5 mL solution for injection in pre-filled pen
Active Substance
SOMAPACITAN
Modality
Peptide/protein/enzyme
Routes Of Administration
SUBCUTANEOUS
Route
Subcutaneous
Authorisation Status
Authorised
Orphan Designation
Yes
Dose Levels
5 mg; 10 mg; 15 mg
Frequency
Once-weekly (as per trial description)
Dose Escalation Increase
Initial and following doses: 5 mg; 10 mg; 15 mg
Investigational Product Name
Sogroya 15 mg/1.5 mL solution for injection in pre-filled pen
Active Substance
SOMAPACITAN
Modality
Peptide/protein/enzyme
Routes Of Administration
SUBCUTANEOUS
Route
Subcutaneous
Authorisation Status
Authorised
Orphan Designation
Yes
Dose Levels
5 mg; 10 mg; 15 mg
Frequency
Once-weekly (as per trial description)
Dose Escalation Increase
Initial and following doses: 5 mg; 10 mg; 15 mg
Investigational Product Name
Norditropin FlexPro, injektionsvæske, opløsning i fyldt pen
Active Substance
SOMATROPIN
Modality
Peptide/protein/enzyme
Routes Of Administration
SUBCUTANEOUS
Route
Subcutaneous
Authorisation Status
Authorised
Frequency
Daily (as per trial description)

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