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
- Contact Person Email
- thomas.hoertenhuber@kepleruniklinikum.at
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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