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Pegylated Somatropin (PEG Somatropin) in the Treatment of Children With Growth Hormone Deficiency

Phase 4
Conditions
Growth Hormone Deficiency
Interventions
Biological: PEG-somatropin
Registration Number
NCT02976675
Lead Sponsor
Changchun GeneScience Pharmaceutical Co., Ltd.
Brief Summary

To evaluate the safety and efficacy of PEG Somatropin Injection in the treatment of children with growth hormone deficiency, as well as to study the feasibility of extending the dosing intervals (once per two weeks) of PEG Somatropin Injection.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
600
Inclusion Criteria
  • Subjects are diagnosed as GHD before starting treatment, according to medical history, clinical symptoms and signs, GH provocation tests and imaging and other examinations:

    1. According to statistical height data of physical development of Chinese children in nine cities in 2005, the height is lower than 3rd percentile growth curve of the same age, same sex normal children;
    2. Height velocity (HV) ≤5.0 cm / yr;
    3. GH provocative tests (with two drugs of different mechanism of action) confirmed plasma GH peak <10.0 ng / ml;
    4. bone age for girl≤9 years old, for Boy≤10 years old, bone age is one year or more later than the actual age, that is the actual age - bone age ≥ 1 year;
  • Before puberty (Tanner I stage), age≥3 years old, male or female;

  • Subjects have not received hormone therapy within 6 months;

  • Subjects is willing and able to cooperate to complete scheduled visits, treatment plans and laboratory tests and other procedures, to sign informed consent.

Exclusion Criteria
  • Dysfunction of liver and kidney (ALT> 2 times the upper limit of normal, Cr> upper limit of normal);
  • Patients positive for hepatitis B c-antibody (HBcAb), hepatitis B surface antigen (HBsAg) or hepatitis B e antigen (HBeAg);
  • Patients with known hypersensitivity to PEG Somatropin or Somatropin or any other components of the study product;
  • Patients with severe cardiopulmonary or hematological diseases, a current or past history of malignant tumors, immunodeficiency diseases, or mental diseases;
  • Potential cancer patients (family history);
  • Patients with diabetics;
  • Patients with other growth disorders, such as Turner's syndrome, sexual physical delayed puberty, Laron syndrome, growth hormone receptor deficiency, girls with slowly growing who did not rule out chromosomal abnormalities;
  • Patients with congenital bone dysplasia or scoliosis;
  • Subjects took part in other clinical trial study during 3 months;
  • Other conditions in which the investigator preclude enrollment into the study.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Jintropin AQPEG-somatropinJintropin AQ, injection, 30IU/10 mg/3ml/cartridge, 0.25mg/kg/w, once per day for 26 weeks
PEG-somatropin per two weeksPEG-somatropinPegylated somatropin, injection, 54IU/9.0mg/1.0ml/kit Group of dosing per two weeks:0.20 mg /kg/2w,once per two weeks for 26 weeks
PEG-somatropinPEG-somatropinPegylated somatropin, injection, 54IU/9.0mg/1.0ml/kit Group of dosing per week:0.20 mg /kg/w, once per week for 26 weeks
Primary Outcome Measures
NameTimeMethod
Ht SDScaBaseline, 4,12,26 weeks after initiating treatment

Ht SDSca was calculated by dividing the difference between the actual height of a patient and the mean height of the population for that chronological age by the standard deviation (SD) of the height of the population for that chronological age

Secondary Outcome Measures
NameTimeMethod
IGF-1/IGFBP-3 molar ratioBaseline, 4,12,26 weeks after initiating treatment

Calculate by formula

Bone ageBaseline, 4,12,26 weeks after initiating treatment

Calculate by formula

Ht SDSBABaseline, 4,12,26 weeks after initiating treatment

Calculate by formula

Yearly growth velocityBaseline, 4,12,26 weeks after initiating treatment

Calculate by formula

IGF-1SDSBaseline, 4,12,26 weeks after initiating treatment

Calculate by formula

Trial Locations

Locations (24)

Maternal and Child Health Hospital of Guiyang City

🇨🇳

Guiyangtou, Guizhou, China

Hebei Provincial People's Hospital

🇨🇳

Shijiazhuang, Hebei, China

Maternal and Child Health Hospital of Anhui province

🇨🇳

Hefei, Anhui, China

First People's Hospital of Lu'an City

🇨🇳

Lu'an, Anhui, China

Second Hospital of Lanzhou University

🇨🇳

Lanzhou, Gansu, China

Maternal and Child Health Hospital of Hainan province

🇨🇳

Haikou, Hainan, China

First Affiliated Hospital of Henan University of Science and Technology

🇨🇳

Zhengzhou, Henan, China

Maternal and Child Health Hospital of Hubei province

🇨🇳

Wuhan, Hubei, China

First People's Hospital of Changzhou City

🇨🇳

Changzhou, Jiangsu, China

First People's Hospital of Lianyungang City

🇨🇳

Lianyungang, Jiangsu, China

Jiangsu Provincial Hospital of Chinese Traditional medicine

🇨🇳

Nanjingkou, Jiangsu, China

Affiliated Hospital of Nantong University

🇨🇳

Nantong, Jiangsu, China

Suzhou City Hospital

🇨🇳

Suzhou, Jiangsu, China

Second Affiliated Hospital of Nanchang University

🇨🇳

Nanchang, Jiangxi, China

Maternal and Child Health Hospital of Tai'an city

🇨🇳

Tai'an, Shandong, China

Children's Hospital of Chengdu city

🇨🇳

Chengdu, Sichuan, China

People's Hospital of Cixi City

🇨🇳

Cixi, Zhejiang, China

First People's Hospital of Jiaxing City

🇨🇳

Jiaxing, Zhejiang, China

First People's Hospital

🇨🇳

Hangzhou, Zhejiang, China

Jinhua Central Hospital

🇨🇳

Jinhua, Zhejiang, China

Peoples' hospital of Inner Mongolia Autonomous Region

🇨🇳

Inner Mongolia Autonomous Region, China

General Hospital of Ningxia Medical University

🇨🇳

Ningxia Autonomous Region, China

Children's Hospital of Fudan University

🇨🇳

Shanghai, China

Jishuitan Hospital of Beijing City

🇨🇳

Beijing, China

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