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Clinical Trials/NCT07450053
NCT07450053
Not yet recruiting
Phase 1

A Phase Ib/II Multicenter, Randomized, Open-label, Active-controlled, Single/Multiple-dose, Dose-finding, Clinical Study of GenSci134 in Children With Idiopathic Short Stature

Changchun GeneScience Pharmaceutical Co., Ltd.1 site in 1 country128 target enrollmentStarted: March 6, 2026Last updated:

Overview

Phase
Phase 1
Status
Not yet recruiting
Enrollment
128
Locations
1
Primary Endpoint
Phase Ib: Incidence of Treatment Emergent Adverse Events (TEAEs)

Overview

Brief Summary

This study comprises two phases: Phase Ib and Phase II. Phase Ib is a multicenter, randomized, open-label, active-controlled, single-dose, dose-escalation study to evaluate the safety, tolerability, PK/PD profile, and immunogenicity of a single subcutaneous dose of GenSci134 in children with idiopathic short stature (ISS).

Phase II is a multicenter, randomized, open-label, active-controlled, multiple-dose, parallel-group study to assess the efficacy and safety of multiple subcutaneous doses of GenSci134 at different levels versus Norditropin® in children with ISS. It will also evaluate PK/PD profile, immunogenicity, and biomarkers to support dose selection for Phase III.

Study Design

Study Type
Interventional
Allocation
Randomized
Intervention Model
Sequential
Primary Purpose
Treatment
Masking
None

Eligibility Criteria

Ages
3 Years to 12 Years (Child)
Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • sInformed consent of parent or legal representative of participant and child assent, as age appropriate must be obtained before any study-related activities.
  • At the time of signing the Informed consent form (ICF), the following conditions must be met:
  • Phase Ib:
  • Girls: age ≥3 and ≤11 years, breast development at Tanner stage 1, body weight ≥16 kg; Boys: age ≥3 and ≤12 years, testis volume \<4 mL, body weight ≥16 kg.
  • ● Phase II: Girls: age ≥3 and ≤9 years, breast development at Tanner stage 1; Boys: age ≥3 and ≤10 years, testis volume \<4 mL.
  • Diagnosis of ISS at the time of ICF signing .
  • BMI within the range of ±2 SD of the mean BMI for age and sex at screening(Phase II only).
  • No prior exposure to GH or IGF-1 therapy.
  • Historical measurements of body height within 6-18 months prior to screening are available(Phase II only).
  • BA-CA ≤ 1 year at screening(Phase II only).

Exclusion Criteria

  • Presence of any suspected or confirmed condition known to affect growth, including but not limited to:
  • Turner Syndrome.
  • Noonan syndrome.
  • Laron Syndrome.
  • Other genetic syndromes with short stature that are caused by chromosomal abnormalities or gene mutations, including but not limited to Prader-Willi syndrome, abnormal SHOX-1 gene analysis, or GH receptor deficiency.
  • Born small for gestational age:
  • Growth retardation due to malnutrition.
  • Growth retardation due to hypothyroidism.
  • Short stature with any other clearly identified etiology.
  • Epiphyseal closure (Phase II only).

Arms & Interventions

Recombinant Human Growth Hormone Injection (Norditropin®)

Active Comparator

Active control group

Intervention: Recombinant Human Growth Hormone Injection(Norditropin® FlexPro®) (Drug)

Dose Level 1~ Dose Level 6

Experimental

dose level 1、dose level 2、dose level 3、dose level 4、 dose level 5、dose level 6

Intervention: GenSci134 Injection (Drug)

Outcomes

Primary Outcomes

Phase Ib: Incidence of Treatment Emergent Adverse Events (TEAEs)

Time Frame: From Day 1 to Day 35

Phase II: Annualized height velocity (AHV) at Week 24 of treatment

Time Frame: 24 weeks

Secondary Outcomes

  • Phase II: Change from baseline in BA/CA at each visit(From baseline to Week 24 of the treatment period)
  • Phase II: Incidence of TEAEs(From the first dose to the end of the trial)
  • Phase II: Serum concentration of GenSci134.(From baseline to Week 24 of the treatment period)
  • Phase II: Serum level of IGF-1and IGFBP-3 and their changes from baseline.(From baseline to Week 24 of the treatment period)
  • Phase II: Incidence and timing of positive ADA and/or NAb (if applicable).(From baseline to Week 24 of the extension period)
  • Phase Ib: Incidence and timing of positive anti-drug antibody (ADA) and/or neutralizing antibody (NAb) (if applicable)(From Day 1 to Day 29)
  • Phase II: Change from baseline in HT SDS at each visit(From baseline to Week 24 of the treatment period)
  • Phase Ib: Areas under the drug concentration-time curve (AUC0-t, AUC0-∞) of GenSci134(From Day 1 to Day 29)
  • Phase Ib: Time to maximum concentration (Tmax) of GenSci134(From Day 1 to Day 29)
  • Phase Ib: Maximum concentration (Cmax) of GenSci134(From Day 1 to Day 29)
  • Phase Ib: Half-life (t1/2) of GenSci134(From Day 1 to Day 29)
  • Phase Ib: Serum level of IGF-1and IGFBP-3 and their changes from baseline.(rom Day 1 to Day 29)
  • Phase II: Change from baseline in AHV at each visit(From baseline to Week 24 of the treatment period)

Investigators

Sponsor Class
Industry
Responsible Party
Sponsor

Study Sites (1)

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