DEC-NET Serial number FR525 |
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Published online | 06/07/2006 16.02.00 |
Last updated | 06/07/2006 16.19.27 |
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Other protocol ID number | CTN 307-MET-9002-0009 |
Current trial status | Closed to recruitment of participants: follow-up continuing |
Major Disease (ICD9 class) | Lack of expected normal physiological development; Failure to gain weight; Short stature |
Experimental drug |
Somatropin
Treatment regimen (dosage and duration) 1.4 IU/kg/week is given as a every day subcutaneous injection during 36 months |
Gender | Both |
Age (range) | 3 years and above |
Eligibility criteria |
Inclusion criteria |
-Children with juvenile arthritis or nephrotic syndrome
-Chronoligical age> 3 years old
-Before or during puberty
-Treated by corticoids since at least 1 year with a posology < or equal 0.2mg/kg/d equivalent prednisone, every day or every other day, with continuation of this treatment during growth hormone administration
-Height < -2,0 SD or loss of 1 SD during the 2 years preceding the inclusion
-Bone age < 13 years for the girls and < 14 years for the boys
-In pubertal patients :
B2 < breast development < B3 for the girls,
4 ml < testicular volume < 12 ml for the boys
-Informed consent signed.
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Exclusion criteria |
-Diabetes type 1 and 2,
-Endocrine disease, expected well substitued hypothyroidism,
-Chronic renal diseases with glomerular filtration rate < 50 ml/mn/1.73m2 ;
-Patients who have know or supected allergy to the preservative m-cresol,
-Non compliant patients,
-Patients treated with sexual steroids (estrogens, testosterone) during the 6 months before the inclusion ;
-Secondary resistance to the treatment of the nephrotic syndrome defined by proteinuria with albuminemia < 30g/l during more than 3 consecutive months ;
-Malignancies,
-Prviuos GH treatment,
-Inclusion in other study protocol.
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Trial design/methodology |
Phase | 3 |
Kind of study | Efficacy Safety
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Design | |
Purpose of study |
Principal objective:
-To assess the effect of a long-term treatment by Genotonorm on linear growth in children with short stature receiving steroid therapy.
Secondary objectives:
- to assess of a long term treatment with Genotonorm on bone mineralisation
and body composition.
- to assess the clinical and biological (glucose and lipid metabolism) safety with Genotonorm treatment
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Primary outcomes |
The main efficacy variable is the height SDS (SEMPE) |
Secondary outcomes |
- Bone metabolism
- Body composition
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Summary of study design, objectives, and ongoing research findings |
This is a national, multicentre, not randomized and not controlled study. The primary objective is to evaluate the efficacy of recombinant human growth hormone treatment on children' growth having a short stature due to long term corticoid therapy.The children above the age of 3 years are treated by Genotonorm (0.46 mg/kg/week) treatment is maintained until they reach their final height. |