Treatment with recombinant human growth hormrone (Genotonorm) in children with short stature secondary to a long term corticoid therapy
DEC-NET Serial number FR525
Published online06/07/2006 16.02.00
Last updated06/07/2006 16.19.27
Other protocol ID numberCTN 307-MET-9002-0009
Current trial statusClosed 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
GenderBoth
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.
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.

Trial design/methodology
Phase3
Kind of studyEfficacy
Safety
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
Primary outcomes
The main efficacy variable is the height SDS (SEMPE)
Secondary outcomes
- Bone metabolism - Body composition
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.
Principal investigator
NamePr. Paul CZERNICHOW
InstitutionHôpital Robert DEBRE service d'endocrinologie U457
Postal address48 bld Serurier 75935 Paris Cedex
CityParis
CountryFRANCE
Phone00(33)(0)1.40.03.20.00
Fax00(33)(0)1.40.03.24.29
E-mailpaul.czernichow@rdb.ap-hop-paris.fr


Promoter
PFIZER (Industry)


Participating centres
Hôpital Robert Debré (Paris)
Hôpital Necker-Enfants Malades (Paris)

ISRCTN  EudraCT