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Trial · Observational

CompletedPhase not statedResults postedRegistry data

A Prospective Observational Study of Effect of Somatropin on Growth Hormone Deficient Adults

Short name HypoCCS

NCTNCT01088399 (opens ClinicalTrials.gov in a new tab)Other id6448Other idB9R-MC-GDGA

Overview

Status
Completed
Phase
Phase not stated
Enrollment
10,673 participants (actual)
Sponsor
Eli Lilly and Company · Industry
Design
Not stated
Countries
Not stated
Start
Sept 2002
Primary completion
Dec 2012
Completion
Dec 2012
First posted
17 Mar 2010 (estimated)
Last update posted
21 Apr 2014 (estimated)
Conditions
Hypopituitarism · Pituitary Insufficiency · Growth Hormone Deficiency, Adult

Timeline

1 trial · 1 completed · 1 with posted results

  • Completed
  • Ongoing
  • Not yet recruiting
  • Stopped
  • Estimated dates (est.)
  • Results posted
200220042006200820102012
  1. Ph –

    HypoCCS

    NCT01088399

    Sept 2002 to Dec 2012

Registry summary

Text and fields below are the sponsor's entries at ClinicalTrials.gov, shown as posted.

The Hypopituitary Control and Complications Study "HypoCCS" is a prospective, open label, global, multicentre, observational study on routine clinical care of adults with growth hormone deficiency occurring either isolated or in combination with other pituitary hormone deficiencies. The objective of this observational study is to evaluate long-term safety and health outcomes for adult growth hormone deficient participants with or without somatropin replacement therapy. As an observational study, data are collected only as provided at the discretion of the attending physician. The participant enrolled meet the criteria of growth hormone deficiency in adults as per the Humatrope label in the country where their attending physician practices, and this diagnosis is at the discretion of the attending physician. The decision to receive somatropin or remain untreated is made by the participant in consultation with their attending physician. While treatment of adult growth hormone deficient participants with somatropin has been shown to be safe and effective in clinical trials of 18 months duration, this observational study aims to provide information on health outcome and replacement therapy over longer periods of time for a larger number of participants in the context of the overall disease environment.

Interventions

  • Somatropin (rDNA origin)Drug

Arms2

  • Other

    Somatropin replacement treatment

    Adult participants with growth hormone deficiency receiving somatropin replacement treatment.

  • Other

    No treatment

    Adult participants with growth hormone deficiency receiving no somatropin replacement treatment.

Primary outcomes1

Outcomes the sponsor listed as primary.

  1. Clinically Significant Adverse Events

    Time frame · Baseline to study completion (approximately 10 years)

    Registry description

    A summary of all reported serious adverse events (SAE) and other adverse events regardless of causality are provided in the Adverse Events module of this record.

Secondary outcomes(6)
  1. Cardiovascular Risk Factor-Change From Baseline in Body Mass Index (BMI)

    Time frame · Baseline, interim time point (5 years), and study completion (10 years)

    Registry description

    Change in BMI was used as an indicator of cardiovascular risk. Body mass index (BMI) is an estimate of body fat based on body weight divided by height squared.

  2. Cardiovascular Risk Factor-Change From Baseline in Systolic (SBP) and Diastolic Blood Pressure (DBP)

    Time frame · Baseline, interim time point (5 years), and study completion (10 years)

    Registry description

    Change in SBP and DBP were used as an indicator of cardiovascular risk.

  3. Cardiovascular Risk Factor-Change From Baseline in Cholesterol and Triglycerides

    Time frame · Baseline, interim time point (5 years), and study completion (10 years)

    Registry description

    Change from baseline in total cholesterol (TC), high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C) and triglycerides were used as an indicator of cardiovascular risk and are presented.

  4. Cardiovascular Risk Factor-Change From Baseline in Waist Circumference

    Time frame · Baseline, interim time point (5 years), and study completion (10 years)

    Registry description

    Change in waist circumference was used as an indicator of cardiovascular risk.

  5. Percentage of Participants Experiencing a Bone Fracture (Fracture Incidence)

    Time frame · Baseline through 10 years

  6. Change From Baseline in the Total Z Score of the Disease-specific Module of the Questions of Life Satisfaction (QLS-H).

    Time frame · Baseline, interim time point (5 years), and study completion (10 years)

    Registry description

    QLS-H is a self-administered, weighted, quality of life (QoL) questionnaire consisting of 9 items developed for participants with growth hormone deficiency. Scores were corrected for age, gender, and country differences, and expressed as Z-scores based on country-specific reference ranges. Participants indicate how important a certain dimension of QoL is to them and are then questioned as to their degree of satisfaction with that dimension. Each item is rated on a 5-point Likert scale ranging from not important (1) to extremely important (5) and from dissatisfied (1) to very satisfied (5). The weighted score for the degree of satisfaction (weighted satisfaction) with a particular dimension=(importance - 1)x(2 x satisfaction - 5). Total Z-score is obtained by adding the individual item scores of the 9 dimensions, and range from -108 (representing very low satisfaction) to +180 (representing very high satisfaction).

Posted results

Values are shown as posted at ClinicalTrials.gov, with their units. PepBank has not converted, pooled or compared them.

Primary outcome results

Primary outcomeNumber· Baseline to study completion (approximately 10 years)

Clinically Significant Adverse Events

GroupValue (percentage of participants)
Somatropin Treated2.58
Untreated3.78
Secondary and other outcome results(7)
Secondary outcomeMean· Baseline, interim time point (5 years), and study completion (10 years)

Cardiovascular Risk Factor-Change From Baseline in Body Mass Index (BMI)

GroupValue (kilogram per square meter (kg/m^2))Spread
Somatropin Treated0.633.15
Untreated-0.103.25
Secondary outcomeMean· Baseline, interim time point (5 years), and study completion (10 years)

Cardiovascular Risk Factor-Change From Baseline in Systolic (SBP) and Diastolic Blood Pressure (DBP)

GroupValue (millimeters of mercury (mmHg))Spread
Somatropin Treated1.0417.49
Untreated-0.4818.88
Secondary outcomeMean· Baseline, interim time point (5 years), and study completion (10 years)

Cardiovascular Risk Factor-Change From Baseline in Cholesterol and Triglycerides

GroupValue (milligrams per deciliter (mg/dL))Spread
Somatropin Treated-13.045.74
Untreated-14.646.02
Secondary outcomeMean· Baseline, interim time point (5 years), and study completion (10 years)

Cardiovascular Risk Factor-Change From Baseline in Waist Circumference

GroupValue (centimeters (cm))Spread
Somatropin Treated0.859.06
Untreated0.108.52
Secondary outcomeNumber· Baseline through 10 years

Percentage of Participants Experiencing a Bone Fracture (Fracture Incidence)

GroupValue (percentage of participants)
Somatropin Treated3.75
Untreated4.02
Unknown0.00
Secondary outcomeMean· Baseline, interim time point (5 years), and study completion (10 years)

Change From Baseline in the Total Z Score of the Disease-specific Module of the Questions of Life Satisfaction (QLS-H).

GroupValue (Z-score)Spread
Somatropin Treated0.701.46
Untreated0.211.14
Other pre specified outcomeNumber· Study enrollment up to approximately 10 years

Number of Participants Who Died While in the Study

GroupValue (participants)
Somatropin Treated229
Untreated50
Unknown0

Adverse events, as posted

Adverse events as posted: participants affected out of participants at risk, by group
GroupDeathsSerious eventsOther events
Somatropin TreatedParticipants received somatropin therapy dosed according to the local product label during the study. No form of intervention was imposed on the participants.–1602 / 84204912 / 8420
UntreatedParticipants did not receive somatropin therapy during the study. No form of intervention was imposed on the participants.–288 / 1269591 / 1269
GroupIt is unknown whether participants did or did not receive somatropin therapy during the study. No form of intervention was imposed on the participants.–0 / 40 / 4

Each cell reads participants affected / participants at risk, as the registry posted them.

Registry data comes from ClinicalTrials.gov. Study results come from studies, not from the registry. How PepBank works

Studies3

Studies that cite this trial.

More studies

3 studies on this page

Indexing hint: Observational study · 2014

Ten-year change in quality of life in adults on growth hormone replacement for growth hormone deficiency: an analysis of the hypopituitary control and complications study.

Mo et al. 2014The Journal of clinical endocrinology and metabolismcited by 34

PMID 25233155DOI 10.1210/jc.2014-2892PUB-25233155

Rights unknown
Source link

Indexing hint: Clinical trial · 2013

Efficacy and safety of growth hormone replacement therapy in Japanese adults with growth hormone deficiency: a post-marketing observational study.

Shimatsu et al. 2013Endocrine journalcited by 14

PMID 23823978DOI 10.1507/endocrj.ej13-0083PUB-23823978

Full text at the publisher
Publisher page

PubMed tag: none · 2011

Prevalence and incidence of diabetes mellitus in adult patients on growth hormone replacement for growth hormone deficiency: a surveillance database analysis.

Attanasio et al. 2011The Journal of clinical endocrinology and metabolismcited by 45

PMID 21543424DOI 10.1210/jc.2011-0448PUB-21543424

Rights unknown
Source link

Other registry references

References listed at the registry that are not in PepBank. They link to PubMed.

  • DerivedMo D, Hardin DS, Erfurth EM, Melmed S. Adult mortality or morbidity is not increased in childhood-onset growth hormone deficient patients who received pediatric GH treatment: an analysis of the Hypopituitary Control and Complications Study (HypoCCS). Pituitary. 2014 Oct;17(5):477-85. doi: 10.1007/s11102-013-0529-6. PMID 24122237

Eligibility

Who could join, as posted.

Sex
All
Age
from 18 Years
Healthy volunteers
Not accepted
Inclusion and exclusion criteria, as posted
Inclusion Criteria: \- Adult growth hormone deficiency as per the local Humatrope label and as judged by the attending physician Exclusion Criteria: \- As per the local Humatrope label and as judged by the attending physician

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