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Trial · Interventional

CompletedPhase 2Results postedRegistry data

Safety, PK/PD (Pharmacokinetics/Pharmacodynamics) and Efficacy of ACP-001 Weekly Versus Daily hGH in Children With Growth Hormone Deficiency (GHD)

Overview

Status
Completed
Phase
Phase 2
Enrollment
53 participants (actual)
Sponsor
Ascendis Pharma A/S · Industry
Design
Randomized · Open label (no masking)
Countries
14 countries

Belarus, Bulgaria, Czechia, Egypt, France, Germany, Greece, Hungary, Poland, Romania, Russia, Slovenia, Turkey (Türkiye), Ukraine

Start
Jul 2013
Primary completion
Jul 2015
Completion
Sept 2015
First posted
23 Sept 2013 (estimated)
Last update posted
8 Jul 2026
Conditions
Growth Hormone Deficiency (GHD)

Timeline

1 trial · 1 completed · 1 with posted results

  • Completed
  • Ongoing
  • Not yet recruiting
  • Stopped
  • Estimated dates (est.)
  • Results posted
2013201420152016
  1. Ph 2

    Safety, PK/PD (Pharmacokinetics/Pharmacodynamics) and Efficacy of ACP-001 Weekly Versus Daily hGH in Children With Growth Hormone Deficiency (GHD)

    NCT01947907

    Jul 2013 to Sept 2015

Registry summary

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

A six month study of ACP-001, a long-acting growth hormone product, versus standard human growth hormone therapy. ACP-001 will be given once-a-week, standard human growth hormone (hGH) will be given on a daily basis. The primary aim is to demonstrate safety, pharmacokinetics and pharmacodynamics over a period of six months. A secondary objective is the comparison of height velocity (HV) of the ACP-001 treated groups to the daily hGH treatment group.

Interventions

  • ACP-001Drug
  • Human Growth HormoneDrug

Arms4

  • Experimental

    ACP-001, dose-level 1

    Once weekly subcutaneous injection of ACP-001

  • Experimental

    ACP-001, dose-level 2

    Once weekly subcutaneous injection of ACP-001

  • Experimental

    ACP-001, dose-level 3

    Once weekly subcutaneous injection of ACP-001

  • Active comparator

    Human Growth Hormone

    Once daily subcutaneous injection of human Growth Hormone (rhGH)

Primary outcomes8

Outcomes the sponsor listed as primary.

  1. Incidence of Anti-hGH Binding Antibody Formation

    Time frame · Visit 2 - Visit 5

    Registry description

    Number of subjects with positive results for anti-hGH binding antibodies at two consecutive post-dose visits

  2. Incidence of Anti-hGH Neutralizing Antibody Formation

    Time frame · Visit 2 - Visit 5

    Registry description

    Number of subjects with positive results for anti-hGH neutralizing antibodies at two consecutive post-dose visits

  3. Number of Subjects Reporting Local Tolerability Events (Assessed by the Patient and Investigator)

    Time frame · Start of study treatment through Visit 5 (Week 27)

    Registry description

    Assessment of local tolerability was performed by examining injection sites (by the investigator during study visits) and on the basis of anamnestic data and records in the Patient Diary. Assessments included pain, redness, bruising, swelling, and itching. Every subject was counted only once within each symptom category.

  4. Cmax of hGH

    Time frame · 0 hours to 168 hours at Visit 3 (Week 13)

    Registry description

    As part of the following endpoint: PK profile of serum hGH from ACP-001 treated patients compared between ACP-001 dose groups and to the pharmacokinetic (PK) profile of hGH from the daily rhGH groups during visit 1 and 3. Uncorrected Cmax (maximum value of concentration) values at Visit 3 (Week 13)

  5. AUC0-168h of hGH

    Time frame · 0 hours to 168 hours at Visit 3 (Week 13)

    Registry description

    As part of the following endpoint: PK profile of serum hGH from ACP-001 treated patients compared between ACP-001 dose groups and to the PK profile of hGH from the daily rhGH group during Visit 1 and Visit 3 Uncorrected AUC0-168h (area under the curve from 0h to 168h) values at Visit 3 (Week 13)

  6. E-Trough of IGF-1

    Time frame · 0 hours to 168 hours at Visit 3 (Week 13)

    Registry description

    As part of the following endpoint: PD profile of serum IGF-1 during Visit 1 and Visit 3 compared between the ACP-001 dose groups and to the daily rhGH group Uncorrected E-Trough (the pre-dose efficacy response) values at Week 13

  7. Emax of IGF-1

    Time frame · 0 hours to 168 hours at Visit 3 (Week 13)

    Registry description

    As part of the following endpoint: PD profile of serum IGF-1 during V1 and V3 compared between the ACP-001 dose groups and to the daily rhGH group

  8. AUEC0-168h of IGF-1

    Time frame · 0 hours to 168 hours at Visit 3 (Week 13)

    Registry description

    As part of the following endpoint: PD profile of serum IGF-1 during V1 and V3 compared between the ACP-001 dose groups and to the rhGH group. Uncorrected AUEC0-168 (area under the efficacy curve from 0h-168h) values at Week 13

Secondary outcomes(1)
  1. Annualized Height Velocity

    Time frame · Baseline to 6 months (Visit 5)

    Registry description

    Annualized HV during treatment with ACP-001 or daily rhGH at the end of 6 months, for each ACP-001 dose group and for the daily rhGH dose group

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· Visit 2 - Visit 5

Incidence of Anti-hGH Binding Antibody Formation

GroupValue (participants)
ACP-001, Dose-level 11
ACP-001, Dose-level 20
ACP-001, Dose-level 30
Human Growth Hormone0
Primary outcomeNumber· Visit 2 - Visit 5

Incidence of Anti-hGH Neutralizing Antibody Formation

GroupValue (participants)
ACP-001, Dose-level 10
ACP-001, Dose-level 20
ACP-001, Dose-level 30
Human Growth Hormone0
Primary outcomeNumber· Start of study treatment through Visit 5 (Week 27)

Number of Subjects Reporting Local Tolerability Events (Assessed by the Patient and Investigator)

GroupValue (Number of subjects with any symptom)
ACP-001, Dose-level 17
ACP-001, Dose-level 26
ACP-001, Dose-level 36
Human Growth Hormone6
Primary outcomeMean· 0 hours to 168 hours at Visit 3 (Week 13)

Cmax of hGH

GroupValue (ng/mL)Spread
ACP-001, Dose-level 112.5588.678
ACP-001, Dose-level 213.4189.428
ACP-001, Dose-level 331.817.499
Human Growth Hormone16.61212.777
Primary outcomeMean· 0 hours to 168 hours at Visit 3 (Week 13)

AUC0-168h of hGH

GroupValue (h*ng/mL)Spread
ACP-001, Dose-level 1696.34410.096
ACP-001, Dose-level 2787.41483.169
ACP-001, Dose-level 32167.431064.729
Human Growth Hormone556.88412.618
Primary outcomeMean· 0 hours to 168 hours at Visit 3 (Week 13)

E-Trough of IGF-1

GroupValue (ng/mL)Spread
ACP-001, Dose-level 197.1750.53
ACP-001, Dose-level 215676.235
ACP-001, Dose-level 3167.8374.01
Primary outcomeMean· 0 hours to 168 hours at Visit 3 (Week 13)

Emax of IGF-1

GroupValue (ng/mL)Spread
ACP-001, Dose-level 1209.5120.189
ACP-001, Dose-level 2276126.632
ACP-001, Dose-level 3289.92129.469
Primary outcomeMean· 0 hours to 168 hours at Visit 3 (Week 13)

AUEC0-168h of IGF-1

GroupValue (h*ng/mL)Spread
ACP-001, Dose-level 128526.1915756.44
ACP-001, Dose-level 235591.9417068.59
ACP-001, Dose-level 336066.0117379.44

Adverse events, as posted

Adverse events as posted: participants affected out of participants at risk, by group
GroupDeathsSerious eventsOther events
ACP-001, Dose-level 1Once weekly subcutaneous injection of ACP-001 ACP-001: Once weekly subcutaneous injection–1 / 127 / 12
ACP-001, Dose-level 2Once weekly subcutaneous injection of ACP-001 ACP-001: Once weekly subcutaneous injection–0 / 146 / 14
ACP-001, Dose-level 3Once weekly subcutaneous injection of ACP-001 ACP-001: Once weekly subcutaneous injection–0 / 148 / 14
Human Growth HormoneOnce daily subcutaneous injection of human Growth Hormone (rhGH) Human Growth Hormone: Once daily subcutaneous injection of human Growth Hormone–0 / 138 / 13

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

Studies0

Studies that cite this trial.

No study cites this trial.

Other registry references

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

  • DerivedChatelain P, Malievskiy O, Radziuk K, Senatorova G, Abdou MO, Vlachopapadopoulou E, Skorodok Y, Peterkova V, Leff JA, Beckert M; TransCon GH Working Group. A Randomized Phase 2 Study of Long-Acting TransCon GH vs Daily GH in Childhood GH Deficiency. J Clin Endocrinol Metab. 2017 May 1;102(5):1673-1682. doi: 10.1210/jc.2016-3776. PMID 28201598

Eligibility

Who could join, as posted.

Sex
All
Age
from 3 Years up to 12 Years
Healthy volunteers
Not accepted
Inclusion and exclusion criteria, as posted
Inclusion Criteria: * Prepubertal children, Tanner stage 1 * Diagnosis of GHD, confirmed by two stimulation tests * Bone age not greater than chronological age * Impaired height and height velocity * BMI within +/- 2 SD (standard deviations) * Baseline IGF-1 (insulin-like growth factor) * Normal fundoscopy * Stable hormonal replacement therapy (other than hGH) * Written Informed Consent Exclusion Criteria: * Prior exposure to rhGH or IGF-I * Past or present intracranial tumor; history or presence of malignant disease * Small for gestational age (SGA) * Malnutrition * Psychosocial dwarfism * Coeliac disease * Anti-hGH antibodies * Diabetes mellitus * Chromosomal abnormalities (e.g. Turner syndrome, SHOX) * Closed epiphyses * Known or suspected HIV infection

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