Number of Adverse Events (AEs) Reported in Children Born Small for Gestational Age- Weeks 0 to 26
| Group | Value (Events) |
|---|---|
| SGA_somapacitan (GH Treatment Naïve) | 4 |
| SGA_somapacitan (Previously Treated With GH) | 10 |
Trial · Interventional
Active, not recruitingPhase 3Results postedRegistry dataShort name REAL 9
United States, Malaysia, Netherlands, Poland, South Korea, Spain
1 trial · 1 ongoing · 1 with posted results
Text and fields below are the sponsor's entries at ClinicalTrials.gov, shown as posted.
The purpose of this study is to find out if somapacitan is safe and how well somapacitan works in children either born small for gestational age or with Turner syndrome, Noonan syndrome or idiopathic short stature. Somapacitan is a new growth hormone medicine for treatment of low level of growth hormone. The study will last for about 3 years. During the study, the participants will be treated with somapacitan once a week. Somapacitan can be injected anytime during the day. The study doctor or nurse will show how to inject somapacitan, so that the participant knows how to do it at home.
Experimental
Somapacitan
Participants will receive Somapacitan for 26-week main phase followed by 130-week extension phase.
Outcomes the sponsor listed as primary.
Number of Adverse Events (AEs) Reported in Children Born Small for Gestational Age- Weeks 0 to 26
Time frame · From baseline (Week 0) to Week 26
This outcome measure reported number of AEs in children with short stature for indication SGA. Children with SGA are born small for gestational age with insufficient catch-up growth by 2 years of age or older. An AE is any untoward medical occurrence in a clinical study participant that is temporally associated with the use of study treatment, whether or not considered related to the study treatment. An AE can therefore be any unfavourable and unintended sign (including an abnormal laboratory finding), symptom or disease (new or exacerbated) temporally associated with the use of an study treatment.
Number of Adverse Events Reported for Turner Syndrome (TS)- Weeks 0 to 26
Time frame · From baseline (Week 0) to Week 26
This outcome measure reported number of AEs in participants with short stature for indication TS. TS is a chromosomal disorder which leads to short stature. An AE is any untoward medical occurrence in a clinical study participant that is temporally associated with the use of study treatment, whether or not considered related to the study treatment. An AE can therefore be any unfavourable and unintended sign (including an abnormal laboratory finding), symptom or disease (new or exacerbated) temporally associated with the use of an study treatment.
Number of Adverse Events Reported for Noonan Syndrome- Weeks 0 to 26
Time frame · From baseline (Week 0) to Week 26
This outcome measure reported number of AEs in participants with short stature for indication NS which is a genetically heterogeneous developmental disorder characterized by postnatally reduced growth and other major disorders. An AE is any untoward medical occurrence in a clinical study participant that is temporally associated with the use of study treatment, whether or not considered related to the study treatment. An AE can therefore be any unfavourable and unintended sign (including an abnormal laboratory finding), symptom or disease (new or exacerbated) temporally associated with the use of an study treatment.
Number of Adverse Events Reported for Idiopathic Short Stature (ISS)- Weeks 0 to 26
Time frame · From baseline (Week 0) to Week 26
This outcome measure reported number of AEs in participants with short stature for indication ISS. ISS describes short children with normal GH secretion. ISS is a condition in which the height of the individual is more than 2 standard deviations below the corresponding mean height for a given age, sex and population, without evidence of systemic, endocrine, nutritional or chromosomal abnormalities. An AE is any untoward medical occurrence in a clinical study participant that is temporally associated with the use of study treatment, whether or not considered related to the study treatment. An AE can therefore be any unfavourable and unintended sign (including an abnormal laboratory finding), symptom or disease (new or exacerbated) temporally associated with the use of an study treatment.
Number of Adverse Events Possibly or Probably Related to Somapacitan Reported for Children Born Small for Gestational Age
Time frame · From baseline (Week 0) to Week 26
This outcome measure reported number of AEs possibly or probably related to somapacitan reported in children with short stature for indication SGA. Children with SGA are born small for gestational age with insufficient catch-up growth by 2 years of age or older. An AE is any untoward medical occurrence in a clinical study participant that is temporally associated with the use of study treatment, whether or not considered related to the study treatment. An AE can therefore be any unfavourable and unintended sign (including an abnormal laboratory finding), symptom or disease (new or exacerbated) temporally associated with the use of an study treatment.
Number of Adverse Events Possibly or Probably Related to Somapacitan Reported for Turner Syndrome
Time frame · From baseline (Week 0) to Week 26
This outcome measure reported number of AEs possibly or probably related to somapacitan reported in participants with short stature for indication TS. TS is a chromosomal disorder which leads to short stature. An AE is any untoward medical occurrence in a clinical study participant that is temporally associated with the use of study treatment, whether or not considered related to the study treatment. An AE can therefore be any unfavourable and unintended sign (including an abnormal laboratory finding), symptom or disease (new or exacerbated) temporally associated with the use of an study treatment.
Number of Adverse Events Possibly or Probably Related to Somapacitan Reported for Noonan Syndrome
Time frame · From baseline (Week 0) to Week 26
This outcome measure reported number of AEs possibly or probably related to somapacitan reported in participants with short stature for indication NS. An NS is a genetically heterogeneous developmental disorder characterized by postnatally reduced growth and other major disorders. An AE is any untoward medical occurrence in a clinical study participant that is temporally associated with the use of study treatment, whether or not considered related to the study treatment. An AE can therefore be any unfavourable and unintended sign (including an abnormal laboratory finding), symptom or disease (new or exacerbated) temporally associated with the use of an study treatment.
Number of Adverse Events Possibly or Probably Related to Somapacitan Reported for Idiopathic Short Stature
Time frame · From baseline (Week 0) to Week 26
This outcome measure reported number of AEs possibly or probably related to somapacitan in participants with short stature for indication ISS. ISS describes short children with normal GH secretion and it is a condition in which the height of the individual is more than 2 standard deviations below the corresponding mean height for a given age, sex and population, without evidence of systemic, endocrine, nutritional or chromosomal abnormalities. An AE is any untoward medical occurrence in a clinical study participant that is temporally associated with the use of study treatment, whether or not considered related to the study treatment. An AE can therefore be any unfavourable and unintended sign (including an abnormal laboratory finding), symptom or disease (new or exacerbated) temporally associated with the use of an study treatment.
Number of Adverse Events Reported Long-term Safety for Children Born Small for Gestational Age- Weeks 0 to 156
Time frame · From baseline (Week 0) to Week 156
This outcome measure reported long-term safety in terms of number of AEs in children with short stature for indication SGA. Children with SGA are born small for gestational age with insufficient catch-up growth by 2 years of age or older. An AE is any untoward medical occurrence in a clinical study participant that is temporally associated with the use of study treatment, whether or not considered related to the study treatment. An AE can therefore be any unfavourable and unintended sign (including an abnormal laboratory finding), symptom or disease (new or exacerbated) temporally associated with the use of an study treatment.
Number of Adverse Events Reported Long-term Safety for Turner Syndrome- Weeks 0 to 156
Time frame · From baseline (Week 0) to Week 156
This outcome measure reported long-term safety in terms of number of AEs in participants with short stature for indication TS. TS is a chromosomal disorder which leads to short stature. An AE is any untoward medical occurrence in a clinical study participant that is temporally associated with the use of study treatment, whether or not considered related to the study treatment. An AE can therefore be any unfavourable and unintended sign (including an abnormal laboratory finding), symptom or disease (new or exacerbated) temporally associated with the use of an study treatment.
Number of Adverse Events Reported Long-term Safety for Noonan Syndrome- Weeks 0 to 156
Time frame · From baseline (Week 0) to Week 156
This outcome measure reported long-term safety in terms of number of AEs in participants with short stature for indication NS which is a genetically heterogeneous developmental disorder characterized by postnatally reduced growth and other major disorders. An AE is any untoward medical occurrence in a clinical study participant that is temporally associated with the use of study treatment, whether or not considered related to the study treatment. An AE can therefore be any unfavourable and unintended sign (including an abnormal laboratory finding), symptom or disease (new or exacerbated) temporally associated with the use of an study treatment.
Number of Adverse Events Reported Long-term Safety for Idiopathic Short Stature- Weeks 0 to 156
Time frame · From baseline (Week 0) to Week 156
This outcome measure reported long-term safety in terms of number of AEs in participants with short stature for indication ISS. ISS describes short children with normal GH secretion. ISS is a condition in which the height of the individual is more than 2 standard deviations below the corresponding mean height for a given age, sex and population, without evidence of systemic, endocrine, nutritional or chromosomal abnormalities. An AE is any untoward medical occurrence in a clinical study participant that is temporally associated with the use of study treatment, whether or not considered related to the study treatment. An AE can therefore be any unfavourable and unintended sign (including an abnormal laboratory finding), symptom or disease (new or exacerbated) temporally associated with the use of an study treatment.
Height Velocity Reported Children Born Small for Gestational Age
Time frame · From Baseline (Week 0) to Week 26
This outcome measure reported height velocity in children with short stature for indication SGA. Height velocity at week 26 was derived as: (height at 26 weeks visit - height at baseline)/ (time from baseline to 26 weeks visit in years).
Height Velocity Reported for Turner Syndrome
Time frame · From Baseline (Week 0) to Week 26
This outcome measure reported height velocity in children with short stature for indication TS. Height velocity at week 26 was derived as: (height at 26 weeks visit - height at baseline)/ (time from baseline to 26 weeks visit in years).
Height Velocity Reported for Noonan Syndrome
Time frame · From Baseline (Week 0) to Week 26
This outcome measure reported height velocity in children with short stature for indication NS. Height velocity at week 26 was derived as: (height at 26 weeks visit - height at baseline)/(time from baseline to 26 weeks visit in years).
Height Velocity Reported for Idiopathic Short Stature
Time frame · From Baseline (Week 0) to Week 26
This outcome measure reported height velocity in children with short stature for indication ISS. Height velocity at week 26 was derived as: (height at 26 weeks visit - height at baseline)/ (time from baseline to 26 weeks visit in years).
Change in Height Standard Deviation Scores (SDS) Reported for Children Born Small for Gestational Age
Time frame · Baseline (Week 0), Week 26
This outcome measure reported height standard deviation scores in children with short stature for indication SGA. Height SDS at Week 26 was derived as the Height SDS value at baseline (Week 0) subtracted from the Height SDS value at Week 26. Height SDS is derived as: Height SDSi = ({\[Heighti/population median\]\^Skewness}-1)/(Skewness∗population SD); where i indicates the visit and SD indicates the standard deviation (SD). The population median and standard deviation are the ones corresponding to the age at visit i. The population median and standard deviation and skewness are based on reference data. The score ranges from -10 (minimum) to +10 (maximum), where the greater value indicated greater height. The positive score indicates that the value is closer to or above the reference population compared to baseline.
Change in Height Standard Deviation Scores Reported for Turner Syndrome
Time frame · Baseline (Week 0), Week 26
This outcome measure reported height standard deviation scores in children with short stature for indication TS. Height SDS at Week 26 was derived as the Height SDS value at baseline (Week 0) subtracted from the Height SDS value at Week 26. Height SDS is derived as: Height SDSi = ({\[Heighti/population median\]\^Skewness}-1)/(Skewness∗population SD); where i indicates the visit. The population median and standard deviation are the ones corresponding to the age at visit i. The population median and standard deviation and skewness are based on reference data. The score ranges from -10 (minimum) to +10 (maximum), where the greater value indicated greater height. The positive score indicates that the value is closer to or above the reference population compared to baseline.
Change in Height Standard Deviation Scores Reported for Noonan Syndrome
Time frame · Baseline (Week 0), Week 26
This outcome measure reported height standard deviation scores in children with short stature for indication NS. Height SDS at Week 26 was derived as the Height SDS value at baseline (Week 0) subtracted from the Height SDS value at Week 26. Height SDS is derived as: Height SDSi = ({\[Heighti/population median\]\^Skewness}-1)/(Skewness∗population SD); where i indicates the visit. The population median and standard deviation are the ones corresponding to the age at visit i. The population median and standard deviation and skewness are based on reference data. The score ranges from -10 (minimum) to +10 (maximum), where the greater value indicated greater height. The positive score indicates that the value is closer to or above the reference population compared to baseline.
Change in Height Standard Deviation Scores Reported for Idiopathic Short Stature
Time frame · Baseline (Week 0), Week 26
This outcome measure reported height standard deviation scores in children with short stature for indication ISS. Height SDS at Week 26 was derived as the Height SDS value at baseline (Week 0) subtracted from the Height SDS value at Week 26. Height SDS is derived as: Height SDSi = ({\[Heighti/population median\]\^Skewness}-1)/(Skewness∗population SD); where i indicates the visit. The population median and standard deviation are the ones corresponding to the age at visit i. The population median and standard deviation and skewness are based on reference data. The score ranges from -10 (minimum) to +10 (maximum), where the greater value indicated greater height. The positive score indicates that the value is closer to or above the reference population compared to baseline.
Change in Height Velocity Standard Deviation Scores Reported Separately for Children Born Small for Gestational Age
Time frame · Baseline (Week 0), Week 26
This outcome measure reported change in height velocity SDS in children with short stature for indication SGA. Change in height velocity SDS at week 26 was calculated as the height velocity SDS value at baseline Week 0 subtracted from the height velocity SDS value at Week 26. Height Velocity SDS is derived as: HV SDSi = (HVi - population mean HV)/population SD; where i indicates the visit. The population mean and standard deviation corresponding to the age at visit i. The score ranges from -10 (minimum) to +10 (maximum), where the greater value indicated greater height velocity. The positive score indicated that the value is closer to or above the reference population compared to baseline.
Change in Height Velocity Standard Deviation Scores Reported Separately for Turner Syndrome
Time frame · Baseline (Week 0), Week 26
This outcome measure reported change in height velocity SDS in children with short stature for indication TS. Change in height velocity SDS at week 26 was calculated as the height velocity SDS value at baseline (Week 0) subtracted from the height velocity SDS value at Week 26. Height Velocity SDS is derived as: HV SDSi = (HVi - population mean HV)/population SD; where i indicates the visit. The population mean and standard deviation corresponding to the age at visit i. The score ranges from -10 (minimum) to +10 (maximum), where the greater value indicated greater height velocity. The positive score indicated that the value is closer to or above the reference population compared to baseline.
Change in Height Velocity Standard Deviation Scores Reported for Noonan Syndrome
Time frame · Baseline (Week 0), Week 26
This outcome measure reported change in height velocity SDS in children with short stature for indication NS. Change in height velocity SDS at Week 26 was the Height Velocity SDS value at baseline (Week 0) subtracted from the Height Velocity SDS value at Week 26. Height Velocity SDS is derived as: HV SDSi = (HVi - population mean HV)/population SD; where i indicates the visit. The population mean and standard deviation corresponding to the age at visit i. The score ranges from -10 (minimum) to +10 (maximum), where the greater value indicated greater height velocity. The positive score indicated that the value is closer to or above the reference population compared to baseline.
Change in Height Velocity Standard Deviation Scores Reported Separately for Idiopathic Short Stature
Time frame · Baseline (Week 0), Week 26
This outcome measure reported change in height velocity SDS in children with short stature for indication ISS. Change in height velocity SDS at Week 26 was the Height Velocity SDS value at baseline (Week 0) subtracted from the Height Velocity SDS value at Week 26. Height Velocity SDS is derived as: HV SDSi = (HVi - population mean HV)/population SD; where i indicates the visit. The population mean and standard deviation corresponding to the age at visit i. The score ranges from -10 (minimum) to +10 (maximum), where the greater value indicated greater height velocity. The positive score indicated that the value is closer to or above the reference population compared to baseline.
Values are shown as posted at ClinicalTrials.gov, with their units. PepBank has not converted, pooled or compared them.
| Group | Value (Events) |
|---|---|
| SGA_somapacitan (GH Treatment Naïve) | 4 |
| SGA_somapacitan (Previously Treated With GH) | 10 |
| Group | Value (Events) |
|---|---|
| TS_somapacitan (GH Treatment Naïve) | 4 |
| TS_somapacitan (Previously Treated With GH) | 18 |
| Group | Value (Events) |
|---|---|
| NS_somapacitan (GH Treatment Naïve) | 13 |
| NS_somapacitan (Previously Treated With GH) | 11 |
| Group | Value (Events) |
|---|---|
| ISS_somapacitan (GH Treatment Naïve) | 9 |
| ISS_somapacitan (Previously Treated With GH) | 22 |
| Group | Value (Events) |
|---|---|
| SGA_somapacitan (GH Treatment Naïve) | 1 |
| SGA_somapacitan (Previously Treated With GH) | 1 |
| Group | Value (Events) |
|---|---|
| TS_somapacitan (GH Treatment Naïve) | 0 |
| TS_somapacitan (Previously Treated With GH) | 0 |
| Group | Value (Events) |
|---|---|
| NS_somapacitan (GH Treatment Naïve) | 3 |
| NS_somapacitan (Previously Treated With GH) | 2 |
| Group | Value (Events) |
|---|---|
| ISS_somapacitan (GH Treatment Naïve) | 0 |
| ISS_somapacitan (Previously Treated With GH) | 1 |
| Group | Deaths | Serious events | Other events |
|---|---|---|---|
| SGA_somapacitan (GH Treatment Naïve)Participants with small for gestational age who were treatment naïve subcutaneously received a dose of 0.24 mg/kg/week somapacitan once weekly for 26-week main phase followed by an ongoing 130-week extension phase I. | 0 / 4 | 0 / 4 | 3 / 4 |
| SGA_somapacitan (Previously Treated With GH)Participants with small for gestational age who were previously treated with GH, subcutaneously received a dose of 0.24 mg/kg/week somapacitan once weekly for 26-week main phase followed by an ongoing 130-week extension phase I. | 0 / 8 | 1 / 8 | 5 / 8 |
| TS_somapacitan (GH Treatment Naïve)Participants with Turner syndrome who were treatment naïve subcutaneously received a dose of 0.24 mg/kg/week somapacitan once weekly for 26-week main phase followed by an ongoing 130-week extension phase I. | 0 / 3 | 0 / 3 | 2 / 3 |
| TS_somapacitan (Previously Treated With GH)Participants with Turner syndrome who were previously treated with GH, subcutaneously received a dose of 0.24 mg/kg/week somapacitan once weekly for 26-week main phase followed by an ongoing 130-week extension phase I. | 0 / 8 | 1 / 8 | 7 / 8 |
| NS_somapacitan (GH Treatment Naïve)Participants with Noonan syndrome who were treatment naïve subcutaneously received a dose of 0.24 mg/kg/week somapacitan once weekly for 26-week main phase followed by an ongoing 130-week extension phase I. | 0 / 6 | 0 / 6 | 4 / 6 |
| NS_somapacitan (Previously Treated With GH)Participants with Noonan syndrome who were previously treated with GH, subcutaneously received a dose of 0.24 mg/kg/week somapacitan once weekly for 26-week main phase followed by an ongoing 130-week extension phase I. | 0 / 7 | 0 / 7 | 6 / 7 |
| ISS_somapacitan (GH Treatment Naïve)Participants with idiopathic short stature who were treatment naïve subcutaneously received a dose of 0.24 mg/kg/week somapacitan once weekly for 26-week main phase followed by an ongoing 130-week extension phase I. | 0 / 2 | 0 / 2 | 2 / 2 |
| ISS_somapacitan (Previously Treated With GH)Participants with idiopathic short stature who were were previously treated with GH, subcutaneously received a dose of 0.24 mg/kg/week somapacitan once weekly for 26-week main phase followed by an ongoing 130-week extension phase I. | 0 / 9 | 1 / 9 | 8 / 9 |
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