The classic website will no longer be available as of June 25, 2024. Please use the modernized ClinicalTrials.gov.
Working…
ClinicalTrials.gov
ClinicalTrials.gov Menu

Trial to Compare the Efficacy and Safety of NNC0195-0092 (Somapacitan) With Placebo and Norditropin® FlexPro® (Somatropin) in Adults With Growth Hormone Deficiency. (REAL 1)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT02229851
Recruitment Status : Completed
First Posted : September 3, 2014
Results First Posted : July 7, 2020
Last Update Posted : November 23, 2020
Sponsor:
Information provided by (Responsible Party):
Novo Nordisk A/S

Tracking Information
First Submitted Date  ICMJE August 26, 2014
First Posted Date  ICMJE September 3, 2014
Results First Submitted Date  ICMJE April 3, 2020
Results First Posted Date  ICMJE July 7, 2020
Last Update Posted Date November 23, 2020
Actual Study Start Date  ICMJE October 31, 2014
Actual Primary Completion Date April 21, 2017   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures  ICMJE
 (submitted: June 23, 2020)
Change in Truncal Fat Percentage (Week 34) [ Time Frame: Week -3, week 34 ]
Change in Truncal fat percentage was measured from baseline (week -3) until the end of the main treatment period (week 34).
Original Primary Outcome Measures  ICMJE
 (submitted: September 2, 2014)
Change in truncal fat percentage [ Time Frame: Baseline, week 34 ]
Change History
Current Secondary Outcome Measures  ICMJE
 (submitted: June 23, 2020)
  • Change in Truncal Fat Percentage (Week 87) [ Time Frame: week -3, week 87 ]
    Change in Truncal fat percentage was measured from baseline (week -3) until the end of the extension treatment period (week 87).
  • Change in Truncal Fat Mass (Week 34) [ Time Frame: Week -3, week 34 ]
    Change in Truncal fat mass was measured from baseline (week -3) until the end of the main treatment period (week 34).
  • Change in Truncal Fat Mass (Week 87) [ Time Frame: week -3, week 87 ]
    Change in Truncal fat mass was measured from baseline (week -3) until the end of the extension treatment period (week 87).
  • Change in Truncal Lean Body Mass (Week 34) [ Time Frame: Week -3, week 34 ]
    Change in Truncal lean body mass was measured from baseline (week -3) until the end of the main treatment period (week 34).
  • Change in Truncal Lean Body Mass (Week 87) [ Time Frame: week -3, week 87 ]
    Change in Truncal lean body mass was measured from baseline (week -3) until the end of the extension treatment period (week 87).
  • Change in Total Fat Mass (Week 34) [ Time Frame: Week -3, week 34 ]
    Change in Total fat mass was measured from baseline (week -3) until the end of the main treatment period (week 34).
  • Change in Total Fat Mass (Week 87) [ Time Frame: Week -3, week 87 ]
    Change in total fat mass was measured from baseline (week -3) until the end of the extension treatment period (week 87).
  • Change in Visceral Adipose Tissue (Week 34) [ Time Frame: Week -3, week 34 ]
    Change in Visceral adipose tissue was measured from baseline (week -3) until the end of the main treatment period (week 34).
  • Change in Visceral Adipose Tissue (Week 87) [ Time Frame: Week -3, week 87 ]
    Change in Visceral adipose tissue was measured from baseline (week -3) until the end of the extension treatment period (week 87).
  • Change in Android Fat Mass (Week 34) [ Time Frame: Week -3, week 34 ]
    Change in Android fat mass was measured from baseline (week -3) until the end of the main treatment period (week 34).
  • Change in Android Fat Mass (Week 87) [ Time Frame: week -3, week 87 ]
    Change in Android fat mass was measured from baseline (week -3) until the end of the extension treatment period (week 87).
  • Change in Gynoid Fat Mass (Week 34) [ Time Frame: Week -3, week 34 ]
    Change in Gynoid fat mass was measured from baseline (week -3) until the end of the main treatment period (week 34).
  • Change in Gynoid Fat Mass (Week 87) [ Time Frame: week -3, week 87 ]
    Change in Gynoid fat mass was measured from baseline (week -3) until the end of the extension treatment period (week 87).
  • Change in Appendicular Skeletal Muscle Mass (Week 34) [ Time Frame: Week -3, week 34 ]
    Change in Appendicular skeletal muscle mass was measured from baseline (week -3) until the end of the main treatment period (week 34).
  • Change in Appendicular Skeletal Muscle Mass (Week 87) [ Time Frame: week -3, week 87 ]
    Change in Appendicular skeletal muscle mass was measured from baseline (week -3) until the end of the extension treatment period (week 87).
  • Change in Lean Body Mass (Week 34) [ Time Frame: Week -3, week 34 ]
    Change in Lean body mass was measured from baseline (week -3) until the end of the main treatment period (week 34).
  • Change in Lean Body Mass (Week 87) [ Time Frame: week -3, week 87 ]
    Change in Lean body mass was measured from baseline (week -3) until the end of the extension treatment period (week 87).
  • Change in Bone Mineral Content (Week 87) [ Time Frame: week -3, week 87 ]
    Change in Bone mineral content was measured from baseline (week -3) until the end of the extension treatment period (week 87).
  • Change in Bone Mineral Density (Week 87) [ Time Frame: week -3, week 87 ]
    Change in Bone mineral density was measured from baseline (week -3) until the end of the extension treatment period (week 87).
  • Change in IGF-I SDS (Week 34) [ Time Frame: Week -3, week 34 ]
    Change in insulin-like growth factor (IGF-I) standard deviation scores (SDS) was measured from baseline (week -3) until the end of the main treatment period (week 34). A higher score reflects a better outcome.
  • Change in IGF-I SDS (Week 87) [ Time Frame: Week -3, week 87 ]
    Change in IGF-I SDS was measured from baseline (week -3) until the end of the extension treatment period (week 87). A higher score reflects a better outcome.
  • Change in IGFBP 3 SDS (Week 34) [ Time Frame: Week -3, week 34 ]
    Change in insulin like growth factor binding protein 3 (IGFBP 3) SDS was measured from baseline (week -3) until the end of the main treatment period (week 34).
  • Change in IGFBP 3 SDS (Week 87) [ Time Frame: Week -3, week 87 ]
    Change in IGFBP 3 SDS was measured from baseline (week -3) until the end of the extension treatment period (week 87).
  • Change in TRIM-AGHD (Total and Domain Scores) (Week 34) [ Time Frame: Week 0, week 34 ]
    Change in treatment-related impact measure - adult growth hormone deficiency (TRIM-AGHD) scores (total and domain scores) was measured from baseline (week 0) until the end of the main treatment period (week 34). The TRIM-AGHD questionnaire measured the impact of GH treatment on the functioning and well-being of AGHD patients. The 4 concepts covered by the questionnaire were physical health, energy levels, cognitive ability and psychological health. TRIM-AGHD has 27 items and a total score as well as domain specific scores can be derived. The total score includes all answers that has been used to calculate each of the 4 subdomains. The score ranged from 0 to 100 for 'individual domains' and for the 'total', where a lower score reflected a better outcome.
  • Change in TRIM-AGHD (Total and Domain Scores) (Week 87) [ Time Frame: week 0, week 87 ]
    Change in TRIM-AGHD (total and domain scores) was measured from baseline (week 0) until the end of the extension treatment period (week 87). The TRIM-AGHD questionnaire measured the impact of GH treatment on the functioning and well-being of AGHD patients. The 4 concepts covered by the questionnaire were physical health, energy levels, cognitive ability and psychological health. TRIM-AGHD has 27 items and a total score as well as domain specific scores can be derived. The total score includes all answers that has been used to calculate each of the 4 subdomains. The score ranged from 0 to 100 for 'individual domains' and for the 'total', where a lower score reflected a better outcome.
  • Change in SF-36v2 (Summary and Domain Scores) (Week 34) [ Time Frame: Week 0, week 34 ]
    SF-36v2™ questionnaire measured health-related quality of life (HRQoL) on 8 domains (Bodily Pain, General Health, Mental Health, Physical Functioning, Role Emotion, Physical Health, Social Functioning and Vitality) on individual scale ranges. The scores 0-100 (higher scores indicates better HRQoL) from SF-36 were converted to norm-based scores to enable a direct interpretation in relation to distribution of the scores in the 2009 U.S. general population. Mental component summary (MCS) measure is derived from domain scales of vitality, social functioning, role emotional and mental health. Physical component summary (PCS) measure is derived from domain scales of physical functioning, role-physical, bodily pain, and general health. A norm-based score of 50 corresponds to the mean score and 10 corresponds to the standard deviation of the 2009 U.S. general population. A positive change score indicates an improvement since baseline.
  • Change in SF-36v2 (Summary and Domain Scores) (Week 87) [ Time Frame: week 0, week 87 ]
    SF-36v2™ questionnaire measured health-related quality of life (HRQoL) on 8 domains (Bodily Pain, General Health, Mental Health, Physical Functioning, Role Emotion, Physical Health, Social Functioning and Vitality) on individual scale ranges. The scores 0-100 (higher scores indicates better HRQoL) from SF-36 were converted to norm-based scores to enable a direct interpretation in relation to distribution of the scores in the 2009 U.S. general population. Mental component summary (MCS) measure is derived from domain scales of vitality, social functioning, role emotional and mental health. Physical component summary (PCS) measure is derived from domain scales of physical functioning, role-physical, bodily pain, and general health. A norm-based score of 50 corresponds to the mean score and 10 corresponds to the standard deviation of the 2009 U.S. general population. A positive change score indicates an improvement since baseline.
  • TSQM-9 Scores (Domain Scores) (Week 34) [ Time Frame: Week 34 ]
    Scores from the TSQM-9 scale were calculated at the end of the main treatment period (week 34). The Treatment Satisfaction Questionnaire for Medication - 9 items (TSQM-9) is a generic questionnaire that measures a patients' satisfaction with medication. Items are rated on a 5-point or 7-point scale according to patients' experience with the medication. The items covered are satisfaction with the effect of the medication, convenience and global treatment satisfaction. Each domain is based on 3 questions. The score is calculated in a range from 0 to 100, where a higher score reflects a better outcome. Scores have been summed and then scaled to 0-100.
  • TSQM-9 Scores (Domain Scores) (Week 87) [ Time Frame: Week 87 ]
    Scores from the TSQM-9 scale were calculated at the end of the extension treatment period (week 87). The Treatment Satisfaction Questionnaire for Medication - 9 items (TSQM-9) is a generic questionnaire that measures a patients' satisfaction with medication. Items are rated on a 5-point or 7-point scale according to patients' experience with the medication. The items covered are satisfaction with the effect of the medication, convenience and global treatment satisfaction. Each domain is based on 3 questions. The score is calculated in a range from 0 to 100, where a higher score reflects a better outcome. Scores have been summed and then scaled to 0-100.
  • Change in Total Cholesterol (Week 34) [ Time Frame: Week -3, week 34 ]
    Change in Total cholesterol was measured from baseline (week -3) until the end of the main treatment period (week 34).
  • Change in Total Cholesterol (Week 87) [ Time Frame: week -3, week 87 ]
    Change in Total cholesterol was measured from baseline (week -3) until the end of the extension treatment period (week 87).
  • Change in HDL-cholesterol (Week 34) [ Time Frame: Week -3, week 34 ]
    Change in High-density lipoprotein (HDL) cholesterol was measured from baseline (week -3) until the end of the main treatment period (week 34).
  • Change in HDL-cholesterol (Week 87) [ Time Frame: week -3, week 87 ]
    Change in HDL-cholesterol was measured from baseline (week -3) until the end of the extension treatment period (week 87).
  • Change in LDL-cholesterol (Week 34) [ Time Frame: Week -3, week 34 ]
    Change in Low-density lipoprotein (LDL) cholesterol was measured from baseline (week -3) until the end of the main treatment period (week 34).
  • Change in LDL-cholesterol (Week 87) [ Time Frame: week -3, week 87 ]
    Change in LDL-cholesterol was measured from baseline (week -3) until the end of the extension treatment period (week 87).
  • Change in Triglycerides (Week 34) [ Time Frame: Week -3, week 34 ]
    Change in Triglycerides was measured from baseline (week -3) until the end of the main treatment period (week 34).
  • Change in Triglycerides (Week 87) [ Time Frame: week -3, week 87 ]
    Change in Triglycerides was measured from baseline (week -3) until the end of the extension treatment period (week 87).
  • Change in Hs-CRP (Week 34) [ Time Frame: Week -3, week 34 ]
    Change in high-sensitivity C-reactive protein (hs-CRP) was measured from baseline (week -3) until the end of the main treatment period (week 34).
  • Change in Hs-CRP (Week 87) [ Time Frame: week -3, week 87 ]
    Change in hs-CRP was measured from baseline (week -3) until the end of the extension treatment period (week 87).
  • Change in IL-6 (Week 34) [ Time Frame: Week -3, week 34 ]
    Change in Interleukin 6 (IL-6) was measured from baseline (week -3) until the end of the main treatment period (week 34).
  • Change in IL-6 (Week 87) [ Time Frame: week -3, week 87 ]
    Change in IL-6 was measured from baseline (week -3) until the end of the extension treatment period (week 87).
  • Change in Body Weight (Week 34) [ Time Frame: Week -3, week 34 ]
    Change in body weight was measured from baseline (week -3) until the end of the main treatment period (week 34).
  • Change in Body Weight (Week 87) [ Time Frame: week -3, week 87 ]
    Change in body weight was measured from baseline (week -3) until the end of the extension treatment period (week 87).
  • Change in Waist Circumference (Week 34) [ Time Frame: Week -3, week 34 ]
    Change in waist circumference was measured from baseline (week -3) until the end of the main treatment period (week 34).
  • Change in Waist Circumference (Week 87) [ Time Frame: week -3, week 87 ]
    Change in waist circumference was measured from baseline (week -3) until the end of the extension treatment period (week 87).
  • Number of Adverse Events (Weeks 0-35) [ Time Frame: Weeks 0-35 ]
    Number of adverse events from baseline (week 0) until the end of week 35 were reported. This endpoint shows number of treatment-emergent adverse events (TEAEs), including the injection site reactions.
  • Number of Adverse Events (Weeks 0-88) [ Time Frame: Weeks 0-88 ]
    Number of adverse events from baseline (week 0) until the end of week 88 were reported. This endpoint shows the number of TEAEs along with the injection site reactions.
  • Occurrence of Anti-NNC0195-0092 Antibodies (Weeks 0-35) [ Time Frame: Weeks 0 to 35 ]
    Number of participants with anti-NNC0195-0092 antibodies at week 35 was recorded. The numbers presented in this endpoint are the participants that were found to have positive antibodies.
  • Occurrence of Anti-NNC0195-0092 Antibodies (Weeks 0-88) [ Time Frame: Weeks 0 to 88 ]
    Number of participants with anti-NNC0195-0092 antibodies at week 88 was recorded. The numbers presented in this endpoint are the participants that were found to have positive antibodies.
  • Incidence of Technical Complaints During Exposure to Trial Product (Weeks 0-35) [ Time Frame: Weeks 0 to 35 ]
    Incidence of technical complaints were recorded from baseline (week 0) until week 35.
  • Incidence of Technical Complaints During Exposure to Trial Product (Weeks 0-88) [ Time Frame: Weeks 0 to 88 ]
    Incidence of technical complaints were recorded from baseline (week 0) until week 88.
  • Change in Physical Examination During Exposure to Trial Product (Week 35) [ Time Frame: Week 0 and week 35 ]
    Change in physical examination from baseline (week 0) until the end of the main treatment period (week 35) was reported. Results are presented for the following examinations: 1) Head, neck, eyes and nose 2) Respiratory system (sys.) 3) Cardiovascular sys. 4) Gastrointestinal sys. 5) Musculoskeletal sys. 6) Central & Peripheral nervous sys. 7) Skin 8) Lymph node palpation
  • Change in Physical Examination During Exposure to Trial Product (Week 88) [ Time Frame: Week 0 and week 88 ]
    Change in physical examination from baseline (week 0) until the end of the extension period (week 88) was reported. Results are presented for the following examinations: 1) Head, neck, eyes and nose 2) Respiratory system (sys.) 3) Cardiovascular sys. 4) Gastrointestinal sys. 5) Musculoskeletal sys. 6) Central & Peripheral nervous sys. 7) Skin 8) Lymph node palpation
  • Change in Electrocardiogram (ECG) Evaluation During Exposure to Trial Product (Week 35) [ Time Frame: Week -3 and week 35 ]
    Change in Electrocardiogram (ECG) evaluation from baseline (week -3) until the end of the main treatment period (week 35) was reported.
  • Change in ECG Evaluation During Exposure to Trial Product (Week 88) [ Time Frame: Week -3 and week 88 ]
    Change in ECG evaluation from baseline (week 0) until the end of the extension period (Week 88) was reported.
  • Change in Diastolic Blood Pressure (Week 35) [ Time Frame: Week -3, week 35 ]
    Change in diastolic blood pressure was measured from baseline (week -3) until the end of the main treatment period (week 35).
  • Change in Diastolic Blood Pressure (Week 88) [ Time Frame: Week -3, week 88 ]
    Change in diastolic blood pressure was measured from baseline (week -3) until the end of the extension treatment period week 88.
  • Change in Systolic Blood Pressure (Week 35) [ Time Frame: Week -3, week 35 ]
    Change in systolic blood pressure was measured from baseline (week -3) until the end of the main treatment period (week 35).
  • Change in Systolic Blood Pressure (Week 88) [ Time Frame: Week -3, week 88 ]
    Change in systolic blood pressure was measured from baseline (week -3) until the end of the extension treatment period (week 88).
  • Change in Pulse (Week 35) [ Time Frame: Week -3, week 35 ]
    Change in pulse was measured from baseline (week -3) until the end of the main treatment period (week 35).
  • Change in Pulse (Week 88) [ Time Frame: Week -3, week 88 ]
    Change in pulse was measured from baseline (week -3) until the end of the extension treatment period (week 88).
  • Change in Haemoglobin (Week 34) [ Time Frame: Week -3, week 34 ]
    Change in Haemoglobin was measured from baseline (week -3) until the end of the main treatment period (week 34).
  • Change in Haemoglobin (Week 87) [ Time Frame: week -3, week 87 ]
    Change in Haemoglobin was measured from baseline (week -3) until the end of the week 87.
  • Change in Haematocrit (Week 34) [ Time Frame: Week -3, week 34 ]
    Change in Haematocrit was measured from baseline (week -3) until the end of the main treatment period (week 34).
  • Change in Haematocrit (Week 87) [ Time Frame: week -3, week 87 ]
    Change in Haematocrit was measured from baseline (week -3) until the end of the week 87.
  • Change in Erythrocytes (Week 34) [ Time Frame: Week -3, week 34 ]
    Change in Erythrocytes was measured from baseline (week -3) until the end of the main treatment period (week 34).
  • Change in Erythrocytes (Week 87) [ Time Frame: week -3, week 87 ]
    Change in Erythrocytes was measured from baseline (week -3) until the end of the week 87.
  • Change in Mean Corpuscular Volume (MCV) (Week 34) [ Time Frame: Week -3, week 34 ]
    Change in Mean corpuscular volume (MCV) was measured from baseline (week -3) until the end of the main treatment period (week 34).
  • Change in Mean Corpuscular Volume (MCV) (Week 87) [ Time Frame: week -3, week 87 ]
    Change in Mean corpuscular volume (MCV) was measured from baseline (week -3) until the end of the week 87.
  • Change in Mean Corpuscular Haemoglobin Concentration (MCHC) (Week 34) [ Time Frame: Week -3, week 34 ]
    Change in Mean corpuscular haemoglobin concentration (MCHC) was measured from baseline (week -3) until the end of the main treatment period (week 34).
  • Change in Mean Corpuscular Haemoglobin Concentration (MCHC) (Week 87) [ Time Frame: week -3, week 87 ]
    Change in Mean corpuscular haemoglobin concentration (MCHC) was measured from baseline (week -3) until the end of the week 87.
  • Change in Thrombocytes (Week 34) [ Time Frame: Week -3, week 34 ]
    Change in Thrombocytes was measured from baseline (week -3) until the end of the main treatment period (week 34).
  • Change in Thrombocytes (Week 87) [ Time Frame: week -3, week 87 ]
    Change in Thrombocytes was measured from baseline (week -3) until the end of the week 87.
  • Change in Leucocytes (Week 34) [ Time Frame: Week -3, week 34 ]
    Change in Leucocytes was measured from baseline (week -3) until the end of the main treatment period (week 34).
  • Change in Leucocytes (Week 87) [ Time Frame: week -3, week 87 ]
    Change in Leucocytes was measured from baseline (week -3) until the end of the week 87.
  • Change in Alanine Aminotransferase (ALT) (Week 34) [ Time Frame: Week -3, week 34 ]
    Change in ALT was measured from baseline (week -3) until the end of the main treatment period (week 34).
  • Change in Alanine Aminotransferase (ALT) (Week 87) [ Time Frame: week -3, week 87 ]
    Change in ALT was measured from baseline (week -3) until the end of the week 87.
  • Change in Albumin (Week 34) [ Time Frame: Week -3, week 34 ]
    Change in Albumin was measured from baseline (week -3) until the end of the main treatment period (week 34).
  • Change in Albumin (Week 87) [ Time Frame: week -3, week 87 ]
    Change in Albumin was measured from baseline (week -3) until the end of the week 87.
  • Change in Alkaline Phosphatase (ALP) (Week 34) [ Time Frame: Week -3, week 34 ]
    Change in Alkaline phosphatase (ALP) was measured from baseline (week -3) until the end of the main treatment period (week 34).
  • Change in Alkaline Phosphatase (AP) (Week 87) [ Time Frame: Week -3, week 87 ]
    Change in Alkaline phosphatase (AP) was measured from baseline (week -3) until the end of the week 87.
  • Change in Aspartate Aminotransferase (AST) (Week 34) [ Time Frame: Week -3, week 34 ]
    Change in AST was measured from baseline (week -3) until the end of the main treatment period (week 34).
  • Change in Aspartate Aminotransferase (AST) (Week 87) [ Time Frame: Week -3, week 87 ]
    Change in AST was measured from baseline (week -3) until the end of the extension treatment period (week 87).
  • Change in Bilirubin (Week 34) [ Time Frame: Week -3, week 34 ]
    Change in Bilirubin was measured from baseline (week -3) until the end of the main treatment period (week 34).
  • Change in Bilirubin (Week 87) [ Time Frame: week -3, week 87 ]
    Change in Bilirubin was measured from baseline (week -3) until the end of the extension treatment period (week 87).
  • Change in Calcium (Week 34) [ Time Frame: Week -3, week 34 ]
    Change in Calcium was measured from baseline (week -3) until the end of the main treatment period (week 34).
  • Change in Calcium (Week 87) [ Time Frame: week -3, week 87 ]
    Change in Calcium was measured from baseline (week -3) until the end of the week 87.
  • Change in Chloride (Week 34) [ Time Frame: Week -3, week 34 ]
    Change in Chloride was measured from baseline (week -3) until the end of the main treatment period (week 34).
  • Change in Chloride (Week 87) [ Time Frame: week -3, week 87 ]
    Change in Chloride was measured from baseline (week -3) until the end of the week 87.
  • Change in Creatinine (Week 34) [ Time Frame: Week -3, week 34 ]
    Change in Creatinine was measured from baseline (week -3) until the end of the main treatment period (week 34).
  • Change in Creatinine (Week 87) [ Time Frame: week -3, week 87 ]
    Change in Creatinine was measured from baseline (week -3) until the end of the week 87.
  • Change in Creatine Kinase (Week 34) [ Time Frame: Week -3, week 34 ]
    Change in Creatine kinase was measured from baseline (week -3) until the end of the main treatment period (week 34).
  • Change in Creatine Kinase (Week 87) [ Time Frame: week -3, week 87 ]
    Change in Creatine kinase was measured from baseline (week -3) until the end of the week 87.
  • Change in Gamma-glutamyl Transferase (GGT) (Week 34) [ Time Frame: Week -3, week 34 ]
    Change in GGT was measured from baseline (week -3) until the end of the main treatment period (week 34).
  • Change in Gamma-glutamyl Transferase (GGT) (Week 87) [ Time Frame: week -3, week 87 ]
    Change in GGT was measured from baseline (week -3) until the end of the week 87.
  • Change in Phosphate (Inorganic) (Week 34) [ Time Frame: Week -3, week 34 ]
    Change in Phosphate (inorganic) was measured from baseline (week -3) until the end of the main treatment period (week 34).
  • Change in Phosphate (Inorganic)(Week 87) [ Time Frame: week -3, week 87 ]
    Change in Phosphate (inorganic) was measured from baseline (week -3) until the end of the week 87.
  • Change in Potassium (Week 34) [ Time Frame: Week -3, week 34 ]
    Change in Potassium was measured from baseline (week -3) until the end of the main treatment period (week 34).
  • Change in Potassium (Week 87) [ Time Frame: week -3, week 87 ]
    Change in Potassium was measured from baseline (week -3) until the end of the week 87.
  • Change in Sodium (Week 34) [ Time Frame: Week -3, week 34 ]
    Change in Sodium was measured from baseline (week -3) until the end of the main treatment period (week 34).
  • Change in Sodium (Week 87) [ Time Frame: week -3, week 87 ]
    Change in Sodium was measured from baseline (week -3) until the end of the extension treatment period (week 87).
  • Change in Total Protein (Week 34) [ Time Frame: Week -3, week 34 ]
    Change in total protein was measured from baseline (week -3) until the end of the main treatment period (week 34).
  • Change in Total Protein (Week 87) [ Time Frame: week -3, week 87 ]
    Change in total protein was measured from baseline (week -3) until the end of extension treatment period (week 87).
  • Change in Urea (Week 34) [ Time Frame: Week -3, week 34 ]
    Change in Urea was measured from baseline (week -3) until the end of the main treatment period (week 34).
  • Change in Urea (Week 87) [ Time Frame: week -3, week 87 ]
    Change in Urea was measured from baseline (week -3) until the end of the extension treatment period (week 87).
  • Change in Uric Acid (Week 34) [ Time Frame: Week -3, week 34 ]
    Change in Uric acid was measured from baseline (week -3) until the end of the main treatment period (week 34).
  • Change in Uric Acid (Week 87) [ Time Frame: week -3, week 87 ]
    Change in Uric acid was measured from baseline (week -3) until the end of the extension treatment period (week 87).
  • Change in Estimated Glomerular Filtration Rate (GFR) Creatinine (CKD-EPI) (Week 34) [ Time Frame: Week -3, week 34 ]
    Change in Estimated GFR creatinine (CKD-EPI) was measured from baseline (week -3) until the end of the main treatment period (week 34).
  • Change in Estimated GFR Creatinine (CKD-EPI) (Week 87) [ Time Frame: week -3, week 87 ]
    Change in estimated GFR creatinine (CKD-EPI) was measured from baseline (week -3) until the end of the extension treatment period (week 87).
  • Change in Fasting Plasma Glucose (Week 34) [ Time Frame: Week -3, week 34 ]
    Change in Fasting plasma glucosewas measured from baseline (week -3) until the end of the main treatment period (week 34).
  • Change in Fasting Plasma Glucose (Week 87) [ Time Frame: week -3, week 87 ]
    Change in Fasting plasma glucose was measured from baseline (week -3) until the end of the extension treatment period (week 87).
  • Change in Fasting Insulin (Week 34) [ Time Frame: Week -3, week 34 ]
    Change in Fasting insulin was measured from baseline (week -3) until the end of the main treatment period (week 34).
  • Change in Fasting Insulin (Week 87) [ Time Frame: week -3, week 87 ]
    Change in Fasting insulin was measured from baseline (week -3) until the end of the extension treatment period (week 87).
  • Change in Steady State Beta Cell Function (%B) (Week 34) [ Time Frame: Week -3, week 34 ]
    Change in steady state beta cell function (%B) was measured from baseline (week -3) until the end of the main treatment period (week 34).
  • Change in Steady State Beta Cell Function (%B) (Week 87) [ Time Frame: week -3, week 87 ]
    Change in steady state beta cell function (%B) was measured from baseline (week -3) until the end of the week 87.
  • Change in Insulin Resistance (IR %) (Week 34) [ Time Frame: Week -3, week 34 ]
    Change in Insulin resistance (IR %) was measured from baseline (week -3) until the end of the main treatment period (week 34).
  • Change in Insulin Resistance (IR %) (Week 87) [ Time Frame: week -3, week 87 ]
    Change in Insulin resistance (IR %) was measured from baseline (week -3) until the end of the extension treatment period (week 87).
  • Change in Glycated Haemoglobin (HbA1c) (%) (Week 34) [ Time Frame: Week -3, week 34 ]
    Change in Glycated haemoglobin (HbA1c) (%) was measured from baseline (week -3) until the end of the main treatment period (week 34).
  • Change in Glycated Haemoglobin (HbA1c) (%) (Week 87) [ Time Frame: week -3, week 87 ]
    Change in Glycated haemoglobin (HbA1c) was measured from baseline (week -3) until the end of the extension treatment period (week 87).
Original Secondary Outcome Measures  ICMJE
 (submitted: September 2, 2014)
  • Change in truncal fat mass (kg) [ Time Frame: Baseline, week 34 ]
  • Change in truncal lean body mass (kg) [ Time Frame: Baseline, week 34 ]
  • Incidence of adverse events, including injection site reactions [ Time Frame: Up to week 35 ]
  • Incidence of adverse events, including injection site reactions [ Time Frame: Up to week 88 ]
  • Occurrence of anti-NNC0195-0092 antibodies [ Time Frame: Up to week 35 ]
  • Occurrence of anti-NNC0195-0092 antibodies [ Time Frame: Up to week 88 ]
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
 
Descriptive Information
Brief Title  ICMJE Trial to Compare the Efficacy and Safety of NNC0195-0092 (Somapacitan) With Placebo and Norditropin® FlexPro® (Somatropin) in Adults With Growth Hormone Deficiency.
Official Title  ICMJE A Multicentre, Multinational, Randomised, Parallel-group, Placebo-controlled (Double Blind) and Active-controlled (Open) Trial to Compare the Efficacy and Safety of Once Weekly Dosing of NNC0195-0092 (Somapacitan) With Once Weekly Dosing of Placebo and Daily Norditropin® FlexPro® in Adults With Growth Hormone Deficiency for 35 Weeks, Followed by a 53-week Open-label Extension Period
Brief Summary This study is conducted globally. The purpose is to demonstrate the efficacy of once weekly dosing of NNC0195-0092 (somapacitan) compared to placebo and once-daily dosing of somatropin (human growth hormone, hGH) after 35 weeks of treatment in adults with growth hormone deficiency.
Detailed Description Not Provided
Study Type  ICMJE Interventional
Study Phase  ICMJE Phase 3
Study Design  ICMJE Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double (Participant, Investigator)
Primary Purpose: Treatment
Condition  ICMJE
  • Growth Hormone Disorder
  • Adult Growth Hormone Deficiency
Intervention  ICMJE
  • Drug: somapacitan
    Administered subcutaneously (s.c., under the skin) once weekly for 26 weeks following 8 weeks of titration. Extension of 44 weeks' treatment following 8 weeks of titration.
    Other Name: NNC0195-0092
  • Drug: somatropin
    Administered subcutaneously (s.c., under the skin) once daily for 26 weeks following 8 weeks of titration. Re-randomisation to extension of 44 weeks' treatment following 8 weeks of titration.
  • Drug: placebo
    Administered subcutaneously (s.c., under the skin) once weekly for 26 weeks following 8 weeks of titration.
Study Arms  ICMJE
  • Experimental: NNC0195-0092 (somapacitan)
    Intervention: Drug: somapacitan
  • Active Comparator: Daily hGH
    Intervention: Drug: somatropin
  • Placebo Comparator: Placebo
    Switch to NNC0195-0092 (somapacitan) treatment in the extension period.
    Interventions:
    • Drug: somapacitan
    • Drug: placebo
Publications *

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status  ICMJE Completed
Actual Enrollment  ICMJE
 (submitted: July 19, 2018)
301
Original Estimated Enrollment  ICMJE
 (submitted: September 2, 2014)
280
Actual Study Completion Date  ICMJE May 7, 2018
Actual Primary Completion Date April 21, 2017   (Final data collection date for primary outcome measure)
Eligibility Criteria  ICMJE

Inclusion Criteria:

  • Male or female of at least 23 years of age and not more than 79 years of age at the time of signing informed consent
  • Human growth hormone (hGH) treatment naïve or no exposure to hGH or growth hormone (GH) secretagogues for at least 180 days prior to randomisation with any registered or investigational hGH or GH secretagogue product (if only used in connection with stimulation tests for diagnosis of growth hormone deficiency (GHD), subjects can be included)
  • If applicable, hormone replacement therapies for any other hormone deficiencies, adequate and stable for at least 90 days prior to randomisation as judged by the investigator
  • FOR ALL COUNTRIES EXCEPT JAPAN:

Confirmed diagnosis of adult growth hormone deficiency (Subjects must satisfy one of the following criterion and documentation of test results must be available before randomisation (either from subjects' file or new test):

  1. Insulin tolerance test (ITT) or glucagon test: a peak GH response of less than 3 ng/mL (3 mcg/L)
  2. Growth hormone releasing hormone (GHRH) + arginine test according to body mass index (BMI): i) BMI less than 25 kg/m^2, a peak GH less than 11 ng/mL (11 mcg/L), ii) BMI 25-30 kg/m^2, a peak GH less than 8 ng/mL (8 mcg/L), iii) BMI greater than 30 kg/m^2, a peak GH less than 4 ng/mL (4 mcg/L)
  3. Three or more pituitary hormone deficiencies and insulin like growth factor - I standard deviation score (IGF-I SDS) less than -2.0 - FOR JAPAN ONLY: Confirmed diagnosis of adult growth hormone deficiency (subjects with adult onset adult growth hormone deficiency (AGHD) need to satisfy at least one of the following criteria, subjects with a history of childhood GHD need to satisfy at least 2 of the following criteria):

a. ITT test: a peak GH of less than or equal to 1.8 ng/mL (assay using recombinant GH standard) b. glucagon test: a peak GH of less than or equal to 1.8 ng/mL (assay using recombinant GH standard) c. growth hormone releasing peptide 2 (GHRP-2) tolerance test: a peak GH of less than or equal to 9 ng/mL (assay using recombinant GH standard)

Exclusion Criteria:

  • Active malignant disease or history of malignancy. Exceptions to this exclusion criterion: - Resection in situ carcinoma of the cervix uteri. Complete eradication of squamous cell or basal cell carcinoma of the skin
  • Subjects with GHD attributed to treatment of intracranial malignant tumours or leukaemia, provided that a recurrence-free survival period of at least 5 years is documented in the subject's file
Sex/Gender  ICMJE
Sexes Eligible for Study: All
Ages  ICMJE 23 Years to 79 Years   (Adult, Older Adult)
Accepts Healthy Volunteers  ICMJE No
Contacts  ICMJE Contact information is only displayed when the study is recruiting subjects
Listed Location Countries  ICMJE Australia,   Brazil,   Germany,   India,   Israel,   Japan,   Latvia,   Lithuania,   Malaysia,   Norway,   Poland,   Romania,   Russian Federation,   South Africa,   Sweden,   Turkey,   Ukraine,   United Kingdom,   United States
Removed Location Countries  
 
Administrative Information
NCT Number  ICMJE NCT02229851
Other Study ID Numbers  ICMJE NN8640-4054
2013-002892-16 ( Registry Identifier: European Medicines Agency )
U1111-1145-0211 ( Other Identifier: World Health Organization (WHO) )
JapicCTI-152767 ( Registry Identifier: JAPIC )
Has Data Monitoring Committee No
U.S. FDA-regulated Product
Studies a U.S. FDA-regulated Drug Product: Yes
Studies a U.S. FDA-regulated Device Product: No
IPD Sharing Statement  ICMJE
Plan to Share IPD: Yes
Plan Description: According to the Novo Nordisk disclosure commitment on novonordisk-trials.com
Current Responsible Party Novo Nordisk A/S
Original Responsible Party Same as current
Current Study Sponsor  ICMJE Novo Nordisk A/S
Original Study Sponsor  ICMJE Same as current
Collaborators  ICMJE Not Provided
Investigators  ICMJE
Study Director: Clinical Reporting Anchor and Disclosure' (1452) Novo Nordisk A/S
PRS Account Novo Nordisk A/S
Verification Date November 2020

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP