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The primary objective of the trial was to assess the bioequivalence for two concentrations (5.83 mg/mL and 8 mg/mL) of the new r-hGH liquid multidose formulation using the r hGH freeze-dried multidose formulation (Saizen® 8 mg, 8.8 mg/1.51 mL) as reference.
Each volunteer received three r hGH treatments, with each treatment being administered as a single subcutaneous dose of 4 mg r-hGH in a randomized sequence with at least one week of wash-out period between successive treatments.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Arm A | Experimental |
| |
| Arm B | Experimental |
| |
| Arm C | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| r-hGH liquid (Saizen) | Biological | Treatment Arm A: r-hGH liquid multidose formulation 5.83 mg/mL, needle injection (0.686 mL) |
|
| Measure | Description | Time Frame |
|---|---|---|
| Primary endpoints were the pharmacokinetic (PK) parameters of r-hGH: the area under the serum concentration-time curve from time zero to last detectable serum concentration (AUC0 t) and the maximum observed serum concentration (Cmax). | 24 hours post r hGH dose |
| Measure | Description | Time Frame |
|---|---|---|
| Secondary endpoints included further PK parameters. | 15 +/-3 days post last r hGH dose | |
| Safety and tolerability were evaluated by adverse events (AEs), medical history, physical examination, vital signs, local tolerability, visual analog scale (VAS), ECG recordings, glycemia measurements and laboratory tests. |
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Inclusion Criteria:
Main inclusion criteria:
Male and female aged 18 to 45 years, inclusive; who are able to read, to write and to fully understand German language
Had given written Informed Consent
Had a body weight greater than 55 kg and a body mass index (BMI) of >20 and < or = 30 kg/m2 (BMI = weight (kg)/height (m)2)
Had vital signs in the following normal range:
Ear body temperature: 35.0 - 38.0°C
Blood pressure (BP) - after at least 3 minutes of rest, measured in the supine position:
systolic blood pressure: 90 - 145 mmHg diastolic blood pressure : 50 - 95 mmHg Pulse rate (PR): after at least 3 minutes of rest, measured in the supine position: 40 90 bpm
Smoked less than 10 cigarettes per day, consented to smoke less than 5 cigarettes per day during the trial period and were able to refrain from smoking during the confinement period
Were able to communicate well with the Investigator and willing to comply with the requirements of the entire trial
Were willing to undergo pituitary down-regulation by intravenous infusion with somatostatin for 25 hours
If female:
Had a negative serum pregnancy test within three weeks prior to trial start and a negative urine pregnancy test at the day before dosing
Were pre-menopausal and using an adequate method of non-hormonal contraception (2 barrier methods, or one barrier method with spermicide, or non-hormonal intrauterine device), sexual abstinence or females with vasectomised partners during the entire trial
Exclusion Criteria:
Main exclusion criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Michael Lissy, MD | AAIPharma Deutschland GmbH & Co. KG | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| AAI Pharma Deutschland GmbH & Co. KG | Neu-Ulm | Germany |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 20961422 | Derived | Liedert B, Forssmann U, Wolna P, Golob M, Kovar A. Comparison of the pharmacokinetics, safety and tolerability of two concentrations of a new liquid recombinant human growth hormone formulation versus the freeze-dried formulation. BMC Clin Pharmacol. 2010 Oct 20;10:14. doi: 10.1186/1472-6904-10-14. |
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| ID | Term |
|---|---|
| D005183 | Failure to Thrive |
| D004393 | Dwarfism, Pituitary |
| ID | Term |
|---|---|
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D004392 | Dwarfism |
| D001848 | Bone Diseases, Developmental |
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| ID | Term |
|---|---|
| D019382 | Human Growth Hormone |
| ID | Term |
|---|---|
| D013006 | Growth Hormone |
| D010908 | Pituitary Hormones, Anterior |
| D010907 | Pituitary Hormones |
| D036361 | Peptide Hormones |
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| r-hGH liquid (Saizen) | Biological | Treatment Arm B: r-hGH liquid multidose formulation 8.0 mg/mL, needle injection (0.5 mL) |
|
| r-hGH freeze-dried | Biological | Treatment Arm C: r-hGH 8 mg (8.8 mg/1.51 ml) freeze-dried formulation ( reconstituted in metacresol 0.3% w/v) needle injection (0.686 mL) |
|
| 15 +/-3 days post last r hGH dose |
| D001847 | Bone Diseases |
| D009140 | Musculoskeletal Diseases |
| D001849 | Bone Diseases, Endocrine |
| D007018 | Hypopituitarism |
| D010900 | Pituitary Diseases |
| D007027 | Hypothalamic Diseases |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D004700 | Endocrine System Diseases |
| D006728 |
| Hormones |
| D006730 | Hormones, Hormone Substitutes, and Hormone Antagonists |
| D010455 | Peptides |
| D000602 | Amino Acids, Peptides, and Proteins |