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| ID | Type | Description | Link |
|---|---|---|---|
| U1111-1207-9691 | Other Identifier | World Health Organization (WHO) | |
| 2018-000231-27 | Other Identifier | European Medicines Agency (EudraCT) | |
| JapicCTI-194773 | Registry Identifier | JAPIC (Japan) |
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The study compares 2 medicines for children who do not have enough hormone to grow: somapacitan given once a week (a new medicine) and Norditropin® given once a day (the medicine doctors can already prescribe). Researchers will test to see how well somapacitan works. The study will also test if somapacitan is safe. Participants will either get somapacitan or Norditropin® - which treatment participants get, is decided by chance. Both participants and the study doctor will know which treatment participants get. The study will last for 4 years. Participants will attend 19 clinic visits and have 1 phone call with the study doctor.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Somapacitan weekly | Experimental | Participants will receive somapacitan weekly for 52 weeks (main trial period). Participants completing the main trial period in both the treatment arms ('Somapacitan weekly' and 'Norditropin® daily') will receive somapacitan weekly for 3 years (extension trial period). |
|
| Norditropin® daily | Active Comparator | Participants will receive Norditropin® daily for 52 weeks (main trial period). |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Somapacitan | Drug | Somapacitan will be administered subcutaneously (s.c.; under the skin) once weekly by PDS290 pen-injector. Somapacitan can be injected any time during the once weekly dosing day. The dose will be calculated based on the subject's current body weight. |
| Measure | Description | Time Frame |
|---|---|---|
| Height Velocity: In-trial Observation Period | Height velocity (HV) was derived from height measurements taken at baseline and Week 52 visit as: HV = (height at 52 weeks visit - height at baseline)/(time from baseline to 52 weeks visit in years). Data is reported for 'in-trial' observation period. In-trial observation period: from first administration and up until visit 7 or last trial contact, whichever comes first. | From baseline (week 0) to visit 7 (week 52) |
| Height Velocity: On-treatment Observation Period | Height velocity was derived from height measurements taken at baseline and Week 52 visit as: HV = (height at 52 weeks visit - height at baseline)/(time from baseline to 52 weeks visit in years). Data is reported for 'on-treatment' observation period. On-treatment observation period: from first administration and up until last trial contact, visit 7 or 14 days after last administration, whichever comes first. | From baseline (week 0) to visit 7 (week 52) |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Bone Age | Change from baseline (week -2) in bone age at week 52 is presented. X-ray images of left hand and wrist for bone age assessment according to the Greulich and Pyle atlas were taken. In-trial observation period: from first administration and up until visit 7 or last trial contact, whichever comes first. | Baseline (week -2), week 52 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Clinical Transparency (dept. 2834) | Novo Nordisk A/S | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Univ of AL at Birmingham_BRM | Birmingham | Alabama | 35233 | United States | ||
| Children's Hospital Los Angeles - Endocrinology |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 40400262 | Derived | Miller BS, Blair JC, Rasmussen MH, Frystyk J, Lemminger AK, Maniatis A, Mori J, Bottcher V, Kim HS, Polak M, Horikawa R. Efficacy, safety, and insulin-like growth factor I of weekly somapacitan in children with growth hormone deficiency: 3-year results from REAL4. Eur J Endocrinol. 2025 Apr 30;192(5):651-661. doi: 10.1093/ejendo/lvaf096. | |
| 38368603 |
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According to the Novo Nordisk disclosure commitment on novonordisk-trials.com
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Data reported based on the main part of the trial i.e. up to week 52.
The trial was conducted at 86 sites in 20 countries as follows (number of sites that screened participants/ number of sites that randomized participants): Austria (2/1); Canada (1/1); Denmark (1/0); France (4/4); Germany (3/2); Hungary (1/0); India (3/3); Israel (4/4); Italy (3/2); Japan (17/14); Korea (8/6); Latvia (1/1); Poland (1/1); Russia (8/8); Serbia (5/3); Slovenia (1/1); Spain (2/2); Switzerland (1/1); Thailand (2/2); Ukraine (3/3); United Kingdom (5/5); United States (23/22).
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| ID | Title | Description |
|---|---|---|
| FG000 | Norditropin | Participants received 0.034 milligrams/kilogram (mg/kg) norditropin subcutaneously (s.c.; under the skin) by FlexPro pen-injector once daily for 52 weeks (main trial period). Participants completing the main trial period will receive 0.16 mg/kg somapacitan once weekly for 3 years (extension period). |
| FG001 |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Feb 22, 2021 |
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Participants will receive either somapacitan once weekly or Norditropin® once daily for 52 weeks (main trial period). All participants completing the main trial period will receive somapacitan weekly for 3 years (extension trial period).
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| Norditropin® | Drug | Norditropin® will be administered s.c. once daily by FlexPro® pen-injector. Norditropin® should be injected daily in the evening. The dose will be calculated based on the subject's current body weight. |
|
| Change in Height Standard Deviation Score (HSDS) | Change from baseline (week 0) in HSDS at week 52 is presented. HSDS was derived using Centre for Disease Control and Prevention (CDC) standards. The range for HSDS was -10 to +10. Negative scores indicated a height below the mean height for a child with the same age and gender, whereas positive scores indicated a height above the mean height for a child with the same age and gender. Positive value in change from baseline in HSDS indicated that HSDS was better than baseline HSDS. In-trial observation period: from first administration and up until visit 7 or last trial contact, whichever comes first. | Baseline (week 0), week 52 |
| Change in Height Velocity Standard Deviation Score (HV SDS) | Change from baseline (week 0) in HV SDS at week 52 is presented. HV SDS was calculated using the formula: HV SDS = (height velocity - mean)/standard deviation (SD), where height velocity was the height velocity variable measured, mean and SD of height velocity by gender and age for the reference population. The range for HV SDS was -10 to +10. Negative scores indicated a height velocity below the mean height velocity for a child with the same age and gender, whereas positive scores indicated a height velocity above the mean height velocity for a child with the same age and gender. Positive value in change from baseline in HV SDS indicated that HV SDS was better than baseline HV SDS. In-trial observation period: from first administration and up until visit 7 or last trial contact, whichever comes first. | Baseline (week 0), week 52 |
| Change in Fasting Plasma Glucose (FPG) at Week 52 | Change from baseline (week -2) in FPG at week 52 is presented. | Baseline (week -2), week 52 |
| Change in FPG at Week 104 | Baseline (week -2), week 104 |
| Change in FPG at Week 156 | Baseline (week -2), week 156 |
| Change in FPG at Week 208 | Baseline (week -2), week 208 |
| Change in Homeostatic Model Assessment Steady State Beta Cell Function (HOMA-B) at Week 52 | Change from baseline (week -2) in HOMA-B at week 52 is presented. HOMA-B is a measure of the beta cell function and was calculated as follows: HOMA-B = (20 * fasting insulin (picomoles per liter [pmol/L]) * 1/6(microunit per milliliter [µU/mL]))/ FPG(mmol/L)-3.5). Negative change from baseline in HOMA-B indicated a worse outcome. | Baseline (week -2), week 52 |
| Change in HOMA-B at Week 104 | Baseline (week -2), week 104 |
| Change in HOMA-B at Week 156 | Baseline (week -2), week 156 |
| Change in HOMA-B at Week 208 | Baseline (week -2), week 208 |
| Change in Homeostatic Model Assessment Insulin Resistance (HOMA-IR) at Week 52 | Change from baseline (week -2) in HOMA-IR at week 52 is presented. HOMA-IR is an evaluation of the insulin resistance and was calculated as HOMA-IR = fasting insulin (pmol/L) * 1/6(µU/mL) * FPG(mmol/L) / 22.5. Positive change from baseline in HOMA-IR indicated a worse outcome. | Baseline (week -2), week 52 |
| Change in HOMA-IR at Week 104 | Baseline (week -2), week 104 |
| Change in HOMA-IR at Week 156 | Baseline (week -2), week 156 |
| Change in HOMA-IR at Week 208 | Baseline (week -2), week 208 |
| Change in Glycated Haemoglobin (HbA1c) at Week 52 | Change from baseline (week -2) in HbA1c at week 52 is presented. | Baseline (week -2), week 52 |
| Change in HbA1c at Week 104 | Baseline (week -2), week 104 |
| Change in HbA1c at Week 156 | Baseline (week -2), week 156 |
| Change in HbA1c at Week 208 | Baseline (week -2), week 208 |
| Change in Insulin-like Growth Factor I (IGF-I) Standard Deviation Score (SDS) at Week 52 | Change from baseline (week 0) in IGF-I SDS at week 52 is presented. The range for IGF-I SDS was from -10 to +10. Negative scores indicated a IGF-I below the mean IGF-I for a child with the same age and gender, whereas positive scores indicated a IGF-I above the mean IGF-I for a child with the same age and gender. For participants with low IGF-I SDS at baseline, a positive change from baseline in IGF-I SDS indicated a better outcome. Data is reported for 'in-trial' observation period. In-trial observation period: from first administration and up until visit 7 or last trial contact, whichever comes first. | Baseline (week 0), week 52 |
| Change in IGF-I SDS at Week 104 | Baseline (week 0), week 104 |
| Change in IGF-I SDS at Week 156 | Baseline (week 0), week 156 |
| Change in IGF-I SDS at Week 208 | Baseline (week 0), week 208 |
| Change in Insulin-like Growth Factor Binding Protein 3 (IGFBP-3) Standard Deviation Score (SDS) at Week 52 | Change from baseline (week 0) in IGFBP-3 SDS at week 52 is presented. The range for IGFBP-3 SDS was from -10 to +10. Negative scores indicated a IGFBP-3 below the mean IGFBP-3 for a child with the same age and gender, whereas positive scores indicated a IGFBP-3 above the mean IGFBP-3 for a child with the same age and gender. For participants with low IGFBP-3 SDS at baseline, a positive change from baseline in IGFBP-3 SDS indicated a better outcome. Data is reported for 'in-trial' observation period. In-trial observation period: from first administration and up until visit 7 or last trial contact, whichever comes first. | Baseline (week 0), week 52 |
| Change in IGFBP-3 SDS at Week 104 | Baseline (week 0), week 104 |
| Change in IGFBP-3 SDS at Week 156 | Baseline (week 0), week 156 |
| Change in IGFBP-3 SDS at Week 208 | Baseline (week 0), week 208 |
| Los Angeles |
| California |
| 90027 |
| United States |
| Valley Children's Hospital | Madera | California | 93636-8762 | United States |
| Children's Hosp Of Orange | Orange | California | 92868 | United States |
| Sutter Valley Med Fdt Ped Endo | Sacramento | California | 95821 | United States |
| Rocky Mt Ped and Endo | Centennial | Colorado | 80112 | United States |
| Ped Endo Assoc PC-G.V | Greenwood Village | Colorado | 80111-2803 | United States |
| Yale-New Haven Hospital | New Haven | Connecticut | 06504 | United States |
| A.I. duPont Hospital for Children/Nemours | Wilmington | Delaware | 19803 | United States |
| Pediatric Endocrine & Wellness Center | Aventura | Florida | 33180 | United States |
| Van Meter Pediatric Endo PC | Atlanta | Georgia | 30318 | United States |
| Riley Hospital For Children | Indianapolis | Indiana | 46202 | United States |
| University OF Iowa | Iowa City | Iowa | 52242 | United States |
| Univ of Minnesota M.C.H. | Minneapolis | Minnesota | 55454 | United States |
| Children's Minnesota | Saint Paul | Minnesota | 55102 | United States |
| Children's Mercy Clinics | Kansas City | Missouri | 64111 | United States |
| The Docs | Las Vegas | Nevada | 89113 | United States |
| Goryeb Children's Hospital | Morristown | New Jersey | 07962 | United States |
| UBMD Peds-Div of Endo/Diabetes | Buffalo | New York | 14203 | United States |
| NYU Langone Hospital-LI | Mineola | New York | 11501 | United States |
| WakeMed Childn Endo-Dbt_Raleig | Raleigh | North Carolina | 27610 | United States |
| CCHMC_Cinc | Cincinnati | Ohio | 45229 | United States |
| Univ Oklahoma Sci Ctr OK City | Oklahoma City | Oklahoma | 73104 | United States |
| UPMC Child Hosp-Pittsburgh | Pittsburgh | Pennsylvania | 15224 | United States |
| Dell Children's Medical Center | Austin | Texas | 78723 | United States |
| Cook Children's Medical Center | Fort Worth | Texas | 76104 | United States |
| MultiCare Inst for Res & Innov | Tacoma | Washington | 98405 | United States |
| CHU Bab El Oued Pediatrics Dept | Algiers | 16000 | Algeria |
| Endo and Diab Dept El Oued | Algiers | 16000 | Algeria |
| endocrino-diabetology department, Hospital IBN BADIS. | Constantine | 25000 | Algeria |
| Med. Univ. Graz -Klinische Abteilung f. Allgemeine Pädiatrie | Graz | 8036 | Austria |
| LKH Salzburg- Univ. Klinik f. Kinder- und Jugendheilkunde | Salzburg | A 5020 | Austria |
| LKH St. Poelten, Kinder-und Jugendheilkunde | Sankt Pölten | 3100 | Austria |
| Salzkammergut-Klinikum Vöcklabruck | Vöcklabruck | 4840 | Austria |
| Stollery Children's Hospital | Edmonton | Alberta | T6G 2B7 | Canada |
| Mntrl Chldrn Hsptl PedEndoMUHC | Montreal | Quebec | H4A 3J1 | Canada |
| Rigshospitalet Klinik for Vækst og Reproduktion Afsnit 5064 | Copenhagen Ø | 2100 | Denmark |
| Tallinn Children's Hospital | Tallinn | 13419 | Estonia |
| Tartu University Hospital Children's Clinic | Tartu | 50406 | Estonia |
| Centre Hospitalier Universitaire D'Angers-2 | Angers | 49100 | France |
| Centre Hospitalier Universitaire de Bordeaux-Hopital Pellegrin | Bordeaux | 33000 | France |
| Ap-Hp-Hopital de Bicetre-1 | Le Kremlin-Bicêtre | 94270 | France |
| Hopital de Bicetre_Le Kremlin-Bicetre | Le Kremlin-Bicêtre | 94275 | France |
| Assistance Publique Hopitaux de Marseille-Hopital de La Timone-2 | Marseille | 13005 | France |
| Hopital de La Timone | Marseille Cédex 05 | 13385 | France |
| Ap-Hp-Hopital Necker-2 | Paris | 75015 | France |
| HOPITAL DES ENFANTS-HOPITAL PAULE DE VIGUIER - Pharmacie | Toulouse | 31059 | France |
| Endokrinologikum Frankfurt | Frankfurt am Main | 60596 | Germany |
| Auf der Bult Medizinisches Versorgungszentrum Hannover | Hanover | 30159 | Germany |
| Uniklinik Tübingen - Kinder- und Jugendmedizin | Tübingen | 72076 | Germany |
| Uniklinik Ulm - Dt. Zentrum für Kinder- und Jugendgesundheit (DZKJ) | Ulm | 89075 | Germany |
| Észak-Közép-budai Centrum, Szent János Kórház és Szakrendelő | Budapest | 1023 | Hungary |
| Szegedi Tudományegyetem Gyermekgyógyászati Klinika | Szeged | 6720 | Hungary |
| Amrita Institute Of Medical Sciences & Research Centre | Kochi | Kerala | 682041 | India |
| Jehangir Clinical Development Centre | Pune | Maharashtra | 411001 | India |
| All India Institute of Medical Sciences | New Dehli | New Delhi | 110029 | India |
| CHI Crumlin Dept of Endocrinology | Dublin | D12 N512 | Ireland |
| Rambam MC - Department of Pediatrics A | Haifa | 31096 | Israel |
| Meir MC - Department of Paediatrics | Kfar Saba | 44281 | Israel |
| Schneider MC - Endrocrinology and Diabetes | Petah Tikva | 49202 | Israel |
| Shamir MC - Pediatric and Adolescents Endocrinology unit | Ẕerifin | 7033001 | Israel |
| IRCCS Meyer Firenze | Florence | 50139 | Italy |
| Ospedale Pediatrico Gaslini | Genova | 16147 | Italy |
| Ospedale Maggiore Policlinico UO Endocrinologia Diabetolgia | Milan | 20122 | Italy |
| Ospedale Pediatrico Bambino Gesu | Roma | 00165 | Italy |
| Kurume University Hospital, Pediatrics | Fukuoka | 830-0011 | Japan |
| Fukuoka Children's Hospital_Endocrinology and Metabolism | Fukuoka-shi, Fukuoka | 813-0017 | Japan |
| National Hospital Organization FUKUYAMA MEDICAL CENTER | Fukuyama-shi, Hiroshima | 720-8520 | Japan |
| Fukuyama City Hospital_Department of Pediatrics | Fukuyama-shi, Hiroshima | 721-8511 | Japan |
| Kanagawa Children's Medical Center, Dev. Endo and Metabo | Kanagawa | 232-8555 | Japan |
| Hyogo Prefectual Kobe Children's Hospital Dept. Metab & endo | Kobe-shi, Hyogo | 650-0047 | Japan |
| Univ.HP, Kyoto Pref Univ of Medicine, Dept. of Pediatrics | Kyoto | 602-8566 | Japan |
| Ibaraki Children's Hospital_General Pediatrics | Mito, Ibaraki | 311-4145 | Japan |
| Nara Prefecture General Medical Center_ Nara-shi, Nara | Nara-shi, Nara | 630-8581 | Japan |
| Niigata University Medical & Dental Hospital_Pediatrics | Niigata-shi, Niigata | 951 8520 | Japan |
| Aichi Children's Health and Medical Center | Obu-shi, Aichi | 474-8710 | Japan |
| Okayama Medical Center_Cardiology | Okayama-shi, Okayama | 701-1192 | Japan |
| Osaka City General Hospital, Pediatric Endocrinology and Me | Osaka | 534-0021 | Japan |
| Osaka Women's and Children's Hospital | Osaka | 594-1101 | Japan |
| Saitama Children's Medical Center, Endocrinorogy&Metabolism | Saitama-shi, Saitama | 330-8777 | Japan |
| Hamamatsu Univ. School of Medicine Hospital, Pediatrics | Shizuoka | 431-3192 | Japan |
| Osaka University Hospital_Pediatrics | Suita-shi, Osaka | 565-0871 | Japan |
| Institute of Science Tokyo Hospital_Pediatrics | Tokyo | 113-8519 | Japan |
| KOUJIYA Kodomo Clinic | Tokyo | 144-0034 | Japan |
| National Center for Child Health and Dev, Endo and Metabo | Tokyo | 157 8535 | Japan |
| Tanaka Growth Clinic | Tokyo | 158-0097 | Japan |
| Keio University Hospital, Pediatrics | Tokyo | 160-8582 | Japan |
| Tokyo Metropolitan Children's Medical Center_Endo and Metab | Tokyo | 183-8561 | Japan |
| Children's Clinical University Hospital | Riga | 1004 | Latvia |
| Haukeland Universitetssykehus, Barneklinikken | Bergen | 5021 | Norway |
| Kliniczny Szpital Wojewodzki nr 2 im. Sw. Jadwigi Krolowej w Rzeszowie | Rzeszów | Podkarpackie Voivodeship | 35-301 | Poland |
| SPSK nr 1 im Prof. T Sokolowskiego | Szczecin | 71-252 | Poland |
| Instytut ''Pomnik - Centrum Zdrowia Dziecka'' | Warsaw | 04-730 | Poland |
| Republic Children's Hospital of Ministry of Health of Udmurt | Izhevsk | 426009 | Russia |
| Setchenov First Moscow State Medical University | Moscow | 119435 | Russia |
| RMAPE | Moscow | 125373 | Russia |
| Children's clinical city hospital #1 | Novosibirsk | 630048 | Russia |
| FSBEI of Higher Education "Rostov State Medical University" | Rostov-on-Don | 344013 | Russia |
| SPSBHI City Children out-patient clinic #44 | Saint Petersburg | 191144 | Russia |
| Samara Regional Children Clinical Hospital n.a. N.N. Ivanova | Samara | 443079 | Russia |
| Siberian State Medical University | Tomsk | 634050 | Russia |
| University Clinical Centre Nis | Niš | RS | 18 000 | Serbia |
| University Children's Hospital Tirsova | Belgrade | 11000 | Serbia |
| Institute for Mother and Child Health Care of Serbia | Belgrade | 11070 | Serbia |
| University Clinical Centre Kragujevac | Kragujevac | 34000 | Serbia |
| Institute for Health Care of Children and Adolescents | Novi Sad | 21000 | Serbia |
| University Children's Hospital | Ljubljana | 1525 | Slovenia |
| Seoul National University Bundang Hospital | Seongnam-si | Gyeonggi-do | 13620 | South Korea |
| Inje University Busan Paik Hospital | Busan | 47392 | South Korea |
| Kyungpook National University Hospital | Daegu | 41944 | South Korea |
| Seoul National University Bundang Hospital | Gyeonggi-do | 13620 | South Korea |
| Ajou University Hospital | Gyeonggi-do | 16499 | South Korea |
| Inha University Hospital | Incheon | 22332 | South Korea |
| Seoul National University Hospital | Seoul | 03080 | South Korea |
| Severance Hospital, Yonsei University Health System | Seoul | 03722 | South Korea |
| Kangdong Sacred Heart Hospital | Seoul | 05355 | South Korea |
| Asan Medical Center | Seoul | 05505 | South Korea |
| Samsung Medical Center_Seoul | Seoul | 06351 | South Korea |
| Hospital Clínico de Santiago de Compostela | Santiago de Compostela | A Coruña | 15706 | Spain |
| Hospital Sant Joan de Déu | Esplugues Llobregat(Barcelona) | 08950 | Spain |
| Universitäts-Kinderspital beider Basel | Basel | 4031 | Switzerland |
| Med. Kinder- und Poliklinik | Bern | 3010 | Switzerland |
| Kinderspital Endokrinologie, Zürich | Zurich | 8032 | Switzerland |
| King Chulalongkorn Memorial hospital_Ped-Endocrinology | Bangkok | 10330 | Thailand |
| Phramongkutklao Hospital_Ped-Endo_Pediatrics | Bangkok | 10400 | Thailand |
| Kharkiv Regional Children's Clinical Hospital - Endocrinological department | Kharkiv | 61093 | Ukraine |
| Komisarenko Institute of Endocrinology and Metabolism of NAMSU - Department of paediatric endocrine pathology | Kyiv | 04114 | Ukraine |
| Vinnytsia Regional Clinical Endocrinological Centre - Therapeutic department #2 | Vinnytsia | 21010 | Ukraine |
| Addenbrooke's Hospital_Cambridge | Cambridge | CB2 0QQ | United Kingdom |
| Hull Royal Infirmary | Hull | HU3 2JZ | United Kingdom |
| Alder Hey Children's Hospital | Liverpool | L12 2AP | United Kingdom |
| Royal London Hospital_London | London | E1 1BB | United Kingdom |
| Royal Manchester Children's Hospital | Manchester | M13 9WL | United Kingdom |
| St George's Hospital | Tooting | SW17 0RE | United Kingdom |
| St Georges Hospital | Tooting | SW17 0RE | United Kingdom |
| Mori J, Ohata Y, Fujisawa Y, Sato Y, Rohrich S, Rasmussen MH, Bang RB, Horikawa R. Effective growth hormone replacement with once-weekly somapacitan in Japanese children with growth hormone deficiency: Results from REAL4, a phase 3 clinical trial. Clin Endocrinol (Oxf). 2024 Apr;100(4):389-398. doi: 10.1111/cen.15025. Epub 2024 Feb 18. |
| 37406251 | Derived | Miller BS, Blair JC, Rasmussen MH, Maniatis A, Mori J, Bottcher V, Kim HS, Bang RB, Polak M, Horikawa R. Effective GH Replacement With Somapacitan in Children With GHD: REAL4 2-year Results and After Switch From Daily GH. J Clin Endocrinol Metab. 2023 Nov 17;108(12):3090-3099. doi: 10.1210/clinem/dgad394. |
| 36062966 | Derived | Miller BS, Blair JC, Rasmussen MH, Maniatis A, Kildemoes RJ, Mori J, Polak M, Bang RB, Bottcher V, Stagi S, Horikawa R. Weekly Somapacitan is Effective and Well Tolerated in Children With GH Deficiency: The Randomized Phase 3 REAL4 Trial. J Clin Endocrinol Metab. 2022 Nov 25;107(12):3378-3388. doi: 10.1210/clinem/dgac513. |
| Somapacitan |
Participants received 0.16 mg/kg somapacitan s.c. once weekly by PDS290 pen-injector for 52 weeks (main trial period). Participants completing the main trial period will receive 0.16 mg/kg somapacitan once weekly for 3 years (extension period). |
| COMPLETED |
|
| NOT COMPLETED |
|
Full analysis set included all randomized participants.
Not provided
| ID | Title | Description |
|---|---|---|
| BG000 | Norditropin | Participants received 0.034 milligrams/kilogram (mg/kg) norditropin subcutaneously (s.c.; under the skin) by FlexPro pen-injector once daily for 52 weeks (main trial period). Participants completing the main trial period will receive 0.16 mg/kg somapacitan once weekly for 3 years (extension period). |
| BG001 | Somapacitan | Participants received 0.16 mg/kg somapacitan s.c. once weekly by PDS290 pen-injector for 52 weeks (main trial period). Participants completing the main trial period will receive 0.16 mg/kg somapacitan once weekly for 3 years (extension period). |
| BG002 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
| |||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
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| Ethnicity (NIH/OMB) | Count of Participants | Participants |
| ||||||||||||||||
| Race/Ethnicity, Customized | Count of Participants | Participants |
|
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Height Velocity: In-trial Observation Period | Height velocity (HV) was derived from height measurements taken at baseline and Week 52 visit as: HV = (height at 52 weeks visit - height at baseline)/(time from baseline to 52 weeks visit in years). Data is reported for 'in-trial' observation period. In-trial observation period: from first administration and up until visit 7 or last trial contact, whichever comes first. | Full analysis set included all randomized participants. | Posted | Mean | Standard Deviation | centimeters per year (cm/year) | From baseline (week 0) to visit 7 (week 52) |
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| Primary | Height Velocity: On-treatment Observation Period | Height velocity was derived from height measurements taken at baseline and Week 52 visit as: HV = (height at 52 weeks visit - height at baseline)/(time from baseline to 52 weeks visit in years). Data is reported for 'on-treatment' observation period. On-treatment observation period: from first administration and up until last trial contact, visit 7 or 14 days after last administration, whichever comes first. | Full analysis set included all randomized participants. Overall Number of Participants Analyzed = participants with available data. | Posted | Mean | Standard Deviation | cm/year | From baseline (week 0) to visit 7 (week 52) |
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| Secondary | Change in Bone Age | Change from baseline (week -2) in bone age at week 52 is presented. X-ray images of left hand and wrist for bone age assessment according to the Greulich and Pyle atlas were taken. In-trial observation period: from first administration and up until visit 7 or last trial contact, whichever comes first. | Full analysis set included all randomized participants. Overall Number of Participants Analyzed = participants with available data. | Posted | Mean | Standard Deviation | Years | Baseline (week -2), week 52 |
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| Secondary | Change in Height Standard Deviation Score (HSDS) | Change from baseline (week 0) in HSDS at week 52 is presented. HSDS was derived using Centre for Disease Control and Prevention (CDC) standards. The range for HSDS was -10 to +10. Negative scores indicated a height below the mean height for a child with the same age and gender, whereas positive scores indicated a height above the mean height for a child with the same age and gender. Positive value in change from baseline in HSDS indicated that HSDS was better than baseline HSDS. In-trial observation period: from first administration and up until visit 7 or last trial contact, whichever comes first. | Full analysis set included all randomized participants. | Posted | Mean | Standard Deviation | Score on a scale | Baseline (week 0), week 52 |
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| Secondary | Change in Height Velocity Standard Deviation Score (HV SDS) | Change from baseline (week 0) in HV SDS at week 52 is presented. HV SDS was calculated using the formula: HV SDS = (height velocity - mean)/standard deviation (SD), where height velocity was the height velocity variable measured, mean and SD of height velocity by gender and age for the reference population. The range for HV SDS was -10 to +10. Negative scores indicated a height velocity below the mean height velocity for a child with the same age and gender, whereas positive scores indicated a height velocity above the mean height velocity for a child with the same age and gender. Positive value in change from baseline in HV SDS indicated that HV SDS was better than baseline HV SDS. In-trial observation period: from first administration and up until visit 7 or last trial contact, whichever comes first. | Full analysis set included all randomized participants. | Posted | Mean | Standard Deviation | Score on a scale | Baseline (week 0), week 52 |
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| Secondary | Change in Fasting Plasma Glucose (FPG) at Week 52 | Change from baseline (week -2) in FPG at week 52 is presented. | Safety analysis set included all randomized participants exposed to at least one dose of randomized treatment. Overall Number of Participants Analyzed = participants with available data. | Posted | Mean | Standard Deviation | Millimoles per liter (mmol/L) | Baseline (week -2), week 52 |
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| Secondary | Change in FPG at Week 104 | Not Posted | Sep 2026 | Baseline (week -2), week 104 | Participants | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Change in FPG at Week 156 | Not Posted | Sep 2026 | Baseline (week -2), week 156 | Participants | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Change in FPG at Week 208 | Not Posted | Sep 2026 | Baseline (week -2), week 208 | Participants | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Change in Homeostatic Model Assessment Steady State Beta Cell Function (HOMA-B) at Week 52 | Change from baseline (week -2) in HOMA-B at week 52 is presented. HOMA-B is a measure of the beta cell function and was calculated as follows: HOMA-B = (20 * fasting insulin (picomoles per liter [pmol/L]) * 1/6(microunit per milliliter [µU/mL]))/ FPG(mmol/L)-3.5). Negative change from baseline in HOMA-B indicated a worse outcome. | Safety analysis set included all randomized participants exposed to at least one dose of randomized treatment. Overall Number of Participants Analyzed = participants with available data. | Posted | Mean | Standard Deviation | Percentage of HOMA-B | Baseline (week -2), week 52 |
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| Secondary | Change in HOMA-B at Week 104 | Not Posted | Sep 2026 | Baseline (week -2), week 104 | Participants | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Change in HOMA-B at Week 156 | Not Posted | Sep 2026 | Baseline (week -2), week 156 | Participants | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Change in HOMA-B at Week 208 | Not Posted | Sep 2026 | Baseline (week -2), week 208 | Participants | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Change in Homeostatic Model Assessment Insulin Resistance (HOMA-IR) at Week 52 | Change from baseline (week -2) in HOMA-IR at week 52 is presented. HOMA-IR is an evaluation of the insulin resistance and was calculated as HOMA-IR = fasting insulin (pmol/L) * 1/6(µU/mL) * FPG(mmol/L) / 22.5. Positive change from baseline in HOMA-IR indicated a worse outcome. | Safety analysis set included all randomized participants exposed to at least one dose of randomized treatment. Overall Number of Participants Analyzed = participants with available data. | Posted | Mean | Standard Deviation | Percentage of HOMA-IR | Baseline (week -2), week 52 |
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| Secondary | Change in HOMA-IR at Week 104 | Not Posted | Sep 2026 | Baseline (week -2), week 104 | Participants | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Change in HOMA-IR at Week 156 | Not Posted | Sep 2026 | Baseline (week -2), week 156 | Participants | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Change in HOMA-IR at Week 208 | Not Posted | Sep 2026 | Baseline (week -2), week 208 | Participants | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Change in Glycated Haemoglobin (HbA1c) at Week 52 | Change from baseline (week -2) in HbA1c at week 52 is presented. | Safety analysis set included all randomized participants exposed to at least one dose of randomized treatment. Overall Number of Participants Analyzed = participants with available data. | Posted | Mean | Standard Deviation | Percentage of HbA1c | Baseline (week -2), week 52 |
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| Secondary | Change in HbA1c at Week 104 | Not Posted | Sep 2026 | Baseline (week -2), week 104 | Participants | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Change in HbA1c at Week 156 | Not Posted | Sep 2026 | Baseline (week -2), week 156 | Participants | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Change in HbA1c at Week 208 | Not Posted | Sep 2026 | Baseline (week -2), week 208 | Participants | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Change in Insulin-like Growth Factor I (IGF-I) Standard Deviation Score (SDS) at Week 52 | Change from baseline (week 0) in IGF-I SDS at week 52 is presented. The range for IGF-I SDS was from -10 to +10. Negative scores indicated a IGF-I below the mean IGF-I for a child with the same age and gender, whereas positive scores indicated a IGF-I above the mean IGF-I for a child with the same age and gender. For participants with low IGF-I SDS at baseline, a positive change from baseline in IGF-I SDS indicated a better outcome. Data is reported for 'in-trial' observation period. In-trial observation period: from first administration and up until visit 7 or last trial contact, whichever comes first. | Full analysis set included all randomized participants. Overall Number of Participants Analyzed = participants with available data. | Posted | Mean | Standard Deviation | Score on a scale | Baseline (week 0), week 52 |
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| Secondary | Change in IGF-I SDS at Week 104 | Not Posted | Sep 2026 | Baseline (week 0), week 104 | Participants | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Change in IGF-I SDS at Week 156 | Not Posted | Sep 2026 | Baseline (week 0), week 156 | Participants | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Change in IGF-I SDS at Week 208 | Not Posted | Sep 2026 | Baseline (week 0), week 208 | Participants | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Change in Insulin-like Growth Factor Binding Protein 3 (IGFBP-3) Standard Deviation Score (SDS) at Week 52 | Change from baseline (week 0) in IGFBP-3 SDS at week 52 is presented. The range for IGFBP-3 SDS was from -10 to +10. Negative scores indicated a IGFBP-3 below the mean IGFBP-3 for a child with the same age and gender, whereas positive scores indicated a IGFBP-3 above the mean IGFBP-3 for a child with the same age and gender. For participants with low IGFBP-3 SDS at baseline, a positive change from baseline in IGFBP-3 SDS indicated a better outcome. Data is reported for 'in-trial' observation period. In-trial observation period: from first administration and up until visit 7 or last trial contact, whichever comes first. | Full analysis set included all randomized participants. Overall Number of Participants Analyzed = participants with available data. | Posted | Mean | Standard Deviation | Score on a scale | Baseline (week 0), week 52 |
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| Secondary | Change in IGFBP-3 SDS at Week 104 | Not Posted | Sep 2026 | Baseline (week 0), week 104 | Participants | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Change in IGFBP-3 SDS at Week 156 | Not Posted | Sep 2026 | Baseline (week 0), week 156 | Participants | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Secondary | Change in IGFBP-3 SDS at Week 208 | Not Posted | Sep 2026 | Baseline (week 0), week 208 | Participants |
From week -2 up to week 52
Safety analysis set included all randomized participants exposed to at least one dose of randomized treatment.
Not provided
| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Norditropin | Participants received 0.034 milligrams/kilogram (mg/kg) norditropin subcutaneously (s.c.; under the skin) by FlexPro pen-injector once daily for 52 weeks (main trial period). Participants completing the main trial period will receive 0.16 mg/kg somapacitan once weekly for 3 years (extension period). | 0 | 68 | 2 | 68 | 22 | 68 |
| EG001 | Somapacitan | Participants received 0.16 mg/kg somapacitan s.c. once weekly by PDS290 pen-injector for 52 weeks (main trial period). Participants completing the main trial period will receive 0.16 mg/kg somapacitan once weekly for 3 years (extension period). | 0 | 132 | 6 | 132 | 46 | 132 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Adenoidal hypertrophy | Respiratory, thoracic and mediastinal disorders | MedDRA 24 | Systematic Assessment |
| |
| Adrenocortical insufficiency acute | Endocrine disorders | MedDRA 24 | Systematic Assessment |
| |
| Asthma | Respiratory, thoracic and mediastinal disorders | MedDRA 24 | Systematic Assessment |
| |
| COVID-19 | Infections and infestations | MedDRA 24 | Systematic Assessment |
| |
| Cryptorchism | Congenital, familial and genetic disorders | MedDRA 24 | Systematic Assessment |
| |
| Dehydration | Metabolism and nutrition disorders | MedDRA 24 | Systematic Assessment |
| |
| Gastroenteritis | Infections and infestations | MedDRA 24 | Systematic Assessment |
| |
| Headache | Nervous system disorders | MedDRA 24 | Systematic Assessment |
| |
| Otitis media | Infections and infestations | MedDRA 24 | Systematic Assessment |
| |
| Umbilical hernia | Gastrointestinal disorders | MedDRA 24 | Systematic Assessment |
| |
| Vomiting | Gastrointestinal disorders | MedDRA 24 | Systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Bronchitis | Infections and infestations | MedDRA 24 | Systematic Assessment |
| |
| Headache | Nervous system disorders | MedDRA 24 | Systematic Assessment |
| |
| Nasopharyngitis | Infections and infestations | MedDRA 24 | Systematic Assessment |
| |
| Pain in extremity | Musculoskeletal and connective tissue disorders | MedDRA 24 | Systematic Assessment |
| |
| Pyrexia | General disorders | MedDRA 24 | Systematic Assessment |
| |
| Vomiting | Gastrointestinal disorders | MedDRA 24 | Systematic Assessment |
|
At the end of the trial, one or more scientific publications may be prepared collaboratively by the investigator(s) and Novo Nordisk. Novo Nordisk reserves the right to postpone publication and/or communication for up to 60 days to protect intellectual property.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Clinical Reporting Office (2834) | Novo Nordisk A/S | (+1) 866-867-7178 | clinicaltrials@novonordisk.com |
| May 24, 2023 |
| Prot_SAP_000.pdf |
Not provided
| ID | Term |
|---|---|
| C000718308 | somapacitan |
| D019382 | Human Growth Hormone |
| ID | Term |
|---|---|
| D013006 | Growth Hormone |
| D010908 | Pituitary Hormones, Anterior |
| D010907 | Pituitary Hormones |
| D036361 | Peptide Hormones |
| D006728 | Hormones |
| D006730 | Hormones, Hormone Substitutes, and Hormone Antagonists |
| D010455 | Peptides |
| D000602 | Amino Acids, Peptides, and Proteins |
Not provided
Not provided
| Male |
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| Not Hispanic or Latino |
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| Unknown or Not Reported |
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| Asian |
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| Black or African American |
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| Other |
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| Not reported |
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