Growth Disorders Clinical Trial
Official title:
Recombinant Human Insulin-Like Growth Factor (rhIGF-1) Treatment of Prepubertal Children With Growth Failure Associated With Primary IGF-1 Deficiency: A Phase 3, Randomized, Open Label, Observation-Controlled, Multicenter, Parallel-Dose Comparison Trial
This study is intended to determine whether twice daily weight based dosing with recombinant human insulin-like growth factor (rhIGF-1) will safely and effectively increase the growth of prepubertal children with short stature associated with low IGF-1 levels but who produce sufficient growth hormone (GH). Subjects will be randomized to either an observation arm or to active treatment.
Prepubertal growth failure associated with primary IGF-1 deficiency (IGFD). Primary IGFD is a
term that has been used to describe patients with intrinsic cellular defects in GH action. In
this protocol, primary IGFD is defined as short stature (height standard deviation
score[SDS]<-2 below the mean for age and gender), low serum IGF-1 (IGF-1 SDS <-2 below the
mean for age and gender), and levels of growth hormone (GH) that are normal (≥7ng/mL) after a
GH stimulation test. Primary IGFD is believed to result from a lower than normal ability to
produce IGF-1 when exposed to normal levels of GH, i.e., a type of GH insensitivity or GH
resistance.
This trial is one year, randomized, open label, observation-controlled, parallel-dose
comparison efficacy and safety study conducted in approximately 40 centers across the United
States.
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