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Clinical Trial Details — Status: Enrolling by invitation

Administrative data

NCT number NCT05308927
Other study ID # GH-4831
Secondary ID U1111-1264-1805
Status Enrolling by invitation
Phase
First received
Last updated
Start date March 16, 2022
Est. completion date March 17, 2028

Study information

Verified date May 2023
Source Novo Nordisk A/S
Contact n/a
Is FDA regulated No
Health authority
Study type Observational

Clinical Trial Summary

This is a non-interventional registry of children treated with Norditropin® for short stature due to Noonan Syndrome (NS). This study aims to provide data on long-term growth evolution and safety of Norditropin® as well as Health Related Quality of Life (HRQoL) data. This registry will include the entirety of children treated with Norditropin® for short stature due to NS over the inclusion period. The decision to initiate treatment with commercially available Norditropin® is made by the patient/parents/Legally Acceptable Representative (LAR) and the treating physician before and independently from the decision to include the patient in this study.


Recruitment information / eligibility

Status Enrolling by invitation
Enrollment 221
Est. completion date March 17, 2028
Est. primary completion date March 17, 2028
Accepts healthy volunteers No
Gender All
Age group N/A and older
Eligibility Inclusion Criteria: - Patients with a clinical and/or genetic diagnosis of NS - Patients who are treated with Norditropin® (already treated or initiating) and who are followed in a participating center - The decision to initiate treatment with commercially available Norditropin® has been made by the patient/parents/Legally Acceptable Representative (LAR) and the treating physician before and independently from the decision to include the patient in this study Exclusion Criteria: - Patients/Parents/LAR opposed to the collection and processing of their children's medical data - Mental incapacity, unwillingness or language barriers precluding adequate understanding or cooperation

Study Design


Related Conditions & MeSH terms


Intervention

Drug:
Norditropin
Patients will be treated with commercially available Norditropin® according to routine clinical practice at the discretion of the treating physician.

Locations

Country Name City State
France Novo Nordisk Investigational Site ANGERS cedex 09
France Novo Nordisk Investigational Site Le Kremlin-bicetre
France Novo Nordisk Investigational Site Toulouse cedex 9

Sponsors (1)

Lead Sponsor Collaborator
Novo Nordisk A/S

Country where clinical trial is conducted

France, 

Outcome

Type Measure Description Time frame Safety issue
Primary Change in height standard deviation score Measured in standard deviation scores (SDS) ranging from -10 to +10 From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
Secondary Number of adverse drug reactions (ADR) Count of events From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
Secondary Number of serious adverse drug reactions (SADR) Count of events From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
Secondary Number of serious adverse events (SAE) Count of events From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
Secondary Number of adverse events (AE) Count of events From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
Secondary Education Number of participants is measured under the categorical variables - standard education, education with assistance and educational measures From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
Secondary School level Number of participants is measured under the variables - preschool, elementary school, secondary school and high school From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
Secondary Educational measures Number of participants is measured under the categorical variables - physiotherapy, psychomotricity, occupational therapy and speech therapy From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
Secondary Tanner stage Measured as units on scale. 3 sub-scales used - Pubic hair scale, Female breast development scale and Male external genitalia scale. Tanner stages range from Stage 1 to 5 with Tanner Stage 1 corresponding to the pre-pubertal form and Tanner Stage 5 corresponding to the final adult form From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
Secondary Change in pulse rate Measured in beats per minute From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
Secondary Change in diastolic blood pressure Measured in millimeters of Mercury (mm Hg) From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
Secondary Change in systolic blood pressure Measured in mm Hg From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
Secondary Change in corrected QT-interval (Electrocardiogram) Measured in millisecond (msec) From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
Secondary Change in echocardiogram parameters (mm) Change in Left ventricular interventricular septal maximum thickness in diastole and Left ventricular end diastolic diameter is measured in millimeter (mm) From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
Secondary Change in echocardiogram parameters (%) Change in Left Ventricular Fractional Shortening (LVFS) and Left Ventricular Ejection Fraction (LVEF) is measured in percentage (%) From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
Secondary Change in echocardiogram parameters (cm/s) Change in Diastolic function (Ea and Aa) measured in centimeters per second (cm/s) From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
Secondary Change in complete blood count (CBC) (g/dL) Change in Haemoglobin (Hb) measured in grams per deciLiter (g/dL) From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
Secondary Change in CBC (G/L) Change in white blood cells, lymphocytes, monocytes and platelets measured in grams per liter (G/L) From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
Secondary Change in Insulin-like growth factor 1 (IGF-1) level (ng/ml) Measured in nanograms per milliliter (ng/ml) From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
Secondary Change in IGF-1 level (SDS) Measured in SDS From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
Secondary Change in Haemoglobin A1c (HbA1c) level Measured in % From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
Secondary Change in fasting insulin level Measured in milligrams per deciliter (mg/dL) or milli-international units per litre (mUI/L) From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
Secondary Change in fasting blood glucose level Measured in mg/dL or g/L or millimoles per litre (mmol/L) From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
Secondary Change in fasting total cholesterol Measured in mg/dl or g/L or mmol/L From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
Secondary Change in fasting triglycerides Measured in mg/dL or g/L or mmol/L From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
Secondary Change in fasting high-density lipoproteins (HDL) cholesterol Measured in mg/dL or g/L or mmol/L From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
Secondary Change in fasting low-density lipoproteins (LDL) cholesterol Measured in mg/dL or g/L or mmol/L From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
Secondary Change in fasting total cholesterol/HDL ratio Ratio of fasting total cholesterol and HDL From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
Secondary Change in inhibin B Measured in picograms per milliliter (pg/mL) From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
Secondary Change in Anti-Müllerian Hormone (AMH) Measured in milligrams per milliliter (mg/mL) From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
Secondary Change in Luteinizing Hormone (LH) (female from 8 years old and male from 9 years old) Measured in mg/mL From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
Secondary Change in Follicle-Stimulating Hormone (FSH) (female from 8 years old and male from 9 years old) Measured in International units per litre (UI/L) or mUI/mL From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
Secondary Change in oestradiol (female from 8 years old and male from 9 years old) Measured in pg/mL From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
Secondary Change in testosterone (female from 8 years old and male from 9 years old) Measured in ng/mL From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
Secondary Change in dose of Norditropin® treatment Measured in milligram per kilogram per day (mg/kg/day) From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
Secondary Frequency of injections of Norditropin® treatment per week Count of events From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
Secondary Number of modifications (change in dosage/ temporary stop) Count of events From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
Secondary Reasons for treatment modifications Measured in number of participants under categorical variable - safety (occurrence of ARs or AEs), growth too fast, growth too slow, patient's or parents/LAR choice; and other From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
Secondary Duration of temporary stop Measured in months From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
Secondary Total duration of Norditropin® treatment Measured in years From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
Secondary Total cumulative dose of Norditropin® treatment Measured in mg/kg From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
Secondary Type and number of concomitant treatments Count of events From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
Secondary Type and number of concomitant treatments linked to an adverse event Count of events From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
Secondary Change in weight Measured in SDS From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
Secondary Change in body mass index (BMI) Measured in kilogram per square metre (kg/m^2) From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
Secondary Change in bone age Measured in year From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
Secondary Change in height velocity (cm/year) Measured in cm/year From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
Secondary Change in height velocity (SDS/year) Measured in SDS/year From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
Secondary Type and number of NS comorbidities Number of participants measured under categorical variables - Cardiac defects including pulmonary valve stenosis and hypertrophic cardiomyopathy, Orthopaedic issues (pectus, scoliosis) and Anorchia in males From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
Secondary Change in Health-Related Quality of Life (HRQoL) score (PedsQL) PedsQL score used to assess the HRQoL, ranges from 1 to 100 (higher scores indicate better HRQoL) From start of Norditropin® treatment (day 0) until end of follow-up (up to 6 years)
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