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Clinical Trial Details — Status: Terminated

Administrative data

NCT number NCT02719990
Other study ID # 15VR8
Secondary ID
Status Terminated
Phase Phase 2
First received
Last updated
Start date February 11, 2016
Est. completion date January 11, 2018

Study information

Verified date March 2023
Source Aravive, Inc.
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

Open-label extension study to evaluate the safety of long-term twice-monthly administration of somavaratan in adults with Growth Hormone Deficiency (GHD).


Description:

An open-label extension study to evaluate the safety of long-term twice-monthly administration of somavaratan in adults with GHD. This multicenter study is open to participants completing a Versartis adult GHD study as well as approximately 40 new somavaratan naïve participants (either recombinant human growth hormone [rhGH] treatment naïve or currently receiving daily rhGH therapy). All participants will receive twice-monthly (every 15 days ± 2 days) subcutaneous (SC) somavaratan. Doses will be titrated to each participant's individual insulin-like growth factor-I (IGF-I) responses based on the IGF-I level 7 days post-dose until a maintenance dose is achieved. Participants receiving somavaratan in a previous somavaratan study will have their dose decreased by half (minimum dose of 20 milligrams [mg], 40 mg for women on estrogen, rounded down to the nearest even number) and will be titrated per the Dose Titration Plan. New participants enrolling in this study will be assigned to one of two cohorts based on sensitivity to rhGH and titrated per the Dose Titration Plan.


Recruitment information / eligibility

Status Terminated
Enrollment 36
Est. completion date January 11, 2018
Est. primary completion date January 11, 2018
Accepts healthy volunteers No
Gender All
Age group 18 Years to 75 Years
Eligibility Inclusion Criteria: - Female participants of childbearing potential must have negative pregnancy test and use appropriate contraceptive methods - Documented GHD during adulthood - Participants naive to somavaratan must have an IGF-1 SDS value = 0 at Screening - Participants taking other hormone replacement therapy must have been on a stable course of treatment for at least 3 months - Underlying disorders responsible for the participant's GHD must have been clinically stable for at least 6 months - Participants receiving daily rhGH injections must washout for = 14 days - Body mass index (BMI) (kilograms [kg]/meter square [m^2]) between 18.0 and 40.0 Exclusion Criteria: - Untreated adrenal insufficiency - Recently diagnosed thyroid dysfunction which is not being treated or has not been stable on therapy for at least 3 months - Currently taking anti-inflammatory dose of glucocorticoids that could potentially compromise safety or efficacy assessments - Currently taking a GHRH or IGF-I product - Current significant cardiovascular disease, heart insufficiency of New York Heart Association (NYHA) class > 2 - Current significant disease thought to increase risk of receiving growth hormone or confound assessment of study outcomes - History of diabetes mellitus or inadequate glucose control - Current drug or alcohol abuse - Current human immunodeficiency virus (HIV) wasting syndrome (HIV testing not required) - History of malignancy in adulthood (participants with a history of childhood malignancy that were subsequently treated with rhGH in childhood and remain GHD in adulthood may be enrolled) - Women who are pregnant or breastfeeding - Treatment with an investigational drug other than somavaratan within 30 days prior to Screening - A significant abnormality in Screening laboratory results

Study Design


Related Conditions & MeSH terms


Intervention

Drug:
somavaratan
Long-acting recombinant human growth hormone therapy administered subcutaneously twice-monthly

Locations

Country Name City State
n/a

Sponsors (1)

Lead Sponsor Collaborator
Versartis Inc.

Outcome

Type Measure Description Time frame Safety issue
Primary Number of Participants With Adverse Events (AEs) An AE was defined as any untoward medical occurrence that develops or worsens in severity during the conduct of a clinical study and does not necessarily have a causal relationship to the study drug. SAEs included death, a life-threatening adverse event, inpatient hospitalization or prolongation of existing hospitalization, persistent or significant disability or incapacity, a congenital anomaly or birth defect, or an important medical event that jeopardized the participant and required medical intervention to prevent 1 of the outcomes listed in this definition. A summary of serious and non-serious AEs regardless of causality is located in 'Reported Adverse Events module'. From first dose of study drug up to approximately 2 years
Secondary Average Dose Level During Titration/Maintenance Total average dose received by a participant during titration/maintenance has been reported. Up to Month 12
Secondary Number of Participants With Dose Adjustments The number of participants with a dose adjustment (titrated up/down) at each month are summarized. Months 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, and 12
Secondary Number of Participants Who Were Anti-drug Antibody (ADA) Positive Up to approximately 2 years
Secondary Number of Participants With Positive Neutralizing Antibodies (NABs) Up to approximately 2 years
Secondary Change From Baseline in Mean Insulin-like Growth Factor 1 (IGF-I) Standard Deviation Score (SDS) at Specified Timepoints During Maintenance Period Changes in the IGF-I levels were assessed as Standard Deviation Scores (SDS). The SDS was calculated as the actual value of IGF-I minus mean reference value of IGF-1 divided by reference standard deviation of IGF-I. The mean and the standard deviation (SD) vary depending on the age and sex of the participant. Change in IGF-I level (SDS) at specified timepoints from baseline was assessed. A higher score reflects a better outcome. Baseline, Month 2 Day 1, Month 2 Day 8, Month 3 Day 1, Month 3 Day 8, Month 4 Day 1, Month 4 Day 8, Month 5 Day 1, Month 5 Day 8, Month 6 Day 1, Month 6 Day 8, Month 7 Day 1, Month 7 Day 8, Month 8 Day 1, Month 8 Day 8, Month 10 Day 1, and Month 10 Day 8
Secondary Mean Insulin-like Growth Factor-binding Protein 3 (IGFBP-3) SDS During Maintenance Period Baseline up to Month 12