Predictive Markers in Chinese Growth Hormone Deficiency (GHD) Children Treated With Saizen®
Condition: Dwarfism, Pituitary
MeSH terms: Dwarfism; Dwarfism, Pituitary; Pituitary Diseases
Intervention: Recombinant human growth hormone (r-hGH)
Intervention description: Recombinant human growth hormone (r-hGH) administered at dose of 0.033 milligram/kilogram (mg/kg) body weight (0.1 International Unit [IU]/kg body weight) per day by subcutaneous injection.
Intervention MeSH terms: Hormones
Phase: Phase 4
Study type: Interventional
Primary purpose: Treatment
Intervention model: Single Group Assignment
Masking: None (Open Label)
Enrollment: 214.0
Sex: All
Healthy volunteers: No
Keywords: Dwarfism, pituitary; Growth hormone

Summary:

      This is an open-label, prospective, multicentric, non-comparative, non-randomized Phase IV
      interventional study in which subjects pre-diagnosed with Growth Hormone Deficiency (GHD)
      were treated for 4 weeks with Saizen to compare the response between GHD children born
      appropriate for gestational age (AGA) and those born small for gestation age (SGA) after 4
      weeks of Saizen therapy.
    

Eligibility criteria:

        Inclusion Criteria:

          -  Male and female subjects with documented pre-established diagnosis of GHD with a GH
             peak response of <10 microgram/liter (mcg/L) with 2 GH stimulation tests, without
             priming with estradiol

          -  Subjects with SGA defined as birth weight and/or length at least 2 standard deviations
             (SDs) below the mean for gestational age

          -  Subjects with prepubertal status according to Tanner

          -  Subjects with pre-established history of normal thyroid function or adequate
             substitution for at least 3 months

          -  Subjects with weight for stature within the population specific normal range (>5th and
             <95th percentiles) for gender

          -  Subjects with willingness and ability to comply with the protocol for the duration of
             the study

          -  Subjects whose parents or guardians written informed consent given before any
             study-related procedure that was not part of the subjects normal medical care, with
             the understanding that the subject or parent/guardian might withdraw consent at any
             time without prejudice to future medical care. If the child was old enough to read and
             write, a separate assent form was given

        Exclusion Criteria:

          -  Subjects who acquired GHD due to central nervous system tumor, trauma, infection,
             infiltration (documented by imaging), and history of irradiation or cranial surgery

          -  Subjects with previous treatment with GH, growth hormone releasing hormone (GHRH),
             anabolic steroids or any treatment affecting growth

          -  Subjects who had previous treatment with corticosteroids, except in case of topical or
             inhaled corticosteroid administration for atopic disease. Corticosteroids for hormonal
             substitution were also allowed if the condition and the treatment regimen had been
             stable for at least 3 months

          -  Subjects with severe associated pathology affecting growth such as malnutrition,
             malabsorption, or bone dysplasia

          -  Subjects with chronic severe kidney disease

          -  Subjects with chronic severe liver disease

          -  Subjects with chronic infectious disease

          -  Subjects with acute or severe illness during the previous 6 months

          -  Subjects with significant concomitant illness that would interfere with participation
             or assessment in this study

          -  Subjects who had active malignancy (except non-melanomatous skin malignancies that had
             undergone surgical excision and/or biopsy, diagnosis and treatment to resolution)

          -  Subjects with history or active idiopathic intra-cranial hypertension (benign
             intracranial hypertension or pseudo-tumor cerebri)

          -  Subjects with diabetes mellitus type I & II

          -  Subjects with any autoimmune disease

          -  Subjects who had previous screening failure in this study

          -  Subjects who had used an investigational drug or participated in another clinical
             study within the last 3 months