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Somatropin

Phase 3

Turner Syndrome | Small molecule | Other |Eli Lilly and Company|Last Updated: Jan 27, 2010

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedNO_TREATMENT_CONTROLLEDDMCBiomarker
Total Trials2
Total Enrollment254
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT00406926The Effect of Growth Hormone in Very Young Girls With Turner SyndromePHASE3 COMPLETED 100Aug 1, 1999Aug 1, 2003Dec 4, 200610 United States
NCT00191113Somatropin Treatment to Final Height in Turner SyndromePHASE3 COMPLETED 154Feb 1, 1989Dec 1, 2007Jan 27, 201014 Canada
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Study Endpoints
Primary Endpoints
Height at the end of two years in the study.
Height Standard Deviation Score (SDS) (National Center for Health Statistics [NCHS]), Change From Baseline to Last Measurement, As Randomized Population
Baseline, and end of 4-year addendum

Value analyzed is change from baseline to the most mature height measurement available. The terms Standard Deviation Score (SDS) and National Center for Health Statistics (NCHS) were defined in baseline characteristics. Greater height SDS values indicate greater height; positive values of change from baseline indicate increased height.

Height Standard Deviation Score (SDS) (National Center for Health Statistics [NCHS]), Last Measurement After Attainment of Final Height
at completion of core study, or at end of 4-year addendum

SDS report the number of standard deviations from the mean for age and sex for an individual measurement (normal range: -2 to +2 SDS). Height SDS \[NCHS\] uses the NCHS US general female population reference height values for age (Kuczmarski RJ et al. 2000) as the population mean and standard deviation. Calculation of Height SDS is provided in Height SDS \[Lyon\] description (Baseline). Since data reported by Kuczmarski RJ et al provides US general female population standards, values of Height SDS \[NCHS\] for untreated patients with Turner syndrome tend to be below zero e.g, -2.0 to -4.0 SDS.

Secondary Endpoints
Middle ear problems assessed every 4 months
Hearing problems assessed annually
Cognitive and behavioral development assessed annually
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
ControlNO_INTERVENTIONControl arm; untreated with Humatrope. Ethinyl estradiol (escalating doses to 20 mcg daily) after age 13, and medroxyprogesterone acetate (10 mg tablets ten days monthly) after age 15. Subject continues until Core study completion criteria are met (protocol final height).
HumatropeEXPERIMENTALHumatrope (0.05 mg/kg/dose) by subcutaneous injection 6 times per week. Ethinyl estradiol (escalating doses to 20 mcg daily) after age 13, and medroxyprogesterone acetate (10 mg tablets ten days monthly) after age 15. Subject continues until Core study completion criteria are met (protocol final height).
Interventions
NameTypeDescription
SomatropinDRUG -
Ethinyl estradiolDRUGescalating doses 2.5-20.0 mcg tablets daily after age 13 and at least one year on study, continuing until Core study completion criteria are met.
Medroxyprogesterone acetateDRUG10 mg tablets, ten days monthly, after age 15, continuing until Core study completion criteria are met.
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Eligibility Criteria
Age Range9 Months — 4 Years
SexFEMALE
Healthy VolunteersNo
Study Sites10

Inclusion Criteria: * Karyotype-proven Turner syndrome that included a documented abnormality of the short arm of an X chromosome. * At least 9 months of age and not greater than 4 years of age. * Normal values for age for hemoglobin, thyroid stimulating hormone (TSH) and urinalysis (office dipstic...

Countries:United StatesCanada
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