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somatropin

Phase 3

Foetal Growth Problem | Small molecule | Other |Novo Nordisk A/S|Last Updated: Aug 9, 2023

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindNO_TREATMENT_CONTROLLED
Total Trials4
Total Enrollment487

FDA Designations

No designations recorded

Clinical trial landscape

somatropin · 22 trials · 17 indications

Phase 3 17Phase 2 2Phase 1 3
NCT01927861Investigating the Long-term Efficacy and Safety of Two Doses of NN-220 (Somatropin) in Short Stature Due to Noonan SyndromeGenetic Disorder
COMPLETED51 Analytics
NCT01778023Efficacy and Safety of Recombinant Human Growth Hormone on Height Velocity in Subjects With Idiopathic Short StatureGrowth Disorder
COMPLETED54 Analytics
NCT01529944Genetic Testing of Noonan Subjects Previously Treated With Norditropin®. An Extension to Trial GHNOO-1658Genetic Disorder
COMPLETED22 Analytics
NCT00184730Long-term Trial on Growth Hormone Deficiency in Adults (GHDA)Growth Hormone Disorder
COMPLETED86 Analytics
NCT00184717Growth Hormone Treatment in Children Born Small for Gestational Age (SGA)Foetal Growth Problem
COMPLETED98 Analytics
NCT00184743Long-term Trial on Growth Hormone Deficiency in Adults (GHDA)Growth Hormone Disorder
COMPLETED112 Analytics
NCT00557336Efficacy and Safety of Growth Hormone Treatment in Children Small for Gestational AgeFoetal Growth Problem
COMPLETED160 Analytics
NCT00519558Growth Hormone Deficiency in Adults (GHDA)Growth Hormone Disorder
COMPLETED121 Analytics
NCT00102817Somatropin (Norditropin) in Insulin-like Growth Factor (IGF) Deficient ChildrenGrowth Hormone Disorder
COMPLETED149 Analytics
NCT00184756Efficacy on Height in SGA Children Treated With Growth HormoneFoetal Growth Problem
COMPLETED151 Analytics
PHASE3COMPLETED
Investigating the Long-term Efficacy and Safety of Two Doses of NN-220 (Somatropin) in Short Stature Due to Noonan Syndrome
Genetic DisorderUnlock trial analytics
PHASE3COMPLETED
Efficacy and Safety of Recombinant Human Growth Hormone on Height Velocity in Subjects With Idiopathic Short Stature
Growth DisorderUnlock trial analytics
PHASE3COMPLETED
Genetic Testing of Noonan Subjects Previously Treated With Norditropin®. An Extension to Trial GHNOO-1658
Genetic DisorderUnlock trial analytics
PHASE3COMPLETED
Long-term Trial on Growth Hormone Deficiency in Adults (GHDA)
Growth Hormone DisorderUnlock trial analytics
PHASE3COMPLETED
Growth Hormone Treatment in Children Born Small for Gestational Age (SGA)
Foetal Growth ProblemUnlock trial analytics
PHASE3COMPLETED
Long-term Trial on Growth Hormone Deficiency in Adults (GHDA)
Growth Hormone DisorderUnlock trial analytics
PHASE3COMPLETED
Efficacy and Safety of Growth Hormone Treatment in Children Small for Gestational Age
Foetal Growth ProblemUnlock trial analytics
PHASE3COMPLETED
Growth Hormone Deficiency in Adults (GHDA)
Growth Hormone DisorderUnlock trial analytics
PHASE3COMPLETED
Somatropin (Norditropin) in Insulin-like Growth Factor (IGF) Deficient Children
Growth Hormone DisorderUnlock trial analytics
PHASE3COMPLETED
Efficacy on Height in SGA Children Treated With Growth Hormone
Foetal Growth ProblemUnlock trial analytics

Study Endpoints

Primary Endpoints

Change in Height SDS (Japanese National Reference Data)
Baseline, week 104

Height SDS was calculated using the formula: SDS = (height - mean)/SD, where height was the height variable measured, mean and SD of height by sex and age for the reference population. The scores were centered around zero. Positive SDS indicated greater height and negative SDS indicated lesser height than the mean of the reference population. The change from baseline (week 0) in the height SDS after 104 weeks of treatment was analysed using an analysis of covariance (ANCOVA) model with treatment as a fixed effect and baseline height SDS as a covariate. Positive value in change from baseline indicated that SDS was better than baseline SDS. Missing values were imputed using the last observation carried forward (LOCF) method.

Height Velocity (Ht-V)
After 6 months of treatment

Height velocity (Ht-V) (cm/year) is the change in height per year (after 6 months of treatment). Ht-V was calculated by Novo Nordisk.

Change in height SDS (Standard Deviation Score) (referenced to normal population)
From baseline until final height is reached
Lipid-related laboratory tests parameters (total cholesterol, HDL-cholesterol, LDL-cholesterol, and triglyceride)
at the end of treatment
GH-related laboratory parameters (IGF-I, IGF-I SDS, IGFBP-3, IGFBP-3 SDS and IGF-I / IGFBP-3 molar ratio)
at the end of treatment
Change in Height Standard Deviation Score (SDS) for Chronological Age (CA) at Week 260 - Subjects Received NN220 Treatment for 5 Years
Week 0, week 260

Height SDS for chronological age were derived as follow; {Height - mean (age, sex)}/ SD (age, sex), where mean (age, sex) and SD (age, sex) were mean and SD of height for corresponding chronological age and sex (data of those in 2000). Height SDS was calculated using mean of three height observations at corresponding visit

Change in Height Standard Deviation Score (SDS) for Chronological Age (CA) at Week 208 - Subjects Received NN220 Treatment for 4 Years
Week 0, week 208

Height SDS for chronological age were derived as follow; {Height - mean (age, sex)}/ SD (age, sex), where mean (age, sex) and SD (age, sex) were mean and SD of height for corresponding chronological age and sex (data of those in 2000). Height SDS was calculated using mean of three height observations at corresponding visit

Percent change in truncal fat (kg)
from the baseline to the end of treatment
Height gain according to birth group, age of onset, the treatment and Tanner stage
during 12 months of treatment
Percent change in truncal fat (kg) from baseline
at 24 weeks (end of treatment)
Change in height standard deviation score
12 months
Evaluate effect on Height in SGA Children Treated with Growth Hormone
After 2 years of treatment
Changes in bone mineralisation
After 2 years treatment
Adverse events (especially injection site reactions)
Serious adverse events
Patient acceptance of the new liquid growth hormone formulation
Effect on Efficacy: Height SDS for chronological age
after 48 months
Safety: Bone maturation and glucose metabolism
Change in height SDS (Standard Deviation Score) from start of treatment to final height (referenced to normal population)
Final height in cm
Change in surrogate markers of nutrition
After 6 months treatment
Time from surgery until fracture has healed
During a 12 month period
Area under the serum hGH (human growth hormone) concentration-time curve
from 0 to the time of the last quantifiable concentration over a 24-hour sampling period
Maximum observed serum hGH concentration
over a 24-hour sampling period
Growth hormone exposure at steady state
Area under the hGH concentration-time curve (GH AUC0-24h)
from 0 to 24 hours following injection
Maximum hGH concentration (GH Cmax)
from 0 to 24 hours following injection
Treatment Emergent Adverse Events
from 0 to 24 hours following injection

Secondary Endpoints

Height Velocity SDS
Baseline to week 52
Height Velocity
Baseline to week 52
Incidence of Treatment Emergent Adverse Events
During 104 weeks of treatment
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
0.033 mg/kg/dayEXPERIMENTAL -
0.066 mg/kg/dayEXPERIMENTAL -
hGH:12months treatmentEXPERIMENTAL -
hGH: 6 month un-treatment + 6 month treatmentACTIVE_COMPARATOR -
Low dose 33 mcg/kg/dayEXPERIMENTAL -
High dose 66 mcg/kg/dayEXPERIMENTAL -
0.033 mg / NN-220EXPERIMENTALIn the 156-week main period, subjects received 0.033 mg/kg/day somatropin (NN-220) s.c. (under the skin) injected at bedtime followed by a 104-week extension period where subjects received 0.033 mg/kg/day somatropin (NN-220) s.c. (under the skin) injected at bedtime
0.067 mg / NN-220EXPERIMENTALIn the 156-week main period, subjects received 0.067 mg/kg/day somatropin (NN-220) s.c. (under the skin) injected at bedtime followed by a 104-week extension period where subjects received 0.067 mg/kg/day somatropin (NN-220) s.c. (under the skin) injected at bedtime
No treatmentNO_INTERVENTIONNo somatropin (NN-220) treatment was given in the 52-week main period. Subjects was re-randomised to recive two dosing regimens (0.033 mg/kg/day or 0.067 mg/kg/day) in the 208-week extension period
No treatment --> 0.033 mgEXPERIMENTALIn the 208-week extension period, subjects received 0.033 mg/kg/day somatropin (NN-220) s.c. (under the skin) injected at bedtime after having received no somatromin (NN-220) treatment in the 52-week main period
No treatment --> 0.067 mgEXPERIMENTALIn the 208-week extension period, subjects received 0.067 mg/kg/day somatropin (NN-220) s.c. (under the skin) injected at bedtime after having received no somatromin (NN-220) treatment in the 52-week main period
LyophilizedACTIVE_COMPARATOR -
LiquidEXPERIMENTAL -
SomatropinEXPERIMENTAL -
Low doseEXPERIMENTAL -
High doseEXPERIMENTAL -
Norditropin®EXPERIMENTAL -
Genotropin®ACTIVE_COMPARATOR -
ESRD patientsEXPERIMENTAL -
Healthy subjectsEXPERIMENTAL -

Interventions

NameTypeDescription
somatropinDRUGAdministered subcutaneously (s.c., under the skin) in a daily regimen for at least 104 weeks. Subject will be offered to continue treatment for another 104 weeks.
placeboDRUG -
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Eligibility Criteria

Age Range3 Years to 10 Years
SexALL
Healthy VolunteersNo
Study Sites27

Inclusion Criteria: * Japanese children with Noonan syndrome clinically diagnosed in one of the following ways: 1. Clinically diagnosed by at least two medical experts using van der Burgt score list, 2. Clinically diagnosed by one medical expert using van der Burgt score list and diagnosed by resul...

Countries:JapanSouth KoreaSwedenSpainUnited StatesCzechiaFinlandGermanyIsraelPolandPortugalAustraliaAustriaBelgiumFranceHungaryNorwaySwitzerlandUnited KingdomDenmarkHong KongSingaporeSouth Africa
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Frequently asked questions about somatropin

What is somatropin used for?

Somatropin is an investigational small molecule being developed for conditions including bone fracture, chronic kidney disease, growth disorder, foetal growth problem, genetic disorder, and growth hormone disorder. It is being studied in the musculoskeletal therapeutic area. The drug is currently in Phase 2 clinical development.

Who makes somatropin?

Somatropin is being developed by Novo Nordisk A/S, a biopharmaceutical company listed on the stock exchange under the ticker NVO. The company is conducting clinical trials to evaluate the drug's safety and efficacy for various growth-related and musculoskeletal conditions.

What phase is somatropin in?

Somatropin is currently in Phase 2 clinical development. It is an investigational drug, meaning it has not been approved by regulatory authorities and is still undergoing clinical trials to assess its safety and effectiveness for treating conditions such as growth disorders and foetal growth problems.

What clinical trials is somatropin in?

Somatropin has been studied in nine clinical trials, all of which are completed. These include trials such as NCT00184691, NCT00184717, NCT00184756, and NCT00557336, which evaluated growth hormone treatment in children born small for gestational age. The trials were conducted in multiple countries including Spain, Japan, and others.

Is somatropin the same as growth hormone?

Somatropin is a form of growth hormone used in clinical trials for conditions like foetal growth problems and small for gestational age. The trials listed for somatropin are titled 'Growth Hormone Treatment' studies, indicating that somatropin is being investigated as a growth hormone therapy for children with growth issues.