A Research Study of How Well Macimorelin Works to Find Out if Children Have a Lack of Growth Hormone and How Safe it is

Last updated: August 9, 2024
Sponsor: AEterna Zentaris
Overall Status: Completed

Phase

3

Condition

Growth Hormone Deficiencies/abnormalities

Hormone Deficiencies

Severe Short Stature

Treatment

Arginine

Clonidine

Macimorelin

Clinical Study ID

NCT04786873
AEZS-130-P02
2018-001989-42
U1111-1248-5075
  • Ages 2-17
  • All Genders

Study Summary

This research study will find out if a new growth hormone stimulation test is safe and works as well as other tests to diagnose growth hormone deficiency (GHD) in children. The stimulation test will use a new growth hormone stimulating substance called macimorelin. By now, only adults in the USA can get this new stimulation test. The results of this study are expected to help children and teenagers with suspected GHD to get the macimorelin stimulation test.

The macimorelin test will be compared to a clonidine and an arginine test. Both are known standard stimulation tests. Altogether two macimorelin tests are planned to be performed in the study, to show how repeatable macimorelin tests results are (under a set of similar conditions).

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Informed consent of subject, parent(s) or legally acceptable representative (LAR) ofsubject and child assent, if appropriate, must be obtained before any trial-relatedactivities. Trial-related activities are any procedures that are carried out as partof the trial, including activities to determine suitability for the trial.

  2. Male and female pediatric subjects from 2 to less than 18 years of age at the timeof signing informed consent.

  3. Indication for the performance of growth hormone stimulation test.

  4. Presence of a height measurement minimum 6 and maximum 18 months prior to screening.

Exclusion

Exclusion Criteria:

  1. Established diagnosis of a disease that is sufficient to explain growth deficiencyor metabolic disorders that are also associated with short stature (e.g., Turnersyndrome, skeletal dysplasia's, celiac disease, etc.).

  2. Ongoing growth hormone therapy.

  3. Presence of hypothyroidism and/or adrenal insufficiency without adequate and stablereplacement therapy treatment for at least 30 days prior to first GHST.

  4. Treatment with drugs directly affecting the pituitary secretion of somatotropin (e.g., somatostatin analogues, clonidine, levodopa and dopamine agonists) orprovoking the release of somatostatin (antimuscarinic agents e.g., atropine).

  5. Medical history of ongoing clinically symptomatic psychiatric disorders.

  6. 2nd or 3rd degree atrioventricular-block, prolongation of the QRS complex over 120milliseconds, prolongation of the QTc interval over 450 milliseconds, or any otherclinically significant abnormal electrocardiogram results at the V2 pre-doseelectrocardiogram (ECG) as judged by the investigator.

  7. Previous participation in this trial. Participation is defined as signed informedconsent.

  8. Participation in any clinical trial of an approved or non-approved investigationalmedicinal product within 30 days before screening.

  9. Known or suspected hypersensitivity to trial product(s) or related products;

  10. Any disorder, which in the investigator's opinion might jeopardize subject's safetyor compliance with the protocol.

  11. Concomitant treatment with any drugs that might prolong QT/QTc Note: A subject whoreceives such treatment will not be a candidate for this study, if his/her conditiondoes not allow for a treatment-free period of at least 5 elimination half-lives ofthe drug that might prolong QT/QTc before the GHST;

  12. Elevation of laboratory parameters indicating hepatic or renal dysfunction or damage (aspartate amino transferase (AST), alkaline phosphatase (ALT), gamma-glutamyltransferase (GGT) > 2.5 x upper limit of normal (ULN); creatinine or bilirubin > 1.5x ULN);

  13. Current active malignancy other than non-melanoma skin cancer;

  14. Female of child-bearing potential and not using an adequate contraceptive method (adequate contraceptive measures as required by local regulation or practice).

  15. Male of reproductive age who or whose partner(s) is not using an adequatecontraceptive method (adequate contraceptive measures as required by localregulation or practice).

  16. Lack of ability or willingness to give informed consent by the subject and/orhis/her legal representative;

  17. Anticipated non-availability for trial visits/procedures.

Study Design

Total Participants: 101
Treatment Group(s): 3
Primary Treatment: Arginine
Phase: 3
Study Start date:
November 16, 2021
Estimated Completion Date:
June 13, 2024

Study Description

Each study participant (patient) will have 5 to 6 visits in total with the study doctor.

The study will last for about 1 to 4 months, dependent on how close the visits are done. At the visits 2, 3, 4 and 5, the patient will get a stimulation test done and blood samples will be taken. At those 4 visits, the patient will have either to drink a macimorelin drink, take some clonidine tablets or get an arginine infusion. In total, the patient will get 2 macimorelin, 1 clonidine and 1 arginine test done. The level of growth hormone (GH) will be measured 4 times during the clonidine and during the arginine test and 5 times during the macimorelin test. After the test, questions on the test tolerability will be captured from patients and parents. After the arginine test, a urine dipstick test is to be done by the patient at home.

Connect with a study center

  • Yerevan State Medical University after Mkhitar Heraci

    Yerevan, 0024
    Armenia

    Site Not Available

  • JSC Maritime Hospital

    Batumi, 0179
    Georgia

    Site Not Available

  • National Institute of Endocrinology

    Tbilisi, 0159
    Georgia

    Site Not Available

  • TSMU Givi Jvania Pediatric Academic Clinik

    Tbilisi, 0159
    Georgia

    Site Not Available

  • Evangelisches Klinikum Bethel

    Bielefeld, 33617
    Germany

    Site Not Available

  • Ospedale Pediatrico G. Salesi

    Ancona, 60126
    Italy

    Site Not Available

  • Azienda Ospedaliero-Universitaria Anna Meyer

    Firenze, 50139
    Italy

    Site Not Available

  • Osp. dei Bambini V. Buzzi, ASST Fatebenefratelli Sacco

    Milano, 20154
    Italy

    Site Not Available

  • Azienda Ospedaliero-Universitaria di Parma Ospedale dei Bambini Pietro Barilla, Clinica Pediatrica

    Parma, 43100
    Italy

    Site Not Available

  • IRCCS Ospedale Pediatrico Bambino Gesù

    Roma, 00165
    Italy

    Site Not Available

  • MED-POLONIA Sp.z o.o.

    Poznań, 60-693
    Poland

    Site Not Available

  • Kliniczny Szpital Wojewodzki nr 2 im. Sw. Jadwigi Krolowej w Rzeszowie

    Rzeszów, 35-301
    Poland

    Site Not Available

  • SPSK Nr 1 im. prof. Tadeusza Sokolowskiego PUM

    Szczecin, 71252
    Poland

    Site Not Available

  • Uniwersytecki Szpital Kliniczny im. Jana Mikulicza Radeckiego we Wroclawiu

    Wrocław, 50368
    Poland

    Site Not Available

  • Cen Med de Diagn si Trat Amb NEOMED

    Braşov, 500283
    Romania

    Site Not Available

  • Institutul de Endocrinologie "C.I. Parhon"

    Bucharest, 10587
    Romania

    Site Not Available

  • Medicover Hospitals

    Bucuresti, 013982
    Romania

    Site Not Available

  • Sana Monitoring

    Bucuresti, 011025
    Romania

    Site Not Available

  • Spitalul Clinic Judetean de Urgenta "Sf. Apostol Andrei" Constanta

    Constanţa, 900591
    Romania

    Site Not Available

  • Spitalul Clinic Judetean de Urgenta "Sf. Spiridon" Iasi

    Iaşi, 700111
    Romania

    Site Not Available

  • Spitalul Cl. de Urgenta pentru Copii Louis Turcanu Timisoara

    Timişoara, 300011
    Romania

    Site Not Available

  • Spitalul Clinic Judetean Mures

    Târgu-Mureş, 540072
    Romania

    Site Not Available

  • University children's clinic Belgrade - Department of Endocrinology

    Belgrade, 11000
    Serbia

    Site Not Available

  • Clinical Center Nis - Clinic for Children's Internal Medicine

    Niš, 18000
    Serbia

    Site Not Available

  • Institute for Child and Youth Health Care of Vojvodina - Endocrinology

    Novi Sad, 21000
    Serbia

    Site Not Available

  • National Institute of Children's Diseases

    Bratislava, 83340
    Slovakia

    Site Not Available

  • Children's University Hospital Kosice

    Košice, 4011
    Slovakia

    Site Not Available

  • National Institute of Endocrinology and Diabetology

    Ľubochňa, 03491
    Slovakia

    Site Not Available

  • Univerzitetni Klinicni Center Ljubljana - Pediatrics

    Ljubljana, 1000
    Slovenia

    Site Not Available

  • Ankara University, Faculty of Medicine

    Ankara, 6100
    Turkey

    Site Not Available

  • Antalya Training and Research Hospital

    Antalya, 7050
    Turkey

    Site Not Available

  • Kocaeli University Faculty of Medicine

    Kocaeli, 41380
    Turkey

    Site Not Available

  • Karadeniz Technical University

    Ortahisar, 61080
    Turkey

    Site Not Available

  • Angel Wing Clinic For Children With Diabetes

    Tucson, Arizona 85724
    United States

    Site Not Available

  • Pediatric Endocrine Associates, p.c.

    Greenwood Village, Colorado 80111
    United States

    Site Not Available

  • John Hopkins All Children's Hospital

    Saint Petersburg, Florida 33701
    United States

    Site Not Available

  • Emory Healthcare-Children's Center

    Atlanta, Georgia 30329
    United States

    Site Not Available

  • St. Luke's Children's Endocrinology

    Boise, Idaho 83712
    United States

    Site Not Available

  • University of Minnesota, Masonic Children's Hospital

    Minneapolis, Minnesota 55454
    United States

    Site Not Available

  • The Children's Mercy Hospital - Broadway

    Kansas City, Missouri 64108
    United States

    Site Not Available

  • Children's Hospital at Montefiore

    Bronx, New York 10709
    United States

    Site Not Available

  • Icahn School of Medicine at Mount Sinai

    New York, New York 10129
    United States

    Site Not Available

  • UNC Hospitals

    Chapel Hill, North Carolina 27599
    United States

    Site Not Available

  • Alchemi Research Center

    Rosharon, Texas 77583
    United States

    Site Not Available

  • Diabetes and Glandular Disease Clinic, PA

    San Antonio, Texas 78229
    United States

    Site Not Available

  • Multicare Health System

    Tacoma, Washington 98405
    United States

    Site Not Available

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