AzTrials
AzTrials

Growth Hormone DeficiencyPhase 3NCT03874013

Safety and Efficacy Study of MOD-4023 to Treat Children With Growth Hormone Deficiency

A Phase 3 study testing MOD-4023 and Genotropin in people with Growth Hormone Deficiency, run by OPKO Health, Inc. at 46 sites in Japan.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

Treatment of children with growth failure due to growth hormone deficiency (GHD). Primary • To evaluate the efficacy and safety of weekly MOD-4023 administration compared to daily Genotropin® administration in Japanese pre-pubertal children with GHD. Read more about this study

Who is it for?
Ages 3 to 11 years
Conditions the study is for
Growth Hormone Deficiency
What is being tested?
MOD-4023 and Genotropin
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
44 participants
Where
46 sitesJapan
Study dates
7 Dec 2017to 6 Mar 2020
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 3 to 11 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Pre-pubertal child aged ≥ 3 years old, and not yet 10 years for girls (9 years and 364 days) or not yet 11 years for boys (10 years and 364 days), on the date of ICF signature, with either isolated GHD, or GH insufficiency as part of multiple pituitary hormone deficiency.
  • Confirmed diagnosis of GHD by 2 different types of GH provocation tests (standardized on growth foundation data): defined as a peak serum GH level of ≤ 6.0 ng/mL or ≤ 16 ng/mL when conducting GHRP-2 provocation test.
  • Prior local laboratory results will be accepted subject to pre-approval by the study medical monitor and if the tests were conducted as specified in the protocol.
  • Bone age (BA) is not older than chronological age and should be less than 10 for girls and less than 11 for boys.
  • Without prior exposure to any r-hGH therapy.
  • Height SD score ≤ -2.0 at screening
Show all 15Show fewer
  • Impaired height velocity defined as:
  • Annualized height velocity (HV) below the 25th percentile for CA (HV < -0.7 SDS) and gender according to the local primary care provider standard.
  • The interval between two height measurements should be at least 6 months, but should not exceed 18 months prior to inclusion.
  • BMI must be within ±2 SDS of mean BMI for the chronological age and sex.
  • Baseline IGF-1 level of at least 1 SDS below the mean IGF-1 level standardized for age and sex (IGF-1 SDS ≤ -1) according to the central laboratory reference values. A single re-test will be allowed (subject to discussion with the study medical monitor) if all other criteria are met.
  • Normal creatinine levels according to common practice reference ranges per age.
  • Children with multiple hormonal deficiencies must be on stable replacement therapies (no change in dose) for other hypothalamo-pituitary organ axes for at least 3 months prior to ICF signing
  • Normal 46 XX karyotype for girls.
  • Willing and able to provide written informed consent of the parent or legal guardian of the patient and written assent from pediatric patients (when applicable based on age and Japan regulation).

Who cannot join

  • Children with prior history of leukemia, lymphoma, sarcoma or any other forms of cancer.
  • History of radiation therapy or chemotherapy
  • Malnourished children defined as BMI < -2 SDS for age and sex
  • Children with suspected psychosocial dwarfism by the discretion of the investigator
  • Children born small for gestational age (SGA - birth weight and/or birth length < -2 SDS for gestational age)
  • Presence of anti-hGH antibodies at screening
Show all 18Show fewer
  • Any clinically significant abnormality likely to affect growth or the ability to evaluate growth, such as, but not limited to, chronic diseases like renal insufficiency, spinal cord irradiation, etc.
  • Children with diabetes mellitus
  • Chromosomal abnormalities including Turner's syndrome, Laron syndrome, Noonan syndrome, Prader-Willi syndrome, Russell-Silver syndrome, SHOX (short stature homeobox) mutations/deletions and skeletal dysplasia's, with the exception of septo-optic dysplasia.
  • Concomitant administration of other treatments that may have an effect on growth such as anabolic steroids, sex steroids, with the exception of ADHD drugs or hormone replacement therapies (thyroxin, hydrocortisone, desmopressin [DDAVP])
  • Children requiring glucocorticoid therapy (e.g. for asthma) that are taking chronically a dose greater than 400 µg/d of inhaled budesonide or equivalent as provided in Appendix J.
  • Major medical conditions and/or presence of contraindication to r-hGH treatment.
  • Known or suspected HIV-positive patient, or patient with advanced diseases such as AIDS or tuberculosis.
  • Drug substance or alcohol abuse.
  • Known hypersensitivity to the components of study medication.
  • Other causes of short stature such as celiac disease, uncontrolled primary hypothyroidism and rickets.
  • The patient and/or the parent/legal guardian are likely to be non-compliant in respect to study conduct.
  • Participation in any other clinical trial within 30 days prior to screening and throughout the entire study period (including administration of investigational agent).

Trial locations and contacts

46 sites in 1 country.

46 sites in 1 country

Japan46 sites
  • Akita University Hospital

    Akita, 010-8543

  • Hokkaido P.W.F.A.C. Asahikawa-Kosei General Hospital

    Asahikawa, Hokkaido, 078-8211

  • Asahikawa Medical University Hospital

    Asahikawa, Hokkaido, 078-8510

  • Tokyo Metropolitan Childrens Medical Center

    Fuchū, Tokyo, 183-8561

  • Fukuoka Children's Hospital

    Fukuoka, 813-0017

  • Fukuyama City Hospital

    Fukuyama, Hiroshima, 721-8511

  • Gifu University Hospital

    Gifu, 501-1194

  • Hiroshima City Hospital Organization Hiroshima City Hiroshima Citizens Hospital

    Hiroshima, 730-8518

  • Saitama Medical University Hospital

    Iruma-Gun, Saitama, 350-0495

  • Osaka Women's and Children's Hospital

    Izumi, Osaka, 594-1101

  • Shimane University Hospital

    Izumo, Shimane, 693-8501

  • National Hospital Organization Minami Kyoto Hospital

    Jōyō, Kyoto, 610-0013

  • Saitama Medical Center

    Kawagoe, Saitama, 350-8550

  • St. Marianna University School of Medicine Hospital

    Kawasaki, Kanagawa, 216-8511

  • Hospital of the University of Occupational and Environmental Health

    Kitakyushu, Fukuoka, 807-8556

  • Kobe University Hospital

    Kobe, Hyōgo, 650-0017

  • Takahashi Clinic

    Kobe, Hyōgo, 657-0846

  • Kumamoto University Hospital

    Kumamoto, 860-8556

  • National Hospital Organization Kure Medical Center & Chugoku Cancer Center

    Kure, Hiroshima, 737-0023

  • Gunma University Hospital

    Maebashi, Gunma, 371-8511

  • Miyazaki Prefectural Miyazaki Hospital

    Miyazaki, 880-8510

  • Aichi Medical University Hospital

    Nagakute, Aichi-ken, 480-1195

  • Arakawa Children's Clinic

    Nagano, 381-0025

  • Nara Prefecture General Medical Center

    Nara, 630-8054

  • Niigata University Medical & Dental Hospital

    Niigata, 951-8520

  • Okayama Saiseikai General Hospital Outpatient Center

    Okayama, 700-0013

  • National Hospital Organization Okayama Medical Center

    Okayama, 701-1192

  • Onomichi General Hospital

    Onomichi, Hiroshima, 722-8508

  • Osaka City General Hospital

    Osaka, 534-0021

  • Osaka City University Hospital

    Osaka, 545-8586

  • Saitama Childrens Medical Center

    Saitama, 330-8777

  • Saitama City Hospital

    Saitama, 336-8522

  • Seirei Sakura Citizen Hospital

    Sakura, Chiba, 285-8765

  • KKR Sapporo Medical Center

    Sapporo, Hokkaido, 062-0931

  • East Japan Railway Company Sendai Branch Office JR Sendai Hospital

    Sendai, Miyagi, 980-8508

  • National University Corporation Tohoku University Tohoku University Hospital

    Sendai, Miyagi, 980-8574

  • Igarashi childrens clinic

    Sendai, Miyagi, 981-3203

  • National Center for Child Health and Development

    Setagaya-Ku, Tokyo, 157-8535

  • Keio University Hospital

    Shinjuku, Tokyo, 160-8582

  • Shizuoka Childrens Hospital

    Shizuoka, 420-8660

  • Osaka University Hospital

    Suita, Osaka, 565-0871

  • Teikyo University Hospital

    tabashi City, Tokyo, 173-8606

  • Takarazuka City Hospital

    Takarazuka, Hyōgo, 665-0827

  • Toranomon Hospital

    Tokyo, 105-8470

  • Tottori University Hospital

    Yonago, Tottori, 683-8504

  • Oita University Hospital

    Yufu, Oita Prefecture, 879-5593

Other trials in Japan

About this study

Official title: A Phase 3, Open-Label, Randomized, Multicenter, 12-month, Efficacy and Safety Study of Weekly MOD-4023 Compared to Daily Genotropin® Therapy in Japanese Pre-pubertal Children With Growth Hormone Deficiency

Treatment of children with growth failure due to growth hormone deficiency (GHD).

Primary • To evaluate the efficacy and safety of weekly MOD-4023 administration compared to daily Genotropin® administration in Japanese pre-pubertal children with GHD.

Secondary

  • To evaluate the pharmacokinetics (PK) and pharmacodynamics (PD) profiles of three different doses of MOD-4023 in Japanese pre-pubertal children with GHD.
Read the detailed description

This is a 12-month, open-label, randomized, active controlled, parallel group study comparing the efficacy and safety of weekly MOD-4023 to daily recombinant human growth hormone (r-hGH), Genotropin ®. Both drugs will be injected subcutaneously (SC) using a pen device.

After a 4 week Screening period, patients meeting all the entry criteria and none of the exclusion criteria, will be eligible to participate in the study.

Eligible patients will be randomized in a 1:1 ratio, to receive either:

  • MOD-4023 (investigational treatment): weekly MOD-4023 SC injections for 12 months; initially over the first 6 weeks, MOD-4023 will be administered in 3 stepwise escalating doses (0.25 mg/kg/week, 0.48 mg/kg/week and 0.66 mg/kg/week), each for two weeks sequentially. For the remaining 46 weeks, patients will continue to receive MOD-4023 at a dose of 0.66 mg/kg/week.

Or

  • Genotropin® (reference treatment): daily Genotropin® (0.025 mg/kg/day which is equivalent to 0.175 mg/kg/week, divided equally into 7 daily injections over a week) SC injection for 12 months.

After the 6-week PK/PD sampling period, the dose of MOD-4023 and Genotropin® will be adjusted every 3 months based on a patient's body weight. Doses may be decreased for safety reasons according to the pre-defined dose-adjustment criteria (which will be based on the severity of adverse events (AEs) or repeated, elevated levels of IGF-1 Standard Deviation Score (SDS)).

The key safety data will be reviewed by an independent and external Data and Safety Monitoring Board (DSMB). DSMB review will also include a review of the number or percentage of patients requiring dose reductions due to AEs. Following the completion of the12-month treatment period, eligible patients will be consented to enroll into an open-label long term extension (LTE) period, and an amendment to this study protocol will be submitted prior to the first patient completes the 12 months treatment period. Eligible Genotropin®-treated patients will be switched to a MOD-4023 dose of 0.66 mg/kg/week in the LTE. The LTE is planned to continue until MOD-4023 marketing registration in Japan.

Being tested
MOD-4023, Genotropin
Medical subject headings
Dwarfism, Pituitary

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • MOD-4023Drug

    Also called Somatrogon

    MOD-4023 is a long-acting modified recombinant human growth hormone (r-hGH) which utilizes C-terminal peptide (CTP) technology. It will be provided as a solution for injection containing 20 or 50 mg/mL MOD-4023 in a multi-dose disposable pre-filled PEN.

    MOD-4023 will be administered as a SC injection once weekly, using a delivery device.

  • GenotropinDrug

    Genotropin® is dispensed in a 2-chamber cartridge. The front compartment contains recombinant somatropin, glycine, mannitol, sodium dihydrogen phosphate anhydrous and disodium phosphate anhydrous. The rear compartment contains m-Cresol and mannitol in water for injections.

    A delivery device (Genotropin®) will be used for daily (evening/bedtime) SC administration of Genotropin® into the region of the upper arms, buttocks, thighs or abdomen (8 locations). Injection sites should be rotated.

    Dose regimen for Genotropin®: 0.025 mg/kg/day (or 0.175 mg/kg/w divided equally to 7 injections over a week).

Study groups in NCT03874013
Study groupRoleWhat they receive
MOD-4023 Treatment ArmExperimentalMOD-4023 (investigational treatment): weekly MOD-4023 SC injections for 12 months; initially over the first 6 weeks, MOD-4023 will be administered in 3 stepwise escalating doses (0.25 mg/kg/week, 0.48 mg/kg/week and 0.66 mg/kg/week), each for two weeks sequentially. For the remaining 46 weeks, patients will continue to receive MOD-4023 at a dose of 0.66 mg/kg/week.
Receives: Drug: MOD-4023
Genotropin Treatment ArmActive comparatorGenotropin® (reference treatment): daily Genotropin® (0.025 mg/kg/day).
Receives: Drug: Genotropin

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Annual Height Velocity (HV) After 12 Months

    Annual Height Velocity in cm/year after 12 months of treatment.

    Measured: 12 months

Secondary outcomes (3)
  1. Height Velocity at 6 Months

    Annualized height velocity (cm/year) for the MOD-4023 and the daily hGH treatment groups

    Measured: 6 months

  2. Change in Height Standard Deviation Score (SDS) Compared to Baseline After 12 Months

    Change in height standard deviation score (SDS) for the MOD-4023 and the daily hGH treatment groups

    Height Standard Deviation Score (SDS) is the number of standard deviations above or below the mean height for age and sex. Height in cm is converted to height standard deviation score (SDS) by subtracting the mean and dividing by the SD. A higher Height Standard Deviation Score (SDS) indicates a better outcome

    Measured: 12 months

  3. Change in Bone Maturation (BM) After 12 Months

    Change in bone maturation (bone age / chronological age) with the method of TW2 using a central bone age reader.

    Measured: 12 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted14 Mar 2019
  2. Study start7 Dec 2017
  3. Primary completion6 Mar 2020
  4. Study completion6 Mar 2020

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Other
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
44 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03874013
Sponsor's protocol ID
CP-4-009
Status last verified
Jul 2021
First submitted
1 Oct 2018
Last updated
12 Aug 2021
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Horikawa R, Tanaka T, Hasegawa Y, Yorifuji T, Ng D, Rosenfeld RG, Hoshino Y, Okayama A, Ebata N, Hosoi M, Nakamuta S, Gomez R, Pastrak A, Castellanos O. Efficacy and safety of once-weekly somatrogon following up to 4 years of treatment in Japanese children with growth hormone deficiency: results from an open-label extension of a phase 3 study. Endocr J. 2026 Jan 6;73(1):21-32. doi: 10.1507/endocrj.EJ24-0625. Epub 2025 Oct 31.

    PubMed 41183961

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing MOD-4023 and Genotropin in people with Growth Hormone Deficiency, run by OPKO Health, Inc. at 46 sites in Japan.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 15 inclusion and 18 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 12 Aug 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 46 sites in Japan. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 12 Aug 2021). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Annual Height Velocity (HV) After 12 Months (time frame: 12 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03874013, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 12 Aug 2021.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in