predicted short stature MedDRA version: 9.1 Level: LLT Classification code 10066333 Term: Idiopathic short stature
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: o Adult height prediction below –2.5 SD : 151 cm for girls and 164 cm for boys based on the vlaamse groeicurve 2004 (vub.ac.be/groeicurven)o Pubertal: breast development at least M2 for girls and at least 4 ml of testicular volume for boyso Bone age >10 years but 11 but =65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: o Adopted children ( different genetic background, lack of data on birth parameters and parents)o Bone dysplasia or sitting height/ total height > 2 SDS on standards by Gerver et al (see appendix)o Chronic use of glucocorticoids o Previous growth promoting therapy such as GH, sex steroids, oxandrolone, o Known GH deficiencyo Chronic infectious diseaseo Active rheumatic diseaseo Previously diagnosed or currently suspected malignancyo Sex steroid therapyo Diabetes mellituso Renal insufficiency (serum creatinine > 1.5 mg/dl)o Hepatic disease ( liver test > 4 fold upper limit of normality)o Current congestive heart failureo Inability to follow the study protocolo Treatment with a non registered drug during the last 30 days before the moment of inclusion
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Secondary Objective: Secondary ojectives are:oTo test the hypothesis that the prediction of adult height in the controls is not different from the adult height attained.oTo test the hypothesis that adult height, attained after the 4 year combination therapy, is different from the predicted adult height at the start of the study.oTo monitor the safety of the combination therapy.oTo calculate the effect of several parameters ( birth weight, birth length, gestational age, maternal height, paternal height, age at onset of therapy, bone age at the onset of therapy) on adult height both in the treated as in the control group.oTo test the hypothesis that bone mineral density at final height is not different between treated and untreated patientsoTo test the hypothesis that the dimensions of the ovaries and the uterus, or testes at final height are not different between treated and untreated patients.;Primary end point(s): Final height;Main Objective: The primary objective of this study is to test the hypothesis that adult height is taller in children with idiopathic short stature at the beginning of puberty after a 4 year combination therapy with GH (Zomacton) and a GnRH agonist (Triptoreline) than in matched controls that received no treatment. | — |
Countries
Belgium