Foetal Growth Problem, Small for Gestational Age
Conditions
Brief summary
This trial is conducted in Europe. The aim of this trial is to evaluate the efficacy and tolerance of a new growth hormone (GH) formulation, in the treatment of children born with retarded intrauterine growth, starting at age 2 to 5 years. Trial Design: The study will be multicenter, open label, parallel, randomized, Phase IIIb, controlled.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* IUGR defined as birth length and/or weight below the lower limit (\< P10) of the Lubchenco curves for the gestational age. * Chronological age = 2-5 years * HV below average for CA * Insufficient catch-up growth (Height \< P3 for chronological age, according to Hernández) * Parental height greater than or equal to -2 SDS of average, that is, 160 cm or more for the father and 148 cm or more for the mother * Normal response to GH stimulation test (greater tan or equal to 10 ng/mL) * Bone age (measured through Greulich and Pyle method) less than or equal to CA
Exclusion criteria
* Children born from multiple pregnancy * Children with post-ischemic encephalopathy * Recorded malformative syndromes associated to short stature (Silver-Russell, Rubinstein Taybi, Seckel etc.) * Any metabolic or endocrinological disorder (diabetes mellitus, diabetes insipidus, congenital metabolic disorders, with the exception of thyroid diseases corrected by replacement therapy) * Any type of growth retardation associated to infections, embryopathies or severe chronic diseases (hemopathies, hepatopathies, malabsorptive pathology, neurologic alterations....) * Nutritional disorders (celiac disease) or osteodystrophies * Patients who receive or received any treatment (anabolic drugs, sex steroids, etc.) likely to interfere with GH effects * Abnormal karyotype * Neoplasms * Previous or ongoing chemotherapy and/or irradiation * Renal dysfunction, defined as serum creatinine \> 1 mg/dL
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Effect on Efficacy: Height SDS for chronological age | after 48 months |
| Safety: Bone maturation and glucose metabolism | — |
Secondary
| Measure | Time frame |
|---|---|
| Efficacy: Height SDS for bone age; Height velocity SDS for bone age; Height velocity SDS for chronological age; Serum IGF-I and IGFBP-3 levels | — |
Countries
Spain