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Investigating the Long-term Efficacy and Safety of Two Doses of NN-220 (Somatropin) in Short Stature Due to Noonan Syndrome

A 52-week, Multi-centre, Randomised, Double-blind, Parallel-group, no Treatment Controlled (Open-label) Trial Investigating the Efficacy and Safety of Two Doses of NN-220 in Short Stature With Noonan Syndrome

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01927861
Enrollment
51
Registered
2013-08-23
Start date
2013-08-19
Completion date
2018-07-12
Last updated
2020-08-10

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Genetic Disorder, Noonan Syndrome

Brief summary

This trial is conducted in Asia. The aim of the trial is to investigate the long-term efficacy and safety of two doses of NN-220 (somatropin) in short stature due to Noonan syndrome.

Interventions

DRUGsomatropin

Administered 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.

Sponsors

Novo Nordisk A/S
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)

Eligibility

Sex/Gender
ALL
Age
3 Years to 10 Years
Healthy volunteers
No

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 result of genetic testing for Noonan syndrome, 3. Clinically diagnosed by one medical expert using van der Burgt score list and diagnosed by the same medical expert based on the results of centralised evaluation of facial change using van der Burgt score list * Height SDS (standard deviation score): -2 SDS or below (according to the Japanese reference data) * Age: boys 3 to below 11 years, girls 3 to below 10 years * Height records must be available within the period between 40 and 64 weeks prior to Visit 1 (screening) * Prepubertal children (definition for girls breast and pubes of Tanner stage is I, and none of menses, and for boys testicular volume below 4 mL, and pubes and penis of Tanner stage is I)

Exclusion criteria

* Children with known or suspected hypersensitivity against human growth hormone (hGH) or related products (including any components of the trial products) * Children with diabetic type diagnosed with the Japanese Diabetes Society Classification * Children with history or presence of active malignancy * Children who have received GH (growth hormone) treatment * Children who have received systemic administration of the following medications within two years prior to Visit 1 (screening): Thyroid hormone (except replacement therapy), antithyroid hormone, androgen, oestrogen, progesterone, anabolic steroid, adrenocortical steroid treatment period for at least 13 weeks), derivative of gonadotropin releasing hormone and somatomedin C (IGF-I)

Design outcomes

Primary

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

Secondary

MeasureTime frameDescription
Height VelocityBaseline to week 52Height velocity is change in height per year. The height velocity was calculated as the difference between current height (week 52) and height at baseline (week 0) divided by time between those measurement time points and multiplied by 365 days.
Incidence of Treatment Emergent Adverse EventsDuring 104 weeks of treatmentA treatment emergent adverse event (TEAE; for the pivotal phase) was defined as an event that had onset date on or after the date of visit 2 (week 0; start of treatment) and no later than the date of visit 12 (104 weeks; end of pivotal phase). For withdrawal participants (if any), an adverse event with onset date no later than 7 days after the last day of NN-220 treatment was included.
Change in IGF-I (Insulin-like Growth Factor-I)Baseline, week 104Change from baseline (within 4 weeks prior to week 0) in IGF-I was evaluated after 104 weeks of treatment. Missing values were imputed using the LOCF method.
Change in HbA1c (Glycosylated Haemoglobin)Baseline, week 104Change from baseline (within 4 weeks prior to week 0) in HbA1c was evaluated after 104 weeks of treatment.
Change in Clinical Laboratory Tests (Haematology: Erythrocytes)Baseline, week 104Change from baseline (within 4 weeks prior to week 0) in haematological parameter - erythrocytes. Missing values were imputed using the LOCF method.
Change in Clinical Laboratory Tests (Haematology: Leukocytes and Thrombocytes)Baseline, week 104Change from baseline (within 4 weeks prior to week 0) in haematological parameter - leukocytes and thrombocytes. Missing values were imputed using the LOCF method.
Change in Clinical Laboratory Tests (Haematology: Haemoglobin)Baseline, week 104Change from baseline (within 4 weeks prior to week 0) in haematological parameter - haemoglobin. Missing values were imputed using the LOCF method.
Change in Clinical Laboratory Tests (Haematology: Haematocrit)Baseline, week 104Change from baseline (within 4 weeks prior to week 0) in haematological parameter - haematocrit. Missing values were imputed using the LOCF method.
Change in Clinical Laboratory Tests (Haematology: Neutrophils)Baseline, week 104Change from baseline (within 4 weeks prior to week 0) in haematological parameter - neutrophils. Missing values were imputed using the LOCF method.
Change in Clinical Laboratory Tests (Haematology: Lymphocytes)Baseline, week 104Change from baseline (within 4 weeks prior to week 0) in haematological parameter - lymphocytes. Missing values were imputed using the LOCF method.
Change in Clinical Laboratory Tests (Haematology: Monocytes)Baseline, week 104Change from baseline (within 4 weeks prior to week 0) in haematological parameter - monocytes. Missing values were imputed using the LOCF method.
Change in Clinical Laboratory Tests (Haematology: Eosinophils)Baseline, week 104Change from baseline (within 4 weeks prior to week 0) in haematological parameter - eosinophils. Missing values were imputed using the LOCF method.
Change in Clinical Laboratory Tests (Haematology: Basophils)Baseline, week 104Change from baseline (within 4 weeks prior to week 0) in haematological parameter - basophils. Missing values were imputed using the LOCF method.
Change in Clinical Laboratory Tests (Lipids: Total Cholesterol, LDL Cholesterol and HDL Cholesterol)Baseline, week 104Change from baseline (within 4 weeks prior to week 0) in lipids: total cholesterol, LDL (low-density lipoprotein) cholesterol and HDL (high-density lipoprotein) cholesterol. Missing values were imputed using the LOCF method.
Change in Clinical Laboratory Tests (Biochemistry: AST, ALT, r-GTP and Alkaline Phosphatase)Baseline, week 104Change from baseline (within 4 weeks prior to week 0) in biochemical parameters - aspartate aminotransferase (AST), alanine aminotransferase (ALT), gamma-glutamyl transpeptidase (r-GTP) and alkaline phosphatase. Missing values were imputed using the LOCF method.
Change in Clinical Laboratory Tests (Biochemistry: Total Protein)Baseline, week 104Change from baseline (within 4 weeks prior to week 0) in biochemical parameter - total protein. Missing values were imputed using the LOCF method.
Height Velocity SDSBaseline to week 52Height velocity is change in height per year. The height velocity was calculated as the difference between current height (week 52) and height at baseline (week 0) divided by time between those measurement time points and multiplied by 365 days. Height velocity SDS was calculated using the formula: SDS = (height velocity - mean)/SD, where height velocity was the height velocity variable measured, mean and SD of height velocity by sex and age for the reference population. The scores were centered around zero. Positive SDS indicated greater height velocity and negative SDS indicated lesser height velocity than the mean of the reference population.
Change in Clinical Laboratory Tests (Biochemistry: Creatinine)Baseline, Week 104Change from baseline (within 4 weeks prior to week 0) in biochemical parameter - creatinine. Missing values were imputed using the LOCF method.
Change in Glucose Tolerance (AUC of Glucose) Based on the OGTTBaseline, week 104AUC (area under the curve) of glucose was calculated by the trapezoidal method. Change from baseline (within 4 weeks prior to week 0) in glucose tolerance (AUC of glucose: 30, 60, 90 and 120 min after oral glucose load) at week 104 was evaluated based on the oral glucose tolerance test (OGTT). Change from baseline results are presented as 'ratio to baseline'.
Change in Glucose Tolerance (AUC of Insulin) Based on the OGTTBaseline, week 104AUC of insulin was calculated by the trapezoidal method. Change from baseline (within 4 weeks prior to week 0) in glucose tolerance (AUC of insulin: 30, 60, 90 and 120 min after oral glucose load) at week 104 was evaluated based on the OGTT. Change from baseline results are presented as 'ratio to baseline'.
Change in Bone AgeBaseline, week 104X-ray picture of carpal bones of left hand was taken for bone age determination. Centralised evaluation of bone age was done by the radius, ulna and short bones (RUS) score method of Tanner-Whitehouse II (TW2). Change from baseline (week 0) in bone age.
Change in Bone Age/Chronological AgeBaseline, week 104X-ray picture of carpal bones of left hand was taken for bone age determination. Centralised evaluation of bone age was done by the RUS score method of Tanner-Whitehouse II (TW2). Change from baseline (week 0) in bone age/chronological age.
Yearly Change in Bone Age/Change in Chronological AgeBaseline, week 52X-ray picture of carpal bones of left hand was taken for bone age determination. Centralised evaluation of bone age was done by the RUS score method of Tanner-Whitehouse II (TW2). Yearly change from baseline (week 0) in bone age/change in chronological age was presented.
Change in Vital Signs (Diastolic Blood Pressure and Systolic Blood Pressure)Baseline, week 104Systolic and diastolic blood pressure were measured after a 5-minute rest in sitting position. Change from baseline (week 0) in systolic blood pressure and diastolic blood pressure.
Change in Vital Signs (Pulse)Baseline, week 104Pulse was measured after a 5-minute rest in sitting position. Change from baseline (week 0) in pulse.
Change in Urinalysis (Protein, Glucose and Occult Blood)Baseline, week 104The urinalysis was the measurements of protein, glucose, and occult blood at baseline (within 4 weeks prior to week 0) and week 104 and categorised as negative, trace, 1+, 2+ and 3+. Missing values were imputed using the LOCF method. Number of participants in each category at baseline and week 104 are presented.
Change in Blood Coagulation Test (Prothrombin Time and APTT)Baseline, week 104Change from baseline (within 4 weeks prior to week 0) in blood coagulation test parameters: Prothrombin time and APTT (activated partial thromboplastin time). Missing values were imputed using the LOCF method.
Change in ECGBaseline, week 104The ECG was recorded after a 3-minute rest in supine position at baseline (within 4 weeks prior to week 0) and week 104 and categorised as normal, abnormal NCS (not clinically significant) or abnormal CS (clinically significant). Number of participants in each ECG category at baseline and week 104 are presented. Missing values were imputed using the LOCF method.
Change in Height SDS (Japanese National Reference Data)Baseline, week 208Height 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 208 weeks of treatment was analysed. Positive value in change from baseline indicated that SDS was better than baseline SDS. Missing values were imputed using the LOCF method.
Change in Height SDS (Noonan Syndrome Reference Data in Japanese)Baseline, week 208Height SDS was calculated using the formula: Z=\[(value/M)\^L-1\]/(S\*L); where L, M and S are skewness (L), median (M) and coefficient of variation (S) of Japanese Noonan syndrome' height provided for each sex and age. For each participant, a standard deviation score Z (SDS) was calculated based on age and sex referring to the values L, M and S. 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 208 weeks of treatment was analysed. Positive value in change from baseline indicated that SDS was better than baseline SDS. Missing values were imputed using the LOCF method.
Incidence of Treatment Emergent AEsWeek 0 to week 234 (208 weeks treatment period + 26 weeks extended treatment period) + 7 days (follow-up period)A treatment emergent AE (TEAE) was defined as an event that had onset date on or after the date of visit 2 (week 0; start of treatment) and no later than 7 days after the last day of NN-220 treatment.
Change in IGF-IBaseline, week 208Change from baseline (within 4 weeks prior to week 0) in IGF-I was evaluated after 208 weeks of treatment. Missing values were imputed using the LOCF method.
Change in HbA1cBaseline, week 208Change from baseline (within 4 weeks prior to week 0) in HbA1c was evaluated after 208 weeks of treatment.
Change in Clinical Laboratory Tests (Biochemistry: Blood Urea Nitrogen, Sodium, Potassium, Chloride, Total Calcium and Phosphorus)Baseline, week 104Change from baseline (within 4 weeks prior to week 0) in biochemical parameters - blood urea nitrogen, sodium, potassium, chloride, total calcium and phosphorus. Missing values were imputed using the LOCF method.

Countries

Japan

Participant flow

Recruitment details

The trial was conducted at 26 sites in Japan.

Pre-assignment details

Participants were assigned to treatment for 104 weeks in the pivotal phase and for further 104 weeks in the extension phase and were offered to continue treatment in the extended treatment phase for 26 weeks.

Participants by arm

ArmCount
NN-220 0.033 mg/kg/Day
Participants received s.c. injection of NN-220, 0.033 mg/kg/day once daily for 234 weeks (104 weeks of pivotal phase + 104 weeks of extension phase + 26 weeks extended treatment phase).
25
NN-220 0.066 mg/kg/Day
Participants received s.c. injection of NN-220, 0.066 mg/kg/day once daily for 234 weeks (104 weeks of pivotal phase + 104 weeks of extension phase + 26 weeks extended treatment phase).
26
Total51

Withdrawals & dropouts

PeriodReasonFG000FG001
Extension Phase (104 Weeks)Adverse Event02
Extension Phase (104 Weeks)Unclassified01

Baseline characteristics

CharacteristicNN-220 0.033 mg/kg/DayNN-220 0.066 mg/kg/DayTotal
Age, Continuous6.57 years
STANDARD_DEVIATION 2.42
6.06 years
STANDARD_DEVIATION 2.25
6.31 years
STANDARD_DEVIATION 2.32
Height standard deviation score (SDS) (Japanese national reference data)-3.24 Standard deviation score
STANDARD_DEVIATION 0.76
-3.25 Standard deviation score
STANDARD_DEVIATION 0.71
-3.24 Standard deviation score
STANDARD_DEVIATION 0.73
Race and Ethnicity Not Collected0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
25 Participants26 Participants51 Participants
Race (NIH/OMB)
Black or African American
0 Participants0 Participants0 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
0 Participants0 Participants0 Participants
Sex: Female, Male
Female
11 Participants8 Participants19 Participants
Sex: Female, Male
Male
14 Participants18 Participants32 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 250 / 26
other
Total, other adverse events
24 / 2526 / 26
serious
Total, serious adverse events
9 / 2510 / 26

Outcome results

Primary

Change in Height SDS (Japanese National Reference Data)

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.

Time frame: Baseline, week 104

Population: FAS.

ArmMeasureValue (LEAST_SQUARES_MEAN)Dispersion
NN-220 0.033 mg/kg/DayChange in Height SDS (Japanese National Reference Data)0.84 Standard deviation scoreStandard Error 0.09
NN-220 0.066 mg/kg/DayChange in Height SDS (Japanese National Reference Data)1.47 Standard deviation scoreStandard Error 0.09
Comparison: The change from baseline (week 0) in the height SDS after 104 weeks of treatment was analysed using an ANCOVA model with treatment as a fixed effect and baseline height SDS as a covariate.p-value: <0.000195% CI: [0.38, 0.88]ANCOVA
Secondary

Change in Blood Coagulation Test (Prothrombin Time and APTT)

Change from baseline (within 4 weeks prior to week 0) in blood coagulation test parameters: prothrombin time and APTT. Missing values were imputed using the LOCF method.

Time frame: Baseline, week 208

Population: SAS.

ArmMeasureGroupValue (MEDIAN)
NN-220 0.033 mg/kg/DayChange in Blood Coagulation Test (Prothrombin Time and APTT)Prothrombin time0.70 sec
NN-220 0.033 mg/kg/DayChange in Blood Coagulation Test (Prothrombin Time and APTT)APTT0.70 sec
NN-220 0.066 mg/kg/DayChange in Blood Coagulation Test (Prothrombin Time and APTT)APTT0.80 sec
NN-220 0.066 mg/kg/DayChange in Blood Coagulation Test (Prothrombin Time and APTT)Prothrombin time1.20 sec
Secondary

Change in Blood Coagulation Test (Prothrombin Time and APTT)

Change from baseline (within 4 weeks prior to week 0) in blood coagulation test parameters: Prothrombin time and APTT (activated partial thromboplastin time). Missing values were imputed using the LOCF method.

Time frame: Baseline, week 104

Population: SAS.

ArmMeasureGroupValue (MEDIAN)
NN-220 0.033 mg/kg/DayChange in Blood Coagulation Test (Prothrombin Time and APTT)Prothrombin time0.50 Second (sec)
NN-220 0.033 mg/kg/DayChange in Blood Coagulation Test (Prothrombin Time and APTT)APTT0.60 Second (sec)
NN-220 0.066 mg/kg/DayChange in Blood Coagulation Test (Prothrombin Time and APTT)Prothrombin time0.80 Second (sec)
NN-220 0.066 mg/kg/DayChange in Blood Coagulation Test (Prothrombin Time and APTT)APTT0.25 Second (sec)
Secondary

Change in Bone Age

X-ray picture of carpal bones of left hand was taken for bone age determination. Centralised evaluation of bone age was done by the RUS score method of Tanner-Whitehouse II (TW2). Change from baseline (week 0) in bone age.

Time frame: Baseline, week 208

Population: SAS. Number analyzed = participants with available data.

ArmMeasureValue (MEAN)Dispersion
NN-220 0.033 mg/kg/DayChange in Bone Age3.89 YearsStandard Deviation 1.35
NN-220 0.066 mg/kg/DayChange in Bone Age4.68 YearsStandard Deviation 1.11
Secondary

Change in Bone Age

X-ray picture of carpal bones of left hand was taken for bone age determination. Centralised evaluation of bone age was done by the radius, ulna and short bones (RUS) score method of Tanner-Whitehouse II (TW2). Change from baseline (week 0) in bone age.

Time frame: Baseline, week 104

Population: SAS.

ArmMeasureValue (MEAN)Dispersion
NN-220 0.033 mg/kg/DayChange in Bone Age2.07 YearsStandard Deviation 0.8
NN-220 0.066 mg/kg/DayChange in Bone Age2.63 YearsStandard Deviation 0.94
Secondary

Change in Bone Age/Chronological Age

X-ray picture of carpal bones of left hand was taken for bone age determination. Centralised evaluation of bone age was done by the RUS score method of Tanner-Whitehouse II (TW2). Change from baseline (week 0) in bone age/chronological age.

Time frame: Baseline, week 208

Population: SAS. Number analyzed = participants with available data.

ArmMeasureValue (MEAN)Dispersion
NN-220 0.033 mg/kg/DayChange in Bone Age/Chronological Age0.049 Ratio (bone age/chronological age)Standard Deviation 0.159
NN-220 0.066 mg/kg/DayChange in Bone Age/Chronological Age0.149 Ratio (bone age/chronological age)Standard Deviation 0.151
Secondary

Change in Bone Age/Chronological Age

X-ray picture of carpal bones of left hand was taken for bone age determination. Centralised evaluation of bone age was done by the RUS score method of Tanner-Whitehouse II (TW2). Change from baseline (week 0) in bone age/chronological age.

Time frame: Baseline, week 104

Population: SAS.

ArmMeasureValue (MEAN)Dispersion
NN-220 0.033 mg/kg/DayChange in Bone Age/Chronological Age0.047 Ratio (bone age/chronological age)Standard Deviation 0.127
NN-220 0.066 mg/kg/DayChange in Bone Age/Chronological Age0.133 Ratio (bone age/chronological age)Standard Deviation 0.127
Secondary

Change in Clinical Laboratory Tests (Biochemistry: AST, ALT, r-GTP and Alkaline Phosphatase)

Change from baseline (within 4 weeks prior to week 0) in biochemical parameters - aspartate aminotransferase (AST), alanine aminotransferase (ALT), gamma-glutamyl transpeptidase (r-GTP) and alkaline phosphatase. Missing values were imputed using the LOCF method.

Time frame: Baseline, week 104

Population: SAS. Number analyzed = participants with available data.

ArmMeasureGroupValue (MEAN)Dispersion
NN-220 0.033 mg/kg/DayChange in Clinical Laboratory Tests (Biochemistry: AST, ALT, r-GTP and Alkaline Phosphatase)AST-3.6 Units per liter (U/L)Standard Deviation 2.9
NN-220 0.033 mg/kg/DayChange in Clinical Laboratory Tests (Biochemistry: AST, ALT, r-GTP and Alkaline Phosphatase)r-GTP0.4 Units per liter (U/L)Standard Deviation 1.6
NN-220 0.033 mg/kg/DayChange in Clinical Laboratory Tests (Biochemistry: AST, ALT, r-GTP and Alkaline Phosphatase)ALT-1.04 Units per liter (U/L)Standard Deviation 3.1
NN-220 0.033 mg/kg/DayChange in Clinical Laboratory Tests (Biochemistry: AST, ALT, r-GTP and Alkaline Phosphatase)Alkaline phosphatase73.8 Units per liter (U/L)Standard Deviation 76.3
NN-220 0.066 mg/kg/DayChange in Clinical Laboratory Tests (Biochemistry: AST, ALT, r-GTP and Alkaline Phosphatase)ALT-1.73 Units per liter (U/L)Standard Deviation 4.2
NN-220 0.066 mg/kg/DayChange in Clinical Laboratory Tests (Biochemistry: AST, ALT, r-GTP and Alkaline Phosphatase)AST-6.0 Units per liter (U/L)Standard Deviation 4.3
NN-220 0.066 mg/kg/DayChange in Clinical Laboratory Tests (Biochemistry: AST, ALT, r-GTP and Alkaline Phosphatase)Alkaline phosphatase124.3 Units per liter (U/L)Standard Deviation 124
NN-220 0.066 mg/kg/DayChange in Clinical Laboratory Tests (Biochemistry: AST, ALT, r-GTP and Alkaline Phosphatase)r-GTP-3.7 Units per liter (U/L)Standard Deviation 19.4
Secondary

Change in Clinical Laboratory Tests (Biochemistry: AST, ALT, r-GTP and Alkaline Phosphatase)

Change from baseline (within 4 weeks prior to week 0) in biochemical parameters - AST, ALT, r-GTP and alkaline phosphatase. Missing values were imputed using the LOCF method.

Time frame: Baseline, week 208

Population: SAS. Number analyzed = participants with available data.

ArmMeasureGroupValue (MEAN)Dispersion
NN-220 0.033 mg/kg/DayChange in Clinical Laboratory Tests (Biochemistry: AST, ALT, r-GTP and Alkaline Phosphatase)AST-5.4 U/LStandard Deviation 2.4
NN-220 0.033 mg/kg/DayChange in Clinical Laboratory Tests (Biochemistry: AST, ALT, r-GTP and Alkaline Phosphatase)ALT-1.28 U/LStandard Deviation 2.65
NN-220 0.033 mg/kg/DayChange in Clinical Laboratory Tests (Biochemistry: AST, ALT, r-GTP and Alkaline Phosphatase)r-GTP1.0 U/LStandard Deviation 1.6
NN-220 0.033 mg/kg/DayChange in Clinical Laboratory Tests (Biochemistry: AST, ALT, r-GTP and Alkaline Phosphatase)Alkaline phosphatase113.9 U/LStandard Deviation 126.4
NN-220 0.066 mg/kg/DayChange in Clinical Laboratory Tests (Biochemistry: AST, ALT, r-GTP and Alkaline Phosphatase)Alkaline phosphatase84.8 U/LStandard Deviation 140.9
NN-220 0.066 mg/kg/DayChange in Clinical Laboratory Tests (Biochemistry: AST, ALT, r-GTP and Alkaline Phosphatase)AST-7.4 U/LStandard Deviation 5.2
NN-220 0.066 mg/kg/DayChange in Clinical Laboratory Tests (Biochemistry: AST, ALT, r-GTP and Alkaline Phosphatase)r-GTP-3.5 U/LStandard Deviation 22.8
NN-220 0.066 mg/kg/DayChange in Clinical Laboratory Tests (Biochemistry: AST, ALT, r-GTP and Alkaline Phosphatase)ALT-1.81 U/LStandard Deviation 4.42
Secondary

Change in Clinical Laboratory Tests (Biochemistry: Blood Urea Nitrogen, Sodium, Potassium, Chloride, Total Calcium and Phosphorus)

Change from baseline (within 4 weeks prior to week 0) in biochemical parameters - blood urea nitrogen, sodium, potassium, chloride, total calcium and phosphorus. Missing values were imputed using the LOCF method.

Time frame: Baseline, week 208

Population: SAS. Number analyzed = participants with available data.

ArmMeasureGroupValue (MEAN)Dispersion
NN-220 0.033 mg/kg/DayChange in Clinical Laboratory Tests (Biochemistry: Blood Urea Nitrogen, Sodium, Potassium, Chloride, Total Calcium and Phosphorus)Blood urea nitrogen-0.10 mmol/LStandard Deviation 0.52
NN-220 0.033 mg/kg/DayChange in Clinical Laboratory Tests (Biochemistry: Blood Urea Nitrogen, Sodium, Potassium, Chloride, Total Calcium and Phosphorus)Sodium0.9 mmol/LStandard Deviation 2.1
NN-220 0.033 mg/kg/DayChange in Clinical Laboratory Tests (Biochemistry: Blood Urea Nitrogen, Sodium, Potassium, Chloride, Total Calcium and Phosphorus)Potassium-0.13 mmol/LStandard Deviation 0.28
NN-220 0.033 mg/kg/DayChange in Clinical Laboratory Tests (Biochemistry: Blood Urea Nitrogen, Sodium, Potassium, Chloride, Total Calcium and Phosphorus)Chloride-0.3 mmol/LStandard Deviation 2.2
NN-220 0.033 mg/kg/DayChange in Clinical Laboratory Tests (Biochemistry: Blood Urea Nitrogen, Sodium, Potassium, Chloride, Total Calcium and Phosphorus)Total calcium-0.02 mmol/LStandard Deviation 0.07
NN-220 0.033 mg/kg/DayChange in Clinical Laboratory Tests (Biochemistry: Blood Urea Nitrogen, Sodium, Potassium, Chloride, Total Calcium and Phosphorus)Phosphorus0.036 mmol/LStandard Deviation 0.111
NN-220 0.066 mg/kg/DayChange in Clinical Laboratory Tests (Biochemistry: Blood Urea Nitrogen, Sodium, Potassium, Chloride, Total Calcium and Phosphorus)Total calcium-0.00 mmol/LStandard Deviation 0.08
NN-220 0.066 mg/kg/DayChange in Clinical Laboratory Tests (Biochemistry: Blood Urea Nitrogen, Sodium, Potassium, Chloride, Total Calcium and Phosphorus)Blood urea nitrogen-0.15 mmol/LStandard Deviation 0.53
NN-220 0.066 mg/kg/DayChange in Clinical Laboratory Tests (Biochemistry: Blood Urea Nitrogen, Sodium, Potassium, Chloride, Total Calcium and Phosphorus)Chloride-0.2 mmol/LStandard Deviation 2.2
NN-220 0.066 mg/kg/DayChange in Clinical Laboratory Tests (Biochemistry: Blood Urea Nitrogen, Sodium, Potassium, Chloride, Total Calcium and Phosphorus)Sodium1.4 mmol/LStandard Deviation 2.5
NN-220 0.066 mg/kg/DayChange in Clinical Laboratory Tests (Biochemistry: Blood Urea Nitrogen, Sodium, Potassium, Chloride, Total Calcium and Phosphorus)Phosphorus0.111 mmol/LStandard Deviation 0.103
NN-220 0.066 mg/kg/DayChange in Clinical Laboratory Tests (Biochemistry: Blood Urea Nitrogen, Sodium, Potassium, Chloride, Total Calcium and Phosphorus)Potassium-0.09 mmol/LStandard Deviation 0.38
Secondary

Change in Clinical Laboratory Tests (Biochemistry: Blood Urea Nitrogen, Sodium, Potassium, Chloride, Total Calcium and Phosphorus)

Change from baseline (within 4 weeks prior to week 0) in biochemical parameters - blood urea nitrogen, sodium, potassium, chloride, total calcium and phosphorus. Missing values were imputed using the LOCF method.

Time frame: Baseline, week 104

Population: SAS. Number analyzed = participants with available data.

ArmMeasureGroupValue (MEAN)Dispersion
NN-220 0.033 mg/kg/DayChange in Clinical Laboratory Tests (Biochemistry: Blood Urea Nitrogen, Sodium, Potassium, Chloride, Total Calcium and Phosphorus)Blood urea nitrogen-0.17 mmol/LStandard Deviation 0.38
NN-220 0.033 mg/kg/DayChange in Clinical Laboratory Tests (Biochemistry: Blood Urea Nitrogen, Sodium, Potassium, Chloride, Total Calcium and Phosphorus)Sodium-0.3 mmol/LStandard Deviation 2.4
NN-220 0.033 mg/kg/DayChange in Clinical Laboratory Tests (Biochemistry: Blood Urea Nitrogen, Sodium, Potassium, Chloride, Total Calcium and Phosphorus)Potassium-0.03 mmol/LStandard Deviation 0.32
NN-220 0.033 mg/kg/DayChange in Clinical Laboratory Tests (Biochemistry: Blood Urea Nitrogen, Sodium, Potassium, Chloride, Total Calcium and Phosphorus)Chloride-0.8 mmol/LStandard Deviation 2.3
NN-220 0.033 mg/kg/DayChange in Clinical Laboratory Tests (Biochemistry: Blood Urea Nitrogen, Sodium, Potassium, Chloride, Total Calcium and Phosphorus)Total calcium0.00 mmol/LStandard Deviation 0.08
NN-220 0.033 mg/kg/DayChange in Clinical Laboratory Tests (Biochemistry: Blood Urea Nitrogen, Sodium, Potassium, Chloride, Total Calcium and Phosphorus)Phosphorus0.124 mmol/LStandard Deviation 0.125
NN-220 0.066 mg/kg/DayChange in Clinical Laboratory Tests (Biochemistry: Blood Urea Nitrogen, Sodium, Potassium, Chloride, Total Calcium and Phosphorus)Total calcium0.01 mmol/LStandard Deviation 0.07
NN-220 0.066 mg/kg/DayChange in Clinical Laboratory Tests (Biochemistry: Blood Urea Nitrogen, Sodium, Potassium, Chloride, Total Calcium and Phosphorus)Blood urea nitrogen-0.21 mmol/LStandard Deviation 0.44
NN-220 0.066 mg/kg/DayChange in Clinical Laboratory Tests (Biochemistry: Blood Urea Nitrogen, Sodium, Potassium, Chloride, Total Calcium and Phosphorus)Chloride-1.3 mmol/LStandard Deviation 1.9
NN-220 0.066 mg/kg/DayChange in Clinical Laboratory Tests (Biochemistry: Blood Urea Nitrogen, Sodium, Potassium, Chloride, Total Calcium and Phosphorus)Sodium-0.2 mmol/LStandard Deviation 2.6
NN-220 0.066 mg/kg/DayChange in Clinical Laboratory Tests (Biochemistry: Blood Urea Nitrogen, Sodium, Potassium, Chloride, Total Calcium and Phosphorus)Phosphorus0.129 mmol/LStandard Deviation 0.141
NN-220 0.066 mg/kg/DayChange in Clinical Laboratory Tests (Biochemistry: Blood Urea Nitrogen, Sodium, Potassium, Chloride, Total Calcium and Phosphorus)Potassium-0.15 mmol/LStandard Deviation 0.41
Secondary

Change in Clinical Laboratory Tests (Biochemistry: Creatinine)

Change from baseline (within 4 weeks prior to week 0) in biochemical parameter - creatinine. Missing values were imputed using the LOCF method.

Time frame: Baseline, Week 104

Population: SAS.

ArmMeasureValue (MEAN)Dispersion
NN-220 0.033 mg/kg/DayChange in Clinical Laboratory Tests (Biochemistry: Creatinine)1.8 Micromoles per liter (umol/L)Standard Deviation 3.5
NN-220 0.066 mg/kg/DayChange in Clinical Laboratory Tests (Biochemistry: Creatinine)2.5 Micromoles per liter (umol/L)Standard Deviation 3.4
Secondary

Change in Clinical Laboratory Tests (Biochemistry: Creatinine)

Change from baseline (within 4 weeks prior to week 0) in biochemical parameters - creatinine. Missing values were imputed using the LOCF method.

Time frame: Baseline, week 208

Population: SAS.

ArmMeasureValue (MEAN)Dispersion
NN-220 0.033 mg/kg/DayChange in Clinical Laboratory Tests (Biochemistry: Creatinine)5.5 umol/LStandard Deviation 4.4
NN-220 0.066 mg/kg/DayChange in Clinical Laboratory Tests (Biochemistry: Creatinine)6.7 umol/LStandard Deviation 4.1
Secondary

Change in Clinical Laboratory Tests (Biochemistry: Total Protein)

Change from baseline (within 4 weeks prior to week 0) in biochemical parameter - total protein. Missing values were imputed using the LOCF method.

Time frame: Baseline, week 208

Population: SAS. Number analyzed = participants with available data.

ArmMeasureValue (MEAN)Dispersion
NN-220 0.033 mg/kg/DayChange in Clinical Laboratory Tests (Biochemistry: Total Protein)0.02 g/dLStandard Deviation 0.33
NN-220 0.066 mg/kg/DayChange in Clinical Laboratory Tests (Biochemistry: Total Protein)0.05 g/dLStandard Deviation 0.37
Secondary

Change in Clinical Laboratory Tests (Biochemistry: Total Protein)

Change from baseline (within 4 weeks prior to week 0) in biochemical parameter - total protein. Missing values were imputed using the LOCF method.

Time frame: Baseline, week 104

Population: SAS. Number analyzed = participants with available data.

ArmMeasureValue (MEAN)Dispersion
NN-220 0.033 mg/kg/DayChange in Clinical Laboratory Tests (Biochemistry: Total Protein)0.02 Grams per deciliter (g/dL)Standard Deviation 0.38
NN-220 0.066 mg/kg/DayChange in Clinical Laboratory Tests (Biochemistry: Total Protein)-0.05 Grams per deciliter (g/dL)Standard Deviation 0.27
Secondary

Change in Clinical Laboratory Tests (Haematology: Basophils)

Change from baseline (within 4 weeks prior to week 0) in haematological parameter - basophils. Missing values were imputed using the LOCF method.

Time frame: Baseline, week 104

Population: SAS.

ArmMeasureValue (MEAN)Dispersion
NN-220 0.033 mg/kg/DayChange in Clinical Laboratory Tests (Haematology: Basophils)0.10 Percentage of basophilsStandard Deviation 0.36
NN-220 0.066 mg/kg/DayChange in Clinical Laboratory Tests (Haematology: Basophils)-0.07 Percentage of basophilsStandard Deviation 0.27
Secondary

Change in Clinical Laboratory Tests (Haematology: Basophils)

Change from baseline (within 4 weeks prior to week 0) in haematological parameter - basophils. Missing values were imputed using the LOCF method.

Time frame: Baseline, week 208

Population: SAS.

ArmMeasureValue (MEAN)Dispersion
NN-220 0.033 mg/kg/DayChange in Clinical Laboratory Tests (Haematology: Basophils)-0.01 Percentage of basophilsStandard Deviation 0.26
NN-220 0.066 mg/kg/DayChange in Clinical Laboratory Tests (Haematology: Basophils)-0.12 Percentage of basophilsStandard Deviation 0.26
Secondary

Change in Clinical Laboratory Tests (Haematology: Eosinophils)

Change from baseline (within 4 weeks prior to week 0) in haematological parameter - eosinophils. Missing values were imputed using the LOCF method.

Time frame: Baseline, week 208

Population: SAS.

ArmMeasureValue (MEAN)Dispersion
NN-220 0.033 mg/kg/DayChange in Clinical Laboratory Tests (Haematology: Eosinophils)1.30 Percentage of eosinophilsStandard Deviation 3.57
NN-220 0.066 mg/kg/DayChange in Clinical Laboratory Tests (Haematology: Eosinophils)0.42 Percentage of eosinophilsStandard Deviation 1.44
Secondary

Change in Clinical Laboratory Tests (Haematology: Eosinophils)

Change from baseline (within 4 weeks prior to week 0) in haematological parameter - eosinophils. Missing values were imputed using the LOCF method.

Time frame: Baseline, week 104

Population: SAS.

ArmMeasureValue (MEAN)Dispersion
NN-220 0.033 mg/kg/DayChange in Clinical Laboratory Tests (Haematology: Eosinophils)0.99 Percentage of eosinophilsStandard Deviation 2.95
NN-220 0.066 mg/kg/DayChange in Clinical Laboratory Tests (Haematology: Eosinophils)-0.05 Percentage of eosinophilsStandard Deviation 1.33
Secondary

Change in Clinical Laboratory Tests (Haematology: Erythrocytes)

Change from baseline (within 4 weeks prior to week 0) in haematological parameter - erythrocytes. Missing values were imputed using the LOCF method.

Time frame: Baseline, week 104

Population: SAS.

ArmMeasureValue (MEAN)Dispersion
NN-220 0.033 mg/kg/DayChange in Clinical Laboratory Tests (Haematology: Erythrocytes)0.106 10^12 cells per liter (10^12 cells/L)Standard Deviation 0.3
NN-220 0.066 mg/kg/DayChange in Clinical Laboratory Tests (Haematology: Erythrocytes)0.165 10^12 cells per liter (10^12 cells/L)Standard Deviation 0.234
Secondary

Change in Clinical Laboratory Tests (Haematology: Erythrocytes)

Change from baseline (within 4 weeks prior to week 0) in haematological parameter - erythrocytes. Missing values were imputed using the LOCF method.

Time frame: Baseline, week 208

Population: SAS.

ArmMeasureValue (MEAN)Dispersion
NN-220 0.033 mg/kg/DayChange in Clinical Laboratory Tests (Haematology: Erythrocytes)0.121 10^12 cells/LStandard Deviation 0.328
NN-220 0.066 mg/kg/DayChange in Clinical Laboratory Tests (Haematology: Erythrocytes)0.095 10^12 cells/LStandard Deviation 0.204
Secondary

Change in Clinical Laboratory Tests (Haematology: Haematocrit)

Change from baseline (within 4 weeks prior to week 0) in haematological parameter - haematocrit. Missing values were imputed using the LOCF method.

Time frame: Baseline, week 208

Population: SAS.

ArmMeasureValue (MEAN)Dispersion
NN-220 0.033 mg/kg/DayChange in Clinical Laboratory Tests (Haematology: Haematocrit)1.24 Percentage of red blood cellsStandard Deviation 2.45
NN-220 0.066 mg/kg/DayChange in Clinical Laboratory Tests (Haematology: Haematocrit)1.26 Percentage of red blood cellsStandard Deviation 1.63
Secondary

Change in Clinical Laboratory Tests (Haematology: Haematocrit)

Change from baseline (within 4 weeks prior to week 0) in haematological parameter - haematocrit. Missing values were imputed using the LOCF method.

Time frame: Baseline, week 104

Population: SAS.

ArmMeasureValue (MEAN)Dispersion
NN-220 0.033 mg/kg/DayChange in Clinical Laboratory Tests (Haematology: Haematocrit)0.85 Percentage of red blood cellsStandard Deviation 2.11
NN-220 0.066 mg/kg/DayChange in Clinical Laboratory Tests (Haematology: Haematocrit)0.94 Percentage of red blood cellsStandard Deviation 1.93
Secondary

Change in Clinical Laboratory Tests (Haematology: Haemoglobin)

Change from baseline (within 4 weeks prior to week 0) in haematological parameter - haemoglobin. Missing values were imputed using the LOCF method.

Time frame: Baseline, week 208

Population: SAS.

ArmMeasureValue (MEAN)Dispersion
NN-220 0.033 mg/kg/DayChange in Clinical Laboratory Tests (Haematology: Haemoglobin)0.46 mmol/LStandard Deviation 0.58
NN-220 0.066 mg/kg/DayChange in Clinical Laboratory Tests (Haematology: Haemoglobin)0.46 mmol/LStandard Deviation 0.35
Secondary

Change in Clinical Laboratory Tests (Haematology: Haemoglobin)

Change from baseline (within 4 weeks prior to week 0) in haematological parameter - haemoglobin. Missing values were imputed using the LOCF method.

Time frame: Baseline, week 104

Population: SAS.

ArmMeasureValue (MEAN)Dispersion
NN-220 0.033 mg/kg/DayChange in Clinical Laboratory Tests (Haematology: Haemoglobin)0.26 Millimoles per liter (mmol/L)Standard Deviation 0.46
NN-220 0.066 mg/kg/DayChange in Clinical Laboratory Tests (Haematology: Haemoglobin)0.32 Millimoles per liter (mmol/L)Standard Deviation 0.55
Secondary

Change in Clinical Laboratory Tests (Haematology: Leukocytes and Thrombocytes)

Change from baseline (within 4 weeks prior to week 0) in haematological parameter - leukocytes and thrombocytes. Missing values were imputed using the LOCF method.

Time frame: Baseline, Week 208

Population: SAS. Number analyzed = participants with available data.

ArmMeasureGroupValue (MEAN)Dispersion
NN-220 0.033 mg/kg/DayChange in Clinical Laboratory Tests (Haematology: Leukocytes and Thrombocytes)Leukocytes-1.50 10^9 cells/LStandard Deviation 2.22
NN-220 0.033 mg/kg/DayChange in Clinical Laboratory Tests (Haematology: Leukocytes and Thrombocytes)Thrombocytes-27.5 10^9 cells/LStandard Deviation 55.5
NN-220 0.066 mg/kg/DayChange in Clinical Laboratory Tests (Haematology: Leukocytes and Thrombocytes)Leukocytes-1.50 10^9 cells/LStandard Deviation 1.57
NN-220 0.066 mg/kg/DayChange in Clinical Laboratory Tests (Haematology: Leukocytes and Thrombocytes)Thrombocytes-56.6 10^9 cells/LStandard Deviation 58.5
Secondary

Change in Clinical Laboratory Tests (Haematology: Leukocytes and Thrombocytes)

Change from baseline (within 4 weeks prior to week 0) in haematological parameter - leukocytes and thrombocytes. Missing values were imputed using the LOCF method.

Time frame: Baseline, week 104

Population: SAS. Number analyzed = participants with available data.

ArmMeasureGroupValue (MEAN)Dispersion
NN-220 0.033 mg/kg/DayChange in Clinical Laboratory Tests (Haematology: Leukocytes and Thrombocytes)Leukocytes-0.69 10^9 cells per liter (10^9 cells/L)Standard Deviation 2.28
NN-220 0.033 mg/kg/DayChange in Clinical Laboratory Tests (Haematology: Leukocytes and Thrombocytes)Thrombocytes-6.9 10^9 cells per liter (10^9 cells/L)Standard Deviation 60.2
NN-220 0.066 mg/kg/DayChange in Clinical Laboratory Tests (Haematology: Leukocytes and Thrombocytes)Leukocytes-1.01 10^9 cells per liter (10^9 cells/L)Standard Deviation 1.77
NN-220 0.066 mg/kg/DayChange in Clinical Laboratory Tests (Haematology: Leukocytes and Thrombocytes)Thrombocytes-29.0 10^9 cells per liter (10^9 cells/L)Standard Deviation 63.2
Secondary

Change in Clinical Laboratory Tests (Haematology: Lymphocytes)

Change from baseline (within 4 weeks prior to week 0) in haematological parameter - lymphocytes. Missing values were imputed using the LOCF method.

Time frame: Baseline, week 104

Population: SAS.

ArmMeasureValue (MEAN)Dispersion
NN-220 0.033 mg/kg/DayChange in Clinical Laboratory Tests (Haematology: Lymphocytes)2.80 Percentage of lymphocytesStandard Deviation 9.07
NN-220 0.066 mg/kg/DayChange in Clinical Laboratory Tests (Haematology: Lymphocytes)-4.73 Percentage of lymphocytesStandard Deviation 8.73
Secondary

Change in Clinical Laboratory Tests (Haematology: Lymphocytes)

Change from baseline (within 4 weeks prior to week 0) in haematological parameter - lymphocytes. Missing values were imputed using the LOCF method.

Time frame: Baseline, week 208

Population: SAS.

ArmMeasureValue (MEAN)Dispersion
NN-220 0.033 mg/kg/DayChange in Clinical Laboratory Tests (Haematology: Lymphocytes)-0.14 Percentage of lymphocytesStandard Deviation 8.88
NN-220 0.066 mg/kg/DayChange in Clinical Laboratory Tests (Haematology: Lymphocytes)-5.70 Percentage of lymphocytesStandard Deviation 8.86
Secondary

Change in Clinical Laboratory Tests (Haematology: Monocytes)

Change from baseline (within 4 weeks prior to week 0) in haematological parameter - monocytes. Missing values were imputed using the LOCF method.

Time frame: Baseline, week 104

Population: SAS.

ArmMeasureValue (MEAN)Dispersion
NN-220 0.033 mg/kg/DayChange in Clinical Laboratory Tests (Haematology: Monocytes)0.38 Percentage of monocytesStandard Deviation 1.41
NN-220 0.066 mg/kg/DayChange in Clinical Laboratory Tests (Haematology: Monocytes)0.39 Percentage of monocytesStandard Deviation 1.35
Secondary

Change in Clinical Laboratory Tests (Haematology: Monocytes)

Change from baseline (within 4 weeks prior to week 0) in haematological parameter - monocytes. Missing values were imputed using the LOCF method.

Time frame: Baseline, week 208

Population: SAS.

ArmMeasureValue (MEAN)Dispersion
NN-220 0.033 mg/kg/DayChange in Clinical Laboratory Tests (Haematology: Monocytes)0.08 Percentage of monocytesStandard Deviation 1.21
NN-220 0.066 mg/kg/DayChange in Clinical Laboratory Tests (Haematology: Monocytes)0.56 Percentage of monocytesStandard Deviation 1.18
Secondary

Change in Clinical Laboratory Tests (Haematology: Neutrophils)

Change from baseline (within 4 weeks prior to week 0) in haematological parameter - neutrophils. Missing values were imputed using the LOCF method.

Time frame: Baseline, week 208

Population: SAS.

ArmMeasureValue (MEAN)Dispersion
NN-220 0.033 mg/kg/DayChange in Clinical Laboratory Tests (Haematology: Neutrophils)-1.23 Percentage of neutrophilsStandard Deviation 10.8
NN-220 0.066 mg/kg/DayChange in Clinical Laboratory Tests (Haematology: Neutrophils)4.88 Percentage of neutrophilsStandard Deviation 9.41
Secondary

Change in Clinical Laboratory Tests (Haematology: Neutrophils)

Change from baseline (within 4 weeks prior to week 0) in haematological parameter - neutrophils. Missing values were imputed using the LOCF method.

Time frame: Baseline, week 104

Population: SAS.

ArmMeasureValue (MEAN)Dispersion
NN-220 0.033 mg/kg/DayChange in Clinical Laboratory Tests (Haematology: Neutrophils)-4.28 Percentage of neutrophilsStandard Deviation 11.44
NN-220 0.066 mg/kg/DayChange in Clinical Laboratory Tests (Haematology: Neutrophils)4.50 Percentage of neutrophilsStandard Deviation 9.01
Secondary

Change in Clinical Laboratory Tests (Lipids: Total Cholesterol, LDL Cholesterol and HDL Cholesterol)

Change from baseline (within 4 weeks prior to week 0) in lipids: total cholesterol, LDL (low-density lipoprotein) cholesterol and HDL (high-density lipoprotein) cholesterol. Missing values were imputed using the LOCF method.

Time frame: Baseline, week 104

Population: SAS.

ArmMeasureGroupValue (MEAN)Dispersion
NN-220 0.033 mg/kg/DayChange in Clinical Laboratory Tests (Lipids: Total Cholesterol, LDL Cholesterol and HDL Cholesterol)Total cholesterol0.073 mmol/LStandard Deviation 0.655
NN-220 0.033 mg/kg/DayChange in Clinical Laboratory Tests (Lipids: Total Cholesterol, LDL Cholesterol and HDL Cholesterol)LDL cholesterol0.040 mmol/LStandard Deviation 0.521
NN-220 0.033 mg/kg/DayChange in Clinical Laboratory Tests (Lipids: Total Cholesterol, LDL Cholesterol and HDL Cholesterol)HDL cholesterol-0.020 mmol/LStandard Deviation 0.212
NN-220 0.066 mg/kg/DayChange in Clinical Laboratory Tests (Lipids: Total Cholesterol, LDL Cholesterol and HDL Cholesterol)HDL cholesterol-0.034 mmol/LStandard Deviation 0.21
NN-220 0.066 mg/kg/DayChange in Clinical Laboratory Tests (Lipids: Total Cholesterol, LDL Cholesterol and HDL Cholesterol)Total cholesterol-0.110 mmol/LStandard Deviation 0.371
NN-220 0.066 mg/kg/DayChange in Clinical Laboratory Tests (Lipids: Total Cholesterol, LDL Cholesterol and HDL Cholesterol)LDL cholesterol-0.120 mmol/LStandard Deviation 0.323
Secondary

Change in Clinical Laboratory Tests (Lipids: Total Cholesterol, LDL Cholesterol and HDL Cholesterol)

Change from baseline (within 4 weeks prior to week 0) in lipids: total cholesterol, LDL cholesterol and HDL cholesterol. Missing values were imputed using the LOCF method.

Time frame: Baseline, week 208

Population: SAS.

ArmMeasureGroupValue (MEAN)Dispersion
NN-220 0.033 mg/kg/DayChange in Clinical Laboratory Tests (Lipids: Total Cholesterol, LDL Cholesterol and HDL Cholesterol)Total cholesterol0.031 mmol/LStandard Deviation 0.639
NN-220 0.033 mg/kg/DayChange in Clinical Laboratory Tests (Lipids: Total Cholesterol, LDL Cholesterol and HDL Cholesterol)LDL cholesterol-0.005 mmol/LStandard Deviation 0.55
NN-220 0.033 mg/kg/DayChange in Clinical Laboratory Tests (Lipids: Total Cholesterol, LDL Cholesterol and HDL Cholesterol)HDL cholesterol0.036 mmol/LStandard Deviation 0.275
NN-220 0.066 mg/kg/DayChange in Clinical Laboratory Tests (Lipids: Total Cholesterol, LDL Cholesterol and HDL Cholesterol)Total cholesterol-0.110 mmol/LStandard Deviation 0.609
NN-220 0.066 mg/kg/DayChange in Clinical Laboratory Tests (Lipids: Total Cholesterol, LDL Cholesterol and HDL Cholesterol)LDL cholesterol-0.173 mmol/LStandard Deviation 0.523
NN-220 0.066 mg/kg/DayChange in Clinical Laboratory Tests (Lipids: Total Cholesterol, LDL Cholesterol and HDL Cholesterol)HDL cholesterol0.056 mmol/LStandard Deviation 0.173
Secondary

Change in ECG

The ECG was recorded after a 3-minute rest in supine position at baseline (within 4 weeks prior to week 0) and week 208 and categorised as normal, abnormal NCS or abnormal CS. Number of participants in each ECG category at baseline and week 208 are presented. Missing values were imputed using the LOCF method.

Time frame: Baseline, week 208

Population: SAS.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
NN-220 0.033 mg/kg/DayChange in ECGNormal (Baseline)15 Participants
NN-220 0.033 mg/kg/DayChange in ECGAbnormal NCS (Baseline)10 Participants
NN-220 0.033 mg/kg/DayChange in ECGAbnormal CS (Baseline)0 Participants
NN-220 0.033 mg/kg/DayChange in ECGNormal (Week 208)20 Participants
NN-220 0.033 mg/kg/DayChange in ECGAbnormal NCS (Week 208)5 Participants
NN-220 0.033 mg/kg/DayChange in ECGAbnormal CS (Week 208)0 Participants
NN-220 0.066 mg/kg/DayChange in ECGAbnormal NCS (Week 208)9 Participants
NN-220 0.066 mg/kg/DayChange in ECGNormal (Baseline)14 Participants
NN-220 0.066 mg/kg/DayChange in ECGNormal (Week 208)16 Participants
NN-220 0.066 mg/kg/DayChange in ECGAbnormal NCS (Baseline)12 Participants
NN-220 0.066 mg/kg/DayChange in ECGAbnormal CS (Week 208)1 Participants
NN-220 0.066 mg/kg/DayChange in ECGAbnormal CS (Baseline)0 Participants
Secondary

Change in ECG

The ECG was recorded after a 3-minute rest in supine position at baseline (within 4 weeks prior to week 0) and week 104 and categorised as normal, abnormal NCS (not clinically significant) or abnormal CS (clinically significant). Number of participants in each ECG category at baseline and week 104 are presented. Missing values were imputed using the LOCF method.

Time frame: Baseline, week 104

Population: SAS.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
NN-220 0.033 mg/kg/DayChange in ECGNormal (Baseline)15 Participants
NN-220 0.033 mg/kg/DayChange in ECGAbnormal NCS (Baseline)10 Participants
NN-220 0.033 mg/kg/DayChange in ECGAbnormal CS (Baseline)0 Participants
NN-220 0.033 mg/kg/DayChange in ECGNormal (Week 104)16 Participants
NN-220 0.033 mg/kg/DayChange in ECGAbnormal NCS (Week 104)9 Participants
NN-220 0.033 mg/kg/DayChange in ECGAbnormal CS (Week 104)0 Participants
NN-220 0.066 mg/kg/DayChange in ECGAbnormal NCS (Week 104)13 Participants
NN-220 0.066 mg/kg/DayChange in ECGNormal (Baseline)14 Participants
NN-220 0.066 mg/kg/DayChange in ECGNormal (Week 104)13 Participants
NN-220 0.066 mg/kg/DayChange in ECGAbnormal NCS (Baseline)12 Participants
NN-220 0.066 mg/kg/DayChange in ECGAbnormal CS (Week 104)0 Participants
NN-220 0.066 mg/kg/DayChange in ECGAbnormal CS (Baseline)0 Participants
Secondary

Change in Glucose Tolerance (AUC of Glucose) Based on the OGTT

AUC (area under the curve) of glucose was calculated by the trapezoidal method. Change from baseline (within 4 weeks prior to week 0) in glucose tolerance (AUC of glucose: 30, 60, 90 and 120 min after oral glucose load) at week 104 was evaluated based on the oral glucose tolerance test (OGTT). Change from baseline results are presented as 'ratio to baseline'.

Time frame: Baseline, week 104

Population: SAS.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
NN-220 0.033 mg/kg/DayChange in Glucose Tolerance (AUC of Glucose) Based on the OGTT0.98 Ratio of AUCGeometric Coefficient of Variation 12.19
NN-220 0.066 mg/kg/DayChange in Glucose Tolerance (AUC of Glucose) Based on the OGTT1.04 Ratio of AUCGeometric Coefficient of Variation 17.75
Secondary

Change in Glucose Tolerance (AUC of Glucose) Based on the OGTT

AUC of glucose was calculated by the trapezoidal method. Change from baseline (within 4 weeks prior to week 0) in glucose tolerance (AUC of glucose: 30, 60, 90 and 120 min after oral glucose load) at week 208 was evaluated based on the OGTT. Change from baseline results are presented as 'ratio to baseline'.

Time frame: Baseline, week 208

Population: SAS. Number analyzed = participants with available data.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
NN-220 0.033 mg/kg/DayChange in Glucose Tolerance (AUC of Glucose) Based on the OGTT1.03 Ratio of AUCGeometric Coefficient of Variation 12.34
NN-220 0.066 mg/kg/DayChange in Glucose Tolerance (AUC of Glucose) Based on the OGTT1.10 Ratio of AUCGeometric Coefficient of Variation 14.55
Secondary

Change in Glucose Tolerance (AUC of Insulin) Based on the OGTT

AUC of insulin was calculated by the trapezoidal method. Change from baseline (within 4 weeks prior to week 0) in glucose tolerance (AUC of insulin: 30, 60, 90 and 120 min after oral glucose load) at week 208 was evaluated based on the OGTT. Change from baseline results are presented as 'ratio to baseline'.

Time frame: Baseline, week 208

Population: SAS. Number analyzed = participants with available data.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
NN-220 0.033 mg/kg/DayChange in Glucose Tolerance (AUC of Insulin) Based on the OGTT1.52 Ratio of AUCGeometric Coefficient of Variation 49.97
NN-220 0.066 mg/kg/DayChange in Glucose Tolerance (AUC of Insulin) Based on the OGTT2.38 Ratio of AUCGeometric Coefficient of Variation 47.04
Secondary

Change in Glucose Tolerance (AUC of Insulin) Based on the OGTT

AUC of insulin was calculated by the trapezoidal method. Change from baseline (within 4 weeks prior to week 0) in glucose tolerance (AUC of insulin: 30, 60, 90 and 120 min after oral glucose load) at week 104 was evaluated based on the OGTT. Change from baseline results are presented as 'ratio to baseline'.

Time frame: Baseline, week 104

Population: SAS. Number analyzed = participants with available data.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
NN-220 0.033 mg/kg/DayChange in Glucose Tolerance (AUC of Insulin) Based on the OGTT1.25 Ratio of AUCGeometric Coefficient of Variation 45.08
NN-220 0.066 mg/kg/DayChange in Glucose Tolerance (AUC of Insulin) Based on the OGTT1.72 Ratio of AUCGeometric Coefficient of Variation 85.78
Secondary

Change in HbA1c

Change from baseline (within 4 weeks prior to week 0) in HbA1c was evaluated after 208 weeks of treatment.

Time frame: Baseline, week 208

Population: SAS. Number analyzed = participants with available data.

ArmMeasureValue (MEAN)Dispersion
NN-220 0.033 mg/kg/DayChange in HbA1c0.19 Percentage of HbA1cStandard Deviation 0.13
NN-220 0.066 mg/kg/DayChange in HbA1c0.20 Percentage of HbA1cStandard Deviation 0.21
Secondary

Change in HbA1c (Glycosylated Haemoglobin)

Change from baseline (within 4 weeks prior to week 0) in HbA1c was evaluated after 104 weeks of treatment.

Time frame: Baseline, week 104

Population: SAS.

ArmMeasureValue (MEAN)Dispersion
NN-220 0.033 mg/kg/DayChange in HbA1c (Glycosylated Haemoglobin)0.14 Percentage of HbA1cStandard Deviation 0.18
NN-220 0.066 mg/kg/DayChange in HbA1c (Glycosylated Haemoglobin)0.13 Percentage of HbA1cStandard Deviation 0.2
Secondary

Change in Height SDS (Japanese National Reference Data)

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 208 weeks of treatment was analysed. Positive value in change from baseline indicated that SDS was better than baseline SDS. Missing values were imputed using the LOCF method.

Time frame: Baseline, week 208

Population: FAS.

ArmMeasureValue (MEAN)Dispersion
NN-220 0.033 mg/kg/DayChange in Height SDS (Japanese National Reference Data)0.85 Standard deviation scoreStandard Deviation 0.6
NN-220 0.066 mg/kg/DayChange in Height SDS (Japanese National Reference Data)1.84 Standard deviation scoreStandard Deviation 0.7
Secondary

Change in Height SDS (Noonan Syndrome Reference Data in Japanese)

Height SDS was calculated using the formula: Z=\[(value/M)\^L-1\]/(S\*L); where L, M and S are skewness (L), median (M) and coefficient of variation (S) of Japanese Noonan syndrome' height provided for each sex and age. For each participant, a standard deviation score Z (SDS) was calculated based on age and sex referring to the values L, M and S. 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 208 weeks of treatment was analysed. Positive value in change from baseline indicated that SDS was better than baseline SDS. Missing values were imputed using the LOCF method.

Time frame: Baseline, week 208

Population: FAS.

ArmMeasureValue (MEAN)Dispersion
NN-220 0.033 mg/kg/DayChange in Height SDS (Noonan Syndrome Reference Data in Japanese)0.96 Standard deviation scoreStandard Deviation 0.47
NN-220 0.066 mg/kg/DayChange in Height SDS (Noonan Syndrome Reference Data in Japanese)1.92 Standard deviation scoreStandard Deviation 0.6
Secondary

Change in IGF-I

Change from baseline (within 4 weeks prior to week 0) in IGF-I was evaluated after 208 weeks of treatment. Missing values were imputed using the LOCF method.

Time frame: Baseline, week 208

Population: SAS.

ArmMeasureValue (MEAN)Dispersion
NN-220 0.033 mg/kg/DayChange in IGF-I133.5 ng/mLStandard Deviation 97.6
NN-220 0.066 mg/kg/DayChange in IGF-I217.2 ng/mLStandard Deviation 91.1
Secondary

Change in IGF-I (Insulin-like Growth Factor-I)

Change from baseline (within 4 weeks prior to week 0) in IGF-I was evaluated after 104 weeks of treatment. Missing values were imputed using the LOCF method.

Time frame: Baseline, week 104

Population: SAS.

ArmMeasureValue (MEAN)Dispersion
NN-220 0.033 mg/kg/DayChange in IGF-I (Insulin-like Growth Factor-I)90.4 Nanograms per milliliter (ng/mL)Standard Deviation 65.5
NN-220 0.066 mg/kg/DayChange in IGF-I (Insulin-like Growth Factor-I)159.1 Nanograms per milliliter (ng/mL)Standard Deviation 88
Secondary

Change in Urinalysis (Protein, Glucose and Occult Blood)

The urinalysis was the measurements of protein, glucose, and occult blood at baseline (within 4 weeks prior to week 0) and week 104 and categorised as negative, trace, 1+, 2+ and 3+. Missing values were imputed using the LOCF method. Number of participants in each category at baseline and week 104 are presented.

Time frame: Baseline, week 104

Population: SAS.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
NN-220 0.033 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Glucose: Negative (Week 104)25 Participants
NN-220 0.033 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Protein: 2+ (Week 104)0 Participants
NN-220 0.033 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Glucose: Trace (Week 104)0 Participants
NN-220 0.033 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Protein: Trace (Baseline)2 Participants
NN-220 0.033 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Glucose: 1+ (Week 104)0 Participants
NN-220 0.033 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Protein: 3+ (Week 104)0 Participants
NN-220 0.033 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Glucose: 2+ (Week 104)0 Participants
NN-220 0.033 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Protein: Negative (Week 104)18 Participants
NN-220 0.033 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Glucose: 3+ (Week 104)0 Participants
NN-220 0.033 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Glucose: Negative (Baseline)25 Participants
NN-220 0.033 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Occult blood: Negative (Baseline)24 Participants
NN-220 0.033 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Protein: 2+ (Baseline)0 Participants
NN-220 0.033 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Occult blood: Trace (Baseline)1 Participants
NN-220 0.033 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Glucose: Trace (Baseline)0 Participants
NN-220 0.033 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Occult blood: 1+ (Baseline)0 Participants
NN-220 0.033 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Protein: Trace (Week 104)7 Participants
NN-220 0.033 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Occult blood: 2+ (Baseline)0 Participants
NN-220 0.033 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Glucose: 1+ (Baseline)0 Participants
NN-220 0.033 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Occult blood: 3+ (Baseline)0 Participants
NN-220 0.033 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Protein: 1+ (Baseline)0 Participants
NN-220 0.033 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Occult blood: Negative (Week 104)25 Participants
NN-220 0.033 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Glucose: 2+ (Baseline)0 Participants
NN-220 0.033 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Occult blood: Trace (Week 104)0 Participants
NN-220 0.033 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Protein: 1+ (Week 104)0 Participants
NN-220 0.033 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Occult blood: 1+ (Week 104)0 Participants
NN-220 0.033 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Glucose: 3+ (Baseline)0 Participants
NN-220 0.033 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Occult blood: 2+ (Week 104)0 Participants
NN-220 0.033 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Protein: 3+ (Baseline)0 Participants
NN-220 0.033 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Occult blood: 3+ (Week 104)0 Participants
NN-220 0.033 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Protein: Negative (Baseline)23 Participants
NN-220 0.066 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Occult blood: 3+ (Week 104)0 Participants
NN-220 0.066 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Protein: Negative (Baseline)22 Participants
NN-220 0.066 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Protein: Trace (Baseline)4 Participants
NN-220 0.066 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Protein: 1+ (Baseline)0 Participants
NN-220 0.066 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Protein: 2+ (Baseline)0 Participants
NN-220 0.066 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Protein: 3+ (Baseline)0 Participants
NN-220 0.066 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Protein: Negative (Week 104)16 Participants
NN-220 0.066 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Protein: Trace (Week 104)8 Participants
NN-220 0.066 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Protein: 1+ (Week 104)2 Participants
NN-220 0.066 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Protein: 2+ (Week 104)0 Participants
NN-220 0.066 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Protein: 3+ (Week 104)0 Participants
NN-220 0.066 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Glucose: Negative (Baseline)26 Participants
NN-220 0.066 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Glucose: Trace (Baseline)0 Participants
NN-220 0.066 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Glucose: 1+ (Baseline)0 Participants
NN-220 0.066 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Glucose: 2+ (Baseline)0 Participants
NN-220 0.066 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Glucose: 3+ (Baseline)0 Participants
NN-220 0.066 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Glucose: Negative (Week 104)26 Participants
NN-220 0.066 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Glucose: Trace (Week 104)0 Participants
NN-220 0.066 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Glucose: 1+ (Week 104)0 Participants
NN-220 0.066 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Glucose: 2+ (Week 104)0 Participants
NN-220 0.066 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Glucose: 3+ (Week 104)0 Participants
NN-220 0.066 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Occult blood: Negative (Baseline)25 Participants
NN-220 0.066 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Occult blood: Trace (Baseline)1 Participants
NN-220 0.066 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Occult blood: 1+ (Baseline)0 Participants
NN-220 0.066 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Occult blood: 2+ (Baseline)0 Participants
NN-220 0.066 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Occult blood: 3+ (Baseline)0 Participants
NN-220 0.066 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Occult blood: Negative (Week 104)20 Participants
NN-220 0.066 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Occult blood: Trace (Week 104)5 Participants
NN-220 0.066 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Occult blood: 1+ (Week 104)0 Participants
NN-220 0.066 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Occult blood: 2+ (Week 104)1 Participants
Secondary

Change in Urinalysis (Protein, Glucose and Occult Blood)

The urinalysis was the measurements of protein, glucose, and occult blood at baseline (within 4 weeks prior to week 0) and week 208 and categorised as negative, trace, 1+, 2+ and 3+. Number of participants in each category at baseline and week 208 are presented. Missing values were imputed using the LOCF method.

Time frame: Baseline, week 208

Population: SAS.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
NN-220 0.033 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Protein: 1+ (Week 208)0 Participants
NN-220 0.033 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Glucose: Negative (Week 208)25 Participants
NN-220 0.033 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Glucose: Trace (Week 208)0 Participants
NN-220 0.033 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Protein: Negative (Baseline)23 Participants
NN-220 0.033 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Glucose: 1+ (Week 208)0 Participants
NN-220 0.033 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Protein: 2+ (Week 208)0 Participants
NN-220 0.033 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Glucose: 2+ (Week 208)0 Participants
NN-220 0.033 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Protein: 3+ (Baseline)0 Participants
NN-220 0.033 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Glucose: 3+ (Week 208)0 Participants
NN-220 0.033 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Protein: 3+ (Week 208)0 Participants
NN-220 0.033 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Occult blood: Negative (Baseline)24 Participants
NN-220 0.033 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Protein: 1+ (Baseline)0 Participants
NN-220 0.033 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Occult blood: Trace (Baseline)1 Participants
NN-220 0.033 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Glucose: Negative (Baseline)25 Participants
NN-220 0.033 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Occult blood: 1+ (Baseline)0 Participants
NN-220 0.033 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Protein: Negative (Week 208)17 Participants
NN-220 0.033 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Occult blood: 2+ (Baseline)0 Participants
NN-220 0.033 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Glucose: Trace (Baseline)0 Participants
NN-220 0.033 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Occult blood: 3+ (Baseline)0 Participants
NN-220 0.033 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Protein: Trace (Baseline)2 Participants
NN-220 0.033 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Occult blood: Negative (Week 208)24 Participants
NN-220 0.033 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Glucose: 1+ (Baseline)0 Participants
NN-220 0.033 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Occult blood: Trace (Week 208)1 Participants
NN-220 0.033 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Protein: Trace (Week 208)8 Participants
NN-220 0.033 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Occult blood: 1+ (Week 208)0 Participants
NN-220 0.033 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Glucose: 2+ (Baseline)0 Participants
NN-220 0.033 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Occult blood: 2+ (Week 208)0 Participants
NN-220 0.033 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Protein: 2+ (Baseline)0 Participants
NN-220 0.033 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Occult blood: 3+ (Week 208)0 Participants
NN-220 0.033 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Glucose: 3+ (Baseline)0 Participants
NN-220 0.066 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Occult blood: 3+ (Week 208)1 Participants
NN-220 0.066 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Protein: Negative (Baseline)22 Participants
NN-220 0.066 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Protein: Trace (Baseline)4 Participants
NN-220 0.066 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Protein: 1+ (Baseline)0 Participants
NN-220 0.066 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Protein: 2+ (Baseline)0 Participants
NN-220 0.066 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Protein: 3+ (Baseline)0 Participants
NN-220 0.066 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Protein: Negative (Week 208)18 Participants
NN-220 0.066 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Protein: Trace (Week 208)7 Participants
NN-220 0.066 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Protein: 1+ (Week 208)0 Participants
NN-220 0.066 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Protein: 2+ (Week 208)1 Participants
NN-220 0.066 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Protein: 3+ (Week 208)0 Participants
NN-220 0.066 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Glucose: Negative (Baseline)26 Participants
NN-220 0.066 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Glucose: Trace (Baseline)0 Participants
NN-220 0.066 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Glucose: 1+ (Baseline)0 Participants
NN-220 0.066 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Glucose: 2+ (Baseline)0 Participants
NN-220 0.066 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Glucose: 3+ (Baseline)0 Participants
NN-220 0.066 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Glucose: Trace (Week 208)0 Participants
NN-220 0.066 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Glucose: 1+ (Week 208)0 Participants
NN-220 0.066 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Glucose: 2+ (Week 208)0 Participants
NN-220 0.066 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Glucose: 3+ (Week 208)0 Participants
NN-220 0.066 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Occult blood: Negative (Baseline)25 Participants
NN-220 0.066 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Occult blood: Trace (Baseline)1 Participants
NN-220 0.066 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Occult blood: 1+ (Baseline)0 Participants
NN-220 0.066 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Occult blood: 2+ (Baseline)0 Participants
NN-220 0.066 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Occult blood: 3+ (Baseline)0 Participants
NN-220 0.066 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Occult blood: Negative (Week 208)22 Participants
NN-220 0.066 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Occult blood: Trace (Week 208)2 Participants
NN-220 0.066 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Occult blood: 1+ (Week 208)1 Participants
NN-220 0.066 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Occult blood: 2+ (Week 208)0 Participants
NN-220 0.066 mg/kg/DayChange in Urinalysis (Protein, Glucose and Occult Blood)Glucose: Negative (Week 208)26 Participants
Secondary

Change in Vital Signs (Diastolic Blood Pressure and Systolic Blood Pressure)

Systolic and diastolic blood pressure were measured after a 5-minute rest in sitting position. Change from baseline (week 0) in systolic blood pressure and diastolic blood pressure.

Time frame: Baseline, week 104

Population: SAS. Number analyzed = participants with available data.

ArmMeasureGroupValue (MEAN)Dispersion
NN-220 0.033 mg/kg/DayChange in Vital Signs (Diastolic Blood Pressure and Systolic Blood Pressure)Diastolic blood pressure2.3 Millimeters of mercury (mmHg)Standard Deviation 13.2
NN-220 0.033 mg/kg/DayChange in Vital Signs (Diastolic Blood Pressure and Systolic Blood Pressure)Systolic blood pressure5.5 Millimeters of mercury (mmHg)Standard Deviation 11.9
NN-220 0.066 mg/kg/DayChange in Vital Signs (Diastolic Blood Pressure and Systolic Blood Pressure)Diastolic blood pressure6.3 Millimeters of mercury (mmHg)Standard Deviation 15.8
NN-220 0.066 mg/kg/DayChange in Vital Signs (Diastolic Blood Pressure and Systolic Blood Pressure)Systolic blood pressure4.1 Millimeters of mercury (mmHg)Standard Deviation 12.1
Secondary

Change in Vital Signs (Diastolic Blood Pressure and Systolic Blood Pressure)

Systolic and diastolic blood pressure were measured after a 5-minute rest in sitting position. Change from baseline (week 0) in systolic blood pressure and diastolic blood pressure. Missing values were imputed using the LOCF method.

Time frame: Baseline, week 208

Population: SAS. Number analyzed = participants with available data.

ArmMeasureGroupValue (MEAN)Dispersion
NN-220 0.033 mg/kg/DayChange in Vital Signs (Diastolic Blood Pressure and Systolic Blood Pressure)Diastolic blood pressure5.8 mmHgStandard Deviation 13.4
NN-220 0.033 mg/kg/DayChange in Vital Signs (Diastolic Blood Pressure and Systolic Blood Pressure)Systolic blood pressure6.8 mmHgStandard Deviation 11.9
NN-220 0.066 mg/kg/DayChange in Vital Signs (Diastolic Blood Pressure and Systolic Blood Pressure)Diastolic blood pressure3.5 mmHgStandard Deviation 8.4
NN-220 0.066 mg/kg/DayChange in Vital Signs (Diastolic Blood Pressure and Systolic Blood Pressure)Systolic blood pressure5.8 mmHgStandard Deviation 16.1
Secondary

Change in Vital Signs (Pulse)

Pulse was measured after a 5-minute rest in sitting position. Change from baseline (week 0) in pulse.

Time frame: Baseline, week 104

Population: SAS. Number analyzed = participants with available data.

ArmMeasureValue (MEAN)Dispersion
NN-220 0.033 mg/kg/DayChange in Vital Signs (Pulse)-9.5 Beats per minute (beats/min)Standard Deviation 15.7
NN-220 0.066 mg/kg/DayChange in Vital Signs (Pulse)1.8 Beats per minute (beats/min)Standard Deviation 21.9
Secondary

Change in Vital Signs (Pulse)

Pulse was measured after a 5-minute rest in sitting position. Change from baseline (week 0) in pulse. Missing values were imputed using the LOCF method.

Time frame: Baseline, week 208

Population: SAS. Number analyzed = participants with available data.

ArmMeasureValue (MEAN)Dispersion
NN-220 0.033 mg/kg/DayChange in Vital Signs (Pulse)-15.3 beats/minStandard Deviation 14.2
NN-220 0.066 mg/kg/DayChange in Vital Signs (Pulse)-3.8 beats/minStandard Deviation 16.5
Secondary

Height Velocity

Height velocity is change in height per year. The height velocity was calculated as the difference between current height (week 156) and height at week 104 divided by time between those measurement time points and multiplied by 365 days. Missing values were imputed using the LOCF method.

Time frame: Week 104 to week 156

Population: FAS.

ArmMeasureValue (MEAN)Dispersion
NN-220 0.033 mg/kg/DayHeight Velocity5.77 cm/yearStandard Deviation 1.26
NN-220 0.066 mg/kg/DayHeight Velocity7.01 cm/yearStandard Deviation 1.12
Secondary

Height Velocity

Height velocity is change in height per year. The height velocity was calculated as the difference between current height (week 104) and height at week 52 divided by time between those measurement time points and multiplied by 365 days.

Time frame: Week 52 to week 104

Population: FAS.

ArmMeasureValue (MEAN)Dispersion
NN-220 0.033 mg/kg/DayHeight Velocity6.20 cm/yearStandard Deviation 0.95
NN-220 0.066 mg/kg/DayHeight Velocity7.99 cm/yearStandard Deviation 1.2
Secondary

Height Velocity

Height velocity is change in height per year. The height velocity was calculated as the difference between current height (week 208) and height at week 156 divided by time between those measurement time points and multiplied by 365 days. Missing values were imputed using the LOCF method.

Time frame: Week 156 to week 208

Population: FAS.

ArmMeasureValue (MEAN)Dispersion
NN-220 0.033 mg/kg/DayHeight Velocity5.64 cm/yearStandard Deviation 1.23
NN-220 0.066 mg/kg/DayHeight Velocity6.11 cm/yearStandard Deviation 1.28
Secondary

Height Velocity

Height velocity is change in height per year. The height velocity was calculated as the difference between current height (week 52) and height at baseline (week 0) divided by time between those measurement time points and multiplied by 365 days.

Time frame: Baseline to week 52

Population: FAS.

ArmMeasureValue (MEAN)Dispersion
NN-220 0.033 mg/kg/DayHeight Velocity7.88 Centimeters per year (cm/year)Standard Deviation 0.87
NN-220 0.066 mg/kg/DayHeight Velocity9.90 Centimeters per year (cm/year)Standard Deviation 1.49
Secondary

Height Velocity SDS

Height velocity is change in height per year. The height velocity was calculated as the difference between current height (week 208) and height at week 156 divided by time between those measurement time points and multiplied by 365 days. Height velocity SDS was calculated using the formula: SDS = (height velocity - mean)/SD, where height velocity was the height velocity variable measured, mean and SD of height velocity by sex and age for the reference population. The scores were centered around zero. Positive SDS indicated greater height velocity and negative SDS indicated lesser height velocity than the mean of the reference population.

Time frame: Week 156 to week 208

Population: FAS.

ArmMeasureValue (MEAN)Dispersion
NN-220 0.033 mg/kg/DayHeight Velocity SDS-0.73 Standard deviation scoreStandard Deviation 1.52
NN-220 0.066 mg/kg/DayHeight Velocity SDS0.92 Standard deviation scoreStandard Deviation 1.69
Secondary

Height Velocity SDS

Height velocity is change in height per year. The height velocity was calculated as the difference between current height (week 52) and height at baseline (week 0) divided by time between those measurement time points and multiplied by 365 days. Height velocity SDS was calculated using the formula: SDS = (height velocity - mean)/SD, where height velocity was the height velocity variable measured, mean and SD of height velocity by sex and age for the reference population. The scores were centered around zero. Positive SDS indicated greater height velocity and negative SDS indicated lesser height velocity than the mean of the reference population.

Time frame: Baseline to week 52

Population: FAS.

ArmMeasureValue (MEAN)Dispersion
NN-220 0.033 mg/kg/DayHeight Velocity SDS2.80 Standard deviation scoreStandard Deviation 1.13
NN-220 0.066 mg/kg/DayHeight Velocity SDS5.01 Standard deviation scoreStandard Deviation 1.92
Secondary

Height Velocity SDS

Height velocity is change in height per year. The height velocity was calculated as the difference between current height (week 104) and height at week 52 divided by time between those measurement time points and multiplied by 365 days. Height velocity SDS was calculated using the formula: SDS = (height velocity - mean)/SD, where height velocity was the height velocity variable measured, mean and SD of height velocity by sex and age for the reference population. The scores were centered around zero. Positive SDS indicated greater height velocity and negative SDS indicated lesser height velocity than the mean of the reference population.

Time frame: Week 52 to week 104

Population: FAS.

ArmMeasureValue (MEAN)Dispersion
NN-220 0.033 mg/kg/DayHeight Velocity SDS0.58 Standard deviation scoreStandard Deviation 1.59
NN-220 0.066 mg/kg/DayHeight Velocity SDS2.65 Standard deviation scoreStandard Deviation 1.76
Secondary

Height Velocity SDS

Height velocity is change in height per year. The height velocity was calculated as the difference between current height (week 156) and height at week 104 divided by time between those measurement time points and multiplied by 365 days. Height velocity SDS was calculated using the formula: SDS = (height velocity - mean)/SD, where height velocity was the height velocity variable measured, mean and SD of height velocity by sex and age for the reference population. The scores were centered around zero. Positive SDS indicated greater height velocity and negative SDS indicated lesser height velocity than the mean of the reference population.

Time frame: Week 104 to week 156

Population: FAS.

ArmMeasureValue (MEAN)Dispersion
NN-220 0.033 mg/kg/DayHeight Velocity SDS-0.39 Standard deviation scoreStandard Deviation 1.61
NN-220 0.066 mg/kg/DayHeight Velocity SDS1.44 Standard deviation scoreStandard Deviation 1.25
Secondary

Incidence of Treatment Emergent Adverse Events

A treatment emergent adverse event (TEAE; for the pivotal phase) was defined as an event that had onset date on or after the date of visit 2 (week 0; start of treatment) and no later than the date of visit 12 (104 weeks; end of pivotal phase). For withdrawal participants (if any), an adverse event with onset date no later than 7 days after the last day of NN-220 treatment was included.

Time frame: During 104 weeks of treatment

Population: Safety analysis set (SAS) which included all participants who received at least one dose of trial product (NN-220, 0.033 mg/kg/day or NN-220, 0.066 mg/kg/day).

ArmMeasureValue (NUMBER)
NN-220 0.033 mg/kg/DayIncidence of Treatment Emergent Adverse Events265 Events
NN-220 0.066 mg/kg/DayIncidence of Treatment Emergent Adverse Events306 Events
Secondary

Incidence of Treatment Emergent AEs

A treatment emergent AE (TEAE) was defined as an event that had onset date on or after the date of visit 2 (week 0; start of treatment) and no later than 7 days after the last day of NN-220 treatment.

Time frame: Week 0 to week 234 (208 weeks treatment period + 26 weeks extended treatment period) + 7 days (follow-up period)

Population: SAS.

ArmMeasureValue (NUMBER)
NN-220 0.033 mg/kg/DayIncidence of Treatment Emergent AEs507 Events
NN-220 0.066 mg/kg/DayIncidence of Treatment Emergent AEs539 Events
Secondary

Yearly Change in Bone Age/Change in Chronological Age

X-ray picture of carpal bones of left hand was taken for bone age determination. Centralised evaluation of bone age was done by the RUS score method of Tanner-Whitehouse II (TW2). Yearly change from week 156 in bone age/change in chronological age was presented.

Time frame: Week 156, week 208

Population: SAS. Number analyzed = participants with available data.

ArmMeasureValue (MEAN)Dispersion
NN-220 0.033 mg/kg/DayYearly Change in Bone Age/Change in Chronological Age0.87 Ratio (bone age/chronological age)Standard Deviation 0.55
NN-220 0.066 mg/kg/DayYearly Change in Bone Age/Change in Chronological Age1.05 Ratio (bone age/chronological age)Standard Deviation 0.51
Secondary

Yearly Change in Bone Age/Change in Chronological Age

X-ray picture of carpal bones of left hand was taken for bone age determination. Centralised evaluation of bone age was done by the RUS score method of Tanner-Whitehouse II (TW2). Yearly change from week 104 in bone age/change in chronological age was presented.

Time frame: Week 104, week 156

Population: SAS. Number analyzed = participants with available data.

ArmMeasureValue (MEAN)Dispersion
NN-220 0.033 mg/kg/DayYearly Change in Bone Age/Change in Chronological Age0.94 Ratio (bone age/chronological age)Standard Deviation 0.7
NN-220 0.066 mg/kg/DayYearly Change in Bone Age/Change in Chronological Age0.97 Ratio (bone age/chronological age)Standard Deviation 0.56
Secondary

Yearly Change in Bone Age/Change in Chronological Age

X-ray picture of carpal bones of left hand was taken for bone age determination. Centralised evaluation of bone age was done by the RUS score method of Tanner-Whitehouse II (TW2). Yearly change from baseline (week 0) in bone age/change in chronological age was presented.

Time frame: Baseline, week 52

Population: SAS.

ArmMeasureValue (MEAN)Dispersion
NN-220 0.033 mg/kg/DayYearly Change in Bone Age/Change in Chronological Age0.93 Ratio (bone age/chronological age)Standard Deviation 0.66
NN-220 0.066 mg/kg/DayYearly Change in Bone Age/Change in Chronological Age1.28 Ratio (bone age/chronological age)Standard Deviation 0.7
Secondary

Yearly Change in Bone Age/Change in Chronological Age

X-ray picture of carpal bones of left hand was taken for bone age determination. Centralised evaluation of bone age was done by the RUS score method of Tanner-Whitehouse II (TW2). Yearly change from week 52 in bone age/change in chronological age was presented.

Time frame: Week 52, week 104

Population: SAS.

ArmMeasureValue (MEAN)Dispersion
NN-220 0.033 mg/kg/DayYearly Change in Bone Age/Change in Chronological Age1.15 Ratio (bone age/chronological age)Standard Deviation 0.57
NN-220 0.066 mg/kg/DayYearly Change in Bone Age/Change in Chronological Age1.38 Ratio (bone age/chronological age)Standard Deviation 0.91

Source: ClinicalTrials.gov · Data processed: Feb 25, 2026