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A Trial to Evaluate the Safety of Once Weekly Dosing of Somapacitan (NNC0195-0092) and Daily Norditropin® FlexPro® for 52 Weeks in Previously Human Growth Hormone Treated Japanese Adults With Growth Hormone Deficiency

A Multicentre, Randomised, Open-labelled, Parallel-group, Activecontrolled Trial to Evaluate the Safety of Once Weekly Dosing of Somapacitan (NNC0195-0092) and Daily Norditropin® FlexPro® for 52 Weeks in Previously Human Growth Hormone Treated Japanese Adults With Growth Hormone Deficiency

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03075644
Enrollment
62
Registered
2017-03-09
Start date
2017-03-03
Completion date
2018-10-04
Last updated
2020-11-23

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

Conditions

Adult Growth Hormone Deficiency, Growth Hormone Disorder

Brief summary

This trial is conducted in Asia. The aim of this trial is to evaluate the safety of once weekly dosing of somapacitan (NNC0195-0092) and daily Norditropin® FlexPro® for 52 weeks in previously human growth hormone treated Japanese adults with growth hormone deficiency.

Interventions

Once weekly subcutaneous injections (s.c., under the skin)

Daily subcutaneous injections (s.c., under the skin)

Sponsors

Novo Nordisk A/S
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 79 Years
Healthy volunteers
No

Inclusion criteria

- Male or female of at least 18 years of age and not more than 79 years of age at the time of signing informed consent - GHD diagnosed for at least 6 months (defined as 180 days) prior to screening - Treatment with hGH for at least 6 consecutive months (defined as 180 days) at screening - If applicable, hormone replacement therapies for any other hormone deficiencies, adequate and stable for at least 90 days prior to randomisation as judged by the investigator

Exclusion criteria

- Active malignant disease or history of malignancy. Exceptions to this exclusion criterion:1/ Resected in situ carcinoma of the cervix and squamous cell or basal cell carcinoma of the skin with complete local excision 2/ Subjects with GHD attributed to treatment of intracranial malignant tumours or leukaemia, provided that a recurrence-free survival period of at least 5 years is documented in the subject's medical records - For subjects with surgical removal or debulking of pituitary adenoma or other benign intracranial tumour within the last 5 years:Evidence of growth of pituitary adenoma or other benign intracranial tumour within the last 12 months (defined as below or equal to 365 days) before randomisation. Absence of growth must be documented by two post-surgery magnetic resonance imaging (MRI) scans or CT scans. The most recent MRI or CT scan must be performed below or equal to 9 months (defined as below or equal to 270 days) prior to randomisation

Design outcomes

Primary

MeasureTime frameDescription
Incidence of Adverse Events, Including Injection Site ReactionsWeeks 0-53An adverse event (AE) was any untoward medical occurrence in a participant administered a medicinal product, and which did not necessarily have a causal relationship with the treatment. Rate of AEs per 100 patient years at risk with onset after the first administration of trial product and up until end of the trial (53 weeks) or 14 days after last trial drug administration, whichever came first, are presented.

Secondary

MeasureTime frameDescription
Change in Subcutaneous Adipose Tissue CompartmentsWeek 0, week 52Subcutaneous adipose tissue compartments (SAT) was determined by quantitative CT scans. Change from baseline (week 0) to end of treatment period (52 weeks) in SAT compartments is presented.
Change in Intra-abdominal or Visceral Adipose Tissue CompartmentsWeek 0, week 52Intra-abdominal or visceral adipose tissue (VAT) compartments was determined by quantitative CT scans. Change from baseline (week 0) to end of treatment period (52 weeks) in VAT compartments is presented.
Change in Treatment Satisfaction Questionnaire for Medication (TSQM-9) ScoresWeek 0, week 52The Treatment Satisfaction Questionnaire for Medication - 9 items (TSQM-9) is a generic questionnaire that measures a patients' satisfaction with medication. Items are rated on a 5-point or 7-point scale according to patients' experience with the medication. The items covered are satisfaction with the effectiveness of the medication, convenience and global satisfaction of treatment. Each domain is based on 3 questions. The score is calculated in a range from 0 to 100, where a higher score reflects a better outcome. Scores have been summed and then scaled to 0-100. Change in TSQM-9 scores from baseline (week 0) to week 52 are presented.
Change in Physical ExaminationWeek 0, week 52Physical examination parameters were evaluated for head, ears, eyes, nose, throat, neck; respiratory system; cardiovascular system, gastrointestinal system, incl. mouth; musculoskeletal system; nervous system (central and peripheral); skin; and lymph node palpation. The investigator evaluated the findings from the physical examination and classifies them as normal, abnormal not clinically significant (NCS) and abnormal clinically significant (CS). Results are presented for week 0 and week 52.
Change in Body WeightWeek -3, week 52Change from baseline (week -3) in body weight at week 52 is presented.
Change in SBP and DBPWeek 0, week 52Change from baseline (week 0) in systolic blood pressure (SBP) and diastolic blood pressure (DBP) at week 52 is presented.
Change in PulseWeek 0, week 52Change from baseline (week 0) in pulse at week 52 is presented.
Change in ECGWeek -3, week 52The ECG was assessed by the investigator at baseline (week -3) and week 52 and categorised as normal, abnormal NCS or abnormal CS. Number of participants in each ECG category at week -3 and week 52 are presented.
Change in Haematology: HaemoglobinWeek -3, week 52Change from baseline (week -3) in haemoglobin at week 52 is presented.
Change in Haematology: HaematocritWeek -3, week 52Change from baseline (week -3) in haematocrit at week 52 is presented.
Change in Haematology: Thrombocytes, LeucocytesWeek -3, week 52Change from baseline (week -3) in thrombocytes and leucocytes at week 52 is presented.
Change in Haematology: ErythrocytesWeek -3, week 52Change from baseline (week -3) in erythrocytes at week 52 is presented.
Change in Haematology: Mean Corpuscular VolumeWeek -3, week 52Change from baseline (week -3) in mean corpuscular volume at week 52 is presented.
Change in Cross-sectional Total Adipose Tissue CompartmentsWeek 0, week 52Cross-sectional total adipose tissue compartments (TAT) were determined by quantitative computed tomography (CT) scans. Change from baseline (week 0) to end of treatment period (52 weeks) in cross-sectional TAT compartments is presented.
Change in Biochemistry: Creatinine, Uric Acid, and Bilirubin (Total)Week -3, week 52Change from baseline (week -3) in creatinine, uric acid, and bilirubin (total) at week 52 is presented.
Change in Biochemistry: Creatinine Kinase, ALT, AST, ALP and GGTWeek -3, week 52Change from baseline (week -3) in creatinine kinase, alanine aminotransferase (ALT), aspartate aminotransferase (AST), alkaline phosphatase (ALP) and gamma-glutamyl transferase (GGT) at week 52 is presented.
Change in Biochemistry: Urea, Sodium, Potassium, Chloride, Phosphate (Inorganic), Calcium (Total)Week -3, week 52Change from baseline (week -3) in urea, sodium, potassium, chloride, phosphate (inorganic), calcium (total) (mmol/L) at week 52 is presented.
Change in Biochemistry: Total Protein and AlbuminWeek -3, week 52Change from baseline (week -3) in total protein and albumin at week 52 is presented.
Change in Biochemistry: eGFR CreatinineWeek -3, week 52Estimated glomerular filtration rate (eGFR) creatinine (measured in milliliters per minute per 1.73 square meters \[mL/min/1.73m\^2\]) was evaluated using Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) formula. Change from baseline (week -3) in eGFR at week 52 is presented.
Change in HbA1cWeek -3, week 52Change from baseline (week -3) in glycosylated haemoglobin (HbA1c) at week 52 is presented.
Change in FPGWeek -3, week 52Change from baseline (week -3) in fasting plasma glucose (FPG) (mmol/L) at week 52 is presented.
Change in Fasting InsulinWeek -3, week 52Change from baseline (week -3) in fasting insulin at week 52 is presented.
Change in Steady State Beta Cell FunctionWeek -3, week 52Change from baseline (week -3) in steady state beta cell function (%B) at week 52 is presented.
Change in Insulin ResistanceWeek -3, week 52Change from baseline (week -3) in insulin resistance (IR) (Homeostatic model assessment (HOMA) estimates) at week 52 is presented.
Occurrence of Anti-somapacitan AntibodiesWeeks 0 - 53Number of participants with anti-somapacitan antibodies at baseline (week 0) and week 53 are presented. This outcome measure is applicable only for the treatment arm Somapacitan.
Occurrence of Anti-hGH AntibodiesWeeks 0 - 53Number of participants with anti-human growth hormone (hGH) antibodies at baseline (week 0) and week 53 are presented.
Incidence of Clinical Technical ComplaintsWeeks 0 - 53A technical complaint was any written, electronic, or oral communication that alleged product (medicine or device) defects. Number of partipants who reported technical complaints during the course of the trial are presented.
Change in Haematology: Mean Corpuscular Haemoglobin ConcentrationWeek -3, week 52Change from baseline (week -3) in mean corpuscular haemoglobin concentration at week 52 is presented.

Countries

Japan

Participant flow

Recruitment details

The trial was conducted at 12 sites in Japan.

Pre-assignment details

Participants were randomised in a 3:1 manner to receive either somapacitan or Norditropin®.

Participants by arm

ArmCount
Norditropin®
Participants were to receive a subcutaneous (s.c.) injection of Norditropin® once daily for 52 weeks (20 weeks of dose titration and 32 weeks of fixed dose treatment). The dose was titrated every fourth week starting from week 4 based on insulin like growth factor-I standard deviation score (IGF-I SDS) values. The starting dose was 0.2 milligrams per day (mg/day) for participants between 18 and 60 years of age; 0.3 mg/day for females on oral oestrogen irrespective of age; and 0.1 mg/day for participants older than 60 years. The maximum daily dose of Norditropin® was 1.0 milligram (mg).
16
Somapacitan
Participants were to receive a s.c. injection of somapacitan once weekly for 52 weeks (20 weeks of dose titration and 32 weeks of fixed dose treatment). The dose was titrated every fourth week starting from week 4 based on IGF-I SDS values. The starting dose was 1.5 milligrams per week (mg/week) for participants between 18 and 60 years of age; 2.0 mg/week for females on oral oestrogen irrespective of age; and 1.0 mg/week for participants older than 60 years. The maximum weekly dose of somapacitan was 8 mg.
46
Total62

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyWithdrawal by Subject11

Baseline characteristics

CharacteristicSomapacitanTotalNorditropin®
Age, Continuous54.1 years
STANDARD_DEVIATION 12.1
52.8 years
STANDARD_DEVIATION 12.1
49.3 years
STANDARD_DEVIATION 11.5
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants0 Participants0 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
46 Participants62 Participants16 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
46 Participants62 Participants16 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
22 Participants29 Participants7 Participants
Sex: Female, Male
Male
24 Participants33 Participants9 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 160 / 46
other
Total, other adverse events
11 / 1633 / 46
serious
Total, serious adverse events
0 / 164 / 46

Outcome results

Primary

Incidence of Adverse Events, Including Injection Site Reactions

An adverse event (AE) was any untoward medical occurrence in a participant administered a medicinal product, and which did not necessarily have a causal relationship with the treatment. Rate of AEs per 100 patient years at risk with onset after the first administration of trial product and up until end of the trial (53 weeks) or 14 days after last trial drug administration, whichever came first, are presented.

Time frame: Weeks 0-53

Population: Safety analysis set (SAS) which comprised all randomised participants who received at least one dose of randomised treatment.

ArmMeasureValue (NUMBER)
Norditropin®Incidence of Adverse Events, Including Injection Site Reactions309.8 Event rate per 100 patient years
SomapacitanIncidence of Adverse Events, Including Injection Site Reactions312.7 Event rate per 100 patient years
Secondary

Change in Biochemistry: Creatinine Kinase, ALT, AST, ALP and GGT

Change from baseline (week -3) in creatinine kinase, alanine aminotransferase (ALT), aspartate aminotransferase (AST), alkaline phosphatase (ALP) and gamma-glutamyl transferase (GGT) at week 52 is presented.

Time frame: Week -3, week 52

Population: SAS which comprised all randomised participants who received at least one dose of randomised treatment. Overall number of participants analyzed = number of participants with available data.

ArmMeasureGroupValue (MEAN)Dispersion
Norditropin®Change in Biochemistry: Creatinine Kinase, ALT, AST, ALP and GGTALT-4.9 Units per liter (U/L)Standard Deviation 13.4
Norditropin®Change in Biochemistry: Creatinine Kinase, ALT, AST, ALP and GGTALP-9.1 Units per liter (U/L)Standard Deviation 11
Norditropin®Change in Biochemistry: Creatinine Kinase, ALT, AST, ALP and GGTAST-3.2 Units per liter (U/L)Standard Deviation 10.3
Norditropin®Change in Biochemistry: Creatinine Kinase, ALT, AST, ALP and GGTGGT-9.4 Units per liter (U/L)Standard Deviation 19.2
Norditropin®Change in Biochemistry: Creatinine Kinase, ALT, AST, ALP and GGTCreatinine kinase-10.4 Units per liter (U/L)Standard Deviation 66.8
SomapacitanChange in Biochemistry: Creatinine Kinase, ALT, AST, ALP and GGTGGT-0.6 Units per liter (U/L)Standard Deviation 6.6
SomapacitanChange in Biochemistry: Creatinine Kinase, ALT, AST, ALP and GGTCreatinine kinase6.8 Units per liter (U/L)Standard Deviation 261.3
SomapacitanChange in Biochemistry: Creatinine Kinase, ALT, AST, ALP and GGTALT-1.6 Units per liter (U/L)Standard Deviation 9.4
SomapacitanChange in Biochemistry: Creatinine Kinase, ALT, AST, ALP and GGTAST-1.4 Units per liter (U/L)Standard Deviation 7.2
SomapacitanChange in Biochemistry: Creatinine Kinase, ALT, AST, ALP and GGTALP-0.7 Units per liter (U/L)Standard Deviation 11.4
Secondary

Change in Biochemistry: Creatinine, Uric Acid, and Bilirubin (Total)

Change from baseline (week -3) in creatinine, uric acid, and bilirubin (total) at week 52 is presented.

Time frame: Week -3, week 52

Population: SAS comprised all randomised participants who received at least one dose of randomised treatment. Overall number of participants analyzed = number of participants with available data.

ArmMeasureGroupValue (MEAN)Dispersion
Norditropin®Change in Biochemistry: Creatinine, Uric Acid, and Bilirubin (Total)Creatinine1.4 Micromoles per liter (umol/L)Standard Deviation 7.8
Norditropin®Change in Biochemistry: Creatinine, Uric Acid, and Bilirubin (Total)Uric acid25.9 Micromoles per liter (umol/L)Standard Deviation 41.9
Norditropin®Change in Biochemistry: Creatinine, Uric Acid, and Bilirubin (Total)Total bilirubin-0.21 Micromoles per liter (umol/L)Standard Deviation 5.21
SomapacitanChange in Biochemistry: Creatinine, Uric Acid, and Bilirubin (Total)Creatinine1.0 Micromoles per liter (umol/L)Standard Deviation 7.4
SomapacitanChange in Biochemistry: Creatinine, Uric Acid, and Bilirubin (Total)Uric acid6.7 Micromoles per liter (umol/L)Standard Deviation 49.9
SomapacitanChange in Biochemistry: Creatinine, Uric Acid, and Bilirubin (Total)Total bilirubin0.56 Micromoles per liter (umol/L)Standard Deviation 3.81
Secondary

Change in Biochemistry: eGFR Creatinine

Estimated glomerular filtration rate (eGFR) creatinine (measured in milliliters per minute per 1.73 square meters \[mL/min/1.73m\^2\]) was evaluated using Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) formula. Change from baseline (week -3) in eGFR at week 52 is presented.

Time frame: Week -3, week 52

Population: SAS comprised all randomised participants who received at least one dose of randomised treatment. Overall number of participants analyzed = number of participants with available data.

ArmMeasureValue (MEAN)Dispersion
Norditropin®Change in Biochemistry: eGFR Creatinine-1.4 mL/min/1.73m^2Standard Deviation 7.1
SomapacitanChange in Biochemistry: eGFR Creatinine-1.4 mL/min/1.73m^2Standard Deviation 6.2
Secondary

Change in Biochemistry: Total Protein and Albumin

Change from baseline (week -3) in total protein and albumin at week 52 is presented.

Time frame: Week -3, week 52

Population: SAS which comprised all randomised participants who received at least one dose of randomised treatment. Overall number of participants analyzed = number of participants with available data.

ArmMeasureGroupValue (MEAN)Dispersion
Norditropin®Change in Biochemistry: Total Protein and AlbuminTotal protein-0.6 Grams/liter (g/L)Standard Deviation 3.7
Norditropin®Change in Biochemistry: Total Protein and AlbuminAlbumin0.3 Grams/liter (g/L)Standard Deviation 2.8
SomapacitanChange in Biochemistry: Total Protein and AlbuminTotal protein1.4 Grams/liter (g/L)Standard Deviation 3.1
SomapacitanChange in Biochemistry: Total Protein and AlbuminAlbumin1.3 Grams/liter (g/L)Standard Deviation 2.4
Secondary

Change in Biochemistry: Urea, Sodium, Potassium, Chloride, Phosphate (Inorganic), Calcium (Total)

Change from baseline (week -3) in urea, sodium, potassium, chloride, phosphate (inorganic), calcium (total) (mmol/L) at week 52 is presented.

Time frame: Week -3, week 52

Population: SAS comprised all randomised participants who received at least one dose of randomised treatment. Overall number of participants analyzed = number of participants with available data.

ArmMeasureGroupValue (MEAN)Dispersion
Norditropin®Change in Biochemistry: Urea, Sodium, Potassium, Chloride, Phosphate (Inorganic), Calcium (Total)Urea0.29 mmol/LStandard Deviation 0.83
Norditropin®Change in Biochemistry: Urea, Sodium, Potassium, Chloride, Phosphate (Inorganic), Calcium (Total)Sodium-0.3 mmol/LStandard Deviation 1.9
Norditropin®Change in Biochemistry: Urea, Sodium, Potassium, Chloride, Phosphate (Inorganic), Calcium (Total)Potassium-0.04 mmol/LStandard Deviation 0.29
Norditropin®Change in Biochemistry: Urea, Sodium, Potassium, Chloride, Phosphate (Inorganic), Calcium (Total)Chloride0.4 mmol/LStandard Deviation 2.8
Norditropin®Change in Biochemistry: Urea, Sodium, Potassium, Chloride, Phosphate (Inorganic), Calcium (Total)Inorganic phosphate0.000 mmol/LStandard Deviation 0.185
Norditropin®Change in Biochemistry: Urea, Sodium, Potassium, Chloride, Phosphate (Inorganic), Calcium (Total)Total calcium-0.067 mmol/LStandard Deviation 0.068
SomapacitanChange in Biochemistry: Urea, Sodium, Potassium, Chloride, Phosphate (Inorganic), Calcium (Total)Inorganic phosphate0.028 mmol/LStandard Deviation 0.172
SomapacitanChange in Biochemistry: Urea, Sodium, Potassium, Chloride, Phosphate (Inorganic), Calcium (Total)Urea0.71 mmol/LStandard Deviation 1.29
SomapacitanChange in Biochemistry: Urea, Sodium, Potassium, Chloride, Phosphate (Inorganic), Calcium (Total)Chloride0.6 mmol/LStandard Deviation 2.9
SomapacitanChange in Biochemistry: Urea, Sodium, Potassium, Chloride, Phosphate (Inorganic), Calcium (Total)Sodium0.2 mmol/LStandard Deviation 2.8
SomapacitanChange in Biochemistry: Urea, Sodium, Potassium, Chloride, Phosphate (Inorganic), Calcium (Total)Total calcium-0.051 mmol/LStandard Deviation 0.082
SomapacitanChange in Biochemistry: Urea, Sodium, Potassium, Chloride, Phosphate (Inorganic), Calcium (Total)Potassium0.04 mmol/LStandard Deviation 0.34
Secondary

Change in Body Weight

Change from baseline (week -3) in body weight at week 52 is presented.

Time frame: Week -3, week 52

Population: SAS comprised all randomised participants who received at least one dose of randomised treatment. Overall number of participants analyzed = number of participants with available data.

ArmMeasureValue (MEAN)Dispersion
Norditropin®Change in Body Weight0.66 Kilogram (Kg)Standard Deviation 2.5
SomapacitanChange in Body Weight-0.29 Kilogram (Kg)Standard Deviation 3.49
Secondary

Change in Cross-sectional Total Adipose Tissue Compartments

Cross-sectional total adipose tissue compartments (TAT) were determined by quantitative computed tomography (CT) scans. Change from baseline (week 0) to end of treatment period (52 weeks) in cross-sectional TAT compartments is presented.

Time frame: Week 0, week 52

Population: FAS comprised all randomised participants who received at least one dose of randomised treatment. Overall number of participants analyzed = number of participants with available data.

ArmMeasureValue (MEAN)Dispersion
Norditropin®Change in Cross-sectional Total Adipose Tissue Compartments7.450 Square centimeters (cm^2)Standard Deviation 32.177
SomapacitanChange in Cross-sectional Total Adipose Tissue Compartments-7.091 Square centimeters (cm^2)Standard Deviation 58.893
Secondary

Change in ECG

The ECG was assessed by the investigator at baseline (week -3) and week 52 and categorised as normal, abnormal NCS or abnormal CS. Number of participants in each ECG category at week -3 and week 52 are presented.

Time frame: Week -3, week 52

Population: Overall number of participants analyzed = SAS which comprised all randomised participants who received at least one dose of randomised treatment. Number Analyzed = number of participants with available data.

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
Norditropin®Change in ECGweek -3Normal16 Participants
Norditropin®Change in ECGweek -3Abnormal NCS0 Participants
Norditropin®Change in ECGweek -3Abnormal CS0 Participants
Norditropin®Change in ECGweek 52Normal15 Participants
Norditropin®Change in ECGweek 52Abnormal NCS0 Participants
Norditropin®Change in ECGweek 52Abnormal CS0 Participants
SomapacitanChange in ECGweek 52Abnormal NCS8 Participants
SomapacitanChange in ECGweek -3Normal39 Participants
SomapacitanChange in ECGweek 52Normal37 Participants
SomapacitanChange in ECGweek -3Abnormal NCS7 Participants
SomapacitanChange in ECGweek 52Abnormal CS0 Participants
SomapacitanChange in ECGweek -3Abnormal CS0 Participants
Secondary

Change in Fasting Insulin

Change from baseline (week -3) in fasting insulin at week 52 is presented.

Time frame: Week -3, week 52

Population: SAS comprised all randomised participants who received at least one dose of randomised treatment. Overall number of participants analyzed = number of participants with available data.

ArmMeasureValue (MEAN)Dispersion
Norditropin®Change in Fasting Insulin-16.7 Picomoles per liter (pmol/L)Standard Deviation 54.1
SomapacitanChange in Fasting Insulin-8.7 Picomoles per liter (pmol/L)Standard Deviation 44.7
Secondary

Change in FPG

Change from baseline (week -3) in fasting plasma glucose (FPG) (mmol/L) at week 52 is presented.

Time frame: Week -3, week 52

Population: SAS comprised all randomised participants who received at least one dose of randomised treatment. Overall number of participants analyzed = number of participants with available data.

ArmMeasureValue (MEAN)Dispersion
Norditropin®Change in FPG0.014 mmol/LStandard Deviation 0.442
SomapacitanChange in FPG0.089 mmol/LStandard Deviation 0.453
Secondary

Change in Haematology: Erythrocytes

Change from baseline (week -3) in erythrocytes at week 52 is presented.

Time frame: Week -3, week 52

Population: SAS comprised all randomised participants who received at least one dose of randomised treatment. Overall number of participants analyzed = number of participants with available data.

ArmMeasureValue (MEAN)Dispersion
Norditropin®Change in Haematology: Erythrocytes-0.086 cells per picoliterStandard Deviation 0.271
SomapacitanChange in Haematology: Erythrocytes-0.007 cells per picoliterStandard Deviation 0.228
Secondary

Change in Haematology: Haematocrit

Change from baseline (week -3) in haematocrit at week 52 is presented.

Time frame: Week -3, week 52

Population: SAS comprised all randomised participants who received at least one dose of randomised treatment. Overall number of participants analyzed = number of participants with available data.

ArmMeasureValue (MEAN)Dispersion
Norditropin®Change in Haematology: Haematocrit-0.64 Percentage point of haematocritStandard Deviation 2.76
SomapacitanChange in Haematology: Haematocrit0.04 Percentage point of haematocritStandard Deviation 2.31
Secondary

Change in Haematology: Haemoglobin

Change from baseline (week -3) in haemoglobin at week 52 is presented.

Time frame: Week -3, week 52

Population: SAS comprised all randomised participants who received at least one dose of randomised treatment. Overall number of participants analyzed = number of participants with available data.

ArmMeasureValue (MEAN)Dispersion
Norditropin®Change in Haematology: Haemoglobin-2.071 Grams/liter (g/L)Standard Deviation 7.79
SomapacitanChange in Haematology: Haemoglobin0.311 Grams/liter (g/L)Standard Deviation 6.026
Secondary

Change in Haematology: Mean Corpuscular Haemoglobin Concentration

Change from baseline (week -3) in mean corpuscular haemoglobin concentration at week 52 is presented.

Time frame: Week -3, week 52

Population: SAS comprised all randomised participants who received at least one dose of randomised treatment. Overall number of participants analyzed = number of participants with available data.

ArmMeasureValue (MEAN)Dispersion
Norditropin®Change in Haematology: Mean Corpuscular Haemoglobin Concentration0.04 Millimoles per liter (mmol/L)Standard Deviation 0.47
SomapacitanChange in Haematology: Mean Corpuscular Haemoglobin Concentration0.05 Millimoles per liter (mmol/L)Standard Deviation 0.45
Secondary

Change in Haematology: Mean Corpuscular Volume

Change from baseline (week -3) in mean corpuscular volume at week 52 is presented.

Time frame: Week -3, week 52

Population: SAS comprised all randomised participants who received at least one dose of randomised treatment. Overall number of participants analyzed = number of participants with available data.

ArmMeasureValue (MEAN)Dispersion
Norditropin®Change in Haematology: Mean Corpuscular Volume0.00 Femtoliters (fL)Standard Deviation 2.45
SomapacitanChange in Haematology: Mean Corpuscular Volume0.29 Femtoliters (fL)Standard Deviation 1.91
Secondary

Change in Haematology: Thrombocytes, Leucocytes

Change from baseline (week -3) in thrombocytes and leucocytes at week 52 is presented.

Time frame: Week -3, week 52

Population: Overall number of participants analyzed = SAS which comprised all randomised participants who received at least one dose of randomised treatment. Number Analyzed = number of participants with available data.

ArmMeasureGroupValue (MEAN)Dispersion
Norditropin®Change in Haematology: Thrombocytes, LeucocytesThrombocytes0.1 10^9 cells/LStandard Deviation 27.7
Norditropin®Change in Haematology: Thrombocytes, LeucocytesLeucocytes-0.29 10^9 cells/LStandard Deviation 1.01
SomapacitanChange in Haematology: Thrombocytes, LeucocytesThrombocytes5.7 10^9 cells/LStandard Deviation 33.5
SomapacitanChange in Haematology: Thrombocytes, LeucocytesLeucocytes-0.50 10^9 cells/LStandard Deviation 1.43
Secondary

Change in HbA1c

Change from baseline (week -3) in glycosylated haemoglobin (HbA1c) at week 52 is presented.

Time frame: Week -3, week 52

Population: SAS comprised all randomised participants who received at least one dose of randomised treatment. Overall number of participants analyzed = number of participants with available data.

ArmMeasureValue (MEAN)Dispersion
Norditropin®Change in HbA1c-0.04 Percentage point of HbA1cStandard Deviation 0.22
SomapacitanChange in HbA1c-0.07 Percentage point of HbA1cStandard Deviation 0.21
Secondary

Change in Insulin Resistance

Change from baseline (week -3) in insulin resistance (IR) (Homeostatic model assessment (HOMA) estimates) at week 52 is presented.

Time frame: Week -3, week 52

Population: SAS comprised all randomised participants who received at least one dose of randomised treatment. Overall number of participants analyzed = number of participants with available data.

ArmMeasureValue (MEAN)Dispersion
Norditropin®Change in Insulin Resistance-0.60 Percentage (%) of IRStandard Deviation 2.03
SomapacitanChange in Insulin Resistance-0.25 Percentage (%) of IRStandard Deviation 1.7
Secondary

Change in Intra-abdominal or Visceral Adipose Tissue Compartments

Intra-abdominal or visceral adipose tissue (VAT) compartments was determined by quantitative CT scans. Change from baseline (week 0) to end of treatment period (52 weeks) in VAT compartments is presented.

Time frame: Week 0, week 52

Population: FAS comprised all randomised participants who received at least one dose of randomised treatment. Overall number of participants analyzed = number of participants with available data.

ArmMeasureValue (MEAN)Dispersion
Norditropin®Change in Intra-abdominal or Visceral Adipose Tissue Compartments0.671 cm^2Standard Deviation 15.284
SomapacitanChange in Intra-abdominal or Visceral Adipose Tissue Compartments-2.618 cm^2Standard Deviation 29.123
Secondary

Change in Physical Examination

Physical examination parameters were evaluated for head, ears, eyes, nose, throat, neck; respiratory system; cardiovascular system, gastrointestinal system, incl. mouth; musculoskeletal system; nervous system (central and peripheral); skin; and lymph node palpation. The investigator evaluated the findings from the physical examination and classifies them as normal, abnormal not clinically significant (NCS) and abnormal clinically significant (CS). Results are presented for week 0 and week 52.

Time frame: Week 0, week 52

Population: Overall number of participants analyzed = SAS which comprised all randomised participants who received at least one dose of randomised treatment. Number Analyzed = number of participants with available data.

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
Norditropin®Change in Physical ExaminationWeek 0: Cardiovascular systemNormal16 Participants
Norditropin®Change in Physical ExaminationWeek 0: Head, ears, eyes, nose, throat, neckAbnormal NCS0 Participants
Norditropin®Change in Physical ExaminationWeek 0: Head, ears, eyes, nose, throat, neckAbnormal CS1 Participants
Norditropin®Change in Physical ExaminationWeek 52: Head, ears, eyes, nose, throat, neckNormal14 Participants
Norditropin®Change in Physical ExaminationWeek 52: Head, ears, eyes, nose, throat, neckAbnormal NCS0 Participants
Norditropin®Change in Physical ExaminationWeek 52: Head, ears, eyes, nose, throat, neckAbnormal CS1 Participants
Norditropin®Change in Physical ExaminationWeek 0: Respiratory systemNormal16 Participants
Norditropin®Change in Physical ExaminationWeek 0: Respiratory systemAbnormal NCS0 Participants
Norditropin®Change in Physical ExaminationWeek 0: Respiratory systemAbnormal CS0 Participants
Norditropin®Change in Physical ExaminationWeek 52: Respiratory systemNormal15 Participants
Norditropin®Change in Physical ExaminationWeek 52: Respiratory systemAbnormal NCS0 Participants
Norditropin®Change in Physical ExaminationWeek 52: Respiratory systemAbnormal CS0 Participants
Norditropin®Change in Physical ExaminationWeek 0: Head, ears, eyes, nose, throat, neckNormal15 Participants
Norditropin®Change in Physical ExaminationWeek 0: Cardiovascular systemAbnormal NCS0 Participants
Norditropin®Change in Physical ExaminationWeek 0: Cardiovascular systemAbnormal CS0 Participants
Norditropin®Change in Physical ExaminationWeek 52: Cardiovascular systemNormal15 Participants
Norditropin®Change in Physical ExaminationWeek 52: Cardiovascular systemAbnormal NCS0 Participants
Norditropin®Change in Physical ExaminationWeek 52: Cardiovascular systemAbnormal CS0 Participants
Norditropin®Change in Physical ExaminationWeek 0: Gastrointestinal systemNormal15 Participants
Norditropin®Change in Physical ExaminationWeek 0: Gastrointestinal systemAbnormal NCS1 Participants
Norditropin®Change in Physical ExaminationWeek 0: Gastrointestinal systemAbnormal CS0 Participants
Norditropin®Change in Physical ExaminationWeek 52: Gastrointestinal systemNormal15 Participants
Norditropin®Change in Physical ExaminationWeek 52: Gastrointestinal systemAbnormal NCS0 Participants
Norditropin®Change in Physical ExaminationWeek 52: Gastrointestinal systemAbnormal CS0 Participants
Norditropin®Change in Physical ExaminationWeek 0: Musculoskeletal systemNormal16 Participants
Norditropin®Change in Physical ExaminationWeek 0: Musculoskeletal systemAbnormal NCS0 Participants
Norditropin®Change in Physical ExaminationWeek 0: Musculoskeletal systemAbnormal CS0 Participants
Norditropin®Change in Physical ExaminationWeek 52: Musculoskeletal systemNormal15 Participants
Norditropin®Change in Physical ExaminationWeek 52: Musculoskeletal systemAbnormal NCS0 Participants
Norditropin®Change in Physical ExaminationWeek 52: Musculoskeletal systemAbnormal CS0 Participants
Norditropin®Change in Physical ExaminationWeek 0: Nervous systemNormal16 Participants
Norditropin®Change in Physical ExaminationWeek 0: Nervous systemAbnormal NCS0 Participants
Norditropin®Change in Physical ExaminationWeek 0: Nervous systemAbnormal CS0 Participants
Norditropin®Change in Physical ExaminationWeek 52: Nervous systemNormal15 Participants
Norditropin®Change in Physical ExaminationWeek 52: Nervous systemAbnormal NCS0 Participants
Norditropin®Change in Physical ExaminationWeek 52: Nervous systemAbnormal CS0 Participants
Norditropin®Change in Physical ExaminationWeek 0: SkinNormal16 Participants
Norditropin®Change in Physical ExaminationWeek 0: SkinAbnormal NCS0 Participants
Norditropin®Change in Physical ExaminationWeek 0: SkinAbnormal CS0 Participants
Norditropin®Change in Physical ExaminationWeek 52: SkinNormal15 Participants
Norditropin®Change in Physical ExaminationWeek 52: SkinAbnormal NCS0 Participants
Norditropin®Change in Physical ExaminationWeek 52: SkinAbnormal CS0 Participants
Norditropin®Change in Physical ExaminationWeek 0: Lymph node palpationNormal16 Participants
Norditropin®Change in Physical ExaminationWeek 0: Lymph node palpationAbnormal NCS0 Participants
Norditropin®Change in Physical ExaminationWeek 0: Lymph node palpationAbnormal CS0 Participants
Norditropin®Change in Physical ExaminationWeek 52: Lymph node palpationNormal15 Participants
Norditropin®Change in Physical ExaminationWeek 52: Lymph node palpationAbnormal NCS0 Participants
Norditropin®Change in Physical ExaminationWeek 52: Lymph node palpationAbnormal CS0 Participants
SomapacitanChange in Physical ExaminationWeek 52: Lymph node palpationAbnormal NCS0 Participants
SomapacitanChange in Physical ExaminationWeek 0: Head, ears, eyes, nose, throat, neckNormal45 Participants
SomapacitanChange in Physical ExaminationWeek 0: Musculoskeletal systemNormal45 Participants
SomapacitanChange in Physical ExaminationWeek 0: Head, ears, eyes, nose, throat, neckAbnormal NCS1 Participants
SomapacitanChange in Physical ExaminationWeek 0: SkinNormal46 Participants
SomapacitanChange in Physical ExaminationWeek 0: Head, ears, eyes, nose, throat, neckAbnormal CS0 Participants
SomapacitanChange in Physical ExaminationWeek 0: Musculoskeletal systemAbnormal NCS1 Participants
SomapacitanChange in Physical ExaminationWeek 52: Head, ears, eyes, nose, throat, neckNormal43 Participants
SomapacitanChange in Physical ExaminationWeek 0: Lymph node palpationNormal44 Participants
SomapacitanChange in Physical ExaminationWeek 52: Head, ears, eyes, nose, throat, neckAbnormal NCS1 Participants
SomapacitanChange in Physical ExaminationWeek 0: Musculoskeletal systemAbnormal CS0 Participants
SomapacitanChange in Physical ExaminationWeek 52: Head, ears, eyes, nose, throat, neckAbnormal CS1 Participants
SomapacitanChange in Physical ExaminationWeek 0: SkinAbnormal NCS0 Participants
SomapacitanChange in Physical ExaminationWeek 0: Respiratory systemNormal46 Participants
SomapacitanChange in Physical ExaminationWeek 52: Respiratory systemAbnormal CS0 Participants
SomapacitanChange in Physical ExaminationWeek 52: Musculoskeletal systemNormal43 Participants
SomapacitanChange in Physical ExaminationWeek 0: Respiratory systemAbnormal NCS0 Participants
SomapacitanChange in Physical ExaminationWeek 52: Lymph node palpationNormal45 Participants
SomapacitanChange in Physical ExaminationWeek 0: Respiratory systemAbnormal CS0 Participants
SomapacitanChange in Physical ExaminationWeek 52: Musculoskeletal systemAbnormal NCS0 Participants
SomapacitanChange in Physical ExaminationWeek 52: Respiratory systemNormal45 Participants
SomapacitanChange in Physical ExaminationWeek 0: SkinAbnormal CS0 Participants
SomapacitanChange in Physical ExaminationWeek 52: Respiratory systemAbnormal NCS0 Participants
SomapacitanChange in Physical ExaminationWeek 52: Musculoskeletal systemAbnormal CS2 Participants
SomapacitanChange in Physical ExaminationWeek 0: Lymph node palpationAbnormal NCS2 Participants
SomapacitanChange in Physical ExaminationWeek 0: Cardiovascular systemNormal46 Participants
SomapacitanChange in Physical ExaminationWeek 0: Nervous systemNormal46 Participants
SomapacitanChange in Physical ExaminationWeek 0: Cardiovascular systemAbnormal NCS0 Participants
SomapacitanChange in Physical ExaminationWeek 52: SkinNormal44 Participants
SomapacitanChange in Physical ExaminationWeek 0: Cardiovascular systemAbnormal CS0 Participants
SomapacitanChange in Physical ExaminationWeek 0: Nervous systemAbnormal NCS0 Participants
SomapacitanChange in Physical ExaminationWeek 52: Cardiovascular systemNormal44 Participants
SomapacitanChange in Physical ExaminationWeek 52: Lymph node palpationAbnormal CS0 Participants
SomapacitanChange in Physical ExaminationWeek 52: Cardiovascular systemAbnormal NCS1 Participants
SomapacitanChange in Physical ExaminationWeek 0: Nervous systemAbnormal CS0 Participants
SomapacitanChange in Physical ExaminationWeek 52: Cardiovascular systemAbnormal CS0 Participants
SomapacitanChange in Physical ExaminationWeek 52: SkinAbnormal NCS1 Participants
SomapacitanChange in Physical ExaminationWeek 0: Gastrointestinal systemNormal46 Participants
SomapacitanChange in Physical ExaminationWeek 52: Nervous systemNormal45 Participants
SomapacitanChange in Physical ExaminationWeek 0: Gastrointestinal systemAbnormal NCS0 Participants
SomapacitanChange in Physical ExaminationWeek 0: Lymph node palpationAbnormal CS0 Participants
SomapacitanChange in Physical ExaminationWeek 0: Gastrointestinal systemAbnormal CS0 Participants
SomapacitanChange in Physical ExaminationWeek 52: Nervous systemAbnormal NCS0 Participants
SomapacitanChange in Physical ExaminationWeek 52: Gastrointestinal systemNormal45 Participants
SomapacitanChange in Physical ExaminationWeek 52: SkinAbnormal CS0 Participants
SomapacitanChange in Physical ExaminationWeek 52: Gastrointestinal systemAbnormal NCS0 Participants
SomapacitanChange in Physical ExaminationWeek 52: Nervous systemAbnormal CS0 Participants
SomapacitanChange in Physical ExaminationWeek 52: Gastrointestinal systemAbnormal CS0 Participants
Secondary

Change in Pulse

Change from baseline (week 0) in pulse at week 52 is presented.

Time frame: Week 0, week 52

Population: SAS comprised all randomised participants who received at least one dose of randomised treatment. Overall number of participants analyzed = number of participants with available data.

ArmMeasureValue (MEAN)Dispersion
Norditropin®Change in Pulse-1.1 Beats per minuteStandard Deviation 7.5
SomapacitanChange in Pulse1.4 Beats per minuteStandard Deviation 8.9
Secondary

Change in SBP and DBP

Change from baseline (week 0) in systolic blood pressure (SBP) and diastolic blood pressure (DBP) at week 52 is presented.

Time frame: Week 0, week 52

Population: SAS comprised all randomised participants who received at least one dose of randomised treatment. Overall number of participants analyzed = number of participants with available data.

ArmMeasureGroupValue (MEAN)Dispersion
Norditropin®Change in SBP and DBPSBP-3.1 Millimeters of mercury (mmHg)Standard Deviation 14.8
Norditropin®Change in SBP and DBPDBP1.1 Millimeters of mercury (mmHg)Standard Deviation 9.7
SomapacitanChange in SBP and DBPSBP-3.3 Millimeters of mercury (mmHg)Standard Deviation 11.7
SomapacitanChange in SBP and DBPDBP0.9 Millimeters of mercury (mmHg)Standard Deviation 8.7
Secondary

Change in Steady State Beta Cell Function

Change from baseline (week -3) in steady state beta cell function (%B) at week 52 is presented.

Time frame: Week -3, week 52

Population: SAS comprised all randomised participants who received at least one dose of randomised treatment. Overall number of participants analyzed = number of participants with available data.

ArmMeasureValue (MEAN)Dispersion
Norditropin®Change in Steady State Beta Cell Function-23.58 Percentage of beta cell function (%B)Standard Deviation 69.76
SomapacitanChange in Steady State Beta Cell Function-19.06 Percentage of beta cell function (%B)Standard Deviation 65.61
Secondary

Change in Subcutaneous Adipose Tissue Compartments

Subcutaneous adipose tissue compartments (SAT) was determined by quantitative CT scans. Change from baseline (week 0) to end of treatment period (52 weeks) in SAT compartments is presented.

Time frame: Week 0, week 52

Population: FAS comprised all randomised participants who received at least one dose of randomised treatment. Overall number of participants analyzed = number of participants with available data.

ArmMeasureValue (MEAN)Dispersion
Norditropin®Change in Subcutaneous Adipose Tissue Compartments6.779 cm^2Standard Deviation 22.9
SomapacitanChange in Subcutaneous Adipose Tissue Compartments-5.033 cm^2Standard Deviation 40.735
Secondary

Change in Treatment Satisfaction Questionnaire for Medication (TSQM-9) Scores

The Treatment Satisfaction Questionnaire for Medication - 9 items (TSQM-9) is a generic questionnaire that measures a patients' satisfaction with medication. Items are rated on a 5-point or 7-point scale according to patients' experience with the medication. The items covered are satisfaction with the effectiveness of the medication, convenience and global satisfaction of treatment. Each domain is based on 3 questions. The score is calculated in a range from 0 to 100, where a higher score reflects a better outcome. Scores have been summed and then scaled to 0-100. Change in TSQM-9 scores from baseline (week 0) to week 52 are presented.

Time frame: Week 0, week 52

Population: FAS comprised all randomised participants who received at least one dose of randomised treatment. Overall number of participants analyzed = number of participants with available data.

ArmMeasureGroupValue (MEAN)Dispersion
Norditropin®Change in Treatment Satisfaction Questionnaire for Medication (TSQM-9) ScoresEffectiveness3.6 Score on a scaleStandard Deviation 16.2
Norditropin®Change in Treatment Satisfaction Questionnaire for Medication (TSQM-9) ScoresConvenience8.7 Score on a scaleStandard Deviation 9.9
Norditropin®Change in Treatment Satisfaction Questionnaire for Medication (TSQM-9) ScoresGlobal satisfaction3.1 Score on a scaleStandard Deviation 11.1
SomapacitanChange in Treatment Satisfaction Questionnaire for Medication (TSQM-9) ScoresEffectiveness7.9 Score on a scaleStandard Deviation 17.5
SomapacitanChange in Treatment Satisfaction Questionnaire for Medication (TSQM-9) ScoresConvenience13.3 Score on a scaleStandard Deviation 17.3
SomapacitanChange in Treatment Satisfaction Questionnaire for Medication (TSQM-9) ScoresGlobal satisfaction10.0 Score on a scaleStandard Deviation 16.8
Secondary

Incidence of Clinical Technical Complaints

A technical complaint was any written, electronic, or oral communication that alleged product (medicine or device) defects. Number of partipants who reported technical complaints during the course of the trial are presented.

Time frame: Weeks 0 - 53

Population: Overall number of participants analyzed = SAS which comprised all randomised participants who received at least one dose of randomised treatment.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Norditropin®Incidence of Clinical Technical Complaints1 Participants
SomapacitanIncidence of Clinical Technical Complaints0 Participants
Secondary

Occurrence of Anti-hGH Antibodies

Number of participants with anti-human growth hormone (hGH) antibodies at baseline (week 0) and week 53 are presented.

Time frame: Weeks 0 - 53

Population: Overall number of participants analyzed = SAS which comprised all randomised participants who received at least one dose of randomised treatment. Number Analyzed = number of participants with available data.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Norditropin®Occurrence of Anti-hGH AntibodiesWeek 00 Participants
Norditropin®Occurrence of Anti-hGH AntibodiesWeek 530 Participants
SomapacitanOccurrence of Anti-hGH AntibodiesWeek 01 Participants
SomapacitanOccurrence of Anti-hGH AntibodiesWeek 530 Participants
Secondary

Occurrence of Anti-somapacitan Antibodies

Number of participants with anti-somapacitan antibodies at baseline (week 0) and week 53 are presented. This outcome measure is applicable only for the treatment arm Somapacitan.

Time frame: Weeks 0 - 53

Population: Overall number of participants analyzed = SAS which comprised all randomised participants who received at least one dose of randomised treatment. Number Analyzed = number of participants with available data.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Norditropin®Occurrence of Anti-somapacitan AntibodiesWeek 00 Participants
Norditropin®Occurrence of Anti-somapacitan AntibodiesWeek 530 Participants

Source: ClinicalTrials.gov · Data processed: Feb 18, 2026