Somapacitan
DrugAdministered subcutaneously (s.c., under the skin) once weekly for 26 weeks following 8 weeks of titration. Extension of 44 weeks' treatment following 8 weeks of titration.
Other names: NNC0195-0092
NCT Number: NCT02229851
This study is conducted globally. The purpose is to demonstrate the efficacy of once weekly dosing of NNC0195-0092 (somapacitan) compared to placebo and once-daily dosing of somatropin (human growth hormone, hGH) after 35 weeks of treatment in adults with growth hormone deficiency.
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Notify Me23 year–79 year
All sexes
Interventional
Phase 3
Novo Nordisk Investigational Site, Blacktown, New South Wales, Australia
Healthy volunteers accepted: No
Only the study team can determine whether someone qualifies for participation.
Inclusion criteria
Confirmed diagnosis of adult growth hormone deficiency (Subjects must satisfy one of the following criterion and documentation of test results must be available before randomisation (either from subjects' file or new test):
a. ITT test: a peak GH of less than or equal to 1.8 ng/mL (assay using recombinant GH standard) b. glucagon test: a peak GH of less than or equal to 1.8 ng/mL (assay using recombinant GH standard) c. growth hormone releasing peptide 2 (GHRP-2) tolerance test: a peak GH of less than or equal to 9 ng/mL (assay using recombinant GH standard)
Exclusion criteria
Administered subcutaneously (s.c., under the skin) once weekly for 26 weeks following 8 weeks of titration. Extension of 44 weeks' treatment following 8 weeks of titration.
Other names: NNC0195-0092
Administered subcutaneously (s.c., under the skin) once daily for 26 weeks following 8 weeks of titration. Re-randomisation to extension of 44 weeks' treatment following 8 weeks of titration.
Administered subcutaneously (s.c., under the skin) once weekly for 26 weeks following 8 weeks of titration.
Time frame: Week -3, week 34
Change in Truncal fat percentage was measured from baseline (week -3) until the end of the main treatment period (week 34).
Time frame: week -3, week 87
Change in Truncal fat percentage was measured from baseline (week -3) until the end of the extension treatment period (week 87).
Time frame: Week -3, week 34
Change in Truncal fat mass was measured from baseline (week -3) until the end of the main treatment period (week 34).
Time frame: week -3, week 87
Change in Truncal fat mass was measured from baseline (week -3) until the end of the extension treatment period (week 87).
Time frame: Week -3, week 34
Change in Truncal lean body mass was measured from baseline (week -3) until the end of the main treatment period (week 34).
Time frame: week -3, week 87
Change in Truncal lean body mass was measured from baseline (week -3) until the end of the extension treatment period (week 87).
Time frame: Week -3, week 34
Change in Total fat mass was measured from baseline (week -3) until the end of the main treatment period (week 34).
Time frame: Week -3, week 87
Change in total fat mass was measured from baseline (week -3) until the end of the extension treatment period (week 87).
Time frame: Week -3, week 34
Change in Visceral adipose tissue was measured from baseline (week -3) until the end of the main treatment period (week 34).
Time frame: Week -3, week 87
Change in Visceral adipose tissue was measured from baseline (week -3) until the end of the extension treatment period (week 87).
Time frame: Week -3, week 34
Change in Android fat mass was measured from baseline (week -3) until the end of the main treatment period (week 34).
Time frame: week -3, week 87
Change in Android fat mass was measured from baseline (week -3) until the end of the extension treatment period (week 87).
Time frame: Week -3, week 34
Change in Gynoid fat mass was measured from baseline (week -3) until the end of the main treatment period (week 34).
Time frame: week -3, week 87
Change in Gynoid fat mass was measured from baseline (week -3) until the end of the extension treatment period (week 87).
Time frame: Week -3, week 34
Change in Appendicular skeletal muscle mass was measured from baseline (week -3) until the end of the main treatment period (week 34).
Time frame: week -3, week 87
Change in Appendicular skeletal muscle mass was measured from baseline (week -3) until the end of the extension treatment period (week 87).
Time frame: Week -3, week 34
Change in Lean body mass was measured from baseline (week -3) until the end of the main treatment period (week 34).
Time frame: week -3, week 87
Change in Lean body mass was measured from baseline (week -3) until the end of the extension treatment period (week 87).
Time frame: week -3, week 87
Change in Bone mineral content was measured from baseline (week -3) until the end of the extension treatment period (week 87).
Time frame: week -3, week 87
Change in Bone mineral density was measured from baseline (week -3) until the end of the extension treatment period (week 87).
Time frame: Week -3, week 34
Change in insulin-like growth factor (IGF-I) standard deviation scores (SDS) was measured from baseline (week -3) until the end of the main treatment period (week 34). A higher score reflects a better outcome.
Time frame: Week -3, week 87
Change in IGF-I SDS was measured from baseline (week -3) until the end of the extension treatment period (week 87). A higher score reflects a better outcome.
Time frame: Week -3, week 34
Change in insulin like growth factor binding protein 3 (IGFBP 3) SDS was measured from baseline (week -3) until the end of the main treatment period (week 34).
Time frame: Week -3, week 87
Change in IGFBP 3 SDS was measured from baseline (week -3) until the end of the extension treatment period (week 87).
Time frame: Week 0, week 34
Change in treatment-related impact measure - adult growth hormone deficiency (TRIM-AGHD) scores (total and domain scores) was measured from baseline (week 0) until the end of the main treatment period (week 34). The TRIM-AGHD questionnaire measured the impact of GH treatment on the functioning and well-being of AGHD patients. The 4 concepts covered by the questionnaire were physical health, energy levels, cognitive ability and psychological health. TRIM-AGHD has 27 items and a total score as well as domain specific scores can be derived. The total score includes all answers that has been used to calculate each of the 4 subdomains. The score ranged from 0 to 100 for 'individual domains' and for the 'total', where a lower score reflected a better outcome.
Time frame: week 0, week 87
Change in TRIM-AGHD (total and domain scores) was measured from baseline (week 0) until the end of the extension treatment period (week 87). The TRIM-AGHD questionnaire measured the impact of GH treatment on the functioning and well-being of AGHD patients. The 4 concepts covered by the questionnaire were physical health, energy levels, cognitive ability and psychological health. TRIM-AGHD has 27 items and a total score as well as domain specific scores can be derived. The total score includes all answers that has been used to calculate each of the 4 subdomains. The score ranged from 0 to 100 for 'individual domains' and for the 'total', where a lower score reflected a better outcome.
Time frame: Week 0, week 34
SF-36v2™ questionnaire measured health-related quality of life (HRQoL) on 8 domains (Bodily Pain, General Health, Mental Health, Physical Functioning, Role Emotion, Physical Health, Social Functioning and Vitality) on individual scale ranges. The scores 0-100 (higher scores indicates better HRQoL) from SF-36 were converted to norm-based scores to enable a direct interpretation in relation to distribution of the scores in the 2009 U.S. general population. Mental component summary (MCS) measure is derived from domain scales of vitality, social functioning, role emotional and mental health. Physical component summary (PCS) measure is derived from domain scales of physical functioning, role-physical, bodily pain, and general health. A norm-based score of 50 corresponds to the mean score and 10 corresponds to the standard deviation of the 2009 U.S. general population. A positive change score indicates an improvement since baseline.
Time frame: week 0, week 87
SF-36v2™ questionnaire measured health-related quality of life (HRQoL) on 8 domains (Bodily Pain, General Health, Mental Health, Physical Functioning, Role Emotion, Physical Health, Social Functioning and Vitality) on individual scale ranges. The scores 0-100 (higher scores indicates better HRQoL) from SF-36 were converted to norm-based scores to enable a direct interpretation in relation to distribution of the scores in the 2009 U.S. general population. Mental component summary (MCS) measure is derived from domain scales of vitality, social functioning, role emotional and mental health. Physical component summary (PCS) measure is derived from domain scales of physical functioning, role-physical, bodily pain, and general health. A norm-based score of 50 corresponds to the mean score and 10 corresponds to the standard deviation of the 2009 U.S. general population. A positive change score indicates an improvement since baseline.
Time frame: Week 34
Scores from the TSQM-9 scale were calculated at the end of the main treatment period (week 34). 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 effect of the medication, convenience and global treatment satisfaction. 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.
Time frame: Week 87
Scores from the TSQM-9 scale were calculated at the end of the extension treatment period (week 87). 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 effect of the medication, convenience and global treatment satisfaction. 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.
Time frame: Week -3, week 34
Change in Total cholesterol was measured from baseline (week -3) until the end of the main treatment period (week 34).
Time frame: week -3, week 87
Change in Total cholesterol was measured from baseline (week -3) until the end of the extension treatment period (week 87).
Time frame: Week -3, week 34
Change in High-density lipoprotein (HDL) cholesterol was measured from baseline (week -3) until the end of the main treatment period (week 34).
Time frame: week -3, week 87
Change in HDL-cholesterol was measured from baseline (week -3) until the end of the extension treatment period (week 87).
Time frame: Week -3, week 34
Change in Low-density lipoprotein (LDL) cholesterol was measured from baseline (week -3) until the end of the main treatment period (week 34).
Time frame: week -3, week 87
Change in LDL-cholesterol was measured from baseline (week -3) until the end of the extension treatment period (week 87).
Time frame: Week -3, week 34
Change in Triglycerides was measured from baseline (week -3) until the end of the main treatment period (week 34).
Time frame: week -3, week 87
Change in Triglycerides was measured from baseline (week -3) until the end of the extension treatment period (week 87).
Time frame: Week -3, week 34
Change in high-sensitivity C-reactive protein (hs-CRP) was measured from baseline (week -3) until the end of the main treatment period (week 34).
Time frame: week -3, week 87
Change in hs-CRP was measured from baseline (week -3) until the end of the extension treatment period (week 87).
Time frame: Week -3, week 34
Change in Interleukin 6 (IL-6) was measured from baseline (week -3) until the end of the main treatment period (week 34).
Time frame: week -3, week 87
Change in IL-6 was measured from baseline (week -3) until the end of the extension treatment period (week 87).
Time frame: Week -3, week 34
Change in body weight was measured from baseline (week -3) until the end of the main treatment period (week 34).
Time frame: week -3, week 87
Change in body weight was measured from baseline (week -3) until the end of the extension treatment period (week 87).
Time frame: Week -3, week 34
Change in waist circumference was measured from baseline (week -3) until the end of the main treatment period (week 34).
Time frame: week -3, week 87
Change in waist circumference was measured from baseline (week -3) until the end of the extension treatment period (week 87).
Time frame: Weeks 0-35
Number of adverse events from baseline (week 0) until the end of week 35 were reported. This endpoint shows number of treatment-emergent adverse events (TEAEs), including the injection site reactions.
Time frame: Weeks 0-88
Number of adverse events from baseline (week 0) until the end of week 88 were reported. This endpoint shows the number of TEAEs along with the injection site reactions.
Time frame: Weeks 0 to 35
Number of participants with anti-NNC0195-0092 antibodies at week 35 was recorded. The numbers presented in this endpoint are the participants that were found to have positive antibodies.
Time frame: Weeks 0 to 88
Number of participants with anti-NNC0195-0092 antibodies at week 88 was recorded. The numbers presented in this endpoint are the participants that were found to have positive antibodies.
Time frame: Weeks 0 to 35
Incidence of technical complaints were recorded from baseline (week 0) until week 35.
Time frame: Weeks 0 to 88
Incidence of technical complaints were recorded from baseline (week 0) until week 88.
Time frame: Week 0 and week 35
Change in physical examination from baseline (week 0) until the end of the main treatment period (week 35) was reported. Results are presented for the following examinations: 1) Head, neck, eyes and nose 2) Respiratory system (sys.) 3) Cardiovascular sys. 4) Gastrointestinal sys. 5) Musculoskeletal sys. 6) Central & Peripheral nervous sys. 7) Skin 8) Lymph node palpation
Time frame: Week 0 and week 88
Change in physical examination from baseline (week 0) until the end of the extension period (week 88) was reported. Results are presented for the following examinations: 1) Head, neck, eyes and nose 2) Respiratory system (sys.) 3) Cardiovascular sys. 4) Gastrointestinal sys. 5) Musculoskeletal sys. 6) Central & Peripheral nervous sys. 7) Skin 8) Lymph node palpation
Time frame: Week -3 and week 35
Change in Electrocardiogram (ECG) evaluation from baseline (week -3) until the end of the main treatment period (week 35) was reported.
Time frame: Week -3 and week 88
Change in ECG evaluation from baseline (week 0) until the end of the extension period (Week 88) was reported.
Time frame: Week -3, week 35
Change in diastolic blood pressure was measured from baseline (week -3) until the end of the main treatment period (week 35).
Time frame: Week -3, week 88
Change in diastolic blood pressure was measured from baseline (week -3) until the end of the extension treatment period week 88.
Time frame: Week -3, week 35
Change in systolic blood pressure was measured from baseline (week -3) until the end of the main treatment period (week 35).
Time frame: Week -3, week 88
Change in systolic blood pressure was measured from baseline (week -3) until the end of the extension treatment period (week 88).
Time frame: Week -3, week 35
Change in pulse was measured from baseline (week -3) until the end of the main treatment period (week 35).
Time frame: Week -3, week 88
Change in pulse was measured from baseline (week -3) until the end of the extension treatment period (week 88).
Time frame: Week -3, week 34
Change in Haemoglobin was measured from baseline (week -3) until the end of the main treatment period (week 34).
Time frame: week -3, week 87
Change in Haemoglobin was measured from baseline (week -3) until the end of the week 87.
Time frame: Week -3, week 34
Change in Haematocrit was measured from baseline (week -3) until the end of the main treatment period (week 34).
Time frame: week -3, week 87
Change in Haematocrit was measured from baseline (week -3) until the end of the week 87.
Time frame: Week -3, week 34
Change in Erythrocytes was measured from baseline (week -3) until the end of the main treatment period (week 34).
Time frame: week -3, week 87
Change in Erythrocytes was measured from baseline (week -3) until the end of the week 87.
Time frame: Week -3, week 34
Change in Mean corpuscular volume (MCV) was measured from baseline (week -3) until the end of the main treatment period (week 34).
Time frame: week -3, week 87
Change in Mean corpuscular volume (MCV) was measured from baseline (week -3) until the end of the week 87.
Time frame: Week -3, week 34
Change in Mean corpuscular haemoglobin concentration (MCHC) was measured from baseline (week -3) until the end of the main treatment period (week 34).
Time frame: week -3, week 87
Change in Mean corpuscular haemoglobin concentration (MCHC) was measured from baseline (week -3) until the end of the week 87.
Time frame: Week -3, week 34
Change in Thrombocytes was measured from baseline (week -3) until the end of the main treatment period (week 34).
Time frame: week -3, week 87
Change in Thrombocytes was measured from baseline (week -3) until the end of the week 87.
Time frame: Week -3, week 34
Change in Leucocytes was measured from baseline (week -3) until the end of the main treatment period (week 34).
Time frame: week -3, week 87
Change in Leucocytes was measured from baseline (week -3) until the end of the week 87.
Time frame: Week -3, week 34
Change in ALT was measured from baseline (week -3) until the end of the main treatment period (week 34).
Time frame: week -3, week 87
Change in ALT was measured from baseline (week -3) until the end of the week 87.
Time frame: Week -3, week 34
Change in Albumin was measured from baseline (week -3) until the end of the main treatment period (week 34).
Time frame: week -3, week 87
Change in Albumin was measured from baseline (week -3) until the end of the week 87.
Time frame: Week -3, week 34
Change in Alkaline phosphatase (ALP) was measured from baseline (week -3) until the end of the main treatment period (week 34).
Time frame: Week -3, week 87
Change in Alkaline phosphatase (AP) was measured from baseline (week -3) until the end of the week 87.
Time frame: Week -3, week 34
Change in AST was measured from baseline (week -3) until the end of the main treatment period (week 34).
Time frame: Week -3, week 87
Change in AST was measured from baseline (week -3) until the end of the extension treatment period (week 87).
Time frame: Week -3, week 34
Change in Bilirubin was measured from baseline (week -3) until the end of the main treatment period (week 34).
Time frame: week -3, week 87
Change in Bilirubin was measured from baseline (week -3) until the end of the extension treatment period (week 87).
Time frame: Week -3, week 34
Change in Calcium was measured from baseline (week -3) until the end of the main treatment period (week 34).
Time frame: week -3, week 87
Change in Calcium was measured from baseline (week -3) until the end of the week 87.
Time frame: Week -3, week 34
Change in Chloride was measured from baseline (week -3) until the end of the main treatment period (week 34).
Time frame: week -3, week 87
Change in Chloride was measured from baseline (week -3) until the end of the week 87.
Time frame: Week -3, week 34
Change in Creatinine was measured from baseline (week -3) until the end of the main treatment period (week 34).
Time frame: week -3, week 87
Change in Creatinine was measured from baseline (week -3) until the end of the week 87.
Time frame: Week -3, week 34
Change in Creatine kinase was measured from baseline (week -3) until the end of the main treatment period (week 34).
Time frame: week -3, week 87
Change in Creatine kinase was measured from baseline (week -3) until the end of the week 87.
Time frame: Week -3, week 34
Change in GGT was measured from baseline (week -3) until the end of the main treatment period (week 34).
Time frame: week -3, week 87
Change in GGT was measured from baseline (week -3) until the end of the week 87.
Time frame: Week -3, week 34
Change in Phosphate (inorganic) was measured from baseline (week -3) until the end of the main treatment period (week 34).
Time frame: week -3, week 87
Change in Phosphate (inorganic) was measured from baseline (week -3) until the end of the week 87.
Time frame: Week -3, week 34
Change in Potassium was measured from baseline (week -3) until the end of the main treatment period (week 34).
Time frame: week -3, week 87
Change in Potassium was measured from baseline (week -3) until the end of the week 87.
Time frame: Week -3, week 34
Change in Sodium was measured from baseline (week -3) until the end of the main treatment period (week 34).
Time frame: week -3, week 87
Change in Sodium was measured from baseline (week -3) until the end of the extension treatment period (week 87).
Time frame: Week -3, week 34
Change in total protein was measured from baseline (week -3) until the end of the main treatment period (week 34).
Time frame: week -3, week 87
Change in total protein was measured from baseline (week -3) until the end of extension treatment period (week 87).
Time frame: Week -3, week 34
Change in Urea was measured from baseline (week -3) until the end of the main treatment period (week 34).
Time frame: week -3, week 87
Change in Urea was measured from baseline (week -3) until the end of the extension treatment period (week 87).
Time frame: Week -3, week 34
Change in Uric acid was measured from baseline (week -3) until the end of the main treatment period (week 34).
Time frame: week -3, week 87
Change in Uric acid was measured from baseline (week -3) until the end of the extension treatment period (week 87).
Time frame: Week -3, week 34
Change in Estimated GFR creatinine (CKD-EPI) was measured from baseline (week -3) until the end of the main treatment period (week 34).
Time frame: week -3, week 87
Change in estimated GFR creatinine (CKD-EPI) was measured from baseline (week -3) until the end of the extension treatment period (week 87).
Time frame: Week -3, week 34
Change in Fasting plasma glucosewas measured from baseline (week -3) until the end of the main treatment period (week 34).
Time frame: week -3, week 87
Change in Fasting plasma glucose was measured from baseline (week -3) until the end of the extension treatment period (week 87).
Time frame: Week -3, week 34
Change in Fasting insulin was measured from baseline (week -3) until the end of the main treatment period (week 34).
Time frame: week -3, week 87
Change in Fasting insulin was measured from baseline (week -3) until the end of the extension treatment period (week 87).
Time frame: Week -3, week 34
Change in steady state beta cell function (%B) was measured from baseline (week -3) until the end of the main treatment period (week 34).
Time frame: week -3, week 87
Change in steady state beta cell function (%B) was measured from baseline (week -3) until the end of the week 87.
Time frame: Week -3, week 34
Change in Insulin resistance (IR %) was measured from baseline (week -3) until the end of the main treatment period (week 34).
Time frame: week -3, week 87
Change in Insulin resistance (IR %) was measured from baseline (week -3) until the end of the extension treatment period (week 87).
Time frame: Week -3, week 34
Change in Glycated haemoglobin (HbA1c) (%) was measured from baseline (week -3) until the end of the main treatment period (week 34).
Time frame: week -3, week 87
Change in Glycated haemoglobin (HbA1c) was measured from baseline (week -3) until the end of the extension treatment period (week 87).
Novo Nordisk A/S
Industry
A Multicentre, Multinational, Randomised, Parallel-group, Placebo-controlled (Double Blind) and Active-controlled (Open) Trial to Compare the Efficacy and Safety of Once Weekly Dosing of NNC0195-0092 (Somapacitan) With Once Weekly Dosing of Placebo and Daily Norditropin® FlexPro® in Adults With Growth Hormone Deficiency for 35 Weeks, Followed by a 53-week Open-label Extension Period
Acronym: REAL 1
OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.
View the official ClinicalTrials.gov record (opens in a new tab)This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.
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