The purpose of this study is to determine if 11.25 and 30 mg formulations of leuprolide are effective in treating children with Central Precocious Puberty (CPP).
Study Design: A total of 80 children with confirmed CPP were planned to be enrolled and randomized in a 1:1 ratio to receive 2 injections of either leuprolide acetate 11.25 mg or 30 mg depot formulation, each injection administered 3 mo apart (6 mo of treatment): This study includes a 4-week Screening Period, two 3-mo treatment cycles, and a posttreatment follow-up period (12 weeks following the Mo 6 visit). Study visits will occur at Screening, Day 1, Week 2 (only for subjects participating in the pharmacokinetic subset), Mo 1, 2, 3, Mo 6/Early Termination, and 12 weeks later, for the Posttreatment Follow-up Visit. This study was conducted at 18 sites in the United States and 4 sites in Puerto Rico.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
84
Two intramuscular injections of leuprolide acetate for depot suspension 11.25 mg administered 3 mo apart.
Two intramuscular injections of leuprolide acetate for depot suspension 30 mg administered 3 mo apart.
Percentage of Participants With Suppression of Peak Stimulated Luteinizing Hormone (<4 mIU/mL) From Month 2 Through Month 6
Percentage of participants with suppression of peak stimulated luteinizing hormone that was measured after a gonadotropin-releasing hormone agonist (GnRHa) stimulation test at Month (Mo) 2, 3, and 6. The analysis was performed according to a life table method. Subjects who withdrew without peak-stimulated luteinizing hormone \>= 4 mIU/mL were censored at their last measurement of peak-stimulated luteinizing hormone.
Time frame: Month 2 through 6
Percentage of Participants With Suppression of Basal Estradiol <20 pg/mL by Visit
Percentage of participants with suppression of estradiol, out of the number of girls with at least 1 estradiol measurement at each visit (n/N%). Only girls are analyzed in this outcome measure. Observed data were used with no imputation for missing data.
Time frame: Month 1, 2, 3 and 6
Percentage of Participants With Suppression of Testosterone in <30 ng/dL by Visit
Percentage of participants with suppression of testosterone, out of the number of boys with at least 1 testosterone measurement at each visit (n/N%). Only boys are analyzed in this outcome measure. Observed data were used with no imputation for missing data.
Time frame: Month 1, 2, 3 and 6
Peak-stimulated Luteinizing Hormone Concentration by Visit
Observed data were used with no imputation for missing data.
Time frame: Baseline, Month 1, 2, 3 and 6
Percentage of Participants With Suppression of the Physical Signs of Puberty (Breast Development) at Month 6
Percentage of participants with suppression of breast development, out of the number of girls with pubertal staging of breast development (n/N%). Only girls are analyzed in this outcome measure. Breast development was rated from Stage 1 (early development) through Stage 5 (full development) according to a Tanner Staging pictogram. Girls entering the study with fully developed breasts (Stage 5) were excluded from this analysis. Observed data were used with no imputation for missing data.
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Site Reference ID/Investigator# 8765
Birmingham, Alabama, United States
Site Reference ID/Investigator# 11522
Long Beach, California, United States
Site Reference ID/Investigator# 8756
Los Angeles, California, United States
Site Reference ID/Investigator# 8755
San Diego, California, United States
Site Reference ID/Investigator# 8761
San Diego, California, United States
Site Reference ID/Investigator# 8772
Stanford, California, United States
Site Reference ID/Investigator# 8749
Greenwood Village, Colorado, United States
Site Reference ID/Investigator# 8771
Gainesville, Florida, United States
Site Reference ID/Investigator# 8764
Jacksonville, Florida, United States
Site Reference ID/Investigator# 17621
Pensacola, Florida, United States
...and 15 more locations
Time frame: Month 6
Percentage of Participants With Suppression of the Physical Signs of Puberty (Testicular Volume and Genital Development) at Month 6
Percentage of participants with suppression of genital development and testicular volume, out of the number of boys with pubertal staging of genital development or testicular volume (n/N%). Only boys are analyzed in this outcome measure. External genital development (testes and penis) was rated from Stage 1 (early development) through Stage 5 (full development) according to a Tanner Staging pictogram. Boys entering the study with fully developed genitals (Stage 5) were excluded from this analysis. Observed data were used with no imputation for missing data.
Time frame: Month 6
Change From Baseline in Incremental Growth Rate (cm/Year) at Month 6
The growth rate at baseline was the growth rate during the last year before the start of treatment and was calculated with the measurement closest to Day -336 (before Day -30) and the measurement up to Day 1. Growth rate at Month 6 was defined as the ratio of the change in height from Day 1 to the change in chronological age, with an approximate 6-month interval between the 2 height measurements. Observed data were used with no imputation for missing data.
Time frame: Baseline and Month 6
Ratio of Change From Baseline in Bone Age/Change From Baseline in Chronological Age at Month 6
The ratio at Month 6 was calculated as (bone age at Month 6 - bone age at baseline)/(chronological age at Month 6 - chronological age at baseline). Observed data were used with no imputation for missing data. Baseline bone-age radiograph was performed at or within 3 months of the Screening Visit.
Time frame: Baseline to Month 6