After the first stage (52 weeks) of Phase II clinical trial, Pegylated recombinant human growth hormone (PEG-rhGH) injection of appropriate dose in compliance with ISS clinical treatment strategy is used to treat children with ISS (Idiopathic Short Stature). The long-term efficacy and safety of the investigational product are evaluated, which can provide more scientific and reliable medication guidance information for clinical diagnosis and treatment.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
360
After the first stage (52 weeks) of Phase II clinical trial, the initial medication dose of this extension period is 0.2 mg/kg weight/week of PEG-rhGH for high dose group, low dose group and negative control group, and it is adjusted in accordance with yearly height velocity (HV) and IGF-1 SDS of each visit. The maximum dose shall not exceed 0.4 mg/kg weight/week.
Beijing Children's Hospital, Capital Medical University, National Center for Children's Health
Beijing, Beijing Municipality, China
Department of Pediatrics of Tongji Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan
Wuhan, Hubei, China
Hunan Children's Hospital
Changsha, Hunan, China
Children's Hospital of Soochow University
Naning, Jiangsu, China
The First Affiated Hospital of Nanjing Medical Universit
Nanjing, Jiangsu, China
Affiliated Hospital of Jiangnan University
Wuxi, Jiangsu, China
Wuxi Children's Hospital
Wuxi, Jiangsu, China
Jiangxi Provincial Children's Hospital
Nanchang, Jiangxi, China
The First Hospital of Jilin University
Changchun, Jilin, China
The Children's Hospital of Zhejiang University School of Medicine
Hangzhou, Zhejiang, China
...and 2 more locations
Change of yearly height velocity (ΔHV)
Change of yearly height velocity before and after treatment. Yearly Height Velocity=12×(Height Yx - Height at Baseline)/(Date of Yx - Date of Baseline)(Yx refers to the height value at particular timepoint x)
Time frame: Baseline,the end of 3-year addendum
Standard deviation score of height at the actual age (ΔHT SDS)
Standard deviation score of height at the actual age.
Time frame: Baseline,every 3 months,the end of 3-year addendum
Change fo Bone maturation
Change fo Bone maturation before and after treatement (bone age/chronological age)
Time frame: Baseline,every 3 months,the end of 3-year addendum
Change of IGF-1 SDS (ΔIGF-1 SDS)
Change of IGF-1 SDS before and after treatement
Time frame: Baseline,every 3 months,the end of 3-year addendum
Changes of standard deviation scores of body mass index (ΔBMI SDS)
Changes of standard deviation scores of body mass index
Time frame: Baseline,every 3 months,the end of 3-year addendum
The yearly average dose of PEG-rhGH injection
Time frame: Baseline,every 3 months,the end of 3-year addendum
Final height (FH)
Final height
Time frame: Baseline,every 3 months,the end of 3-year addendum
The improvement of FH compared with the baseline predicted adult height (PAH)
Time frame: Baseline,every 3 months,the end of 3-year addendum
Improvement of NAH (near adult height)
For subjects who reach NAH with treatment but fail to follow-ups before reaching FH, the improvement of NAH in comparison with the baseline PAH (predicted adult height) shall be evaluated
Time frame: Baseline,every 3 months,the end of 3-year addendum
the improvement of PAH
For subjects who fail to reach NAH with treatment and fail to follow-ups before reaching FH, the improvement of PAH in comparison with the baseline PAH shall be evaluated
Time frame: Baseline,every 3 months,the end of 3-year addendum
The changes of the scores evaluated by the Quality of Life Scale
Time frame: Baseline,every 3 months,the end of 3-year addendum
The changes of lean body mass (LBM) (optional)
Time frame: Baseline,every 3 months,the end of 3-year addendum
The changes of fat mass (torso) (FM) (optional)
Time frame: Baseline,every 3 months,the end of 3-year addendum
The changes of the percentage of body fat (optional)
Time frame: Baseline,every 3 months,the end of 3-year addendum
The changes of bone mineral density (BMD) (optional)
Time frame: Baseline,every 3 months,the end of 3-year addendum
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