The purpose of this study is to evaluate i) the effect of multiple doses of vosoritide and ii) the effect of the therapeutic dose of vosoritide compared to human growth hormone (hGH), in children with idiopathic short stature (ISS).
Following a minimum 6 month observational period in which baseline growth is assessed, participants in the vosoritide and placebo groups will complete a minimum of 6 months of randomized treatment (maximum of 6 months of placebo treatment), followed by open-label treatment with vosoritide until they reach near-final adult height, or at least 16 years of age for females or 18 years of age for males, whichever comes later. Participants randomized to the hGH group will receive open-label hGH for a minimum of 4 years.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
100
Experimental Drug Lyophilized powder for reconstitution
Commercial product containing somatotropin
Lyophilized powder for reconstitution
Center Of Excellence in Diabetes and Endocrinology
Sacramento, California, United States
RECRUITINGLundquist Institute for Biomedical Innovation (LA BioMed)
Torrance, California, United States
RECRUITINGChange from baseline in Annualized Growth Velocity (AGV)
Time frame: At 6 months
Change from baseline in height
Time frame: At 4 years
Change from baseline in height Z-score
Time frame: At 4 years
Incidence of treatment-emergent adverse events
Time frame: Until the end of the study, up to 15 years
Change from baseline in AGV Z-score (average stature reference)
Time frame: At 6 months
Change from baseline in height
Time frame: Every 6 months through the end of study, up to 15 years
Change from baseline in height Z score
Time frame: Every 6 months through the end of study, up to 15 years
Change from baseline at prespecified timepoints in urine cyclic guanine monophosphate (cGMP)
Time frame: Every 6 months through the end of study, up to 15 years
Change from baseline at pre-specified timepoints in serum collagen X marker (CXM)
Time frame: Every 6 months through the end of study, up to 15 years
Change from baseline in bone age minus chronological age at pre-specified timepoints
Time frame: Every 6 months through the end of study, up to 15 years
Change from baseline in total body (less head) bone mineral density (BMD) Z-score
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Nemours Children's Health System - Corporate Headquarters
Pensacola, Florida, United States
Centricity Research
Columbus, Georgia, United States
RECRUITINGSt. Luke's Children's Endocrinology
Boise, Idaho, United States
RECRUITINGRocky Mountain Clinical Research - Idaho Falls
Idaho Falls, Idaho, United States
RECRUITINGUBMD Pediatrics
Buffalo, New York, United States
RECRUITINGChildren's Hospital at Montefiore
The Bronx, New York, United States
RECRUITINGTime frame: Every 6 months through the end of study, up to 15 years
Change from baseline in lumbar spine BMD Z-score
Time frame: Every 6 months through the end of study, up to 15 years
Change from baseline in total body (less head) bone mineral content (BMC)
Time frame: Every 6 months through the end of study, up to 15 years
Change from baseline in lumbar spine BMC
Time frame: Every 6 months through the end of study, up to 15 years
Maximum concentration (Cmax) of vosoritide in plasma
Time frame: Every 6 months through the end of study, up to 15 years
Area under the plasma vosoritide concentration time-curve from time 0 to infinity (AUC0-∞)
Time frame: Every 6 months through the end of study, up to 15 years
Area under the plasma vosoritide concentration time-curve from time 0 to the last measurable concentration (AUC0-t)
Time frame: Every 6 months through the end of study, up to 15 years
Elimination half-life of vosoritide (t½)
Time frame: Every 6 months through the end of study, up to 15 years
Apparent clearance of vosoritide
Time frame: Every 6 months through the end of study, up to 15 years
Apparent volume of distribution of vosoritide based upon the terminal phase (Vz/F)
Time frame: Every 6 months through the end of study, up to 15 years
Time vosoritide is present at maximum concentration (Tmax)
Time frame: Every 6 months through the end of study, up to 15 years