Seven Years of Safety and Efficacy of the Recombinant Human Growth Hormone Omnitrope® in the Treatment of Growth Hormone Deficient Children: Results of a Phase III Study

被引:36
作者
Romer, T. [2 ]
Saenger, P. [3 ]
Peter, F. [4 ]
Walczak, M. [5 ]
Le Bouc, Y. [6 ]
Khan-Boluki, J. [1 ]
Berghout, A.
机构
[1] Sandoz Biopharmaceut, Hexal AG, DE-83607 Holzkirchen, Germany
[2] Childrens Mem Hlth Inst, Dept Endocrinol, Warsaw, Poland
[3] Albert Einstein Coll Med, Dept Pediat, New York, NY USA
[4] Buda Childrens Hosp, Dept Endocrinol, Budapest, Hungary
[5] Dept Paediat & Endocrinol, Szczecin, Poland
[6] UPMC, INSERM, U938, Hosp Trousseau,APHP,Dept Paediat Endocrinol & Res, Paris, France
关键词
Growth hormone treatment; Biosimilar; Clinical trial; Somatropin (human); Growth hormone deficiency; NATIONAL COOPERATIVE GROWTH; FINAL HEIGHT; GH DEFICIENCY; ADULT HEIGHT; THERAPY; IMMUNOGENICITY; EXPERIENCE;
D O I
10.1159/000249164
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Aim: This phase III clinical study in growth hormone deficiency (GHD) children with growth retardation was designed to compare efficacy and safety of Omnitrope (R) with Genotropin (R) and assess the long-term safety and efficacy of Omnitrope (R). The results of 7 years of treatment with Omnitrope (R) are presented. Patients and Methods: Eighty-nine treatment-nave, prepubertal children with GHD were randomized (part 1) to Omnitrope (R) lyophilisate (group A, n = 44) or Genotropin (R) (group B, n = 45) for 9 months and received a subcutaneous dose of 0.03 mg/kg/day. In part 2, patients receiving Omnitrope (R) lyophilisate continued the same treatment for a further 6 months, while patients on Genotropin (R) were switched to Omnitrope (R) liquid for the subsequent 6 months. In part 3, patients in both groups received Omnitrope (R) liquid for a period up to 69 months. Results: The development of the 4 auxological parameters (height, height SD score, height velocity and height velocity SD score) and IGF-1 and IGFBP-3 levels were comparable between both groups of patients and confirmed the well-known growth response of GHD children to recombinant human GH treatment. Omnitrope (R) was well tolerated and safe over 7 years of treatment. Conclusion: The clinical comparability between Omnitrope (R) and Genotropin (R) was demonstrated within 9 months of treatment. Long-term safety and efficacy of 7 years of treatment with Omnitrope (R) was proven. Copyright (C) 2009 S. Karger AG, Basel
引用
收藏
页码:359 / 369
页数:11
相关论文
共 33 条
[1]  
[Anonymous], 1986, ANTHR KOZLEMENYEK
[2]  
[Anonymous], 1983, ASSESSMENT SKELETAL
[3]  
[Anonymous], European public assessment report
[4]  
August GP, 1998, PEDIATRICS, V102, P512
[5]   Long-term therapy with recombinant human growth hormone (Saizen®) in children with idiopathic and organic growth hormone deficiency [J].
Bercu, BB ;
Murray, FT ;
Frasier, SD ;
Rudlin, C ;
O'Dea, LS ;
Brentzel, J ;
Hanson, B ;
Landy, H .
ENDOCRINE, 2001, 15 (01) :43-49
[6]   Adult height in growth hormone (GH)-deficient children treated with biosynthetic GH [J].
Blethen, SL ;
Baptista, J ;
Kuntze, J ;
Foley, T ;
LaFranchi, S ;
Johanson, A .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 1997, 82 (02) :418-420
[7]   FINAL HEIGHT IN CHILDREN WITH GROWTH-HORMONE DEFICIENCY [J].
BRAMSWIG, J ;
SCHLOSSER, H ;
KIESE, K .
HORMONE RESEARCH, 1995, 43 (04) :126-128
[8]   Final height of patients treated for isolated GH deficiency: Examination of 83 patients [J].
Cacciari, E ;
Cicognani, A ;
Pirazzoli, P ;
Zucchini, S ;
Salardi, S ;
Balsamo, A ;
Cassio, A ;
Pasini, A ;
Carla, G ;
Tassinari, D ;
Gualandi, S .
EUROPEAN JOURNAL OF ENDOCRINOLOGY, 1997, 137 (01) :53-60
[9]  
*CHMP, 2006, EMEACHMPBMWP94528200
[10]   Effects of dose and gender on the growth and growth factor response to GH in GH-deficient children: Implications for efficacy and safety [J].
Cohen, P ;
Bright, GM ;
Rogol, AD ;
Kappelgaard, AM ;
Rosenfeld, RG .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 2002, 87 (01) :90-98