Phase 2 Study of LUM-201 in Children With Growth Hormone Deficiency (OraGrowtH210 Trial) (OraGrowtH210)
Primary Purpose
Growth Hormone Deficiency
Status
Active
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
LUM-201
rhGH Norditropin® pen (34 µg/kg)
Sponsored by
About this trial
This is an interventional treatment trial for Growth Hormone Deficiency focused on measuring GHD, Pediatric Growth Hormone Deficiency, LUM-201, Growth hormone secretagogue, Height, Catch-up growth, PEM, Oral, Predictive Enrichment Marker
Eligibility Criteria
Inclusion Criteria:
- Have an established diagnosis of idiopathic PGHD as determined by standard diagnostic criteria. Eligible subjects must be naïve-to-treatment and be prepubertal.
- Morning cortisol ≥ 7 µg/dL or stimulated cortisol ≥ 14 µg/dL.
- At Screening, be ≥ 3.0 years and ≤ 11.0 years for girls and ≤ 12.0 years for boys.
- Have HT-SDS ≤ -2.0 or HT-SDS ≥ 2 SD below mean parental HT-SDS.
- Have a baseline height velocity < 5.5 cm/year based on at least 6 months of growth.
- Have a bone age delayed by ≥ 6 months with respect to chronological age.
- Have prepubertal status as evidenced by Tanner Stage I breast development in girls and testicular volume < 4.0 mL in boys.
- In girls, have genetic testing results to rule out Turner syndrome. If SHOX genetic testing results are available, they need to be negative.
- Have normal thyroid function. Subjects diagnosed with hypothyroidism must have documented successful treatment for at least 30 days prior to Day 1.
Exclusion Criteria:
- Any medical or genetic condition which, in the opinion of the Investigator or Medical Monitor (MM), can be an independent cause of short stature and/or limit the response to exogenous growth factor treatment. (Examples: diabetes, idiopathic short stature).
- A medical or genetic condition that, in the opinion of the Investigator and/or MM, adds unwarranted risk to use of LUM-201 or rhGH.
- Use of any medication that, in the opinion of the Investigator and/or MM, can independently cause short stature or limit the response to exogenous growth factors (Example: glucocorticoids).
- Evidence or history of an intracranial mass (e.g., pituitary tumor, craniopharyngioma).
- Suspicion of absent pituitary function as evidenced by a maximal stimulated GH ≤ 3 ng/mL on two prior standard of care GH stimulation tests, or pituitary deficiencies beyond GH and thyroid function.
- Malnutrition as evidenced by medical history or a body weight < 3rdth percentile for current height.
- BMI > 95th percentile.
- Gestational age-adjusted birth weight < 5th percentile (small for gestational age).
- History of spinal, cranial, or total body irradiation.
- Treatment with medications known to act as moderate or strong inhibitors or strong inducers of CYP3A/4, or with medications known to act as strong inhibitors of P-glycoprotein (P-gp) or potent substrates of P-gp or Multidrug and toxin extrusion protein 1 (MATE1).
Sites / Locations
- Center of Excellence in Diabetes and Endocrinology
- Rady Children's Hospital
- Pediatric Endocrine Associates
- Children's National Hospital
- Atlanta Diabetes Associates
- Indiana University School of Medicine
- University of Iowa
- Novak Center For Childrens Health
- UMass Memorial Medical Center
- M Health, Fairview Pediatric Specialty Clinics- Discovery Clinic
- Children's Minnesota
- The Children's Mercy Hospital
- UBMD Pediatrics
- The Mount Sinai Hospital
- NYU Grossman School of Medicine
- Nationwide Children's Hospital
- University of Oklahoma Health Sciences Center, Pediatric Diabetes and Endocrinology
- Penn State College of Medicine
- The Children's Hospital of Philadelphia
- Children's Hospital of Pittsburgh of UPMC
- Medical University of South Carolina
- Texas Tech University Health Sciences Center
- Cook Children's Medical Center
- Diabetes & Glandular Disease Clinic, P.A.
- University of Virginia Health System
- Seattle Children's Hospital
- MultiCare Institute for Research and Innovation
- Canberra Hospital
- Department of Pediatrics and Endocrinology- Monash Health
- Royal Children's Hospital
- Queensland Children's Hospital
- Schneider Children's Medical Center Institute for Endocrinology and Diabetes National Center
- Wellington Regional Hospital CCDHB
- Liggins Institute, University of Auckland
- Klinika Pediatrii, Endokrynologii, Diabetologii z Pododdziałem Kardiologii, Uniwersytecki Dziecięcy Szpital Kliniczny im.Ludwika Zamenhofa w Białymstoku
- Klinika Endokrynologii i Chorob Metabolicznych, Instytut Centrum Zdrowia Matki Polki
- Klinika Pediatrii, Diabetologii i Endokrynologii Gdansk
- klinika Pediatrii, Endokrynologii i Diabetologii Dziecięcej
- Sonomed - Centrum Medyczne
- Klinika Endokrynologii i Diabetologii, Instytut "Pomnik Centrum Zdrowia Dziecka
- SP Dziecięcy Szpital Kliniczny w Warszawie
- Klinika Endokrynologii i Diabetologii Wieku Rozwojowego UM
- State Institution 'V. P. Komissarenko Institute of Endocrinology and Metabolism of the National academy of medical science of Ukraine
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm Type
Experimental
Experimental
Experimental
Active Comparator
Arm Label
LUM-201 (0.8 mg/kg/day)
LUM-201 (1.6 mg/kg/day)
LUM-201 (3.2 mg/kg/day)
rhGH (34 µg/kg/day)
Arm Description
Outcomes
Primary Outcome Measures
Percentage of subjects selected by PEM strategy who meet target growth
Annualized height velocity (AHV) measured as standing height with stadiometer
AHV after 6 months on LUM-201 compared to rhGH
Annualized height velocity to be measured
Secondary Outcome Measures
Degree of concordance between the first and second assessment with the PEM strategy.
Peak serum concentration of GH in response to a single provocative dose of LUM-201
Incidence of adverse events in children with GHD
Number of events
Height standard deviation score (SDS)
Change in HT-SDS
Height velocity standard deviation score (HV-SDS)
Change in HV-SDS
Change in Weight
Change in Weight
Change in Weight SDS
Change in Weight-SDS
Change in BMI
Change in BMI
Change in BMI SDS
Change in BMI SDS
Bone Age
Change in bone age, measured by X-ray of left hand and wrist using Greulich & Pyle atlas
Pharmacokinetics of LUM-201
Serum concentrations (Cmax/Steady State)
GH Concentration on maintenance treatment
Serum GH concentration
Insulin-like growth factor 1 SDS
Serum concentrations of insulin-like growth factor 1
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT04614337
Brief Title
Phase 2 Study of LUM-201 in Children With Growth Hormone Deficiency (OraGrowtH210 Trial)
Acronym
OraGrowtH210
Official Title
A Multicenter, 24-Month, Randomized, Open-Label, Active Control, Parallel Arm, Phase 2 Study of Daily Oral LUM-201 in Naïve-to-Treatment, Prepubertal Children With Idiopathic Growth Hormone Deficiency (GHD)
Study Type
Interventional
2. Study Status
Record Verification Date
October 2023
Overall Recruitment Status
Active, not recruiting
Study Start Date
December 31, 2020 (Actual)
Primary Completion Date
February 2024 (Anticipated)
Study Completion Date
April 2025 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Lumos Pharma
4. Oversight
Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
This is a multi-national trial. The goals of the trial are to study LUM-201 as a possible treatment for Pediatric Growth Hormone Deficiency (PGHD) and investigate a predictive enrichment marker (PEM) strategy to select subjects likely to respond to therapy with LUM-201.
Detailed Description
This trial will have one screening visit with tests to assess if subjects are eligible to start study therapy. Once subjects have completed screening, and if they are determined to be eligible, they will be randomized to receive one of three oral daily doses of LUM-201 or daily injections of recombinant human growth hormone (rhGH). All subjects will have an equal chance of being placed in any of the four groups.
The trial consists of up to 24 months of treatment. After screening, subjects will return to the clinic for 6 (subjects placed in rhGH group) or 10 visits (subjects placed in LUM-201 group). During several of these clinic visits, subjects will have a physical exam, blood, and urine collections. There will also be 3 phone calls with study staff that will take place between the clinic visits.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Growth Hormone Deficiency
Keywords
GHD, Pediatric Growth Hormone Deficiency, LUM-201, Growth hormone secretagogue, Height, Catch-up growth, PEM, Oral, Predictive Enrichment Marker
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
80 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
LUM-201 (0.8 mg/kg/day)
Arm Type
Experimental
Arm Title
LUM-201 (1.6 mg/kg/day)
Arm Type
Experimental
Arm Title
LUM-201 (3.2 mg/kg/day)
Arm Type
Experimental
Arm Title
rhGH (34 µg/kg/day)
Arm Type
Active Comparator
Intervention Type
Drug
Intervention Name(s)
LUM-201
Intervention Description
Administered orally once daily
Intervention Type
Drug
Intervention Name(s)
rhGH Norditropin® pen (34 µg/kg)
Intervention Description
Administered subcutaneously (s.c., under the skin) once daily.
Primary Outcome Measure Information:
Title
Percentage of subjects selected by PEM strategy who meet target growth
Description
Annualized height velocity (AHV) measured as standing height with stadiometer
Time Frame
Day 1 to Month 6
Title
AHV after 6 months on LUM-201 compared to rhGH
Description
Annualized height velocity to be measured
Time Frame
Day 1 to Month 6
Secondary Outcome Measure Information:
Title
Degree of concordance between the first and second assessment with the PEM strategy.
Description
Peak serum concentration of GH in response to a single provocative dose of LUM-201
Time Frame
Screening to Day 1
Title
Incidence of adverse events in children with GHD
Description
Number of events
Time Frame
Day 1 to Month 24
Title
Height standard deviation score (SDS)
Description
Change in HT-SDS
Time Frame
Day 1 to Month 6 and Month 12
Title
Height velocity standard deviation score (HV-SDS)
Description
Change in HV-SDS
Time Frame
Day 1 to Month 6, and Month 12
Title
Change in Weight
Description
Change in Weight
Time Frame
Day 1 to Month 6, and Month 12
Title
Change in Weight SDS
Description
Change in Weight-SDS
Time Frame
Day 1 to Month 6 and Month 12
Title
Change in BMI
Description
Change in BMI
Time Frame
Day 1 to Month 6 and Month 12
Title
Change in BMI SDS
Description
Change in BMI SDS
Time Frame
Day 1 to Month 6 and Month 12
Title
Bone Age
Description
Change in bone age, measured by X-ray of left hand and wrist using Greulich & Pyle atlas
Time Frame
Day 1 to Month 6 and Month 18
Title
Pharmacokinetics of LUM-201
Description
Serum concentrations (Cmax/Steady State)
Time Frame
Day 1 to Month 6 and 12
Title
GH Concentration on maintenance treatment
Description
Serum GH concentration
Time Frame
Day 1 to Month 6 and 12
Title
Insulin-like growth factor 1 SDS
Description
Serum concentrations of insulin-like growth factor 1
Time Frame
Day 1 to Month 6 and 12
10. Eligibility
Sex
All
Minimum Age & Unit of Time
3 Years
Maximum Age & Unit of Time
12 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Have an established diagnosis of idiopathic PGHD as determined by standard diagnostic criteria. Eligible subjects must be naïve-to-treatment and be prepubertal.
Morning cortisol ≥ 7 µg/dL or stimulated cortisol ≥ 14 µg/dL.
At Screening, be ≥ 3.0 years and ≤ 11.0 years for girls and ≤ 12.0 years for boys.
Have HT-SDS ≤ -2.0 or HT-SDS ≥ 2 SD below mean parental HT-SDS.
Have a baseline height velocity < 5.5 cm/year based on at least 6 months of growth.
Have a bone age delayed by ≥ 6 months with respect to chronological age.
Have prepubertal status as evidenced by Tanner Stage I breast development in girls and testicular volume < 4.0 mL in boys.
In girls, have genetic testing results to rule out Turner syndrome. If SHOX genetic testing results are available, they need to be negative.
Have normal thyroid function. Subjects diagnosed with hypothyroidism must have documented successful treatment for at least 30 days prior to Day 1.
Exclusion Criteria:
Any medical or genetic condition which, in the opinion of the Investigator or Medical Monitor (MM), can be an independent cause of short stature and/or limit the response to exogenous growth factor treatment. (Examples: diabetes, idiopathic short stature).
A medical or genetic condition that, in the opinion of the Investigator and/or MM, adds unwarranted risk to use of LUM-201 or rhGH.
Use of any medication that, in the opinion of the Investigator and/or MM, can independently cause short stature or limit the response to exogenous growth factors (Example: glucocorticoids).
Evidence or history of an intracranial mass (e.g., pituitary tumor, craniopharyngioma).
Suspicion of absent pituitary function as evidenced by a maximal stimulated GH ≤ 3 ng/mL on two prior standard of care GH stimulation tests, or pituitary deficiencies beyond GH and thyroid function.
Malnutrition as evidenced by medical history or a body weight < 3rdth percentile for current height.
BMI > 95th percentile.
Gestational age-adjusted birth weight < 5th percentile (small for gestational age).
History of spinal, cranial, or total body irradiation.
Treatment with medications known to act as moderate or strong inhibitors or strong inducers of CYP3A/4, or with medications known to act as strong inhibitors of P-glycoprotein (P-gp) or potent substrates of P-gp or Multidrug and toxin extrusion protein 1 (MATE1).
Facility Information:
Facility Name
Center of Excellence in Diabetes and Endocrinology
City
Sacramento
State/Province
California
ZIP/Postal Code
95821
Country
United States
Facility Name
Rady Children's Hospital
City
San Diego
State/Province
California
ZIP/Postal Code
92123
Country
United States
Facility Name
Pediatric Endocrine Associates
City
Greenwood Village
State/Province
Colorado
ZIP/Postal Code
80111
Country
United States
Facility Name
Children's National Hospital
City
Washington
State/Province
District of Columbia
ZIP/Postal Code
20010
Country
United States
Facility Name
Atlanta Diabetes Associates
City
Atlanta
State/Province
Georgia
ZIP/Postal Code
30318
Country
United States
Facility Name
Indiana University School of Medicine
City
Indianapolis
State/Province
Indiana
ZIP/Postal Code
46202
Country
United States
Facility Name
University of Iowa
City
Iowa City
State/Province
Iowa
ZIP/Postal Code
52242
Country
United States
Facility Name
Novak Center For Childrens Health
City
Louisville
State/Province
Kentucky
ZIP/Postal Code
40202
Country
United States
Facility Name
UMass Memorial Medical Center
City
Worcester
State/Province
Massachusetts
ZIP/Postal Code
01655
Country
United States
Facility Name
M Health, Fairview Pediatric Specialty Clinics- Discovery Clinic
City
Minneapolis
State/Province
Minnesota
ZIP/Postal Code
55454
Country
United States
Facility Name
Children's Minnesota
City
Saint Paul
State/Province
Minnesota
ZIP/Postal Code
55102
Country
United States
Facility Name
The Children's Mercy Hospital
City
Kansas City
State/Province
Missouri
ZIP/Postal Code
64111
Country
United States
Facility Name
UBMD Pediatrics
City
Buffalo
State/Province
New York
ZIP/Postal Code
14203
Country
United States
Facility Name
The Mount Sinai Hospital
City
Mount Sinai
State/Province
New York
ZIP/Postal Code
30093
Country
United States
Facility Name
NYU Grossman School of Medicine
City
New York
State/Province
New York
ZIP/Postal Code
10016
Country
United States
Facility Name
Nationwide Children's Hospital
City
Columbus
State/Province
Ohio
ZIP/Postal Code
43205
Country
United States
Facility Name
University of Oklahoma Health Sciences Center, Pediatric Diabetes and Endocrinology
City
Oklahoma City
State/Province
Oklahoma
ZIP/Postal Code
73104
Country
United States
Facility Name
Penn State College of Medicine
City
Hershey
State/Province
Pennsylvania
ZIP/Postal Code
17033
Country
United States
Facility Name
The Children's Hospital of Philadelphia
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19104
Country
United States
Facility Name
Children's Hospital of Pittsburgh of UPMC
City
Pittsburgh
State/Province
Pennsylvania
ZIP/Postal Code
15224
Country
United States
Facility Name
Medical University of South Carolina
City
Charleston
State/Province
South Carolina
ZIP/Postal Code
29425
Country
United States
Facility Name
Texas Tech University Health Sciences Center
City
Amarillo
State/Province
Texas
ZIP/Postal Code
79106
Country
United States
Facility Name
Cook Children's Medical Center
City
Fort Worth
State/Province
Texas
ZIP/Postal Code
76104
Country
United States
Facility Name
Diabetes & Glandular Disease Clinic, P.A.
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States
Facility Name
University of Virginia Health System
City
Charlottesville
State/Province
Virginia
ZIP/Postal Code
22908
Country
United States
Facility Name
Seattle Children's Hospital
City
Seattle
State/Province
Washington
ZIP/Postal Code
98105
Country
United States
Facility Name
MultiCare Institute for Research and Innovation
City
Tacoma
State/Province
Washington
ZIP/Postal Code
98405
Country
United States
Facility Name
Canberra Hospital
City
Garran
State/Province
Australian Capital Territory
ZIP/Postal Code
2605
Country
Australia
Facility Name
Department of Pediatrics and Endocrinology- Monash Health
City
Clayton
State/Province
Victoria
ZIP/Postal Code
3168
Country
Australia
Facility Name
Royal Children's Hospital
City
Melbourne
State/Province
Victoria
ZIP/Postal Code
3052
Country
Australia
Facility Name
Queensland Children's Hospital
City
South Brisbane
Country
Australia
Facility Name
Schneider Children's Medical Center Institute for Endocrinology and Diabetes National Center
City
Petah Tiqwa
State/Province
Tiqwa
ZIP/Postal Code
4920235
Country
Israel
Facility Name
Wellington Regional Hospital CCDHB
City
Newtown
State/Province
Wellington
ZIP/Postal Code
6021
Country
New Zealand
Facility Name
Liggins Institute, University of Auckland
City
Auckland
Country
New Zealand
Facility Name
Klinika Pediatrii, Endokrynologii, Diabetologii z Pododdziałem Kardiologii, Uniwersytecki Dziecięcy Szpital Kliniczny im.Ludwika Zamenhofa w Białymstoku
City
Bialystok
Country
Poland
Facility Name
Klinika Endokrynologii i Chorob Metabolicznych, Instytut Centrum Zdrowia Matki Polki
City
Lodz
Country
Poland
Facility Name
Klinika Pediatrii, Diabetologii i Endokrynologii Gdansk
City
Pomorskie
Country
Poland
Facility Name
klinika Pediatrii, Endokrynologii i Diabetologii Dziecięcej
City
Rzeszów
Country
Poland
Facility Name
Sonomed - Centrum Medyczne
City
Szczecin
Country
Poland
Facility Name
Klinika Endokrynologii i Diabetologii, Instytut "Pomnik Centrum Zdrowia Dziecka
City
Warsaw
Country
Poland
Facility Name
SP Dziecięcy Szpital Kliniczny w Warszawie
City
Warsaw
Country
Poland
Facility Name
Klinika Endokrynologii i Diabetologii Wieku Rozwojowego UM
City
Wrocław
Country
Poland
Facility Name
State Institution 'V. P. Komissarenko Institute of Endocrinology and Metabolism of the National academy of medical science of Ukraine
City
Kyiv
ZIP/Postal Code
04114
Country
Ukraine
12. IPD Sharing Statement
Plan to Share IPD
Undecided
Learn more about this trial
Phase 2 Study of LUM-201 in Children With Growth Hormone Deficiency (OraGrowtH210 Trial)
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