The Effect of Somatropin Treatment in Adult Patients on Chronic Dialysis (OPPORTUNITY)
This study has been terminated.
(See termination reason in detailed description)
Sponsor:
Novo Nordisk
Information provided by (Responsible Party):
Novo Nordisk
ClinicalTrials.gov Identifier:
NCT00503698
First received: July 18, 2007
Last updated: July 9, 2012
Last verified: July 2012
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Purpose
This trial is conducted in Africa, Asia, Europe, North and South America and Oceania.
The aim of the trial is to evaluate the effect of somatropin (human growth hormone) on survival (primary end-point; "time to death" and health related quality of life in adult patients on chronic haemodialysis.
| Condition | Intervention | Phase |
|---|---|---|
|
Chronic Kidney Disease End-Stage Renal Disease |
Drug: somatropin Drug: placebo |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Investigator) Primary Purpose: Treatment |
| Official Title: | Efficacy and Safety of Somatropin in Adult Patients on Chronic Haemodialysis |
Resource links provided by NLM:
Further study details as provided by Novo Nordisk:
Primary Outcome Measures:
- Mortality - Time to All-cause Death [ Time Frame: week 0, trial termination ] [ Designated as safety issue: Yes ]Time to all-cause death. Statistical analysis is based on all available information from week 0 to trial termination. Summary data illustrates percentage (%) participants dead estimated using Kaplan-Meier. Summary data illustrates mortality until 52 weeks, because very few subjects had trial time longer than 52 weeks. Due to early trial termination, median trial time was 17.4 weeks.
Secondary Outcome Measures:
- Morbidity - Time From Randomisation to Next Cardiovascular Event (Defined as Composite of All-cause Mortality, Non-fatal Myocardial Infarction, Stroke, Cardiac Insufficiency and Other Thrombo-embolic Event) [ Time Frame: week 0, trial termination ] [ Designated as safety issue: Yes ]Morbidity - time from week 0 to next cardiovascular event (composite of all-cause mortality and cardiovascular events defined as adjudicated medical event of special interest and categorised as myocardial infarctions, cardiac insufficiencies, strokes or other thrombo-embolic events). Statistical analysis is based on all available information from week 0 to trial termination. Summary data illustrates percentage (%) participants with events estimated using Kaplan-Meier. Summary data illustrates morbidity until 52 weeks, because very few subjects had trial time longer than 52 weeks.
- Morbidity - Number of Hospitalisations, in Addition to Normal Dialysis Procedures [ Time Frame: week 0, trial termination ] [ Designated as safety issue: No ]The number of times that the patient was hospitalised in addition to hospitalisation for normal dialysis procedures measured from week 0 (randomisation) to the time the trial was terminated.
- Mortality - Two-year Mortality Rate [ Time Frame: week 0, trial termination ] [ Designated as safety issue: No ]
- Health Related Quality of Life Assessments [ Time Frame: week 0, trial termination ] [ Designated as safety issue: No ]Summary from activity of daily living from the Rotterdam Symptom Checklist (RSCL) measuring activity from 1 (active) to 5 (inactive). The Edmonton Symptom Assessment System (ESAS), subjects assess their health in the last 24 hours on a scale from 1 (good health) to 3 (feeling poorly). The EQ-5D is a measure of subjects' health outcome from 0 (death) to 1 (full health). SF-36 (Short Form (36)) covering mental and physicial health is provided in a scale from 0-100 with higher scores indicating greater satisfaction.
| Enrollment: | 715 |
| Study Start Date: | July 2007 |
| Study Completion Date: | January 2009 |
| Primary Completion Date: | January 2009 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Somatropin
Somatropin once daily from week 0 to end of trial
|
Drug: somatropin
20 mcg/kg/day, injected s.c. (under the skin)
|
|
Placebo Comparator: Placebo
Placebo once daily to end of trial
|
Drug: placebo
Placebo injected s.c (under the skin)
|
Detailed Description:
The decision to discontinue the trial is not due to safety concerns. The discontinuation is based on an analysis of the significant delay in recruitment of patients which is expected to have a negative impact on the outcome of the trial.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Criteria
Inclusion Criteria:
- Serum albumin as specified in protocol
- Malnourished (based on serum albumin value below 40 g/L, assessed centrally)
- Stable (for 3 months or more) and adequate haemodialysis treatment three months prior to enrolment as defined by Kt/V of more than 1.2
Exclusion Criteria:
- Active malignant disease
- Critical illness requiring treatment in an intensive care unit (ICU)
- Uncontrolled treated/untreated hypertension
- Patients on chronic (more than 3 months) treatment with steroids in doses of more than 10 mg/day prednisolone (or equivalent)
- Patients treated with immunosuppressive agents
- Known Growth Hormone Deficiency
- Patients suffering from any clinically significant disease history in the opinion of the investigator
- Severe illness as defined in the protocol (as judged by the investigator)
Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00503698
Show 171 Study Locations
Show 171 Study LocationsSponsors and Collaborators
Novo Nordisk
Investigators
| Study Director: | Christian B. Djurhuus | Novo Nordisk |
More Information
Additional Information:
No publications provided by Novo Nordisk
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| Responsible Party: | Novo Nordisk |
| ClinicalTrials.gov Identifier: | NCT00503698 History of Changes |
| Other Study ID Numbers: | NN1630-1453, 2006-004702-56 |
| Study First Received: | July 18, 2007 |
| Results First Received: | December 15, 2009 |
| Last Updated: | July 9, 2012 |
| Health Authority: | United States: Food and Drug Administration United Kingdom: Medicines and Healthcare Products Regulatory France: Agence du Médicament Germany: Federal Institute for Drugs and Medical Devices Italy: The Italian Medicines Agency Spain: Spanish Drug Agency and Medicinal Products Poland: National Medicines Institute Portugal: INFARMED Denmark: Danish Medicines Agency Sweden: Medical Products Agency Argentina: Administracion Nacional de Medicamentos, Alimentos y Tecnologia Brazil: National Health Surveillance Agency Israel: Israeli Health Ministry Pharmaceutical Administration South Africa: Medicines Control Council Turkey: Ministry of Health Drug and Pharmaceutical Department Russia: Federal Service for Control of Health Care and Social Development Canada: Health Canada Hungary: National Institute of Pharmacy |
Keywords provided by Novo Nordisk:
|
Adult patients on chronic dialysis |
Additional relevant MeSH terms:
|
Kidney Diseases Kidney Failure, Chronic Renal Insufficiency, Chronic Urologic Diseases Renal Insufficiency |
ClinicalTrials.gov processed this record on May 21, 2013