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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT04614337
Registration number
NCT04614337
Ethics application status
Date submitted
26/10/2020
Date registered
4/11/2020
Titles & IDs
Public title
Phase 2 Study of LUM-201 in Children With Growth Hormone Deficiency (OraGrowtH210 Trial)
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Scientific 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)
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Secondary ID [1]
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LUM-201-01
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Universal Trial Number (UTN)
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Trial acronym
OraGrowtH210
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Growth Hormone Deficiency
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Condition category
Condition code
Metabolic and Endocrine
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Other endocrine disorders
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Human Genetics and Inherited Disorders
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Other human genetics and inherited disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - LUM-201
Treatment: Drugs - rhGH Norditropin® pen (34 µg/kg)
Experimental: LUM-201 (0.8 mg/kg/day) -
Experimental: LUM-201 (1.6 mg/kg/day) -
Experimental: LUM-201 (3.2 mg/kg/day) -
Active comparator: rhGH (34 µg/kg/day) -
Treatment: Drugs: LUM-201
Administered orally once daily
Treatment: Drugs: rhGH Norditropin® pen (34 µg/kg)
Administered subcutaneously (s.c., under the skin) once daily.
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Percentage of subjects selected by PEM strategy who meet target growth
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Assessment method [1]
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Annualized height velocity (AHV) measured as standing height with stadiometer
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Timepoint [1]
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Day 1 to Month 6
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Primary outcome [2]
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AHV after 6 months on LUM-201 compared to rhGH
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Assessment method [2]
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Annualized height velocity to be measured
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Timepoint [2]
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Day 1 to Month 6
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Secondary outcome [1]
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Degree of concordance between the first and second assessment with the PEM strategy.
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Assessment method [1]
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Peak serum concentration of GH in response to a single provocative dose of LUM-201
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Timepoint [1]
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Screening to Day 1
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Secondary outcome [2]
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Incidence of adverse events in children with GHD
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Assessment method [2]
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Number of events
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Timepoint [2]
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Day 1 to Month 24
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Secondary outcome [3]
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Height standard deviation score (SDS)
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Assessment method [3]
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Change in HT-SDS
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Timepoint [3]
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Day 1 to Month 6 and Month 12
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Secondary outcome [4]
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Height velocity standard deviation score (HV-SDS)
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Assessment method [4]
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Change in HV-SDS
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Timepoint [4]
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Day 1 to Month 6, and Month 12
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Secondary outcome [5]
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Change in Weight
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Assessment method [5]
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Change in Weight
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Timepoint [5]
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Day 1 to Month 6, and Month 12
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Secondary outcome [6]
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Change in Weight SDS
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Assessment method [6]
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Change in Weight-SDS
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Timepoint [6]
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Day 1 to Month 6 and Month 12
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Secondary outcome [7]
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Change in BMI
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Assessment method [7]
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Change in BMI
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Timepoint [7]
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Day 1 to Month 6 and Month 12
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Secondary outcome [8]
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Change in BMI SDS
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Assessment method [8]
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Change in BMI SDS
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Timepoint [8]
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Day 1 to Month 6 and Month 12
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Secondary outcome [9]
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Bone Age
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Assessment method [9]
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Change in bone age, measured by X-ray of left hand and wrist using Greulich \& Pyle atlas
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Timepoint [9]
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Day 1 to Month 6 and Month 18
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Secondary outcome [10]
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Pharmacokinetics of LUM-201
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Assessment method [10]
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Serum concentrations (Cmax/Steady State)
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Timepoint [10]
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Day 1 to Month 6 and 12
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Secondary outcome [11]
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GH Concentration on maintenance treatment
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Assessment method [11]
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Serum GH concentration
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Timepoint [11]
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Day 1 to Month 6 and 12
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Secondary outcome [12]
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Insulin-like growth factor 1 SDS
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Assessment method [12]
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Serum concentrations of insulin-like growth factor 1
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Timepoint [12]
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Day 1 to Month 6 and 12
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Eligibility
Key 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.
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Minimum age
3
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Maximum age
12
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key 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).
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 2
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Active, not recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
31/12/2020
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
1/10/2024
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Actual
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Sample size
Target
80
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
ACT,VIC
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Recruitment hospital [1]
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Canberra Hospital - Garran
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Recruitment hospital [2]
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Department of Pediatrics and Endocrinology- Monash Health - Clayton
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Recruitment hospital [3]
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Royal Children's Hospital - Melbourne
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Recruitment hospital [4]
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Queensland Children's Hospital - South Brisbane
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Recruitment postcode(s) [1]
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2605 - Garran
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Recruitment postcode(s) [2]
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3168 - Clayton
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Recruitment postcode(s) [3]
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3052 - Melbourne
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Recruitment postcode(s) [4]
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- South Brisbane
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Recruitment outside Australia
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United States of America
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California
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Colorado
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District of Columbia
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Georgia
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Indiana
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Iowa
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Ohio
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Washington
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Israel
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Tiqwa
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New Zealand
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Wellington
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Auckland
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Bialystok
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Lodz
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Pomorskie
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Rzeszów
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Szczecin
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Wroclaw
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Ukraine
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Kyiv
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Lumos Pharma
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Address
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Country
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Ethics approval
Ethics application status
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Summary
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.
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Trial website
https://clinicaltrials.gov/study/NCT04614337
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
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Address
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Undecided
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT04614337