Evidence map›Paper›PMID 27932411›Full record

Trial reportEuropean journal of endocrinology2017

MOD-4023, a long-acting carboxy-terminal peptide-modified human growth hormone: results of a Phase 2 study in growth hormone-deficient adults.

Christian J Strasburger, Peter Vanuga, Juraj Payer, Marija Pfeifer, Vera Popovic, László Bajnok, Miklós Góth, Veˇra Olšovská, L'udmila Trejbalová, Janos Vadasz and 7 more

Open access · hybridAbstract readClinical Trial, Phase IIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in European journal of endocrinology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
5.2field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 47 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Review
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Novel therapies for growth disorders.European journal of pediatrics · 2024
    Review
  12. Article
  13. Review
  14. Article
  15. Review
  16. Article
  17. Review
  18. Observational
  19. Long-Acting Growth Hormone Preparations - Current Status and Future Considerations.The Journal of clinical endocrinology and metabolism · 2020
    Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 12 institutions in 7 countries.

Christian J StrasburgerDepartment of Medicine for EndocrinologyDiabetes and Nutritional Medicine, Charité Universitätsmedizin, Berlin, Germany.
Peter VanugaDepartment of EndocrinologyNational Institute of Endocrinology and Diabetology, Lubochna, Slovakia.
Juraj PayerDepartment of Internal Medicine VUniversity Hospital Ruzinov, Bratislava, Slovakia.
Marija PfeiferDepartment of EndocrinologyUniversity Medical Centre Ljubljana, Ljubljana, Slovenia.
Vera PopovicNeuroendocrine UnitClinical Centre of Serbia, Belgrade, Serbia.
László Bajnok1st Department of MedicineUniversity of Pécs, Pécs, Hungary.
Miklós Góth2nd Department of Internal MedicineMilitary Hospital - State Health Center, Budapest, Hungary.
Veˇra OlšovskáII Internal Clinic in University Hospital St AnnaBrno, Czech Republic.
L'udmila TrejbalováI Department of Internal MedicineUniversity Hospital Bratislava, Bratislava, Slovakia.
Janos Vadasz1st Department of Internal MedicineHetényi Géza Hospital and Out-Patient Clinic, Szolnok, Hungary.
Eyal FimaOPKO BiologicsKiryat Gat, Israel.
Ronit KorenOPKO BiologicsKiryat Gat, Israel.
Leanne AmitziOPKO BiologicsKiryat Gat, Israel.
Martin BidlingmaierMedizinische Klinik - InnenstadtLudwig Maximilian University, Munich, Germany.
Oren HershkovitzOPKO BiologicsKiryat Gat, Israel.
Gili HartOPKO BiologicsKiryat Gat, Israel.
Beverly M K BillerNeuroendocrine UnitMassachusetts General Hospital, Boston, Massachusetts, USA.
Heat Biologics (United States) · USBuda Health Center · HUCentar za Promociju Nauke · RSCharité - Universitätsmedizin Berlin · DEComenius University Bratislava · SKInstitute of Experimental Endocrinology of the Slovak Academy of Sciences · SKLjubljana University Medical Centre · SILudwig-Maximilians-Universität München · DEMassachusetts General Hospital · USSt. Anne's University Hospital Brno · CZUniversity Hospital Bratislava · SKUniversity of Pecs · HU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveGrowth hormone (GH) replacement therapy currently requires daily injections, which may cause distress and low compliance. C-terminal peptide (CTP)-modified growth hormone (MOD-4023) is being developed as a once-weekly dosing regimen in patients with GH deficiency (GHD). This study's objective is to evaluate the safety, pharmacokinetics (PK), pharmacodynamics (PD) and efficacy of MOD-4023 administered once-weekly in GHD adults.

design54 adults with GHD currently treated with daily GH were normalized and randomized into 4 weekly dosing cohorts of MOD-4023 at 18.5%, 37%, 55.5% or 123.4% of individual cumulative weekly molar hGH dose. The study included 2 stages: Stage A assessed the effectiveness and PK/PD profiles of the 4 dosing regimens of MOD-4023. Stage B was an extension period of once-weekly MOD-4023 administration (61.7% molar hGH content) to collect further safety data and confirm the results from Stage A.

resultsDose-dependent response was observed for both PK and PD data of weekly MOD-4023 treatment. Insulin-like growth factor I (IGF-I) SDS levels were maintained within normal range. The 18.5% cohort was discontinued due to low efficacy. MOD-4023 was well tolerated and exhibited favorable safety profile in all dose cohorts. The reported adverse events were consistent with known GH-related side effects.

conclusionsOnce-weekly MOD-4023 administration in GHD adults was found to be clinically effective while maintaining a favorable safety profile and may obviate the need for daily injections. Weekly GH injections may improve compliance and overall outcome. The promising results achieved in this Phase 2 study led to a pivotal Phase 3 trial, which is currently ongoing.

Indexed as

AdultDose-Response Relationship, DrugDrug Administration ScheduleFemaleHormone Replacement TherapyHuman Growth HormoneHumansHypopituitarismMaleMiddle AgedTreatment OutcomeYoung AdultHuman Growth Hormone

Identifiers

PMID27932411
PMCPMC5292974
OpenAlexW2560135330

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.