Evidence map›Paper›PMID 29488103›Full record

Trial reportJournal of endocrinological investigation2018

Multi-centre phase IV trial to investigate the immunogenicity of a new liquid formulation of recombinant human growth hormone in adults with growth hormone deficiency.

G Johannsson, K Nespithal, U Plöckinger, V Alam, M McLean

Open access · hybridAbstract readClinical Trial, Phase IVMulticenter Study
In one paragraph

Trial report in Journal of endocrinological investigation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 33% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 3 countries.

G JohannssonDepartment of Endocrinology, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Medicinaregatan 3, 41 315, Gothenburg, Sweden. gudmundur.johannsson@gu.se.
K NespithalMerck KGaA, Darmstadt, Germany.
U PlöckingerInterdisciplinary Centre of Metabolism: Endocrinology, Diabetes and Metabolism, Campus Virchow-Klinikum, Charité-Universitätsmedizin Berlin, Berlin, Germany.
V AlamGlobal Clinical Development Centre, EMD Serono Research and Development Institute, Inc. (a business of Merck KGaA, Darmstadt, Germany), Billerica, MA, USA.
M McLeanSchool of Medicine, University of Western Sydney, Sydney, Australia.
Merck (Germany) · DECharité - Universitätsmedizin Berlin · DEUniversity of Gothenburg · SEWestern Sydney University · AU

Funding

Merck KGaA Not applicable
6 · The paper itself

Abstract

purposeTo investigate whether a new liquid formulation of recombinant human growth hormone (r-hGH) induces the production of binding antibodies (BAbs) in adults with congenital or adult-onset growth hormone deficiency (GHD).

methodsMen or women aged 19-65 years with adult growth hormone deficiency who were r-hGH-naïve or had stopped treatment ≥ 1 month before screening were treated with between 0.15 and 0.30 mg/day r-hGH liquid formulation for 39 weeks. The primary endpoint was the proportion of patients who developed BAbs at any time. Secondary endpoints were the proportion of patients with BAbs who became positive for neutralising antibodies, the effects on biomarkers of r-hGH exposure, safety, and adherence to treatment downloaded from the easypod™ connect software.

resultsSeventy-eight patients (61.5% men) with mean age 44.5 years (range 21-65) started and 68 (87.2%) completed the 39-week treatment period. 82.1% were treatment naïve; all were negative for BAbs to r-hGH at baseline. The median (interquartile range) duration of treatment [273 (267.0-277.0) days] was consistent with patients receiving the required doses, and mean treatment adherence measured using easypod™ connect was 89.3%. The proportion of patients who developed BAbs was 0% (95% confidence interval 0-4.68%) and biomarker profiles were consistent with exposure to r-hGH. 92.3% of patients reported ≥ 1 adverse event during treatment. Most events were mild or moderate and no new safety concerns were detected.

conclusionsThe low immunogenicity profile of the liquid formulation was consistent with that for the freeze-dried formulation, and no new safety concerns were reported.

Indexed as

AdultAgedAntibodies, NeutralizingBiological AvailabilityBiomarkersFemaleFollow-Up StudiesGrowth DisordersHuman Growth HormoneHumansLipidsMaleMiddle AgedPrognosisRecombinant ProteinsYoung AdultAntibodies, NeutralizingBiomarkersHuman Growth HormoneLipidsRecombinant ProteinsAdult growth hormone deficiencyBinding antibodiesLiquid formulationNeutralising antibodiesRecombinant human growth hormone

Identifiers

PMID29488103
PMCPMC6061248
OpenAlexW2789468374

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.