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Trial · Interventional

TerminatedPhase 4Results postedRegistry data

Treatment Of Adult Growth Hormone Deficiency After Traumatic Brain Injury

Overview

Status
Terminated
Phase
Phase 4
Enrollment
10 participants (actual)
Sponsor
Pfizer · Industry
Design
Randomized · Double masking
Countries
6 countries

France, Italy, Netherlands, Spain, Sweden, United Kingdom

Start
Mar 2008
Primary completion
Jan 2009
Completion
Jan 2009
First posted
7 Nov 2007 (estimated)
Last update posted
2 Jun 2010 (estimated)
Conditions
Brain Injuries · Growth Hormone Deficiency

Timeline

1 trial · 1 stopped early · 1 with posted results

  • Completed
  • Ongoing
  • Not yet recruiting
  • Stopped
  • Estimated dates (est.)
  • Results posted
200820092010
  1. Ph 4

    Treatment Of Adult Growth Hormone Deficiency After Traumatic Brain Injury

    NCT00555009

    Mar 2008 to Jan 2009

    Terminated

Registry summary

Text and fields below are the sponsor's entries at ClinicalTrials.gov, shown as posted.

To establish the effects of genotropin replacement on cognitive function in patients with severe growth hormone deficiency after traumatic brain injury.

Interventions

  • GenotropinDrug
  • PlaceboDrug

Arms2

  • Experimental

    Genotropin treatment arm

  • Placebo comparator

    Placebo

Primary outcomes1

Outcomes the sponsor listed as primary.

  1. Change From Baseline in the Cognitive Function (CogState™) Composite Score at Week 36

    Time frame · Baseline, Week 36

    Registry description

    CogState™: 7 tasks: Detection (Part A); Identification; One back working memory; Monitoring; One card learning; Prediction; Detection (Part B). Detection, Identification, Monitoring score range: 2 (worse) to 5 (best); One back working memory/one card learning score range: 0 (worse) to 1.57 (best); Prediction score range: 0 (worse) to 100 (best). Composite change score=average of cognitive change scores for each task at each postdrug assessment; total possible score: -300 to 300. Change=change from baseline (average of 2 postdose assessments). Positive composite score=improved performance.

Secondary outcomes(8)
  1. Change From Baseline in CogState™ at Week 12 and 24.

    Time frame · Baseline, Week 12 and 24

    Registry description

    CogState™: 7 tasks: Detection (Part A); Identification; One back working memory; Monitoring; One card learning; Prediction; Detection (Part B). Detection, Identification, Monitoring score range: 2 (worse) to 5 (best); One back working memory/one card learning score range: 0 (worse) to 1.57 (best); Prediction score range: 0 (worse) to 100 (best). Composite change score=average of cognitive change scores for each task at each postdrug assessment; total possible score: -300 to 300. Change=change from baseline (average of 2 postdose assessments). Positive composite score=improved performance.

  2. Change From Baseline in Lean Body Mass and Fat Mass at Week 36

    Time frame · Baseline, Week 36

    Registry description

    The change from Baseline values for lean body mass and fat mass is calculated as the difference between the parameter values at Visit 36, and the parameter values at Baseline.

  3. Change From Baseline in Neurological Outcome as Assessed by Extended Glasgow Outcome Scale (GOS-E) at Week 36

    Time frame · Baseline, Week 36

    Registry description

    The GOS is widely used for assessing outcome after head injury and non-traumatic acute brain insults and is performed by a physician. The GOS-E uses eight points to assess disability and handicap. The GOS-E focuses on how the injury has affected functioning in major areas of life rather than on the particular deficits and symptoms caused by injury. The overall score ranges from 1-8; 1=Death and 8=Upper Good Recovery

  4. Change From Baseline in Quality of Life Using Short Form (SF)-36 Health Survey at Week 36

    Time frame · Baseline, Week 36

    Registry description

    A subject administered scale assessing general quality of life. A subject administered score, scale, direction of scale. The SF-36 consists of 36 questions covering the following eight health domains (subscales): Physical Functioning, Bodily Pain, Role Limitations Due to Physical Problems, Role Limitations Due to Emotional Problems, General Health Perceptions, Mental Health, Social Function, Vitality.

  5. Change From Baseline In Assessment of Growth Hormone Deficiency in Adults (AGHDA) Questionnaires at Week 36

    Time frame · Baseline, Week 36

    Registry description

    The AGHDA is a quality of life subject-administered questionnaire that is condition-specific and comprises of 25 'Yes' or 'No' statements covering 6 dimensions - mobility, pain, energy, sleep, emotional reactions and social isolation. The AGHDA total score change from Baseline values is calculated as the difference between the total score at Visit 6 (Week 36), and the total score at Baseline.

  6. Change From Baseline in Cardiovascular Risk

    Time frame · Baseline, Weeks 2, 4, 12, 24, and 36

    Registry description

    The cardiovascular risk parameters (low-density lipoprotein-cholesterol, high-density lipoprotein cholesterol, total cholesterol and fasting triglycerides) was measured at all visits (Weeks 2, 4, 12, 24, and 36).

  7. Change From Baseline in Weight

    Time frame · Baseline, Weeks 2, 4, 12, 24, and 36

  8. Change From Baseline in Waist Circumference

    Time frame · Baseline, Weeks 2, 4, 12, 24, and 36

Posted results

Values are shown as posted at ClinicalTrials.gov, with their units. PepBank has not converted, pooled or compared them.

Primary outcome results

Primary outcomeMean· Baseline, Week 36

Change From Baseline in the Cognitive Function (CogState™) Composite Score at Week 36

GroupValue (scores on a scale)
Genotropinnot posted
Placebonot posted
Secondary and other outcome results(7)
Secondary outcomeMean· Baseline, Week 12 and 24

Change From Baseline in CogState™ at Week 12 and 24.

GroupValue (scores on a scale)
Genotropinnot posted
Placebonot posted
Secondary outcomeMean· Baseline, Week 36

Change From Baseline in Lean Body Mass and Fat Mass at Week 36

GroupValue (kg)
Genotropinnot posted
Placebonot posted
Secondary outcomeMean· Baseline, Week 36

Change From Baseline in Neurological Outcome as Assessed by Extended Glasgow Outcome Scale (GOS-E) at Week 36

GroupValue (scores on a scale)
Genotropinnot posted
Placebonot posted
Secondary outcomeMean· Baseline, Week 36

Change From Baseline in Quality of Life Using Short Form (SF)-36 Health Survey at Week 36

GroupValue (score on a scale)
Genotropinnot posted
Placebonot posted
Secondary outcomeMean· Baseline, Week 36

Change From Baseline In Assessment of Growth Hormone Deficiency in Adults (AGHDA) Questionnaires at Week 36

GroupValue (scores on a scale)
Genotropinnot posted
Placebonot posted
Secondary outcomeMean· Baseline, Weeks 2, 4, 12, 24, and 36

Change From Baseline in Cardiovascular Risk

GroupValue (scores on a scale)
Genotropinnot posted
Placebonot posted
Secondary outcomeMean· Baseline, Weeks 2, 4, 12, 24, and 36

Change From Baseline in Weight

GroupValue (kg)
Genotropinnot posted
Placebonot posted

Adverse events, as posted

Adverse events as posted: participants affected out of participants at risk, by group
GroupDeathsSerious eventsOther events
GenotropinInitiated at 0.2 mg/day subcutaneously (SC) in men and 0.3 mg/day SC in women. Dose adapted monthly in 0.1 or 0.2 mg increments until stabilized in upper half of normal range.–0 / 44 / 4
PlaceboMatching placebo injected SC.–0 / 60 / 6

Each cell reads participants affected / participants at risk, as the registry posted them.

Registry data comes from ClinicalTrials.gov. Study results come from studies, not from the registry. How PepBank works

Studies0

Studies that cite this trial.

No study cites this trial.

Eligibility

Who could join, as posted.

Sex
All
Age
from 18 Years up to 55 Years
Healthy volunteers
Not accepted
Inclusion and exclusion criteria, as posted
Inclusion Criteria: * Have had a previous traumatic brain injury (more than 1 year and less than 20 years) prior to the screening visit. * Have an Extended Glasgow Outcome Scale (GOS-E) more than or equal to 5. * Have proven GHD deficiency Exclusion Criteria: * Active systemic malignancy or active intracranial tumor. A successfully treated tumor or malignancy is not an exclusion criterion if the patient has not had active disease for 5 years and is not currently receiving maintenance chemotherapy, (except for basal cell skin cancers. * Receiving treatment with prednisolone in doses above 10 mg/day or treatment with other oral glucocorticosteroids above replacement doses is not permitted throughout the study. Topical and inhaled corticosteroids are permitted. * History of dementia unrelated to TBI * History of benign intracranial hypertension

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