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Trial · Interventional

CompletedPhase 3Results postedRegistry data

Safety and Efficacy Study of Serostim® Human Immunodeficiency Virus-Associated Adipose Redistribution Syndrome

Overview

Status
Completed
Phase
Phase 3
Enrollment
126 participants (actual)
Sponsor
EMD Serono · Industry
Design
Not randomized · Open label (no masking)
Countries
2 countries

United States, Canada

Start
Feb 2005
Primary completion
Jan 2006
Completion
Jan 2006
First posted
1 Mar 2010 (estimated)
Last update posted
7 Aug 2013 (estimated)
Conditions
Human Immunodeficiency Virus-Associated Adipose Redistribution Syndrome

Timeline

1 trial · 1 completed · 1 with posted results

  • Completed
  • Ongoing
  • Not yet recruiting
  • Stopped
  • Estimated dates (est.)
  • Results posted
200520062007
  1. Ph 3

    Safety and Efficacy Study of Serostim® Human Immunodeficiency Virus-Associated Adipose Redistribution Syndrome

    NCT01077960

    Feb 2005 to Jan 2006

Registry summary

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

In Serono Study 24380, the antecedent protocol to Study 25373, patients were randomly assigned in a 3.0-to-1.0 ratio to Groups A and B. All patients in Group A received recombinant human growth hormone (Serostim®) 4 mg daily (the "induction" phase) for the first 12 weeks, and then were re-randomized to receive either placebo or Serostim 2 mg on alternate days (roughly equivalent to 1 mg daily) during Weeks 12-36 (the "maintenance" phase). All patients in Group B initially received placebo from baseline to Week 24, and then received Serostim® 4 mg daily from Weeks 24 to 36 (Grunfeld, 2007). In the follow-up Study 25373, any subject who was enrolled in Serono Study 24380 and was assigned to Group A, who fully completed all study visits without a major protocol violation, was eligible to enroll to receive re-treatment with Serostim at a dose of 4 mg daily for 12 weeks. During study 25373, safety was monitored by recording of adverse events and measurement of urinalysis and laboratory blood tests to assess fasting glucose, fasting insulin, and routine biochemistry and hematology parameters. At Week 12 or at the time of study termination, subjects underwent re-assessment of body composition via anthropometry measurements and dual photon absorptiometry (DXA) scanning. In addition, at study termination, measurements of insulin-like growth factor I (IGF-I), insulin-like growth binding protein 3 (IGFBP-3), fasting lipid profile, and oral glucose tolerance testing were obtained.

Interventions

  • SerostimBiological

Arms1

  • Experimental

    Serostim

    Serostim® 4 mg daily given for 12 weeks (following a prior 36-week treatment \[Serono Study 24380\] with Serostim® 4 mg daily given for 12 weeks, followed by 24-weeks of either Serostim® 2 mg every other day or Placebo every other day)

Primary outcomes1

Outcomes the sponsor listed as primary.

  1. Change From Baseline to Week 12 in Trunk Fat as Assessed by Dual-Energy X-Ray Absorptiometry (DXA) Scan

    Time frame · baseline to 12 weeks

Secondary outcomes(5)
  1. Change From Baseline to Week 12 in Waist Circumference

    Time frame · baseline to 12 weeks

    Registry description

    Measured by anthropometry

  2. Change From Baseline to Week 12 in Insulin-like Growth Factor I

    Time frame · baseline to 12 weeks

    Registry description

    Circulating levels of IGF-I

  3. Oral Glucose Tolerance Testing - Change From Baseline to Week 12 in Fasting Insulin

    Time frame · baseline to 12 weeks

    Registry description

    Oral glucose tolerance testing

  4. Oral Glucose Tolerance Testing - Change From Baseline to Week 12 in 120 Minute Glucose

    Time frame · baseline to 12 weeks

    Registry description

    Oral glucose testing

  5. Oral Glucose Tolerance Testing - Change From Baseline to Week 12 in Fasting Glucose

    Time frame · baseline to 12 weeks

    Registry description

    Oral glucose testing

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 to 12 weeks

Change From Baseline to Week 12 in Trunk Fat as Assessed by Dual-Energy X-Ray Absorptiometry (DXA) Scan

GroupValue (kg)Spread
Serostim-1.71.4
Secondary and other outcome results(5)
Secondary outcomeMean· baseline to 12 weeks

Change From Baseline to Week 12 in Waist Circumference

GroupValue (cm)Spread
Serostim-1.53.0
Secondary outcomeMean· baseline to 12 weeks

Change From Baseline to Week 12 in Insulin-like Growth Factor I

GroupValue (ng/mL)Spread
Serostim135.7210.7
Secondary outcomeMean· baseline to 12 weeks

Oral Glucose Tolerance Testing - Change From Baseline to Week 12 in Fasting Insulin

GroupValue (mcIU/mL)Spread
Serostim10.822.3
Secondary outcomeMean· baseline to 12 weeks

Oral Glucose Tolerance Testing - Change From Baseline to Week 12 in 120 Minute Glucose

GroupValue (mg/dL)Spread
Serostim11.743.7
Secondary outcomeMean· baseline to 12 weeks

Oral Glucose Tolerance Testing - Change From Baseline to Week 12 in Fasting Glucose

GroupValue (mg/dL)Spread
Serostim4.520.4

Adverse events, as posted

Adverse events as posted: participants affected out of participants at risk, by group
GroupDeathsSerious eventsOther events
SerostimSerostim® 4 mg daily given for 12 weeks (following a prior 36-week treatment \[Serono Study 24380\] with Serostim® 4 mg daily given for 12 weeks, followed by 24-weeks of either Serostim® 2 mg every other day or Placebo every other day)–2 / 12689 / 126

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

Studies1

Studies that cite this trial.

More studies

1 study on this page

Indexing hint: Randomized controlled trial · 2007

Recombinant human growth hormone to treat HIV-associated adipose redistribution syndrome: 12 week induction and 24-week maintenance therapy.

Grunfeld et al. 2007Journal of acquired immune deficiency syndromes (1999)cited by 34

PMID 17592343DOI 10.1097/qai.0b013e3180691145PUB-17592343

Rights unknown
Source link

Eligibility

Who could join, as posted.

Sex
All
Age
from 18 Years
Healthy volunteers
Not accepted
Inclusion and exclusion criteria, as posted
Inclusion Criteria: * Must meet all inclusion/exclusion criteria for Serono Study 25373, have participated in Serono Study 24380, must have been assigned to Group A, must have completed all treatments and procedures (including baseline, Week 12 and Week 36 Computerized Tomography (CT) and Dual-Energy X-ray Absorptiometry (DXA) Scans) and had no major protocol violation. * Must be taking antiretroviral medications that are approved or are available under a Treatment Investigational New Drug (IND). Subjects must also agree not to discontinue or to change their regimen for the duration of the study except as judged medically necessary. * Must be willing and able to comply with the protocol for the duration of the study. * Must have voluntarily provided written informed consent and a subject authorization under Health Insurance Portability and Accountability Act of 1996 (HIPAA), prior to any study-related procedure that is not part of normal medical care, and with the understanding that the subject may withdraw consent at any time without prejudice to future medical care. * If female, subjects must either: * Be post menopausal (=/\>1 year) or surgically sterilized (i.e., have undergone tubal ligation or hysterectomy), or * Use a contraceptive method for the duration of the study such as: hormonal contraceptive,intra uterine device,diaphragm with spermicide, or condom with spermicide, and * Must be neither pregnant nor breast feeding. * Confirmation that female subjects of childbearing potential are not pregnant must be established by a negative pregnancy test prior to initiating first treatment. A pregnancy test is not required if the subject is post menopausal or surgically sterilized. Exclusion Criteria: * Have any condition, which interferes with informed consent or protocol compliance including, but not limited to, active substance abuse and/or dementia. * Have any active malignancy, except localized cutaneous Kaposi's sarcoma (fewer than 10 lesions, none of which are larger than 2 cm, and not on active therapy). * Have active central nervous system (CNS) process associated with neurological findings. * Have acute illness treated in an intensive care unit, e.g., due to complications following open heart or abdominal surgery, multiple accidental trauma, or acute respiratory failure. * Have any medical condition in view of which the study doctor and/or Serono Medical/Therapeutic Director feels that it would be in the best interest of the subject not to participate in the follow-up study. * Are unable to comply with the Concomitant Therapy restrictions as outlined in Section 5.5 and listed as follows: * Therapy for obesity including therapy with anorexigenic or fat reducing drugs. * Anti-diabetic or insulin sensitizing medications. * Systemic glucocorticoids. * Systemic chemotherapy, interferon or radiation therapy treatment. * Androgenic agents including, but not limited to, testosterone, nandrolone (Deca-durabolin), oxandrolone (Oxandrin), oxymetholone (Anadrol), dehydroepiandrosterone (DHEA), etc. (Testosterone replacement therapy for hypogonadism is the exception to this exclusion and will be allowed if started \>30 days prior to Study Day 1 of Serono Study 24380). * Progestational agents, unless used for oral contraception or post-menopausal hormone replacement therapy. * Appetite stimulants such as dronabinol (Marinol), megestrol acetate (Megace), or cyproheptadine (Periactin). * Investigational agents, unless approved in advance by Serono's Medical Director. Specifically, experimental antiretroviral agents are disallowed, unless available under a treatment IND or expanded access program (30 days). * Liposuction or other elective plastic surgery. * Acquired Immune Deficiency Syndrome (AIDS) wasting therapy with growth hormone and/or prior treatment with growth hormone or a growth hormone releasing factor (for 12 months prior to the screening visit). * Are participating in any other clinical studies (except Serono Study 24380). Observation studies are allowed, but prior written permission by Serono Medical/Therapeutic Director must be granted.

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