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Trial · Interventional

CompletedEarly phase 1Results postedRegistry data

Augmenting Growth Hormone to Ameliorate Nonalcoholic Fatty Liver Disease in Adolescents

Overview

Status
Completed
Phase
Early phase 1
Enrollment
24 participants (actual)
Sponsor
Massachusetts General Hospital · Other
Design
Randomized · Open label (no masking)
Countries
1 country

United States

Start
3 May 2017
Primary completion
2 Apr 2020
Completion
2 Apr 2020
First posted
1 Apr 2016 (estimated)
Last update posted
7 Sept 2022
Conditions
NAFLD

Timeline

1 trial · 1 completed · 1 with posted results

  • Completed
  • Ongoing
  • Not yet recruiting
  • Stopped
  • Estimated dates (est.)
  • Results posted
20172018201920202021
  1. Ph Early 1

    Augmenting Growth Hormone to Ameliorate Nonalcoholic Fatty Liver Disease in Adolescents

    NCT02726542

    3 May 2017 to 2 Apr 2020

Registry summary

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

Fatty liver disease is an increasing problem in overweight and obese young adults. The purpose of this study is to test the effect of growth hormone on liver fat in obese young adults ages 18-29y with increased liver fat.

Interventions

  • somatropinDrug

Arms2

  • Experimental

    Growth hormone

    Somatropin given by daily subcutaneous injection. Dose will begin at 1mg and be titrated based on insulin-like growth factor 1 (IGF-1) levels.

  • No intervention

    No treatment

    (no study treatment - observation only)

Primary outcomes1

Outcomes the sponsor listed as primary.

  1. Change in Hepatic Fat Fraction

    Time frame · 24 weeks

    Registry description

    change in hepatic fat fraction between baseline and 24 weeks as measured by hydrogen magnetic resonance spectroscopy

Secondary outcomes(4)
  1. Change in Aspartate Aminotransferase (AST)

    Time frame · 24 weeks

    Registry description

    change in AST between baseline and 24 weeks

  2. Change in Alanine Aminotransferase (ALT)

    Time frame · 24 weeks

    Registry description

    change in ALT between baseline and 24 weeks

  3. Change in Gamma Glutamyl Transferase (GGT)

    Time frame · 24 weeks

    Registry description

    change in GGT between baseline and 24 weeks

  4. Change in Visceral Adipose Tissue

    Time frame · 24 weeks

    Registry description

    Change in visceral adipose tissue cross-sectional area at the 4th lumbar vertebra as measured by magnetic resonance imaging between baseline and 24 weeks

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· 24 weeks

Change in Hepatic Fat Fraction

GroupValue (Percent (Hepatic fat fraction, percent))Spread
Growth Hormone-3.05.2
No Treatment0.33.5
Secondary and other outcome results(4)
Secondary outcomeMean· 24 weeks

Change in Aspartate Aminotransferase (AST)

GroupValue (units per liter)Spread
Growth Hormone-39
No Treatment-14
Secondary outcomeMean· 24 weeks

Change in Alanine Aminotransferase (ALT)

GroupValue (units per liter)Spread
Growth Hormone-29
No Treatment18
Secondary outcomeMean· 24 weeks

Change in Gamma Glutamyl Transferase (GGT)

GroupValue (units per liter)Spread
Growth Hormone-930
No Treatment59
Secondary outcomeMean· 24 weeks

Change in Visceral Adipose Tissue

GroupValue (square centimeters)Spread
Growth Hormone-650
No Treatment624

Adverse events, as posted

Adverse events as posted: participants affected out of participants at risk, by group
GroupDeathsSerious eventsOther events
Growth HormoneSomatropin given by daily subcutaneous injection. Dose will begin at 1mg and be titrated based on insulin-like growth factor 1 (IGF-1) levels. somatropin: Norditropin (growth hormone) given by injection using a pen-device0 / 131 / 139 / 13
No Treatment(no study treatment - observation only)0 / 110 / 111 / 11

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 29 Years
Healthy volunteers
Not accepted
Inclusion and exclusion criteria, as posted
Inclusion criteria: 1. Males and Females ages 18-29yo 2. BMI ≥95th percentile and/or ≥30kg/m\^2 3. Hepatic fat ≥5% by hydrogen magnetic resonance spectroscopy (1H-MRS) 4. IGF-1 standard deviation score (SDS) \< 0 Exclusion criteria: 1. Alcohol consumption of \>14 drinks per week (Females) or \>21 drinks per week (Males) 2. Use of insulin or oral anti-diabetic medications, or hemoglobin A1c (HbA1c) \>7% or fasting glucose ≥126mg/dL 3. Use of corticosteroid, gonadal steroids, or methotrexate ≤ 3 months prior to baseline visit 4. Known diagnosis of alpha-1 antitrypsin deficiency, Wilson's disease, hemochromatosis, or autoimmune hepatitis 5. hemoglobin \< 11.0 g/dL or weight \< 50kg 6. aspartate aminotransferase (AST) or alanine aminotransferase (ALT) \>2.5x upper limit of normal (ULN), total bilirubin \> ULN, positive hepatitis B surface antigen (sAg), or positive hepatitis C antibody 7. Routine magnetic resonance imaging (MRI) exclusion criteria (including weight \>450 pounds) 8. Use of weight-loss medications or previous weight loss surgery 9. Pregnant or breastfeeding, or, for sexually-active females, unwillingness to use an appropriate form of contraception during the study 10. Known cirrhosis or clinical evidence of cirrhosis or portal hypertension on imaging or exam 11. Use of growth hormone (GH) or growth hormone releasing hormone within the past 1 year 12. Change in lipid lowering or anti-hypertensive medications within 3 months of screening 13. Change in vitamin E or ursodiol \<6 months before screen; subjects on stable doses of Vitamin E and/or Ursodiol for ≥6 months will be eligible. 14. History of malignancy or active malignancy 15. History of hypopituitarism, head irradiation or any other condition or chronic illness known to affect the GH axis

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