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Trial · Interventional

Status unknownPhase 2Registry data

Growth Hormone Replacement Therapy for Retried Professional Football Players

Overview

Status
Status unknown
Phase
Phase 2
Enrollment
42 participants (estimated)
Sponsor
Center for Neurological Studies · Other
Design
Randomized · Triple masking
Countries
1 country

United States

Start
8 Oct 2019
Primary completion
Mar 2025 (estimated)
Completion
Sept 2026 (estimated)
First posted
10 Oct 2019
Last update posted
8 Feb 2023
Conditions
TBI (Traumatic Brain Injury) · Concussion, Brain · Sport Injury · Anterior Pituitary Hyposecretion Syndrome · Hypopituitarism · Growth Hormone Deficiency

Timeline

1 trial

  • Completed
  • Ongoing
  • Not yet recruiting
  • Stopped
  • Estimated dates (est.)
  • Results posted
2020202220242026
  1. Ph 2

    Growth Hormone Replacement Therapy for Retried Professional Football Players

    NCT04121780

    8 Oct 2019 to est. Sept 2026

Registry summary

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

This is a randomized, double-blind, placebo-controlled, parallel-group trial with an open-label extension to evaluate the efficacy of growth hormone (GH) on cognitive functions of retired professional football players with growth hormone deficiency (GHD).

Interventions

  • Growth HormoneBiological
  • PlaceboOther

Arms2

  • Experimental

    Growth Hormone

    Norditropin® (somatropin \[rDNA origin\] injection) via FlexPro® 30 mg / 3ml strength auto-injector pens (Novo Nordisk Inc).

  • Placebo comparator

    Saline

    Saline-placebo via auto-injector pens (Haselmeier Inc).

Primary outcomes5

Outcomes the sponsor listed as primary.

  1. Cognitive functions- Working Memory

    Time frame · From baseline to 1-year post-treatment

    Registry description

    To assess change in working memory from base line to 1 yr post-treatment. Working memory will be reported as an index score based on scaled scores for the digit span subtest and symbol span subtest. Index scores have a mean of 100 and a standard deviation of 15. The typical range of index score is 45 to 155. Higher scores reflect better functioning. The scaled scores have a mean of 10 and a standard deviation of 3. Scores range from 1 to 19. Higher scores reflect better functioning.

  2. Cognitive functions- Processing Speed

    Time frame · From baseline to 1-year post-treatment

    Registry description

    To assess change in Processing Speed from baseline to 1 yr post-treatment. Processing speed will be reported as an index score based on scaled scores of digit symbol subtest and symbol search subtest. Index scores have a mean of 100 and a standard deviation of 15. The typical range of index score is 45 to 155. Higher scores reflect better functioning. The scaled scores have a mean of 10 and a standard deviation of 3. Scores range from 1 to 19. Higher scores reflect better functioning. Trail Making Test A will also be used to assess processing speed. Reported as T-score. Higher scores reflect better performance.

  3. Cognitive functions- Executive Function.

    Time frame · From baseline to 1-year post-treatment

    Registry description

    To assess change in Executive Function from baseline to 1 yr post-treatment. Trail Making Test B and verbal fluency (letter and category) will be used to assess executive function. Reported as T-score. T scores have a mean of 50 and a standard deviation of 10. Scores range from 13 to 87. Higher scores reflect better performance.

  4. Cognitive functions- Verbal learning and memory

    Time frame · From baseline to 1-year post-treatment

    Registry description

    To assess change in Verbal learning and memory from baseline to 1 yr post-treatment. California verbal learning test will be used to assess this outcome measure. Reported as a standard score with a mean of 0 and a standard deviation of 1. Scores range from -0.5 to +5.0. Higher scores reflect better performance.

  5. Cognitive functions- ANAM ( Automated Psychological Assessment Metrics)

    Time frame · From baseline to 1-year post-treatment

    Registry description

    To assess change in ANAM from baseline to 1 yr post-treatment. ANAM Test System- Core Battery will be used to assess this outcome measure. Reported as a standard score

Secondary outcomes(9)
  1. Quality of Life Assessment of Growth Hormone Deficiency in Adults

    Time frame · One year (from baseline to 1-year post-treatment)

    Registry description

    This measure includes a scale: It is based on the Adult Growth Hormone Deficiency Assessment (AGHDA) QoL questionnaire. It consists of 25 yes/no questions. Score ranges from 0-25 with number of "yes" responses indicating score. A score of 8 or higher is typical of untreated adult GH deficiency. Treatment, on an average, results in a decrease of 2.5 to 3 points on the scale at one year

  2. Change in QEEG Markers- power spectra

    Time frame · One year (from baseline to 1-year post-treatment)

    Registry description

    Spectral markers include delta (1-5-2.5 Hz), theta (3.5-7.5 Hz), alpha (7.5-12.5 Hz), alpha 1 (7.5-10.0 Hz), alpha 2 (10.0-12.5 Hz), beta 1 (12.5- 25.0 Hz) , beta 2 (25.0-35.0 Hz), gamma (35.0- 50.0 Hz). The power will be averaged over all electrode sites as absolute and relative power.

  3. Change in QEEG Markers- Connectivity Measures

    Time frame · One year (from baseline to 1-year post-treatment)

    Registry description

    Connectivity measures will include Pearson product moment correlation for the time series and coherence, phase synchronization and phase lag.

  4. MRI

    Time frame · One year (from baseline to 1-year post-treatment)

    Registry description

    To assess changes in volumetric MRI measurements and diffusion tensor imaging (DTI) measurements

  5. Change in Physical function- Peak O2 consumption (Vo2 max)

    Time frame · One year (from baseline to 1-year post-treatment)

    Registry description

    Measured in units of liters per minute.

  6. Change in Physical function- Maximum grip strength

    Time frame · One year (from baseline to 1-year post-treatment)

    Registry description

    Measured in pounds using the CAMRY Digital Hand Dynamometer

  7. Change in Physical function- Isokinetic knee extension peak torque

    Time frame · One year (from baseline to 1-year post-treatment)

    Registry description

    Measured using the Cybex II isokinetic dynamometer. The maximum torque is recorded in ft-lbs of force

  8. Change in Physical function-DEXA measure

    Time frame · One year (from baseline to 1-year post-treatment)

    Registry description

    Percent body fat and lean mass by limb and trunk

  9. Adverse events

    Time frame · One year (from baseline to 1-year post-treatment)

    Registry description

    To assess the incidence and severity of adverse events

Posted results

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

No results are posted for this trial.

A trial that is still running, or that stopped early, may post results later.

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

Studies5

Studies that cite this trial.

Studies with results

4 studies on this page

PubMed tag: none · 2011

5 results

Effects of growth hormone (GH) replacement and cognitive rehabilitation in patients with cognitive disorders after traumatic brain injury.

Reimunde et al. 2011Brain injurycited by 77

PMID 21117918DOI 10.3109/02699052.2010.536196PUB-21117918

Full text at the publisher5 results

Indexing hint: Randomized controlled trial · 2010

2 results

Effect of growth hormone replacement therapy on cognition after traumatic brain injury.

Jr et al. 2010Journal of neurotraumacited by 117

PMID 20578825PMC2966848DOI 10.1089/neu.2009.1253PUB-20578825

Rights unknown2 results

PubMed tag: none · 2004

4 results

Boxing as a sport activity associated with isolated GH deficiency.

Kelestimur et al. 2004Journal of endocrinological investigationcited by 85

PMID 15754728DOI 10.1007/bf03345299PUB-15754728

Full text at the publisher4 results

Indexing hint: Randomized controlled trial · 1998

8 results

Cognitive changes during growth hormone replacement in adult men.

Deijen et al. 1998Psychoneuroendocrinologycited by 132

PMID 9618751DOI 10.1016/s0306-4530(97)00092-9PUB-09618751

Full text at the publisher8 results

More studies

1 study on this page

Indexing hint: Clinical trial · 2013

Growth hormone replacement therapy in patients with traumatic brain injury.

Moreau et al. 2013Journal of neurotraumacited by 66

PMID 23323993DOI 10.1089/neu.2012.2705PUB-23323993

Full text at the publisher
Publisher page

Eligibility

Who could join, as posted.

Sex
Male
Age
from 18 Years up to 76 Years
Healthy volunteers
Not accepted
Inclusion and exclusion criteria, as posted
Inclusion Criteria: * The subject is willing to provide a signed and dated informed consent indicating that he understands the purpose and procedures required for the study and is willing to participate in the study. * Former NFL player * At least one year since retirement from football * Less than 76 years of age * Diagnosis of GHD on clinical grounds by a neurologist and an endocrinologist GHD Exclusion Criteria: * History of pre-existing brain disease other than concussion or TBI * History of a premorbid disabling condition that interferes with outcome assessments * Contraindication to GH therapy * Type I and II Diabetes mellitus * Active malignant disease * Acute critical illness, heart failure, or acute respiratory failure * Subjects who are deficient in cortisol, testosterone or thyroid at screening will be excluded until hormone abnormalities have been corrected.

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