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A Study to Evaluate the Efficacy of Somatropin in Adults With Growth Hormone Deficiency Caused by Trauma and/or Head Injury (GHD)

Primary Purpose

Brain Injuries, Growth Hormone Deficiency Dwarfism

Status
Terminated
Phase
Phase 4
Locations
United States
Study Type
Interventional
Intervention
somatropin
Sponsored by
Pfizer
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Brain Injuries

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Documented GHD
  • Documented mild, moderate, and severe head injury (e.g.,Glasgow COMA Scale score less than or equal to 15 or equivalent measure)

Exclusion Criteria:

  • Active systemic malignancy or active intracranial tumor
  • Growth hormone replacement therapy in the last 12 months
  • History of dementia unrelated to traumatic brain injury

Sites / Locations

  • Pfizer Investigational Site
  • Pfizer Investigational Site
  • Pfizer Investigational Site
  • Pfizer Investigational Site

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

1

Arm Description

Outcomes

Primary Outcome Measures

Change in the serum Insulin-like growth factor-I (IGF-I)concentration from baseline
Number of patients with abnormal GH stimulation tests

Secondary Outcome Measures

Change from baseline in waist circumference
Age and gender specific optimal doses of GH replacement
Change in Quality of Life-Adult Growth Hormone Deficiency Assessment
Assessment of adverse events
Serum prolactin, thyroid stimulating hormone, free thyroxine serum, cortisol, adrenocorticotropic hormone, luteinizing hormone, follicle stimulating hormone, estradiol, and testosterone to assess degree of other anterior pituitary hormone deficiencies
Change from baseline in Glasgow Outcome Score
Change in Quality of Life-Mini-Mental scores

Full Information

First Posted
March 11, 2008
Last Updated
March 27, 2008
Sponsor
Pfizer
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1. Study Identification

Unique Protocol Identification Number
NCT00638053
Brief Title
A Study to Evaluate the Efficacy of Somatropin in Adults With Growth Hormone Deficiency Caused by Trauma and/or Head Injury
Acronym
GHD
Official Title
Head Trauma With Traumatic Brain Injury (TBI): A Multicenter, Phase IV Study to Evaluate the Effects of Genotropin in Adult Patients With Growth Hormone Deficiency (GHD) Caused by Trauma and/or Head Injury
Study Type
Interventional

2. Study Status

Record Verification Date
March 2008
Overall Recruitment Status
Terminated
Why Stopped
See reason for termination in detailed description.
Study Start Date
November 2002 (undefined)
Primary Completion Date
undefined (undefined)
Study Completion Date
November 2003 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
Pfizer

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to assess the prevalence of GHD in patients who sustain a head injury or suffer a major traumatic event and to evaluate the efficacy of growth hormone (GH) therapy in the treatment of GHD caused by trauma or head injury
Detailed Description
The study was terminated on October 9, 2003. The reason cited for the termination was due to poor patient recruitment and therefore not enough data could be collected to provide comprehensive analysis for reporting of results. No safety or efficacy issues were reported to cause the termination of the study.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Brain Injuries, Growth Hormone Deficiency Dwarfism

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
100 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
1
Arm Type
Experimental
Intervention Type
Genetic
Intervention Name(s)
somatropin
Intervention Description
Somatropin will be administered as a daily subcutaneous injection; Fixed doses starting with 0.1 mg/day in patients older than 55 years or patients weighing less than 50 kg; all other patients: 0.1 mg/day or 0.2 mg/day (these doses should all be lower than 0.04 mg/kg/week); all patients starting at 0.1 mg/day will have their dose progressively increased in 0.1 mg/day increments to a maximum clinically- and pharmacologically- tolerated plateau dose; all patients starting at 0.2 mg/day will increase in 0.2 mg/day increments; all incremented dose changes will occur at monthly intervals based on IGF-I levels; treatment will continue for 12 months
Primary Outcome Measure Information:
Title
Change in the serum Insulin-like growth factor-I (IGF-I)concentration from baseline
Time Frame
Months 1 thru 11
Title
Number of patients with abnormal GH stimulation tests
Time Frame
Baseline
Secondary Outcome Measure Information:
Title
Change from baseline in waist circumference
Time Frame
Month 12
Title
Age and gender specific optimal doses of GH replacement
Time Frame
Months 1 thru 11
Title
Change in Quality of Life-Adult Growth Hormone Deficiency Assessment
Time Frame
Months 1 thru 12
Title
Assessment of adverse events
Time Frame
Months 1 thru 12
Title
Serum prolactin, thyroid stimulating hormone, free thyroxine serum, cortisol, adrenocorticotropic hormone, luteinizing hormone, follicle stimulating hormone, estradiol, and testosterone to assess degree of other anterior pituitary hormone deficiencies
Time Frame
Baseline
Title
Change from baseline in Glasgow Outcome Score
Time Frame
Month 12
Title
Change in Quality of Life-Mini-Mental scores
Time Frame
Months 1 thru 12

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Documented GHD Documented mild, moderate, and severe head injury (e.g.,Glasgow COMA Scale score less than or equal to 15 or equivalent measure) Exclusion Criteria: Active systemic malignancy or active intracranial tumor Growth hormone replacement therapy in the last 12 months History of dementia unrelated to traumatic brain injury
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Pfizer CT.gov Call Center
Organizational Affiliation
Pfizer
Official's Role
Study Director
Facility Information:
Facility Name
Pfizer Investigational Site
City
Pittsburgh
State/Province
Pennsylvania
ZIP/Postal Code
15212
Country
United States
Facility Name
Pfizer Investigational Site
City
El Paso
State/Province
Texas
ZIP/Postal Code
79925
Country
United States
Facility Name
Pfizer Investigational Site
City
Salt Lake City
State/Province
Utah
ZIP/Postal Code
84102
Country
United States
Facility Name
Pfizer Investigational Site
City
Federal Way
State/Province
Washington
ZIP/Postal Code
98003
Country
United States

12. IPD Sharing Statement

Links:
URL
https://trialinfoemail.pfizer.com/pages/landing.aspx?StudyID=GENGHD-0018-078&StudyName=A%20Study%20to%20Evaluate%20the%20Efficacy%20of%20Somatropin%20in%20Adults%20with%20Growth%20Hormone%20Deficiency%20Caused%20by%20Trauma%20and/or%20Head%20Injury%20
Description
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A Study to Evaluate the Efficacy of Somatropin in Adults With Growth Hormone Deficiency Caused by Trauma and/or Head Injury

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