Growth Hormone Use in Cystic Fibrosis - a Multicenter Study

Sponsor
National Center for Research Resources (NCRR) (NIH)
Overall Status
Completed
CT.gov ID
NCT00005112
Collaborator
Genentech, Inc. (Industry)
2

Study Details

Study Description

Brief Summary

Cystic Fibrosis (CF) is the most common lethal genetic disorder in America. Previous studies by our group and others have shown that human recombinant growth hormone (GH) improves height velocity, weight velocity, lean body mass (LBM) and pulmonary function. These positive results have prompted us to ask further questions regarding GH use in CF including: a) Do patients with better baseline body weight and pulmonary function derive more benefit from treatment than those with worse weight and pulmonary function?, b) Does GH use improve the patient's quality of life?, c) Once GH is discontinued, are the positive effects sustained? We hypothesize that GH treatment in CF patients will improve their clinical status and their quality of life. We further hypothesize that these effects will be present regardless of baseline body weight or pulmonary function, and that positive outcome will be sustained for at least one year after GH treatment is discontinued. To test our hypothesis, we will recruit 40 prepubertal children from five CF centers across the United States (8 per center). Patients will be randomly assigned to receive treatment with GH (0.3mg/kg/wk) during either the first or the second year. All subjects will be seen every three months. We will evaluate the following parameters every three months: 1) height, height velocity and Z-score, 2) body weight and weight velocity. Every six months we will measure: 1) lean body mass utilizing DEXA, 2) pulmonary function, including measurement of respiratory muscle strength (peak inspiratory and peak expiratory pressure), 3) quality of life (QOL), quantitated from QOL forms specific for CF ("The Cystic Fibrosis Questionnaire"). After one year of study, subjects will "cross-over" to the other treatment arm. This 24 month study will allow us to statistically compare outcome measures in 20 treated and 20 nontreated subjects from multiple centers, and will allow us to assess sustained effect in the 20 subjects who receive GH during the first year, by comparing their results to results obtained during the year post treatment.

Condition or Disease Intervention/Treatment Phase
  • Drug: Human recombinant growth hormone
Phase 3

Study Design

Study Type:
Interventional
Allocation:
Randomized
Primary Purpose:
Treatment

Outcome Measures

Primary Outcome Measures

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    5 Years to 12 Years
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • CF patients ages 5-12 who are less than the 25th percentile for age and sex normal values for height and/or weight

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 University of Texas Medical School Houston Texas United States 77030
    2 University of Utah, Dept of Pediatric Endocrinology Salt Lake City Utah United States 84132

    Sponsors and Collaborators

    • National Center for Research Resources (NCRR)
    • Genentech, Inc.

    Investigators

    • Principal Investigator: Dana Hardin, M.D.,

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    , ,
    ClinicalTrials.gov Identifier:
    NCT00005112
    Other Study ID Numbers:
    • NCRR-M01RR02558-0111
    • M01RR002558
    • NCT00000109
    First Posted:
    Apr 17, 2000
    Last Update Posted:
    Jun 24, 2005
    Last Verified:
    Dec 1, 2003
    Additional relevant MeSH terms:

    Study Results

    No Results Posted as of Jun 24, 2005