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TerminatedNCT00511329Updated Apr 12, 2018Results posted

Growth Hormone in Children With Juvenile Rheumatoid Arthritis (JRA) and With Crohn's Disease

A Phase 2/3 interventional study of somatropin [rDNA origin] for injection in Arthritis, Juvenile Rheumatoid and Crohn Disease, sponsored by Nationwide Children's Hospital. Terminated at 1 site in United States. Open to participants aged 5 Years to 17 Years. Per ClinicalTrials.gov, last updated 2018-04-12.

Sponsored by Nationwide Children's Hospital · Phase 2/3, Interventional, and Treatment

Why this study was terminated
PI left the institution
Phase
Phase 2/3
Study type
Interventional
Enrollment
10
Allocation
Not applicable
Ages
5 Years to 17 Years
Sex
All
01

Study summary

The investigators hypothesize that the anabolic effects of Genotropin (somatropin) will improve the height and weight of children with inflammatory based chronic illness who have failed to grow despite receiving adequate nutrition. The investigators will test the hypothesis by treating 32 chronically ill children (16 JRA and 16 Crohn's) with growth hormone (GH) for 12 months and comparing them to baseline.

Read the detailed description
  1. To determine the effect of GenotropinTM on height, height velocity, body weight and lean body mass. Growth records from previous years will be assessed to determine growth velocity and weight gain. We will measure height and weight during the study using a standardized stadiometer and scale. These parameters will be converted to Z scores (GenenCalcTM, Genentech). Lean body mass (LBM) will be measured by DXA every six months. This specific aim tests the hypothesis that GH significantly improves height, height velocity, weight, weight velocity and LBM in chronically ill children who have grown poorly despite adequate nutritional rehabilitation.
  2. To determine the effect of GenotropinTM on whole body protein turnover (WBPT), IGF-1 levels and cytokines. Utilizing the stable isotope 1-[13C] leucine, we will measure WBPT. Measurements of WBPT will be correlated with LBM and changes in height and weight velocity. This data will be compared to that from age matched normal children (archival data maintained by the PI). We will measure IGF-1 and the cytokines TNF-α, IL-6 and IL-10 at baseline and very six months. These measures will be correlated with height and weight velocity and IGF-1 levels. Cytokine levels will also be correlated with protein catabolism. This specific aim tests the hypothesis that chronically ill children have increased catabolism, caused by high levels of circulating cytokines and low levels of IGF-1, and that these abnormalities improve with GenotropinTM.
  3. Evaluation of bone mineral content (BMC) and bone turnover. At baseline and every six months we will measure BMC of the whole body, hip and spine using DXA. Results will be compared to those from age-matched normal children whose results are archived in the body composition laboratory of Dr. Ken Ellis (Children's Nutrition Research Center, Houston). At baseline and every six months we will also measure bone mineral turnover markers including: osteocalcin, bone specific alkaline phosphatase activity, and deoxypyridinoline. All findings will be related to cytokine levels and to use of glucocorticoids. This specific aim tests the hypothesis that bone density is low in chronically ill children secondary to increased osteoclast activity correlating with elevated cytokine levels.
02

Conditions studied

  • Arthritis, Juvenile Rheumatoid
  • Crohn Disease

Keywords

  • growth hormone
  • short stature
  • growth failure
  • chronic illness
03

In context

Arthritis

3,554 studies on the registry are indexed under Arthritis; 317 are open to participants now.

This study's enrollment of 10 is below the median of 90 across 2,377 interventional studies indexed under Arthritis.

Browse Arthritis studies →

Lead sponsor

Nationwide Children's Hospital is the lead sponsor of 231 studies on the registry; 43 are open to participants now.

Of its 16 completed or terminated interventional studies of FDA-regulated products, 8 (50%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
5 Years to 17 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Referral for continued poor growth (growth velocity less than the 25th percentile)
  2. Height less than the 10th percentile
  3. Weight less than the 10th percentile compared to age and gender- matched normal values.

Exclusion criteria

Exclusion Criteria:

  1. Previous diagnosis with diabetes, chronic fevers (temp > 101.5) or chronic bacterial infection
  2. Previous treatment with GH
  3. Bone age > 17
05

Study design

Phase
Phase 2 / Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
10 participants (actual)

Study arms

  • Experimental
    Somatropin

    Drug: somatropin [rDNA origin] for injection

Interventions

  • Drugsomatropin [rDNA origin] for injection

    Genotropin will be started at 0.3 mg/kg/week administered by daily subcutaneous injection. Doses will be increased by weight at each visit. Additionally, we will monitor IGF-1 levels at month 3, and 6 and adjust the Genotropin dose to maintain IGF-1 levels in the 50th -75th percentile for ages.

    Also known as: Genotropin

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What researchers measure

Primary outcomes

  1. The Primary Outcome Variables Will be Height and Weight Z Score.

    Time frame: 12 months

Secondary outcomes

  1. Secondary Outcome Variables Will Include Change in Lean Body Mass, Change in Bone Mineral Content, Change in Inflammatory Mediated Cytokine Levels and Change in Bone Turnover.

    Time frame: 12 months

07

Results

Posted Apr 12, 2018

Participant flow

Participant flow — Overall Study
MilestoneSomatropin
Started0
Completed0
Not completed0

Outcome measures

PrimaryThe Primary Outcome Variables Will be Height and Weight Z Score.
Time frame:
12 months

No measurements were reported for this outcome.

SecondarySecondary Outcome Variables Will Include Change in Lean Body Mass, Change in Bone Mineral Content, Change in Inflammatory Mediated Cytokine Levels and Change in Bone Turnover.
Time frame:
12 months

No measurements were reported for this outcome.

Adverse events

Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Somatropin———

Baseline characteristics

PI left institution suddenly in 2010 and studies were closed. Study records for participants cannot be located and possibly have been destroyed.

Age, Categorical
Age, CategoricalSomatropin
<=18 years—
Between 18 and 65 years—
>=65 years—
Age, Continuous
Age, Continuous(years)Somatropin
Sex: Female, Male
Sex: Female, MaleSomatropin
Female—
Male—
Region of Enrollment
Region of Enrollment(participants)Somatropin
08

Study locations

1 site
  • Columbus Children's Hospital
    Columbus, Ohio 43205, United States
09

References and documents

Publications

  • Bechtold S, Ripperger P, Muhlbayer D, Truckenbrodt H, Hafner R, Butenandt O, Schwarz HP. GH therapy in juvenile chronic arthritis: results of a two-year controlled study on growth and bone. J Clin Endocrinol Metab. 2001 Dec;86(12):5737-44. doi: 10.1210/jcem.86.12.8083. PubMed 11739431 ↗
  • Mauras N, George D, Evans J, Milov D, Abrams S, Rini A, Welch S, Haymond MW. Growth hormone has anabolic effects in glucocorticosteroid-dependent children with inflammatory bowel disease: a pilot study. Metabolism. 2002 Jan;51(1):127-35. doi: 10.1053/meta.2002.28972. PubMed 11782884 ↗
  • Hardin DS, Ellis KJ, Dyson M, Rice J, McConnell R, Seilheimer DK. Growth hormone decreases protein catabolism in children with cystic fibrosis. J Clin Endocrinol Metab. 2001 Sep;86(9):4424-8. doi: 10.1210/jcem.86.9.7822. PubMed 11549686 ↗
  • Hardin DS, Rice J, Doyle ME, Pavia A. Growth hormone improves protein catabolism and growth in prepubertal children with HIV infection. Clin Endocrinol (Oxf). 2005 Sep;63(3):259-62. doi: 10.1111/j.1365-2265.2005.02331.x. PubMed 16117811 ↗
  • Hardin DS, Adams-Huet B, Brown D, Chatfield B, Dyson M, Ferkol T, Howenstine M, Prestidge C, Royce F, Rice J, Seilheimer DK, Steelman J, Shepherds R. Growth hormone treatment improves growth and clinical status in prepubertal children with cystic fibrosis: results of a multicenter randomized controlled trial. J Clin Endocrinol Metab. 2006 Dec;91(12):4925-9. doi: 10.1210/jc.2006-1101. Epub 2006 Oct 3. PubMed 17018651 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 12, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00511329
Lead sponsor
Nationwide Children's Hospital
Collaborators
Pfizer
Responsible party
Sponsor
First posted
Aug 3, 2007
Start date
Aug 2007
Primary completion
May 2010
Completion
May 2010
Results posted
Apr 12, 2018
Last update
Apr 12, 2018

Study contacts

Dana S Hardin, MD
principal investigator · Nationwide Children's Hospital

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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This study is terminated, as verified in Mar 2018. You cannot join it, but the record below documents what was studied.

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