CClinicalTrials.gg
CompletedNCT00957671Updated Jun 29, 2018Results posted

Anterior Pituitary Hormone Replacement in Traumatic Brain Injury

A Phase 4 interventional study of Recombinant human growth hormone in Growth Hormone Deficiency and Traumatic Brain Injury, sponsored by The University of Texas Medical Branch, Galveston. Completed at 2 sites in United States. Open to participants aged 21 Years and older. Per ClinicalTrials.gov, last updated 2018-06-29.

Sponsored by The University of Texas Medical Branch, Galveston · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
15
Allocation
Not applicable
Ages
21 Years and older
Sex
All
01

Study summary

Fifteen to twenty percent of adults who suffer a traumatic brain injury (TBI) that requires hospitalization and rehabilitation have been found to have growth hormone (GH) deficiency by GH stimulation testing. Moreover, abnormalities have also been established for the cortisol and thyroid axis. The hypothesis of this proposal is that hormone replacement in TBI patients with documented abnormalities in the GH, thyroid, or cortisol axis will improve muscle function, body composition, aerobic capacity (GH) and tests of neuropsychologic function (GH, thyroid, cortisol).

Read the detailed description

This protocol is designed to screen and detect evidence of pituitary hormone deficiency in adults following traumatic brain injury. Growth hormone deficiency will be replaced for a period of one year. Subject will not be screened until at least one year following brain injury to allow for natural recovery of hormone function.

02

Conditions studied

  • Growth Hormone Deficiency
  • Traumatic Brain Injury

Keywords

  • TBI
  • Traumatic Brain injury
  • Growth hormone deficiency
  • Anterior pituitary hormone
  • Recombinant human growth Hormone
  • Genotropin
03

In context

Brain Injuries

2,113 studies on the registry are indexed under Brain Injuries; 385 are open to participants now.

This study's enrollment of 15 is below the median of 48 across 1,331 interventional studies indexed under Brain Injuries.

Browse Brain Injuries studies →

Lead sponsor

The University of Texas Medical Branch, Galveston is the lead sponsor of 251 studies on the registry; 38 are open to participants now.

Of its 30 completed or terminated interventional studies of FDA-regulated products, 25 (83%) have results posted.

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

04

Who can participate

Ages eligible
21 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Patients aged 21 and older.
  • Documented moderate to severe traumatic brain injury at least one year post injury.

Exclusion criteria

Exclusion Criteria:

  • The only absolute exclusionary medication will be an anticoagulant (Coumadin) because of the risk of bleeding during the possible muscle biopsy procedure and daily injections of rhGH in the GH arm of the study.
  • Any subject with a history of hepatitis or a 3-fold elevation of liver function tests (Alk phos, alanine aminotransferase (ALT), aspartate aminotransferase (AST)). We are uncertain of the effects of hormone replacement such as rhGH on the liver, so we will exclude any subjects with hepatitis. This exclusion applies only to subjects who would be enrolled in the GH arm of the study.
  • Subjects who are deficient in cortisol or thyroid at screening will be excluded until hormone abnormalities have been corrected.
  • Subjects with chronic pain who are being managed with narcotics will be excluded as the effects of central nervous system depressants may interfere with study test results.
05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
15 participants (actual)

Study arms

  • Experimental
    Human Growth Hormone

    recombinant human growth hormone (rhGH) self administered daily for one year

    Drug: Recombinant human growth hormone

Interventions

  • DrugRecombinant human growth hormone

    200 mcg daily for two months, followed by 400 mcg daily for two months followed by 600 mcg daily for term of treatment period (one year total)

    Also known as: Genotropin, Somatropin, hGH

06

What researchers measure

Primary outcomes

  1. Maximum Oxygen Uptake at Baseline.

    Maximum Oxygen Uptake was measured during cardiorespiratory testing using a modified Balke protocol with expired gases collected and analyzed by an automated metabolic cart.

    Time frame: baseline

  2. Maximum Oxygen Uptake After One Year of Human Growth Hormone Replacement Therapy.

    Maximum Oxygen Uptake was measured during cardiorespiratory testing using a modified Balke protocol with expired gases collected and analyzed by an automated metabolic cart.

    Time frame: one year

  3. Minute Ventilation at Baseline.

    Minute ventilation was measured during cardiorespiratory testing using a modified Balke protocol with expired gases collected and analyzed by an automated metabolic cart.

    Time frame: baseline

  4. Minute Ventilation After One Year of Human Growth Hormone Replacement Therapy.

    Minute ventilation was measured during cardiorespiratory testing using a modified Balke protocol with expired gases collected and analyzed by an automated metabolic cart.

    Time frame: one year

  5. Respiratory Exchange Ratio at Baseline.

    Respiratory exchange ratio was measured during cardiorespiratory testing using a modified Balke protocol with expired gases collected and analyzed by an automated metabolic cart.

    Time frame: baseline

  6. Respiratory Exchange Ratio After One Year of Human Growth Hormone Replacement Therapy.

    Respiratory exchange ratio was measured during cardiorespiratory testing using a modified Balke protocol with expired gases collected and analyzed by an automated metabolic cart.

    Time frame: one year

  7. Oxygen Pulse at Baseline.

    Oxygen Pulse was measured during cardiorespiratory testing using a modified Balke protocol with expired gases collected and analyzed by an automated metabolic cart. Oxygen pulse is calculated by dividing VO2 consumed (mL/min) by heart rate (beats/min) yielding mL/beat. This provides an estimate of cardiac stroke volume.

    Time frame: baseline

  8. Oxygen Pulse After One Year of Human Growth Hormone Replacement Therapy.

    Oxygen Pulse was measured during cardiorespiratory testing using a modified Balke protocol with expired gases collected and analyzed by an automated metabolic cart. Oxygen pulse is calculated by dividing VO2 consumed (mL/min) by heart rate (beats/min) yielding mL/beat. This provides an estimate of cardiac stroke volume.

    Time frame: one year

Secondary outcomes

  1. Neuropsychological Function as Measured by California Verbal Learning Test-II With Total Recall at Baseline.

    The California Verbal Learning Test II (CVLT-II) is a comprehensive assessment of verbal learning and memory. Subjects are read a list of 16 words. Total recall is a sum of all word list items correctly recalled immediately on learning trials 1 through 5. Data is reported as raw scores. Score range is 0 (lowest) to 80 (highest). A higher score indicates a better outcome.

    Time frame: baseline

  2. Neuropsychological Function as Measured by California Verbal Learning Test-II With Total Recall After 1 Year of Human Growth Hormone Replacement Therapy.

    The California Verbal Learning Test II (CVLT-II) is a comprehensive assessment of verbal learning and memory. Subjects are read a list of 16 words. Total recall is a sum of all word list items correctly recalled immediately on learning trials 1 through 5. Data is reported as raw scores. Score range is 0 (lowest) to 80 (highest). A higher score indicates a better outcome.

    Time frame: One year

  3. Neuropsychological Function as Measured by California Verbal Learning Test-II With Delayed Recall at Baseline.

    The California Verbal Learning Test II (CVLT-II) is a comprehensive assessment of verbal learning and memory. Subjects are read a list of 16 words. Delayed recall is a sum of all word list items correctly recalled after a 25 minute delay on learning trials 1 through 5. Data is reported as raw scores. Score range is 0 (lowest) to 80 (highest). A higher score indicates a better outcome.

    Time frame: baseline

  4. Neuropsychological Function as Measured by California Verbal Learning Test-II With Delayed Recall After 1 Year of Human Growth Hormone Replacement Therapy.

    The California Verbal Learning Test II (CVLT-II) is a comprehensive assessment of verbal learning and memory. Subjects are read a list of 16 words. Delayed recall is a sum of all word list items correctly recalled after a 25 minute delay on learning trials 1 through 5. Data is reported as raw scores. Score range is 0 (lowest) to 80 (highest). A higher score indicates a better outcome.

    Time frame: One year

  5. Neuropsychological Function as Measured by Brief Visuospatial Memory Test-R With Total Recall at Baseline

    The Brief Visuospatial Memory Test is measure of visual memory. The subject views a stimulus page with 6 shapes on it for 10 seconds. The subjects are then asked to draw as many figures as they remember in the correct locations as possible. Total recall is a measure of the subjects memory immediately after viewing the stimulus page. Data is reported as raw scores. Scores range from 0 (lowest) to 36 (highest). A higher score indicates a better outcome.

    Time frame: baseline

  6. Neuropsychological Function as Measured by Brief Visuospatial Memory Test-R With Total Recall After 1 Year of Human Growth Hormone Replacement Therapy.

    The Brief Visuospatial Memory Test is measure of visual memory. The subject views a stimulus page with 6 shapes on it for 10 seconds. The subjects are then asked to draw as many figures as they remember in the correct locations as possible. Total recall is a measure of the subjects memory immediately after viewing the stimulus page. Data is reported as raw scores. Scores range from 0 (lowest) to 36 (highest). A higher score indicates a better outcome.

    Time frame: one year

  7. Neuropsychological Function as Measured by Brief Visuospatial Memory Test-R With Delayed Recall at Baseline

    The Brief Visuospatial Memory Test is measure of visual memory. The subject views a stimulus page with 6 shapes on it for 10 seconds. The subjects are then asked to draw as many figures as they remember in the correct locations as possible. The delayed recall is a measure of the subjects memory after a 25 minutes delay. The participants are asked to freely recall and again draw the six figures.Data is reported as raw scores. Scores range from 0 (lowest) to 36 (highest). A higher score indicates a better outcome.

    Time frame: baseline

  8. Neuropsychological Function as Measured by Brief Visuospatial Memory Test-R With Delayed Recall After 1 Year of Human Growth Hormone Replacement Therapy

    The Brief Visuospatial Memory Test is measure of visual memory. The subject views a stimulus page with 6 shapes on it for 10 seconds. The subjects are then asked to draw as many figures as they remember in the correct locations as possible. The delayed recall is a measure of the subjects memory after a 25 minutes delay. The participants are asked to freely recall and again draw the six figures.Data is reported as raw scores. Scores range from 0 (lowest) to 36 (highest). A higher score indicates a better outcome.

    Time frame: one year

  9. Neuropsychological Function as Measured by Digit Span Total at Baseline

    Digit Span; Wechsler Memory Scale III (WMS III). Digits Forward is a test of digit span (range = 3 to 9 digits) consisting of seven items (each with 2 trials). Digits Backward is a test of digit span (range = 3 to 9 digits); however the participant must provide the presented sequence in reverse order. The test consists of seven items (each with 2 trials). Total score is calculated by adding the scores from forward and backward. Data is reported as raw scores. Score ranges are 0 (lowest) to 32 (highest). A higher score indicates a better outcome.

    Time frame: baseline

  10. Neuropsychological Function as Measured by Digit Span Total After One Year of Human Growth Hormone Replacement Therapy.

    Digit Span; Wechsler Memory Scale III (WMS III). Digits Forward is a test of digit span (range = 3 to 9 digits) consisting of seven items (each with 2 trials). Digits Backward is a test of digit span (range = 3 to 9 digits); however the participant must provide the presented sequence in reverse order. The test consists of seven items (each with 2 trials). Total score is calculated by adding the scores from forward and backward. Data is reported as raw scores. Score ranges are 0 (lowest) to 32 (highest). A higher score indicates a better outcome.

    Time frame: one year

  11. Neuropsychological Function as Measured by Processing Speed Index at Baseline

    Processing Speed Index is a subcategory of the Wechsler Adult Intelligence Scale III (WAIS-III). Processing speed refers to the speed of cognitive processes and response output. This index is comprised of performances on two separate tests of visuomotor speed of information processing ability. On one test (Coding) participants refer to a key on top of a page to translate non-verbal symbols to an alpha-numeric digit. The participants then fill in boxes with the correct symbol assigned to a particular number. On the other test (Symbol Search) participants are asked to visually scan and mark items that are identical to one of two targets. If neither target is shown in the array the participant must mark out the work "NO". Total correct responses for both task within 120 seconds are recorded. Ranges are 0 (lowest) to 150 (highest) with 100 being the normal average. A higher score indicates a better outcome.

    Time frame: baseline

  12. Neuropsychological Function as Measured by Processing Speed Index After One Year of Human Growth Hormone Replacement Therapy.

    Processing Speed Index is a subcategory of the Wechsler Adult Intelligence Scale III (WAIS-III). Processing speed refers to the speed of cognitive processes and response output. This index is comprised of performances on two separate tests of visuomotor speed of information processing ability. On one test (Coding) participants refer to a key on top of a page to translate non-verbal symbols to an alpha-numeric digit. The participants then fill in boxes with the correct symbol assigned to a particular number. On the other test (Symbol Search) participants are asked to visually scan and mark items that are identical to one of two targets. If neither target is shown in the array the participant must mark out the work "NO". Total correct responses for both task within 120 seconds are recorded. Ranges are 0 (lowest) to 150 (highest) with 100 being the normal average. A higher score indicates a better outcome.

    Time frame: one year

  13. Neuropsychological Function as Measured by Letter Fluency at Baseline

    Letter Fluency is a condition measured as part of the subcategory, Verbal Fluency, in the Delis-Kaplan Executive Function System (D-KEFS). Subjects are asked to name as many words as they can starting with a specified letter for 60 seconds. The words can not be names, places, numbers or grammatical variants of previous answers. Repeated answers are not scored as a correct response. There are 3 trials, with 3 different letters. The total number of correct responses is totaled for all 3 trials and a Letter Fluency Score is given. A higher score is considered better. There is no set range as the score depends on how many correct words the subject relays in the given time period.

    Time frame: baseline

  14. Neuropsychological Function as Measured by Letter Fluency After One Year of Human Growth Hormone Replacement Therapy

    Letter Fluency is a condition measured as part of the subcategory, Verbal Fluency, in the Delis-Kaplan Executive Function System (D-KEFS). Subjects are asked to name as many words as they can starting with a specified letter for 60 seconds. The words can not be names, places, numbers or grammatical variants of previous answers. Repeated answers are not scored as a correct response. There are 3 trials, with 3 different letters. The total number of correct responses is totaled for all 3 trials and a Letter Fluency Score is given. A higher score is considered better. There is no set range as the score depends on how many correct words the subject relays in the given time period.

    Time frame: one year

  15. Depression as Measured by the Beck Depression Inventory at Baseline.

    Beck Depression Inventory (BDI-II) is used to measure the severity of depression symptoms. The BDI-II contains 21 questions, each answer being scored on a scale value of 0 to 3. Higher total scores indicate more severe depressive symptoms. The standardized cutoffs are: 0-13: minimal depression; 14-19: mild; depression; 20-28: moderate depression; 29-63: severe depression.

    Time frame: baseline

  16. Depression as Measured by Beck Depression Inventory After One Year of Human Growth Hormone Replacement Therapy.

    Beck Depression Inventory (BDI-II) is used to measure the severity of depression symptoms. The BDI-II contains 21 questions, each answer being scored on a scale value of 0 to 3. Higher total scores indicate more severe depressive symptoms. The standardized cutoffs are: 0-13: minimal depression; 14-19: mild; depression; 20-28: moderate depression; 29-63: severe depression.

    Time frame: one year

  17. Fatigue as Measured Using Fatigue Severity Scale at Baseline.

    Fatigue Severity Scale (FSS) is a measure of fatigue and how that fatigue interferes with life. It is a 9-item scale, with a range from 9 to 63, with a higher number indicating greater severity.

    Time frame: baseline

  18. Fatigue Measured Using the Fatigue Severity Scale After One Year of Human Growth Hormone Therapy.

    Fatigue Severity Scale (FSS) is a measure of fatigue and how that fatigue interferes with life. It is a 9-item scale, with a range from 9 to 63, with a higher number indicating greater severity.

    Time frame: one year

  19. Muscle Function in Male Subjects Measured Using Maximum Isometric Leg Extension by Biodex Pro 4 at Baseline.

    Maximum torque production during isometric contraction of the knee extensor muscles.

    Time frame: baseline

  20. Muscle Function in Male Subjects Measured Using Maximum Isometric Leg Extension by Biodex Pro 4 After One Year of Human Growth Hormone Replacement Therapy.

    Maximum torque production during isometric contraction of the knee extensor muscles.

    Time frame: one year

  21. Muscle Function in Male Subjects Measured Using Maximum Isokinetic Leg Extension by Biodex Pro 4 at Baseline.

    Maximum torque production during maximal isokinetic contractions at 90 degrees per second.

    Time frame: baseline

  22. Muscle Function in Male Subjects Measured Using Maximum Isokinetic Leg Extension by Biodex Pro 4 After One Year of Human Growth Hormone Replacement Therapy.

    Maximum torque production during maximal isokinetic contractions at 90 degrees per second.

    Time frame: one year

  23. Muscle Fatigue as Measured by Biodex Pro 4 at Baseline.

    Muscle fatigue is measured using repetitive isokinetic contractions of the knee extensors at 90 degrees per second. Each subject was asked to produce 40 contractions at full force. Data is presented as % of maximum torque at the 40th contraction in the fatigue protocol.

    Time frame: baseline

  24. Muscle Fatigue as Measured by Biodex Pro 4 After One Year of Human Growth Hormone Replacement Therapy.

    Muscle fatigue is measured using repetitive isokinetic contractions of the knee extensors at 90 degrees per second. Each subject was asked to produce 40 contractions at full force. Data is presented as % of maximum torque at the 40th contraction in the fatigue protocol.

    Time frame: one year

  25. Body Mass in Male Subjects as Measured by Dual Energy X-Ray Absorptiometry (DEXA) at Baseline.

    Body mass was calculated from whole body scan taken using a GE Lunar iDEXA.

    Time frame: baseline

  26. Body Mass in Male Subjects as Measured by Dual Energy X-Ray Absorptiometry (DEXA) After One Year of Human Growth Hormone Replacement Therapy.

    Body mass was calculated from whole body scan taken using a GE Lunar iDEXA

    Time frame: one year

  27. Lean Body Mass in Male Subjects as Measured by Dual Energy X-Ray Absorptiometry (DEXA) at Baseline

    Lean Body mass was calculated from whole body scan taken using a GE Lunar iDEXA

    Time frame: baseline

  28. Lean Body Mass in Male Subjects as Measured by Dual Energy X-Ray Absorptiometry (DEXA) After One Year of Human Growth Hormone Replacement Therapy.

    Lean Body mass was calculated from whole body scan taken using a GE Lunar iDEXA

    Time frame: one year

  29. Fat Free Mass in Male Subjects as Measured by Dual Energy X-Ray Absorptiometry (DEXA) at Baseline.

    Fat free mass is calculated from whole body scan measured using a GE Lunar iDEXA.

    Time frame: baseline

  30. Fat Free Mass in Male Subjects as Measured by Dual Energy X-Ray Absorptiometry (DEXA) After One Year of Human Growth Hormone Replacement Therapy.

    Fat free mass is calculated from whole body scan measured on a GE Lunar iDEXA.

    Time frame: one year

  31. Percent Body Fat as Measured by Dual Energy X-Ray Absorptiometry (DEXA) at Baseline.

    Percent body fat is calculated from a whole body scan measured on a GE Lunar iDEXA.

    Time frame: baseline

  32. Percent Body Fat in Male Subjects as Measured by Dual Energy X-Ray Absorptiometry (DEXA) After One Year of Human Growth Hormone Replacement Therapy.

    Percent body fat is calculated from a whole body scan measured on a GE Lunar iDEXA.

    Time frame: one year

  33. Muscle Function in Female Subjects Measured Using Maximum Isometric Leg Extension by Biodex Pro 4 at Baseline.

    Maximum torque production during isometric contraction of the knee extensor muscles.

    Time frame: baseline

  34. Muscle Function in Female Subjects Measured Using Maximum Isometric Leg Extension by Biodex Pro 4 After One Year of Human Growth Hormone Replacement Therapy

    Maximum torque production during isometric contraction of the knee extensor muscles.

    Time frame: one year

  35. Muscle Function in Female Subjects Measured Using Maximum Isokinetic Leg Extension by Biodex Pro 4 at Baseline

    Maximum torque production during maximal isokinetic contractions at 90 degrees per second.

    Time frame: baseline

  36. Muscle Function in Female Subjects Measured Using Maximum Isokinetic Leg Extension by Biodex Pro 4 After One Year of Human Growth Hormone Replacement Therapy

    Maximum torque production during maximal isokinetic contractions at 90 degrees per second.

    Time frame: one year

  37. Perceptual Fatigability as Measured by a Fatigue Rating Scale at Baseline.

    Perceptual fatigue was measured before and directly after performing the muscle fatigue exercise protocol (40 continuous maximal force isokinetic knee extensions at 90 degress per second). Subjects were asked to rate their fatigue on a scale of 0-10 with 0 being no fatigue at all and 10 being extreme fatigue. Data is presented as change in fatigue rating induced by exercise testing.

    Time frame: baseline

  38. Perceptual Fatigability as Measured by a Fatigue Rating Scale After One Year of Human Growth Hormone Therapy.

    Perceptual fatigue was measured before and directly after performing the muscle fatigue exercise protocol (40 continuous maximal force isokinetic knee extensions at 90 degress per second). Subjects were asked to rate their fatigue on a scale of 0-10 with 0 being no fatigue at all and 10 being extreme fatigue. Data is presented as change in fatigue rating induced by exercise testing.

    Time frame: one year

  39. Body Mass in Female Subjects as Measured by Dual Energy X-Ray Absorptiometry (DEXA) at Baseline.

    Time frame: baseline

  40. Body Mass in Female Subjects as Measured by Dual Energy X-Ray Absorptiometry (DEXA) After One Year of Human Growth Hormone Replacement Therapy

    Body mass was calculated from whole body scan taken using a GE Lunar iDEXA

    Time frame: one year

  41. Lean Body Mass in Female Subjects as Measured by Dual Energy X-Ray Absorptiometry (DEXA) at Baseline

    Lean Body mass was calculated from whole body scan taken using a GE Lunar iDEXA.

    Time frame: baseline

  42. Lean Body Mass in Female Subjects as Measured by Dual Energy X-Ray Absorptiometry (DEXA) After One Year of Human Growth Hormone Replacement Therapy.

    Lean Body mass was calculated from whole body scan taken using a GE Lunar iDEXA

    Time frame: one year

  43. Fat Free Mass in Female Subjects as Measured by Dual Energy X-Ray Absorptiometry (DEXA) at Baseline.

    Fat free mass is calculated from whole body scan measured using a GE Lunar iDEXA.

    Time frame: baseline

  44. Fat Free Mass in Female Subjects as Measured by Dual Energy X-Ray Absorptiometry (DEXA) After One Year of Human Growth Hormone Replacement Therapy

    Fat free mass is calculated from whole body scan measured on a GE Lunar iDEXA.

    Time frame: one year

  45. Percent Body Fat in Female Subjects as Measured by Dual Energy X-Ray Absorptiometry (DEXA) at Baseline.

    Percent body fat is calculated from a whole body scan measured on a GE Lunar iDEXA.

    Time frame: baseline

  46. Percent Body Fat in Female Subjects as Measured by Dual Energy X-Ray Absorptiometry (DEXA) After One Year of Human Growth Hormone Replacement Therapy.

    Percent body fat is calculated from a whole body scan measured on a GE Lunar iDEXA.

    Time frame: one year

07

Results

Posted May 15, 2018

Participant flow

Subjects with a history of mild to severe traumatic brain injury were recruited from 2010 to 2014. Subjects were screened for abnormal growth hormone secretion by glucagon stimulation test. 19 subjects were screened for this study. 15 of the subjects met final inclusion/exclusion criteria and began the treatment phase.

Participant flow — Overall Study
MilestoneHuman Growth Hormone
Started15
Completed15
Not completed0

Outcome measures

PrimaryMaximum Oxygen Uptake at Baseline.

Maximum Oxygen Uptake was measured during cardiorespiratory testing using a modified Balke protocol with expired gases collected and analyzed by an automated metabolic cart.

Time frame:
baseline
Reported as:
Mean · mL/kg/min
Maximum Oxygen Uptake at Baseline.
mL/kg/minHuman Growth Hormone
Maximum Oxygen Uptake at Baseline.29.0 ± 7.2
PrimaryMaximum Oxygen Uptake After One Year of Human Growth Hormone Replacement Therapy.

Maximum Oxygen Uptake was measured during cardiorespiratory testing using a modified Balke protocol with expired gases collected and analyzed by an automated metabolic cart.

Time frame:
one year
Reported as:
Mean · mL/kg/min
Maximum Oxygen Uptake After One Year of Human Growth Hormone Replacement Therapy.
mL/kg/minHuman Growth Hormone
Maximum Oxygen Uptake After One Year of Human Growth Hormone Replacement Therapy.32.1 ± 7.4
PrimaryMinute Ventilation at Baseline.

Minute ventilation was measured during cardiorespiratory testing using a modified Balke protocol with expired gases collected and analyzed by an automated metabolic cart.

Time frame:
baseline
Reported as:
Mean · L/minute
Minute Ventilation at Baseline.
L/minuteHuman Growth Hormone
Minute Ventilation at Baseline.90.4 ± 24.2
PrimaryMinute Ventilation After One Year of Human Growth Hormone Replacement Therapy.

Minute ventilation was measured during cardiorespiratory testing using a modified Balke protocol with expired gases collected and analyzed by an automated metabolic cart.

Time frame:
one year
Reported as:
Mean · L/minute
Minute Ventilation After One Year of Human Growth Hormone Replacement Therapy.
L/minuteHuman Growth Hormone
Minute Ventilation After One Year of Human Growth Hormone Replacement Therapy.102.4 ± 23.1
PrimaryRespiratory Exchange Ratio at Baseline.

Respiratory exchange ratio was measured during cardiorespiratory testing using a modified Balke protocol with expired gases collected and analyzed by an automated metabolic cart.

Time frame:
baseline
Reported as:
Mean · ratio of CO2/O2
Respiratory Exchange Ratio at Baseline.
ratio of CO2/O2Human Growth Hormone
Respiratory Exchange Ratio at Baseline.1.27 ± 0.12
PrimaryRespiratory Exchange Ratio After One Year of Human Growth Hormone Replacement Therapy.

Respiratory exchange ratio was measured during cardiorespiratory testing using a modified Balke protocol with expired gases collected and analyzed by an automated metabolic cart.

Time frame:
one year
Reported as:
Mean · ratio of CO2/O2
Respiratory Exchange Ratio After One Year of Human Growth Hormone Replacement Therapy.
ratio of CO2/O2Human Growth Hormone
Respiratory Exchange Ratio After One Year of Human Growth Hormone Replacement Therapy.1.27 ± 0.10
PrimaryOxygen Pulse at Baseline.

Oxygen Pulse was measured during cardiorespiratory testing using a modified Balke protocol with expired gases collected and analyzed by an automated metabolic cart. Oxygen pulse is calculated by dividing VO2 consumed (mL/min) by heart rate (beats/min) yielding mL/beat. This provides an estimate of cardiac stroke volume.

Time frame:
baseline
Reported as:
Mean · mL/beat
Oxygen Pulse at Baseline.
mL/beatHuman Growth Hormone
Oxygen Pulse at Baseline.15.2 ± 4.1
PrimaryOxygen Pulse After One Year of Human Growth Hormone Replacement Therapy.

Oxygen Pulse was measured during cardiorespiratory testing using a modified Balke protocol with expired gases collected and analyzed by an automated metabolic cart. Oxygen pulse is calculated by dividing VO2 consumed (mL/min) by heart rate (beats/min) yielding mL/beat. This provides an estimate of cardiac stroke volume.

Time frame:
one year
Reported as:
Mean · mL/beat
Oxygen Pulse After One Year of Human Growth Hormone Replacement Therapy.
mL/beatHuman Growth Hormone
Oxygen Pulse After One Year of Human Growth Hormone Replacement Therapy.16.4 ± 4.2
SecondaryNeuropsychological Function as Measured by California Verbal Learning Test-II With Total Recall at Baseline.

The California Verbal Learning Test II (CVLT-II) is a comprehensive assessment of verbal learning and memory. Subjects are read a list of 16 words. Total recall is a sum of all word list items correctly recalled immediately on learning trials 1 through 5. Data is reported as raw scores. Score range is 0 (lowest) to 80 (highest). A higher score indicates a better outcome.

Time frame:
baseline
Reported as:
Mean · scores on a scale
Neuropsychological Function as Measured by California Verbal Learning Test-II With Total Recall at Baseline.
scores on a scaleHuman Growth Hormone
Neuropsychological Function as Measured by California Verbal Learning Test-II With Total Recall at Baseline.45.7 ± 10.8
SecondaryNeuropsychological Function as Measured by California Verbal Learning Test-II With Total Recall After 1 Year of Human Growth Hormone Replacement Therapy.

The California Verbal Learning Test II (CVLT-II) is a comprehensive assessment of verbal learning and memory. Subjects are read a list of 16 words. Total recall is a sum of all word list items correctly recalled immediately on learning trials 1 through 5. Data is reported as raw scores. Score range is 0 (lowest) to 80 (highest). A higher score indicates a better outcome.

Time frame:
One year
Reported as:
Mean · scores on a scale
Neuropsychological Function as Measured by California Verbal Learning Test-II With Total Recall After 1 Year of Human Growth Hormone Replacement Therapy.
scores on a scaleHuman Growth Hormone
Neuropsychological Function as Measured by California Verbal Learning Test-II With Total Recall After 1 Year of Human Growth Hormone Replacement Therapy.51.0 ± 9.4
SecondaryNeuropsychological Function as Measured by California Verbal Learning Test-II With Delayed Recall at Baseline.

The California Verbal Learning Test II (CVLT-II) is a comprehensive assessment of verbal learning and memory. Subjects are read a list of 16 words. Delayed recall is a sum of all word list items correctly recalled after a 25 minute delay on learning trials 1 through 5. Data is reported as raw scores. Score range is 0 (lowest) to 80 (highest). A higher score indicates a better outcome.

Time frame:
baseline
Reported as:
Mean · scores on a scale
Neuropsychological Function as Measured by California Verbal Learning Test-II With Delayed Recall at Baseline.
scores on a scaleHuman Growth Hormone
Neuropsychological Function as Measured by California Verbal Learning Test-II With Delayed Recall at Baseline.9.9 ± 3.8
SecondaryNeuropsychological Function as Measured by California Verbal Learning Test-II With Delayed Recall After 1 Year of Human Growth Hormone Replacement Therapy.

The California Verbal Learning Test II (CVLT-II) is a comprehensive assessment of verbal learning and memory. Subjects are read a list of 16 words. Delayed recall is a sum of all word list items correctly recalled after a 25 minute delay on learning trials 1 through 5. Data is reported as raw scores. Score range is 0 (lowest) to 80 (highest). A higher score indicates a better outcome.

Time frame:
One year
Reported as:
Mean · scores on a scale
Neuropsychological Function as Measured by California Verbal Learning Test-II With Delayed Recall After 1 Year of Human Growth Hormone Replacement Therapy.
scores on a scaleHuman Growth Hormone
Neuropsychological Function as Measured by California Verbal Learning Test-II With Delayed Recall After 1 Year of Human Growth Hormone Replacement Therapy.11.2 ± 2.6
SecondaryNeuropsychological Function as Measured by Brief Visuospatial Memory Test-R With Total Recall at Baseline

The Brief Visuospatial Memory Test is measure of visual memory. The subject views a stimulus page with 6 shapes on it for 10 seconds. The subjects are then asked to draw as many figures as they remember in the correct locations as possible. Total recall is a measure of the subjects memory immediately after viewing the stimulus page. Data is reported as raw scores. Scores range from 0 (lowest) to 36 (highest). A higher score indicates a better outcome.

Time frame:
baseline
Reported as:
Mean · scores on a scale
Neuropsychological Function as Measured by Brief Visuospatial Memory Test-R With Total Recall at Baseline
scores on a scaleHuman Growth Hormone
Neuropsychological Function as Measured by Brief Visuospatial Memory Test-R With Total Recall at Baseline18.7 ± 5.7
SecondaryNeuropsychological Function as Measured by Brief Visuospatial Memory Test-R With Total Recall After 1 Year of Human Growth Hormone Replacement Therapy.

The Brief Visuospatial Memory Test is measure of visual memory. The subject views a stimulus page with 6 shapes on it for 10 seconds. The subjects are then asked to draw as many figures as they remember in the correct locations as possible. Total recall is a measure of the subjects memory immediately after viewing the stimulus page. Data is reported as raw scores. Scores range from 0 (lowest) to 36 (highest). A higher score indicates a better outcome.

Time frame:
one year
Reported as:
Mean · scores on a scale
Neuropsychological Function as Measured by Brief Visuospatial Memory Test-R With Total Recall After 1 Year of Human Growth Hormone Replacement Therapy.
scores on a scaleHuman Growth Hormone
Neuropsychological Function as Measured by Brief Visuospatial Memory Test-R With Total Recall After 1 Year of Human Growth Hormone Replacement Therapy.22.7 ± 5.1
SecondaryNeuropsychological Function as Measured by Brief Visuospatial Memory Test-R With Delayed Recall at Baseline

The Brief Visuospatial Memory Test is measure of visual memory. The subject views a stimulus page with 6 shapes on it for 10 seconds. The subjects are then asked to draw as many figures as they remember in the correct locations as possible. The delayed recall is a measure of the subjects memory after a 25 minutes delay. The participants are asked to freely recall and again draw the six figures.Data is reported as raw scores. Scores range from 0 (lowest) to 36 (highest). A higher score indicates a better outcome.

Time frame:
baseline
Reported as:
Mean · scores on a scale
Neuropsychological Function as Measured by Brief Visuospatial Memory Test-R With Delayed Recall at Baseline
scores on a scaleHuman Growth Hormone
Neuropsychological Function as Measured by Brief Visuospatial Memory Test-R With Delayed Recall at Baseline7.2 ± 2.9
SecondaryNeuropsychological Function as Measured by Brief Visuospatial Memory Test-R With Delayed Recall After 1 Year of Human Growth Hormone Replacement Therapy

The Brief Visuospatial Memory Test is measure of visual memory. The subject views a stimulus page with 6 shapes on it for 10 seconds. The subjects are then asked to draw as many figures as they remember in the correct locations as possible. The delayed recall is a measure of the subjects memory after a 25 minutes delay. The participants are asked to freely recall and again draw the six figures.Data is reported as raw scores. Scores range from 0 (lowest) to 36 (highest). A higher score indicates a better outcome.

Time frame:
one year
Reported as:
Mean · scores on a scale
Neuropsychological Function as Measured by Brief Visuospatial Memory Test-R With Delayed Recall After 1 Year of Human Growth Hormone Replacement Therapy
scores on a scaleHuman Growth Hormone
Neuropsychological Function as Measured by Brief Visuospatial Memory Test-R With Delayed Recall After 1 Year of Human Growth Hormone Replacement Therapy9.1 ± 2.2
SecondaryNeuropsychological Function as Measured by Digit Span Total at Baseline

Digit Span; Wechsler Memory Scale III (WMS III). Digits Forward is a test of digit span (range = 3 to 9 digits) consisting of seven items (each with 2 trials). Digits Backward is a test of digit span (range = 3 to 9 digits); however the participant must provide the presented sequence in reverse order. The test consists of seven items (each with 2 trials). Total score is calculated by adding the scores from forward and backward. Data is reported as raw scores. Score ranges are 0 (lowest) to 32 (highest). A higher score indicates a better outcome.

Time frame:
baseline
Reported as:
Mean · scores on a scale
Neuropsychological Function as Measured by Digit Span Total at Baseline
scores on a scaleHuman Growth Hormone
Neuropsychological Function as Measured by Digit Span Total at Baseline16.0 ± 4.5
SecondaryNeuropsychological Function as Measured by Digit Span Total After One Year of Human Growth Hormone Replacement Therapy.

Digit Span; Wechsler Memory Scale III (WMS III). Digits Forward is a test of digit span (range = 3 to 9 digits) consisting of seven items (each with 2 trials). Digits Backward is a test of digit span (range = 3 to 9 digits); however the participant must provide the presented sequence in reverse order. The test consists of seven items (each with 2 trials). Total score is calculated by adding the scores from forward and backward. Data is reported as raw scores. Score ranges are 0 (lowest) to 32 (highest). A higher score indicates a better outcome.

Time frame:
one year
Reported as:
Mean · scores on a scale
Neuropsychological Function as Measured by Digit Span Total After One Year of Human Growth Hormone Replacement Therapy.
scores on a scaleHuman Growth Hormone
Neuropsychological Function as Measured by Digit Span Total After One Year of Human Growth Hormone Replacement Therapy.17.0 ± 3.9
SecondaryNeuropsychological Function as Measured by Processing Speed Index at Baseline

Processing Speed Index is a subcategory of the Wechsler Adult Intelligence Scale III (WAIS-III). Processing speed refers to the speed of cognitive processes and response output. This index is comprised of performances on two separate tests of visuomotor speed of information processing ability. On one test (Coding) participants refer to a key on top of a page to translate non-verbal symbols to an alpha-numeric digit. The participants then fill in boxes with the correct symbol assigned to a particular number. On the other test (Symbol Search) participants are asked to visually scan and mark items that are identical to one of two targets. If neither target is shown in the array the participant must mark out the work "NO". Total correct responses for both task within 120 seconds are recorded. Ranges are 0 (lowest) to 150 (highest) with 100 being the normal average. A higher score indicates a better outcome.

Time frame:
baseline
Reported as:
Mean · scores on a scale
Neuropsychological Function as Measured by Processing Speed Index at Baseline
scores on a scaleHuman Growth Hormone
Neuropsychological Function as Measured by Processing Speed Index at Baseline102.3 ± 14.9
SecondaryNeuropsychological Function as Measured by Processing Speed Index After One Year of Human Growth Hormone Replacement Therapy.

Processing Speed Index is a subcategory of the Wechsler Adult Intelligence Scale III (WAIS-III). Processing speed refers to the speed of cognitive processes and response output. This index is comprised of performances on two separate tests of visuomotor speed of information processing ability. On one test (Coding) participants refer to a key on top of a page to translate non-verbal symbols to an alpha-numeric digit. The participants then fill in boxes with the correct symbol assigned to a particular number. On the other test (Symbol Search) participants are asked to visually scan and mark items that are identical to one of two targets. If neither target is shown in the array the participant must mark out the work "NO". Total correct responses for both task within 120 seconds are recorded. Ranges are 0 (lowest) to 150 (highest) with 100 being the normal average. A higher score indicates a better outcome.

Time frame:
one year
Reported as:
Mean · scores on a scale
Neuropsychological Function as Measured by Processing Speed Index After One Year of Human Growth Hormone Replacement Therapy.
scores on a scaleHuman Growth Hormone
Neuropsychological Function as Measured by Processing Speed Index After One Year of Human Growth Hormone Replacement Therapy.106.6 ± 15.0
SecondaryNeuropsychological Function as Measured by Letter Fluency at Baseline

Letter Fluency is a condition measured as part of the subcategory, Verbal Fluency, in the Delis-Kaplan Executive Function System (D-KEFS). Subjects are asked to name as many words as they can starting with a specified letter for 60 seconds. The words can not be names, places, numbers or grammatical variants of previous answers. Repeated answers are not scored as a correct response. There are 3 trials, with 3 different letters. The total number of correct responses is totaled for all 3 trials and a Letter Fluency Score is given. A higher score is considered better. There is no set range as the score depends on how many correct words the subject relays in the given time period.

Time frame:
baseline
Reported as:
Mean · scores on a scale
Neuropsychological Function as Measured by Letter Fluency at Baseline
scores on a scaleHuman Growth Hormone
Neuropsychological Function as Measured by Letter Fluency at Baseline38.5 ± 14.5
SecondaryNeuropsychological Function as Measured by Letter Fluency After One Year of Human Growth Hormone Replacement Therapy

Letter Fluency is a condition measured as part of the subcategory, Verbal Fluency, in the Delis-Kaplan Executive Function System (D-KEFS). Subjects are asked to name as many words as they can starting with a specified letter for 60 seconds. The words can not be names, places, numbers or grammatical variants of previous answers. Repeated answers are not scored as a correct response. There are 3 trials, with 3 different letters. The total number of correct responses is totaled for all 3 trials and a Letter Fluency Score is given. A higher score is considered better. There is no set range as the score depends on how many correct words the subject relays in the given time period.

Time frame:
one year
Reported as:
Mean · scores on a scale
Neuropsychological Function as Measured by Letter Fluency After One Year of Human Growth Hormone Replacement Therapy
scores on a scaleHuman Growth Hormone
Neuropsychological Function as Measured by Letter Fluency After One Year of Human Growth Hormone Replacement Therapy35.4 ± 13.0
SecondaryDepression as Measured by the Beck Depression Inventory at Baseline.

Beck Depression Inventory (BDI-II) is used to measure the severity of depression symptoms. The BDI-II contains 21 questions, each answer being scored on a scale value of 0 to 3. Higher total scores indicate more severe depressive symptoms. The standardized cutoffs are: 0-13: minimal depression; 14-19: mild; depression; 20-28: moderate depression; 29-63: severe depression.

Time frame:
baseline
Reported as:
Mean · scores on a scale
Depression as Measured by the Beck Depression Inventory at Baseline.
scores on a scaleHuman Growth Hormone
Depression as Measured by the Beck Depression Inventory at Baseline.13.8 ± 9.7
SecondaryDepression as Measured by Beck Depression Inventory After One Year of Human Growth Hormone Replacement Therapy.

Beck Depression Inventory (BDI-II) is used to measure the severity of depression symptoms. The BDI-II contains 21 questions, each answer being scored on a scale value of 0 to 3. Higher total scores indicate more severe depressive symptoms. The standardized cutoffs are: 0-13: minimal depression; 14-19: mild; depression; 20-28: moderate depression; 29-63: severe depression.

Time frame:
one year
Reported as:
Mean · scores on a scale
Depression as Measured by Beck Depression Inventory After One Year of Human Growth Hormone Replacement Therapy.
scores on a scaleHuman Growth Hormone
Depression as Measured by Beck Depression Inventory After One Year of Human Growth Hormone Replacement Therapy.6.2 ± 6.9
SecondaryFatigue as Measured Using Fatigue Severity Scale at Baseline.

Fatigue Severity Scale (FSS) is a measure of fatigue and how that fatigue interferes with life. It is a 9-item scale, with a range from 9 to 63, with a higher number indicating greater severity.

Time frame:
baseline
Reported as:
Mean · scores on a scale
Fatigue as Measured Using Fatigue Severity Scale at Baseline.
scores on a scaleHuman Growth Hormone
Fatigue as Measured Using Fatigue Severity Scale at Baseline.44.3 ± 13.5
SecondaryFatigue Measured Using the Fatigue Severity Scale After One Year of Human Growth Hormone Therapy.

Fatigue Severity Scale (FSS) is a measure of fatigue and how that fatigue interferes with life. It is a 9-item scale, with a range from 9 to 63, with a higher number indicating greater severity.

Time frame:
one year
Reported as:
Mean · scores on a scale
Fatigue Measured Using the Fatigue Severity Scale After One Year of Human Growth Hormone Therapy.
scores on a scaleHuman Growth Hormone
Fatigue Measured Using the Fatigue Severity Scale After One Year of Human Growth Hormone Therapy.34.0 ± 12.5
SecondaryMuscle Function in Male Subjects Measured Using Maximum Isometric Leg Extension by Biodex Pro 4 at Baseline.

Maximum torque production during isometric contraction of the knee extensor muscles.

Time frame:
baseline
Reported as:
Mean · Newton-Meters
Muscle Function in Male Subjects Measured Using Maximum Isometric Leg Extension by Biodex Pro 4 at Baseline.
Newton-MetersHuman Growth Hormone
Muscle Function in Male Subjects Measured Using Maximum Isometric Leg Extension by Biodex Pro 4 at Baseline.206.0 ± 32.41
SecondaryMuscle Function in Male Subjects Measured Using Maximum Isometric Leg Extension by Biodex Pro 4 After One Year of Human Growth Hormone Replacement Therapy.

Maximum torque production during isometric contraction of the knee extensor muscles.

Time frame:
one year
Reported as:
Mean · Newton-Meters
Muscle Function in Male Subjects Measured Using Maximum Isometric Leg Extension by Biodex Pro 4 After One Year of Human Growth Hormone Replacement Therapy.
Newton-MetersHuman Growth Hormone
Muscle Function in Male Subjects Measured Using Maximum Isometric Leg Extension by Biodex Pro 4 After One Year of Human Growth Hormone Replacement Therapy.209.6 ± 37.65
SecondaryMuscle Function in Male Subjects Measured Using Maximum Isokinetic Leg Extension by Biodex Pro 4 at Baseline.

Maximum torque production during maximal isokinetic contractions at 90 degrees per second.

Time frame:
baseline
Reported as:
Mean · Newton-Meters
Muscle Function in Male Subjects Measured Using Maximum Isokinetic Leg Extension by Biodex Pro 4 at Baseline.
Newton-MetersHuman Growth Hormone
Muscle Function in Male Subjects Measured Using Maximum Isokinetic Leg Extension by Biodex Pro 4 at Baseline.175.2 ± 36.61
SecondaryMuscle Function in Male Subjects Measured Using Maximum Isokinetic Leg Extension by Biodex Pro 4 After One Year of Human Growth Hormone Replacement Therapy.

Maximum torque production during maximal isokinetic contractions at 90 degrees per second.

Time frame:
one year
Reported as:
Mean · Newton-Meters
Muscle Function in Male Subjects Measured Using Maximum Isokinetic Leg Extension by Biodex Pro 4 After One Year of Human Growth Hormone Replacement Therapy.
Newton-MetersHuman Growth Hormone
Muscle Function in Male Subjects Measured Using Maximum Isokinetic Leg Extension by Biodex Pro 4 After One Year of Human Growth Hormone Replacement Therapy.182.6 ± 45.29
SecondaryMuscle Fatigue as Measured by Biodex Pro 4 at Baseline.

Muscle fatigue is measured using repetitive isokinetic contractions of the knee extensors at 90 degrees per second. Each subject was asked to produce 40 contractions at full force. Data is presented as % of maximum torque at the 40th contraction in the fatigue protocol.

Time frame:
baseline
Reported as:
Mean · Percent of Maximum Torque
Muscle Fatigue as Measured by Biodex Pro 4 at Baseline.
Percent of Maximum TorqueHuman Growth Hormone
Muscle Fatigue as Measured by Biodex Pro 4 at Baseline.35.1 ± 6.30
SecondaryMuscle Fatigue as Measured by Biodex Pro 4 After One Year of Human Growth Hormone Replacement Therapy.

Muscle fatigue is measured using repetitive isokinetic contractions of the knee extensors at 90 degrees per second. Each subject was asked to produce 40 contractions at full force. Data is presented as % of maximum torque at the 40th contraction in the fatigue protocol.

Time frame:
one year
Reported as:
Mean · Percent of Maximum Torque
Muscle Fatigue as Measured by Biodex Pro 4 After One Year of Human Growth Hormone Replacement Therapy.
Percent of Maximum TorqueHuman Growth Hormone
Muscle Fatigue as Measured by Biodex Pro 4 After One Year of Human Growth Hormone Replacement Therapy.36.9 ± 9.89
SecondaryBody Mass in Male Subjects as Measured by Dual Energy X-Ray Absorptiometry (DEXA) at Baseline.

Body mass was calculated from whole body scan taken using a GE Lunar iDEXA.

Time frame:
baseline
Reported as:
Mean · kilograms
Body Mass in Male Subjects as Measured by Dual Energy X-Ray Absorptiometry (DEXA) at Baseline.
kilogramsHuman Growth Hormone
Body Mass in Male Subjects as Measured by Dual Energy X-Ray Absorptiometry (DEXA) at Baseline.96.04 ± 18.38
SecondaryBody Mass in Male Subjects as Measured by Dual Energy X-Ray Absorptiometry (DEXA) After One Year of Human Growth Hormone Replacement Therapy.

Body mass was calculated from whole body scan taken using a GE Lunar iDEXA

Time frame:
one year
Reported as:
Mean · kilograms
Body Mass in Male Subjects as Measured by Dual Energy X-Ray Absorptiometry (DEXA) After One Year of Human Growth Hormone Replacement Therapy.
kilogramsHuman Growth Hormone
Body Mass in Male Subjects as Measured by Dual Energy X-Ray Absorptiometry (DEXA) After One Year of Human Growth Hormone Replacement Therapy.96.55 ± 19.67
SecondaryLean Body Mass in Male Subjects as Measured by Dual Energy X-Ray Absorptiometry (DEXA) at Baseline

Lean Body mass was calculated from whole body scan taken using a GE Lunar iDEXA

Time frame:
baseline
Reported as:
Mean · kilograms
Lean Body Mass in Male Subjects as Measured by Dual Energy X-Ray Absorptiometry (DEXA) at Baseline
kilogramsHuman Growth Hormone
Lean Body Mass in Male Subjects as Measured by Dual Energy X-Ray Absorptiometry (DEXA) at Baseline61.68 ± 7.55
SecondaryLean Body Mass in Male Subjects as Measured by Dual Energy X-Ray Absorptiometry (DEXA) After One Year of Human Growth Hormone Replacement Therapy.

Lean Body mass was calculated from whole body scan taken using a GE Lunar iDEXA

Time frame:
one year
Reported as:
Mean · kilograms
Lean Body Mass in Male Subjects as Measured by Dual Energy X-Ray Absorptiometry (DEXA) After One Year of Human Growth Hormone Replacement Therapy.
kilogramsHuman Growth Hormone
Lean Body Mass in Male Subjects as Measured by Dual Energy X-Ray Absorptiometry (DEXA) After One Year of Human Growth Hormone Replacement Therapy.63.70 ± 8.14
SecondaryFat Free Mass in Male Subjects as Measured by Dual Energy X-Ray Absorptiometry (DEXA) at Baseline.

Fat free mass is calculated from whole body scan measured using a GE Lunar iDEXA.

Time frame:
baseline
Reported as:
Mean · kilograms
Fat Free Mass in Male Subjects as Measured by Dual Energy X-Ray Absorptiometry (DEXA) at Baseline.
kilogramsHuman Growth Hormone
Fat Free Mass in Male Subjects as Measured by Dual Energy X-Ray Absorptiometry (DEXA) at Baseline.31.19 ± 13.75
SecondaryFat Free Mass in Male Subjects as Measured by Dual Energy X-Ray Absorptiometry (DEXA) After One Year of Human Growth Hormone Replacement Therapy.

Fat free mass is calculated from whole body scan measured on a GE Lunar iDEXA.

Time frame:
one year
Reported as:
Mean · kilogram
Fat Free Mass in Male Subjects as Measured by Dual Energy X-Ray Absorptiometry (DEXA) After One Year of Human Growth Hormone Replacement Therapy.
kilogramHuman Growth Hormone
Fat Free Mass in Male Subjects as Measured by Dual Energy X-Ray Absorptiometry (DEXA) After One Year of Human Growth Hormone Replacement Therapy.29.67 ± 14.30
SecondaryPercent Body Fat as Measured by Dual Energy X-Ray Absorptiometry (DEXA) at Baseline.

Percent body fat is calculated from a whole body scan measured on a GE Lunar iDEXA.

Time frame:
baseline
Reported as:
Mean · percent of body fat
Percent Body Fat as Measured by Dual Energy X-Ray Absorptiometry (DEXA) at Baseline.
percent of body fatHuman Growth Hormone
Percent Body Fat as Measured by Dual Energy X-Ray Absorptiometry (DEXA) at Baseline.32.47 ± 8.47
SecondaryPercent Body Fat in Male Subjects as Measured by Dual Energy X-Ray Absorptiometry (DEXA) After One Year of Human Growth Hormone Replacement Therapy.

Percent body fat is calculated from a whole body scan measured on a GE Lunar iDEXA.

Time frame:
one year
Reported as:
Mean · percent of body fat
Percent Body Fat in Male Subjects as Measured by Dual Energy X-Ray Absorptiometry (DEXA) After One Year of Human Growth Hormone Replacement Therapy.
percent of body fatHuman Growth Hormone
Percent Body Fat in Male Subjects as Measured by Dual Energy X-Ray Absorptiometry (DEXA) After One Year of Human Growth Hormone Replacement Therapy.30.5 ± 9.40
SecondaryMuscle Function in Female Subjects Measured Using Maximum Isometric Leg Extension by Biodex Pro 4 at Baseline.

Maximum torque production during isometric contraction of the knee extensor muscles.

Time frame:
baseline
Reported as:
Mean · Newton-Meters
Muscle Function in Female Subjects Measured Using Maximum Isometric Leg Extension by Biodex Pro 4 at Baseline.
Newton-MetersHuman Growth Hormone
Muscle Function in Female Subjects Measured Using Maximum Isometric Leg Extension by Biodex Pro 4 at Baseline.131.5 ± 26.38
SecondaryMuscle Function in Female Subjects Measured Using Maximum Isometric Leg Extension by Biodex Pro 4 After One Year of Human Growth Hormone Replacement Therapy

Maximum torque production during isometric contraction of the knee extensor muscles.

Time frame:
one year
Reported as:
Mean · Newton-Meters
Muscle Function in Female Subjects Measured Using Maximum Isometric Leg Extension by Biodex Pro 4 After One Year of Human Growth Hormone Replacement Therapy
Newton-MetersHuman Growth Hormone
Muscle Function in Female Subjects Measured Using Maximum Isometric Leg Extension by Biodex Pro 4 After One Year of Human Growth Hormone Replacement Therapy130.7 ± 34.77
SecondaryMuscle Function in Female Subjects Measured Using Maximum Isokinetic Leg Extension by Biodex Pro 4 at Baseline

Maximum torque production during maximal isokinetic contractions at 90 degrees per second.

Time frame:
baseline
Reported as:
Mean · Newton-Meters
Muscle Function in Female Subjects Measured Using Maximum Isokinetic Leg Extension by Biodex Pro 4 at Baseline
Newton-MetersHuman Growth Hormone
Muscle Function in Female Subjects Measured Using Maximum Isokinetic Leg Extension by Biodex Pro 4 at Baseline103.9 ± 12.56
SecondaryMuscle Function in Female Subjects Measured Using Maximum Isokinetic Leg Extension by Biodex Pro 4 After One Year of Human Growth Hormone Replacement Therapy

Maximum torque production during maximal isokinetic contractions at 90 degrees per second.

Time frame:
one year
Reported as:
Mean · Newton-Meters
Muscle Function in Female Subjects Measured Using Maximum Isokinetic Leg Extension by Biodex Pro 4 After One Year of Human Growth Hormone Replacement Therapy
Newton-MetersHuman Growth Hormone
Muscle Function in Female Subjects Measured Using Maximum Isokinetic Leg Extension by Biodex Pro 4 After One Year of Human Growth Hormone Replacement Therapy99.6 ± 17.58
SecondaryPerceptual Fatigability as Measured by a Fatigue Rating Scale at Baseline.

Perceptual fatigue was measured before and directly after performing the muscle fatigue exercise protocol (40 continuous maximal force isokinetic knee extensions at 90 degress per second). Subjects were asked to rate their fatigue on a scale of 0-10 with 0 being no fatigue at all and 10 being extreme fatigue. Data is presented as change in fatigue rating induced by exercise testing.

Time frame:
baseline
Reported as:
Mean · units on a scale
Perceptual Fatigability as Measured by a Fatigue Rating Scale at Baseline.
units on a scaleHuman Growth Hormone
Perceptual Fatigability as Measured by a Fatigue Rating Scale at Baseline.3.78 ± 1.75
SecondaryPerceptual Fatigability as Measured by a Fatigue Rating Scale After One Year of Human Growth Hormone Therapy.

Perceptual fatigue was measured before and directly after performing the muscle fatigue exercise protocol (40 continuous maximal force isokinetic knee extensions at 90 degress per second). Subjects were asked to rate their fatigue on a scale of 0-10 with 0 being no fatigue at all and 10 being extreme fatigue. Data is presented as change in fatigue rating induced by exercise testing.

Time frame:
one year
Reported as:
Mean · units on a scale
Perceptual Fatigability as Measured by a Fatigue Rating Scale After One Year of Human Growth Hormone Therapy.
units on a scaleHuman Growth Hormone
Perceptual Fatigability as Measured by a Fatigue Rating Scale After One Year of Human Growth Hormone Therapy.3.17 ± 1.54
SecondaryBody Mass in Female Subjects as Measured by Dual Energy X-Ray Absorptiometry (DEXA) at Baseline.
Time frame:
baseline
Reported as:
Mean · kilograms
Body Mass in Female Subjects as Measured by Dual Energy X-Ray Absorptiometry (DEXA) at Baseline.
kilogramsHuman Growth Hormone
Body Mass in Female Subjects as Measured by Dual Energy X-Ray Absorptiometry (DEXA) at Baseline.75.64 ± 10.80
SecondaryBody Mass in Female Subjects as Measured by Dual Energy X-Ray Absorptiometry (DEXA) After One Year of Human Growth Hormone Replacement Therapy

Body mass was calculated from whole body scan taken using a GE Lunar iDEXA

Time frame:
one year
Reported as:
Mean · kilograms
Body Mass in Female Subjects as Measured by Dual Energy X-Ray Absorptiometry (DEXA) After One Year of Human Growth Hormone Replacement Therapy
kilogramsHuman Growth Hormone
Body Mass in Female Subjects as Measured by Dual Energy X-Ray Absorptiometry (DEXA) After One Year of Human Growth Hormone Replacement Therapy76.54 ± 10.57
SecondaryLean Body Mass in Female Subjects as Measured by Dual Energy X-Ray Absorptiometry (DEXA) at Baseline

Lean Body mass was calculated from whole body scan taken using a GE Lunar iDEXA.

Time frame:
baseline
Reported as:
Mean · kilograms
Lean Body Mass in Female Subjects as Measured by Dual Energy X-Ray Absorptiometry (DEXA) at Baseline
kilogramsHuman Growth Hormone
Lean Body Mass in Female Subjects as Measured by Dual Energy X-Ray Absorptiometry (DEXA) at Baseline43.84 ± 1.42
SecondaryLean Body Mass in Female Subjects as Measured by Dual Energy X-Ray Absorptiometry (DEXA) After One Year of Human Growth Hormone Replacement Therapy.

Lean Body mass was calculated from whole body scan taken using a GE Lunar iDEXA

Time frame:
one year
Reported as:
Mean · kilograms
Lean Body Mass in Female Subjects as Measured by Dual Energy X-Ray Absorptiometry (DEXA) After One Year of Human Growth Hormone Replacement Therapy.
kilogramsHuman Growth Hormone
Lean Body Mass in Female Subjects as Measured by Dual Energy X-Ray Absorptiometry (DEXA) After One Year of Human Growth Hormone Replacement Therapy.44.92 ± 3.47
SecondaryFat Free Mass in Female Subjects as Measured by Dual Energy X-Ray Absorptiometry (DEXA) at Baseline.

Fat free mass is calculated from whole body scan measured using a GE Lunar iDEXA.

Time frame:
baseline
Reported as:
Mean · kilograms
Fat Free Mass in Female Subjects as Measured by Dual Energy X-Ray Absorptiometry (DEXA) at Baseline.
kilogramsHuman Growth Hormone
Fat Free Mass in Female Subjects as Measured by Dual Energy X-Ray Absorptiometry (DEXA) at Baseline.29.31 ± 9.86
SecondaryFat Free Mass in Female Subjects as Measured by Dual Energy X-Ray Absorptiometry (DEXA) After One Year of Human Growth Hormone Replacement Therapy

Fat free mass is calculated from whole body scan measured on a GE Lunar iDEXA.

Time frame:
one year
Reported as:
Mean · kilograms
Fat Free Mass in Female Subjects as Measured by Dual Energy X-Ray Absorptiometry (DEXA) After One Year of Human Growth Hormone Replacement Therapy
kilogramsHuman Growth Hormone
Fat Free Mass in Female Subjects as Measured by Dual Energy X-Ray Absorptiometry (DEXA) After One Year of Human Growth Hormone Replacement Therapy29.15 ± 8.74
SecondaryPercent Body Fat in Female Subjects as Measured by Dual Energy X-Ray Absorptiometry (DEXA) at Baseline.

Percent body fat is calculated from a whole body scan measured on a GE Lunar iDEXA.

Time frame:
baseline
Reported as:
Mean · percent of body fat
Percent Body Fat in Female Subjects as Measured by Dual Energy X-Ray Absorptiometry (DEXA) at Baseline.
percent of body fatHuman Growth Hormone
Percent Body Fat in Female Subjects as Measured by Dual Energy X-Ray Absorptiometry (DEXA) at Baseline.38.92 ± 8.17
SecondaryPercent Body Fat in Female Subjects as Measured by Dual Energy X-Ray Absorptiometry (DEXA) After One Year of Human Growth Hormone Replacement Therapy.

Percent body fat is calculated from a whole body scan measured on a GE Lunar iDEXA.

Time frame:
one year
Reported as:
Mean · percent of body fat
Percent Body Fat in Female Subjects as Measured by Dual Energy X-Ray Absorptiometry (DEXA) After One Year of Human Growth Hormone Replacement Therapy.
percent of body fatHuman Growth Hormone
Percent Body Fat in Female Subjects as Measured by Dual Energy X-Ray Absorptiometry (DEXA) After One Year of Human Growth Hormone Replacement Therapy.38.74 ± 6.84

Adverse events

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

Adverse event summary by group
GroupDeathsSeriousOther
Human Growth Hormone0/15 (0%)0/15 (0%)0/15 (0%)

Baseline characteristics

15 subjects with a history of mild to severe traumatic brain injury and abnormal growth hormone secretion were enrolled in this trial.

Age, Categorical
Age, Categorical(Participants)Human Growth Hormone
<=18 years0
Between 18 and 65 years15
>=65 years0
Age, Continuous
Age, Continuous(years)Human Growth Hormone
Mean45.5 ± 11.2
Sex: Female, Male
Sex: Female, Male(Participants)Human Growth Hormone
Female5
Male10
Region of Enrollment
Region of Enrollment(Participants)Human Growth Hormone
United States15
Age at time of injury
Age at time of injury(years)Human Growth Hormone
Mean34.3 ± 15.7
08

Study locations

2 sites
  • Transitional Learning Center
    Galveston, Texas 77550, United States
  • The University of Texas Medical Branch at Galveston
    Galveston, Texas 77555, United States
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 29, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00957671
Lead sponsor
The University of Texas Medical Branch, Galveston
Collaborators
The Moody Foundation
Responsible party
Sponsor
First posted
Aug 12, 2009
Start date
Nov 2003
Primary completion
Oct 2015
Completion
Oct 2015
Results posted
May 15, 2018
Last update
Jun 29, 2018

Study contacts

Randall J Urban, M.D.
principal investigator · The University of Texas Medical Branch at Galveston

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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