Growth Hormone Replacement Therapy in Veterans With Mild Traumatic Brain Injury (mTBI) and Adult Growth Hormone Deficiency (AGHD)

Part of paid clinical trials in Birmingham, Alabama.

Sponsor
VA Office of Research and Development
Study ID
NCT04867317
Phase
PHASE3
Status
Recruiting

Conditions

  • Adult Growth Hormone Deficiency
  • Mild Traumatic Brain Injury

Eligibility Criteria

Sex
ALL
Age
21 Years - 55 Years
Healthy Volunteers
Not accepted

Interventions

  • Somatropin — DRUG
    Participants (n=172) will be randomized in a 1:1 ratio to rhGH (n=86) versus placebo (n=86) for six months, stratified by participating site. Both study participants and the study team will be blinded to treatment assignment. All participants will complete in-clinic follow-ups at Days 14, 40, 65, and 90 (3 months) and at day 180 (6 months). The primary outcome will be the mean difference in QoL-AGHDA scores between treatment arms at 6 months follow-up. Patients will discontinue the study intervention at 6 months, and will be followed-up two weeks subsequent, in order to assure patient safety and wellness, and to ensure maximal facilitation of patient transition back into routine care.
  • Placebo — OTHER
    Participants (n=172) will be randomized in a 1:1 ratio to rhGH (n=86) versus placebo (n=86) for six months, stratified by participating site. Both study participants and the study team will be blinded to treatment assignment. All participants will complete in-clinic follow-ups at Days 14, 40, 65, and 90 (3 months) and at day 180 (6 months). The primary outcome will be the mean difference in QoL-AGHDA scores between treatment arms at 6 months follow-up. Patients will discontinue the study intervention at 6 months, and will be followed-up two weeks subsequent, in order to assure patient safety and wellness, and to ensure maximal facilitation of patient transition back into routine care.

Study Details

The purpose of this study is to determine whether growth hormone replacement therapy (GHRT) is effective versus placebo in the improvement of Quality of Life in patients with adult growth hormone deficiency (AGHD) and mild traumatic brain injury (mTBI).

Key Dates

Start date
Jan 13, 2025
Status verified
May 2026
Primary completion
Feb 28, 2027
Completion
Sep 30, 2029

Study Design

Enrollment
172 participants (estimated)
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT

Arms

  • Active Comparator: Growth Hormone Replacement Therapy
    Recombinant Human Growth Hormone
  • Placebo Comparator: Placebo
    Placebo

Primary Outcome Measure

QoL-AGHDA (Quality of Life-Assessment of Adult Growth Hormone in Adults) [ Time Frame: 6 months ]

Central Contacts

Locations (17)

FacilityCityStateZIPSite coordinators
Birmingham VA Medical Center, Birmingham, ALBirminghamAlabama35233-1927
Ripu Jindal, MD
Emily Schlitz, MD
Phoenix VA Health Care System, Phoenix, AZPhoenixArizona85012
Sherman Harman, MD
Steven F Werder, DO
VA Palo Alto Health Care System, Palo Alto, CAPalo AltoCalifornia94304-1207
TBD TBD
000-000-0000
TBD TBD, MD
0000000000
VA San Diego Healthcare System, San Diego, CASan DiegoCalifornia92161-0002
Richard L Hauger, MD
Christopher Hupfeld, MD
Rocky Mountain Regional VA Medical Center, Aurora, COAuroraColorado80045-7211
Lisa Brenner, PhD
Salwa Zahalka, MD
Washington DC VA Medical Center, Washington, DCWashington D.C.District of Columbia20422-0001
Sen Sabyasachi, MD
Atlanta VA Medical and Rehab Center, Decatur, GADecaturGeorgia30033-4004-
VA Ann Arbor Healthcare System, Ann Arbor, MIAnn ArborMichigan48105-2303
Richard J Auchus, MD
Percival Pangilinan, MD
Minneapolis VA Health Care System, Minneapolis, MNMinneapolisMinnesota55417-2309
Shalamar Sibley, MD
612-725-2000
Naomi Scott, PsyD
6124675447
Kansas City VA Medical Center, Kansas City, MOKansas CityMissouri64128-2226
Mariana Garcia-Touza, MD
Vikas Singh, MD
Omaha VA Nebraska-Western Iowa Health Care System, Omaha, NEOmahaNebraska68105-1850
Cyrus V DeSouza, MBBS
Daniel Pierce, MD
Salisbury W.G. (Bill) Hefner VA Medical Center, Salisbury, NCSalisburyNorth Carolina28144
Robin hurley, MD
Donald Mcclain, DO
Oklahoma City VA Medical Center, Oklahoma City, OKOklahoma CityOklahoma73104-5007
Calin Prodan, MD
Robert Scofield, MD
VA North Texas Health Care System Dallas VA Medical Center, Dallas, TXDallasTexas75216-7167
kyaw Soe, MD
Weibin Yang, MD
Michael E. DeBakey VA Medical Center, Houston, TXHoustonTexas77030-4211
Sanjay Mediwala, MD
713-791-1414
Dakota Broadway
7137948601
South Texas Health Care System, San Antonio, TXSan AntonioTexas78229-4404
Devjit Tripathy, MD
Gustavo Armaiz-Pena, MD
VA Puget Sound Health Care System Seattle Division, Seattle, WASeattleWashington98108-1532
Megan M Herodes, BS
206-764-2984
Audri Villalon, MPH
(713) 791-1414
Jose M. Garcia, MD PhD (STUDY_CHAIR)

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