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BurnsPhase 2/3NCT03038594

Growth Hormone Therapy for Muscle Regeneration in Severely Burned Patients

A Phase 2/3 study testing Somatropin and 0.09% Saline Solution in people with Burns and Growth Hormone Treatment, run by The University of Texas Medical Branch, Galveston at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The investigators have previously demonstrated that burn injury causes severe muscle wasting, weight and height retardation, and systemic protein catabolism in pediatric and adult burned patients. Read more about this study

Who is it for?
Ages 18 to 85 years
Conditions the study is for
Burns, Growth Hormone Treatment
What is being tested?
Somatropin and 0.09% Saline Solution
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
13 participants
Where
1 siteUnited States
Study dates
1 Nov 2015to 30 Nov 2021
Phase
Phase 2/3
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 85 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • 18-85 years old
  • Over 30% total body surface area burn
  • Provide consent and comprehend English or Spanish

Who cannot join

  • History of AIDS, AIDS-related complex, or HIV
  • History of or current hepatitis B or C
  • Pregnancy
  • History of or Active Malignancy
  • Insulin dependent diabetes mellitus type I prior to admission
  • Insulin dependent diabetes mellitus type II (up to 12 months prior to admission)
Show all 9Show fewer
  • Other hyperglycemic disorders [not including transient post-burn/trauma hyperglycemia]
  • Current oral corticosteroid treatment
  • Currently participating in another interventional clinical trial at UTMB

Trial locations and contacts

1 site in 1 country.

United States1 site
  • University of Texas Medical Branch

    Galveston, Texas, 77550-1220

Other trials in United States

About this study

The investigators have previously demonstrated that burn injury causes severe muscle wasting, weight and height retardation, and systemic protein catabolism in pediatric and adult burned patients. The persistent loss of muscle impairs the quality of life of the burned patients, and it also delays autonomy and reintegration into the community. In 2009, the investigators showed that the daily injection of recombinant human growth hormone (GH) for nine months post discharge significantly increased height and weight, as well as lean body mass, in pediatric burned subjects. Our long-term goal is to improve the quality of life of burn patients by preventing height, weight, and muscle loss that may occur from severe protein catabolism. The objectives of this application are to a) attenuate height and weight in burned patients with the administration of GH, b) prevent or reverse loss of muscle and strength in these patients, and c) collect pilot data about cardiopulmonary parameters, scar assessments, and muscle metabolism. Our central hypothesis is that the administration of GH will restore depleted levels of growth hormone and will lead to prevention of lean body mass loss and bone mineral content, improve rehabilitation, and accelerate reintegration of severely burned patients. The investigators will administer either placebo or GH (daily subcutaneous injections of 0.05 mg/kg/day of GH [somatropin, Genotropin, Pfizer, New York, NY] to adult burn subjects (n=31 per group, 18-85 years, >30% total body surface burns) for nine months beginning one week prior to discharge. Both groups will be studied for a total of two years. The following aims will be tested: 1) determine the effects of GH supplementation on body composition, such as lean body mass loss, muscle strength, and exercise endurance; and 2) assess whether rehabilitation and subsequent reintegration of severely burned patients into society can be accelerated. Investigators will measure changes in lean body mass, muscle strength and exercise endurance during the acute hospital stay, discharge, and long-term follow-up visits (6, 12, 18, and 24 months after burn), as well as secondary endpoints such as cardiopulmonary variables, hypertrophic scar development, quality of life questionnaires, and concentrations of relevant hormones, cytokines, and oxidative stress markers.

Read the detailed description

Either recombinant human growth hormone (daily subcutaneous injections of 0.05 mg/kg/day of GH at discharge [somatropin, Genotropin, Pfizer, New York, NY]; 0.025 mg/kg/day of GH titrated the week before discharge) or placebo (n=31) will be administered to adult burned subjects (n= 31, 18-85 years) after screening and voluntary consent who have ≥30% TBSA assessed by either the Lund and Browder chart or the 'rule of nines' method during excisional surgery. It will be administered daily for 9 months beginning the week before discharge, and the primary and secondary endpoints will be collected during the acute hospital stay, discharge, and long-term follow-up visits (6, 12, 18, and 24 months after burn injury). Additionally, subjects will be contacted frequently [most likely 1 week, 1 month, and 2 months post discharge by telephone] to ensure that there are no adverse events or concerns with their study drug, as well as visit with them during their clinical visits that address their post-burn needs. All subjects will receive similar standard medical care and treatment from the time of emergency admission until their discharge.

Growth hormone will be used to potentially attenuate losses in height, weight, muscle and bone, reverse the oxidative stress of burn injury and, in the process, decrease the secondary consequences of burn injury, including organ dysfunction. This may improve the quality of life of the burn patient by preventing pathophysiology that may result from muscle and bone loss and may reduce hospital stay. Our research will lay the foundation for the future development of effective, safe, and economic therapeutic interventions to treat burn injury-associated metabolic abnormalities. Also, it will provide the basis for the development of supplemental regulations and pharmacotherapy to treat burn patients with GH. The risks are very reasonable in relation to the anticipated benefits to our subjects because a) GH at a higher dose has been tested in pediatric burned subjects with minor adverse events, and b) the subjects will be monitored consistently.

Being tested
Somatropin, 0.09% Saline Solution
Keywords
Burns, Growth Hormone, Lean Body Mass, Strength, Exercise Endurance
Medical subject headings
Burns

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • SomatropinDrug

    Also called Genotropin, Growth Hormone (GH)

  • 0.09% Saline SolutionDrug

    Also called Placebo, Control

Study groups in NCT03038594
Study groupRoleWhat they receive
Growth HormoneExperimentalDaily subcutaneous injections of 0.05 mg/kg/day of Growth Hormone [somatropin, Genotropin, Pfizer, New York, NY] will be administered, from one week prior to discharge until 9 months post-burn.
Receives: Drug: Somatropin
0.09% saline solutionPlacebo comparatorDaily subcutaneous injections of 0.09% of saline solution will be administered, from one week prior to discharge until 9 months post-burn.
Receives: Drug: 0.09% Saline Solution

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Lean body mass

    Dual-Energy X-ray Absorptiometry (DEXA) measured in grams

    Measured: At baseline

  2. Lean body mass

    Dual-Energy X-ray Absorptiometry (DEXA) measured in grams

    Measured: 6 months post burn-injury

  3. Lean body mass

    Dual-Energy X-ray Absorptiometry (DEXA) measured in grams

    Measured: 12 months post burn-injury

  4. Lean body mass

    Dual-Energy X-ray Absorptiometry (DEXA) measured in grams

    Measured: 18 months post burn-injury

  5. Lean body mass

    Dual-Energy X-ray Absorptiometry (DEXA) measured in grams

    Measured: 24 months post burn-injury

Secondary outcomes (33)
  1. Change in Muscle strength (peak torque)

    resistance testing muscle strength (assessed by Biodex isokinetic dynamometer)

    Measured: Discharge (usually 30 days post burn) and 6, 12, 18, and 24 months after burn injury

  2. Change in Muscle strength ( total work)

    resistance testing muscle strength (Biodex isokinetic dynamometer)

    Measured: Discharge (usually 30 days post burn) and 6, 12, 18, and 24 months after burn injury

  3. Change in Muscle strength (average power)

    resistance testing muscle strength (assessed by Biodex isokinetic dynamometer)

    Measured: Discharge (usually 30 days post burn) and 6, 12, 18, and 24 months after burn injury

  4. Change in Muscle grip strength (maximum power)

    testing muscle strength (assessed by hand dynamometer)

    Measured: Discharge (usually 30 days post burn) and 6, 12, 18, and 24 months after burn injury

  5. Change in Muscle endurance (maximum power)

    testing muscle endurance (assessed by Bruce treadmill test)

    Measured: Discharge (usually 30 days post burn) and 6, 12, 18, and 24 months after burn injury

  6. Change in Resting energy expenditure (REE)

    Indirect calorimetry

    Measured: Discharge (usually 30 days post burn) and 6, 12, 18, and 24 months after burn injury

  7. Change in resting heart rate

    electrocardiogram (EKG) readings

    Measured: Discharge (usually 30 days post burn) and 6, 12, 18, and 24 months after burn injury

  8. Change in liver size

    Ultrasound readings

    Measured: Discharge (usually 30 days post burn) and 6, 12, 18, and 24 months after burn injury

  9. Change in cardiac stroke volume

    echocardiogram readings

    Measured: Discharge (usually 30 days post burn) and 6, 12, 18, and 24 months after burn injury

  10. Change in cardiac output

    Echocardiogram readings

    Measured: Discharge (usually 30 days post burn) and 6, 12, 18, and 24 months after burn injury

  11. Change in respiratory quotient

    Indirect calorimetry

    Measured: Discharge (usually 30 days post burn) and 6, 12, 18, and 24 months after burn injury

  12. Change in Total body fat

    Dual-Energy X-ray Absorptiometry (DEXA)

    Measured: Discharge (usually 30 days post burn) and 6, 12, 18, and 24 months after burn injury

  13. Change in percentage of total body fat

    Dual-Energy X-ray Absorptiometry (DEXA)

    Measured: Discharge (usually 30 days post burn) and 6, 12, 18, and 24 months after burn injury

  14. Change in bone mineral content

    Dual-Energy X-ray Absorptiometry (DEXA)

    Measured: Discharge (usually 30 days post burn) and 6, 12, 18, and 24 months after burn injury

  15. Change in bone mineral density

    Dual-Energy X-ray Absorptiometry (DEXA)

    Measured: Discharge (usually 30 days post burn) and 6, 12, 18, and 24 months after burn injury

  16. Change in Maximal oxygen consumption

    Six-minute walk test

    Measured: Discharge (usually 30 days post burn) and 6, 12, 18, and 24 months after burn injury

  17. Change in respiratory fatigue

    Six-minute walk test

    Measured: Discharge (usually 30 days post burn) and 6, 12, 18, and 24 months after burn injury

  18. Change in leg fatigue

    Six-minute walk test

    Measured: Discharge (usually 30 days post burn) and 6, 12, 18, and 24 months after burn injury

  19. Change in Muscle protein synthesis rate

    Deuterium water

    Measured: Discharge (usually 30 days post burn) and 6, 12, 18, and 24 months after burn injury

  20. Hypertrophic scar development

    Vancouver Scar Scale

    Measured: Discharge (usually 30 days post burn) and 6, 12, 18, and 24 months after burn injury

  21. Change in Forced vital capacity (FVC)

    Pulmonary function test

    Measured: Discharge (usually 30 days post burn) and 6, 12, 18, and 24 months after burn injury

  22. Change in forced expiratory volume in one second (FEV1)

    Pulmonary function test

    Measured: Discharge (usually 30 days post burn) and 6, 12, 18, and 24 months after burn injury

  23. Change in forced expiratory flow rate between 27-75% of the FVC (FEF25-75)

    Pulmonary function test

    Measured: Discharge (usually 30 days post burn) and 6, 12, 18, and 24 months after burn injury

  24. Change in FEV1/FVC ratio expressed as a percentage (FEV1/FVC%)

    Pulmonary function test

    Measured: Discharge (usually 30 days post burn) and 6, 12, 18, and 24 months after burn injury

  25. Change in vital capacity (VC)

    Pulmonary function test

    Measured: Discharge (usually 30 days post burn) and 6, 12, 18, and 24 months after burn injury

  26. Change in total lung capacity (TLC)

    Pulmonary function test

    Measured: Discharge (usually 30 days post burn) and 6, 12, 18, and 24 months after burn injury

  27. Change in residual volume (RV)

    Pulmonary function test

    Measured: Discharge (usually 30 days post burn) and 6, 12, 18, and 24 months after burn injury

  28. Change in functional residual capacity (FRC)

    Pulmonary function test

    Measured: Discharge (usually 30 days post burn) and 6, 12, 18, and 24 months after burn injury

  29. Change in lung diffusion capacity (DLCO)

    Pulmonary function test

    Measured: Discharge (usually 30 days post burn) and 6, 12, 18, and 24 months after burn injury

  30. Change in maximum voluntary ventilation (MVV)

    Pulmonary function test

    Measured: Discharge (usually 30 days post burn) and 6, 12, 18, and 24 months after burn injury

  31. Change in peak expiratory flow (PEF)

    Pulmonary function test

    Measured: Discharge (usually 30 days post burn) and 6, 12, 18, and 24 months after burn injury

  32. Change in Molecular biomarkers of oxidative and nitrosative stress (isoprostanes, asymmetric dimethylarginine)

    Urine analysis

    Measured: Discharge (usually 30 days post burn) and 6, 12, 18, and 24 months after burn injury

  33. Changes in quality of life

    Questionnaires

    Measured: Discharge (usually 30 days post burn) and 6, 12, 18, and 24 months after burn injury

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted31 Jan 2017 (estimated)
  2. Study start1 Nov 2015
  3. Primary completion2 Nov 2021
  4. Study completion30 Nov 2021

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2/3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
13 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03038594
Sponsor's protocol ID
19-0298 / 15-0192
Other IDs
W81XWH-15-1-0143
Status last verified
Feb 2023
First submitted
11 May 2016
Last updated
13 Feb 2023
Results posted
No
Data monitoring committee
Yes
Individual data sharing
No

Publications

  • Stylianos S, Eichelberger MR. Pediatric trauma. Prevention strategies. Pediatr Clin North Am. 1993 Dec;40(6):1359-68. doi: 10.1016/s0031-3955(16)38666-7.

    PubMed 8255630

Questions about this trial

What is this clinical trial studying?

A Phase 2/3 study testing Somatropin and 0.09% Saline Solution in people with Burns and Growth Hormone Treatment, run by The University of Texas Medical Branch, Galveston at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 13 Feb 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this combined phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Lean body mass (time frame: At baseline). The study lists 5 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03038594, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 13 Feb 2023.

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