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Sponsors and Collaborators: |
National Institute of Allergy and Infectious Diseases (NIAID) National Institute of Child Health and Human Development (NICHD) |
Information provided by: | National Institute of Allergy and Infectious Diseases (NIAID) |
ClinicalTrials.gov Identifier: | NCT00006143 |
The purpose of this study is to determine the effectiveness of recombinant human growth hormone (r-hGH) on growth in HIV-infected children.
Studies have shown that HIV-infected children do not grow at a normal rate and are shorter than HIV-uninfected children who are the same age. Growth hormone has been used for many years to treat children with growth hormone deficiency and has been safe and effective in helping them to grow normally. The growth hormone to be used in this study, r-hGH, is an investigational hormone (not yet approved by the Food and Drug Administration [FDA]) made in the laboratory. It has helped HIV-positive adults gain weight and improve their physical performance. This study has been changed to include a needle-free device for drug delivery which will improve patient comfort and acceptability. Patients will no longer receive growth hormone through traditional needles but through a needle-free device.
Condition | Intervention |
HIV Infections |
Drug: Somatropin |
MedlinePlus related topics: | AIDS |
ChemIDplus related topics: | Somatotropin Somatropin |
Study Type: | Interventional |
Study Design: | Treatment, Safety Study |
Official Title: | A Randomized, Open-Label Study of Recombinant Human Growth Hormone (r-hGH) in Children With HIV-Associated Growth Failure |
Estimated Enrollment: | 102 |
Wasting, or loss of lean tissue, is a serious consequence of AIDS. Body composition findings in HIV-infected children are similar to those of HIV-uninfected children with classic growth hormone deficiency. Evidence suggests that therapeutic administration of growth hormone (GH) can induce anabolic effects, reverse pathologic catabolism, and perhaps even improve immune function. As survival to adolescence and beyond improves with modern therapy in children with HIV infection, it will become increasingly important to address the problems of stunting and short stature in this population. [AS PER AMENDMENT 09/04/01: Recent evidence suggests that needle-free delivery is preferred by young children below the age of ten years. Given the advantages of a needle-free delivery system for the administration of growth hormone, most significantly the reduction of risk for HIV contaminated needle-stick injuries to care providers and other household members, it has been decided to use this method of study drug delivery for all study participants.]
Children are assigned randomly to 1 of the following treatment groups:
Group 1: Children receive a single dose of r-hGH once a day. Group 2: Children receive half the dose of r-hGH that Group 1 receives, once a day.
Group 3a: Children receive no r-hGH for the first 24 weeks [AS PER AMENDMENT 01/03/01: 48 weeks] of the study. After Week 24 [AS PER AMENDMENT 01/03/01: Week 48], they receive the same dose as that of Group 1.
Group 3b: Children receive no r-hGH for the first 24 weeks [AS PER AMENDMENT 01/03/01: 48 weeks] of the study. After Week 24 [AS PER AMENDMENT 01/03/01: Week 48], they receive the same dose as that of Group 2.
Subcutaneous injections are administered [AS PER AMENDMENT 09/04/01: using a needle-free device], daily for 96 weeks in Groups 1 and 2; after 24 weeks [AS PER AMENDMENT 01/03/01: 48 weeks] on study, the treatment-delayed control group (Group 3) receives injections for 72 weeks [AS PER AMENDMENT 01/03/01: 48 weeks]. The first injection is at the clinic and parents/guardians are trained how to prepare and administer the injections. Children are closely monitored for toxicity, with dosing adjustments if needed. Evaluations and laboratory tests are done at clinic visits every 4 weeks to determine growth indicators, body chemistries, CD4 cell counts, HIV-1 RNA PCR, and anti-hGH antibodies and for routine hematology testing, dietary intake assessment, and MRI scans. [AS PER AMENDMENT 01/03/01: MRI scans are no longer performed.]
Ages Eligible for Study: | 4 Years to 13 Years |
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
Inclusion Criteria
Children may be eligible for this study if they:
Exclusion Criteria
Children may not be eligible for this study if they:
United States, Arizona | |||||
Phoenix Childrens Hosp | |||||
Phoenix, Arizona, United States, 85006 | |||||
United States, California | |||||
Children's Hosp of Los Angeles/UCLA Med Ctr | |||||
Los Angeles, California, United States, 900276016 | |||||
Univ of California, San Diego | |||||
San Diego, California, United States, 92103 | |||||
United States, Florida | |||||
Univ of Florida Health Science Ctr / Pediatrics | |||||
Jacksonville, Florida, United States, 32209 | |||||
North Broward Hosp District | |||||
Fort Lauderdale, Florida, United States, 33311 | |||||
United States, Georgia | |||||
Emory Univ Hosp / Pediatrics | |||||
Atlanta, Georgia, United States, 30306 | |||||
United States, Illinois | |||||
Chicago Children's Memorial Hosp | |||||
Chicago, Illinois, United States, 606143394 | |||||
United States, Massachusetts | |||||
Baystate Med Ctr of Springfield | |||||
Springfield, Massachusetts, United States, 01199 | |||||
United States, New York | |||||
Harlem Hosp Ctr | |||||
New York, New York, United States, 10037 | |||||
Bronx Municipal Hosp Ctr/Jacobi Med Ctr | |||||
Bronx, New York, United States, 10461 | |||||
SUNY Health Sciences Ctr at Syracuse / Pediatrics | |||||
Syracuse, New York, United States, 13210 | |||||
Bronx Lebanon Hosp Ctr | |||||
Bronx, New York, United States, 10457 | |||||
United States, North Carolina | |||||
Duke Univ Med Ctr | |||||
Durham, North Carolina, United States, 277103499 | |||||
United States, Texas | |||||
Texas Children's Hosp / Baylor Univ | |||||
Houston, Texas, United States, 77030 | |||||
United States, Virginia | |||||
Med College of Virginia | |||||
Richmond, Virginia, United States, 23219 | |||||
Puerto Rico | |||||
San Juan City Hosp | |||||
San Juan, Puerto Rico, 009367344 | |||||
Ramon Ruiz Arnau Univ Hosp / Pediatrics | |||||
Bayamon, Puerto Rico, 00956 |
National Institute of Allergy and Infectious Diseases (NIAID) |
National Institute of Child Health and Human Development (NICHD) |
Study Chair: | Harland Winter | |
Study Chair: | Wayne Dankner |
Click here for more information about Somatropin 
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Haga clic aquí para ver información sobre este ensayo clínico en español. 
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Study ID Numbers: | ACTG P1011, PACTG P1011 |
First Received: | August 7, 2000 |
Last Updated: | July 29, 2008 |
ClinicalTrials.gov Identifier: | NCT00006143 |
Health Authority: | United States: Food and Drug Administration |
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