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The Effects of Hormones in Growth Hormone-Treated Girls With Turner Syndrome
This study has been completed.
Sponsored by: Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
Information provided by: National Institutes of Health Clinical Center (CC)
ClinicalTrials.gov Identifier: NCT00001343
  Purpose

Turners Syndrome is a genetic condition in females that is a result of abnormal chromosomes. Patients with Turner syndrome are typically short, have abnormal physical features, and lack the physical changes normally associated with puberty. In addition, some patients with Turner syndrome have low bone density (osteoporosis) and differences in learning abilities.

This study will research the effects of steroid hormones on patients with Turner syndrome. It will look closely at how taking steroid hormones effects the patient's rate of growth as well as the patient's ability to learn. In addition the study will investigate how different hormones (androgen and estrogen) work when given together as a combination.

All patients asked to participate in this study will receive growth hormone injections. However, half of the patients will receive an additional sex steroid hormone (oxandrolone) in the form of a pill. The other half of the patients will receive a placebo or "sugar pill". This will allow the researchers to determine if the combination of the hormones produces different results than growth hormone alone.

The study will last approximately 2 years. After 2 years of research the patients may qualify for an additional 2 years of treatment. Patients may benefit directly from this research with increased growth and improved ability to learn.


Condition Intervention Phase
Dwarfism
Turner's Syndrome
Drug: Humatrope
Drug: Oxandrolone
Phase II

Genetics Home Reference related topics: pseudoachondroplasia Turner syndrome
MedlinePlus related topics: Dwarfism Turner Syndrome
Drug Information available for: Insulin-like growth factor I Mecasermin rinfabate Somatotropin Somatropin Oxandrolone
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment
Official Title: The Relative Effects of Androgen, Estrogen, and the Combination of Androgen and Estrogen on Growth Rate, GH Binding Protein, IGF-I, and Cognitive Function in Growth Hormone-Treated Girls With Turner Syndrome

Further study details as provided by National Institutes of Health Clinical Center (CC):

Estimated Enrollment: 80
Study Start Date: December 1992
Estimated Study Completion Date: October 2007
Detailed Description:

Turner syndrome is associated with short stature, multiple physical stigmata, and absent pubertal development. We propose to: (1) examine the effects of sex steroids (androgen) on multiple variables (growth rate, GH binding protein, IGF-I, and cognitive function), in the setting of supplemental growth hormone administration and (2) to investigate any synergistic or additive effects of the androgen and estrogen combination on the above variables.

  Eligibility

Ages Eligible for Study:   10 Years to 14 Years
Genders Eligible for Study:   Female
Accepts Healthy Volunteers:   No
Criteria
  • INCLUSION CRITERIA:

Girls with Turner syndrome will qualify to participate in this study if they meet the following criteria:

Karyotype diagnosis compatible with Turner syndrome.

No treatment with estrogen, androgen or growth hormone exceeding twelve months, and no treatment with either of these agents in the preceding 3 months.

Chronological age of 10.0 to 14.9 years.

Bone age less than or equal to 12 years.

EXCLUSION CRITERIA:

Prior treatment with estrogen, androgen, or growth hormone for more than twelve months.

Y component in peripheral karyotype.

  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00001343

Locations
United States, Maryland
National Institutes of Health Clinical Center, 9000 Rockville Pike
Bethesda, Maryland, United States, 20892
United States, Pennsylvania
Thomas Jefferson University
Philadelphia, Pennsylvania, United States, 19107-6541
Sponsors and Collaborators
  More Information

Publications:
Study ID Numbers: 930054, 93-CH-0054
Study First Received: November 3, 1999
Last Updated: October 19, 2007
ClinicalTrials.gov Identifier: NCT00001343  
Health Authority: United States: Federal Government

Keywords provided by National Institutes of Health Clinical Center (CC):
Turner's Syndrome
Short Stature
Cognitive Function
Sex Steroids
Turner's Syndrome
Turner Syndrome
TS

Study placed in the following topic categories:
Chromosomal abnormalities
Dwarfism
Genital dwarfism
Gonadal Disorders
Chromosome Disorders
Endocrine System Diseases
Bone Diseases
Sex Differentiation Disorders
Monosomy X
Oxandrolone
Turner Syndrome
Gonadal dysgenesis
Urogenital Abnormalities
Musculoskeletal Diseases
Genetic Diseases, Inborn
Turner syndrome
Bone Diseases, Developmental
Ovarian dwarfism
Endocrinopathy
Congenital Abnormalities
Gonadal Dysgenesis

Additional relevant MeSH terms:
Anabolic Agents
Pathologic Processes
Disease
Syndrome
Physiological Effects of Drugs
Hormones, Hormone Substitutes, and Hormone Antagonists
Sex Chromosome Disorders
Hormones
Pharmacologic Actions
Androgens

ClinicalTrials.gov processed this record on January 15, 2009