To evaluate the effect on glucose sensitivity and body composition of combination therapy with GH and IGF-I in growth hormone deficient adults with impaired glucose tolerance or diabetes. The hypothesis of the study is that the combination therapy improves glucose metabolism and increases GH’s effect on body composition.
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Subjects who meet all of the following criteria are eligible for this trial: Verified profound GH deficiency Impaired glucose tolerance test or diabetes (stable on antidiabetic medication) Age 18-70 years Each patient must sign an informed consent document before inclusion in the study Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: Subjects meeting one or more of the following criteria cannot be selected: Known or suspected allergy to GH or IGF-I preparation GH treatment within the last year Insulin treatment Diabetes with HbA1C>9% Malignancy or other serious diseases (ex severe cardiovascular diseases, severe infections) Increased liver enzymes (ASAT or ALAT>2.5 normal range) Pregnancy Lactation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To evaluate the effect on glucose sensitivity and body composition of combination therapy with GH and IGF-I in growth hormone deficient adults with impaired glucose tolerance or diabetes. The hypothesis of the study is that the combination therapy improves glucose metabolism and increases GH’s effect on body composition.;Secondary Objective: Changes in BMI, waist circumference, serum lipids (triglycerides, total cholesterol, HDL- and LDL cholesterol), IGF-I, IGFBP-1 and adiponectin. ;Primary end point(s): Insulin sensitivity evaluated with hyperinsulinemic euglycemic clamp HbA1c | — |
Countries
Sweden