Spinal Cord Injury and Growth Hormone Deficiency MedDRA version: 14.1 Level: PT Classification code 10041558 Term: Spinal cord injury thoracic System Organ Class: 10022117 - Injury, poisoning and procedural complications MedDRA version: 14.1 Level: PT Classification code 10041554 Term: Spinal cord injury cervical System Organ Class: 10022117 - Injury, poisoning and procedural complications
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: -Men or women aged 18 to 50 years (inclusive) -Cervical or thoracic (dorsal) spine injuries (C5-T12) -Complete lesions (ASIA A) with SSEP and EMG evaluation -Stability of the recovery (at least 12 months since injury) -Maintenance of muscular structure (no more than 24 months since injury) -Partial (=65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: -Spinal cord injury of non-traumatic origin -Adverse effects or hypersensitivity to GH or its excipients -Lack of neurophysiological assessment/confirmation of SCI -Previous very intensive rehabilitation -Previous growth hormone therapy -Evidence of any active malignancy or cancer in the last 5 years -Acute illnesses at time of randomization - Pregnancy -Participation in another interventional study -Inability to comply with the requirements of the study or who in the opinion of the investigator should not participate in the study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: Evaluate the efficacy and safety of Nutropin® in combination with intensive rehabilitation compared to placebo with intensive rehabilitation in patients with Spinal Cord Injury;Secondary Objective: - to assess QoL and spasticity changes - to assess neurological motor and sensibility changes - to assess safety;Primary end point(s): Changes in Spinal Cord Independence Measure (SCIM) III score;Timepoint(s) of evaluation of this end point: SCIM III will be assesed 4 times in 6 months: at visit 1 (day1), visit 2(month 1), visit 3(month 3) and visit 4 (month 6) | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): - Changes in quality of life: Nottingham Health Profile (NHP) score - Neurological motor changes: percentage of patients with selective muscle activity >1 spinal metamere below lesion. - Neurological profound and superficial sensory changes: percentage of patients with > 1 spinal metamere below lesion: Metamere neurological activity mapping (ASIA) at physical examination (Neurophysiology) confirmed by: a.Electromyogram with measurement of individualized motor units to measure efferent motoneurons activity (A? and C fibers). b.Somatosensory evoked potencials (SSEP) to measure direct posterior A? and A? fibers activity (Goll and Burdach posterior Fasciculae). -Changes in spasticity assessment: Modified Ashworth Score (MAS) (Rehabilitation);Timepoint(s) of evaluation of this end point: Secondary endpoint will be assesed during the study visits (Visit 0, 1, 2, 3 and 4) | — |
Countries
Spain
Contacts
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