Adult Growth Hormone deficiency
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Daily GH formulations 1. Patients who have already been treated with Daily GH formulations under the diagnosis of AGHD 2. Patients who do not wish to switch to Weekly GH formulations (Somapacitan) 3. Patients who have voluntarily consented to the document regarding participation in this study. Weekly GH formulations 1. Patients who have already been treated with Daily GH formulations under the diagnosis of AGHD 2. Patients who wish to switch to Weekly GH formulations (Somapacitan) administration 3. Patients who have voluntarily consented to the document regarding participation in this study.
Exclusion criteria
Exclusion criteria: 1. Patients with severe renal dysfunction (eGFR less than 30 mL / min / 1.73 m2) 2. Pregnant and lactating patients
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Lean body mass measured by DEXA | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Muscle mass; raw electrical impedance value, limb circumference 2. Muscle strength; microFET (Force Evaluation and Testing), TUG test, muscle strength measured by walking for 6 minutes, muscle strength by measuring device, hand grip strength 3. Cognitive ability, depression; GDS-J, MOCA-J, Yaruki score 4. Sleep Assessment; Athens Insomnia Scale, Epworth Sleepiness Scale, Pittsburgh Sleep Quality Index, Sleep Cycle, etc. Sleep measurement app 5. Glucose metabolism (FPG, F-IRI, HbA1c) 6. Lipid profile, Apo protein, Lpa, 7. QoL Questionnaire (AHQ, SF36) 8. Body composition (DEXA, waist circumference), Fat scan 9. Bone density (DEXA), bone metabolism marker 10. Arteriosclerosis (CAVI, Carotid Echo) 11. Fib4 index 12. Adherence; Judgment based on changes in serum IGF-I level, Moriski Medication Scale 13. Other unknown biomarkers (search blood sampling; metabolomics analysis, exosome analysis, gene expression analysis) Before and after switching to Somapacitan, confirm the transition in the daily administration group of somatropin preparation during the same period. Metabolome analysis is requested to the Mass Analysis Center, exosome analysis is outsourced to a company after extracting exosomes in our laboratory, miRNA, mRNA, protein expression is measured and analyzed in the laboratory, gene expression analysis is a blood sample. Analyze gene expression (mRNA) using. | — |
Countries
Japan
Contacts
Kobe University Hospital Diabetes and Endocrinology