Spinal Cord Injury
Conditions
Keywords
Spinal Cord Injury, Baclofen, Growth Hormone, Pituitary, Insulin-Like Growth Factor I
Brief summary
Insulin-like growth factor I (IGF-I) is used as a measure of the body's ability to produce growth hormone. Growth hormone is important for muscle tissue as well as many other tissues in the body. Growth hormone (GH) and IGF-I have been shown to be reduced in many persons with SCI. Baclofen is a FDA approved drug that is used to treat spasticity. Persons receiving long-term baclofen therapy have been demonstrated to have increased growth hormone and IGF-I levels. IGF-I levels will be determined before and after treatment with baclofen. In this study, the investigators will determine the minimum dose of baclofen at which improvements in GH and IGF-1 levels occur.
Interventions
Subjects will receive 20 mg baclofen for 8 weeks, followed by 40 mg baclofen for 8 weeks.
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients with chronic SCI (injury greater than 6 months) who have been screened and found to have depressed plasma IGF-1 levels and who are not taking baclofen.
Exclusion criteria
* Acute illness of any etiology, * Patients with chronic renal, liver, lung, or cardiac disease, * Patients receiving any of the following medications: narcotics, or L-DOPA, and * Alcoholics.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Determine the threshold dose 20 or 40 mg/d of baclofen and the dose-response curve of the medication for its effect to raise plasma IGF-1 levels | 20-week (5 months) in which subjects are asked to report for 12 visits after starting baclofen therapy |
Secondary
| Measure | Time frame |
|---|---|
| Assessment of the adverse side effects, if any, of low dose baclofen therapy | 20-week (5 months) in which subjects are asked to report for 12 visits after starting baclofen therapy |
Countries
United States