Detection of hemorrhagic and axonal pathology in mild traumatic brain injury using advanced MRI: implications for neurorehabilitation.
Randall R Benson, Ramtilak Gattu, Bradley Sewick...
https://pubmed.ncbi.nlm.nih.gov/23093454/Actively Recruiting
Led by Center for Neurological Studies · Updated on 2023-02-08
42
Participants Needed
1
Research Sites
78 weeks
Total Duration
This research aims to evaluate the effects of growth hormone GH replacement therapy on cognitive functions in retired professional football players diagnosed with growth hormone deficiency GHD following traumatic brain injury TBI. The study focuses on memory, executive function, and attention, using tools like the adult growth hormone deficiency assessment questionnaire, quantitative electroencephalogram QEEG, and magnetic resonance imaging MRI to assess brain activity, structure, and quality of life. GHD is a common issue after TBI, often linked to pituitary injury from repetitive head trauma in sports. Participants will be randomly assigned to receive either daily self-injections of Norditropin somatropin via auto-injector pens or a saline placebo during a 1-year double-blind phase. After this phase, those who received placebo may enter a 6-month open-label extension to receive the active treatment. The study compares the effects of GH therapy against placebo on cognitive and physical functions over these periods. During the study, participants will undergo various assessments including cognitive testing focused on working memory, processing speed, executive function, and verbal learning. Researchers will also evaluate physical function measures like peak oxygen consumption, grip strength, and knee extension torque. Brain activity and structure will be monitored through QEEG and MRI scans. Quality of life and safety will be tracked throughout the 1-year treatment and extension periods, with close monitoring of any adverse events.
CONDITIONS
Growth Hormone Replacement Therapy for Retried Professional Football Players
V
Vijay M Baragi, Ph.D.
J
John Russell
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Center for Neurological Studies
Lead Sponsor
Novo Nordisk A/S
Collaborating Sponsor
This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
| Factors | Growth Hormone | Placebo |
|---|---|---|
| What it is | Daily self-administered growth hormone injections, as studied in post-traumatic GHD among retired NFL players. | Daily self-administered saline (placebo) injections, matching the primary intervention for blinding. |
| Role in the trial | Investigational treatment arm intended to evaluate cognitive, physical, and quality of life outcomes in post-traumatic GHD. | Comparator arm to provide blinded comparison for efficacy and safety evaluation. |
| How it is given or performed | Subcutaneous injection, administered daily at home during 1-year double-blind phase with optional open-label extension for prior placebo recipients. | Daily subcutaneous saline injection, administered at home with identical protocol for blinding. |
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
You may qualify if you...
You will not qualify if you...
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - 1 year for double-blind phase; 6-month open-label extension for some participants
Participants self-administer daily injections of growth hormone or placebo to assess effects on cognitive function and physical health.
Regular visits throughout treatment duration as directed by the study team
Study Type
INTERVENTIONAL
Masking
TRIPLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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Lead Sponsor
Novo Nordisk A/S
Collaborating Sponsor