Three Times Weekly (TIW) Growth Hormone Therapy in Children on Hemodialysis

Completed · Phase 3

Conditions studied: Kidney Failure, Chronic, Renal Dialysis

In brief

Hypotheses: 1. The provision of thrice weekly subcutaneous (SQ) recombinant growth hormone (rGH) therapy to children receiving in-center hemodialysis (HD) will result in improved growth. 2. The provision of thrice weekly SQ rGH therapy to children receiving in-center HD will result in improved lean body mass, nutritional status and quality of life. TIW rGH treatment regimen (0.35 mg/kg/week divided into 3 doses, each dose being given at the conclusion of the dialysis treatment) for up to 2 years; growth response, Dual energy X-ray absorptiometry (DEXA), and quality of life (QOL) will be measured. The goal is to enroll 20 children who are Tanner 1 with decreased height SDS and/or decreased height velocity standard deviation scoreS (SDS). If this therapy is demonstrated to be efficacious and improves growth and QOL, this therapy could be easily implemented for all eligible children on HD, since parental acceptance should be better without having to administer the rGH at home and compliance for the child will be assured. The investigators thus propose an important study that has the ability to advance their understanding and provide evidence for the best methods to promote growth in children on dialysis. The results of this study will result in important information that will be of value to the entire pediatric nephrologist community, including health care professionals, patients, and families. In a real sense, this study will build on the 2006 Consensus Conference guidelines for evaluation and treatment of growth failure in children with chronic kidney disease (CKD). This will provide evidence for critical management decisions that can help insure better growth opportunities to more children with CKD.

Key facts

Study ID

NCT00943995

Run by

Nationwide Children's Hospital

People needed

3

Starts

2010-07-01

Expected to finish

2012-08-01

Last updated by the study team

2015-05-05

Who can join

Age: 0 and older, up to 16. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Chronic Renal Failure on Hemodialysis
• Tanner 1
• Bone Age <12
• Below the 3rd %tile for height or have growth velocity < 3rd %tile and are not on SQ rGH Rx
• At baseline, study population will also have to have documentation of normal thyroid status, secondary hyperparathyroidism will be controlled in acceptable range (iPTH < 800), adequate dialysis (Kt/V >1.2) and normal acid-base status.
• expected to be on hemodialysis at least 6 months

You may not qualify if…

• Anyone not meeting the inclusion criteria.

Where it is running

• Children's Healthcare of Atlanta at Egleston — Atlanta, Georgia, United States
• Children's Mercy Hospital — Kansas City, Missouri, United States
• Montefiore Medical Center — The Bronx, New York, United States
• Children's Memorial Hermann Hospital-TMC — Houston, Texas, United States
• Texas Children's Hospital — Houston, Texas, United States

Full record on ClinicalTrials.gov

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