UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000044989
Receipt number R000051398
Scientific Title Somatropin effects on liver fat content in AGHD patients-a single centre non-interventional study
Date of disclosure of the study information 2021/07/29
Last modified on 2025/01/10 23:46:41

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Basic information

Public title

Somatropin effects on liver fat content in AGHD patients-a single centre non-interventional study

Acronym

GH effects on liver fat content in patients with AGHD

Scientific Title

Somatropin effects on liver fat content in AGHD patients-a single centre non-interventional study

Scientific Title:Acronym

GH effects on liver fat content in patients with AGHD

Region

Japan


Condition

Condition

Adult growth hormone deficiency

Classification by specialty

Endocrinology and Metabolism

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

There is currently an evidence gap on the effects of GHT on liver fat content and liver function (including effects on NAFLD) as a combined retrospective and prospective observational study to confirm hypothesis of effectiveness of GHT on hepatic fat content and liver function in AGHD.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

Prospective group: Change in Hepatic Fat Fraction measured by IDEAL IQ method of liver MRI at the beginning of the study and after 6 months.
Retrospective group: Change in Hepatic Fat Fraction measured by IDEAL IQ of liver MRI at study entry, 6 months, or later.

Key secondary outcomes

1. Change in body weight at the beginning of the study, 6 months later in the prospective group, and 6 months later or later in the retrospective group
2. Change in the liver-related enzyme at study entry and after 6 months in the prospective group and after 6 months or later in the retrospective group.
3. Presence of NAFLD assessed at study entry and after 6 months in the prospective group and after 6 months or later in the retrospective group.


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

80 years-old >

Gender

Male and Female

Key inclusion criteria

AGHD patients who are treated in Kitasato university between April 1st, 2010 and March 31st,2023.

Key exclusion criteria

1, Patients before and after surgery or with severe trauma
2, Patients with excessive alcohol intake. Estimated ethanol equivalent based on the patient's self-report; 30 g/day for men, 20g /day or more for women
3, Patients with undeniable complications of other liver diseases, including viral hepatitis, autoimmune hepatitis, and drug-induced hepatitis.
4, Patients with severe hepatic impairment, cirrhosis of the liver of Child-Pugh classification B or C
5, Patients with hepatitis virus infection
6, Patients with an apparent malignant tumor
7, Women who are pregnant or may become pregnant
8, Under 20 years old and over 80 years old
9, Patients with mental retardation or linguistic problems that prevent them from fully understanding the research content


Target sample size

30


Research contact person

Name of lead principal investigator

1st name Tomomi
Middle name
Last name Taguchi

Organization

Kitasato University School of Medicine

Division name

Department of Endocrinology, Metabolism & Diabetes

Zip code

252-0375

Address

1-15-1 Kitasato, Minami-ku Sagamihara

TEL

0427788111

Email

t.tomo@kitasato-u.ac.jp


Public contact

Name of contact person

1st name Tomomi
Middle name
Last name Taguchi

Organization

Kitasato University School of Medicine

Division name

Department of Endocrinology, Metabolism & Diabetes

Zip code

252-0375

Address

1-15-1 Kitasato, Minami-ku Sagamihara

TEL

0427788111

Homepage URL


Email

t.tomo@kitasato-u.ac.jp


Sponsor or person

Institute

Department of Endocrinology, Metabolism & Diabetes, Kitasato University School of Medicine

Institute

Department

Personal name



Funding Source

Organization

Novo Nordisk Pharma Ltd

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Research Ethics Committee of the Kitasato University School of Medicine

Address

1-15-1 Kitasato, Minami-ku Sagamihara

Tel

042-778-8111

Email

rinrib@med.kitasato-u.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2021 Year 07 Month 29 Day


Related information

URL releasing protocol

https://www.jstage.jst.go.jp/article/endocrj/advpub/0/advpub_EJ24-0481/_article

Publication of results

Published


Result

URL related to results and publications

https://www.jstage.jst.go.jp/article/endocrj/advpub/0/advpub_EJ24-0481/_article

Number of participants that the trial has enrolled

30

Results

Effect of GH replacement therapy on hepatic lipid content Hepatic lipid content in the GHRT group, as measured by MRI-PDFF, was significantly reduced at the last visit compared with at baseline (p = 0.041).

Results date posted

2025 Year 01 Month 10 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results

2025 Year 01 Month 09 Day

Baseline Characteristics

Thirty people with AGHD were recruited for this study

Participant flow

Some patients in the GHT and No GHT groups will be prospectively followed and data will be collected from the medical records at baseline and approximately 6 months after enrolment, according to normal clinical practice. If GH treatment already started and patients are either still on GH treatment or have completed at the time of study start, all data will be collected retrospectively from available medical records for the duration of GH therapy. In case of any clinic visits in between, data should also be collected.Some patients in the No GHT group are under an ongoing follow-up without GH treatment and data will be collected from available medical records at baseline and approximately 6 months after baseline data collection. If longer follow up data are available, these may be collected as well.For all patients who are not prospectively entering the study, baseline data to evaluate liver function before GH initiation / non-GHT follow up are required to be eligible for inclusion. The data collection period varies for these patients as the treatment duration after starting GH treatment varies between patients and only patients with an expected total GH treatment duration of 6 months or more after GH start are eligible for inclusion.

Adverse events

A subject assigned to the GHRT group was excluded from the study owing to drug-induced liver injury, which was presumably not associated with GHRT.

Outcome measures

Primary endpoint: Change in hepatic fat content from baseline to end of study

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2021 Year 06 Month 29 Day

Date of IRB

2021 Year 06 Month 29 Day

Anticipated trial start date

2021 Year 06 Month 29 Day

Last follow-up date

2023 Year 05 Month 26 Day

Date of closure to data entry

2024 Year 03 Month 31 Day

Date trial data considered complete

2024 Year 03 Month 31 Day

Date analysis concluded

2024 Year 03 Month 31 Day


Other

Other related information

None


Management information

Registered date

2021 Year 07 Month 28 Day

Last modified on

2025 Year 01 Month 10 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000051398