Sexually Dimorphic Effects of GHRH in Adult Growth Hormone Testing

Children's Mercy Hospital Kansas City

Status: Completed

Conditions: Growth Hormone Deficiency

Treatments: Procedure: GHRH/arginine stimulation testing

Study type: Interventional

Funder types: Other

Identifiers

NCT00324064

06 03-053

Details and patient eligibility

About

Specific Aim 1 Healthy male and female subjects and growth hormone (GH) deficient subjects display sexually dimorphic GH responses to GHRH administration

Specific Aim 2 GH responses to GHRH in both healthy controls and in GH deficient patients correlate with expression and activity of the stimulatory G proteins, G alpha q and G alpha S. G protein levels correlate with gonadal steroid levels.

Specific Aim 3 Sexually dimorphic GH responses to GHRH are enhanced in Tanner Stage V compared to Tanner Stage 1 individuals

Full description

Growth hormone deficiency affects disproportionately more males than females. Although ascertainment bias plays a role in this sexual dimorphism, no plausible mechanism to fully explain this difference has been proposed.

This investigator initiated study will provide currently unavailable data on sexual/age differences in response to GH stimulation testing. Data obtained from the study may provide a basis for developing appropriate normal ranges for adult GH testing, may provide a plausible mechanism for the enhanced hormone responsiveness observed in females, and may provide data on when the sexual differences to GH stimulation may develop.

The objectives of this study are to:

1. Confirm the sexual dimorphism in growth hormone responses for adult growth hormone testing in healthy male and female subjects
2. Correlate peak Growth Hormone Releasing Hormone (GHRH)/arginine induced growth hormone responses with G protein levels in healthy subjects and in patients with a history of childhood GH deficiency
3. Determine whether sexual dimorphism is acquired during puberty

Enrollment: 90 estimated patients

Sex: All

Ages: 5 to 40 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

Healthy subjects

• Males and females, Tanner stage V aged 15-40 years of age with no known endocrine problems
• Males and females, Tanner stage I, aged 5-8 years with no known endocrine problems

GH subjects - Males and females, Tanner stage V, aged 15-21 years with a history of childhood growth hormone deficiency

Exclusion criteria

Healthy subjects

• History of GH deficiency or treatment or other known endocrine disorder
• Current height or adult height <5th %
• Female subjects using hormonal methods of birth control
• Female subjects with irregular menstrual cycles

GH subjects

• Subjects with GH deficiency who have not discontinued GH treatment for at least 2 months

Trial design

Primary purpose: Diagnostic

Allocation: Non-Randomized

Interventional model: Single Group Assignment

Masking: None (Open label)