About this trial
The overall objective of this study is to measure the effect of growth hormone (GH) treatment on physical and psychosocial health in adults with Prader-Willi syndrome. Adults with PWS who have not been treated with GH during the past three years and who will start with GH treatment as part of regular patient care will be asked for informed consent to participate in this open-label prospective cohort study. We hypothesize that growth hormone treatment will improve the physical and psychosocial health.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
The patient is diagnosed with Prader-Willi syndrome (genetically confirmed)
Disqualifiers
Non cooperative behaviour
Pregnancy
Known malignancies
Poorly controlled diabetes (HbA1c > 64 mmol/mol (8%))
Trial population
Adults with PWS who have not been treated with GH during the past three years and who will start with GHt as part of regular patient care.
Trial design
Cohort
Prospective
Treatments tested in this trial
Not listed
Trial groups
Trial outcomes
Primary outcomes
Change in lean body mass
Change in lean body mass (in kg) as measured by Dual Energy X-ray Absorptiometry scan
Secondary outcomes
Change in fat mass
Change in fat mass (in kg) as measured by Dual Energy X-ray Absorptiometry scan
Change in bone density
Change in bone density (in T-score) as measured by Dual Energy X-ray Absorptiometry scan
Change in physical strength
Change in physical strenght as measured by handgrip dynamometer and sit-to-stand tests
Change in laboratory measurements
Changes in the following laboratory measurements: * Glycosylated hemoglobin (mmol/mol) * Total cholesterol (mmol/L) * Low-density lipoprotein cholesterol (mmol/L) * High-density lipoprotein cholesterol (mmol/L) * Insulin-like growth factor 1 (nmol/L) * Free thyroxine 4 (pmol/L) * Luteinizing hormone (U/I) * Follicle stimulating hormone (U/I) * Estradiol or testosterone (nmol/L) * Sex hormone binding globulin (nmol/L) * Aspartate transaminase (U/L) * Alanine transaminase (U/L) * Alkaline phosphatase (U/L) * Gamma glutamyl transpeptidase (U/L) * Total bilirubin (micromol/L) * Lactate dehydrogenase (U/L) * Urea (mmol/L) * Creatinine (micromol/L) * Hemoglobin (mmol/L) * Hematocrit (L/L) * Mean corpuscular volume (fL) * Leukocytes (10\^9/L) * Thrombocytes (10\^9/L) * 25-OH vitamin D (nmol/L)
Other outcomes
Change in weight and waist-hip ratio
Change in weight (in kg) and waist-hip ratio
Change in blood pressure
Change in blood pressure (in mmHg)
Occurence of side-effects
Occurrence of side-effects
Sponsors and contacts
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Erasmus Medical Center
Lead sponsor
Foundation for Prader-Willi Research
Collaborator
Prader-Willi Fonds
Collaborator
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