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Acute Brain InjuriesPhase 4GH-ABI-RCTNCT07481656

Effects of Recombinant Human Growth Hormone in Elderly Patients With Moderate to Severe Acute Brain Injury (GH-ABI-RCT)

A Phase 4 study testing Recombinant Human Growth Hormone (rhGH) Injection in people with Acute Brain Injuries and Moderate to Severe Traumatic Brain Injury, run by Anhui Provincial Hospital at 1 site in China.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

This study is a multicenter, randomized controlled trial aimed at evaluating the effectiveness and safety of recombinant human growth hormone (rhGH) in elderly patients who have suffered moderate to severe acute brain injuries complicated by hypoproteinemia. Read more about this study

Who is it for?
Ages 60 years and older
What is being tested?
Recombinant Human Growth Hormone (rhGH) Injection
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
160 participants
Where
1 siteChina
Study dates
10 Apr 2026to 30 Oct 2028
Phase
Phase 4
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 60 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Age ≥ 60 years, male or female.
  • Hospitalized patients with acute brain injury (including traumatic brain injury, ischemic stroke, intracerebral hemorrhage, or subarachnoid hemorrhage) who had a Glasgow Coma Scale (GCS) score ≤ 12 at any time during hospitalization.
  • Presence of hypoalbuminemia, defined as serum albumin < 35 g/L and/or prealbumin < 200 mg/L after admission.
  • Willing and able to provide informed consent (by patient or legal representative).

Who cannot join

  • Unstable vital signs, defined as deviations in body temperature, respiration, pulse, blood pressure, or oxygen saturation from normal ranges that, in the clinical judgment of the investigator, may jeopardize vital organ perfusion or indicate disease progression.
  • Active malignancy or history of malignancy with a disease-free interval of less than 5 years.
  • Diabetes mellitus with retinopathy.
  • Any other condition deemed unsuitable for participation by the investigator (e.g., severe renal/hepatic dysfunction, active infection, known hypersensitivity to growth hormone, or participation in another interventional trial).

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

ChunSheng Xia, MD contact

xiassen@163.com

China1 site
  • The First Affiliated Hospital of University of Science and Technology of China

    Hefei, Anhui, 230036

    Hao Xu, PhD, 18019576586, Xuhao2021@ustc.edu.cn

Other trials in China

About this study

Official title: A Multicenter, Randomized Controlled Trial Evaluating Recombinant Human Growth Hormone in Elderly Patients With Moderate to Severe Acute Brain Injury and Hypoalbuminemia

This study is a multicenter, randomized controlled trial aimed at evaluating the effectiveness and safety of recombinant human growth hormone (rhGH) in elderly patients who have suffered moderate to severe acute brain injuries complicated by hypoproteinemia.

Eligible participants, aged 60 and older, with acute brain injuries and low serum albumin levels will be randomly assigned to either the growth hormone treatment group or the control group. The treatment group will receive recombinant human growth hormone in addition to standard medical care, while the control group will receive standard medical care alone.

Read more

Clinical data will be collected at baseline and weekly for four weeks. The primary outcome measure will be the change in plasma albumin levels from baseline to Week 2. Secondary outcome measures will include changes in total protein, prealbumin, insulin-like growth factor-1 levels, cumulative albumin infusion, infection rates, hemoglobin levels, length of hospital stays, length of intensive care unit stays, and functional outcomes.

Safety outcomes and adverse events will be monitored throughout the study period. The results of this study are expected to provide evidence that can help optimize nutritional support and rehabilitation strategies for elderly patients with acute brain injuries.This study is a multicenter, randomized controlled clinical trial designed to evaluate the effectiveness and safety of recombinant human growth hormone (rhGH) in elderly patients with moderate to severe acute brain injury complicated by hypoproteinemia.

Eligible participants aged 60 years and older with acute brain injury and low serum albumin levels will be randomly assigned to either the growth hormone treatment group or the control group. The treatment group will receive recombinant human growth hormone in addition to standard medical care, while the control group will receive standard medical care alone.

Clinical data will be collected at baseline and weekly for four weeks. The primary outcome is the change in plasma albumin level from baseline to Week 2. Secondary outcomes include changes in total protein, prealbumin, insulin-like growth factor-1 levels, cumulative albumin infusion, infection rate, hemoglobin level, length of hospital stay, intensive care unit stay, and functional outcomes.

Safety outcomes and adverse events will be monitored throughout the study period. The results of this study are expected to provide evidence for optimizing nutritional support and rehabilitation strategies in elderly patients with acute brain injury.

Read the detailed description

This study is a multicenter, prospective, randomized controlled clinical trial designed to evaluate the efficacy and safety of recombinant human growth hormone (rhGH) in elderly patients with moderate to severe acute brain injury complicated by hypoproteinemia.

Eligible patients aged 60 years and older who are diagnosed with moderate to severe acute brain injury and have serum albumin levels below 35 g/L will be enrolled. After obtaining informed consent, participants will be randomly assigned in a 1:1 ratio to either the rhGH treatment group or the control group using a centralized randomization system.

Patients in the treatment group will receive subcutaneous recombinant human growth hormone in addition to standard medical treatment and nutritional support. Patients in the control group will receive standard medical treatment and nutritional support alone. The dosage and duration of rhGH administration will follow the study protocol.

Baseline demographic data, medical history, and clinical characteristics will be collected at enrollment. Laboratory parameters including serum albumin, total protein, prealbumin, insulin-like growth factor-1, hemoglobin, and inflammatory markers will be measured at baseline and weekly for four weeks.

The primary outcome measure is the change in plasma albumin level from baseline to Week 2. Secondary outcome measures include changes in nutritional indicators, cumulative albumin infusion volume, incidence of infection, length of intensive care unit stay, total hospital stay, functional recovery, and mortality during hospitalization.

Safety assessments will include routine laboratory tests, monitoring of vital signs, and recording of adverse events and serious adverse events throughout the study period. An independent data monitoring committee will oversee study safety and data quality.

All data will be collected using standardized case report forms and entered into a secure electronic database. Data management and statistical analyses will be conducted in accordance with the prespecified statistical analysis plan.

The study will be conducted in accordance with the Declaration of Helsinki and Good Clinical Practice guidelines. Ethical approval has been obtained from the institutional review boards of all participating centers, and written informed consent will be obtained from all participants or their legally authorized representatives.

Being tested
Recombinant Human Growth Hormone (rhGH) Injection, Standard Care (Treatment as Usual)
Keywords
recombinant human growth hormone, rhGH, hypoproteinemia, Moderate to Severe Traumatic Brain Injury
Medical subject headings
Brain Injuries, Hypoproteinemia

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Recombinant Human Growth Hormone (rhGH) InjectionDrug

    Recombinant human growth hormone is administered subcutaneously according to the study protocol. The recommended dose is 2-4 IU per day. For participants with blood glucose ≥11.1 mmol/L or aged 80 years and older, the recommended dose is 2-3 IU per day.

  • Standard Care (Treatment as Usual)Other

    Participants receive standard clinical care and/or routine observation without recombinant human growth hormone.

Study groups in NCT07481656
Study groupRoleWhat they receive
rhGH Treatment GroupExperimentalParticipants receive recombinant human growth hormone according to the study protocol. The recommended dose is 2-4 IU per day. For participants with blood glucose ≥11.1 mmol/L or aged 80 years and older, the recommended dose is 2-3 IU per day.
Receives: Drug: Recombinant Human Growth Hormone (rhGH) Injection; Other: Standard Care (Treatment as Usual)
Standard Care GroupActive comparatorParticipants receive standard clinical care or routine observation without recombinant human growth hormone, according to usual practice and individual clinical conditions.
Receives: Other: Standard Care (Treatment as Usual)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in Plasma Albumin Level from Baseline to Week 2

    The difference in plasma albumin level (g/L) between baseline (before treatment) and at Week 2 (±2 days) after initiation of treatment. This outcome will be compared between the growth hormone treatment group and the blank control group to assess the short-term effect of recombinant human growth hormone (rhGH) on hypoalbuminemia in elderly patients with moderate to severe acute brain injury.

    Measured: Baseline (within 7 days before first treatment) and Week 2 (±2 days) after treatment initiation.

Secondary outcomes (17)
  1. Change in Total Protein (TP) from Baseline to Weeks 1, 2, 3, and 4

    The difference in serum total protein level (g/L) from baseline to Weeks 1, 2, 3, and 4 after treatment initiation.

    Measured: Baseline, Weeks 1, 2, 3, 4 (±2 days) after treatment initiation

  2. Change in Albumin (ALB) from Baseline to Weeks 1, 2, 3, and 4

    The difference in serum albumin level (g/L) from baseline to Weeks 1, 2, 3, and 4 after treatment initiation.

    Measured: Baseline, Weeks 1, 2, 3, 4 (±2 days) after treatment initiation

  3. Change in Prealbumin (PA) from Baseline to Weeks 1, 2, 3, and 4

    The difference in serum prealbumin level (mg/L) from baseline to Weeks 1, 2, 3, and 4 after treatment initiation.

    Measured: Baseline, Weeks 1, 2, 3, 4 (±2 days) after treatment initiation

  4. Cumulative Amount of Albumin Infused

    The total amount of exogenous albumin (in grams) administered to the patient from baseline through Weeks 1, 2, 3, and 4 after treatment initiation.

    Measured: Up to Weeks 1, 2, 3, 4 (±2 days) after treatment initiation

  5. 24-hour Urine Urea Nitrogen (24h UUN)

    The value of 24-hour urine urea nitrogen (mmol/24h or g/24h) measured at Weeks 1, 2, 3, and 4 after treatment initiation.

    Measured: Weeks 1, 2, 3, 4 (±2 days) after treatment initiation.

  6. Change in Z-score of Plasma Insulin-like Growth Factor 1 (IGF-1) Level from Baseline

    The change in the Z-score of plasma IGF-1 level from baseline to Weeks 1, 2, 3, and 4after treatment initiation.

    Measured: Baseline, Weeks 1, 2, 3, 4 (±2 days) after treatment initiation

  7. Hemoglobin Level at Weeks 1, 2, 3, and 4

    Hemoglobin concentration (g/L) measured at Weeks 1, 2, 3, and 4 after treatment initiation.

    Measured: At weeks 1, 2, 3, 4 (±2 days) after treatment initiation

  8. Cumulative Blood Transfusion

    The cumulative volume (mL) or number of units of packed red blood cells transfused from baseline through Weeks 1, 2, 3, and 4 after treatment initiation.

    Measured: Up to Weeks 1, 2, 3, 4 (±2 days) after treatment initiation.

  9. Cumulative Incidence and Infections

    The occurrence (yes/no) and cumulative frequency of any infection (e.g., pulmonary, urinary, central nervous system) occurring within Weeks 2 and 4 after treatment initiation.

    Measured: Up to Weeks 2 and 4 (±2 days) after treatment initiation

  10. Time to First Infection

    The time (in days) from treatment initiation to the onset of the first infection, assessed within the 4-week follow-up period.

    Measured: From treatment initiation to Week 4 (±2 days)

  11. C-reactive Protein (CRP) Level at Weeks 1, 2, 3, and 4

    Level of C-reactive protein (CRP, mg/L) as a marker of inflammation, measured at Weeks 1, 2, 3, and 4 after treatment initiation.

    Measured: At weeks 1, 2, 3, 4 (±2 days) after treatment initiation

  12. Total Lymphocyte Count at Weeks 1, 2, 3, and 4

    Total lymphocyte count (×10⁹/L) as a marker of immune status, measured at Weeks 1, 2, 3, and 4 after treatment initiation.

    Measured: At Weeks 1, 2, 3, and 4 (±2 days) after treatment initiation.

  13. Length of Hospital Stay

    The total number of days from hospital admission to discharge for any reason.

    Measured: From the date of hospital admission to the date of discharge for any reason, assessed up to 6 months.

  14. Length of Intensive Care Unit (ICU) Stay

    The total number of days spent in the Intensive Care Unit (ICU) during the hospitalization.

    Measured: From the date of ICU admission to the date of ICU discharge, assessed up to 6 months

  15. Glasgow Outcome Scale Extended (GOSE) Score at Week 4

    Functional neurological outcome assessed using the Glasgow Outcome Scale Extended (GOSE) at Week 4 after treatment initiation. Scores range from 1 (death) to 8 (upper good recovery).

    Measured: At Week 4 (±2 days) after treatment initiation.

  16. Duration of Mechanical Ventilation (Subgroup Analysis)

    The total duration (in hours or days) of mechanical ventilation during hospitalization, analyzed in the subgroup of patients who required mechanical ventilation. Duration is measured from initiation of ventilation until first successful extubation or death from any cause, whichever occurs first.

    Measured: From the initiation of mechanical ventilation until the date of first successful extubation or death from any cause, whichever came first, assessed up to 6 months

  17. Change in Hemoglobin in Anemic Subgroup (Hemoglobin < 95 g/L)

    The change in hemoglobin level (g/L) from baseline to Weeks 1, 2, 3, and 4 in the subgroup of patients with anemia (hemoglobin < 95 g/L) at baseline.

    Measured: Baseline, Weeks 1, 2, 3, 4 (±2 days) after treatment initiation

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted19 Mar 2026
  2. Study start10 Apr 2026 (estimated)
  3. Primary completion30 Sep 2027 (estimated)
  4. Study completion30 Oct 2028 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Participants will be randomly assigned in parallel to either the intervention group receiving recombinant human growth hormone or the control group receiving standard treatment.
Masking
None (open label)
Enrolment
160 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07481656
Sponsor's protocol ID
2025-KY630
Acronym
GH-ABI-RCT
Status last verified
Feb 2026
First submitted
8 Feb 2026
Last updated
19 Mar 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: There is no plan to share individual participant data (IPF) with researchers outside the study team. The primary reasons include protecting participant confidentiality and the absence of a formal data-sharing agreement between the participating multicenter sites at this stage of the research.

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Recombinant Human Growth Hormone (rhGH) Injection in people with Acute Brain Injuries and Moderate to Severe Traumatic Brain Injury, run by Anhui Provincial Hospital at 1 site in China.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: opening soon, as of the sponsor's last update on 19 Mar 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in China. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Hao Xu, PhD (18019576586, Xuhao2021@ustc.edu.cn), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in Plasma Albumin Level from Baseline to Week 2 (time frame: Baseline (within 7 days before first treatment) and Week 2 (±2 days) after treatment initiation.). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 19 Mar 2026.

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