Evidence map›Paper›PMID 23015655›Full record

Trial reportThe Journal of clinical endocrinology and metabolism2012

Metabolic effects of a growth hormone-releasing factor in obese subjects with reduced growth hormone secretion: a randomized controlled trial.

Hideo Makimura, Meghan N Feldpausch, Alison M Rope, Linda C Hemphill, Martin Torriani, Hang Lee, Steven K Grinspoon

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of clinical endocrinology and metabolism, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 48 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
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  5. The effects of tesamorelin on phosphocreatine recovery in obese subjects with reduced GH.The Journal of clinical endocrinology and metabolism · 2014
    Trial
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  7. Review
  8. Review
  9. Review
  10. Article
  11. Review
  12. GHRH in diabetes and metabolism.Reviews in endocrine & metabolic disorders · 2025
    Review
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  14. Review
  15. Review
  16. Review
  17. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Hideo MakimuraProgram in Nutritional Metabolism and Neuroendocrine Unit, Massachusetts General Hospital and Harvard Medical School, 55 Fruit Street, Boston, Massachusetts 02114, USA.
Meghan N Feldpausch
Alison M Rope
Linda C Hemphill
Martin Torriani
Hang Lee
Steven K Grinspoon
Harvard University · USMassachusetts General Hospital · USHeart Foundation · US

Funding

HARVARD CLINICAL AND TRANSLATIONAL SCIENCE CENTER (UL1)UL1RR025758 · NCRR · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2008 to 2011
$91.4M
ZD6416 Analgesic--Painful Distal Symmetrical PolyneuropaM01RR001066 · NCRR · MASSACHUSETTS GENERAL HOSPITAL · PI BROWN, EMERY N · 1985 to 2008
$37.4M
ROLE OF DIETARY CONSTITUENTS ON GENE EXPRESSION IN INTESTINAL EPITHELIUMP30DK040561 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI CHRISTOPHER P DUGGAN · 1994 to 2026
$31.6M
Consequences and Treatment of Growth Hormone Deficiency in the Metabolic SyndromeR01HL085268 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI GRINSPOON, STEVEN K. · 2007 to 2010
$2.4M
Strategies to Improve CAD Risk In HIV DiseaseK24DK064545 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI GRINSPOON, STEVEN K. · 2003 to 2012
$1.6M
Growth Hormone, Mitochondria, and Cardio-metabolic Complications of ObesityK23DK087857 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI MAKIMURA, HIDEO · 2010 to 2014
$796k
NCRR NIH HHS M01 RR001066NCRR NIH HHS M01RR01066NCRR NIH HHS UL1 RR025758NCRR NIH HHS UL1RR025758NHLBI NIH HHS R01 HL085268NHLBI NIH HHS R01HL085268NIDDK NIH HHS K23 DK087857NIDDK NIH HHS K23DK087857NIDDK NIH HHS K24 DK064545NIDDK NIH HHS K24DK064545NIDDK NIH HHS P30 DK040561NIDDK NIH HHS P30DK040561
6 · The paper itself

Abstract

contextObesity is associated with reduced GH secretion and increased cardiovascular disease risk.

objectiveWe performed this study to determine the effects of augmenting endogenous GH secretion on body composition and cardiovascular disease risk indices in obese subjects with reduced GH secretion. DESIGN, PATIENTS AND

methodsA randomized, double-blind, placebo-controlled study was performed involving 60 abdominally obese subjects with reduced GH secretion. Subjects received tesamorelin, a GHRH(1-44) analog, 2 mg once daily, or placebo for 12 months. Abdominal visceral adipose tissue (VAT) was assessed by abdominal computed tomography scan, and carotid intima-media thickness (cIMT) was assessed by ultrasound. Treatment effect was determined by longitudinal linear mixed-effects modeling.

resultsVAT [-16 ± 9 vs.19 ± 9 cm(2), tesamorelin vs. placebo; treatment effect (95% confidence interval): -35 (-58, -12) cm(2); P = 0.003], cIMT (-0.03 ± 0.01 vs. 0.01 ± 0.01 mm; -0.04 (-0.07, -0.01) mm; P = 0.02), log C-reactive protein (-0.17 ± 0.04 vs. -0.03 ± 0.05 mg/liter; -0.15 (-0.30, -0.01) mg/liter, P = 0.04), and triglycerides (-26 ± 16 vs. 12 ± 8 mg/dl; -37 (-67, -7) mg/dl; P = 0.02) improved significantly in the tesamorelin group vs. placebo. No significant effects on abdominal sc adipose tissue (-6 ± 6 vs. 3 ± 11 cm(2); -10 (-32, +13) cm(2); P = 0.40) were seen. IGF-I increased (86 ± 21 vs. -6 ± 8 μg/liter; 92 (+52, +132) μg/liter; P < 0.0001). No changes in fasting, 2-h glucose, or glycated hemoglobin were seen. There were no serious adverse events or differences in adverse events between the groups.

conclusionAmong obese subjects with relative reductions in GH, tesamorelin selectively reduces VAT without significant effects on sc adipose tissue and improves triglycerides, C-reactive protein, and cIMT, without aggravating glucose.

Indexed as

AdolescentAdultCardiovascular DiseasesDouble-Blind MethodDown-RegulationFemaleGrowth Hormone-Releasing HormoneHuman Growth HormoneHumansIntra-Abdominal FatMaleMiddle AgedObesity, AbdominalPlacebosRisk FactorsYoung AdultGrowth Hormone-Releasing HormoneHuman Growth HormonePlacebostesamorelin

Identifiers

PMID23015655
PMCPMC3513535
OpenAlexW2028608010

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.