Evidence map›Paper›PMID 34226654›Full record

Trial reportSpinal cord2021

Phase II/III placebo-controlled randomized trial of safety and efficacy of growth hormone treatment in incomplete chronic traumatic spinal cord injury.

Ana Esclarin-Ruz, Inmaculada Rodríguez-Carrión, Silvia Ceruelo-Abajo, Ramiro Palazón-Garcia, Fernando Ayuga-Loro, Carmen Carrasco-Lopez, Monica Alcobendas-Maestro, Rosa M Casado-Lopez, Francisco Talavera-Diaz, Vanesa Soto-León and 6 more

Open access · bronzeAbstract readClinical Trial, Phase IIClinical Trial, Phase III
PubMed Publisher
In one paragraph

Trial report in Spinal cord, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 44% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Article
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

16 authors at 3 institutions in 2 countries.

Ana Esclarin-RuzPhysical and Rehabilitation Medicine Department, Hospital Nacional de Parapléjicos, SESCAM, Toledo, Spain.
Inmaculada Rodríguez-CarriónClinical Neurophysiology Unit, Hospital Nacional de Parapléjicos, SESCAM, Toledo, Spain.
Silvia Ceruelo-AbajoPhysical and Rehabilitation Medicine Department, Hospital Nacional de Parapléjicos, SESCAM, Toledo, Spain.
Ramiro Palazón-GarciaPhysical and Rehabilitation Medicine Department, Hospital Nacional de Parapléjicos, SESCAM, Toledo, Spain.
Fernando Ayuga-LoroNeurology Department, Hospital Virgen de la Salud, SESCAM, Toledo, Spain.
Carmen Carrasco-LopezFENNSI group, Hospital Nacional de Parapléjicos, SESCAM, Toledo, Spain.
Monica Alcobendas-MaestroPhysical and Rehabilitation Medicine Department, Hospital Nacional de Parapléjicos, SESCAM, Toledo, Spain.
Rosa M Casado-LopezPhysical and Rehabilitation Medicine Department, Hospital Nacional de Parapléjicos, SESCAM, Toledo, Spain.
Francisco Talavera-DiazPhysical and Rehabilitation Medicine Department, Hospital Nacional de Parapléjicos, SESCAM, Toledo, Spain.
Vanesa Soto-LeónFENNSI group, Hospital Nacional de Parapléjicos, SESCAM, Toledo, Spain.
Michela CampoloFENNSI group, Hospital Nacional de Parapléjicos, SESCAM, Toledo, Spain.
Francisco J Romero-GanuzaInternal Medicine Department, Hospital Nacional de Parapléjicos, SESCAM, Toledo, Spain.
Jose Florensa-VilaRadiology Department, Hospital Nacional de Parapléjicos, SESCAM, Toledo, Spain.
David Garcia-MarcoPharmacy, Hospital Nacional de Parapléjicos, SESCAM, Toledo, Spain.
Mario RotondiUnit of Internal Medicine and Endocrinology, ICS-Maugeri I.R.C.C.S., Laboratory for Endocrine Disruptors and University of Pavia, Pavia, Italy.ORCID http://orcid.org/0000-0001-6464-2334
Antonio OlivieroFENNSI group, Hospital Nacional de Parapléjicos, SESCAM, Toledo, Spain. antonioo@sescam.jccm.es.ORCID http://orcid.org/0000-0001-7723-0478
Servicio de Salud de Castilla La Mancha · ESHospital Virgen de la Salud · ESUniversity of Pavia · IT

Funding

Ministerio de Sanidad, Servicios Sociales e Igualdad (Ministry of Health, Social Services and Equality) TRA-173
6 · The paper itself

Abstract

STUDY

designThis is a double blind phase II/III placebo-controlled randomized trial of the safety and efficacy of GH treatment in incomplete chronic traumatic spinal cord injury.

objectiveThe aim of this study was to investigate the possibility to use exogenous GH administration for motor recovery in chronic traumatic incomplete human SCI. The objectives were to establish safety and efficacy of a combined treatment of subcutaneous GH (or placebo) and rehabilitation in this population.

settingHospital Nacional de Parapléjicos

methodsThe pharmacological treatment was a subcutaneous daily dose of growth hormone (GH, Genotonorm 0.4 mg, Pfizer Pharmaceuticals) or placebo for one year. The pharmacological treatment was performed, during the first six months under hospitalization and supervised rehabilitation.

resultsThe main findings were that the combined treatment of GH plus rehabilitation treatment is feasible and safe, and that GH but not placebo increases the ISNCSCI motor score. On the other hand, the motor-score increment was marginal (after one-year combined treatment, the mean increment of the motor-score was around 2.5 points). Moreover, we found that intensive and long-lasting rehabilitation program per se increases the functional outcome of SCI individuals (measured using SCIM III and WISCI II).

conclusionsIt is important to highlight that our aim was to propose GH as a possible treatment to improve motor functions in incomplete SCI individuals. At least with the doses we used, we think that the therapeutic effects of this approach are not clinically relevant in most subjects with SCI.

Indexed as

Spinal Cord InjuriesDouble-Blind MethodGrowth HormoneHumansRandomized Controlled Trials as TopicRecovery of FunctionGrowth Hormone

Identifiers

PMID34226654
OpenAlexW3177593109

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.