Background: Somatropin, also known as recombinant growth hormone (rhGH), is one of the World Anti-Doping Agency (WADA) prohibited substances. Its consumption in athletes has been banned since 1990, as it is known to improve physical performance. Hypothesis: The subcutaneous administration of recombinant somatropin (rhGH) in healthy subjects allows obtaining positive doping samples. The concentrations of hGH variants (isoforms) and biomarkers can be measured in serum. Objectives: Primary objective: To generate enough serum samples positive to recombinant somatropin in order to be analyzed as control samples by anti-doping laboratories. Secondary objective: To determine the analytical parameters necessary to detect the administration of recombinant somatropin in healthy volunteers by direct and/or indirect methods. Methods: Phase I, open, randomized clinical trial, with a treatment condition (recombinant somatropin or rhGH) administered subcutaneously to 4 subjects (2:1 ratio). Control samples of the study correspond to basal samples of 2 subjects who do not receive any treatment.
A blood sample volume of 450 mL is obtained from each subject receiving the treatment condition to perform the proposed tests. In order to validate the determination methodology of hGH variants and biomarkers, blood samples from treatment group subjects are compared to reference blood samples of 450 mL from a control group (not receiving treatment) as it is not possible to obtain a basal sample of such volume from the subjects receiving treatment.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
NONE
Enrollment
6
Subjects receive a daily subcutaneous dose of 0.2 IU/kg (0.067 mg/kg) of recombinant somatropin (rhGH) during 14 days.
IMIM (Hospital del Mar Medical Research Institute)
Barcelona, Spain
Seric concentration of rhGH
Concentration of the pool of molecular variants (isoforms) of somatropin in blood
Time frame: 6 hours after last administration
Changes in the proportion of somatropin isoforms
Variation of the concentration in blood of each somatropin isoform after rhGH administration
Time frame: 6 hours after last administration
Changes in seric concentration of ghrelin
Variation of seric concentration of ghrelin (biomarker) in blood after rhGH administration
Time frame: 6 hours after last administration
Changes in seric concentration of leptin
Variation of seric concentration of leptin (biomarker) in blood after rhGH administration
Time frame: 6 hours after last administration
Changes in seric concentration of adiponectin
Variation of seric concentration of adiponectin (biomarker) in blood after rhGH administration
Time frame: 6 hours after last administration
Changes in seric concentration of type III procollagen (P-III-P)
Variation of seric concentration of type III procollagen (biomarker) in blood after rhGH administration
Time frame: 6 hours after last administration
Changes in seric concentration of cross-linked C-terminal telopeptide of type I collagen (ICTP)
Variation of seric concentration of cross-linked C-terminal telopeptide of type I collagen (biomarker) in blood after rhGH administration
Time frame: 6 hours after last administration
Changes in seric concentration of Insulin-like Growth Factor I (IGF-I)
Variation of seric concentration of Insulin-like Growth Factor I (biomarker) in blood after rhGH administration
Time frame: 6 hours after last administration
Changes in seric concentration of Insulin-like Growth Factor Binding Protein 3 (IGFBP-3)
Variation of seric concentration of Insulin-like Growth Factor Binding Protein 3 (biomarker) in blood after rhGH administration
Time frame: 6 hours after last administration
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