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| Name | Class |
|---|---|
| Kessler Foundation | OTHER |
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Insulin-like growth factor I (IGF-I) is used as a measure of the body's ability to produce growth hormone. Growth hormone is important for muscle tissue as well as many other tissues in the body. Growth hormone (GH) and IGF-I have been shown to be reduced in many persons with SCI. Baclofen is a FDA approved drug that is used to treat spasticity. Persons receiving long-term baclofen therapy have been demonstrated to have increased growth hormone and IGF-I levels. IGF-I levels will be determined before and after treatment with baclofen. In this study, the investigators will determine the minimum dose of baclofen at which improvements in GH and IGF-1 levels occur.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Experimental | Subjects will receive 20 mg baclofen for 8 weeks, followed by 40 mg baclofen for 8 weeks. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Baclofen | Drug | Subjects will receive 20 mg baclofen for 8 weeks, followed by 40 mg baclofen for 8 weeks. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Determine the threshold dose 20 or 40 mg/d of baclofen and the dose-response curve of the medication for its effect to raise plasma IGF-1 levels | 20-week (5 months) in which subjects are asked to report for 12 visits after starting baclofen therapy |
| Measure | Description | Time Frame |
|---|---|---|
| Assessment of the adverse side effects, if any, of low dose baclofen therapy | 20-week (5 months) in which subjects are asked to report for 12 visits after starting baclofen therapy |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| William Bauman, MD | VA Medical Center, Bronx | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| VA Medical Center, Bronx | The Bronx | New York | 10468 | United States |
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| ID | Term |
|---|---|
| D013119 | Spinal Cord Injuries |
| D010900 | Pituitary Diseases |
| ID | Term |
|---|---|
| D013118 | Spinal Cord Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D020196 | Trauma, Nervous System |
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| ID | Term |
|---|---|
| D001418 | Baclofen |
| ID | Term |
|---|---|
| D005680 | gamma-Aminobutyric Acid |
| D000613 | Aminobutyrates |
| D002087 | Butyrates |
| D000144 | Acids, Acyclic |
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| D014947 | Wounds and Injuries |
| D007027 | Hypothalamic Diseases |
| D001927 | Brain Diseases |
| D004700 | Endocrine System Diseases |
| D002264 |
| Carboxylic Acids |
| D009930 | Organic Chemicals |