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The use of growth hormone in obese cases with COVID-19 may help them to recover earlier.
It is well known that lymphoid organs such the thymus, the spleen and peripheral blood produce growth hormone (GH) and GH receptor is expressed on different subpopulations of lymphocytes. Many in vitro and in animal studies demonstrate an important role of GH in immunoregulation. GH stimulates T and B cells proliferation and immunoglobulin synthesis, enhances the maturation of myeloid progenitor cells and is also able to modulate cytokine response.
The use of growth hormone in obese cases with COVID-19 may help them to recover earlier.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Growth hormone | Experimental | Recombinant GH will be used for those patients |
|
| Placebo | Placebo Comparator | Saline will be used |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Growth Hormone | Drug | Recombinant growth hormone will be used |
|
| Measure | Description | Time Frame |
|---|---|---|
| Need for hospitalization | need to be hospitalized due to deterioration | one to two weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Time to recovery | Time to recovery from symptoms and signs | one to four weeks |
| Percentage of reduction in CRP | Percentage of reduction in CRP |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Emad R Issak, MD | Assalam Clinics | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Asalam | Maadi | Cairo Governorate | 11433 | Egypt |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 16444180 | Result | Meazza C, Pagani S, Travaglino P, Bozzola M. Effect of growth hormone (GH) on the immune system. Pediatr Endocrinol Rev. 2004 Aug;1 Suppl 3:490-5. |
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| ID | Term |
|---|---|
| D000086382 | COVID-19 |
| ID | Term |
|---|---|
| D011024 | Pneumonia, Viral |
| D011014 | Pneumonia |
| D012141 | Respiratory Tract Infections |
| D007239 | Infections |
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| ID | Term |
|---|---|
| D013006 | Growth Hormone |
| D012965 | Sodium Chloride |
| ID | Term |
|---|---|
| D010908 | Pituitary Hormones, Anterior |
| D010907 | Pituitary Hormones |
| D036361 | Peptide Hormones |
| D006728 | Hormones |
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| Placebo | Drug | Saline injection with the same amount |
|
|
| one to two weeks |
| Percentage of reduction in LDH | Percentage of reduction in LDH | one to two weeks |
| Percentage of reduction in Ferritin | Percentage of reduction in Ferritin | one to two weeks |
| Time to recovery from leucopenia | Time to recovery from leucopenia | one to two weeks |
| D014777 |
| Virus Diseases |
| D018352 | Coronavirus Infections |
| D003333 | Coronaviridae Infections |
| D030341 | Nidovirales Infections |
| D012327 | RNA Virus Infections |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D006730 |
| Hormones, Hormone Substitutes, and Hormone Antagonists |
| D010455 | Peptides |
| D000602 | Amino Acids, Peptides, and Proteins |
| D002712 | Chlorides |
| D006851 | Hydrochloric Acid |
| D017606 | Chlorine Compounds |
| D007287 | Inorganic Chemicals |
| D017670 | Sodium Compounds |