Pediatric endocrinology

A Phase 2 Study of PEGylated Recombinant Human Growth Hormone for 52 Weeks in Short Children Born Small for Gestational Age in China

Clin Endocrinol (Oxf)Published Randomised controlled trial

Primary result · Change in HT-SDSResult — go to the resultLeast-squares means difference 0.410 95% CI 0.270–0.551

Authors' conclusion

PEG-rhGH at either dose for 52 weeks was effective and well tolerated in children born SGA. Patients in the high-dose group achieved greater improvement in HT-SDS than in the low-dose group.

Study context

Population
Short children born small for gestational age (SGA), China
Participants
96 children
Comparison
PEGylated-recombinant human growth hormone (PEG-rhGH) 0.2 mg/kg/week vs 0.1 mg/kg/week
Primary endpoint
Change in height SDS (height standard deviation score (HT-SDS))
Follow-up
Week 52
Methodological detailsmulticentre, open-label, phase 2, nine clinical sites in China
  • Multicentre
  • Open-label
  • Phase 2
  • Nine clinical sites in China

Primary result

Change in HT-SDS

Least-squares means difference

0.410

95% CI 0.270–0.551

P < 0.0001

Change by group

High dose

0.923

± 0.352

Low dose

0.511

± 0.336

High dosevs Low dose
least-squares means difference 0.410 (95% CI 0.270–0.551); P < 0.0001

As reported in the abstract

Further findings

Height velocity · Week 52 · significantly higher with high dose

P < 0.0001

OutcomeHigh doseLow doseP value
Change in IGF-1 SDS · Week 521.867 ± 1.7471.168 ± 1.193P = 0.0189

IGF-1/IGFBP-3 and bone maturity · Week 52

IGF-1/IGF binding protein-3 and bone maturity improved in both groups

Safety

Treatment-emergent adverse events

Most TEAEs mild to moderate; safety profile similar in both groups

Original publication

A Phase 2 Study of PEGylated Recombinant Human Growth Hormone for 52 Weeks in Short Children Born Small for Gestational Age in China. Clin Endocrinol (Oxf). Published 8 November 2024. doi:10.1111/cen.15156

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