Pediatric endocrinology

Clinical Predictors of Good/Poor Response to Growth Hormone Treatment in Children with Idiopathic Short Stature

Horm Res PaediatrPublished Post hoc analysis of observational registry data

Authors' conclusion

We identified younger age and further distance from target HSDS as clinical predictors of response to GHT in a heterogenous population of children with ISS. Future studies, designed to identify the genetic determinants of response to GHT, could further facilitate individualisation of GHT.

Study context

Population
Prepubertal children with idiopathic short stature (ISS) on growth hormone (GH) treatment, aged 3–11 years (males) or 3–10 years (females) at startresponse analysis set
Participants
207 children
Comparison
Good vs poor responders to GH treatment in year 1
Primary endpoint
Clinical characteristics predictive of good vs poor response to GH treatment
Follow-up
Year 1 of GHT
Methodological detailsNordiNet® IOS and ANSWER Program, logistic regression
  • NordiNet® IOS and ANSWER Program
  • Logistic regression

Primary result

As reported in the abstract

Independent predictors of good vs poor response · year 1
  • Age at start of treatment: OR 0.69, 95% CI 0.5; 0.9, p = 0.0169
  • Distance from target HSDS: OR 2.05, 95% CI 1.1; 3.9, p = 0.0259

Further findings

GH dose responsiveness

Positive correlation between GH dose and change in HSDS

Original publication

Clinical Predictors of Good/Poor Response to Growth Hormone Treatment in Children with Idiopathic Short Stature. Horm Res Paediatr. Published 21 November 2024. doi:10.1159/000542579

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