Pediatric endocrinology

Early Growth Hormone (GH) Treatment Is Effective and Well Tolerated in Children With Turner Syndrome: NordiNet® IOS and Answer Program

J Clin Endocrinol MetabPublished Secondary analysis of 2 non-interventional studies

Authors' conclusion

GH-treated participants with TS responded well, without new safety concerns. Our real-world data are in agreement with previous studies.

Study context

Population
Girls with Turner syndrome (TS) treated with Norditropin; 84% prepubertal at start (effectiveness analysis set (EAS)); mean (SD) age 8.8 (3.9) years1,513 in treatment-naive EAS
Participants
2,377 participants
Methodological detailsNordiNet® IOS and ANSWER program, real-world data, up to 10 years of follow-up
  • NordiNet® IOS and ANSWER program
  • Real-world data
  • Up to 10 years of follow-up

Primary result

As reported in the abstract

Near-adult height SDS
GroupValueChange from baseline
Norditropinmean −1.99 (SD 0.94)+0.90 [0.85]

Norditropin

Valuemean −1.99 (SD 0.94)
Change from baseline+0.90 [0.85]
Reached near-adult HSDS
264 (17%)

Further findings

Entry into puberty (EAS) · during the study

Participants entering puberty
695 (46%)
Mean (SD) age at puberty entry
12.7 (1.9) years
  • Whether puberty was spontaneous or induced was unknown

IGF-I SD score (SDS) (safety analysis set (SAS)) · year 10

Mean IGF-I SDS (SD) at year 10
0.91 (1.69)
Change from baseline
+1.48 (1.70)

Safety

OutcomeValues
Serious adverse reactionsNorditropin 10 events
Serious adverse reactions — Epiphysiolysis
3

Original publication

Early GH Treatment Is Effective and Well Tolerated in Children With Turner Syndrome: NordiNet® IOS and Answer Program. J Clin Endocrinol Metab. Published 22 March 2023. doi:10.1210/clinem/dgad159

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