Pediatric endocrinology

Growth Hormone Dose Modulation and Final Height in Short Children Born Small for Gestational Age: French Real-Life Data

Horm Res PaediatrPublished Observational study

Authors' conclusion

GH therapy was fairly effective in most short children born SGA. No new safety concerns were identified.

Study context

Population
Short children born small for gestational age (SGA) treated with growth hormone (GH) at 126 sites in France, followed >5 years until final adult height (FAH) or study terminationof 1,408 registered
Participants
291 children
Outcome
Proportion of patients with normal (>−2) height SDS at last visit and with normal FAH SDS
Follow-up
Last visit
Methodological detailsmulticentre, real-world, post hoc multivariate logistic regression analyses
  • Multicentre
  • Real-world
  • Post hoc multivariate logistic regression analyses

Main finding

As reported in the abstract

Normal height standard deviation score (SDS) at last visit

193 of 291

66.3%

Reached FAH

72 of 291

24.7%

FAH SDS >−2 for chronological age

48

66.7%

FAH SDS >−2 for adult age

40

55.6%

Observational data: associations, not effects.

Further findings

Height SDS at last visit was a significant determinant of GH dose modulation
Normal height SDS associated with taller baseline height SDS, younger age at start, longer treatment duration (excluding discontinuations), and absence of chronic disease
  • Post hoc analyses

Safety

Non-serious adverse events
70%
Adverse events possibly/probably related to GH
39%

Original publication

Growth Hormone Dose Modulation and Final Height in Short Children Born Small for Gestational Age: French Real-Life Data. Horm Res Paediatr. Published 11 April 2023. doi:10.1159/000530572

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