Pediatric endocrinology

The Combination of Aromatase Inhibitors and GH Treatment for Idiopathic Short Stature in Male Adolescents

J Clin Endocrinol MetabPublished Retrospective cohort study

An erratum to this article was published (J Clin Endocrinol Metab, 7 Aug 2025 ↗)

Authors' conclusion

For adolescent males with ISS and a bone age ≥ 13 years, the combination of AI and rhGH significantly increased the AHt. Finally, our analyses showed that anastrozole exerts more significant effects with regard to augmenting AHt with fewer adverse reactions.

Study context

Population
Adolescent boys with idiopathic short stature and bone age ≥ 13 years, Tongji Hospital, May 2017 to June 2023matched cohort
Participants
32 / 32 / 32
Exposure
Letrozole + recombinant human GH (rhGH) vs anastrozole + rhGH vs GnRH analog (GnRHa) + rhGH
  • Letrozolen = 32
  • Anastrozolen = 32
  • GnRHan = 32reference
Outcome
Adult height (AHt) SD score adjusted for target height
Follow-up
AHt
Methodological detailspropensity-score matched, single-centre, Follow-up every 3 months until adult height (AHt); adverse events monitored throughout
  • Propensity-score matched
  • Single-centre
  • Follow-up every 3 months until AHt; adverse events monitored throughout

Main finding

As reported in the abstract

AHt SD score adjusted for target height

Letrozole

0.60

± 0.28

Anastrozole

0.81

± 0.34

GnRHa

0.48

± 0.17

P < 0.01

Observational data: associations, not effects.

Safety

Abnormal monitoring indicators in the AI groups gradually returned to normal after treatment termination

Original publication

The Combination of Aromatase Inhibitors and GH Treatment for Idiopathic Short Stature in Male Adolescents. J Clin Endocrinol Metab. Published 6 May 2025. doi:10.1210/clinem/dgaf271

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