Evidence map›Paper›PMID 26886776›Full record

Trial reportAdvances in therapy2016

Two-Year Data from a Long-Term Phase IV Study of Recombinant Human Growth Hormone in Short Children Born Small for Gestational Age.

Hans-Peter Schwarz, Mieczysław Walczak, Dorota Birkholz-Walerzak, Mieczyslaw Szalecki, Michaela Nanu, Heike Woehling, Ellen Schuck

Open access · hybridAbstract readClinical Trial, Phase IVMulticenter Study
In one paragraph

Trial report in Advances in therapy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.6field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 8 citations in OpenAlex.

  1. Observational
  2. Article
  3. Review
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 2 countries.

Hans-Peter SchwarzDepartment of Endocrinology, von Haunersches Kinderspital, University Hospital Munich, Munich, Germany.
Mieczysław WalczakDepartment of Paediatric Endocrinology and Diabetology, Pomeranian Medical University, Szczecin, Poland.
Dorota Birkholz-WalerzakDepartment of Diabetology and Endocrinology, Medical University of Gdansk, Gdańsk, Poland.
Mieczyslaw SzaleckiClinic of Endocrinology and Diabetology, Children's Memorial Health Institute, Warsaw, Poland.
Michaela Nanu"Alfred Russescu" Institute for Mother and Child Care, Bucharest, Romania.
Heike WoehlingHEXAL AG, Holzkirchen, Germany.
Ellen SchuckHEXAL AG, Holzkirchen, Germany. ellen.schuck@sandoz.com.
Hexal (Germany) · DEChildren's Memorial Health Institute · PLGdańsk Medical University · PLMünchen Klinik · DEPomeranian Medical University · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThis ongoing, prospective, open-label, non-comparative, multicenter phase IV study is evaluating the safety and efficacy of recombinant human growth hormone (rhGH; Omnitrope(®), Sandoz GmbH) in short children born small for gestational age (SGA). Here we report data from patients who have completed 2 years' treatment.

methodsEligibility criteria included prepubertal children born SGA with growth disturbances defined as current height standard deviation score (HSDS) <-2.5 and parental adjusted SDS <-1; birth weight and/or length <-2 SDS; and failure of catch-up growth [height velocity (HV) SDS <0 during the last year] by 4 years of age or later. The primary study objective is to assess the long-term effect of Omnitrope treatment on the development of diabetes in short children born SGA. Secondary objectives include evaluation of efficacy, incidence and severity of adverse events (AEs), occurrence of malignancies during treatment, and detection of anti-rhGH antibodies during treatment.

resultsIn total, 278 children have been enrolled and received study medication; 249 have completed 2 years of treatment. No child has developed diabetes mellitus during the first 2 years; no fasting glucose or 2-h oral glucose tolerance test value exceeded the pre-defined limits of >126 or >200 mg/dL, respectively. No adverse alterations in body mass were noted. Treatment-emergent AEs were experienced by 211 (76.2%) children; most of these were of mild-to-moderate intensity (99.3%) and considered unrelated to study medication (97.6%). Treatment with Omnitrope was effective; mean HSDS was -3.39 at baseline, -2.57 at 1 year and -2.15 at 2 years of treatment. Mean HVSDS (peak-centered) also improved, from -2.13 at baseline to +4.16 at 1 year and +2.23 at 2 years.

conclusionIn this second interim analysis, short children born SGA were safely and effectively treated with rhGH (Omnitrope), and 2 years' treatment had no major adverse impact on carbohydrate metabolism or body mass.

fundingSandoz.

Indexed as

Infant, Small for Gestational AgeBlood GlucoseBody HeightChildChild, PreschoolFemaleGlucose Tolerance TestGrowth DisordersHuman Growth HormoneHumansMaleProspective StudiesRecombinant ProteinsBlood GlucoseHuman Growth HormoneRecombinant ProteinsEndocrinologyOmnitropeRecombinant human growth hormoneSmall for gestational ageSomatropin

Identifiers

PMID26886776
PMCPMC4833801
OpenAlexW2286105551

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.