Evidence map›Paper›PMID 27809913›Full record

Observational studyItalian journal of pediatrics2016

Long-term safety and efficacy of Omnitrope®, a somatropin biosimilar, in children requiring growth hormone treatment: Italian interim analysis of the PATRO Children study.

Lorenzo Iughetti, Gianluca Tornese, Maria Elisabeth Street, Flavia Napoli, Claudia Giavoli, Franco Antoniazzi, Stefano Stagi, Caterina Luongo, Sara Azzolini, Letizia Ragusa and 8 more

Open access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Italian journal of pediatrics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.8field-weighted citation impact, top 13% 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

11 citing papers in PubMed, 17 citations in OpenAlex.

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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

18 authors at 16 institutions in 2 countries.

Lorenzo IughettiPediatric Unit, Department of Medical and Surgical Sciences for Mother, Children and Adults, University of Modena and Reggio Emilia, Via del Pozzo, 41124, Modena, Italy. lorenzo.iughetti@unimore.it.
Gianluca TorneseInstitute for Maternal and Child Health IRCCS Burlo Garofolo, Trieste, Italy.
Maria Elisabeth StreetDepartment of Paediatrics- Arcispedale S. Maria Nuova-IRCCS, Reggio Emilia, Italy.
Flavia NapoliPediatric Unit, Istituto Giannina Gaslini, Genova, Italy.
Claudia GiavoliEndocrinology and Metabolic Diseases Unit, Department of Clinical Sciences and Community Health, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Università degli Studi di Milano, Milano, Italy.
Franco AntoniazziPediatric Unit, Policlinico Giambattista Rossi, University of Verona, Verona, Italy.
Stefano StagiHealth Science Department, Anna Meyer Children's University Hospital, University of Florence, Firenze, Italy.
Caterina LuongoDepartment of Woman, Child and General and Specialized Surgery, Seconda Università degli Studi di Napoli, Napoli, Italy.
Sara AzzoliniPediatric Endocrinology Unit, Department of Woman's and Child's Health, University Hospital of Padua, Padova, Italy.
Letizia RagusaUOC Pediatria, I.R.C.S.S. Oasi Maria SS, Troina, Italy.
Gianni BonaDivision of Paediatrics, Azienda Ospedaliero-Universitaria Maggiore della Carità, Novara, Italy.
Clara ZecchinoDepartment of Sciences and Pediatric Surgery, University of Bari "A. Moro", Bari, Italy.
Tommaso AversaDepartment of Human Pathology of Adulthood and Childhood, University of Messina, Messina, Italy.
Luca PersaniDepartment of Clinical Sciences and Community Health, University of Milan, Milano, Italy.
Laura GuazzarottiDepartment of Paediatrics, Paediatric Endocrinology Unit, University of Milan, Milan, Italy.
Emiliano ZecchiSandoz S.p.A, Milan, Italy.
Alberto PietropoliHexal AG, Holzkirchen, Germany.
Stefano ZucchiniUnit of Pediatric Endocrinology, S.Orsola-Malpighi Hospital, Bologna, Italy.
Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · ITHexal (Germany) · DEIRCCS Materno Infantile Burlo Garofolo · ITI.R.C.C.S. Oasi Maria SS · ITIstituti di Ricovero e Cura a Carattere Scientifico · ITIstituto Giannina Gaslini · ITPoliclinico S.Orsola-Malpighi · ITUniversità degli Studi del Piemonte Orientale “Amedeo Avogadro” · ITUniversity of Bari Aldo Moro · ITUniversity of Florence · ITUniversity of Messina · ITUniversity of Milan · ITUniversity of Modena and Reggio Emilia · ITUniversity of Naples Federico II · ITUniversity of Padua · ITUniversity of Verona · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPATRO Children is an ongoing observational, longitudinal, non-interventional, global post-marketing surveillance study, which is investigating the long-term safety and effectiveness of Omnitrope®, a somatropin biosimilar to Genotropin®, in children with growth disturbances. The primary endpoint of PATRO Children is long-term safety and the secondary endpoint is effectiveness, which is assessed by analysing auxological data such as height (HSDS) and height velocity (HVSDS) standard deviation scores. Here, we report the data from the Italian interim analysis of PATRO Children data up to August 2015.

methodsPATRO Children is enrolling children who are diagnosed with conditions of short stature requiring GH treatment and are receiving Omnitrope®. Adverse events (AEs) are assessed in all Omnitrope®-treated patients. Height is evaluated yearly to near-adult (final) height, and is herein reported as HSDS; height velocity is also assessed and reported as a standard deviation score (HVSDS).

resultsUp to August 2015, a total of 186 patients (mean age 10.2 years, 57.5 % males) were enrolled :156 [84 %] had growth hormone deficiency, 12 [6.5 %] were born small for gestational age, seven [3.8 %] had Prader-Willi syndrome, one [0.5 %] had Turner syndrome and one [0.5 %] had chronic renal insufficiency; seven [3.8 %] patients had other indication profiles. The mean treatment duration with Omnitrope® was 28.1 ± 19.1 months. AEs were reported in 35.6 % of patients and included headache, pyrexia, arthralgia, abdominal pain, leg and/or arm pain and increased blood creatine phosphokinase. Two serious AEs in two patients were thought to be drug-related; one patient experienced a minimal increase in a known residual craniopharyngioma, and another a gait disturbance with worsening of walking difficulties. Similar to investigational studies, Omnitrope® treatment was associated with improvements in both HSDS and HVSDS.

conclusionsOmnitrope® appears to be well tolerated and effective for the treatment of a wide range of paediatric indications, which is consistent with the outcomes from controlled clinical trials. These results need to be interpreted with caution until the data from the global PATRO Children study are available.

Indexed as

Product Surveillance, PostmarketingBiosimilar PharmaceuticalsChildEndpoint DeterminationFemaleGrowth DisordersHuman Growth HormoneHumansLongitudinal StudiesMaleTreatment OutcomeBiosimilar PharmaceuticalsHuman Growth HormoneAdolescentsChildrenInfantsOmnitrope®PaediatricRecombinant human growth hormone

Identifiers

PMID27809913
PMCPMC5096288
OpenAlexW2547398950

What OpenQuestion holds

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LicenceCC BY
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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.