Evidence map›Paper›PMID 29483159›Full record

ReviewEndocrine connections2018

Growth Hormone Research Society perspective on biomarkers of GH action in children and adults.

Gudmundur Johannsson, Martin Bidlingmaier, Beverly M K Biller, Margaret Boguszewski, Felipe F Casanueva, Philippe Chanson, Peter E Clayton, Catherine S Choong, David Clemmons, Mehul Dattani and 21 more

Open access · goldAbstract readReview
In one paragraph

Review in Endocrine connections, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 6% 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

34 citing papers in PubMed, 1 synthesis or guideline pooled it, 58 citations in OpenAlex.

  1. Guideline
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Article
  7. Analysis of Genetic Factors in a Family With Short Stature.Molecular genetics & genomic medicine · 2026
    Article
  8. Article
  9. Article
  10. Article
  11. Observational
  12. Pegvisomant in managing comorbidities of acromegaly: a review.Reviews in endocrine & metabolic disorders · 2026
    Review
  13. Article
  14. Review
  15. Review
  16. Novel therapies for growth disorders.European journal of pediatrics · 2024
    Review
  17. Article
  18. Article
  19. Article
  20. 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

31 authors at 20 institutions in 12 countries.

Gudmundur JohannssonDepartment of Internal Medicine and Clinical NutritionSahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Martin BidlingmaierMedizinische Klinik und Poliklinik IVKlinikum der Universität München, Munich, Germany.
Beverly M K BillerNeuroendocrine UnitMassachusetts General Hospital, Boston, Massachusetts, USA.
Margaret BoguszewskiFederal University of ParanaCuritiba, Brazil.
Felipe F CasanuevaDepartment of MedicineComplejo Hospitalario Universitario de Santiago, Santiago de Compostela, Spain.
Philippe ChansonAssistance Publique-Hôpitaux de Parisand Inserm, Paris, France.
Peter E ClaytonDevelopmental Biology & MedicineFaculty of Biology, Medicine & Health, University of Manchester, Manchester, UK.
Catherine S ChoongDepartment of EndocrinologyPrincess Margaret Hospital & School of Medicine, University of Western Australia, Western Australia, Australia.
David ClemmonsDepartment of MedicineUniversity of North Carolina, Chapel Hill, North Carolina, USA.
Mehul DattaniGreat Ormond Street Institute of Child HealthLondon, UK.
Jan FrystykDepartment of EndocrinologyOdense University Hospital, Odense, Denmark.
Ken HoPrincess Alexandra Hospital and University of QueenslandBrisbane, Australia.
Andrew R HoffmanDepartment of MedicineStanford University and VA Palo Health Care System, Palo Alto, California, USA.
Reiko HorikawaNational Center for Child Health and DevelopmentTokyo, Japan.
Anders JuulDepartment of Growth and ReproductionRigshospitalet, University of Copenhagen, Copenhagen, Denmark.
John J KopchickEdison Biotechnology Institute and Heritage College of Osteopathic MedicineOhio University, Athens, Ohio, USA.
Xiaoping LuoDepartment of PediatricsTongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.
Sebastian NeggersSection of EndocrinologyDepartment of Medicine, Pituitary Centre Rotterdam, Erasmus University Medical Centre, Rotterdam, the Netherlands.
Irene NetchineService d'Explorations Fonctionnelles EndocriniennesAP-HP, Hôpital Trousseau, Sorbonne Université, INSERM UMRs 938, Paris, France.
Daniel S OlssonDepartment of EndocrinologyInstitute of Medicine, Sahlgrenska Academy, University of Gothenburg and Sahlgrenska University Hospital, Gothenburg, Sweden.
Sally RadovickRutgers University-Robert Wood Johnson Medical SchoolNew Brunswick, New Jersey, USA.
Ron RosenfeldDepartment of PediatricsOregon Health Science University, Portland, Oregon, USA.
Richard J RossUniversity of SheffieldSheffield, UK.
Katharina SchilbachMedizinische Klinik und Poliklinik IVKlinikum der Universität München, Munich, Germany.
Paulo SolbergUniversidade do Estado do Rio de JaneiroRio de Janeiro, Brazil.
Christian StrasburgerCharité-UniversitätsmedizinBerlin, Germany.
Peter TrainerThe Christie NHS Foundation TrustUniversity of Manchester, Manchester, UK.
Kevin C J YuenBarrow Pituitary CenterBarrow Neurological Institute, Department of Neuroendocrinology, University of Arizona College of Medicine, Phoenix, Arizona, USA.
Kerstin WickstromMedical Products AgencyUppsala, Sweden.
Jens O L JorgensenAarhus University HospitalAarhus, Denmark joj@clin.au.dk.
Growth Hormone Research Society
Inserm · FRLMU Klinikum · DEUniversity of Manchester · GBAarhus University Hospital · DKBarrow Neurological Institute · USBiotechnology Institute · USCharité - Universitätsmedizin Berlin · DEComplejo Hospitalario Universitario de Santiago · ESErasmus University Rotterdam · NLGreat Ormond Street Hospital · GBMassachusetts General Hospital · USMedical Products Agency · SENational Center For Child Health and Development · JPOdense University Hospital · DKOregon Health & Science University · USRutgers, The State University of New Jersey · USSahlgrenska University Hospital · SEThe University of Queensland · AUThe University of Western Australia · AUTongji Hospital · CN

Funding

VIRAL VECTOR COREP30DK019525 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI Patrick Seale · 1986 to 2026
$48.3M
NIDDK NIH HHS P30 DK019525
6 · The paper itself

Abstract

objectiveThe Growth Hormone Research Society (GRS) convened a Workshop in 2017 to evaluate clinical endpoints, surrogate endpoints and biomarkers during GH treatment of children and adults and in patients with acromegaly.

participantsGRS invited 34 international experts including clinicians, basic scientists, a regulatory scientist and physicians from the pharmaceutical industry. EVIDENCE: Current literature was reviewed and expert opinion was utilized to establish the state of the art and identify current gaps and unmet needs. CONSENSUS PROCESS: Following plenary presentations, breakout groups discussed questions framed by the planning committee. The attendees re-convened after each breakout session to share the group reports. A writing team compiled the breakout session reports into a document that was subsequently discussed and revised by participants. This was edited further and circulated for final review after the meeting. Participants from pharmaceutical companies were not part of the writing process.

conclusionsThe clinical endpoint in paediatric GH treatment is adult height with height velocity as a surrogate endpoint. Increased life expectancy is the ideal but unfeasible clinical endpoint of GH treatment in adult GH-deficient patients (GHDA) and in patients with acromegaly. The pragmatic clinical endpoints in GHDA include normalization of body composition and quality of life, whereas symptom relief and reversal of comorbidities are used in acromegaly. Serum IGF-I is widely used as a biomarker, even though it correlates weakly with clinical endpoints in GH treatment, whereas in acromegaly, normalization of IGF-I may be related to improvement in mortality. There is an unmet need for novel biomarkers that capture the pleiotropic actions of GH in relation to GH treatment and in patients with acromegaly.

Indexed as

acromegalyGHGH deficiencyIGF-I

Identifiers

PMID29483159
PMCPMC5868631
OpenAlexW2791721504

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.