Evidence map›Paper›PMID 33448936›Full record

ArticleJMIR pediatrics and parenting2021

Monitoring Adherence Rate to Growth Hormone Therapy and Growth Outcomes in Taiwanese Children Using Easypod Connect: Observational Study.

Pen-Hua Su, Chen Yang, Mei-Chyn Chao, Chung-Lin Chiang

Abstract read
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Article in JMIR pediatrics and parenting, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

  1. The TUITEKFrontiers in endocrinology · 2025
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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Pen-Hua SuSchool of Medicine, Chung-Shan Medical University, Taichung City, Taiwan.ORCID https://orcid.org/0000-0001-6627-9364
Chen YangDivision of Genetics, Metabolism and Endocrinology, Department of Pediatrics, Taipei Medical University Hospital, Taipei, Taiwan.ORCID https://orcid.org/0000-0003-0514-5316
Mei-Chyn ChaoDepartment of Pediatric Genetics, Changhua Christian Children's Hospital, Changhua, Taiwan.ORCID https://orcid.org/0000-0003-4439-8850
Chung-Lin ChiangMerck Ltd., Taipei, Taiwan.ORCID https://orcid.org/0000-0002-9345-9747

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdherence to growth hormone therapy is difficult to detect reliably. Devices such as easypod have been developed for electronic recording of injections. The easypod connect observational study (ECOS) was an open-label, observational, multinational, phase IV study conducted in 24 countries around the world. The final results from ECOS in the Taiwanese cohort are reported in this paper.

objectiveThis study aimed to evaluate the adherence and long-term outcomes of growth hormone therapy in pediatric subjects using the easypod electromechanical device.

methodsSubjects (aged 2-18 years or >18 years without fusion of growth plates) who received Saizen (recombinant human growth hormone, somatropin) via the easypod device were enrolled in this study. The primary objective was to assess the level of adherence in subjects receiving Saizen via easypod.

resultsIn Taiwan, a total of 35 and 13 children fulfilled the criteria of full analysis set and complete analysis set, respectively. The mean (SD) age of the complete analysis set was 12.08 (2.72) years. All subjects were growth hormone-naïve, with 38% (5/13) females. The mean adherence rates of 13 subjects were 87.6% at 3 months and 84.3% at 6 months, that of 8 subjects was 81.0% at 9 months, and that of 4 subjects was 91.6% at 1 year. After 1 year of treatment, subjects had a median (Q1:Q3) change in height SD score of 0.30 (0.06:0.48), median height velocity of 6.50 (4.33:8.24) cm/year, and median change in height velocity SD score of 1.81 (-0.04:3.52).

conclusionsWith the easypod device, patients with inadequate adherence and poor response to treatment can be identified. Adherence to growth hormone therapy administered via easypod was generally high in the first year of treatment but the adherence gradually decreased over time. Overall, growth outcomes after 1 year indicated a positive growth response to growth hormone treatment. Future efforts should be focused on personalized management of adherence by using the easypod system.

Indexed as

adherenceeasypodeHealthgrowth hormone

Identifiers

PMID33448936
PMCPMC7846437

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