Evidence map›Paper›PMID 34045667›Full record

Trial reportThe pharmacogenomics journal2021

Gene expression signatures predict response to therapy with growth hormone.

Adam Stevens, Philip Murray, Chiara De Leonibus, Terence Garner, Ekaterina Koledova, Geoffrey Ambler, Klaus Kapelari, Gerhard Binder, Mohamad Maghnie, Stefano Zucchini and 12 more

2 registry-linked trialsOpen access · hybridAbstract readClinical Trial, Phase IVMulticenter Study
In one paragraph

Trial report in The pharmacogenomics journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 23% 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.

NCT00256126 phase4completednot on this map

A Phase IV Open-label Study of Predictive Markers in Growth Hormone Deficient and Turner Syndrome Pre-pubertal Children Treated With SAIZEN®

TypeinterventionalSponsorMerck KGaA, Darmstadt, GermanyRan2005 to 2007Enrolled318ConditionsGrowth Hormone Deficiency, Turner SyndromeArmsSaizen
NCT00699855 completednot on this map

Observational Long-term Follow-up of the Phase IV Open-label Trial of Predictive Markers in GHD and TS Pre-pubertal Children Treated With Saizen

TypeobservationalSponsorMerck KGaA, Darmstadt, GermanyRan2008 to 2012Enrolled182ConditionsGrowth Hormon Deficiency, Turner Syndrome in Pre-pubertal Children
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Guideline
  2. Trial
  3. Article
  4. Article
  5. 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

22 authors at 18 institutions in 12 countries.

Adam Stevens *Faculty of Biology, Medicine and Health, Division of Developmental Biology and Medicine, University of Manchester and Manchester Academic Health Science Centre, Royal Manchester Children's Hospital, Manchester University Hospitals NHS Foundation Trust, Manchester, UK.ORCID http://orcid.org/0000-0002-1950-7325
Philip Murray *Faculty of Biology, Medicine and Health, Division of Developmental Biology and Medicine, University of Manchester and Manchester Academic Health Science Centre, Royal Manchester Children's Hospital, Manchester University Hospitals NHS Foundation Trust, Manchester, UK.
Chiara De LeonibusFaculty of Biology, Medicine and Health, Division of Developmental Biology and Medicine, University of Manchester and Manchester Academic Health Science Centre, Royal Manchester Children's Hospital, Manchester University Hospitals NHS Foundation Trust, Manchester, UK.
Terence GarnerFaculty of Biology, Medicine and Health, Division of Developmental Biology and Medicine, University of Manchester and Manchester Academic Health Science Centre, Royal Manchester Children's Hospital, Manchester University Hospitals NHS Foundation Trust, Manchester, UK.
Ekaterina KoledovaMerck Healthcare KGaA, Darmstadt, Germany.
Geoffrey AmblerThe Children's Hospital, Westmead, Sydney, NSW, Australia.
Klaus KapelariMedical University Innsbruck, Innsbruck, Austria.
Gerhard BinderUniversity-Children's Hospital, Tuebingen, Germany.
Mohamad MaghnieIRCCS G. Gaslini, Genova, Italy.
Stefano ZucchiniUniversity of Bologna, Bologna, Italy.
Elena BashninaNorth-Western State Medical University, Saint-Petersburg, Russian Federation.
Julia SkorodokSaint-Petersburg State Medical University, Saint-Petersburg, Russian Federation.
Diego YesteHospital Materno Infantil Vall d'Hebron, Barcelona, Spain.
Alicia BelgoroskyFundacion Hospital de Pediatria, Buenos Aires, Argentina.
Juan-Pedro Lopez SigueroChildren's Hospital Malaga, Malaga, Spain.
Regis CoutantUniversity Hospital, Angers, France.
Eirik Vangsøy-HansenHaukeland University Hospital, Bergen, Norway.
Lars HagenäsKarolinska Hospital, Stockholm, Sweden.
Jovanna DahlgrenUniversity of Gothenburg, Sahlgrenska University Hospital, Gothenburg, Sweden.
Cheri DealUniversity of Montreal, Montreal, Quebec, Canada.
Pierre ChatelainDepartment Pediatrie, Hôpital Mère-Enfant-Université Claude Bernard, Lyon, France.
Peter ClaytonFaculty of Biology, Medicine and Health, Division of Developmental Biology and Medicine, University of Manchester and Manchester Academic Health Science Centre, Royal Manchester Children's Hospital, Manchester University Hospitals NHS Foundation Trust, Manchester, UK. peter.clayton@manchester.ac.uk.ORCID http://orcid.org/0000-0003-1225-4537
Manchester Academic Health Science Centre · GBChildren's Hospital at Westmead · AUFundación para la Investigación, Docencia y Prevención del Cáncer · ARHaukeland University Hospital · NOHospital Materno-Infantil · ESHospital Regional Universitario de Málaga · ESInnsbruck Medical University · ATIstituto Giannina Gaslini · ITKarolinska University Hospital · SEMerck (Germany) · DENorth-Western State Medical University named after I.I. Mechnikov · RUSahlgrenska University Hospital · SESaint Petersburg State Pediatric Medical University · RUUniversité Claude Bernard Lyon 1 · FRUniversité d'Angers · FRUniversité de Montréal · CAUniversity Children's Hospital Tübingen · DEUniversity of Bologna · IT

Funding

Medical Research Council MR/T024119/1
6 · The paper itself

Abstract

Recombinant human growth hormone (r-hGH) is used as a therapeutic agent for disorders of growth including growth hormone deficiency (GHD) and Turner syndrome (TS). Treatment is costly and current methods to model response are inexact. GHD (n = 71) and TS patients (n = 43) were recruited to study response to r-hGH over 5 years. Analysis was performed using 1219 genetic markers and baseline (pre-treatment) blood transcriptome. Random forest was used to determine predictive value of transcriptomic data associated with growth response. No genetic marker passed the stringency criteria for prediction. However, we identified an identical set of genes in both GHD and TS whose expression could be used to classify therapeutic response to r-hGH with a high accuracy (AUC > 0.9). Combining transcriptomic markers with clinical phenotype was shown to significantly reduce predictive error. This work could be translated into a single genomic test linked to a prediction algorithm to improve clinical management. Trial registration numbers: NCT00256126 and NCT00699855.

Indexed as

ChildFemaleGene Expression ProfilingGenetic MarkersGrowth DisordersHuman Growth HormoneHumansMaleProspective StudiesTranscriptomeTreatment OutcomeTurner SyndromeGenetic MarkersHuman Growth Hormone

Identifiers

PMID34045667
PMCPMC8455334
OpenAlexW3165119324

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.