Evidence map›Paper›PMID 34350858›Full record

Trial reportHormone research in paediatrics2021

Safety and Effectiveness of Recombinant Human Growth Hormone in Children with Turner Syndrome: Data from the PATRO Children Study.

Philippe Backeljauw, Shankar Kanumakala, Sandro Loche, Karl Otfried Schwab, Roland Werner Pfäffle, Charlotte Höybye, Elena Lundberg, Tadej Battelino, Berit Kriström, Tomasz Giemza and 1 more

Open access · hybridAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Hormone research in paediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
2.1field-weighted citation impact, top 12% 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

10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Article
  4. Article
  5. Review
  6. Article
  7. GH Therapy in Non-Growth Hormone-Deficient Children.Children (Basel, Switzerland) · 2024
    Review
  8. Article
  9. Article
  10. Article
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

11 authors at 8 institutions in 6 countries.

Philippe BackeljauwCincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Shankar KanumakalaRoyal Alexandra Children's Hospital, Brighton, United Kingdom.
Sandro LocheHospital for Children Microcitemico "A. Cao", Cagliari, Italy.
Karl Otfried SchwabDepartment of Pediatrics, University Medical Center, Freiburg, Germany.
Roland Werner PfäffleDepartment of Pediatrics, University of Leipzig, Leipzig, Germany.
Charlotte HöybyeDepartment of Endocrinology, Karolinska University Hospital, Solna, Sweden.
Elena LundbergInstitute of Clinical Science/Pediatrics, Umeå University, Umeå, Sweden.
Tadej BattelinoDepartment of Paediatric Endocrinology, Diabetes and Metabolic Diseases, University Medical Centre-University Children's Hospital, and University of Ljubljana, Ljubljana, Slovenia.
Berit KriströmInstitute of Clinical Science/Pediatrics, Umeå University, Umeå, Sweden.
Tomasz GiemzaSandoz Poland, Warsaw, Poland.
Hichem ZouaterSandoz GmbH, Holzkirchen, Germany.
Umeå University · SECincinnati Children's Hospital Medical Center · USKarolinska University Hospital · SELeipzig University · DEOspedale Microcitemico · ITRoyal Alexandra Children's Hospital · GBUniversity Medical Center Freiburg · DEUniversity of Ljubljana · SI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPATRO Children is an international, observational, postmarketing surveillance study for a biosimilar recombinant human growth hormone (rhGH; somatropin, Omnitrope®; Sandoz), approved by the European Medicines Agency in 2006. We report safety and effectiveness data for patients with Turner syndrome (TS).

methodsThe study population included infants, children, and adolescents with TS who received Omnitrope® treatment according to standard clinical practice. Adverse events (AEs) were monitored for safety evaluation, and height velocity (HV), height standard deviation score (HSDS), and HVSDS were calculated to evaluate treatment effectiveness.

resultsAs of August 2019, 348 TS patients were enrolled from 130 centers. At baseline, 314 patients (90.2%) were prepubertal and 284 patients (81.6%) were rhGH treatment naïve. The mean (range) age at baseline was 9.0 (0.7-18.5) years, and mean (SD) treatment duration in the study was 38.5 (26.8) months. Overall, 170 patients (48.9%) reported AEs, which were considered treatment related in 25 patients (7.2%). One treatment-related serious AE was reported (intracranial hypertension). Mean ΔHSDS after 3 years of therapy was +1.17 in treatment-naïve prepubertal patients and +0.1 in pretreated prepubertal patients. In total, 51 patients (31.1%) reached adult height (AH), 35 of whom were rhGH treatment naïve; in these patients, mean (SD) HSDS was -2.97 (1.03) at the start of Omnitrope® treatment, and they achieved a mean (SD) AHSDS of -2.02 (0.9).

conclusionThese data suggest that biosimilar rhGH is well tolerated and effective in TS patients managed in real-life clinical practice. Optimization of rhGH dose may contribute to a higher AH.

Indexed as

ChildChild, PreschoolFemaleHuman Growth HormoneHumansLongitudinal StudiesTreatment OutcomeTurner SyndromeHuman Growth HormoneGrowth hormone replacement therapyPATRO ChildrenPediatric endocrinologyTurner syndrome

Identifiers

PMID34350858
PMCPMC8491505
OpenAlexW3180056201

What OpenQuestion holds

Textmetadata
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.