Evidence map›Paper›PMID 34922359›Full record

ArticleThe Journal of clinical endocrinology and metabolism2022

Treatment of Short Stature in Aggrecan-deficient Patients With Recombinant Human Growth Hormone: 1-Year Response.

Gajanthan Muthuvel, Andrew Dauber, Eirene Alexandrou, Leah Tyzinski, Melissa Andrew, Vivian Hwa, Philippe Backeljauw

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical endocrinology and metabolism, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03288103 (Clinical Characterization and Trial of Growth Hormone Treatment in Patients With Aggrecan), which is not on this map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 15% 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.

NCT03288103 phase1 / phase2completednot on this map

Clinical Characterization and Trial of Growth Hormone Treatment in Patients With Aggrecan (ACAN) Deficiency

TypeinterventionalSponsorChildren's Hospital Medical Center, CincinnatiRan2018 to 2023Enrolled22ConditionsShort StatureArmsNorditropin
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Genetic Heterogeneity Underlying Familial Short Stature.Diagnostics (Basel, Switzerland) · 2025
    Article
  4. Article
  5. Article
  6. Review
  7. From "Bone reports · 2023
    Article
  8. Article
  9. Review
  10. Article
  11. 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

7 authors at 3 institutions in 1 country.

Gajanthan MuthuvelDivision of Endocrinology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229, USA.ORCID 0000-0001-7101-2357
Andrew DauberDivision of Endocrinology, Children's National Hospital, Washington, DC 20010, USA.ORCID 0000-0003-4890-0262
Eirene AlexandrouDivision of Endocrinology, The University of Iowa Stead Family Children's Hospital, Iowa City, IA 52242, USA.
Leah TyzinskiDivision of Endocrinology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229, USA.
Melissa AndrewDivision of Endocrinology, Children's National Hospital, Washington, DC 20010, USA.
Vivian HwaDivision of Endocrinology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229, USA.ORCID 0000-0003-0517-9049
Philippe BackeljauwDivision of Endocrinology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229, USA.ORCID 0000-0003-2398-9520
Cincinnati Children's Hospital Medical Center · USChildren's National · USUniversity of Iowa · US

Funding

Research Training in Child Behavior and NutritionT32DK063929 · NIDDK · CINCINNATI CHILDRENS HOSP MED CTR · PI SCOTT W POWERS, MARGARET H ZELLER · 2003 to 2026
$6.0M
NIDDK NIH HHS T32 DK063929
6 · The paper itself

Abstract

contextPatients with aggrecan (ACAN) deficiency present with dominantly inherited short stature, often with advanced skeletal maturation and premature growth cessation. There is a paucity of information on the effects of growth-promoting interventions.

objectiveThe aim of this study was to evaluate the efficacy and safety of recombinant human growth hormone (rhGH) therapy on linear growth in children with ACAN deficiency.

methodsOpen-label, single-arm, prospective study at Cincinnati Children's Hospital Medical Center. Ten treatment-naïve patients were recruited. Inclusion criteria were a confirmed heterozygous mutation in ACAN, age ≥2 years, prepubertal, bone age (BA) ≥chronological age (CA), and normal insulin-like growth factor I concentration. Treatment was with rhGH (50 µg/kg/day) over 1 year. Main outcomes measured were height velocity (HV) and change in (Δ) height SD score (HtSDS).

resultsTen patients (6 females) were enrolled with median CA of 5.6 years (range 2.4-9.7). Baseline median HtSDS was -2.5 (range -4.3 to -1.1). Median baseline BA was 6.9 years (range 2.5-10.0), with median BA/CA of 1.2 (range 0.9-1.5). Median pretreatment HV was 5.2 cm/year (range 3.8-7.1), increased to 8.3 cm/year (range 7.3-11.2) after 1 year of therapy (P = .004). Median ΔHtSDS after 1 year was +0.62 (range +0.35 to +1.39) (P = .002). Skeletal maturation did not advance inappropriately (median ΔBA/CA -0.1, P = .09). No adverse events related to rhGH were observed.

conclusionTreatment with rhGH improved linear growth in a cohort of patients with short stature due to ACAN deficiency.

Indexed as

DwarfismHuman Growth HormoneRecombinant ProteinsAggrecansBody HeightChildChild, PreschoolFemaleHumansMaleProspective StudiesAggrecansHuman Growth HormoneRecombinant Proteinsaggrecan deficiencygrowth hormoneshort stature

Identifiers

PMID34922359
PMCPMC9432476
OpenAlexW4200420217

What OpenQuestion holds

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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.