Evidence map›Paper›PMID 36947589›Full record

ArticleThe Journal of clinical endocrinology and metabolism2023

Early GH Treatment Is Effective and Well Tolerated in Children With Turner Syndrome: NordiNet® IOS and Answer Program.

Philippe Backeljauw, Joanne C Blair, Jean-Marc Ferran, Nicky Kelepouris, Bradley S Miller, Alberto Pietropoli, Michel Polak, Lars Sävendahl, Franciska Verlinde, Tilman R Rohrer

2 registry-linked trialsOpen access · hybridAbstract read
In one paragraph

Article in The Journal of clinical endocrinology and metabolism, 2023. 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 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 10% 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.

NCT00960128 completednot on this map

NordiNet® International Outcome Study-Observational Prospective Study on Patients Treated With Norditropin®

TypeobservationalSponsorNovo Nordisk A/SRan2006 to 2016Enrolled21,249ConditionsGrowth Hormone Disorder, Growth Hormone Deficiency in Children, Adult Growth Hormone Deficiency, Genetic DisorderArmssomatropin
NCT01009905 completednot on this map

Registry of Patients Being Treated With Norditropin®, Recombinant Human Growth Hormone

TypeobservationalSponsorNovo Nordisk A/SRan2002 to 2016Enrolled22,960ConditionsGrowth Hormone Disorder, Pituitary Dwarfism, HypopituitarismArmssomatropin
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Article
  4. Approach to the Patient With Turner Syndrome.The Journal of clinical endocrinology and metabolism · 2025
    Review
  5. [Reflections on the clinical diagnosis and management of Turner syndrome].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2024
    Review
  6. 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

10 authors at 9 institutions in 7 countries.

Philippe BackeljauwDivision of Pediatric Endocrinology, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, OH 45229-3039, USA.ORCID 0000-0003-2398-9520
Joanne C BlairDepartment of Endocrinology, Alder Hey Children's NHS Foundation Trust, Liverpool L14 5AB, UK.
Jean-Marc FerranQualiance ApS, 1663 Copenhagen V, Denmark.
Nicky KelepourisNovo Nordisk Inc, Plainsboro, NJ 08536, USA.
Bradley S MillerDivision of Pediatric Endocrinology, M Health Fairview Masonic Children's Hospital, Minneapolis, MN 55454, USA.
Alberto PietropoliNovo Nordisk Health Care AG, 8050 Zurich, Switzerland.
Michel PolakUniversité de Paris Cité, Hôpital Universitaire Necker Enfants Malades, Assistance Publique Hôpitaux de Paris, 75015 Paris, France.
Lars SävendahlKarolinska Institutet, Karolinska University Hospital, 171 64 Solna, Sweden.
Franciska VerlindeBelgian Society for Pediatric Endocrinology and Diabetology, 1090 Brussels, Belgium.
Tilman R RohrerUniversity Children's Hospital, Saarland University Medical Center, 66421 Homburg, Germany.
Alder Hey Children's NHS Foundation Trust · GBBelgian Society of Medical Oncology · BECincinnati Children's Hospital Medical Center · USFairview Health Services · USHôpital Necker-Enfants Malades · FRKarolinska University Hospital · SENovo Nordisk (Switzerland) · CHNovo Nordisk (United States) · USSaarland University · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextDespite having normal growth hormone (GH) secretion, individuals with Turner syndrome (TS) have short stature. Treatment with recombinant human GH is recommended for TS girls with short stature.

objectiveThis work aimed to evaluate the effectiveness and safety of Norditropin (somatropin, Novo Nordisk) with up to 10 years of follow-up in children with TS.

methodsSecondary analysis was conducted of Norditropin data from 2 non-interventional studies: NordiNet® IOS (NCT00960128) and the ANSWER program (NCT01009905).

resultsA total of 2377 girls with TS were included in the safety analysis set (SAS), with 1513 in the treatment-naive effectiveness analysis set (EAS). At the start of treatment, 1273 (84%) participants were prepubertal (EAS); mean (SD) age was 8.8 (3.9) years. Mean (SD) dose received at the start of GH treatment was 0.045 (0.011) mg/kg/day (EAS). Mean (SD) baseline insulin-like growth factor-1 (IGF-I) SD score (SDS) was -0.86 (1.52), and mean (SD) duration of GH treatment (SAS) was 3.8 (2.8) years.Height SDS (HSDS) increased throughout follow-up, with near-adult HSDS reached by 264 (17%) participants (mean [SD] -1.99 [0.94]; change from baseline +0.90 [0.85]). During the study, 695 (46%) participants (EAS) entered puberty at a mean (SD) age of 12.7 (1.9) years (whether puberty was spontaneous or induced was unknown). Within the SAS, mean IGF-I SDS (SD) at year 10 was 0.91 (1.69); change from baseline +1.48 (1.70). Serious adverse reactions were reported in 10 participants (epiphysiolysis [n = 3]).

conclusionGH-treated participants with TS responded well, without new safety concerns. Our real-world data are in agreement with previous studies.

Indexed as

Dwarfism, PituitaryHuman Growth HormoneTurner SyndromeAdultBody HeightChildChild, PreschoolFemaleGrowth DisordersHumansInsulin-Like Growth Factor IHuman Growth HormoneInsulin-Like Growth Factor Iadverse reactionschildreneffectivenesshuman growth hormonesafetyturner syndrome

Identifiers

PMID36947589
PMCPMC10505549
OpenAlexW4353043754

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.