Evidence map›Paper›PMID 37008942›Full record

ArticleFrontiers in endocrinology2023

Efficacy and safety of a 4-year combination therapy of growth hormone and gonadotropin-releasing hormone analogue in pubertal girls with short predicted adult height.

Hilde Dotremont, Annick France, Claudine Heinrichs, Sylvie Tenoutasse, Cécile Brachet, Martine Cools, Kathleen De Waele, Guy Massa, Marie-Christine Lebrethon, Inge Gies and 8 more

Registry-linked trialOpen access · goldAbstract readMulticenter Study
In one paragraph

Article in Frontiers in endocrinology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00840944 (Efficacy and Safety of a 4 Year Combination Therapy of Growth Hormone and Gonadotropin- Releasing Hormone Agonist in Children With a Short Predicted Height.), which is not on this map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
2.4field-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.

NCT00840944 phase4unknown statusnot on this map

Efficacy and Safety of a 4 Year Combination Therapy of Growth Hormone and Gonadotropin- Releasing Hormone Agonist in Children With a Short Predicted Height.

TypeinterventionalSponsorBelgian Study Group for Pediatric EndocrinologyRan2008 to 2024Enrolled44ConditionsIdiopathic Short StatureArmssomatropin, triptorelin
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Short Adult Height After Rapid-tempo Puberty: When is it too Late to Treat?Journal of clinical research in pediatric endocrinology · 2024
    Article
  6. [Pharmacological therapies for height improvement in pubertal children with short stature].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2024
    Article
  7. 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

18 authors at 10 institutions in 1 country.

Hilde DotremontDepartment of Pediatrics, University Hospital Antwerp, Edegem, Belgium.
Annick FranceDepartment of Pediatrics, University Hospital Antwerp, Edegem, Belgium.
Claudine HeinrichsHôpital Universitaire des Enfants Reine Fabiola, Université Libre de Bruxelles, Brussels, Belgium.
Sylvie TenoutasseHôpital Universitaire des Enfants Reine Fabiola, Université Libre de Bruxelles, Brussels, Belgium.
Cécile BrachetHôpital Universitaire des Enfants Reine Fabiola, Université Libre de Bruxelles, Brussels, Belgium.
Martine CoolsDepartment of Pediatric Endocrinology, Department of Internal Medicine and Pediatrics, Ghent University, Ghent University Hospital, Ghent, Belgium.
Kathleen De WaeleDepartment of Pediatric Endocrinology, Department of Internal Medicine and Pediatrics, Ghent University, Ghent University Hospital, Ghent, Belgium.
Guy MassaDepartment of Pediatrics, Jessa Hospital, Hasselt, Belgium.
Marie-Christine LebrethonDepartment of Pediatrics, University Hospital of Liège, Liège, Belgium.
Inge GiesDepartment of Pediatric Endocrinology, University Hospital Brussels, Brussels, Belgium.
Jesse Van BesienDepartment of Pediatric Endocrinology, University Hospital Brussels, Brussels, Belgium.
Christine DeryckeBelgian Society for Pediatric Endocrinology and Diabetes (BESPEED), Brussels, Belgium.
Mathieu ZiraldoUnité d 'Endocrinologie Pédiatrique Cliniques Universitaires Saint Luc, Université Catholique de Louvain, Brussels, Belgium.
Jean De SchepperDepartment of Pediatric Endocrinology, Department of Internal Medicine and Pediatrics, Ghent University, Ghent University Hospital, Ghent, Belgium.
Véronique BeauloyeUnité d 'Endocrinologie Pédiatrique Cliniques Universitaires Saint Luc, Université Catholique de Louvain, Brussels, Belgium.
Stijn VerhulstDepartment of Pediatrics, University Hospital Antwerp, Edegem, Belgium.
Raoul RoomanPendoCon, Putte, Belgium.
Marieke den BrinkerDepartment of Pediatrics, University Hospital Antwerp, Edegem, Belgium.
Ghent University Hospital · BEAntwerp University Hospital · BEQueen Fabiola Children's University Hospital · BEUniversity of Antwerp · BEBelgian Society for Pediatric Gastroenterology Hepatology and Nutrition · BECliniques Universitaires Saint-Luc · BEJessa Hospital · BEUCLouvain · BEUniversité Libre de Bruxelles · BEUniversity of Liège · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: To improve adult height in pubertal girls with a poor height prediction, treatment with growth hormone (GH) can be used in combination with a gonadotropin releasing hormone agonist (GnRHa), to delay closure of the growth plates. However, there are few studies to support this practice, and they show conflicting results. The objective of this trial is to assess the safety and efficacy of this combination treatment in early pubertal girls with a short predicted height, in comparison with matched controls. Design patients and methods: We designed an open-label, multicenter, interventional case-control study. Early pubertal girls with predicted adult height (PAH) below -2.5 SDS, were recruited in tertiary care centers in Belgium. They were treated for four years with GH and GnRHa. The girls were followed until adult height (AH) was reached. AH Results: Sixteen girls with mean age ( ± SD) at start of 11.0 years (± 1.3) completed the study protocol and follow-up. Their mean height ( ± SD) increased from 131.3 ± 4.1 cm (-2.3 ± 0.7 SDS) at start of treatment to 159.8 ± 4.7 cm (-1.1 ± 0.7 SDS) at AH. In matched controls, height increased from 132.3 ± 4.2 cm (-2.4 ± 0.5 SDS) to 153.2 ± 3.4 cm (-2.1 ± 0.6 SDS) (p<0.001). AH surpassed initial PAH by 12.0 ± 2.6 cm in treated girls; and by 4.2 ± 3.6 cm in the controls (p<0.001). Most treated girls reached normal adult height (>-2SD) (87.5%) and 68.7% reached or superseded the target height (TH), which was the case in only a minority of the controls (37.5% and 6.2%, respectively) (p= 0.003 and 0.001). A serious adverse event possibly related to the treatment, was a fracture of the metatarsals. Conclusion: A four-year GH/GnRHa treatment in early pubertal girls with a poor PAH seems safe and results in a clinically relevant and statistically significant increase in AH compared with matched historical controls. Clinical trial registration: ClinicalTrials.gov, identifier NCT00840944.

Indexed as

Human Growth HormonePuberty, PrecociousAdultBody HeightCase-Control StudiesChildFemaleGonadotropin-Releasing HormoneGrowth HormoneHumansGonadotropin-Releasing HormoneGrowth HormoneHuman Growth Hormoneadult heightgirlsgonadotropin-releasing hormone agonist (GnRHa)growth hormone treatment (GH)pubertyshort stature children

Identifiers

PMID37008942
PMCPMC10064858
OpenAlexW4327713511

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LicenceCC BY
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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.