Evidence map›Paper›PMID 41787735›Full record

SynthesisThe Journal of clinical endocrinology and metabolism2026

Long-acting growth hormone for treating growth hormone deficiency in children: a meta-analysis of randomized controlled trials focusing on changes in body mass index.

Lucie Levaillant, Natacha Bouhours-Nouet, Fabienne Emeriau, Aurelie Donzeau, Stéphanie Rouleau, Carine Villanueva, Kevin Perge, Cécile Teinturier, Sarah Castets, Agnès Linglart and 2 more

Abstract readMeta-Analysis
In one paragraph

Synthesis in The Journal of clinical endocrinology and metabolism, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the 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
–field-weighted citation impact
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

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

  1. Pooled it
  2. Article
  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

12 authors.

Lucie LevaillantDepartment of Pediatric Endocrinology, University Hospital of Angers, 49000 Angers, France.
Natacha Bouhours-NouetDepartment of Pediatric Endocrinology, University Hospital of Angers, 49000 Angers, France.
Fabienne EmeriauDepartment of Pediatric Endocrinology, University Hospital of Angers, 49000 Angers, France.
Aurelie DonzeauDepartment of Pediatric Endocrinology, University Hospital of Angers, 49000 Angers, France.
Stéphanie RouleauDepartment of Pediatric Endocrinology, University Hospital of Angers, 49000 Angers, France.
Carine VillanuevaDepartment of Pediatric Endocrinology, Hospices civils de Lyon, 69500 Bron, France.
Kevin PergeDepartment of Pediatric Endocrinology, Hospices civils de Lyon, 69500 Bron, France.ORCID 0000-0002-6527-805X
Cécile TeinturierDepartment of Pediatric Endocrinology, Bicetre University Hospital, 94270 Le Kremlin-Bicêtre, France.
Sarah CastetsDepartment of Pediatric Endocrinology, La Timone Children's Hospital, APHM, 13385 Marseille, France.
Agnès LinglartDepartment of Pediatric Endocrinology, Bicetre University Hospital, 94270 Le Kremlin-Bicêtre, France.
Rachel ReynaudDepartment of Pediatric Endocrinology, La Timone Children's Hospital, APHM, 13385 Marseille, France.
Regis CoutantDepartment of Pediatric Endocrinology, University Hospital of Angers, 49000 Angers, France.ORCID 0000-0002-6332-4243

Funding

French Ministry of Health via the Reference Center of Rare Pituitary Diseases
6 · The paper itself

Abstract

backgoundThe purpose of this study is to compare the effect of long-acting growth hormone (LAGH) to daily GH on body mass index (BMI) in children with growth hormone deficiency (GHD).

methodsWe searched the PubMed database from its inception to July 2025 and identified three relevant randomized controlled trials lasting over 6 months, with extension phases providing longitudinal BMI data. Longitudinal BMI data were available for lonapegsomatropin, somatrogon, and somapacitan, but not for polyethylene glycol LAGH.

resultsA total of 585 patients were included in the present analysis, of which 346 were in the LAGH group, and 239 were in the daily rhGH group, derived from seven original articles and two abstracts/ePosters. At 12 months, there was a significant difference in BMI SD scores between LAGH and daily GH groups (Mean difference [MD] 0.66 SDS [95% confidence interval [CI] 0.04-1.29]). BMI SDS significantly increased in the LAGH group (MD + 0.41 SDS [95% CI 0.04-0.77] from 0 to 12 months), whereas it did not change in the daily GH group (MD -0.35 SDS [95% CI -0.76 to +0.07] from 0 to 12 months). Between 12 and 24 months, after switching from daily GH to LAGH (daily GH/LAGH), or pursuing LAGH (LAGH/LAGH) in the extension phases of the studies, BMI SDS significantly increased in the daily GH/LAGH switching group (MD + 0.75 SDS [95% CI 0.24-1.27] from 12 to 24 months), whereas it remained steady in the LAGH/LAGH group. Omitting one study at a time from the meta-analysis did not materially affect the results.

conclusionAn increase in body mass index SD score is associated with the first year of LAGH use.

Indexed as

Body Mass IndexGrowth DisordersHuman Growth HormoneChildChild, PreschoolHumansRandomized Controlled Trials as TopicTreatment OutcomeHuman Growth Hormonebody mass indexchildrengrowth hormone deficiencyheightlong-acting growth hormones

Identifiers

PMID41787735
PMCPMC13099199

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Registered trials

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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.