Principal growth hormone therapy trials in short SGA patients
Definitions SGA/short | GH dose/protocol | n | At start | Delta height (Ht) SDS | Final Ht | Delta bone age | Ref | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Age | Ht SDS | HV SDS | 1y | 2y | 3y | 4y | 5y | 6y | n | Ht SDS | |||||
<−2 SDS | Untreated | 12 | 5.18 | −2.91 | 0.07 | −0.03 | 15 | ||||||||
0.033 mg/kg/d | 16 | 4.4 | −3.29 | 1.09 | 0.45 | 0.18 | 1 | ||||||||
0.067 mg/kg/d | 20 | 4.63 | −3.22 | 1.43 | 0.7 | 0.41 | 1 | ||||||||
<−1.88 SDS | Untreated | 29 | 7.8 | −2.6 | 15 | −2.3 | 12 | ||||||||
0.033 mg/kg/d | 41 | 7.3 | −3 | 2.2 | 28 | −1.1 | 1.4 | 16 | |||||||
0.067 mg/kg/d | 38 | 7.2 | −3.1 | 2.6 | 26 | −0.9 | 1.3 | ||||||||
<−2 SDS | Placebo 6 months then 0.02 mg/kg/d for 2.5y | 18 | 8.24 | −3.16 | −1.63 | 17 | |||||||||
Placebo 6 months then 0.06 mg/kg/d for 2.5y | 20 | 8.16 | −3.36 | −0.64 | |||||||||||
0.02 mg/kg/d for 3y, 1y off | 15 | 8.4 | −3.1 | 0.1 | 0.66 | 0.77 | −0.3 | 1.15 | 18 | ||||||
0.06 mg/kg/d for 3y, 1y off | 40 | 8.1 | −3.2 | −1 | 1.25 | 1.61 | −0.22 | 1.27 | |||||||
0.02 for 2y, 0.06 for 3rd y, 1y off | 23 | 7.9 | −3.1 | −0.7 | 0.66 | 0.93 | −0.25 | 1.13 | |||||||
<−2 SDS | Median 0.027 mg/kg/d | 396 | 8.6 | −2.9 | 0.9 | 1.47 | 19 | ||||||||
Median 0.033 mg/kg/d | 593 | 9.2 | −2.8 | 16 | −2.4 | 20 | |||||||||
<−2 SDS/<−2.5 SDS | Untreated | 13 | 4.9 | −3.4 | −0.6 | 0.2 | 21 | ||||||||
0.067 mg/kg/d | 20 | 5.4 | −3.5 | −0.9 | 2.1 | 1.35 | |||||||||
0.1 mg/kg/d | 19 | 5.1 | −3.7 | −0.7 | 2.5 | 1.33 | |||||||||
<−2 SDS/<−2.5 SDS | 0.077 mg/kg/d for 2y, 2y off, then 0.066 mg/kg/d for 2y | 5 | 4.4 | −3.5 | −1 | −1.8 | 22 | ||||||||
0.077 mg/kg/d for 2y | 13 | <−2 | ∼−1.4 | ||||||||||||
<−2 SDS/<−2.5 SDS | Untreated | 47 | 12.8 | −3.2 | 33 | −2.7 | 23 | ||||||||
0.067 mg/kg/d | 102 | 12.7 | −3.2 | −2.1 | 91 | −2.1 | |||||||||
<10th centile not GHD | Untreated | 20 | 10.7 | −1.97 | 20 | −1.9 | 24 | ||||||||
<10th centile HD | 0.038 mg/kg/d | 29* | 10.9 | −2.28 | 29 | −1.8 |