Have a personal or library account? Click to login
Optimal final adult height achieved by low-dose recombinant human growth hormone therapy Cover

Optimal final adult height achieved by low-dose recombinant human growth hormone therapy

Open Access
|Apr 2024

Figures & Tables

Figure 1.

FAH compared to height before rhGH treatment (A) and MPH (B). The data are presented as median ± IQR. *P < 0.05, **P < 0.005. FAH, final adult height; GH, growth hormone; GHD, growth hormone deficiency; IQR, interquartile range; MPH, mid-parental height; rhGH, recombinant human growth hormone; SDS, standard deviation score.
FAH compared to height before rhGH treatment (A) and MPH (B). The data are presented as median ± IQR. *P < 0.05, **P < 0.005. FAH, final adult height; GH, growth hormone; GHD, growth hormone deficiency; IQR, interquartile range; MPH, mid-parental height; rhGH, recombinant human growth hormone; SDS, standard deviation score.

Clinical characteristics before and after rhGH treatment categorized according to the GH status as complete vs_ partial GHD

Overall (n = 40)Complete GHD (n = 20)Partial GHD (n = 20)P
Sex, n (%) 1.0
  Male25 (62.5)12 (60.0)13 (65.0)
  Female15 (37.5)8 (40.0)7 (35.0)
Baseline
Age (years)8.9 (3.0)9.6 (3.4)8.2 (2.6)0.1
Bone age (years)*4.5 [3.0, 7.8]7.0 [2.8, 9.0]4.3 [3.3, 4.9]0.4
Height SDS−2.13 (0.94)−2.30 (1.07)−1.96 (0.78)0.3
Weight SDS−1.19 (1.35)−1.04 (1.50)−1.34 (1.21)0.5
HV (cm/year)3.55 [3.00, 4.80]3.30 [2.95, 4.08]4.50 [3.18, 4.93]0.1
MPH SD−0.49 (1.0)−0.16 (0.087)−0.83 (1.02)0.03
Peak GH (ng/mL)4.63 (2.98)2.56 (1.80)6.70 (2.44)<0.001*
IGF-1 SDS−0.97 (1.56)−1.12 (1.93)−0.83 (1.11)0.6
IGFBP-3 SDS−0.79 (1.44)−1.08 (1.25)−0.51 (1.60)0.3
MPHD, n (%)10 (25.0)9 (45.0)1 (5.0)0.01*
TSH deficiency7 (17.5)6 (30.0)1 (5.0)0.1
DI7 (17.5)6 (30.0)1 (5.0)0.1
ACTH deficiency5 (12.5)5 (25.0)0 (0.0)0.1
Hypogonadism7 (17.5)7 (35.0)0 (0.0)0.01*
MRI finding, n (%) 0.1
  Normal21 (52.5)9 (45.0)12 (60.0)
  Abnormal7 (17.5)6 (30.0)1 (5.0)
  Not performed12 (30.0)5 (25.0)7 (35.0)
Age at puberty (years)12.8 [11.9, 13.8]13.1 [12.5, 14.0]12.0 [11.2, 13.3]
  Male13.3 (1.7)13.7 (2.2)12.9 (0.9)0.3
  Female12.2 (1.5)13.2 (0.8)10.5 (0.8)<0.001*
rhGH treatment
Duration of treatment (years)4.9 (3.3)5.7 (3.2)4.0 (3.3)0.1
rhGH dosage (μg/kg/d)28.4 [21.3, 31.7]26.6 [19.8, 29.1]30.9 [28.0, 31.9]0.02*
Discontinue rhGH
Age (years)15.3 [14.4, 16.0]15.3 [14.9, 16.2]15.3 [14.0, 16.0]0.5
Bone age (years)14.4 [14.0, 16.0]14.4 [14.0, 16.0]14.5 [14.0, 15.0]0.9
FAH (cm)
  Male166.2 (5.9)168.0 (6.0)161.4 (1.8)0.003
  Female152.5 (6.1)152.2 (7.2)153.2 (2.8)0.4
FAH SDS−0.87 [–1.56, −0.14]−0.65 [–1.22, 0.70]−1.47 [–1.66, −0.78]0.2
Height SDS gain (start-stop of rhGH)1.43 (1.00)1.62 (1.09)0.91 (0.47)0.1
FAH-MPH SDS−0.64 (1.38)−0.55 (1.7)−0.87 (1.76)0.6

Proportion of retesting GH results categorized according to the GH status and hormonal deficiency

Persistent GHD (n = 11)Transient GHD (n = 13)P
GH status, n (%) 0.4
  Complete GHD8 (53.3)7 (46.7)
  Partial GHD3 (33.3)6 (66.7)
Hormonal defects, n (%) 0.002*
  Isolated GHD3 (20.0)12 (80.0)
  MPHD8 (88.9)1 (11.1)
DOI: https://doi.org/10.2478/abm-2024-0011 | Journal eISSN: 1875-855X | Journal ISSN: 1905-7415
Language: English
Page range: 53 - 60
Published on: Apr 30, 2024
Published by: Chulalongkorn University
In partnership with: Paradigm Publishing Services
Publication frequency: 6 issues per year

© 2024 Tansit Saengkaew, Suparb Aroonparkmongkol, Suttipong Wacharasindhu, published by Chulalongkorn University
This work is licensed under the Creative Commons Attribution 4.0 License.