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来自GHMonitorSM观察性注册研究中接受重组人生长激素(赛增)治疗儿童的最新情况。

Update from the GHMonitorSM observational registry in children treated with recombinant human growth hormone (Saizen).

作者信息

Plotnick Leslie, Rapaport Robert, Desrosiers Paul, Fuqua John S

机构信息

Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA.

出版信息

Pediatr Endocrinol Rev. 2009 Jan;6 Suppl 2:278-82.

Abstract

Since 2003, the GH MonitorSM, an observational registry, has collected data on pediatric subjects treated with Saizen (recombinant human growth hormone (r-hGH)) in the United States and Canada. This article provides an update on the demographic characteristics of subjects enrolled in the GHMonitorSM Registry. As of August 2007, 1733 subjects were enrolled (68.9% male). The most common primary diagnosis at screening was idiopathic growth hormone deficiency (56.5% of subjects).Of those subjects with available data, mean height standard deviation (SD) score was -2.1+/-1.0, mean weight SD score was -1.4+/-1.5, and mean body mass index SD score was -0.1+/-1.3. Among subjects in whom the presence or absence of other pituitary hormone deficiencies was recorded, 16.1% had multiple pituitary hormone deficiencies. Most patients reported high compliance with therapy (92.6% missed 0-3 doses per month); compliance was similar for all delivery devices (needle/syringe, cool.clickTM or one.clickTM) used. Two serious adverse events related to Saizen (hospitalization for placement of right frontal ventriculostomy and right frontal craniotomy for transcallosal resection of a large recurrent craniopharyngioma and left slipped capitofemoral epiphysis that required pinning of the right hip) were reported in the period from August 2006 to August 2007. This update of the GHMonitorSM Registry continues to provide insight into the characteristics of children treated with this agent and continued evidence of the efficacy and safety of Saizen in children.

摘要

自2003年以来,观察性注册机构GH MonitorSM收集了美国和加拿大接受赛增(重组人生长激素[r-hGH])治疗的儿科患者的数据。本文提供了GH MonitorSM注册机构登记患者人口统计学特征的最新情况。截至2007年8月,登记了1733名患者(68.9%为男性)。筛查时最常见的主要诊断是特发性生长激素缺乏症(占患者的56.5%)。在有可用数据的患者中,平均身高标准差(SD)评分为-2.1±1.0,平均体重SD评分为-1.4±1.5,平均体重指数SD评分为-0.1±1.3。在记录了是否存在其他垂体激素缺乏症的患者中,16.1%有多种垂体激素缺乏症。大多数患者报告治疗依从性高(92.6%每月漏服0-3剂);所有使用的给药装置(针头/注射器、cool.clickTM或one.clickTM)的依从性相似。在2006年8月至2007年8月期间,报告了两例与赛增相关的严重不良事件(因放置右额叶脑室造瘘管住院以及因经胼胝体切除大型复发性颅咽管瘤和左股骨头骨骺滑脱需要固定右髋而进行右额叶开颅手术)。GH MonitorSM注册机构的这一更新继续提供对接受该药物治疗儿童特征的深入了解,并持续证明赛增在儿童中的疗效和安全性。

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