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重组人生长激素的临床应用经验——德国协作研究

Clinical experience with authentic recombinant somatropin--German Collaborative Study.

作者信息

Ranke M B, Bierich J R

出版信息

Acta Paediatr Scand Suppl. 1987;331:9-17. doi: 10.1111/j.1651-2227.1987.tb17091.x.

Abstract

A multicentre clinical trial with recombinant somatropin was initiated in West Germany in early 1986. Acceptance of patients to the study was determined according to criteria outlined in a detailed study protocol. To the present time, 41 patients with hGH deficiency not previously treated (naïve) and 28 patients previously treated with pituitary hGH have been admitted. Recombinant somatropin is given, 12 IU/m2/week s.c., divided into six doses. Height velocities during treatment rose dramatically for naïve patients from 3.5 cm/year (n = 40, before treatment), to 15.0 cm/year (n = 19, calculated at 3 months), and 13.3 cm/year (n = 8, calculated at 6 months). For previously treated patients, the increase in height velocity was from 5.8 cm/year (n = 20) to 9.2 cm/year (n = 19, after 3 months) and 8.6 cm/year (n = 9) at 6 months. Tolerance of recombinant somatropin was good, and no anti-hGH antibodies were detected in any of the patients.

摘要

1986年初在西德启动了一项使用重组生长激素的多中心临床试验。根据详细研究方案中概述的标准确定患者是否纳入该研究。到目前为止,已收治41例既往未接受过治疗(初治)的生长激素缺乏患者和28例既往接受过垂体生长激素治疗的患者。重组生长激素皮下注射给药,剂量为12 IU/m²/周,分六次注射。初治患者治疗期间的身高增长速度从治疗前的3.5厘米/年(n = 40)大幅提高到3个月时的15.0厘米/年(n = 19)和6个月时的13.3厘米/年(n = 8)。对于既往接受过治疗的患者,身高增长速度从5.8厘米/年(n = 20)提高到3个月后的9.2厘米/年(n = 19)和6个月时的8.6厘米/年(n = 9)。重组生长激素耐受性良好,所有患者均未检测到抗生长激素抗体。

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