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Berit Kriström, A. Stefan Aronson, Jovanna Dahlgren, Jan Gustafsson, Maria
Halldin, Sten A. Ivarsson, Nils-Östen Nilsson, Johan Svensson, Torsten Tuvemo,
and Kerstin Albertsson-Wikland
Journal of Clinical Endocrinology &
Metabolism 94: 483-490; published online before print as
doi:10.1210/jc.2008-1503
The purpose of this 2 year study was to test the hypothesis that
individualized growth hormone doses, based on variation in GH responsiveness
estimated by a prediction model, reduced variability in growth response
around a set height target compared with a standardized weight-based dose.
Growth hormone dosing based on weight results in a wide variation in growth
response in children with GH deficiency (GHD) or idiopathic short stature
(ISS).
This multicenter study included 153 short prepubertal children
diagnosed with isolated GHD or ISS and at least 1 standard deviation score
(SDS) below mid-parental height SDS. The children were randomized to receive
either a standard (43 µg/kg · d) or individualized (17–100 µg/kg · d) GH
dose.
The study concluded that individualized GH doses during catch-up
growth significantly reduce the proportion of unexpectedly good and poor
responders around a predefined individual growth target and result in equal
growth responses in children with GHD and ISS.
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