Long-Acting Growth Hormone Versus Daily Growth Hormone for Growth Hormone Deficiency Patients: A Network Meta-Analysis of Clinical Trials.
Amir Abadi, Usra Ghanem, Hamid Ghanem et al.
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In 30 seconds
This network meta-analysis evaluated the efficacy and safety of long-acting growth hormone (LAGH) versus daily growth hormone in children with growth hormone deficiency (CHD). Analyzing 18 randomized controlled trials with 3137 participants, the study found that weekly YPEG-rhGH 0.1 mg/kg/week significantly improved height velocity compared to daily Somatropin, while safety profiles varied among LAGH formulations.
Key findings
- Weekly YPEG-rhGH 0.1 mg/kg/week showed a significantly higher height velocity compared to daily Somatropin (SMD: 5.02).
- Lonapegsomatropin 0.24 mg/kg/week significantly increased IGF-1 SDS levels (SMD: 0.74 [0.36-1.12]).
- Somatrogon significantly increased the risk of localized injection site erythema (RR: 10.55).
- Overall treatment discontinuation rates did not differ significantly between LAGH formulations and daily therapy.
Why it matters
Understanding the comparative efficacy and safety of LAGH versus daily growth hormone is crucial for clinicians managing pediatric patients with growth hormone deficiency, as it informs treatment choices that can optimize patient outcomes.