Short stature in children born small for gestational age without catch up growth
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: •Small for gestational age (BW 1 SD below parental adjusted HSDS) •Age 4-8 years (girls) and 4-9 years (boys) •Pre-pubertal at start of treatment (testis volume =65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: •Known or suspected allergy to growth hormone •Previous participation in growth hormone trial •Severe mental retardation as judged by the investigation •Previous or active malignancy •Benign intracranial hypertension (present or past) •Diabetes mellitus •Growth retardation due to chronic diseases including hypertension, asthma (if on inhaled corticosteroids >800µg/day), syndromes (like fetal alcohol syndrome) and chromosomal anomalies (except Silver Russell syndrome). •Psychological problems likely to lead to significant non-compliance.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To evaluate 1. Different growth hormone doses (low, high, and IGF-I titrated dose) on short and long term height velocity, final height and insulin sensitivity in short children (Height <-2.5SDS) born SGA (Birth weight <-2SDS). 2. Auxological, biochemical, and genetic predictors of growth response and insulin resistance in short SGA GH treated children. ;Secondary Objective: To evaluate long-term effects and safety of childhood GH treatment in SGA children as evaluated in adulthood (5 and 10 years after attainment of final height). ;Primary end point(s): Primary endpoints: Height gain ?SDS (3 year) Secondary endpoints: Insulin resistance (IVGTT) IGF-related parameters (IGF-1, IGFBP-3, ALS, free IGF-1) Genetic polymorphisms in the population (IGF-1, VNTR, GH receptor) Changes in body composition and BMD (DEXA) Final height | — |
Countries
Ireland