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临床试验/EUCTR2013-003100-39-NL
EUCTR2013-003100-39-NL进行中(未招募)不适用

Standardized versus individualized growth hormone treatment of shortchildren born small for gestational age: Effects on short-term and longtermefficacy, long-term psychosocial development, glucose metabolismand body composition. - National SGA study

Dutch Growth Research Foundation0 个研究点开始时间: 2013年8月15日最近更新:
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试验速览

阶段
不适用
状态
进行中(未招募)
发起方

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional clinical trial of medicinal product

入排标准

性别
All

入选标准

  • Children born with a birth length and/or weight <-2 SD for gestational age (Niklasson, (48).
  • Short stature defined as height SD score <-2.5 according to the Dutch National Growth References of 1997 (49).
  • Height of =1 SD score below target height SD score (TH SDS).
  • Height velocity (cm/year) for chronological age =0 SDS in prepubertal children (50).
  • Chronological age at start of treatment between 4 and 11 years for boys and between 4 and 9 years for girls.
  • Bone age (G&P) =13 years for girls and =15 years for boys.
  • Well documented growth data from birth up to 2 years and at least 1 year before the start of the study.
  • Informed consent.
  • Are the trial subjects under 18? yes
  • Number of subjects for this age range: 300
  • F.1.2 Adults (18-64 years) yes
  • F.1.2.1 Number of subjects for this age range 300
  • F.1.3 Elderly (>=65 years) no
  • F.1.3.1 Number of subjects for this age range

排除标准

  • Syndromes (except for Silver Russell Syndrome), chromosomal abnormalities and serious dysmorphic symptoms suggestive for a syndrome that has not yet been described.
  • Severe psychomotor retardation according to the DSM IV.
  • Complicated neonatal period, including signs of severe asphyxia (defined as an Apgar score <3 after 5 minutes, (51)), severe sepsis with multiple organ failure (MOF), long term artificial ventilation and oxygen supply and/or bronchopulmonary dysplasia.
  • Celiac disease and other chronic or serious diseases of the gastro-intestinal tract, heart, genito-urinary tract, liver, lungs, skeleton or central nervous system, or chronic or recurrent major infectious diseases, nutritional and/or vitamin deficiencies.
  • Any endocrine or metabolic disorder such as diabetes mellitus, diabetes insipidus, hypothyroidism, or inborn errors of metabolism, except for growth hormone deficiency (GHD).
  • Genetic alterations (e.g. mutations, deletions) in the IGF-I receptor gene.
  • Medications or interventions during the previous 6 months that might have interfered with growth, such as corticosteroids (including high dose of corticosteroids inhalation), sex steroids, growth hormone, or major surgery (particularly of the spine and extremities).
  • Use of medication that might interfere with growth during GH therapy, such as corticosteroids and sex steroids.
  • Active or treated malignancy or increased risk of leukaemia.
  • Serious suspicion of psychosocial dwarfism (emotional deprivation).
  • Expected non-compliance.

研究者

发起方
Dutch Growth Research Foundation

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