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Clinical Trials/NL-OMON24733
NL-OMON24733
Recruiting
Not Applicable

Efficacy and safety of growth hormone treatment in short children born small for gestational age (IUGR-3 STUDY); Effects of GH-levels on growth, insulin sensitivity and body composition.

Erasmus Medical Center/ Sophia Children's HospitalPO Box 20603000 CB RotterdamThe NetherlandsTel: +31 10 463 63 630 sites157 target enrollmentTBD

Overview

Phase
Not Applicable
Intervention
Not specified
Conditions
Small for Gestational Age (SGA), Kinderen met persisterend korte gestalte
Sponsor
Erasmus Medical Center/ Sophia Children's HospitalPO Box 20603000 CB RotterdamThe NetherlandsTel: +31 10 463 63 63
Enrollment
157
Status
Recruiting
Last Updated
2 years ago

Overview

Brief Summary

van Dijk M, Mulder P, Houdijk M, et al. High Serum Levels of Growth Hormone (GH) and IGF-I during High Dose Growth Hormone Treatment in Short Children Born Small for Gestational Age. J Clin Endocrinol Metab 2006

Registry
who.int
Start Date
TBD
End Date
TBD
Last Updated
2 years ago
Study Type
Interventional

Investigators

Sponsor
Erasmus Medical Center/ Sophia Children's HospitalPO Box 20603000 CB RotterdamThe NetherlandsTel: +31 10 463 63 63

Eligibility Criteria

Inclusion Criteria

  • 1\. Children born with a birth length and/or weight \< \- 2 SD for gestational age (Usher McLean (22\));
  • 2\. Neonatal period without signs of severe asphyxia (defined as Apgar score \< 3 after 5 minutes), and no serious diseases such as long\-term artificial ventilation and oxygen supply, broncho pulmonary dysplasia or other chronic lung disease;
  • 3\. Short stature defined as a height SD score below –2\.5 according to the Dutch National Growth References of 1997;
  • 4\. Height velocity (cm/year) for chronological age £ P50 (25\);
  • 5\. Chronological age at start of treatment: 3\.00 \- 7\.99 years (boys and girls);
  • 6\. Prepubertal signs defined as Tanner stage 1 or testicular volume \< 4 ml (26\);
  • 7\. Well documented growth data from birth up to 2 years and at least 1 year before the start of the study;
  • 8\. Both growth hormone deficient and growth hormone insufficient patients;
  • 9\. Informed consent.

Exclusion Criteria

  • 1\. Chromosomal disorders, known syndromes and serious dysmorphic symptoms suggestive for a syndrome that has not yet been described, except for Silver Russell Syndrome;
  • 2\. Coeliac disease and other chronic or serious diseases of the gastrointestinal tract, heart, genito\-urinary tract, liver, lungs, skeleton or central nervous system, metabolic disease or chronic or recurrent major infectious diseases, nutritional and/or vitamin deficiencies;
  • 3\. Any endocrine or metabolic disorder such as diabetes mellitus, diabetes insipidus, hypothyroidism, or inborn errors of metabolism, except of GHD;
  • 4\. Use of medications or interventions at this moment or during the previous 6 months that might have interfered with growth, such as corticosteroids (including high dose of corticosteroid inhalation), sex steroids, growth hormone, or major surgery (particularly of the spine or extremities);
  • 5\. Active malignancy or increased risk of leukaemia;
  • 6\. Serious suspicion of psychosocial dwarfism (emotional deprivation);
  • 7\. Expected non\-compliance.

Outcomes

Primary Outcomes

Not specified

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