生长激素生物仿制药(Cinnatropin®)在接受生长激素治疗超过1年的儿童和青少年中的安全性和有效性:一项基于注册表的IV期研究

IF 2.6 3区 医学 Q1 PEDIATRICS European Journal of Pediatrics Pub Date : 2025-03-05 DOI:10.1007/s00431-025-06056-1
Ali Rabbani, Maryam Razzaghy-Azar, Zohreh Karamizadeh, Mahin Hashemipour, Rahim Vakili, Aria Setoodeh, Mohammadreza Alaei, Robabeh Ghergherehchi, Shadab Salehpour, Majid Aminzadeh, Ali Talea, Hossein Zaeri, Mahmoud Ghasemi, Forough Saki, Araz Sabzvari, Hamidreza Kafi
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引用次数: 0

摘要

生长激素疗法已被证明是有效的治疗各种生长相关的疾病。本上市后研究评估了Cinnatropin®的有效性和安全性,这是一种生物类似生长激素产品。分析了来自Orchid-Life Registry的数据,该数据收集了接受Cinnatropin®患者的长期有效性和安全性数据。本研究共纳入20465例患者,其中纵向分析405例。最常见的诊断是生长激素缺乏。在12个月内,横断面人群的平均(SD)身高标准差(HSDS)从- 1.71(1.31)增加到- 1.32(1.26),纵向人群的平均(SD)身高标准差(HSDS)从- 1.84(1.18)增加到- 1.49(1.13)。基线年龄与HSDS的变化呈负相关,表明老年人的增量较小。超过80%的青春期前患者在治疗1年后达到目标高度速度。大多数不良事件被归类为不严重,严重程度被定为一级(轻度)。最常见的不良反应是注射部位反应和头痛。结论:研究表明,Cinnatropin®治疗可在1年内改善身高,并具有可接受的安全性。
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Safety and effectiveness of a biosimilar somatropin (Cinnatropin®) in children and adolescents receiving growth hormone therapy over 1 year: a registry-based phase IV study.

Growth hormone therapy has been shown to be effective in treating a variety of growth-related disorders. This post-marketing study assessed the effectiveness and safety of Cinnatropin®, a biosimilar growth hormone product. The data from the Orchid-Life Registry, which collects long-term effectiveness and safety data from patients receiving Cinnatropin®, was analyzed. A total of 20,465 patients were enrolled in this study, including 405 subjects in the longitudinal analysis. The most common diagnosis was growth hormone deficiency. The mean (SD) height standard deviation score (HSDS) increased from - 1.71 (1.31) to - 1.32 (1.26) in the cross-sectional population and from - 1.84 (1.18) to - 1.49 (1.13) in the longitudinal population over a period of 12 months. The baseline age exhibited an inverse correlation with changes in HSDS, suggesting that older individuals had smaller increments. Over 80% of prepubertal patients reached targeted height velocity after 1 year of treatment. The majority of adverse events were categorized as non-serious, designated as grade one in severity (mild). The most frequently observed adverse events were injection site reaction and headache. Conclusion: The study indicates that Cinnatropin® treatment results in height improvement over 1 year with an acceptable safety profile.

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来源期刊
CiteScore
5.90
自引率
2.80%
发文量
367
审稿时长
3-6 weeks
期刊介绍: The European Journal of Pediatrics (EJPE) is a leading peer-reviewed medical journal which covers the entire field of pediatrics. The editors encourage authors to submit original articles, reviews, short communications, and correspondence on all relevant themes and topics. EJPE is particularly committed to the publication of articles on important new clinical research that will have an immediate impact on clinical pediatric practice. The editorial office very much welcomes ideas for publications, whether individual articles or article series, that fit this goal and is always willing to address inquiries from authors regarding potential submissions. Invited review articles on clinical pediatrics that provide comprehensive coverage of a subject of importance are also regularly commissioned. The short publication time reflects both the commitment of the editors and publishers and their passion for new developments in the field of pediatrics. EJPE is active on social media (@EurJPediatrics) and we invite you to participate. EJPE is the official journal of the European Academy of Paediatrics (EAP) and publishes guidelines and statements in cooperation with the EAP.
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