Comparison of efficacy and safety between long-acting growth hormone and short-acting growth hormone in isolated growth hormone deficiency: a systematic review and meta-analysis of 16 randomized controlled trials involving 2,435 pediatric patients - Scorecard - MDSpire

Comparison of efficacy and safety between long-acting growth hormone and short-acting growth hormone in isolated growth hormone deficiency: a systematic review and meta-analysis of 16 randomized controlled trials involving 2,435 pediatric patients

  • By

  • Zhen-Zhen Shen

  • Yun Huang

  • Li-Li Wu

  • Jian-Su Zhang

  • Xiao-Xia Zhang

  • June 4, 2026

  • 0 min

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Clinical Scorecard: Efficacy and Safety Assessment of Long-Acting Versus Short-Acting Growth Hormone in Pediatric Isolated Growth Hormone Deficiency: A Systematic Review and Meta-Analysis of 16 Randomized Controlled Trials Involving 2,435 Children

At a Glance

CategoryDetail
Condition
Key MechanismsComparison of long-acting human growth hormone (LAGH) preparations, including PEG-LAGH, somatrogon, somapacitan, and lonapegsomatropin, with short-acting daily growth hormone (SA-GH).
Target Population
Care Setting

Key Highlights

  • LAGH showed a statistically significant improvement in first-year height standard deviation score (Ht-SDS) compared to SA-GH (p < 0.05).
  • PEG-LAGH subgroup demonstrated superior height velocity standard deviation score (HV-SDS) with a significant mean difference.

Guideline-Based Recommendations

Diagnosis

    Management

      Monitoring & Follow-up

      • Regularly assess height velocity and IGF-1 levels during treatment, including specific thresholds for IGF-1.

      Risks

        Patient & Prescribing Data

        LAGH offers improved adherence due to reduced injection frequency, but monitor for potential side effects.

        Clinical Best Practices

        • educate

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