Bioactive IGF-I Concentrations in Children on GH Therapy - Takeaways - MDSpire

Bioactive IGF-I Concentrations in Children on GH Therapy

  • By

  • Lea Vilmann

  • Jakob Albrethsen

  • Jørgen Holm Petersen

  • Stine Agergaard Holmboe

  • Peter Christiansen

  • Katharina Maria Main

  • Line Cleemann

  • Kristian Horsman Hansen

  • Jan Frystyk

  • Casper P Hagen

  • Anders Juul

  • October 14, 2025

  • 0 min

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  • 1

    Monitoring bioactive IGF-I levels during GH therapy in children is crucial for optimizing treatment and minimizing long-term risks.

  • 2

    In a study, 13% of GH-treated patients had bioactive IGF-I above +2SD, while 25% had total IGF-I above +2SD.

  • 3

    Bioactive IGF-I levels increased with age in healthy children and correlated positively with total IGF-I and IGF-I/IGFBP-3.

  • 4

    Total IGF-I may not be an appropriate efficacy marker for non-GHD conditions, serving better as a safety parameter.

  • 5

    The study established pediatric, sex-specific reference ranges for bioactive IGF-I to aid in monitoring GH therapy.

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