An attempt to assess the replacement dose of human growth hormone in the treatment of growth hormone deficient children

Acta Paediatr Scand Suppl. 1987:337:87-92. doi: 10.1111/j.1651-2227.1987.tb17134.x.

Abstract

In 25 patients with hGH deficiency, who had been treated long-term with hGH, the mode of hGH administration was switched from the conventional method (0.3-0.5 IU/kg/week, in two or three divided doses, intramuscularly) to daily subcutaneous injection at 1900-2100 hours with a dose of 0.46 +/- 0.07 IU/kg/week (equivalent to 14.7 +/- 2.0 IU/m2/week). After 1-3 months of this new mode of hGH administration, blood and urine were sampled at 0900 hours after overnight fasting. Blood glucose, plasma insulin, plasma IGF-1 and plasma total IGF (after extraction) were analysed in blood samples. IGF-1 and hGH were measured in urine samples. These measurements indicated that the dose studied was close to a replacement one, but might be slightly higher than the exact replacement dose.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Child
  • Drug Administration Schedule
  • Growth Disorders / drug therapy*
  • Growth Hormone / administration & dosage
  • Growth Hormone / deficiency
  • Growth Hormone / therapeutic use*
  • Humans
  • Injections, Intramuscular
  • Injections, Subcutaneous
  • Insulin / blood
  • Insulin-Like Growth Factor I / blood
  • Time Factors

Substances

  • Insulin
  • Insulin-Like Growth Factor I
  • Growth Hormone