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Effect of oxandrolone and timing of pubertal induction on final height in Turner syndrome: Final analysis of the UK randomised placebo-controlled trial

Effect of oxandrolone and timing of pubertal induction on final height in Turner syndrome: Final analysis of the UK randomised placebo-controlled trial
Effect of oxandrolone and timing of pubertal induction on final height in Turner syndrome: Final analysis of the UK randomised placebo-controlled trial

The UK Turner syndrome (TS) study examined the effect on final height of oxandrolone 0.05 mg/kg/day (maximum dose 2.5 mg) versus placebo from 9 years of age; and delaying ethinylestradiol induction of puberty by 2 years from 12 (E12) to 14 (E14) years in growth hormone-treated girls with TS. The study ran from 1999 to 2013. By 2011, eighty-two of 92 participants had reached final height and an interim analysis using the Super-Imposition by Translation And Rotation model showed significant increases in final height with both oxandrolone and E14. The analysis has been repeated now that all 92 patients have reached final height. Oxandrolone still significantly increased final height by 4.1 cm (95% CI 1.6 to 6.6, n=92) compared with 4.6 cm previously. However, the E14 effect was no longer significant at 2.7 cm (95% CI -0.8 to 6.1, n=56) compared with 3.8 cm previously.

endocrinology, growth, therapeutics, Turner syndrome
0003-9888
74-75
Gault, Emma Jane
2fb665db-26a6-4172-936e-b93f97414739
Cole, Tim J.
78cebdf5-e360-4e8e-9dea-ba4b88306980
Casey, Sarah
c0abf702-d5eb-4688-b363-5baf903c85fb
Hindmarsh, Peter C.
132a86fd-5d29-4dc2-a01b-ffa1a5665746
Betts, Peter
ea3466c8-2171-4842-b544-e8560fc77156
Dunger, David B.
5b4c17b6-7f65-424f-9d1d-17c4331a4b9c
Donaldson, Malcolm D.C.
9d5f1e06-0f4c-48b6-b932-412b095f0f58
Gault, Emma Jane
2fb665db-26a6-4172-936e-b93f97414739
Cole, Tim J.
78cebdf5-e360-4e8e-9dea-ba4b88306980
Casey, Sarah
c0abf702-d5eb-4688-b363-5baf903c85fb
Hindmarsh, Peter C.
132a86fd-5d29-4dc2-a01b-ffa1a5665746
Betts, Peter
ea3466c8-2171-4842-b544-e8560fc77156
Dunger, David B.
5b4c17b6-7f65-424f-9d1d-17c4331a4b9c
Donaldson, Malcolm D.C.
9d5f1e06-0f4c-48b6-b932-412b095f0f58

Gault, Emma Jane, Cole, Tim J., Casey, Sarah, Hindmarsh, Peter C., Betts, Peter, Dunger, David B. and Donaldson, Malcolm D.C. (2020) Effect of oxandrolone and timing of pubertal induction on final height in Turner syndrome: Final analysis of the UK randomised placebo-controlled trial. Archives of Disease in Childhood, 106 (1), 74-75. (doi:10.1136/archdischild-2019-317695).

Record type: Article

Abstract

The UK Turner syndrome (TS) study examined the effect on final height of oxandrolone 0.05 mg/kg/day (maximum dose 2.5 mg) versus placebo from 9 years of age; and delaying ethinylestradiol induction of puberty by 2 years from 12 (E12) to 14 (E14) years in growth hormone-treated girls with TS. The study ran from 1999 to 2013. By 2011, eighty-two of 92 participants had reached final height and an interim analysis using the Super-Imposition by Translation And Rotation model showed significant increases in final height with both oxandrolone and E14. The analysis has been repeated now that all 92 patients have reached final height. Oxandrolone still significantly increased final height by 4.1 cm (95% CI 1.6 to 6.6, n=92) compared with 4.6 cm previously. However, the E14 effect was no longer significant at 2.7 cm (95% CI -0.8 to 6.1, n=56) compared with 3.8 cm previously.

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More information

Published date: 20 December 2020
Additional Information: Funding Information: Funding was provided by the Scottish Executive Chief Scientist Office (1999-2004) (K/MRS/50/C2713) and by the British Society for Paediatric Endocrinology and Diabetes (2004-2013), with a contribution to funding of pharmacy staff from the Child Growth Foundation. Additional funding was received from the NIHR; TJC was funded by Medical Research Council (grant MR/R010692/1). Funding Information: Funding Funding was provided by the Scottish Executive Chief Scientist Office (1999–2004) (K/MRS/50/C2713) and by the British Society for Paediatric Endocrinology and Diabetes (2004–2013), with a contribution to funding of pharmacy staff from the Child Growth Foundation. Additional funding was received from the NIHR; TJC was funded by Medical Research Council (grant MR/R010692/1). Publisher Copyright: © 2021 Author(s). Copyright: Copyright 2021 Elsevier B.V., All rights reserved.
Keywords: endocrinology, growth, therapeutics, Turner syndrome

Identifiers

Local EPrints ID: 455499
URI: http://eprints.soton.ac.uk/id/eprint/455499
ISSN: 0003-9888
PURE UUID: cfb20426-8c99-4ae0-ac6b-a8eb93260c64

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Date deposited: 23 Mar 2022 17:42
Last modified: 17 Mar 2024 12:49

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Contributors

Author: Emma Jane Gault
Author: Tim J. Cole
Author: Sarah Casey
Author: Peter C. Hindmarsh
Author: Peter Betts
Author: David B. Dunger
Author: Malcolm D.C. Donaldson

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