1. Growth parameters in children with achondroplasia: A 7-year, prospective, multinational, observational study.
- Author
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Savarirayan, R, Irving, M, Harmatz, P, Delgado, B, Wilcox, WR, Philips, J, Owen, N, Bacino, CA, Tofts, L, Charrow, J, Polgreen, LE, Hoover-Fong, J, Arundel, P, Ginebreda, I, Saal, HM, Basel, D, Font, RU, Ozono, K, Bober, MB, Cormier-Daire, V, Le Quan Sang, K-H, Baujat, G, Alanay, Y, Rutsch, F, Hoernschemeyer, D, Mohnike, K, Mochizuki, H, Tajima, A, Kotani, Y, Weaver, DD, White, KK, Army, C, Larrimore, K, Gregg, K, Jeha, G, Milligan, C, Fisheleva, E, Huntsman-Labed, A, Day, J, Savarirayan, R, Irving, M, Harmatz, P, Delgado, B, Wilcox, WR, Philips, J, Owen, N, Bacino, CA, Tofts, L, Charrow, J, Polgreen, LE, Hoover-Fong, J, Arundel, P, Ginebreda, I, Saal, HM, Basel, D, Font, RU, Ozono, K, Bober, MB, Cormier-Daire, V, Le Quan Sang, K-H, Baujat, G, Alanay, Y, Rutsch, F, Hoernschemeyer, D, Mohnike, K, Mochizuki, H, Tajima, A, Kotani, Y, Weaver, DD, White, KK, Army, C, Larrimore, K, Gregg, K, Jeha, G, Milligan, C, Fisheleva, E, Huntsman-Labed, A, and Day, J
- Abstract
PURPOSE: This study was undertaken to collect baseline growth parameters in children with achondroplasia who might enroll in interventional trials of vosoritide, and to establish a historical control. METHODS: In this prospective, observational study, participants (≤17 years) underwent a detailed medical history and physical examination and were followed every 3 months until they finished participating in the study by enrolling in an interventional trial or withdrawing. RESULTS: A total of 363 children were enrolled (28 centers, 8 countries). Mean (SD) follow up was 20.4 (15.0) months. In participants <1 year, mean annualized growth velocity (AGV) was 11.6 cm/year for girls and 14.6 cm/year for boys. By age 1 year, mean AGV decreased to 7.4 cm/year in girls and 7.1 cm/year in boys. By age 10 years, mean AGV decreased to 3.6 cm/year for both sexes. Mean height z-score in participants <1 year was -2.5 for girls and -3.2 for boys and decreased up to the age 5 years (-5.3 for girls; -4.6 for boys). Girls and boys had a disproportionate upper-to-lower body segment ratio. Mean ratio was highest in participants aged <1 year (2.9 for girls; 2.8 for boys) and decreased gradually to approximately 2 in both sexes from 4 years of age onward. CONCLUSION: This study represents one of the largest datasets of prospectively collected medical and longitudinal growth data in children with achondroplasia. It serves as a robust historical control to measure therapeutic interventions against and to further delineate the natural history of this condition.
- Published
- 2022