Once daily subcutaneous growth hormone-releasing hormone therapy accelerates growth in growth hormone-deficient children during the first year of therapy. Geref International Study Group.
Thorner. M M; Rochiccioli. P P; Colle. M M; Lanes. R R; Grunt. J J; Galazka. A A; Landy. H H; Eengrand. P P; Shah. S S
Key Findings
- Daily subcutaneous sermorelin (30â¯Âµg/kg) increased height velocity from ~4â¯cm/yr to ~8â¯cm/yr after 6 months.
- Growth response was sustained at 12 months (â7.2â¯cm/yr) and 74% of children were classified as good responders at 6 months.
- No significant safety concerns: unchanged fasting glucose, IGFâ1, and normal clinical chemistry throughout the year.
Practical Outcomes
- For biohackers, this study shows that sermorelin can effectively boost growth hormone activity in people who are truly GHâdeficient, with a good safety record at the tested dose. However, the results come from preâpubertal children, so they donât directly translate to healthy adults seeking antiâaging or performance benefits. Use the 30â¯Âµg/kg daily dose as a reference point only if you have a confirmed GH deficiency and medical supervision.
Summary
A yearâlong study gave kids who lack growth hormone a daily shot of sermorelin (30â¯Âµg per kg). Their growth speed roughly doubled in the first six months and stayed high after a year, with no major side effects or changes in blood sugar or IGFâ1 levels.
Abstract
The efficacy and safety of 1 yr of GH-releasing hormone [GHRH-(1-29)] therapy in GH-deficient children were determined. One hundred and ten previously untreated prepubertal GH-deficient children were treated for up to 1 yr in a multicenter, open label study with 30 micrograms/kg GHRH-(1-29)/day, sc, given at bedtime. Eighty-six of the 110 patients were eligible for efficacy analysis. The main outcome measures, monitored every 3-6 months, were linear growth enhancement (height velocity), bone age progression, and safety measures including clinical chemistry. The mean height velocity for the group increased from 4.1 +/- 0.9 cm/yr at baseline to 8.0 +/- 1.5 and 7.2 +/- 1.3 cm/yr after 6 and 12 months of therapy, respectively. At 6 months, 74% of the children were considered to have a good response to GHRH. The ratio of the change in bone age to height age was not significantly different from unity at 12 months (1.04 +/- 0.58; P = 0.63). No adverse changes in general biochemical or hormonal analyses were noted. No change in fasting glucose concentration or excessive generation of insulin-like growth factor I occurred, and overall GHRH was well tolerated. We conclude that GHRH administered as a once daily dose of 30 micrograms/kg GHRH.(1-29), s.c., was effective in increasing height velocity in GH-deficient children.
Study Information
pubmed
1996
10.1210/jcem.81.3.8772599