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Recombinant human growth hormone in pediatric patients using the FAERS database: Safety profile and update for the
Insights
This study analyzed FDA Adverse Event Reporting System data to identify safety signals for recombinant human growth hormone (rhGH) in pediatric patients. Findings highlight potential endocrine-related adverse events, emphasizing the need for ongoing safety surveillance.
Area of Science:
- Pharmacovigilance and drug safety research.
- Pediatric endocrinology and growth disorders.
Background:
- Recombinant human growth hormone (rhGH) is a key treatment for pediatric growth disorders.
- Limited comprehensive safety data exists for rhGH in pediatric populations.
Purpose of the Study:
- To investigate safety signals of rhGH in pediatric patients using FAERS data.
- To establish a comprehensive safety profile and recommend clinical applications.
Main Methods:
- Retrieved and analyzed 33,888 AE reports from FAERS (2004-2024) for pediatric rhGH use.
- Standardized reports and removed duplicates.
- Employed four disproportionality analyses: ROR, PRR, BCPNN, EBGM.
Main Results:
- Identified 167 positive AE signals across 19 System Organ Classes.
- Most frequent SOC: "Investigations"; most common PT: "Arthralgia".
- Detected potential endocrine signals: thyroid hormone fluctuations, type 1 diabetes, dyslipidemia, abnormal body odor.
Conclusions:
- Established a comprehensive safety profile for pediatric rhGH use.
- Identified several novel potential adverse event signals.
- Underscored the importance of pharmacovigilance for safe rhGH clinical application.
Objective:
To investigate safety signals associated with recombinant human growth hormone (rhGH) using the FDA Adverse Event Reporting System (FAERS) and make recommendations for its application.
Background:
rhGH is widely used in the management of pediatric growth disorders, but a comprehensive evaluation of its safety in pediatric populations is limited.
Materials And Methods:
Adverse event (AE) reports involving patients under 18 years of age where rhGH was the primary suspect (PS) drug were retrieved from the FAERS database for the period beginning the first quarter of 2004 to the end of the third quarter of 2024. The reports were standardized and duplicate reports removed. Disproportionality analysis of AE signals was conducted using four complementary methods, namely i) reporting odds ratio (ROR), ii) proportional reporting ratio (PRR), iii) Bayesian confidence propagation neural network (BCPNN), and iv) empirical Bayesian geometric mean (EBGM).
Results:
A total of 33,888 AE reports were retrieved and analyzed. Disproportionality analysis identified 167 positive signals across 19 System Organ Classes (SOCs), the most frequently of which was "Investigations," and the most common preferred term (PT) was "Arthralgia". In addition to confirmed AEs, several endocrine-related signals were also recognized including a) fluctuations in thyroid-stimulating hormone, b) increase in unbound concentrations of thyroxine, c) type 1 diabetes mellitus, d) low concentrations of high-density lipoprotein, and e) abnormal body odor.
Conclusion:
A comprehensive safety profile was established for rhGH when used in pediatric populations and comprising several newly identified potential AE signals. The findings underscore the importance of surveillance to mitigate risks and ensure the safe clinical use of rhGH.
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