Čes-slov Pediat 2025, 80(90):39-44 | DOI: 10.55095/CSPediatrie2025/051
Country-wide register of pediatric growth hormone treatment recipients REPAR - a 2025 report
- Pediatrická klinika, 2. lékařská fakulta, Univerzita Karlova a Fakultní nemocnice v Motole, Praha
Since 2014, the Czech national registry REPAR has been collecting longitudinal data on patients treated with somatropin (recombinant human growth hormone; rhGH), and since 2023 also with long-acting growth hormone analogue somatrogon (Ngenla
®). Additionally, data from previous international database systems since
1992 have been incorporated into this registry - thus, it represents a nearly complete collection of patients receiving growth hormone in the Czech Republic since the initiation of rhGH
administration. As of January 1st, 2025, the paediatric module of REPAR registry contained data on 6009 children and adolescents, of these 3421 were reported directly to REPAR, and 2588 converted from earlier registries. The count of currently treated patients is 2289 (1414 boys; 875 girls) in seven approved indications - growth hormone deficiency (n=1101);
small for gestational age with persistent short stature in childhood (n=765); Turner syndrome (n=114); Prader-Willi syndrome (n=64); SHOX deficiency (n=53); Noonan syndrome (n=129); chronic kidney disease (n=21); and other or unspecified condition (n=43). Therapy was newly initiated in 335 paediatric patients within the year 2024. Median age at treatment onset was 5.4 years (P5-95: 0,5; 13,2).
The REPAR registry is a valuable data source to analyse efficacy and safety of growth hormone therapy.
Keywords: REPAR, registry, growth hormone, treatment, Czech Republic
Accepted: September 23, 2025; Published: September 1, 2025 Show citation
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