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somatropinMedica

Chronic Kidney Disease in a Child or Adolescent

Initial criteria

  • Patient has or had chronic kidney disease as defined by a glomerular filtration rate < 60 milliliters/minute
  • Patient has persistent growth failure defined as BOTH of the following: baseline height < 5th percentile for age and gender AND baseline height velocity below 25th percentile over 3 months in infants (≤ 1 year) or 6 months in children/adolescents
  • Medication prescribed by or in consultation with an endocrinologist or a nephrologist

Reauthorization criteria

  • Patient is continuing somatropin therapy (established on somatropin for ≥ 10 months)
  • Patient’s height has increased by ≥ 2 cm/year in the most recent year
  • Patient’s epiphyses are open

Approval duration

1 year