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Diagnosis and Management of Infantile Hemangioma

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Table 10. Key resolution outcomes in RCTs comparing propranolol <strong>and</strong> placebo or observation<br />

(continued)<br />

Author, Year<br />

Methods <strong>and</strong> Resolution Rebound Growth/<br />

Age<br />

Comparison<br />

Measures <strong>of</strong> Outcomes Recurrence, n (%)<br />

Location<br />

Groups (n)<br />

Resolution/<br />

Type<br />

Quality<br />

Response<br />

Other Outcomes<br />

Leaute-Labreze<br />

et al. 2013 99<br />

G1: Propranolol,<br />

oral 3-4<br />

mg/kg/day for 1<br />

month (7)<br />

G2: Placebo (7)<br />

Age, weeks<br />

mean±SD<br />

G1: 12.5 ± 2.1<br />

G2: 12.4 ± 2.6<br />

Type:<br />

NR<br />

G1+G2:<br />

multiple<br />

• Change in<br />

thickness as<br />

measured by<br />

ultrasound<br />

• Double-blinded<br />

assessment <strong>of</strong><br />

change<br />

Mean change<br />

in thickness, 5<br />

[95% CI]<br />

G1: -44.9%<br />

[36-76.2p<br />

G2: +11.3%<br />

G1 vs G2:<br />

p=0.004<br />

• NR<br />

Quality: Fair<br />

Percentage<br />

change in size<br />

G1: -15.8<br />

G2: +8.9<br />

G1 vs G2:<br />

p=0.041<br />

Hogeling et al.<br />

2011 17<br />

G1: Propranolol<br />

oral,<br />

2mg/kg/day in 3<br />

daily doses (19)<br />

G2: Placebo<br />

(20)<br />

Quality: Good<br />

Mean weeks,<br />

n<br />

G1: 67<br />

G2: 71<br />

Type<br />

Focal, n<br />

G1: 16<br />

G2: 17<br />

Segmental<br />

G1: 3<br />

G2: 3<br />

G1+G2:<br />

multiple<br />

• Photographs<br />

<strong>and</strong> serial<br />

hemispheric<br />

measurements<br />

<strong>of</strong> tumor<br />

volume<br />

assessed by<br />

blinded<br />

investigators<br />

Percent<br />

change in<br />

volume at 24<br />

weeks<br />

G1: -60%<br />

(n=18)<br />

G2: -14.1%<br />

(n=15)<br />

Difference<br />

between group<br />

-45.9 (95% CI:<br />

-80.3, -11.4)<br />

p=0.01<br />

• NR<br />

40

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