Pediatric endocrinology

Efficacy and Safety of Once-Weekly Lonapegsomatropin in Adults With Growth Hormone Deficiency: foresiGHt Trial Results

J Clin Endocrinol MetabPublished Randomised controlled trial

An erratum to this article was published (J Clin Endocrinol Metab, 7 Oct 2026 ↗)

Primary result · Change in trunk percent fatResult — go to the resultLS mean difference −2.04 %

Authors' conclusion

The foresiGHt trial met its primary efficacy end point by demonstrating superiority of lonapegsomatropin vs placebo with similar safety and tolerability, supporting its potential as a once-weekly treatment option for adults with GHD.

Study context

Population
Adults with GHD, 116 centers in North America, Europe and Asia-Pacificrandomized 1:1:1
Participants
259 adults
Comparison
Once-weekly lonapegsomatropin vs placebo
Primary endpoint
Change from baseline in trunk percent fat
Follow-up
Week 38
Methodological detailsmulticenter, parallel-arm, placebo-controlled (double-blind), active-controlled (open-label)
  • Multicenter
  • Parallel-arm
  • Placebo-controlled (double-blind)
  • Active-controlled (open-label)

Primary result

Change in trunk percent fat

LS mean difference

−2.04 %

P < 0.001

Change by group

Lonapegsomatropin

−1.68

%

Placebo

+0.37

%

As reported in the abstract

Secondary outcomes

kg

OutcomeLonapegsomatropinPlaceboLS mean difference (kg)P value
Change in total body lean mass · week 38Lonapegsomatropin vs Placebo+1.60−0.111.70P < 0.0001
Change in trunk fat mass · week 38Lonapegsomatropin vs Placebo−0.48+0.22−0.70P = 0.0053

Safety

Safety and tolerability profile of lonapegsomatropin comparable to somatropin

Original publication

Efficacy and Safety of Once-Weekly Lonapegsomatropin in Adults With Growth Hormone Deficiency: foresiGHt Trial Results. J Clin Endocrinol Metab. Published 20 December 2025. doi:10.1210/clinem/dgaf680

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