Pediatric endocrinology

Efficacy and safety of once-weekly somatrogon in adults with growth hormone deficiency: a randomized phase 3 study

PituitaryPublished Randomised controlled trial

Authors' conclusion

Somatrogon significantly improved several body composition parameters and was well tolerated overall in adults with GHD.

Study context

Population
Adults with GHD198 received treatment
Participants
202 adults
Comparison
Once-weekly somatrogon vs placebo
  • Somatrogonn = 133
  • Placebon = 65reference
Primary endpoint
Change in trunk fat mass (FM)
Follow-up
Baseline-Week 26
Methodological detailsphase 3, double-blind, placebo-controlled, randomized 2:1, 26-week open-label extension (OLE) and multi-year OLE
  • Phase 3
  • Double-blind
  • Placebo-controlled
  • Randomized 2:1
  • 26-week OLE and multi-year OLE

Primary result

As reported in the abstract

Change in trunk FM · baseline to Week 26

Somatrogon

−0.37

kg

Placebo

0.03

kg

P = 0.0821

Secondary outcomes

Total fat mass (FM) · Week 26

No significant difference between somatrogon and placebo in total FM

Lean body mass (LBM), trunk FM as % of total FM, and 3 post-hoc supplemental endpoints (percent trunk FM relative to total trunk mass, trunk LBM, appendicular skeletal muscle mass)

Somatrogon significantly improved LBM, trunk FM as % of total FM and the 3 supplemental endpoints
  • Supplemental endpoints post-hoc

IGF-I SDS

Mean IGF-I SDS normalized following somatrogon initiation

Safety

Adverse events (AEs)

AE incidence similar between groups, most mild to moderate

Original publication

Efficacy and safety of once-weekly somatrogon in adults with growth hormone deficiency: a randomized phase 3 study. Pituitary. Published 25 March 2026. doi:10.1007/s11102-026-01661-1

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