Pediatric endocrinology

Extension of the Phase 3 Trial of Somatrogon in Children with Growth Hormone Deficiency: 3 Years of Safety and Efficacy

Horm Res PaediatrPublished Open-label extension of a phase 3 randomised controlled trial

Authors' conclusion

Following up to 3 years of somatrogon treatment, children with GHD showed a persistent increase in linear growth velocity compared to baseline. Somatrogon was well tolerated, with no new safety signals identified.

Study context

Population
Children with growth hormone deficiency (GHD) who completed the 12-month main study212 entered open-label extension (OLE) Y1, 177 OLE Y2
Participants
222 children
Comparison
Once-weekly somatrogon (continued) vs switch from once-daily somatropin to somatrogon
Methodological detailsmain study randomized 1:1
  • Main study randomized 1:1

Primary result

As reported in the abstract

Height velocity · OLE Y1 and Y2
Mean (SD) height velocity (HV) at OLE Y1
8.11 (1.84) cm/year
Mean (SD) HV at OLE Y2
7.91 (1.84) cm/year
Mean (SD) height SD score (SDS) at OLE Y1
−1.42 (0.90)
Mean (SD) height SDS at OLE Y2
−0.95 (0.84)
Mean ΔHSDS at OLE Y1
1.36
Mean ΔHSDS at OLE Y2
1.61

Further findings

Switched patients had similar HV, height SDS and ΔHSDS to continuous somatrogon

Safety

Adverse events (all causality) · OLE Y1 and Y2

Incidence of AEs, OLE Y1
71.7%
Incidence of AEs, OLE Y2
72.3%
IGF-I SDS >2 at two consecutive assessments (dose-reduction criteria)
up to one quarter of patients
Most AEs mild or moderate
Most common treatment-related AEs: injection site pain and erythema

Original publication

Extension of the Phase 3 Trial of Somatrogon in Children with Growth Hormone Deficiency: 3 Years of Safety and Efficacy. Horm Res Paediatr. Published 1 June 2026. doi:10.1159/000552183

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