Pediatric endocrinology

Metabolic and muscular effects of switching from somatropin to somapacitan in adults with growth hormone deficiency

J Clin Endocrinol MetabPublished Prospective observational comparative study

Main finding · Change in DXA total lean massResult — go to the resultMean difference −0.2 kg 95% CI −1.5 to 1.1

Authors' conclusion

In routine practice, switching to once-weekly somapacitan was associated with improved functional outcomes, despite less favorable adiposity trajectories, compared with daily therapy.

Study context

Population
Adults with GHD on growth hormone (GH) replacement therapy, single centre, routine endocrine care
Participants
57 adults
Exposure
Switch from daily GH to once-weekly somapacitan vs continued daily GH
Outcome
DXA-derived change in total lean mass
Follow-up
Baseline to week 52
Methodological detailsnonrandomized, single-centre, self-selected by patient preference
  • Nonrandomized
  • Single-centre
  • Self-selected by patient preference

Main finding

Change in DXA total lean mass

Mean difference

−0.2 kg

95% CI −1.5 to 1.1

Switch from daily GH to once-weekly somapacitanvs continued daily GH
mean difference −0.2 kg (95% CI −1.5 to 1.1)

As reported in the abstract

Observational data: associations, not effects.

Further findings

IGF-1 SD scores · baseline and week 52

Distributions similar between groups; increase greater with daily GH than with somapacitan

Adiposity indices and HDL-C

Somapacitan associated with increased adiposity indices, yet improved HDL-C

Handgrip strength and Timed Up and Go Test

Improvements in handgrip strength and Timed Up and Go Test
  • Exploratory analyses

Original publication

Metabolic and muscular effects of switching from somatropin to somapacitan in adults with growth hormone deficiency. J Clin Endocrinol Metab. Published 7 April 2026. doi:10.1210/clinem/dgag153

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