Pediatric endocrinology

Open-label 9-year follow-up extension phase 2 study of once-weekly somatrogon in children with growth hormone deficiency

J Clin Endocrinol MetabPublished Open-label extension study of a phase 2 trial

Authors' conclusion

Once-weekly somatrogon is a well-tolerated and a viable long-term treatment for GHD in children. More real-world data are needed.

Study context

Population
Children with growth hormone deficiency (GHD) who completed a 12-month open-label phase 2 study; 67.9% male, mean age 6.0±2.1 years; 14 centres in Hungary, Bulgaria, Belarus, Ukraine, Russia, Greece and the USentered open-label extension (OLE)
Participants
48 children
Outcome
Long-term safety and efficacy
Methodological detailssingle-group, multicentre, up to 9 years
  • Single-group
  • Multicentre
  • Up to 9 years

Main finding

As reported in the abstract

TEAE incidence at OLE Y1
52.1%
TEAE incidence by Y9
23.8%
Mean annualized height velocity (HV)
> 5 cm/year
Height SDS at baseline
−4.0
Height SDS by Y8
−0.2

Further findings

Bone maturation

No changes in ratio of bone age/chronological age

Growth by ADA presence

No difference in growth based on ADA presence

Safety

Treatment-emergent AEs (TEAEs)

TEAE incidence at OLE Y1
52.1%
TEAE incidence by Y9
23.8%
Serious adverse events (AEs) rare, only isolated cases

Antidrug antibodies

ADA positivity observed; no neutralizing antibodies
No correlation between ADA presence and TEAE incidence or severity

Original publication

Open-label 9-year follow-up extension phase 2 study of once-weekly somatrogon in children with growth hormone deficiency. J Clin Endocrinol Metab. Published 29 June 2026. doi:10.1210/clinem/dgag260

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