Pediatric endocrinology

Somapacitan in children born small for gestational age: 4-year results from phase 2

Eur J EndocrinolPublished Randomised controlled trial

Authors' conclusion

These results support long-term continuous efficacy, safety, and tolerability of GH therapy with somapacitan 0.24 mg/kg/week for up to 4 years in children born SGA, including after switching from daily GH.

Study context

Population
Children born small for gestational age (SGA) with short stature, 38 clinics across 12 countries; 48 switched to somapacitan 0.24 mg/kg/week from daily growth hormone (GH) or lower somapacitan doses55 completed 208 weeks
Participants
62 children
Comparison
Once-weekly somapacitan vs daily GH
Methodological detailsglobal, open-label, phase 2, 26-week main phase, 26-week extension I, ongoing 4-year extension II, 60 participants entered extension II
  • Global
  • Open-label
  • Phase 2
  • 26-week main phase, 26-week extension I, ongoing 4-year extension II
  • 60 participants entered extension II

Primary result

As reported in the abstract

Height SD scores · week 52 to week 208
  • Continuous increases in height SD scores across all treatment arms, including after switch to somapacitan 0.24 mg/kg/week

Further findings

Patient preference questionnaire

Respondents preferring somapacitan over daily GH
87%
Respondents expecting to be more adherent with somapacitan
80%

Safety

Safety and tolerability · week 52 to 208

Safety and tolerability of somapacitan 0.24 mg/kg/week similar to the well-established profile of daily GH in SGA

Original publication

Somapacitan in children born small for gestational age: 4-year results from phase 2. Eur J Endocrinol. Published 30 January 2026. doi:10.1093/ejendo/lvag017

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