Pediatric endocrinology

Somapacitan in children born small for gestational age: a randomized controlled phase 3 trial

Eur J EndocrinolPublished Randomised controlled trial

Authors' conclusion

Somapacitan provides similar efficacy, safety, and tolerability as daily GH in short children born SGA after 52 weeks of treatment. Somapacitan may be an attractive alternative to daily GH in this population, reducing treatment burden to improve adherence and treatment outcomes.

Study context

Population
Prepubertal, treatment-naïve short children born small for gestational age (SGA), 78 sites across 26 countries140 completed
Participants
142 participants
Comparison
Once-weekly somapacitan vs daily growth hormone (GH) 0.035 or 0.067 mg/kg/day
Primary endpoint
Estimated mean height velocity
Follow-up
Week 52
Methodological detailsmultinational, multicenter, open-labeled, active comparator, phase 3, basket study, SGA sub-study, noninferiority
  • Multinational
  • Multicenter
  • Open-labeled
  • Active comparator
  • Phase 3
  • Basket study
  • SGA sub-study
  • Noninferiority

Primary result

As reported in the abstract

ETD, cm/year (95% CI)
Somapacitanvs Daily GH 0.035 mg/kg/daynoninferiority and superiority demonstrated
1.6(0.91–2.23)
Somapacitanvs Daily GH 0.067 mg/kg/daynoninferiority confirmed
−0.1(−0.75 to 0.60)

Further findings

Disease and treatment burden · week 52

Somapacitan reduced disease burden, as did daily GH 0.067 mg/kg/day; somapacitan was associated with reduced treatment burden

Safety

Safety profiles were similar between treatment groups

Original publication

Somapacitan in children born small for gestational age: a randomized controlled phase 3 trial. Eur J Endocrinol. Published 5 March 2026. doi:10.1093/ejendo/lvag021

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