Pediatric endocrinology

Somapacitan in children with idiopathic short stature: a randomized controlled phase 3 study

Eur J EndocrinolPublished Randomised controlled trial

Primary result · Height velocityResult — go to the resultEstimated treatment difference −0.3 cm/year 95% CI −1.00 to 0.42

Authors' conclusion

Similar efficacy and safety were confirmed for once-weekly somapacitan versus daily GH in treatment-naïve children with ISS, with favourable patient-reported outcome measures, setting the ground for future treatment for ISS with a once-weekly option.

Study context

Population
Pre-pubertal, treatment-naive children with idiopathic short stature (ISS), clinics in 20 countries85 completed
Participants
88 participants
Comparison
Once-weekly somapacitan vs daily growth hormone (GH)
Methodological detailsglobal, open-labelled, active-comparator, phase 3, basket study, 52-week main phase and 104-week extension
  • Global
  • Open-labelled
  • Active-comparator
  • Phase 3
  • Basket study
  • 52-week main phase and 104-week extension

Primary result

Height velocity · week 52

Estimated treatment difference

−0.3 cm/year

95% CI −1.00 to 0.42

By group

Somapacitanvs Daily GH
estimated treatment difference −0.3 cm/year (95% CI −1.00 to 0.42)

As reported in the abstract

Further findings

Disease and treatment burden questionnaires presented favourable results

Safety

Adverse events

Events Somapacitan 191 · Daily GH 87

Adverse events

Safety profiles similar; most adverse events (AEs) mild and unlikely related to study product

Original publication

Somapacitan in children with idiopathic short stature: a randomized controlled phase 3 study. Eur J Endocrinol. Published 19 February 2026. doi:10.1093/ejendo/lvag027

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