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Somatropin

Phase 4FDA approved

Adult Growth Hormone Deficiency | Small molecule | Endocrine |Eli Lilly and Company|Trials Updated: Sep 30, 2019

Somatropin development status

FDA approval on record Jun 20, 2000
Approval holderNovo Nordisk Inc
ApplicationBLA021148
Highest phase Phase 4 (NCT00490191)
Phase scored for LLYPhase 3
Registered trials 94 across 17 sponsors since Aug 2001

Label indication NORDITROPIN is a recombinant human growth hormone indicated for: • Pediatric : Treatment of pediatric patients with growth failure due to inadequate secretion of endogenous growth hormone (GH), short stature associated with Noonan syndrome, short stature associated with Turner syndrome, short stature born small for gestational age (SGA) with no catch-up growth by age 2 to 4 years, Idiopathic Short Stature (ISS), and… FDA label

Somatropin target and mechanism

Molecular targetGHR
Target classAgonist
ModalitySmall molecule

Also known as Somatropin (rDNA origin) for injection, LY137998, Humatrope, LLY137998, Growth hormone

Success Probability

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Market & Valuation

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Trial Design

UNCONTROLLED
Total Trials9
Total Enrollment838

FDA Designations

No designations recorded

Somatropin clinical trials

Somatropin · 9 trials · 7 indications

Phase 3 9
NCT00355030Somatropin + Leuprorelin vs Somatropin Alone in Pubertal Children With Idiopathic Short StatureIdiopathic Short Stature (ISS)
COMPLETED91 Analytics
NCT00191165Efficacy and Safety of a High Dosage Compared to the Label Dosage of Somatropin in Early Pubertal Stage Children With Growth Hormone DeficiencyGrowth Hormone Deficiency
COMPLETED27 Analytics
NCT00191360Extension Study on Safety of Long-Term Growth Hormone Replacement in Adult Patients With Growth Hormone DeficiencyAdult Growth Hormone Deficiency
COMPLETED68 Analytics
NCT00191529Growth Hormone Treatment in Short Children Born Small for Gestational AgeInfant, Small for Gestational Age
COMPLETED200 Analytics
NCT00191074Amendment (g) Unblinded Extension Phase of Somatropin in Patients With Idiopathic Short StatureGrowth Disorder
COMPLETED11 Analytics
NCT00190658Somatropin Treatment in Patients With SHOX Deficiency and Turner SyndromeFailure to Thrive
COMPLETED75 Analytics
NCT00406926The Effect of Growth Hormone in Very Young Girls With Turner SyndromeTurner Syndrome
COMPLETED100 Analytics
NCT00570011Low and Conventional Dose of Somatropin in Growth Hormone Deficient Adult PatientsGrowth Hormone Deficiency
COMPLETED112 Analytics
NCT00191113Somatropin Treatment to Final Height in Turner SyndromeTurner Syndrome
COMPLETED154 Analytics
PHASE3COMPLETED
Somatropin + Leuprorelin vs Somatropin Alone in Pubertal Children With Idiopathic Short Stature
Idiopathic Short Stature (ISS)Unlock trial analytics
PHASE3COMPLETED
Efficacy and Safety of a High Dosage Compared to the Label Dosage of Somatropin in Early Pubertal Stage Children With Growth Hormone Deficiency
Growth Hormone DeficiencyUnlock trial analytics
PHASE3COMPLETED
Extension Study on Safety of Long-Term Growth Hormone Replacement in Adult Patients With Growth Hormone Deficiency
Adult Growth Hormone DeficiencyUnlock trial analytics
PHASE3COMPLETED
Growth Hormone Treatment in Short Children Born Small for Gestational Age
Infant, Small for Gestational AgeUnlock trial analytics
PHASE3COMPLETED
Amendment (g) Unblinded Extension Phase of Somatropin in Patients With Idiopathic Short Stature
Growth DisorderUnlock trial analytics
PHASE3COMPLETED
Somatropin Treatment in Patients With SHOX Deficiency and Turner Syndrome
Failure to ThriveUnlock trial analytics
PHASE3COMPLETED
The Effect of Growth Hormone in Very Young Girls With Turner Syndrome
Turner SyndromeUnlock trial analytics
PHASE3COMPLETED
Low and Conventional Dose of Somatropin in Growth Hormone Deficient Adult Patients
Growth Hormone DeficiencyUnlock trial analytics
PHASE3COMPLETED
Somatropin Treatment to Final Height in Turner Syndrome
Turner SyndromeUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of Participants With One or More Drug-related Adverse Events
Baseline through End of Study (up to 9 years)

A drug-related AE was an AE that occurred postdose or was present predose and became more severe postdose and was considered to be related to study treatment. A summary of other nonserious AEs, and all SAE's, regardless of causality, is located in the Reported Adverse Events section.

Adult Height Standard Deviation Score (SDS)
Baseline through End of Study (up to 9 years)

The height of the participants were measured barefoot using a standard wall-mounted Harpenden stadiometer. SDS report the number of standard deviations from the mean for age and sex for an individual measurement (normal range: -2 to +2 SDS). Height SDS is derived by subtracting the population mean from individual's height value and then dividing that difference by the population standard deviation. Greater height SDS values indicate greater height.

Height Velocity Standard Deviation Score (SDS) at 12-Month Endpoint
12-Months

Height velocity (difference between 2 height measurements, divided by years elapsed between measurements) SDS was derived by subtracting age and gender-matched population mean height velocity from patient's height velocity (based on measurements 12 months apart) then dividing this value by age and gender-matched population height velocity SD.

Long-term safety of growth hormone replacement in adult patients with growth hormone deficiency
The 2 different doses used are non-inferior to each other
Every 6 months: physical exam, pubertal staging, height, weight, and adverse event collection.
Every year: arm span measurements, head circumference measurements, x-ray for bone age, and
laboratory blood draws.
Comparison of first year height velocity of somatropin-treated versus non-treated patients with SHOX deficiency.
Height at the end of two years in the study.
Plasminogen activator inhibitor-1 (PAI-1) and tissue plasminogen activator (t-PA) as a function of changes in insulin levels was investigated.
6 months
Height Standard Deviation Score (SDS) (National Center for Health Statistics [NCHS]), Change From Baseline to Last Measurement, As Randomized Population
Baseline, and end of 4-year addendum

Value analyzed is change from baseline to the most mature height measurement available. The terms Standard Deviation Score (SDS) and National Center for Health Statistics (NCHS) were defined in baseline characteristics. Greater height SDS values indicate greater height; positive values of change from baseline indicate increased height.

Height Standard Deviation Score (SDS) (National Center for Health Statistics [NCHS]), Last Measurement After Attainment of Final Height
at completion of core study, or at end of 4-year addendum

SDS report the number of standard deviations from the mean for age and sex for an individual measurement (normal range: -2 to +2 SDS). Height SDS \[NCHS\] uses the NCHS US general female population reference height values for age (Kuczmarski RJ et al. 2000) as the population mean and standard deviation. Calculation of Height SDS is provided in Height SDS \[Lyon\] description (Baseline). Since data reported by Kuczmarski RJ et al provides US general female population standards, values of Height SDS \[NCHS\] for untreated patients with Turner syndrome tend to be below zero e.g, -2.0 to -4.0 SDS.

Secondary Endpoints

Height Velocity
Baseline through End of Study (up to 9 years)
Height SDS
Baseline through End of Study (up to 9 years)
Difference Between Adult Height SDS and Target Height SDS
Baseline through End of Study (up to 9 years)
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
1EXPERIMENTAL -
2EXPERIMENTAL -
ControlNO_INTERVENTIONControl arm; untreated with Humatrope. Ethinyl estradiol (escalating doses to 20 mcg daily) after age 13, and medroxyprogesterone acetate (10 mg tablets ten days monthly) after age 15. Subject continues until Core study completion criteria are met (protocol final height).
HumatropeEXPERIMENTALHumatrope (0.05 mg/kg/dose) by subcutaneous injection 6 times per week. Ethinyl estradiol (escalating doses to 20 mcg daily) after age 13, and medroxyprogesterone acetate (10 mg tablets ten days monthly) after age 15. Subject continues until Core study completion criteria are met (protocol final height).

Interventions

NameTypeDescription
somatropinDRUG0.05 mg/kg/day
leuprorelinDRUG11.25 mg/3 months
somatropin, rDNA origin, for injectionDRUG -
Somatropin (rDNA origin) for injectionDRUG -
Ethinyl estradiolDRUGescalating doses 2.5-20.0 mcg tablets daily after age 13 and at least one year on study, continuing until Core study completion criteria are met.
Medroxyprogesterone acetateDRUG10 mg tablets, ten days monthly, after age 15, continuing until Core study completion criteria are met.
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Eligibility Criteria

Age Range8 Years to 171 Months
SexALL
Healthy VolunteersNo
Study Sites19

Inclusion Criteria: * male or female children with ISS * age greater than or equal to 8 years and less than or equal to 12 years and 3 months for girls and greater than or equal to 9 years and less than or equal to 14 years and 3 months for boys * bone age less than or equal to 12.0 years for girls...

Countries:FranceNetherlandsItalyJapanGermanyUnited StatesCanada
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Frequently asked questions about Somatropin

What is somatropin used for?

Somatropin is used to treat growth hormone deficiency in adults and growth disorders in children. Its studied indications include adult growth hormone deficiency, growth hormone deficiency, failure to thrive, idiopathic short stature, Turner syndrome in very young girls, and short children born small for gestational age.

What does somatropin target?

Somatropin targets the growth hormone receptor, or GHR, acting as an agonist. By binding and activating GHR, it mimics endogenous growth hormone signaling, which supports linear growth in children and metabolic effects in adults with growth hormone deficiency.

Who makes somatropin?

Somatropin is developed by Eli Lilly and Company, which trades under the ticker LLY. The company is listed as the developer of the somatropin products referenced in these clinical programs.

What phase is somatropin in?

Somatropin is in Phase 3 clinical development for its listed endocrine indications. The programs described here are investigational, and the completed Phase 3 trials evaluated dosing and growth outcomes in growth hormone deficiency, Turner syndrome, idiopathic short stature, and small for gestational age.

What clinical trials is somatropin in?

Somatropin has been studied in completed Phase 3 trials including NCT00570011 in growth hormone deficient adults, NCT00406926 in very young girls with Turner syndrome, NCT00355030 in pubertal children with idiopathic short stature, and NCT00191529 in short children born small for gestational age.

Is somatropin the same as somatropin, rDNA origin, for injection?

Yes. Somatropin is also known as somatropin, rDNA origin, for injection, somatropin, rDNA origin, and Somatropin (rDNA origin) for injection. These names refer to the same recombinant human growth hormone product, so searches using any of these terms point to the same asset.