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somatropin

Phase 4FDA approved

Foetal Growth Problem | Small molecule | Other |Novo Nordisk A/S|Trials Updated: Aug 9, 2023

somatropin development status

FDA approval on record Jun 20, 2000
Approval holderNovo Nordisk Inc
ApplicationBLA021148
Highest phase Phase 4 (NCT01734447)
Phase scored for NVOPhase 3
Registered trials 92 across 11 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 Norditropin

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindNO_TREATMENT_CONTROLLED
Total Trials22
Total Enrollment2,427

FDA Designations

No designations recorded

somatropin clinical trials

somatropin · 22 trials · 17 indications

Phase 3 17Phase 2 2Phase 1 3
NCT01927861Investigating the Long-term Efficacy and Safety of Two Doses of NN-220 (Somatropin) in Short Stature Due to Noonan SyndromeGenetic Disorder
COMPLETED51 Analytics
NCT01778023Efficacy and Safety of Recombinant Human Growth Hormone on Height Velocity in Subjects With Idiopathic Short StatureGrowth Disorder
COMPLETED54 Analytics
NCT01529944Genetic Testing of Noonan Subjects Previously Treated With Norditropin®. An Extension to Trial GHNOO-1658Genetic Disorder
COMPLETED22 Analytics
NCT00184730Long-term Trial on Growth Hormone Deficiency in Adults (GHDA)Growth Hormone Disorder
COMPLETED86 Analytics
NCT00184717Growth Hormone Treatment in Children Born Small for Gestational Age (SGA)Foetal Growth Problem
COMPLETED98 Analytics
NCT00184743Long-term Trial on Growth Hormone Deficiency in Adults (GHDA)Growth Hormone Disorder
COMPLETED112 Analytics
NCT00557336Efficacy and Safety of Growth Hormone Treatment in Children Small for Gestational AgeFoetal Growth Problem
COMPLETED160 Analytics
NCT00519558Growth Hormone Deficiency in Adults (GHDA)Growth Hormone Disorder
COMPLETED121 Analytics
NCT00102817Somatropin (Norditropin) in Insulin-like Growth Factor (IGF) Deficient ChildrenGrowth Hormone Disorder
COMPLETED149 Analytics
NCT00184756Efficacy on Height in SGA Children Treated With Growth HormoneFoetal Growth Problem
COMPLETED151 Analytics
PHASE3COMPLETED
Investigating the Long-term Efficacy and Safety of Two Doses of NN-220 (Somatropin) in Short Stature Due to Noonan Syndrome
Genetic DisorderUnlock trial analytics
PHASE3COMPLETED
Efficacy and Safety of Recombinant Human Growth Hormone on Height Velocity in Subjects With Idiopathic Short Stature
Growth DisorderUnlock trial analytics
PHASE3COMPLETED
Genetic Testing of Noonan Subjects Previously Treated With Norditropin®. An Extension to Trial GHNOO-1658
Genetic DisorderUnlock trial analytics
PHASE3COMPLETED
Long-term Trial on Growth Hormone Deficiency in Adults (GHDA)
Growth Hormone DisorderUnlock trial analytics
PHASE3COMPLETED
Growth Hormone Treatment in Children Born Small for Gestational Age (SGA)
Foetal Growth ProblemUnlock trial analytics
PHASE3COMPLETED
Long-term Trial on Growth Hormone Deficiency in Adults (GHDA)
Growth Hormone DisorderUnlock trial analytics
PHASE3COMPLETED
Efficacy and Safety of Growth Hormone Treatment in Children Small for Gestational Age
Foetal Growth ProblemUnlock trial analytics
PHASE3COMPLETED
Growth Hormone Deficiency in Adults (GHDA)
Growth Hormone DisorderUnlock trial analytics
PHASE3COMPLETED
Somatropin (Norditropin) in Insulin-like Growth Factor (IGF) Deficient Children
Growth Hormone DisorderUnlock trial analytics
PHASE3COMPLETED
Efficacy on Height in SGA Children Treated With Growth Hormone
Foetal Growth ProblemUnlock trial analytics

Study Endpoints

Primary Endpoints

Change in Height SDS (Japanese National Reference Data)
Baseline, week 104

Height SDS was calculated using the formula: SDS = (height - mean)/SD, where height was the height variable measured, mean and SD of height by sex and age for the reference population. The scores were centered around zero. Positive SDS indicated greater height and negative SDS indicated lesser height than the mean of the reference population. The change from baseline (week 0) in the height SDS after 104 weeks of treatment was analysed using an analysis of covariance (ANCOVA) model with treatment as a fixed effect and baseline height SDS as a covariate. Positive value in change from baseline indicated that SDS was better than baseline SDS. Missing values were imputed using the last observation carried forward (LOCF) method.

Height Velocity (Ht-V)
After 6 months of treatment

Height velocity (Ht-V) (cm/year) is the change in height per year (after 6 months of treatment). Ht-V was calculated by Novo Nordisk.

Change in height SDS (Standard Deviation Score) (referenced to normal population)
From baseline until final height is reached
Lipid-related laboratory tests parameters (total cholesterol, HDL-cholesterol, LDL-cholesterol, and triglyceride)
at the end of treatment
GH-related laboratory parameters (IGF-I, IGF-I SDS, IGFBP-3, IGFBP-3 SDS and IGF-I / IGFBP-3 molar ratio)
at the end of treatment
Change in Height Standard Deviation Score (SDS) for Chronological Age (CA) at Week 260 - Subjects Received NN220 Treatment for 5 Years
Week 0, week 260

Height SDS for chronological age were derived as follow; {Height - mean (age, sex)}/ SD (age, sex), where mean (age, sex) and SD (age, sex) were mean and SD of height for corresponding chronological age and sex (data of those in 2000). Height SDS was calculated using mean of three height observations at corresponding visit

Change in Height Standard Deviation Score (SDS) for Chronological Age (CA) at Week 208 - Subjects Received NN220 Treatment for 4 Years
Week 0, week 208

Height SDS for chronological age were derived as follow; {Height - mean (age, sex)}/ SD (age, sex), where mean (age, sex) and SD (age, sex) were mean and SD of height for corresponding chronological age and sex (data of those in 2000). Height SDS was calculated using mean of three height observations at corresponding visit

Percent change in truncal fat (kg)
from the baseline to the end of treatment
Height gain according to birth group, age of onset, the treatment and Tanner stage
during 12 months of treatment
Percent change in truncal fat (kg) from baseline
at 24 weeks (end of treatment)
Change in height standard deviation score
12 months
Evaluate effect on Height in SGA Children Treated with Growth Hormone
After 2 years of treatment
Changes in bone mineralisation
After 2 years treatment
Adverse events (especially injection site reactions)
Serious adverse events
Patient acceptance of the new liquid growth hormone formulation
Effect on Efficacy: Height SDS for chronological age
after 48 months
Safety: Bone maturation and glucose metabolism
Change in height SDS (Standard Deviation Score) from start of treatment to final height (referenced to normal population)
Final height in cm
Change in surrogate markers of nutrition
After 6 months treatment
Time from surgery until fracture has healed
During a 12 month period
Area under the serum hGH (human growth hormone) concentration-time curve
from 0 to the time of the last quantifiable concentration over a 24-hour sampling period
Maximum observed serum hGH concentration
over a 24-hour sampling period
Growth hormone exposure at steady state
Area under the hGH concentration-time curve (GH AUC0-24h)
from 0 to 24 hours following injection
Maximum hGH concentration (GH Cmax)
from 0 to 24 hours following injection
Treatment Emergent Adverse Events
from 0 to 24 hours following injection

Secondary Endpoints

Height Velocity SDS
Baseline to week 52
Height Velocity
Baseline to week 52
Incidence of Treatment Emergent Adverse Events
During 104 weeks of treatment
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
0.033 mg/kg/dayEXPERIMENTAL -
0.066 mg/kg/dayEXPERIMENTAL -
hGH:12months treatmentEXPERIMENTAL -
hGH: 6 month un-treatment + 6 month treatmentACTIVE_COMPARATOR -
Low dose 33 mcg/kg/dayEXPERIMENTAL -
High dose 66 mcg/kg/dayEXPERIMENTAL -
0.033 mg / NN-220EXPERIMENTALIn the 156-week main period, subjects received 0.033 mg/kg/day somatropin (NN-220) s.c. (under the skin) injected at bedtime followed by a 104-week extension period where subjects received 0.033 mg/kg/day somatropin (NN-220) s.c. (under the skin) injected at bedtime
0.067 mg / NN-220EXPERIMENTALIn the 156-week main period, subjects received 0.067 mg/kg/day somatropin (NN-220) s.c. (under the skin) injected at bedtime followed by a 104-week extension period where subjects received 0.067 mg/kg/day somatropin (NN-220) s.c. (under the skin) injected at bedtime
No treatmentNO_INTERVENTIONNo somatropin (NN-220) treatment was given in the 52-week main period. Subjects was re-randomised to recive two dosing regimens (0.033 mg/kg/day or 0.067 mg/kg/day) in the 208-week extension period
No treatment --> 0.033 mgEXPERIMENTALIn the 208-week extension period, subjects received 0.033 mg/kg/day somatropin (NN-220) s.c. (under the skin) injected at bedtime after having received no somatromin (NN-220) treatment in the 52-week main period
No treatment --> 0.067 mgEXPERIMENTALIn the 208-week extension period, subjects received 0.067 mg/kg/day somatropin (NN-220) s.c. (under the skin) injected at bedtime after having received no somatromin (NN-220) treatment in the 52-week main period
LyophilizedACTIVE_COMPARATOR -
LiquidEXPERIMENTAL -
SomatropinEXPERIMENTAL -
Low doseEXPERIMENTAL -
High doseEXPERIMENTAL -
Norditropin®EXPERIMENTAL -
Genotropin®ACTIVE_COMPARATOR -
ESRD patientsEXPERIMENTAL -
Healthy subjectsEXPERIMENTAL -

Interventions

NameTypeDescription
somatropinDRUGAdministered subcutaneously (s.c., under the skin) in a daily regimen for at least 104 weeks. Subject will be offered to continue treatment for another 104 weeks.
placeboDRUG -
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Eligibility Criteria

Age Range3 Years to 10 Years
SexALL
Healthy VolunteersNo
Study Sites27

Inclusion Criteria: * Japanese children with Noonan syndrome clinically diagnosed in one of the following ways: 1. Clinically diagnosed by at least two medical experts using van der Burgt score list, 2. Clinically diagnosed by one medical expert using van der Burgt score list and diagnosed by resul...

Countries:JapanSouth KoreaSwedenSpainUnited StatesCzechiaFinlandGermanyIsraelPolandPortugalAustraliaAustriaBelgiumFranceHungaryNorwaySwitzerlandUnited KingdomDenmarkHong KongSingaporeSouth Africa
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Frequently asked questions about somatropin

What is somatropin?

Somatropin is a growth hormone receptor agonist developed by Novo Nordisk A/S. It is being studied in growth-related and musculoskeletal conditions, including growth hormone deficiency, idiopathic short stature, Noonan syndrome, Turner syndrome, chronic kidney disease, bone fracture, and fetal growth problems. It is an investigational therapy in Phase 2 development.

What does somatropin target?

Somatropin targets the growth hormone receptor, also known as GHR. It acts as a GHR agonist, meaning it activates this receptor to stimulate growth hormone signaling. This receptor-level activity underlies its investigation in conditions characterized by impaired growth or growth hormone deficiency.

Who makes somatropin?

Somatropin is developed by Novo Nordisk A/S, which trades under the ticker NVO. The company has sponsored clinical research of somatropin across multiple growth-related indications, including studies conducted in Japan, South Korea, Israel, and Sweden.

What phase is somatropin in?

Somatropin is in Phase 2 development and is investigational. It has not been established as approved based on the available development information. Nine clinical trials have been completed, with no active trials currently listed, and total enrollment across those completed studies was 1,134 participants.

What clinical trials is somatropin in?

Completed somatropin trials include NCT01927861, a Phase 3 study of two doses in short stature due to Noonan syndrome in Japan, and NCT01778023, a Phase 3 study in idiopathic short stature in South Korea. NCT01563926 evaluated a new liquid formulation in children with growth hormone deficiency, and NCT01529944 was an extension study in Noonan syndrome subjects in Sweden.

What is somatropin used for in growth disorders?

Somatropin has been studied for growth disorders including growth hormone deficiency in children, idiopathic short stature, Noonan syndrome, and Turner syndrome. Trials have assessed height velocity, long-term efficacy and safety, and acceptance of a new liquid formulation in pediatric patients with these growth-related conditions.