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Somatropin

Phase 4FDA approved

Endocrine System Diseases | Small molecule | Endocrine |Pfizer, Inc.|Trials Updated: Feb 21, 2024

Somatropin development status

FDA approval on record Jun 20, 2000
Approval holderNovo Nordisk Inc
ApplicationBLA021148
Highest phase Phase 4 (NCT00638053)
Phase scored for PFEPhase 3
Registered trials 85 across 10 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

Success Probability

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Market & Valuation

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Trial Design

UNCONTROLLEDDMC
Total Trials4
Total Enrollment191

FDA Designations

No designations recorded

Somatropin clinical trials

Somatropin · 4 trials · 5 indications

Phase 3 3Phase 2 1
NCT00163189Evolution Of Growth Rate In Children With Growth Retardation Due to Glucocorticosteroid Therapy And Treated By GenotonormGrowth Hormone Deficiency
COMPLETED98 Analytics
NCT00163215Growth Retardation In Children With Special Pathological Conditions Or DiseaseEndocrine System Diseases
COMPLETED46 Analytics
NCT00174278Treatment With Recombinant Human Growth Hormone Genotonorm (Registered) In Children With Short Stature SecondaryGrowth Hormone Deficiency
COMPLETED14 Analytics
PHASE3COMPLETED
Evolution Of Growth Rate In Children With Growth Retardation Due to Glucocorticosteroid Therapy And Treated By Genotonorm
Growth Hormone DeficiencyUnlock trial analytics
PHASE3COMPLETED
Growth Retardation In Children With Special Pathological Conditions Or Disease
Endocrine System DiseasesUnlock trial analytics
PHASE3COMPLETED
Treatment With Recombinant Human Growth Hormone Genotonorm (Registered) In Children With Short Stature Secondary
Growth Hormone DeficiencyUnlock trial analytics

Study Endpoints

Primary Endpoints

Change From Baseline in Height Standard Deviation Score (SDS) for Chronological Age (CA) at Month 36: Full Analysis Population
Baseline, Month 36

Height was measured using a wall mounted device (example, Harpenden stadiometer). The standing height of the participant was measured two times and the mean of these measurements was recorded. Height SDS CA Yx = (height Yx - reference mean for CA Yx) / reference SD for CA Yx; Yx refers to the value at particular timepoint x. Height in SDS was calculated using Sempe reference means and SD for height. CA calculated as integer (Date of height measurement-Date of birth)/365.25\*12.

Change From Baseline in Height Standard Deviation Score (SD) for Chronological Age (CA) at Month 36: Per Protocol (PP) Population
Baseline, Month 36

Height was measured using a wall mounted device (example, Harpenden stadiometer). The standing height of the participant was measured two times and the mean of these measurements was recorded. Height SDS CA Yx = (height Yx - reference mean for CA Yx) / reference SD for CA Yx; Yx refers to the value at particular timepoint x. Height in SDS was calculated using Sempe reference means and SD for height. CA calculated as integer (Date of height measurement-Date of birth)/365.25\*12.

Change From Baseline in Annual Growth Rate Standard Deviation Score (SDS) for Chronological Age (CA) at Month 36 in Intent-to-Treat (ITT) Population
Baseline, Month 36

Change in annual growth rate (AGR) standard deviation score (SDS) for chronological age (CA) derived by subtracting AGR SDS CA at baseline from each time point (Yx) value. AGR at Yx= (height Yx-height Y\[x-1\])/(\[date of Yx-date of Y{x-1}\]/365.25). AGR as SDS calculated using Sempe reference means and standard deviations (SD) for growth rate. AGR SDS CA (for both baseline and Yx)= (AGR-reference mean for growth rate CA)/reference SD for growth rate CA. CA calculated as integer (Date of height measurement-Date of birth)/365.25\*12. SDS indicates how similar participant was to reference population.

Change From Baseline in Annual Growth Rate Standard Deviation Score (SDS) for Chronological Age (CA) at Month 36 in Per-Protocol (PP) Population
Baseline, Month 36

Change in annual growth rate (AGR) standard deviation score (SDS) for chronological age (CA) derived by subtracting AGR SDS CA at baseline from each time point (Yx) value. AGR at Yx= (height Yx-height Y\[x-1\])/(\[date of Yx-date of Y{x-1}\]/365.25). AGR as SDS calculated using Sempe reference means and standard deviations (SD) for growth rate. AGR SDS CA (for both baseline and Yx)= (AGR-reference mean for growth rate CA)/reference SD for growth rate CA. CA calculated as integer (Date of height measurement-Date of birth)/365.25\*12. SDS indicates how similar participant was to reference population.

The main efficacy variable is the height SDS (SEMPE) before and after treatment.
The standing height of the patients is measured during the inclusion visit and at each follow-up visit.
The height measurements are always performed at the same time of the day by
use of a wallmounted device (e.g. Harpenden Stadiometer).
Each child has to be measured three times, the mean of these measurements is recorded in the Case Report Form as the present height.
The body weight is measured by use of a balance scale.
Puberty stage is assessed (according to Tanner´s cotation) at the same visits as height is measured.
Change in Height Standard Deviation Score (SDS) After 1 Year
Baseline to 1 year (Month 12)

Change in Height SDS after 1 year where SDS=height minus mean (age-and sex-matched reference) divided by SD (age and sex-matched reference).

Change in Growth Velocity Standard Deviation Score (SDS) After 1 Year
Baseline to 1 year (Month 12)

Change in Growth Velocity (GV) SDS after 1 year where SDS=GV minus mean (age-and sex-matched reference) divided by SD (age and sex-matched reference).

Secondary Endpoints

Mean Height
Baseline, Month 12, 24, 36, 48, 60
Mean Height Standard Deviation Score (SDS) for Bone Age (BA)
Baseline, Month 12, 24, 36, 48, 60
Annual Growth Rate (AGR)
Baseline, Month 12, 24, 36, 48, 60
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
SomatropinEXPERIMENTAL -
Treatment ArmACTIVE_COMPARATOR -
Control ArmNO_INTERVENTION -

Interventions

NameTypeDescription
SomatropinDRUGLiquid, daily, during 3 years and extended to 5 years Dosage: 0,46 mg/kg/week - the maximum dose should not exceed 50 µg/kg/day
Control ArmOTHERControlled, prospective, randomized, multicenter study with an untreated (control) group during the first year. The children will be randomized into treatment or untreated (control) group. After one year the control group will undergo GH-therapy, too. The study will end after 2 and 3 years of observation, respectively. Children randomized to the control group will get the possibility to continue treatment for a further year.
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Eligibility Criteria

Age Range11 Years to 13 Years
SexALL
Healthy VolunteersNo
Study Sites19

Inclusion Criteria: * Glucocorticosteroid treatment for 12 months at least * Bone age \< 15 years for a boy and \< 13 years for a girl * Child measured height \< - 2 SD, Child currently treated by GH Exclusion Criteria: * Known diabetes (type 1 or type 2) * A previous history of intolerance or hy...

Countries:FranceGermany
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Frequently asked questions about Somatropin

What is Somatropin used for?

Somatropin is used for growth hormone deficiency and growth hormone therapy, including growth retardation in children with certain pathological conditions. It is also studied in children born preterm who are appropriate for gestational age and in children with short stature or growth retardation related to glucocorticosteroid therapy.

What does Somatropin target?

Somatropin targets the growth hormone receptor (GHR) and acts as an agonist. By binding to GHR, it mimics endogenous growth hormone signaling to support linear growth and metabolic effects in patients with growth hormone deficiency or related growth disorders.

Who makes Somatropin?

Somatropin is developed by Pfizer, Inc., which trades under the ticker PFE. Pfizer is the company associated with the clinical development program for this growth hormone therapy across the listed endocrine and growth-related indications.

What phase is Somatropin in?

Somatropin is in Phase 3 clinical development. The program includes completed Phase 2 and Phase 3 trials, and it remains an investigational therapy rather than a newly approved product based on this development stage information.

What clinical trials is Somatropin in?

Somatropin has been studied in completed trials including NCT00174460 in children born preterm, NCT00174278 in children with short stature, NCT00163215 in children with endocrine system diseases, and NCT00163189 in children with growth retardation due to glucocorticosteroid therapy.