Evidence map›Paper›PMID 35405011›Full record

Trial reportThe Journal of clinical endocrinology and metabolism2022

Efficacy and Safety of Weekly Somatrogon vs Daily Somatropin in Children With Growth Hormone Deficiency: A Phase 3 Study.

Cheri L Deal, Joel Steelman, Elpis Vlachopapadopoulou, Renata Stawerska, Lawrence A Silverman, Moshe Phillip, Ho-Seong Kim, CheolWoo Ko, Oleg Malievskiy, Jose F Cara and 6 more

Registry-linked trialOpen access · bronzeAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in The Journal of clinical endocrinology and metabolism, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02968004 (A Phase 3, Open-label, Randomized, Multicenter, 12 Months, Efficacy and Safety Study of Weekly MOD-4023 Compared to Daily Genotropin - Therapy in Pre-pubertal Children With Growth Hormone Deficiency), which is not on this map. Cited by 76 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
76citing papers in PubMed, 5 pooled it
11.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02968004 phase3completednot on this map

A Phase 3, Open-label, Randomized, Multicenter, 12 Months, Efficacy and Safety Study of Weekly MOD-4023 Compared to Daily Genotropin - Therapy in Pre-pubertal Children With Growth Hormone Deficiency

TypeinterventionalSponsorOPKO Health, Inc.Ran2016 to 2024Enrolled224ConditionsPediatric Growth Hormone DeficiencyArmsMOD-4023, Somatropin
3 · Its place in the literature

Who cites it

76 citing papers in PubMed, 5 syntheses or guidelines pooled it, 93 citations in OpenAlex.

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16 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors at 12 institutions in 7 countries.

Cheri L DealCentre de recherche CHU Ste-Justine, Université de Montréal, Montréal, Canada.
Joel SteelmanCook Children's Medical Center, Fort Worth, TX, USA.
Elpis VlachopapadopoulouChildren's Hospital P. & A. Kyriakou, Athens, Greece.
Renata StawerskaPolish Mother's Memorial Hospital-Research Institute, Lodz, and Medical University of Lodz, Lodz, Poland.
Lawrence A SilvermanGoryeb Children's Hospital, Atlantic Health System, Morristown, NJ, USA.
Moshe PhillipSchneider Children's Medical Center of Israel, Petah Tikva, and Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel.
Ho-Seong KimYonsei University College of Medicine, Seoul, South Korea.
CheolWoo KoKyungpook National University Children's Hospital, Daegu, South Korea.
Oleg MalievskiyBashkir State Medical University, Ufa, Russia.
Jose F CaraPfizer Inc, New York, NY, USA.
Carl L RolandPfizer Inc, Sanford, NC, USA.
Carrie Turich TaylorPfizer Inc, New York, NY, USA.
Srinivas Rao ValluriPfizer Inc, New York, NY, USA.
Michael P WajnrajchPfizer Inc, New York, NY, USA.
Aleksandra PastrakOPKO Health, Miami, FL, USA.
Bradley S MillerUniversity of Minnesota Masonic Children's Hospital, Minneapolis, MN, USA.ORCID 0000-0003-3663-5473
Pfizer (United States) · USBashkir State Medical University · RUCook Children's Medical Center · USGoryeb Children's Hospital · USKyungpook National University Hospital · KRMedical University of Lodz · PLOPKO Health (United States) · USPanagiotis & Aglaia Kyriakou Children's Hospital · GRTel Aviv University · ILUniversité de Montréal · CAUniversity of Minnesota Children's Hospital · USYonsei University · KR

Funding

OPKO HealthPfizer Inc
6 · The paper itself

Abstract

contextSomatrogon is a long-acting recombinant human growth hormone (rhGH) in development for once-weekly treatment of children with growth hormone deficiency (GHD).

objectiveWe aimed to compare the efficacy and safety of once-weekly somatrogon with once-daily somatropin in prepubertal children with GHD.

methodsIn this 12-month, open-label, randomized, active-controlled, parallel-group, phase 3 study, participants were randomized 1:1 to receive once-weekly somatrogon (0.66 mg/kg/week) or once-daily somatropin (0.24 mg/kg/week) for 12 months. A total of 228 prepubertal children (boys aged 3-11 years, girls aged 3-10 years) with GHD, impaired height and height velocity (HV), and no prior rhGH treatment were randomized and 224 received ≥1 dose of study treatment (somatrogon: 109; somatropin: 115). The primary endpoint was annualized HV at month 12.

resultsHV at month 12 was 10.10 cm/year for somatrogon-treated subjects and 9.78 cm/year for somatropin-treated subjects, with a treatment difference (somatrogon-somatropin) of 0.33 (95% CI: -0.24, 0.89). The lower bound of the 2-sided 95% CI was higher than the prespecified noninferiority margin (-1.8 cm/year), demonstrating noninferiority of once-weekly somatrogon vs daily somatropin. HV at month 6 and change in height standard deviation score at months 6 and 12 were similar between both treatment groups. Both treatments were well tolerated, with a similar percentage of subjects experiencing mild to moderate treatment-emergent adverse events in both groups (somatrogon: 78.9%, somatropin: 79.1%).

conclusionThe efficacy of once-weekly somatrogon was noninferior to once-daily somatropin, with similar safety and tolerability profiles. (ClinicalTrials.gov no. NCT02968004).

Indexed as

Dwarfism, PituitaryHuman Growth HormoneBody HeightChildChild, PreschoolFemaleGrowth DisordersGrowth HormoneHumansMaleRecombinant ProteinsGrowth HormoneHuman Growth HormoneRecombinant Proteinsgrowth hormonegrowth hormone deficiencylong-acting growth hormonepediatricsomatrogonsomatropin

Identifiers

PMID35405011
PMCPMC9202717
OpenAlexW4223597305

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.