Evidence map›Paper›PMID 42741127›Full record

ArticleFrontiers in endocrinology2026

Injection-site pain after switching from somatrogon to somapacitan in children reporting pain or discomfort during once-weekly growth hormone therapy: a prospective single-arm switch study.

Hideyuki Iwayama, Kohei Kawahara, Sachiko Kitagawa, Ryosuke Miyamoto, Junko Takagi, Yoshinori Ito, Akihisa Okumura

Abstract read
In one paragraph

Article in Frontiers in endocrinology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Hideyuki IwayamaDepartment of Pediatrics, Aichi Medical University, Nagakute, Aichi, Japan.
Kohei KawaharaDepartment of Pediatrics, Aichi Medical University, Nagakute, Aichi, Japan.
Sachiko KitagawaDepartment of Pediatrics, Aichi Medical University, Nagakute, Aichi, Japan.
Ryosuke MiyamotoDepartment of Pediatrics, Aichi Medical University, Nagakute, Aichi, Japan.
Junko TakagiDivision of Endocrinology and Metabolism, Department of Internal Medicine, Aichi Medical University, Nagakute, Aichi, Japan.
Yoshinori ItoDepartment of Pediatrics, Aichi Medical University, Nagakute, Aichi, Japan.
Akihisa OkumuraDepartment of Pediatrics, Aichi Medical University, Nagakute, Aichi, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Once-weekly growth hormone (GH) formulations, such as somatrogon and somapacitan, may reduce the burden of treatment, but injection-site pain can affect treatment preference. Clinical data on patient-reported injection-site pain and preference after switching between once-weekly GH formulations remain limited, particularly in children who experience injection-site pain. Objective: To describe changes in perceived injection-site pain and treatment preference after switching from somatrogon to somapacitan in children who reported injection-site pain or discomfort during somatrogon therapy. Methods: This prospective single-arm switch study included 19 children with GH deficiency who had received somatrogon for at least 4 weeks, reported injection-site pain or discomfort during routine clinical care, and agreed to switch to somapacitan. Pain scores for prior somatrogon use and current somapacitan use were assessed once after at least 4 weeks of somapacitan treatment, using the Numerical Rating Scale and/or Faces Rating Scale according to age. A 5-point Likert questionnaire evaluated device usability, pain at needle insertion, pain during injection, pain after injection, and treatment preference. Paired t-tests and binomial tests were used for the main analyses, and Wilcoxon signed-rank tests were performed as sensitivity analyses for paired pain-score comparisons. Results: The mean age was 9.6 ± 2.6 years. Diagnoses included isolated GH deficiency (n = 17) and panhypopituitarism after craniopharyngioma surgery (n = 2). Pain scores decreased after switching (Numerical Rating Scale: 6.5 ± 2.6 vs 1.6 ± 1.7; Faces Rating Scale: 3.8 ± 1.1 vs 1.1 ± 1.1; both p < 0.001). All participants preferred continued use of somapacitan (p < 0.001), and questionnaire responses favored somapacitan for pain at needle insertion and pain during injection. Conclusion: In children who reported injection-site pain or discomfort during somatrogon therapy and agreed to switch, pain scores and treatment preference improved after switching to somapacitan. These findings support considering a switch to another once-weekly GH formulation when injection-site pain affects treatment preference.

Indexed as

Human Growth HormonePainAdolescentChildDrug Administration ScheduleFemaleHumansMalePain MeasurementProspective StudiesHuman Growth Hormoneinjection-site painonce-weekly growth hormoneself-reported painshared decision-makingsomapacitansomatrogonswitch studytolerability

Identifiers

PMID42741127
PMCPMC13572229

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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.