Table 2.
Comparison of Growth Responses Between Long-Acting and Daily Growth Hormones in Pediatric Growth Hormone Deficiency.16,24,29
lonapegsomatropin (Phase 3) | Somatrogon (Phase 3) | Somapacitan (Phase 2) | |
---|---|---|---|
Mechanism | Reversible PEGylation | Fusion Protein with hCG CTP (x3) | Acylation increases binding to Albumin |
Molecular weight of the active agent (kDa) | 22 | 41 | 23.3 |
Dose (mg/kg/wk) | 0.24 | 0.66 | 0.16 |
Height velocity LAGH (cm/yr) | 11.2 | 10.1 | 11.5 |
Height velocity DGH (cm/yr) | 10.3 | 9.8 | 10.5 |
Estimated average IGF-1 SDS on LAGH |
+0.72 | Data not available | +0.31 |
Notes: Height velocity data from Phase 2 (Somapacitan) and Phase 3 (Lonapegsomatropin and Somatrogon). The DGH dose was 0.034 mg/kg/day (0.24 mg/kg/wk) in each study. Estimated average IGF-1 SDS was based upon LAGH product specific pharmacokinetic modeling.
Abbreviations: cm, centimeter; CTP, C-terminal peptide; DGH, daily growth hormone; hCG, human chorionic gonadotropin; IGF-I, insulin-like growth factor I; kDa, kilodalton; kg, kilogram; mg, milligram; SDS, standard deviation score; wk, week; yr, year.