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AboutEfficacy & SafetyDosingDosingInitiating NGENLADosing & StorageDevice DemonstrationOrdering InformationSupport & ResourcesSupport & ResourcesStarter Kits
 
Endocrine HelplineHomecare
 
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Prescribing Information for NGENLA▼(somatrogon) can be found here. Prescribing Information for Genotropin (somatropin) can be found here. Adverse event reporting information can be found at the bottom of the page.

Dosing1

The recommended dose is 0.66 mg/kg bodyweight administered once weekly by subcutaneous injection.

24mg Pen(20mg/ml) 60mg Pen(50mg/ml)
Suggested for doses less than 12mg
(bodyweight < 18kg)


Dose increments of 0.2mg
Suggested for doses 12mg and above
(bodyweight 18kg and over)


Doses > 30mg (ie. bodyweight > 45kg),
two injections are needed.


Dose increments of 0.5mg

Each prefilled pen is capable of setting and delivering the dose prescribed by the physician. Dose may be rounded up or down based on the physician's expert knowledge of the individual patient needs.

How to titrate the dose of NGENLA

Based on growth velocity, adverse reactions, body weight and serum insulin-like growth factor 1(IGF-1) concentrations. Note: When monitoring IGF-1, samples should always be drawn 4 days after prior dose.

For full dosing details, refer to the Summary of Product Characteristics for NGENLA.

Storage information1
Before first use After first use
Prior to the first use, NGENLA may be stored for 3 years at 2–8°C in a refrigerator.

The unopened pre-filled pen may temporarily be held for up to 4 hours at temperatures up to 32 °C.
After first use, NGENLA may be stored for 28 days in a refrigerator (2 °C – 8 °C).

NGENLA may be held at room temperature (up to 32°C) for up to 4 hours with each injection for a maximum of 5 times. Return NGENLA to the refrigerator again after each use.

It should not be frozen and should be stored with the pen cap attached in order to protect from light.

Refer to the Summary of Product Characteristics for NGENLA for full storage information.

NGENLA pre-filled pen

NGENLA is administered by a pre-filled, multi-dose, disposable pen – giving patients and caregivers the confidence to administer treatment and get back to moments that matter.

  • Low injection volume for paediatric patients (<0.6mL) and small needle gauge [31G-32G].
  • No reconstitution required.
  • Multidose, disposable and prefilled.
The 24mg pen is suggested for doses up to 12mg. The 60mg pen is suggested for doses 12mg and over. Administration1

NGENLA is to be injected in the abdomen, thighs, buttocks or upper arms. The site of injection should be rotated at each administration. Injections to the upper arms and buttocks should be given by the caregiver.

  • Administer NGENLA once weekly, on the same day each week, at any time of the day.
  • The day of weekly administration can be changed if necessary as long as the time between 2 doses is at least 3 days (>72 hours). 
  • If a dose is missed, NGENLA should be administered as soon as possible within 3 days of the missed dose; then the usual once-weekly dosing schedule should be resumed. After 3 days of missed dose, the dose should be skipped and the next dose administered on the regular scheduled day.
Needle support

Sterile needles are required for administration but are not included in the NGENLA pack.

NGENLA can be administered with a needle from 4mm to 8mm and 31G or 32G.

Pfizer will provide a box of needles as standard within the patient starter box:

            - BD Micro-Fine Ultra 5mm 32G needles (quantity 100)

For resupply, or to order additional or different needles at no cost, the patient/caregiver or Healthcare Professional can contact the Endocrine Helpline on 0800 521249 or [email protected]

NGENLA Instructions for Use Video

View the video below for guidance on how NGENLA is prepared and administered.
Needles with a safety shield have been approved for use with NGENLA in Northern Ireland1. Needles with a safety shield do not have an inner needle cap. If in Northern Ireland and using a needle with a safety shield, refer to the manufacturer’s instructions for use when attaching and removing the needle2,3

For full instructions on how to use the NGENLA pen see the PIL for Northern Ireland and 
PIL for Great Britain.

Explore more

Access PIP Codes and key details on how to order NGENLA for your patients.

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Access practical support for initiating patients on NGENLA and learn more about how NGENLA may deliver a treatment experience favoured by patients and caregivers.4

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References:

​​NGENLA Summary of Product Characteristics for Great Britain: https://www.medicines.org.uk/emc/search?q=ngenla & Northern Ireland: https://www.emcmedicines.com/en-gb/northernireland/medicine?id=4319e9d0-5396-4363-8dcb-bc72051b39da&type=smpcNGENLA 24 mg Solution Patient Information Leaflet for Northern Ireland : https://www.emcmedicines.com/en-gb/northernireland/medicine?id=522bbc7e-b108-4906-b79b-b7bc162bc8fa&type=pil NGENLA 60 mg Solution Patient Information Leaflet Northern Ireland: https://www.emcmedicines.com/en-gb/northernireland/medicine?id=9fee7cab-eeca-4277-bb4f-ad26bf32db08&type=pilManiatis AK, et al. Treatment Burden of Weekly Somatrogon vs Daily Somatropin in Children With Growth Hormone Deficiency: A Randomized Study. J Endocr Soc. 2022, 6, 1–10
PP-NGE-GBR-0717. March 2024.

Find out information about the starter kits available to patients starting treatment with NGENLA.

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Download the document to access information supporting fomulary application for NGENLA.

Formulary pack Loading

Adverse events should be reported. Reporting forms and information can be found at www.mhra.gov.uk/yellowcard or search 

for MHRA Yellow Card in Google Play or Apple App Store

 

Adverse events should also be reported to Pfizer Medical Information on 01304 616161

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