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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.

EFFICACY & SAFETY Data supporting the efficacy and safety profile of NGENLA

Clinical Trial Programme Overview
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Phase Study Methodology Treatment duration
Phase 3 Definitive safety and efficacy study1 Open-label, multi-centre, randomised, active-controlled, parallel-group, non-inferiority study in prepubertal children with Growth Hormone deficiency. Patients were randomised to weekly doses of NGENLA (0.66 mg/kg/week; n=109) or daily administration of GENOTROPIN (somatropin) (0.034 mg/kg/day; n=115). [Total sample: N=224] 12 months
Phase 3 extension Open Label Extension (OLE) definitive safety and efficacy study1,2 Patients who completed the main study were eligible for inclusion. Those who received NGENLA in the main study continued to receive NGENLA once weekly at the same dose (0.66mg/kg/wk) while patients who received GENOTROPIN in the main study were switched to NGENLA once weekly (0.66mg/kg/wk). [Total sample: N=212] Ongoing (12 months of data available)
Phase 3 Treatment Budren Study Treatment burden crossover study1,3 Open-label, multi-centre, 2 period, crossover assessing patient perception of treatment burden. Patients were randomised in a 1:1 ratio to either 12 weeks of NGENLA once-weekly followed by 12 weeks of GENOTROPIN once daily, or 12 weeks of GENOTROPIN once daily followed by 12 weeks of NGENLA once weekly. [Total sample N=87] 24 weeks (12 weeks per treatment arm)
Phase 2 Safety, tolerability and dose-finding  study4 Open label, randomised, active-controlled study comparing three dose levels of NGENLA administered weekly to daily Growth Hormone (GENOTROPIN 0.034 mg/kg/day) [Total sample: N=53] 12 months
Phase 2 extension OLE efficacy and safety study5 Open label, randomised, multi-centre, dose finding, and safety study of different NGENLA dose levels in pre-pubertal Growth Hormone Deficiency patients with yearly extension until marketing approval. In extension year 1, patients taking NGENLA continued their assigned dose. Patients taking GENOTROPIN were assigned to 1 of 3 NGENLA doses. In extension years 2 and beyond, patients were transitioned to NGENLA (0.66 mg/kg/week). [Total sample: N=48 Ongoing (48 months of data available)
Annual height velocity non-inferior to Genotropin (somatropin) ​​​​​​​

Efficacy demonstrated non-inferiority to daily Genotropin at 1 year (N=224) 1
95% CI [-0.24 to 0.89]

Study Design: Open-label, multicentre, randomised, active-controlled, noninferiority study in prepubertal children with GH deficiency to assess efficacy and safety of NGENLA once weekly versus GENOTROPIN once daily after 12 months of treatment.1

Mean & median IGF-1 values normalised at 1 month of treatment *​​​​​​​​​​​​​​​​

Post-hoc analysis of IGF-1 SDS profiles over the dosing interval during 12 months of treatment with NGENLA. 6

The mean and median of the modelled mean IGF-1 SDS values gradually increased in the first 6 months of the study and remained stable thereafter. IGF-1 should be monitored regularly to ensure that levels remain within the normal range. In patients whose serum IGF-1 concentrations exceed the mean reference value for their age and sex by more than 2 SDS, the dose of somatrogon should be reduced by 15%. More than one dose reduction may be required in some patients.1

*Based on observed (predose) or modelled 4 days postdose mean values.
​​​​​IGF-1, insulin-like growth factor 1; SD, standard deviation.

IGF-1 Profile during the 7 days following administration of NGENLA ​​​​​​​​​

IGF-1 levels peak between 48-72 hours, reach their mean at 96 hours and are lower than average after 96 hours. 7
 

This is a conceptual representation of the pharmacodynamic profile of NGENLA. 1,7,8

Safety profile ​​​​​​1

Safety data are derived from the phase 2, multi-centre safety and dose-finding study, and the pivotal phase 3, multi-centre non-inferiority study in paediatric patients with Growth Hormone Deficiency. The data reflect exposure of 265 patients to NGENLA administered once weekly (0.66mg/kg/week).
 

In the phase 2, multi-centre safety and dose-finding study, 31 patients received up to 0.66mg/kg/week of NGENLA for up to 7.7 years.
 

The commonly reported adverse reactions after treatment with NGENLA are injection site reactions (ISRs) (25.1%), headache (10.7%) and pyrexia (10.2%).
 

For full information and description of selected adverse reactions refer to the Summary of Product Characteristics for NGENLA.
 

Very common (≥ 1/10); Common (≥ 1/100 to < 1/10), Uncommon (≥ 1/1,000 to < 1/100), Rare (≥ 1/10,000 to < 1/1,000), Very Rare (< 1/10,000) or frequency not known (cannot be estimated from the available data).
 

There are no reactions reported to date in the Rare, Very Rare and Frequency not known categories.
 

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System Organ Class Very Common Common     Uncommon
Blood and Lymphatic System Disorders  
Anaemia
Eosinophilia
 
Endocrine Disorders   Hypothyroidism Adrenal Insufficiency
Nervous system disorders Headache    
Eye Disorders   Conjunctivitis allergic  
Skin and subcutaneous tissue disorders Arthralgia
Pain in extremity
Rash generalised
General Disorders and Administration site conditions Injection site reactionsa
Pyrexia
   

a - Injection site reactions include the following: injection site pain, erythema, pruritus, swelling, induration, bruising, haemorrhage, warmth, hypertrophy, inflammation, deformation, urticaria.
 

Treatment-emergent adverse event profile comparison between NGENLA and Genotropin 8​​​​​

Efficacy and safety of weekly somatrogon vs daily somatropin in children with growth hormone deficiency: a phase 3 study.

The incidence of treatment-emergent adverse events (TEAE's) was similar between the somatrogon (87.2%) and somatropin groups (84.3%).

Study Design: Open-label, multicentre, randomised, active-controlled, noninferiority study in prepubertal children with GH deficiency to assess efficacy and safety of NGENLA once weekly versus GENOTROPIN once daily after 12 months of treatment.1

Patients were randomised to weekly doses of NGENLA (0.66mg/kg/week; n=109) or daily administration of GENOTROPIN (somatropin (0.034mg/kg/day; n=115. Total sample: N=224.

 

  Somatrogon
(n=109)
Genotropin
(n=115)

Subjects with AEs

95 (87.2%)
 

97 (84.3%)

Subjects with serious AE’s

3 (2.8%)

2 (1.7%)

Subjects with severe AEs 

9 (8.3%)

6 (5.2%)
Subjects discontinued from study due to AEs a
1 (0.9%)

0
 

Adapted from Deal et al., 2022.

Serious AEs are based on the investigator's assesment. No deaths occured during the study. 
Abbreviation: AE, adverse event.
a Subjects who have an AE record that indicates that the AE caused the subject to be discontinued from the study.

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IGF-1 levels peak at 48 hours, reach their mean at 96 hours and are lower than average after 96 hours. 7
 

 



This is a conceptual representation of the pharmacodynamic profile of NGENLA based on Fisher et a., 2017.
 

IGF-1 levels peak at 48 hours, reach their mean at 96 hours and are lower than average after 96 hours. 7
 

 



This is a conceptual representation of the pharmacodynamic profile of NGENLA based on Fisher et a., 2017.
 

IGF-1 levels peak at 48 hours, reach their mean at 96 hours and are lower than average after 96 hours. 7
 

 



This is a conceptual representation of the pharmacodynamic profile of NGENLA based on Fisher et a., 2017.
 

Adverse events reported in ≥5% of subjects in weekly and daily treatment groups 8  ​​
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All-causality TEAEs with ≥5% higher incidence in the somatrogon group than in the somatropin group were injection site erythema, injection site pain and injection site pruritus.

Study Design: Open-label, multicentre, randomised, active-controlled, noninferiority study in prepubertal children with GH deficiency to assess efficacy and safety of NGENLA once weekly versus GENOTROPIN once daily after 12 months of treatment.1
 

Preferred Term Somatrogon
(n=109)
Genotropin
(n=115)
Injection site pain 43 (39.4%) 29 (25.2%)
Nasopharyngitis 25 (22.9%) 29 (25.2%)
Headache 18 (16.5%) 25 (21.7%)
Pyrexia 18 (16.5%) 16 (13.9%)
Cough 9 (8.3%) 9 (7.8%)
Injection site erythema 9 (8.3%) 0
Vomiting 8 (7.3%) 9 (7.8%)
Anaemia 7 (6.4%) 7 (6.1%)
Hypothyroidism 7 (6.4%) 3 (2.6%)
Pharyngitis 7 (6.4%) 5 (4.3%)
Arthropod bite 6 (5.5%) 1 (0.9%)
Injection site pruritus 6 (5.5%) 0
Oropharyngeal pain 6 (5.5%) 4 (3.5%)
Arthropod bite 6 (5.5%) 1 (0.9%)
Arthralgia 5 (4.6%) 8 (7.0%)
Tonsilitis 5 (4.6%) 6 (5.2%)
Otitis media 4 (3.7%) 7 (6.1%)
Bronchitis 3 (2.8%) 9 (7.8%)
Abdominal pain upper 2 (1.8%) 6 (5.2%)
Blood creatine phosphokinase increased 2 (1.8%) 8 (7.0%)
Ear pain 2 (1.8%) 7 (6.1%)


Data is available on the phase 3 crossover study versus daily GH, based upon life interference score and a range of life intereference score parameters, which indicated that NGENLA may deliver a favoured treatment experience for patients and caregivers.3 Click here to find out more.

 

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The NGENLA team are here to support you with any queries. Find out how you can get in touch.

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The Formulary Pack is available to download. Find out more information here.

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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=smpWajnrajch M, Miller BS, Steelman J, et al. Switch data from the open-label extension of the pivotal phase 3 study of once weekly Somatrogon compared with daily Somatropin in pediatric patients with growth hormone deficiency (GHD). Poster 7129 presented at: Annual Meeting of the Endocrine Society [virtual]; March 20-23, 2021. Maniatis AK, Carakushansky M, Galcheva S, et al. Treatment burden of weekly Somatrogon vs Daily Genotropin in children with growth hormone deficiency: a randomized study, Journal of the Endocrine Society, Volume 6, Issue 10, October 2022.Zelinska N, Iotova V, Skorodok J, et al. Long-acting C-terminal peptide–modified hGH (MOD-4023): results of a safety and dose-finding study in GHD children. J Clin Endocrinol Metab. 2017;102(5):1578‐1587. Zadik Z, Zalinska N, Iotova V, et al. An open-label extension of the phase 2 dose-finding study of once-weekly Somatrogon vs once-daily Genotropin in children with growth hormone deficiency: results following 5 years of treatment. Journal of Pediatric Endocrinology and Metabolism, vol. 36, no. 3, 2023, pp. 261-269. Pfizer Data on File: PP-NGE-GBR-0047. Fisher DM, Rosenfield RG, Jaron-Mendelson M, Amitzi L, Koren R, Hart G. Pharmacokinetic and Pharmacodynamic Modeling of MOD-4023, a Long-Acting Human Growth Hormone, in Growth Hormone Deficiency Children. Horm Res Paediatr; 2017.  Deal C, Steelman J, Vlachopapadopoulou E, et al. Efficacy and safety of weekly somatrogon vs daily somatropin in children with growth hormone deficiency: a phase 3 study [published online ahead of print, 2022 Apr 11]. J Clin Endocrinal Metab. 2022;dgac220. doi:10.1210/clinem/dgac220

An introduction to Weekly NGENLA and its Mode of Action.

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PP-NGE-GBR-0334. February 2023

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

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