NGENLA® Clinical Studies

(somatrogon-ghla)

14 CLINICAL STUDIES

14.1 Treatment-Naïve Pediatric Patients with Growth Hormone Deficiency

A multi-center, randomized, open-label, active-controlled, parallel-group phase 3 study (NCT 02968004) was conducted in 224 treatment-naïve, prepubertal pediatric subjects with growth hormone deficiency (GHD). The primary efficacy endpoint was annualized height velocity at Week 52.

One hundred nine (109) subjects received 0.66 mg/kg/week NGENLA, and 115 subjects received 0.034 mg/kg/day daily somatropin. The subjects age ranged from 3 to 12 years, with a mean of 7.7 years. One hundred sixty-one (71.9%) subjects were male and 63 (28.1%) were female. One hundred sixty-seven (74.6%) subjects were White, 45 (20.1%) subjects were Asian, 2 (0.9%) subjects were Black or African-American, 1 (0.5%) subject was American Indian or Alaska Native, 1 (0.5%) subject was Native Hawaiian or Other Pacific Islander, and for 8 (3.6%) subjects race information was missing; 24 (10.7%) subjects identified as Hispanic or Latino. The subjects had a mean baseline height standard deviation score (SDS) of -2.9.

Treatment with once-weekly NGENLA for 52 weeks resulted in an annualized height velocity of 10.1 cm/year. Patients treated with daily somatropin achieved an annualized height velocity of 9.8 cm/year after 52 weeks of treatment. Refer to Table 3.

Table 3. Annualized Height Velocity at Week 52 in Pediatric Patients with GHD
Abbreviations: CI=confidence interval; LSM=least square mean; N=number of patients randomized and treated
The estimates of LSM are from analysis of covariance model with treatment, age group, gender, peak growth hormone levels, and region as fixed factors and baseline height SDS as a covariate. Missing data is imputed by multiple imputation using SAS PROC MI with MNAR/FCS Method.

Treatment Parameter

Treatment Group

LSM Treatment Difference
(95% CI) (NGENLA minus Daily Somatropin)

NGENLA
(N=109)

Daily Somatropin
(N=115)

LSM Estimate

LSM Estimate

Annualized Height Velocity (cm/yr)

10.1

9.8

0.3 (-0.2, 0.9)

The mean height SDS at Week 52 was -1.94 in NGENLA arm and -1.99 in the daily somatropin arm. The mean increase in height SDS from baseline at Week 52 was 0.92 in NGENLA arm and 0.87 in the daily somatropin arm, respectively.

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Clinical Studies

14 CLINICAL STUDIES

14.1 Treatment-Naïve Pediatric Patients with Growth Hormone Deficiency

A multi-center, randomized, open-label, active-controlled, parallel-group phase 3 study (NCT 02968004) was conducted in 224 treatment-naïve, prepubertal pediatric subjects with growth hormone deficiency (GHD). The primary efficacy endpoint was annualized height velocity at Week 52.

One hundred nine (109) subjects received 0.66 mg/kg/week NGENLA, and 115 subjects received 0.034 mg/kg/day daily somatropin. The subjects age ranged from 3 to 12 years, with a mean of 7.7 years. One hundred sixty-one (71.9%) subjects were male and 63 (28.1%) were female. One hundred sixty-seven (74.6%) subjects were White, 45 (20.1%) subjects were Asian, 2 (0.9%) subjects were Black or African-American, 1 (0.5%) subject was American Indian or Alaska Native, 1 (0.5%) subject was Native Hawaiian or Other Pacific Islander, and for 8 (3.6%) subjects race information was missing; 24 (10.7%) subjects identified as Hispanic or Latino. The subjects had a mean baseline height standard deviation score (SDS) of -2.9.

Treatment with once-weekly NGENLA for 52 weeks resulted in an annualized height velocity of 10.1 cm/year. Patients treated with daily somatropin achieved an annualized height velocity of 9.8 cm/year after 52 weeks of treatment. Refer to Table 3.

Table 3. Annualized Height Velocity at Week 52 in Pediatric Patients with GHD
Abbreviations: CI=confidence interval; LSM=least square mean; N=number of patients randomized and treated
The estimates of LSM are from analysis of covariance model with treatment, age group, gender, peak growth hormone levels, and region as fixed factors and baseline height SDS as a covariate. Missing data is imputed by multiple imputation using SAS PROC MI with MNAR/FCS Method.

Treatment Parameter

Treatment Group

LSM Treatment Difference
(95% CI) (NGENLA minus Daily Somatropin)

NGENLA
(N=109)

Daily Somatropin
(N=115)

LSM Estimate

LSM Estimate

Annualized Height Velocity (cm/yr)

10.1

9.8

0.3 (-0.2, 0.9)

The mean height SDS at Week 52 was -1.94 in NGENLA arm and -1.99 in the daily somatropin arm. The mean increase in height SDS from baseline at Week 52 was 0.92 in NGENLA arm and 0.87 in the daily somatropin arm, respectively.

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