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Hormone · FDA Approved

Lonapegsomatropin (Skytrofa)

FDA-approved

Written by Peptide Association Editorial TeamLast reviewed Editorial policy

01 · Overview

Lonapegsomatropin is a long-acting prodrug of somatropin in which growth hormone is transiently linked to a polyethylene glycol carrier through a cleavable linker, releasing unmodified growth hormone after administration (PMID 34272849). The carrier extends circulating time and enables once-weekly dosing.

This transient conjugation strategy differs from permanent modifications because the active molecule released is native growth hormone.

02 · Research summary & key findings

In the 52-week phase 3 heiGHt trial of 161 treatment-naive prepubertal children with growth hormone deficiency, once-weekly lonapegsomatropin produced an annualized height velocity of 11.2 cm per year versus 10.3 cm per year with daily somatropin, meeting non-inferiority and also showing superiority (PMID 34272849). Adverse events, tolerability, immunogenicity, and bone age progression were similar between groups (PMID 34272849). The FDA approved lonapegsomatropin in August 2021 for children aged one year and older weighing at least 11.5 kg with growth hormone deficiency.

03 · Regulatory status

Lonapegsomatropin (Skytrofa) has received FDA approval and is available for clinical use under appropriate medical supervision. Consult a qualified healthcare provider for prescribing information.

Lonapegsomatropin (Skytrofa) is an FDA-approved medicine prescribed for the conditions on its label. It is not part of our intake, so we do not propose protocols for it. If you think it may be relevant to you, talk to your own doctor. How to ask your doctor.

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Lonapegsomatropin (Skytrofa) is prescribed for the conditions on its label, and it is not part of our intake. If you are working on hormone optimization, a licensed clinician can tell you at a free consultation whether an FDA-approved or lawfully compounded treatment fits you, or whether nothing does.

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04 · Administration routes

  • Subcutaneous injection

References

  1. [1]Weekly Lonapegsomatropin in Treatment-Naïve Children With Growth Hormone Deficiency: The Phase 3 heiGHt Trial J Clin Endocrinol Metab, 2021. PMID 34272849

Primary literature

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Disclaimer: This information is provided for educational and research purposes only. It is not intended as medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider before starting any peptide therapy. The Peptide Association does not endorse or recommend any specific treatment protocol. See our editorial policy for how this content is produced and reviewed. Clinicians: join the network.