Lonapegsomatropin

Also known as: Skytrofa · TransCon hGH

FDA-approved

Last verified: October 30, 2026

At a glance

FDA approval FDA-approved 1 application
Randomized controlled trials 3 of 47 publications on PubMed
Registered clinical trials 12 5 active
Adverse event reports 626 60 classified as serious
  • Lonapegsomatropin is an FDA-approved drug, marketed as Skytrofa (first approval: August 25, 2021).
  • PubMed lists 47 publications mentioning it, including 3 randomized controlled trials and 0 animal-only studies.
  • ClinicalTrials.gov lists 12 registered studies testing it (5 active).
  • FDA's adverse event system (FAERS) holds 626 reports mentioning it; 60 classified as serious. Reports do not prove causation.

Research topics

  • Human Growth Hormone 26
  • Dwarfism, Pituitary 16
  • Growth Disorders 13
  • Growth Hormone 12
  • Body Height 11
  • Insulin-Like Growth Factor I 7
  • Delayed-Action Preparations 5
  • Hormone Replacement Therapy 4
  • Quality of Life 4
  • United States 4

Most frequent MeSH subject headings in the latest PubMed records (English, as indexed).

Regulatory status

Drugs@FDA applications

Application Product Status First approval Sponsor
BLA761177 SKYTROFA Approved, marketed August 25, 2021 ASCENDIS PHARMA ENCOCRINOLOGY DIV A/S

Source: Drugs@FDA (openFDA) · verified October 30, 2026 · API query

FDA compounding safety list

Not on FDA's list of bulk drug substances that may present significant safety risks in compounding.

Source: FDA.gov — Category 2 bulk drug substances · verified October 30, 2026

Removal of a substance from a regulatory list does not mean it has been approved. A "research use only" label does not make a product safe or legal for human use.

Scientific publications

  • All publications 47
  • Human (MeSH) 30
  • Animal only 0
  • Clinical trials 6
  • Randomized controlled trials 3
  • Systematic reviews & meta-analyses 4
  • Case reports 3
  • Retracted 0

Counts are PubMed records that mention the peptide in the title or abstract. Categories overlap, and a mention is not the same as testing the peptide as a treatment. Each number opens the exact PubMed search. Effects seen in laboratory or animal studies may not occur in humans. A registered clinical trial does not show that a substance is effective or safe.

Latest publications

Source: PubMed (NCBI) · verified October 30, 2026

Clinical trials

Registered
12
Active
5
With posted results
6

Conditions studied

  • Endocrine System Diseases 6
  • Growth Hormone Deficiency 4
  • Hormone Deficiency 4
  • Pituitary Diseases 4
  • Growth Hormone Deficiency, Pediatric 3
  • Turner Syndrome 2
  • Adult Growth Hormone Deficiency 2
  • Hormones 2
  • Short Stature Homeobox Gene Mutation 1
  • Idiopathic Short Stature 1
  • Small for Gestational Age at Delivery 1
  • Achondroplasia 1
Study Status Phase Start
Trial Investigating the Efficacy and Safety of Weekly Lonapegsomatropin Compared to Daily Somatropin in Children and Adolescents With Short Stature or Growth Failure Due to Growth Hormone Sufficient Disorders
NCT07221851 Ascendis Pharma A/S
Recruiting Phase 3 December 12, 2025
A Phase 2 Clinical Trial to Evaluate Efficacy, Safety, and Tolerability of Navepegritide in Combination With Lonapegsomatropin in Children With Achondroplasia
NCT06433557 Ascendis Pharma Growth Disorders A/S
Active, not recruiting Phase 2 July 26, 2024
A Post-Authorisation Safety Study (PASS) of Patients Treated With Lonapegsomatropin
NCT05775523 Ascendis Pharma Endocrinology Division A/S
Recruiting — March 20, 2023
A US Non-interventional, Effectiveness and Safety Study of Patients Treated With SKYTROFA
NCT05820672 Ascendis Pharma Endocrinology Division A/S
Recruiting — March 20, 2023
A Trial to Investigate Different Doses of Lonapegsomatropin Compared to Somatropin in Individuals With Turner Syndrome
NCT05690386 Ascendis Pharma Endocrinology Division A/S
Active, not recruiting Phase 2 February 15, 2023
A Trial to Investigate Long Term Efficacy and Safety of Lonapegsomatropin in Adults With Growth Hormone Deficiency
NCT05171855 Ascendis Pharma Endocrinology Division A/S Results posted
Completed Phase 3 December 16, 2021
A Trial to Compare the Efficacy and Safety of Once-weekly Lonapegsomatropin With Placebo and a Daily Somatropin Product in Adults With Growth Hormone Deficiency
NCT04615273 Ascendis Pharma Endocrinology Division A/S Results posted
Completed Phase 3 December 3, 2020
Safety, Tolerability and Efficacy of TransCon hGH Weekly Versus Daily hGH in Chinese Pediatric Growth Hormone Deficiency
NCT04326374 Visen Pharmaceuticals (Shanghai) Co., Ltd.
Unknown status Phase 3 December 30, 2019
A Long-Term Trial Investigating Safety and Efficacy of TransCon hGH in Children With Growth Hormone Deficiency Who Have Completed a Prior TransCon hGH Clinical Trial
NCT03344458 Ascendis Pharma A/S Results posted
Completed Phase 3 December 19, 2017
A Safety, Tolerability and Efficacy Study of TransCon hGH in Children With Growth Hormone Deficiency
NCT03305016 Ascendis Pharma Endocrinology Division A/S Results posted
Completed Phase 3 November 13, 2017
Show 2 more studies
Study Status Phase Start
A Phase 3 Trial of the Safety, Tolerability and Efficacy of TransCon hGH Weekly Versus Daily hGH in Children With Growth Hormone Deficiency (GHD)
NCT02781727 Ascendis Pharma Endocrinology Division A/S Results posted
Completed Phase 3 December 13, 2016
A Safety, Pharmacokinetic and Pharmacodynamic Study of ACP-001 (TransCon hGH) in Adults With Growth Hormone Deficiency
NCT01247675 Ascendis Pharma A/S Results posted
Completed Phase 2 Nov 2010

All 12 studies on ClinicalTrials.gov ↗

Source: ClinicalTrials.gov · verified October 30, 2026

Adverse event reports

Reports
626
Serious
60
With death outcome
0

Most reported reactions

  • Product dose omission issue 116
  • Headache 70
  • Injection site pain 51
  • Device use error 44
  • Device malfunction 35
  • Therapy interrupted 27
  • Incorrect dose administered 26
  • Nausea 26
  • Treatment noncompliance 26
  • Off label use 25
  • Vomiting 24
  • Wrong technique in device usage process 23

Adverse event reports do not prove that the substance caused these effects. Side effects not listed here may still occur. Reaction terms are MedDRA terms as reported to FAERS.

Source: FDA FAERS (FAERS data as of July 30, 2026) · verified October 30, 2026 · API query

Change history

No changes since monitoring began on October 30, 2026.