Pegvisomant

Also known as: Somavert

FDA-approved

Last verified: October 30, 2026

At a glance

FDA approval FDA-approved 1 application
Randomized controlled trials 38 of 662 publications on PubMed
Registered clinical trials 41 2 active
Adverse event reports 4,115 2,304 classified as serious
  • Pegvisomant is an FDA-approved drug, marketed as Somavert (first approval: March 25, 2003).
  • PubMed lists 662 publications mentioning it, including 38 randomized controlled trials and 14 animal-only studies.
  • ClinicalTrials.gov lists 41 registered studies testing it (2 active).
  • FDA's adverse event system (FAERS) holds 4,115 reports mentioning it; 2,304 classified as serious. Reports do not prove causation.

Research topics

  • Acromegaly 118
  • Human Growth Hormone 117
  • Insulin-Like Growth Factor I 58
  • Somatostatin 55
  • Receptors, Somatotropin 28
  • Adenoma 21
  • Octreotide 19
  • Pituitary Neoplasms 18
  • Receptors, Somatostatin 18
  • Growth Hormone 17

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

Regulatory status

Drugs@FDA applications

Application Product Status First approval Sponsor
BLA021106 SOMAVERT Approved, marketed March 25, 2003 PHARMACIA

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 662
  • Human (MeSH) 555
  • Animal only 14
  • Clinical trials 75
  • Randomized controlled trials 38
  • Systematic reviews & meta-analyses 18
  • Case reports 68
  • 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
41
Active
2
With posted results
10

Conditions studied

  • Acromegaly 24
  • Insulin Resistance 2
  • Acromegaly Due to Pituitary Adenoma 1
  • Insulin Receptor Mutation 1
  • Partial Lipodystrophy 1
  • Fibrosis 1
  • Pituitary Disease 1
  • Osteoporosis Risk 1
  • Metabolic Diseases 1
  • Growth Hormone Treatment 1
  • Healthy 1
  • Diabetes 1
Study Status Phase Start
Effects of Pasireotide Lar Therapy on Bone Metabolism
NCT07179926 Fondazione Policlinico Universitario Agostino Gemelli IRCCS
Recruiting — September 8, 2025
Study of Growth Hormone Inhibition Using Pegvisomant in Severe Insulin Resistance
NCT05470504 National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Recruiting Phase 2 January 23, 2023
The RApid Switch From 1st Generation Somatostatin Analogues to PaSireOtiDe In Acromegaly
NCT06597383 IRCCS San Raffaele
Unknown status — November 24, 2023
Korean Regulatory Post Marketing Surveillance for Somavert
NCT05131100 Pfizer
Completed — July 13, 2022
Growth Hormone as a Model for Reversible Activation of Adipose Tissue Fibrosis
NCT04998500 University of Aarhus
Unknown status N/A August 1, 2021
PegvisOMant and the Immune SystEm (PROMISE)
NCT05069324 University of Roma La Sapienza
Completed — July 29, 2020
Safety and Efficacy of Pegvisomant in Children With Growth Hormone Excess
NCT03882034 Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
Completed Phase 3 October 21, 2019
Strict IGF-1 Control in Acromegaly
NCT02952885 Unity Health Toronto
Completed Phase 3 July 27, 2017
Bone MicroArchitecture in Acromegaly
NCT03225040 Columbia University
Completed — August 3, 2016
Lipolytic Effects of GH in Human Subjects in Vivo
NCT02782221 University of Aarhus
Completed N/A May 30, 2016
Show 31 more studies
Study Status Phase Start
Pasireotide LAR and Pegvisomant Study in Acromegaly
NCT02668172 Erasmus Medical Center
Unknown status Phase 4 Aug 2015
Substrate Metabolism, Growth Hormone Signaling, and Insulin Sensitivity During Fasting
NCT02500095 University of Aarhus
Completed N/A Jul 2015
Growth Hormone, IGF-1 and Medical Treatment in Acromegaly: Are There Effects on Gut Hormone Physiology and Postprandial Substrate Metabolism?
NCT02152124 University Hospital, Ghent
Completed — June 1, 2014
Role of Growth Hormone Antagonism in Modulating Insulin Sensitivity in Subjects With Pre-diabetes
NCT02023918 University of California, San Francisco Results posted
Completed Phase 2 Jan 2014
A Relative Bioavailability Study To Evaluate Safety, Tolerability And Pharmacokinetic Comparability Of Pegvisomant 1 X 30 Mg Vs 2 X 15 Mg Subcutaneously Administered In Healthy Subjects
NCT01893866 Pfizer
Completed Phase 1 Aug 2013
Effect of DPP4 Inhibition on Growth Hormone Secretion
NCT01701973 Vanderbilt University Results posted
Completed Phase 4 Jan 2013
Acromegaly Treatment Quality of Life Study
NCT01732406 Massachusetts General Hospital Results posted
Completed — Jan 2013
Acromegaly Combination Treatment Study
NCT01538966 Cedars-Sinai Medical Center Results posted
Terminated N/A March 29, 2012
Pegvisomant With Glucagon Test to Assess for Adult Growth Hormone Deficiency
NCT01804413 Oregon Health and Science University
Unknown status N/A Mar 2011
Tissue Biomarker for Pegvisomant Action
NCT01261000 Cedars-Sinai Medical Center Results posted
Completed N/A Nov 2010
Safety, Tolerability and Relative Bioavailability of Pegvisomant in Healthy Subjects
NCT01181973 Pfizer
Completed Phase 1 Oct 2010
Figitumumab Combined With Pegvisomant For Advanced Solid Tumors
NCT00976508 Pfizer Results posted
Terminated Phase 1 Nov 2009
The Relationship Between the Growth Hormone (GH)- Insulin Like Growth Factor I (IGF-I) System and the Inflammatory System in Healthy Normal Persons
NCT00969644 Herlev Hospital
Unknown status N/A Sep 2009
Co-treatment With Pegvisomant and a Somatostatin Analogue (SA) in SA-responsive Acromegalic Patients
NCT00652379 University of Aarhus
Completed N/A Jun 2008
Acute Application of Pegvisomant and Octreotide in Acromegaly
NCT00595140 Ludwig-Maximilians - University of Munich
Completed Phase 4 Jan 2008
Long Term Use of Somavert (Pegvisomant) For A Regulatory Post Marketing Commitment Plan
NCT00658879 Pfizer Results posted
Completed — August 7, 2007
Change in Quality of Life After Addition of Weekly 40 mg Pegvisomant/Placebo in Controlled Acromegalic Patients
NCT00642720 Erasmus Medical Center
Completed Phase 4 Oct 2006
Lanreotide Autogel and Pegvisomant Combination Therapy in Acromegalic Patients
NCT00383708 Ipsen Results posted
Completed Phase 3 Oct 2006
Study to Evaluate the Efficacy and Safety of Sandostatin LAR at High Dose or in Combination Either With GH-receptor Antagonist or Dopamine-agonist in Acromegalic Patients
NCT01278342 Novartis Pharmaceuticals Results posted
Completed Phase 4 Sep 2006
Growth Hormone During Fasting.Signaltransduktion in Muscle and Adipose Tissue and Changes in Intrahepatic Lipid Content
NCT00476879 University of Aarhus
Completed N/A Aug 2006
Changes of Left Ventricular Mass and Cardiac Function in Patients With Active Acromegaly During Treatment With the Growth Hormone Receptor Antagonist Pegvisomant
NCT00552851 University of Wuerzburg
Unknown status Phase 4 Jun 2006
Efficacy of Octreotide Acetate and Cabergoline in Patients With Acromegaly
NCT00376064 Novartis Pharmaceuticals
Completed Phase 4 Mar 2006
Cardiac Function and Morphology Evaluated by Magnetic Resonance Imaging in Growth Hormone Deficiency and Acromegaly
NCT00970463 Herlev Hospital
Completed — Jan 2006
Growth Hormone Signaling in Vivo in Humans
NCT00512473 University of Aarhus
Completed N/A Sep 2005
Effect of Pegvisomant on GH/IGF-I Relationship in GHD
NCT00468624 The Christie NHS Foundation Trust
Terminated N/A Dec 2004
Canadian Pegvisomant Compassionate Study In Acromegalic Patients
NCT00151437 Pfizer
Completed Phase 4 Nov 2004
Long Term Study With B2036-PEG
NCT00143416 Pfizer
Completed Phase 3 Apr 2004
Non Interventional Study For Patients Treated With Somavert®
NCT00858143 Pfizer Results posted
Completed — Jan 2004
Pegvisomant And Sandostatin LAR Combination Study
NCT00068029 Pfizer
Completed Phase 4 Oct 2003
A Study To Compare The Efficacy And Safety Of Pegvisomant To That Of Sandostatin Lar Depot In Patients With Acromegaly
NCT00068042 Pfizer
Completed Phase 4 Apr 2003
A Study of the Effects of Pegvisomant on Growth Hormone Excess in McCune-Albright Syndrome
NCT00017927 National Institute of Dental and Craniofacial Research (NIDCR)
Completed Phase 3 Jun 2001

All 41 studies on ClinicalTrials.gov ↗

Source: ClinicalTrials.gov · verified October 30, 2026

Adverse event reports

Reports
4,115
Serious
2,304
With death outcome
320

Most reported reactions

  • Off label use 489
  • Drug ineffective 436
  • Headache 404
  • Fatigue 387
  • Insulin-like growth factor increased 379
  • Arthralgia 300
  • Product dose omission issue 268
  • Injection site pain 262
  • Diarrhoea 256
  • Nausea 232
  • Pain 213
  • Blood pressure increased 205

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

FDA prescribing information

Official US prescribing information. Dosing sections are intentionally not shown.

  • SOMAVERT HUMAN PRESCRIPTION DRUG Pharmacia & Upjohn Company LLC December 18, 2025

Source: DailyMed / openFDA

Change history

No changes since monitoring began on October 30, 2026.