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Evaluation of the Safety and Efficacy of Biosimilar Recombinant Growth Hormone in Children With Growth Hormone Deficiency: Non-Inferiority, Randomized, Parallel, Multicentric and Phase Iii Trial Publisher Pubmed



Zaeri H1 ; Omidvar S2 ; Servatian N2, 3 ; Arefnia S1 ; Khademolreza N2 ; Amini H2, 4 ; Taghavi B2 ; Hashemipour M5 ; Eshraghi P6 ; Ghasemi M7 ; Ghergherehchi R8 ; Maleki E9 ; Moravej H10 ; Noorian S11 Show All Authors
Authors
  1. Zaeri H1
  2. Omidvar S2
  3. Servatian N2, 3
  4. Arefnia S1
  5. Khademolreza N2
  6. Amini H2, 4
  7. Taghavi B2
  8. Hashemipour M5
  9. Eshraghi P6
  10. Ghasemi M7
  11. Ghergherehchi R8
  12. Maleki E9
  13. Moravej H10
  14. Noorian S11
  15. Soheilipour F12
  16. Dalili S13
  17. Kharazmi H14
  18. Didban A15
  19. Akhlaghi A16
  20. Ghaznavi S2
  21. Shahbazi M2, 4
Show Affiliations
Authors Affiliations
  1. 1. Neonatal and Children's Health Research Center, Golestan University of Medical Sciences, Gorgan, Iran
  2. 2. Department of Pediatric Endocrinology, AryaTinaGene Biopharmaceutical Company, Gorgan, Iran
  3. 3. Department of Hematology and Cell Therapy, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran
  4. 4. Medical Cellular and Molecular Research Center, Golestan University of Medical Sciences, Gorgan, Iran
  5. 5. Metabolic Liver Disease Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
  6. 6. Pediatric Endocrinology Department, Akbar Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
  7. 7. Department of Pediatrics, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran
  8. 8. Department of Pediatric, Tabriz University of Medical Sciences, Tabriz, Iran
  9. 9. Endocrinology and Metabolism Research Center, Institute of Basic and Clinical Physiology Science, Kerman University of Medical Sciences, Kerman, Iran
  10. 10. Department of Pediatric Endocrinology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
  11. 11. Department of Pediatric Endocrinology and Metabolism, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran
  12. 12. Pediatric Growth and Development Research Center, Institute of Endocrinology and Metabolism, Ali Asghar Children Hospital, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
  13. 13. Pediatric Diseases Research Center, Guilan University of Medical Sciences, Rasht, Iran
  14. 14. Endocrinology and Metabolism Research Center, School of Medicine, Hormozgan University of Medical Sciences, Bandar Abas, Iran
  15. 15. Children Growth Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran
  16. 16. Department of Epidemiology and Reproductive Health, Reproductive Epidemiology Research Center, Royan Institute for Reproductive Biomedicine, ACECR, Tehran, Iran

Source: Expert Opinion on Drug Safety Published:2025


Abstract

Objectives: This study is designed in order to compare the efficacy and safety of recombinant human growth hormone (rhGH) with the reference brand. Methods: According to the inclusion criteria, 85 people in 13 Iranian centers were randomly selected to receive biosimilar Somatropin (Somatin®) (44 people) and reference Somatropin (Norditropin®) (41 people) at a dose of 35 µg/kg/d, seven days/week for 12 months. The primary outcomes included height velocity (HV) was measured during 12 months of treatment. Results: The two intervention groups’ Height changes were similar. The mean HV was 10.96 cm/year in the biosimilar group and 10.05 cm/year in the reference groups after 12 months. Estimates of the lower bounds of 95% CI for mean height differences in the biosimilar intervention group compared to the reference intervention group did not exceed the 2 cm margin. Therefore, the non-inferiority of biosimilar intervention compared to the brand product is verified. Common ADRs in both groups were nausea in two patients (2.4%), diarrhea in two patients (2.4%), increased body temperature in one patient (1.2%), and headache in one patient (1.2%). Conclusions: The finding of this study indicated that Somatin® and Norditropin® have comparable efficacy and safety profiles. Clinical trial registration: www.IRCT.irIRCT20171122037571N1. © 2024 Informa UK Limited, trading as Taylor & Francis Group.