The Efficacy and Safety of Inpegsomatropin Injection in Children With Short Stature Born Small for Gestational Age

NCT ID: NCT07309562

Last Updated: 2026-01-05

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

NOT_YET_RECRUITING

Clinical Phase

PHASE3

Total Enrollment

141 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-12-30

Study Completion Date

2028-05-07

Brief Summary

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This is a multicenter, randomized, open-label, active-controlled Phase III clinical trial to evaluate the efficacy and safety of Inpegsomatropin injection,once a week,compared with recombinant human growth hormone (rhGH) in children with short stature born small for gestational age (SGA).It plans to enroll 141 children with short stature born small for gestational age (SGA), who will be stratified by gender and age and randomized in a 1:1:1 ratio to either Experimental Group 1, Experimental Group 2, or the Active Control Group. All participants will undergo a screening period (up to 12 weeks), a treatment period (52 weeks), and a post-treatment follow-up period (5 weeks). Safety and efficacy will be comprehensively evaluated.

Detailed Description

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Conditions

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Small for Gestational Age

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Experimental Group 1

Group Type EXPERIMENTAL

Inpegsomatropin Injection

Intervention Type DRUG

Inpegsomatropin injection, 140 μg/kg/week, s.c., once weekly, for 52 weeks.

Experimental Group 2

Group Type EXPERIMENTAL

Inpegsomatropin Injection

Intervention Type DRUG

Inpegsomatropin injection, 280 μg/kg/week, s.c., once weekly, for 52 weeks.

rhGH group

Group Type ACTIVE_COMPARATOR

Recombinant Human Growth Hormone Injection

Intervention Type DRUG

Recombinant human growth hormone injection, 0.033mg/kg/day, s.c.,once daily, for 52 weeks.

Interventions

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Inpegsomatropin Injection

Inpegsomatropin injection, 140 μg/kg/week, s.c., once weekly, for 52 weeks.

Intervention Type DRUG

Inpegsomatropin Injection

Inpegsomatropin injection, 280 μg/kg/week, s.c., once weekly, for 52 weeks.

Intervention Type DRUG

Recombinant Human Growth Hormone Injection

Recombinant human growth hormone injection, 0.033mg/kg/day, s.c.,once daily, for 52 weeks.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Prepubertal (Tanner stage I) children: boys aged ≥2 and \<11 years, and girls aged ≥2 and \<10 years at screening.
* Bone age is not more than 1 year advanced or more than 2 years delayed compared to chronological age (i.e., -2 years ≤ bone age - chronological age ≤ 1 year).
* Birth weight and/or length below the 10th percentile for gestational age and sex, according to the reference values in Appendix 1.
* Gestational age at birth ≥28 weeks.
* Height at screening below -2 SD for age and sex, according to the reference values in Appendix 2.
* Body mass index (BMI) between the 5th and 95th percentiles for age and sex, according to the reference values in Appendix 3.
* Peak GH level ≥10.0 ng/mL in at least one prior GH stimulation test.
* No prior systemic growth-promoting therapy (used continuously for ≥1 month), including but not limited to growth hormone, insulin-like growth factor-1 (IGF-1), etc.
* Legal guardian has provided written informed consent. If the participant is ≥8 years old, they must also provide written assent. For participants under 8 years old who are capable of expressing agreement, their assent should be formally documented.

Exclusion Criteria

* Subjects with closed epiphyses.
* Subjects with other types of growth abnormalities, including confirmed or highly suspected growth hormone deficiency (GHD), Noonan syndrome, Prader-Willi syndrome, Russell-Silver syndrome, Turner syndrome, short stature due to GH receptor deficiency, short stature due to growth plate-related gene abnormalities (e.g., SHOX gene anomalies), growth retardation due to malnutrition, or growth retardation due to hypothyroidism.
* Participation in any other clinical trial with drug or non-drug interventions within 3 months prior to screening.
* Use of inhaled corticosteroids for more than 2 consecutive weeks, or oral/intravenous corticosteroids for more than 1 consecutive week, within 3 months prior to screening.
* Current or long-term requirement for therapies that may affect growth, including but not limited to methylphenidate, sex hormones, gonadotropin-releasing hormone analogs, aromatase inhibitors, anabolic agents, or insulin.
* Abnormal liver or kidney function at screening (ALT \> 1.5 times the upper limit of normal \[ULN\], Cr \> ULN).
* Diagnosis of diabetes mellitus, or two consecutive fasting blood glucose measurements ≥ 6.1 mmol/L prior to randomization.
* Chronic infectious diseases which, in the investigator's judgment, may affect study participation (e.g., chronic hepatitis B).
* Systemic chronic diseases, such as chronic kidney disease, severe cardiovascular diseases, or psychiatric/psychological disorders.
* Congenital skeletal dysplasia, scoliosis exceeding 15°, limping gait, or a prior diagnosis of slipped capital femoral epiphysis.
* History of intracranial hypertension.
* Past or current history of malignant tumors, including intracranial tumors.
* Known allergy to growth hormone or any of its excipients.
* Any other condition deemed by the investigator as inappropriate for participation in this clinical trial.
Minimum Eligible Age

2 Years

Maximum Eligible Age

11 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Xiamen Amoytop Biotech Co., Ltd.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Xiaoping Luo, Ph.D

Role: PRINCIPAL_INVESTIGATOR

Tongji Hospital

Locations

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Beijing Children's Hospital, Capital Medical University

Beijing, , China

Site Status

Beijing Children's Hospital, Capital Medical University

Beijing, , China

Site Status

Peking Union Medical College Hospital, Chinese Academy of Medical Sciences

Beijing, , China

Site Status

The First Hospital of Jilin University

Changchun, , China

Site Status

Hunan Children's Hospital

Changsha, , China

Site Status

Chengdu Women's and Children's Central Hospital

Chengdu, , China

Site Status

West China Second University Hospital, Sichuan University

Chengdu, , China

Site Status

Children's Hospital of Chongqing Medical University

Chongqing, , China

Site Status

Guangzhou Women and Children's Medical Center, Guangzhou Medical University

Guangzhou, , China

Site Status

Sun Yat-sen Memorial Hospital, Sun Yat-sen University

Guangzhou, , China

Site Status

The First Affiliated Hospital of Sun Yat-sen University

Guangzhou, , China

Site Status

The Third Affiliated Hospital of Sun Yat-sen University

Guangzhou, , China

Site Status

Hainan Women and Children's Medical Center

Haikou, , China

Site Status

The First Affiliated Hospital, Zhejiang University School of Medicine

Hangzhou, , China

Site Status

Heilongjiang Provincial Hospital

Harbin, , China

Site Status

Anhui Children's Hospital

Hefei, , China

Site Status

The Second Affiliated Hospital of Anhui Medical University

Hefei, , China

Site Status

Inner Mongolia People's Hospital

Hohhot, , China

Site Status

Shandong Provincial Hospital

Jinan, , China

Site Status

Affiliated Hospital of Jining Medical University

Jining, , China

Site Status

Jiujiang Maternal and Child Health Hospital

Jiujiang, , China

Site Status

Kunming Children's Hospital

Kunming, , China

Site Status

Gansu Provincial Maternity and Child-care Hospital (Gansu Provincial Central Hospital)

Lanzhou, , China

Site Status

Liuzhou People's Hospital

Liuchow, , China

Site Status

The First Affiliated Hospital of Henan University of Science and Technology

Luoyang, , China

Site Status

Jiangxi Provincial Children's Hospital

Nanchang, , China

Site Status

The Second Affiliated Hospital of Nanchang University

Nanchang, , China

Site Status

Nanjing Children's Hospital

Nanjing, , China

Site Status

Ningbo Women and Children's Hospital, Ningbo University

Ningbo, , China

Site Status

Qujing Maternal and Child Health Hospital

Qujing, , China

Site Status

Sanya Central Hospital (Hainan Third People's Hospital)

Sanya, , China

Site Status

Shanghai Children's Hospital

Shanghai, , China

Site Status

Shanghai Children's Medical Center, Shanghai Jiao Tong University School of Medicine

Shanghai, , China

Site Status

Xinhua Hospital, Shanghai Jiao Tong University School of Medicine

Shanghai, , China

Site Status

Shengjing Hospital of China Medical University

Shenyang, , China

Site Status

Children's Hospital of Soochow University

Suzhou, , China

Site Status

Tianjin Medical University General Hospital

Tianjin, , China

Site Status

The First Affiliated Hospital of Xinjiang Medical University

Ürümqi, , China

Site Status

The Second Affiliated Hospital of Wenzhou Medical University

Wenzhou, , China

Site Status

Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology

Wuhan, , China

Site Status

Wuhan Children's Hospital

Wuhan, , China

Site Status

Wuxi Children's Hospital

Wuxi, , China

Site Status

The First Affiliated Hospital of Xiamen University

Xiamen, , China

Site Status

Xiamen Maternal and Child Health Hospital

Xiamen, , China

Site Status

Xuzhou Children's Hospital

Xuzhou, , China

Site Status

Yuncheng Central Hospital, Shanxi Province

Yuncheng, , China

Site Status

Henan Children's Hospital (Zhengzhou Children's Hospital)

Zhengzhou, , China

Site Status

Zhuzhou Central Hospital

Zhuzhou, , China

Site Status

Countries

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China

Central Contacts

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Xiaoping Luo, Ph.D

Role: CONTACT

15671671188

Facility Contacts

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Bingyan Cao

Role: primary

Di Wu

Role: primary

Mingsheng Ma

Role: primary

Yining Zhang

Role: primary

Sha Zhao

Role: primary

Xinran Cheng

Role: primary

Fan Yang

Role: primary

Min Zhu

Role: primary

Wen Zhang

Role: primary

Liyang Liang

Role: primary

Qiuli Chen

Role: primary

Shunye Zhu

Role: primary

Xiaoyan Huang

Role: primary

Chunlin Wang

Role: primary

Pu Zhao

Role: primary

Yuqing Chen

Role: primary

Deyun Liu

Role: primary

Hua Zhu

Role: primary

Yan Sun

Role: primary

Mei Zhang

Role: primary

Huayan Hu

Role: primary

Na Tao

Role: primary

Bo Sun

Role: primary

Ling Jin

Role: primary

Dan Lou

Role: primary

Yu Yang

Role: primary

Yang Liu

Role: primary

Wei Gu

Role: primary

Shuxia Ding

Role: primary

Hongyan Zhu

Role: primary

Hua Zhang

Role: primary

Pin Li

Role: primary

Guoying Chang

Role: primary

Lili Liang

Role: primary

Ying Xin

Role: primary

Rongrong Xie

Role: primary

Maimaiti Mireguli

Role: primary

Xiaoou Shan

Role: primary

Xiaoping Luo, Ph.D

Role: primary

15671671188

Hui Yao

Role: primary

Xu Xu

Role: primary

Qun Lian

Role: primary

Xiaoqing Yang

Role: primary

Ying Xue

Role: primary

Yuenv Sun

Role: primary

Haiyan Wei

Role: primary

Xianglan Wen

Role: primary

Other Identifiers

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PEGPESEN-4-2-002

Identifier Type: -

Identifier Source: org_study_id

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