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Turner SyndromePhase 3NCT07221851

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

A Phase 3 study testing Lonapegsomatropin [SKYTROFA®] and Somatropin Pen Injector in people with Turner Syndrome and Short Stature Homeobox Gene Mutation, run by Ascendis Pharma A/S at 56 sites in 7 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

This basket trial will enroll prepubertal children and adolescents with clinically diagnosed and genetically confirmed (if applicable) TS, SHOX-D, SGA, or ISS between ages of ≥2 and <18 years with open growth plates. Read more about this study

Who is it for?
Ages 2 to 17 years
What is being tested?
Lonapegsomatropin [SKYTROFA®] and Somatropin Pen Injector
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
186 participants
Where
56 sitesin 7 countries
Study dates
12 Dec 2025to Mar 2029
Phase
Phase 3
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 2 to 17 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Chronological age between ≥2 and <18 years, at start of screening.
  • Naïve to growth hormone and growth hormone promoting therapies.
  • Prepubertal.
  • Able to stand without assistance.
  • Diagnosis of TS, SHOX-D, SGA, or ISS with impaired growth or short stature, according to the following disease-specific criteria:
  • TS or SHOX-D (Léri-Weill dyschondrosteosis):
Show all 17Show fewer
  • Diagnosis confirmed by a genetic test. NOTE: Historical test results are acceptable for proof of diagnosis. For karyotypes, a minimum of 20 cells must be counted.
  • Impaired growth or short stature defined as:
  • (i.) AHV <25th percentile over a time span of 6-16 months prior to screening utilizing a historical height properly documented in a health care setting (self-measurement record is not accepted) OR (ii.) Height <5th percentile for sex and age according to the Centers for Disease Control Growth Charts for the United States
  • SGA without catch-up growth:
  • Birth weight and/or birth length < -2.0 SDS for gestational age according to the 2006 World Health Organization Child Growth Standards. For infants born premature, the Fenton Preterm Infant Growth Chart (Fenton 2013) should be used.
  • Impaired growth or short stature defined as: (i.) AHV <25th percentile over a time span of 6-16 months prior to screening properly documented in a health care setting (self-measurement record is not accepted) OR (ii.) Height < -2.0 SDS for age and sex according to the 2000 Centers for Disease Control Growth Charts for the United States for children ≥ 3 years or height < -2.5 SDS for age and sex according to the for children ≥ 2 years and < 3 years
  • ISS:
  • Height < -2.25 SDS for sex and age according to the Centers for Disease Control Growth Charts for the United States with no identifiable cause for short stature.
  • Documented normal GH-IGF-1 axis, defined as either: (i.)IGF-1 SDS >0 at screening based on central laboratory OR (ii.)Historical documentation of normal peak GH upon stimulation test (as defined by local institution) g. 46,XX chromosome as determined by karyotype or microarray if female. For karyotypes, a minimum of 30 cells must be counted.
  • If on hormone replacement therapies for any hormone deficiencies other than growth hormone (e.g., adrenal, thyroid), must be on adequate and stable doses for ≥4 weeks prior to and throughout screening.
  • Written, signed informed consent provided by parent(s) or legal guardian(s) of the participant. Assent should be signed by participant as required by IRB/HREC/IEC.

Who cannot join

  • Advanced bone age X-ray by central reading defined as >20% above chronological age in months (Greulich 1959).
  • Closed epiphyses as defined as bone age of ≥14.0 years in females or ≥16.0 years in males.
  • Current clinical diagnosis of diabetic retinopathy
  • Any diagnosis or presence at screening of the following:
  • Untreated moderate or severe sleep apnea as determined by formal (local) read of an inpatient or at-home sleep study.
  • Prader Willi syndrome with severe obesity, history of severe upper airway obstruction, or severe respiratory impairment.
Show all 26Show fewer
  • Signs/symptoms of intracranial hypertension, active proliferative retinopathy.
  • Uncontrolled hypo- or hyperthyroidism.
  • Uncontrolled diabetes mellitus (defined as: HbA1c >7.5% from central laboratory at screening).
  • Known history or diagnosis of any gastrointestinal inflammatory condition, HIV, radiation exposure, other skeletal dysplasias, growth hormone deficiency, and/or cardio-thoracic surgery due to their independent effects on growth.
  • Any significant hepatic or renal abnormality, such as abnormal renal function (defined as eGFR <60 mL/min/1.73m2).
  • Undiagnosed or uncontrolled hypertension.
  • Receiving treatment with any agent that might influence growth or interfere with GH secretion or action including any sex steroids and stimulants for attention-deficit/hyperactivity disorder (ADHD).
  • High dose inhaled glucocorticoid for more than 28 consecutive days total over the course of 12 months.
  • Female who is pregnant, plans to be pregnant, or breastfeeding.
  • Participation in another interventional clinical trial involving an investigational compound within 90 days prior to screening or in parallel to this trial.
  • Any disease or condition that, in the judgement of the investigator, may make the participant unlikely to comply with the requirements of the protocol or any condition that presents undue risk from the investigational product or trial procedures.
  • Exclusion Criteria only applicable to TS:
  • Presence of Y chromosome material on genetic testing without history of gonadectomy.
  • Less than 10% of 45,X mosaicism.
  • Any known, clinically significant, congenital or acquired cardiovascular dysfunction that might interfere with growth.
  • Exclusion Criteria only applicable to SGA:
  • Any known clinically significant abnormality likely to affect growth or the ability to evaluate growth with standing height measurements: (i.)Chromosomal aneuploidy, significant gene mutations, or medical syndromes with short stature, including but not limited to Turner syndrome, Laron syndrome, Noonan syndrome, Prader-Willi syndrome, abnormal SHOX-1 gene analysis or absence of GH receptors.
  • (ii.)Congenital abnormalities (causing skeletal abnormalities), including but not limited to skeletal dysplasias.
  • Exclusion Criteria only applicable to ISS:
  • Known history of any condition that causes disproportionate short stature (i.e. skeletal dysplasias), chromosomal aneuploidy, significant gene mutations, or medical syndromes with short stature, including but not limited to Turner syndrome, Laron syndrome, Noonan syndrome, Prader-Willi syndrome, abnormal SHOX-1 gene analysis or absence of gH receptors.

Trial locations and contacts

56 sites in 7 countries. Contact the study team or a site near you to ask about taking part.

Ascendis Registry Inquiries contact

+4561161658

asnd_registryinquiries@ascendispharma.com

56 sites in 7 countries

United States27 sites, 27 recruiting
  • Ascendis Pharma Investigational Site

    Atlanta, Georgia, 30329

    Recruiting
  • Ascendis Pharma Investigational Site

    Aurora, Colorado, 80045

    Recruiting
  • Ascendis Pharma Investigational Site

    Boston, Massachusetts, 02115

    Recruiting
  • Ascendis Pharma Investigational Site

    Centennial, Colorado, 80112

    Recruiting
  • Ascendis Pharma Investigational Site

    Chapel Hill, North Carolina, 27599

    Recruiting
  • Ascendis Pharma Investigational Site

    Charlottesville, Virginia, 22908

    Recruiting
  • Ascendis Pharma Investigational Site

    Cincinnati, Ohio, 45229

    Recruiting
  • Ascendis Pharma Investigational Site

    Columbia, South Carolina, 29203

    Recruiting
  • Ascendis Pharma Investigational Site

    Edinburg, Texas, 78539

    Recruiting
  • Ascendis Pharma Investigational Site

    Fort Worth, Texas, 76104

    Recruiting
  • Ascendis Pharma Investigational Site

    Idaho Falls, Idaho, 83404

    Recruiting
  • Ascendis Pharma Investigational Site

    Lake Success, New York, 11042

    Recruiting
  • Ascendis Pharma Investigational Site

    Minneapolis, Minnesota, 55454

    Recruiting
  • Ascendis Pharma Investigational Site

    New Orleans, Louisiana, 70118

    Recruiting
  • Ascendis Pharma Investigational Site

    Oklahoma City, Oklahoma, 73104

    Recruiting
  • Ascendis Pharma Investigational Site

    Orlando, Florida, 32806

    Recruiting
  • Ascendis Pharma Investigational Site

    Palo Alto, California, 94304

    Recruiting
  • Ascendis Pharma Investigational Site

    Phoenix, Arizona, 85016

    Recruiting
  • Ascendis Pharma Investigational Site

    Sacramento, California, 95821

    Recruiting
  • Ascendis Pharma Investigational Site

    Saint Paul, Minnesota, 55102

    Recruiting
  • Ascendis Pharma Investigational Site

    Salt Lake City, Utah, 84112

    Recruiting
  • Ascendis Pharma Investigational Site

    San Antonio, Texas, 78229

    Recruiting
  • Ascendis Pharma Investigational Site

    San Antonio, Texas, 78232

    Recruiting
  • Ascendis Pharma Investigational Site

    Seattle, Washington, 98105

    Recruiting
  • Ascendis Pharma Investigational Site

    St. Petersburg, Florida, 33701

    Recruiting
  • Ascendis Pharma Investigational Site

    Washington D.C., District of Columbia, 20010

    Recruiting
  • Ascendis Pharma Investigational Site

    Wilmington, Delaware, 19803

    Recruiting

Other trials in United States

South Korea7 sites, 7 recruiting
  • Ascendis Pharma Investigational Site

    Sejong, 30099

    Recruiting
  • Ascendis Pharma Investigational Site

    Seongnam, 13620

    Recruiting
  • Ascendis Pharma Investigational Site

    Seoul, 03722

    Recruiting
  • Ascendis Pharma Investigational Site

    Seoul, 05278

    Recruiting
  • Ascendis Pharma Investigational Site

    Seoul, 05505

    Recruiting
  • Ascendis Pharma Investigational Site

    Seoul, 06273

    Recruiting
  • Ascendis Pharma Investigational Site

    Suwon, 16499

    Recruiting

Other trials in South Korea

Spain6 sites, 6 recruiting
  • Ascendis Pharma Investigational Site

    Barcelona, 08035

    Recruiting
  • Ascendis Pharma Investigational Site

    Barcelona, 8950

    Recruiting
  • Ascendis Pharma Investigational Site

    Madrid, 28046

    Recruiting
  • Ascendis Pharma Investigational Site

    Málaga, 29011

    Recruiting
  • Ascendis Pharma Investigational Site

    Santiago de Compostela, 15706

    Recruiting
  • Ascendis Pharma Investigational Site

    Zaragoza, 50009

    Recruiting

Other trials in Spain

France5 sites, 5 recruiting
  • Ascendis Pharma Investigational Site

    Angers, 49933

    Recruiting
  • Ascendis PharmaInvestigational Site

    Le Kremlin-Bicêtre, 94270

    Recruiting
  • Ascendis Pharma Investigational Site

    Montpellier, 34090

    Recruiting
  • Ascendis Pharma Investigational Site

    Paris, 75012

    Recruiting
  • Ascendis Pharma Investigational Site

    Toulouse, 31300

    Recruiting

Other trials in France

Italy5 sites, 5 recruiting
  • Ascendis Pharma Investigational Site

    Florence, 50139

    Recruiting
  • Ascendis Pharma Investigational Site

    Genova, 16147

    Recruiting
  • Ascendis Pharma Investigational Site

    Naples, 80131

    Recruiting
  • Ascendis Pharma Investigational Site

    Naples, 80138

    Recruiting
  • Ascendis Pharma Investigational Site

    Trieste, 34123

    Recruiting

Other trials in Italy

Germany4 sites, 4 recruiting
  • Ascendis Pharma Investigational Site

    Cologne, 50931

    Recruiting
  • Ascendis Pharma Investigational Site

    Düsseldorf, 40225

    Recruiting
  • Ascendis Pharma Investigational Site

    Hanover, 30173

    Recruiting
  • Ascendis Pharma Investigational Site

    Tübingen, 72076

    Recruiting

Other trials in Germany

Romania2 sites, 2 recruiting
  • Ascendis Pharma Investigational Site

    Iași, 700106

    Recruiting
  • Ascendis Pharma Investigational Site

    Târgu Mureş, 540136

    Recruiting

Other trials in Romania

About this study

Official title: A Pivotal, Parallel-Arm, Phase 3, Open-Label, Active-controlled, Global, Multicenter, Randomized Basket Trial Investigating the Efficacy and Safety of Once-weekly Lonapegsomatropin Compared to Daily Somatropin in Prepubertal Children and Adolescents With Growth Failure or Short Stature Due to Growth Hormone Sufficient Disorders - Turner Syndrome, SHOX Deficiency, Small for Gestational Age, and Idiopathic Short Stature

This basket trial will enroll prepubertal children and adolescents with clinically diagnosed and genetically confirmed (if applicable) TS, SHOX-D, SGA, or ISS between ages of ≥2 and <18 years with open growth plates. The purpose of the study is to see how well treatment with once-weekly lonapegsomatropin works compared to treatment with daily somatropin. Approximately 186 participants will be distributed equally (1:1), to receive either lonapegsomatropin for 2 years or somatropin for 1 year followed by lonapegsomatropin for 1 year. This trial will be conducted in the United States, France, Germany, Italy, Romania, Spain and South Korea.

Being tested
Lonapegsomatropin [SKYTROFA®], Somatropin Pen Injector
Keywords
Turner Syndrome, Noonan Syndrome, Growth Hormone, Short Stature, Growth Failure, Sex Chromosome Disorders, Chromosome Disorders, Endocrine System Diseases, Pituitary Hormones, Anterior, Pituitary Hormones, Hormones, Hormone Substitutes, Human Growth Hormone, Lonapegsomatropin, Sex Chromosome Disorders of Sex Development, Impaired Growth, somatropin, Growth Hormone Sufficiency, Short Stature Homeobox Gene Mutation, Short Stature Children Born Small for Gestational Age
Medical subject headings
Turner Syndrome, Noonan Syndrome, Dwarfism, Failure to Thrive, Sex Chromosome Disorders, Chromosome Disorders, Endocrine System Diseases, Sex Chromosome Disorders of Sex Development

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Lonapegsomatropin [SKYTROFA®]Combination product

    Subcutaneous injection once weekly

  • Somatropin Pen InjectorCombination product

    Subcutaneous injection once daily

Study groups in NCT07221851
Study groupRoleWhat they receive
Lonapegsomatropin, once dailyExperimentalParticipants will receive Lonapegsomatropin by subcutaneous injection for 2 years (104 weeks)
Receives: Combination Product: Lonapegsomatropin [SKYTROFA®]
somatropin, once dailyActive comparatorParticipants will receive somatropin by subcutaneous injection for 1 year (52 weeks) followed by lonapegsomatropin for 1 year (52 weeks)
Receives: Combination Product: Somatropin Pen Injector

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Annualized Height Velocity (AHV) (cm/year)

    To evaluate the efficacy of lonapegsomatropin as compared to somatropin in children and adolescents with TS, SHOX-D, SGA, or ISS

    Measured: 52 Weeks

Secondary outcomes (5)
  1. Annualized Height Velocity (AHV) (cm/year)

    To evaluate lonapegsomatropin as compared to somatropin on additional measures of efficacy in children and adolescents with TS, SHOX-D, SGA, or ISS

    Measured: 104 Weeks

  2. Change from baseline in height standard deviation score (SDS)

    To evaluate lonapegsomatropin as compared to somatropin on additional measures of efficacy in children and adolescents with TS, SHOX-D, SGA, or ISS

    Measured: 52 Weeks and 104 Weeks

  3. Change from baseline in Bone Age (years)

    To evaluate the safety and tolerability of lonapegsomatropin in children and adolescents with TS, SHOX-D, SGA, or ISS via Central Reader

    Measured: 52 Weeks and 104 Weeks

  4. Change from baseline in ratio of Bone Age/chronological age

    To evaluate the safety and tolerability of lonapegsomatropin in children and adolescents with TS, SHOX-D, SGA, or ISS via Central Reader

    Measured: 52 Weeks and 104 Weeks

  5. Number of participants with treatment-related adverse events (AEs)

    To evaluate the safety and tolerability of lonapegsomatropin in children and adolescents with TS, SHOX-D, SGA, or ISS

    Measured: 52 Weeks and 104 Weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted28 Oct 2025
  2. Study start12 Dec 2025
  3. Primary completionFeb 2028 (estimated)
  4. Study completionMar 2029 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Phase 3, parallel-arm, open-label, active-controlled, global, multicenter, randomized basket trial investigating the efficacy and safety of lonapegsomatropin compared to somatropin in prepubertal children and adolescents with growth failure or short stature due to growth hormone (GH) sufficient disorders - TS, SHOX-D, SGA, or ISS.
Masking
None (open label)
Enrolment
186 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07221851
Sponsor's protocol ID
ASND0047
Status last verified
Nov 2026
First submitted
14 Oct 2025
Last updated
5 Nov 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
Yes

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Lonapegsomatropin [SKYTROFA®] and Somatropin Pen Injector in people with Turner Syndrome and Short Stature Homeobox Gene Mutation, run by Ascendis Pharma A/S at 56 sites in 7 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 17 inclusion and 26 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 5 Nov 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 56 sites in United States, South Korea, Spain, France, Italy and 2 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Ascendis Registry Inquiries (+4561161658, asnd_registryinquiries@ascendispharma.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Annualized Height Velocity (AHV) (cm/year) (time frame: 52 Weeks). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 5 Nov 2026.

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