Weekly shot may replace daily growth hormone for turner syndrome kids
NCT ID NCT05690386
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests a new long-acting growth hormone (lonapegsomatropin) given once a week, compared to the standard daily growth hormone shot, in 48 prepubertal children with Turner syndrome who have not had growth hormone before. The goal is to see if the weekly shot is safe and helps children grow as well as the daily shot. Participants will be randomly assigned to one of three doses of the weekly drug or the daily drug, and their growth will be tracked for up to 2 years, with an optional extension.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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48 people
The number who actually took part.
- Started
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Feb 2023
- Expected to finish
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Dec 2027
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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1 year to 10 years
- Sex
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Female participants only
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Age between 1 and 10 years, inclusive. 2. TS diagnosis via genetic test. 3. Prepubertal status. 4. Naïve to growth hormone therapy or growth hormone secretagogue. 5. Exhibit impaired growth defined by at least one of the following: 1. AHV\< 6 cm/year or \<25ᵗʰ percentile over a time span of 6-18 months for children of 2 years and older. 2. Height (or length for individuals \< 2 years old) \<10ᵗʰ percentile for sex and age according to the 2000 CDC Growth Charts for the United States. 6. Bone age within normal limits for chronological age, defined as no more than 20% above or below chronological age in months or delayed for chronological age (greater than 20% below chronological age), at screening. 7. Biochemically euthyroid (including when on thyroid hormone supplementation). 8. 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. 9. Fundoscopy at Screening without signs/symptoms of intracranial hypertension or proliferative retinopathy or evidence of any other retinal disease for which growth hormone therapy is contraindicated. 10. Capable of giving signed informed consent. Participants and/or parents or legal guardians of participants must sign an informed consent statement. Assent should be obtained from all participants competent to understand the protocol, per IRB requirements. Exclusion Criteria: 1. Turner Syndrome with presence of Y-chromosomal material on genetic testing and without a history of gonadectomy. 2. Diagnosis of diabetes mellitus. 3. Known history of clinically relevant conditions that may have an effect on growth, e.g. but not limited to celiac disease, malnutrition, treatment with potential growth-influencing medications for Attention-deficit/ hyperactivity disorder (ADHD), etc. 4. Any known, clinically significant, congenital or acquired cardiac/cardiovascular dysfunction that might interfere with growth as determined by transthoracic echocardiogram. 5. Known history or presence of malignancy. 6. Individuals with history of intracranial tumor or cysts, with evidence of growth within the last 12 months prior to Screening. Note - Individuals with a history of intracranial tumor may be eligible if there is no evidence of residual tumor as determined by MRI/CT scan(s) performed within 6 to 12 months prior to screening. 7. Hepatic transaminases (i.e., AST or ALT) above 3 times the upper limit of normal according to the central laboratory at screening. 8. Major medical conditions and/or presence of contraindication to hGH treatment. 9. Abnormal renal function. 10. Clinically relevant systemic illness, acute critical illness, and complications following open heart surgery, abdominal surgery, multiple accidental traumas, acute respiratory failure, or similar conditions within 6 months prior to Screening. 11. Poorly controlled hypertension. 12. Receiving prior or concurrent treatment with any agent that might influence growth or interfere with GH secretion or action such as, but not limited to, non steroidal anabolic agents, sex steroids, etc. 13. Oral/intravenous/intramuscular corticosteroids within 90 days prior to or throughout Screening. 14. Known or suspected hypersensitivity to study intervention(s) or related products. 15. Participation in any other trial involving an investigational compound within 90 days prior to Screening or in parallel to this trial. 16. Any disease or condition that, in the judgement of the investigator, may make the individual unlikely to comply with the protocol or presents undue risk. 17. Female who is pregnant, plans to be pregnant, or is breastfeeding.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Ascendis Pharma Investigational Site
Palo Alto, California, 94304, United States
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Ascendis Pharma Investigational Site
San Diego, California, 92123, United States
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Ascendis Pharma Investigational Site
Aurora, Colorado, 80045, United States
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Ascendis Pharma Investigational Site
Orlando, Florida, 32827, United States
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Ascendis Pharma Investigational Site
St. Petersburg, Florida, 33701-4804, United States
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Ascendis Pharma Investigational Site
Atlanta, Georgia, 30322, United States
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Ascendis Pharma Investigational Site
Idaho Falls, Idaho, 83404, United States
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Ascendis Pharma Investigational Site
Chicago, Illinois, 60611, United States
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Ascendis Pharma Investigational Site
Boston, Massachusetts, 02114, United States
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Ascendis Pharma Investigational Site
Saint Paul, Minnesota, 55102, United States
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Ascendis Pharma Investigational Site
Las Vegas, Nevada, 89113, United States
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Ascendis Pharma Investigational Site
Lake Success, New York, 11042, United States
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Ascendis Pharma Investigational Site
Chapel Hill, North Carolina, 27599, United States
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Ascendis Pharma Investigational Site
Cincinnati, Ohio, 45229, United States
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Ascendis Pharma Investigational Site
Oklahoma City, Oklahoma, 73104, United States
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Ascendis Pharma Investigational Site
Portland, Oregon, 97239, United States
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Ascendis Pharma Investigational Site
El Paso, Texas, 79902, United States
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Ascendis Pharma Investigational Site
Fort Worth, Texas, 76104, United States
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Ascendis Pharma Investigational Site
Seattle, Washington, 98105, United States
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Other studies related to the condition(s) this trial covers.
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