A Phase 3 interventional study of MOD-4023 and Somatropin in Pediatric Growth Hormone Deficiency, sponsored by OPKO Health, Inc.. Completed at 81 sites in 20 countries. Open to participants aged 3 Years to 11 Years. Per ClinicalTrials.gov, last updated 2025-07-20.
Sponsored by OPKO Health, Inc. · Phase 3, Interventional, and Treatment
This is an open-label, randomized, multicenter, efficacy and safety study of weekly MOD-4023 compared to daily Genotropin therapy in pre-pubertal children with growth hormone deficiency.
The study consists of a 12 month, open-label, randomized, active controlled, parallel group study comparing the efficacy and safety of weekly MOD-4023 to daily growth hormone (GH), Genotropin. After 12 months, subjects will have the option to enter the long term open-label extension.
OPKO Health, Inc. is the lead sponsor of 48 studies on the registry; 2 are open to participants now.
Of its 8 completed or terminated interventional studies of FDA-regulated products, 6 (75%) have results posted.
Counted across the registry records on this site, refreshed daily.
Main Study Inclusion Criteria:
Impaired height and height velocity defined as:
Willing and able to provide written informed consent of the parent or legal guardian and written assent from patient.
LT-OLE Inclusion Criteria:
Main Study Exclusion Criteria:
Study enrollment has been met or study is closed by sponsor prior to completion of screening process.
LT-OLE Exclusion Criteria:
Once weekly subcutaneous injection of long acting r-hGH (MOD-4023)
Drug: MOD-4023
Once daily subcutaneous injection of somatropin (r-hGH; Genotropin)
Drug: Somatropin
Once weekly subcutaneous injection using pre-filled pen device.
Also known as: Somatrogon
Once daily subcutaneous injection of Genotropin using pre-filled pen device.
Also known as: Genotropin
Annual Height Velocity in Main Study Phase
Annual Height Velocity in cm. Annual Height Velocity at 12 months is based on the difference between the heights at 12 months and baseline.
Time frame: 52 weeks
Annual Height Velocity in OLE Phase
Annualized Height Velocity (cm/year) in OLE Phase
Time frame: Up to 60 months
Height Velocity at 6 Months in Main Study Phase
Height velocity in cm measured after 6 months of treatment. Annualized Height velocity after 6 months is calculated based on the difference between the heights at 6 months and baseline.
Time frame: After 6 months of treatment
Change in Height Standard Deviation Score (SDS) in Main Study Phase
Change in height Standard Deviation Score (SDS) after 6 and 12 months is calculated based on the difference between the heights at 6 and 12 months and baseline.
Time frame: After 6 and 12 months
Change in Bone Maturation (BM) in Main Study Phase
Annual change in bone age measurements as per Gruelich-Pyle method
Time frame: 52 weeks
Insulin-like Growth Factor-1 (IGF-1) Standard Deviation Score (SDS) in Main Study Phase
Via central lab analysis
Time frame: Baseline and at 12 months
Change in Height Standard Deviation Score (SDS) in OLE Phase
Change in height Standard Deviation Score (SDS) at each time point is calculated based on the difference between the time point and baseline.
Time frame: 60 months
Insulin-like Growth Factor-1 (IGF-1) Standard Deviation Score (SDS) in OLE Phase
Time frame: 60 Months
Device
Proportion of successful single injections out of total number of single injections using the MOD-4023 Pen in the USA
Time frame: 6 weeks
Device
Proportion of successful single injections out of total number of single injections using the MOD-4023 Pen in the USA at Week 1 based on the Observer Assessment Tool (OAT)
Time frame: 1 week
| Milestone | MOD-4023 | Genotropin |
|---|---|---|
| Started | 109 | 115 |
| Completed | 108 | 114 |
| Not completed | 1 | 1 |
| Withdrew: Adverse event | 1 | 0 |
| Withdrew: Withdrawal by subject | 0 | 1 |
| Milestone | MOD-4023 | Genotropin |
|---|---|---|
| Started | 104 | 108 |
| Completed | 102 | 99 |
| Not completed | 2 | 9 |
| Withdrew: Adverse event | 0 | 6 |
| Withdrew: Withdrawal by subject | 2 | 2 |
| Withdrew: Miscellaneous | 0 | 1 |
| Milestone | MOD-4023 | Genotropin |
|---|---|---|
| Started | 91 | 86 |
| Completed | 88 | 82 |
| Not completed | 3 | 4 |
| Withdrew: Adverse event | 1 | 1 |
| Withdrew: Withdrawal by subject | 2 | 2 |
| Withdrew: Miscellaneous | 0 | 1 |
| Milestone | MOD-4023 | Genotropin |
|---|---|---|
| Started | 88 | 82 |
| Completed | 84 | 80 |
| Not completed | 4 | 2 |
| Withdrew: Adverse event | 1 | 0 |
| Withdrew: Withdrawal by subject | 2 | 1 |
| Withdrew: Prohibited treatments | 0 | 1 |
| Withdrew: Local crisis | 1 | 0 |
| Milestone | MOD-4023 | Genotropin |
|---|---|---|
| Started | 83 | 79 |
| Completed | 38 | 43 |
| Not completed | 45 | 36 |
| Withdrew: Withdrawal by subject | 3 | 4 |
| Withdrew: Non-compliance with study drug | 0 | 1 |
| Withdrew: Sponsor discontinuation of study | 27 | 21 |
| Withdrew: Bone age reached | 3 | 1 |
| Withdrew: Local crisis | 10 | 9 |
| Withdrew: Miscellaneous | 2 | 0 |
| Milestone | MOD-4023 | Genotropin |
|---|---|---|
| Started | 24 | 28 |
| Completed | 18 | 22 |
| Not completed | 6 | 6 |
| Withdrew: Withdrawal by subject | 1 | 0 |
| Withdrew: Sponsor discontinuation of study | 2 | 6 |
| Withdrew: Bone age reached, | 1 | 0 |
| Withdrew: Closure of epiphyseal plates | 1 | 0 |
| Withdrew: Local crisis | 1 | 0 |
| Milestone | MOD-4023 | Genotropin |
|---|---|---|
| Started | 0 | 2 |
| Completed | 0 | 0 |
| Not completed | 0 | 2 |
Annual Height Velocity in cm. Annual Height Velocity at 12 months is based on the difference between the heights at 12 months and baseline.
| cm/year | MOD-4023 | Genotropin |
|---|---|---|
| Annual Height Velocity in Main Study Phase | 10.10 (9.58 to 10.63) | 9.78 (9.29 to 10.26) |
Annualized Height Velocity (cm/year) in OLE Phase
| cm/year | MOD-4023 | Genotropin |
|---|---|---|
| OLE Month 0 | 10.27 ± 2.38 | 9.72 ± 2.50 |
| OLE Month 12 | 8.03 ± 1.81 | 8.21 ± 1.87 |
| OLE Month 24 | 7.78 ± 1.91 | 8.05 ± 1.77 |
| OLE Month 36 | 6.90 ± 1.80 | 7.14 ± 1.69 |
| OLE Month 48 | 6.19 ± 1.62 | 6.86 ± 2.08 |
| OLE Month 60 | — | 5.05 ± 1.10 |
Height velocity in cm measured after 6 months of treatment. Annualized Height velocity after 6 months is calculated based on the difference between the heights at 6 months and baseline.
| cm/year | MOD-4023 | Genotropin |
|---|---|---|
| Height Velocity at 6 Months in Main Study Phase | 10.59 (9.96 to 11.22) | 10.04 (9.47 to 10.62) |
Change in height Standard Deviation Score (SDS) after 6 and 12 months is calculated based on the difference between the heights at 6 and 12 months and baseline.
| Standard Deviation Score | MOD-4023 | Genotropin |
|---|---|---|
| SDS at 6 months | 0.54 (0.48 to 0.61) | 0.48 (0.42 to 0.54) |
| SDS at 12 months | 0.92 (0.82 to 1.02) | 0.87 (0.78 to 0.96) |
Annual change in bone age measurements as per Gruelich-Pyle method
| ratio of bone age to chronologic age | MOD-4023 | Genotropin |
|---|---|---|
| Change in Bone Maturation (BM) in Main Study Phase | 0.05 ± 0.09 | 0.06 ± 0.1 |
Via central lab analysis
| Standard Deviation Score (SDS) | MOD-4023 | Genotropin |
|---|---|---|
| Baseline | -1.95 ± 0.89 | -1.72 ± 0.90 |
| At 12 months | 0.65 ± 1.32 | -0.69 ± 1.09 |
Change in height Standard Deviation Score (SDS) at each time point is calculated based on the difference between the time point and baseline.
| Standard Deviation Score | MOD-4023 | Genotropin |
|---|---|---|
| Baseline (from Main Study Phase) | -2.95 ± 1.30 | -2.79 ± 1.31 |
| OLE Month 0 | 0.95 ± 0.55 | 0.85 ± 0.52 |
| OLE Month 12 | 1.38 ± 0.78 | 1.34 ± 0.71 |
| OLE Month 24 | 1.57 ± 0.77 | 1.66 ± 0.78 |
| OLE Month 36 | 1.81 ± 0.85 | 1.93 ± 0.85 |
| OLE Month 48 | 1.96 ± 0.67 | 2.04 ± 0.81 |
| OLE Month 60 | — | 2.14 ± 0.38 |
| Standard Deviation Score | MOD-4023 | Genotropin |
|---|---|---|
| Baseline (from Main Study Phase) | 77.91 ± 46.11 | 83.10 ± 41.17 |
| OLE Month 0 | 185.9 ± 107.1 | 69.96 ± 59.92 |
| OLE Month 12 | 255.9 ± 120.0 | 248.6 ± 111.9 |
| OLE Month 24 | 293.4 ± 132.8 | 295.3 ± 137.5 |
| OLE Month 36 | 315.6 ± 139.7 | 330.7 ± 138.0 |
| OLE Month 48 | 354.8 ± 133.1 | 368.9 ± 124.9 |
| OLE Month 60 | — | 397.5 ± 85.27 |
Proportion of successful single injections out of total number of single injections using the MOD-4023 Pen in the USA
Results for this outcome have not been posted.
Proportion of successful single injections out of total number of single injections using the MOD-4023 Pen in the USA at Week 1 based on the Observer Assessment Tool (OAT)
| Participants | MOD-4023 |
|---|---|
| Device | 17 |
Collected over 1 year for Main Study Phase. Up to 6 years for OLE Phase.. Non-serious events are listed at a 2% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| MOD-4023 | 0/109 (0%) | 3/109 (2.8%) | 92/109 (84.4%) |
| Genotropin | 0/115 (0%) | 2/115 (1.7%) | 90/115 (78.3%) |
| MOD-4023 in OLE Phase | 0/212 (0%) | 14/212 (6.6%) | 175/212 (82.5%) |
| Event | MOD-4023 | Genotropin | MOD-4023 in OLE Phase |
|---|---|---|---|
| AppendicitisInfections and infestations | 0/109 | 0/115 | 4/212 |
| Chronic tonsillitisInfections and infestations | 1/109 | 0/115 | 0/212 |
| GastroenteritisInfections and infestations | 1/109 | 0/115 | 0/212 |
| PneumoniaInfections and infestations | 1/109 | 0/115 | 1/212 |
| TonsillitisInfections and infestations | 0/109 | 1/115 | 1/212 |
| UreterolithiasisRenal and urinary disorders | 0/109 | 1/115 | 0/212 |
| LymphadenitisBlood and lymphatic system disorders | 0/109 | 0/115 | 1/212 |
| Adrenal InsufficiencyEndocrine disorders | 0/109 | 0/115 | 1/212 |
| Delayed PubertyEndocrine disorders | 0/109 | 0/115 | 1/212 |
| Abdominal PainGastrointestinal disorders | 0/109 | 0/115 | 1/212 |
| Event | MOD-4023 | Genotropin | MOD-4023 in OLE Phase |
|---|---|---|---|
| Injection Site PainGeneral disorders | 43/109 | 29/115 | 66/212 |
| NasopharyngitisInfections and infestations | 25/109 | 29/115 | 66/212 |
| HeadacheNervous system disorders | 18/109 | 25/115 | 41/212 |
| PyrexiaGeneral disorders | 18/109 | 16/115 | 40/212 |
| Corona Virus InfectionInfections and infestations | 0/109 | 0/115 | 37/212 |
| CoughRespiratory, thoracic and mediastinal disorders | 9/109 | 9/115 | 24/212 |
| VomitingGastrointestinal disorders | 8/109 | 9/115 | 23/212 |
| InfluenzaInfections and infestations | 5/109 | 3/115 | 22/212 |
| Oropharyngeal PainRespiratory, thoracic and mediastinal disorders | 6/109 | 4/115 | 18/212 |
| Injection Site ErythemaGeneral disorders | 9/109 | 0/115 | 11/212 |
| Age, Continuous(years) | MOD-4023 | Genotropin | Total |
|---|---|---|---|
| Mean | 7.83 ± 2.66 | 7.61 ± 2.37 | 7.72 ± 2.51 |
| Sex: Female, Male(Participants) | MOD-4023 | Genotropin | Total |
|---|---|---|---|
| Female | 27 | 36 | 63 |
| Male | 82 | 79 | 161 |
| Ethnicity (NIH/OMB)(Participants) | MOD-4023 | Genotropin | Total |
|---|---|---|---|
| Hispanic or Latino | 11 | 13 | 24 |
| Not Hispanic or Latino | 98 | 102 | 200 |
| Unknown or Not Reported | 0 | 0 | 0 |
| Race/Ethnicity, Customized(Participants) | MOD-4023 | Genotropin | Total |
|---|---|---|---|
| White | 81 | 86 | 167 |
| Black or African American | 0 | 2 | 2 |
| Asian | 24 | 21 | 45 |
| American Indian or Alaska Native | 1 | 0 | 1 |
| Native Hawaiian or Other Pacific Islander | 0 | 1 | 1 |
| Other | 3 | 5 | 8 |
| Unknown | 0 | 0 | 0 |
| Multiracial | 0 | 0 | 0 |
| Not reported | 0 | 0 | 0 |
| Region of Enrollment(participants) | MOD-4023 | Genotropin | Total |
|---|---|---|---|
| Colombia | 4 | 4 | 8 |
| Argentina | 1 | 2 | 3 |
| United States | 17 | 25 | 42 |
| Ukraine | 13 | 11 | 24 |
| United Kingdom | 0 | 3 | 3 |
| Belarus | 1 | 1 | 2 |
| India | 12 | 14 | 26 |
| Russia | 8 | 12 | 20 |
| Spain | 10 | 9 | 19 |
| Greece | 3 | 0 | 3 |
| New Zealand | 3 | 1 | 4 |
| Canada | 3 | 2 | 5 |
| South Korea | 8 | 4 | 12 |
| Turkey | 1 | 0 | 1 |
| Taiwan | 0 | 2 | 2 |
| Poland | 7 | 12 | 19 |
| Mexico | 2 | 0 | 2 |
| Georgia | 5 | 1 | 6 |
| Israel | 7 | 8 | 15 |
| Australia | 2 | 2 | 4 |
| Bulgaria | 2 | 2 | 4 |
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OPKO Health, Inc.