NGENLA® Adverse Reactions

(somatrogon-ghla)

6 ADVERSE REACTIONS

The following clinically significant adverse reactions are described elsewhere in the labeling:

Increased mortality in patients with acute critical illness [see Warnings and Precautions (5.1)]
Severe hypersensitivity [see Warnings and Precautions (5.2)]
Increased risk of neoplasm [see Warnings and Precautions (5.3)]
Glucose intolerance and diabetes mellitus [see Warnings and Precautions (5.4)]
Intracranial hypertension [see Warnings and Precautions (5.5)]
Fluid retention [see Warnings and Precautions (5.6)]
Hypoadrenalism [see Warnings and Precautions (5.7)]
Hypothyroidism [see Warnings and Precautions (5.8)]
Slipped capital femoral epiphysis [see Warnings and Precautions (5.9)]
Progression of preexisting scoliosis [see Warnings and Precautions (5.10)]
Pancreatitis [see Warnings and Precautions (5.11)]
Lipoatrophy [see Warnings and Precautions (5.12)]
Sudden death in pediatric patients with Prader-Willi syndrome [see Warnings and Precautions (5.13)]

6.1 Clinical Trials Experience

Because clinical trials are conducted under widely varying conditions, adverse reaction rates observed in the clinical trials of a drug cannot be directly compared to rates in the clinical trials of another drug and may not reflect the rates observed in practice.

Safety data are derived from a safety and efficacy study in pediatric patients with GHD [see Clinical Studies (14.1)]. The data from the 12-month main study period reflect exposure of 109 patients to NGENLA administered once weekly (0.66 mg/kg/wk) and 115 patients to somatropin administered once daily (0.034 mg/kg/day).

The mean age across the treatment groups, was 7.7 years (min 3.01, max 11.96); 40.2% of patients were >3 years to ≤7 years, 59.8% were >7 years, 71.9% of patients were male, and 28.1% were female. In this study, 74.6% of patients were White, 20.1% were Asian, 0.9% were Black or African American, 0.5% were American Indian or Alaska Native, 0.5% were Native Hawaiian or Other Pacific Islander, and for 3.6% race information was missing; 10.7% of patients identified as Hispanic or Latino. Baseline disease characteristics were balanced across treatment groups.

Table 1 shows the adverse reactions that occurred in ≥5% of patients treated with NGENLA or daily somatropin during the 12-month main study period. Reporting of injection site reactions was solicited through the use of a patient diary after each weekly injection for patients administered NGENLA and once weekly for patients administered daily injections of somatropin.

Table 1  Adverse Reactions Occurring in ≥5% of NGENLA- or Somatropin-Treated Pediatric Patients (52 Weeks of Treatment)
Adverse reactions that are medically related were grouped to a single preferred term.
*
Injection site reactions included: injection site pain (39% somatrogon-ghla vs 25% daily somatropin), injection site swelling/induration/hypertrophy/inflammation (10% somatrogon-ghla vs 1% daily somatropin), injection site erythema (8% somatrogon-ghla vs none daily somatropin), injection site pruritus (5% somatrogon-ghla vs none daily somatropin), injection site hemorrhage (5% somatrogon-ghla vs none daily somatropin).
Nasopharyngitis included: rhinitis, pharyngitis, rhinitis allergic, pharyngitis streptococcal, viral pharyngitis, nasopharyngitis.

Adverse Drug Reactions

Daily Somatropin

(N=115)

n (%)

NGENLA

(N=109)

n (%)

Injection site reactions*

29 (25.2)

46 (42.2)

Nasopharyngitis

33 (28.7)

36 (33)

Headache

25 (21.7)

18 (16.5)

Pyrexia

17 (14.8)

18 (16.5)

Anemia

10 (8.7)

10 (9.2)

Cough

9 (7.8)

9 (8.3)

Vomiting

9 (7.8)

8 (7.3)

Hypothyroidism

3 (2.6)

7 (6.4)

Abdominal pain

8 (7.0)

7 (6.4)

Rash

7 (6.1)

6 (5.5)

Oropharyngeal pain

4 (3.5)

6 (5.5)

Arthralgia

8 (7.0)

5 (4.6)

Otitis media

10 (8.7)

5 (4.6)

Tonsillitis

6 (5.2)

5 (4.6)

Bronchitis

9 (7.8)

3 (2.8)

Laboratory Tests

More NGENLA-treated patients shifted from normal eosinophil levels at baseline to elevated eosinophil levels at the end of the 12-month study compared to the daily somatropin group (29% vs 12%).

Find NGENLA® medical information:

Find NGENLA® medical information:

Our scientific content is evidence-based, scientifically balanced and non-promotional. It undergoes rigorous internal medical review and is updated regularly to reflect new information.

NGENLA® Quick Finder

Prescribing Information
Download Prescribing Information

Health Professional Information

Adverse Reactions

6 ADVERSE REACTIONS

The following clinically significant adverse reactions are described elsewhere in the labeling:

Increased mortality in patients with acute critical illness [see Warnings and Precautions (5.1)]
Severe hypersensitivity [see Warnings and Precautions (5.2)]
Increased risk of neoplasm [see Warnings and Precautions (5.3)]
Glucose intolerance and diabetes mellitus [see Warnings and Precautions (5.4)]
Intracranial hypertension [see Warnings and Precautions (5.5)]
Fluid retention [see Warnings and Precautions (5.6)]
Hypoadrenalism [see Warnings and Precautions (5.7)]
Hypothyroidism [see Warnings and Precautions (5.8)]
Slipped capital femoral epiphysis [see Warnings and Precautions (5.9)]
Progression of preexisting scoliosis [see Warnings and Precautions (5.10)]
Pancreatitis [see Warnings and Precautions (5.11)]
Lipoatrophy [see Warnings and Precautions (5.12)]
Sudden death in pediatric patients with Prader-Willi syndrome [see Warnings and Precautions (5.13)]

6.1 Clinical Trials Experience

Because clinical trials are conducted under widely varying conditions, adverse reaction rates observed in the clinical trials of a drug cannot be directly compared to rates in the clinical trials of another drug and may not reflect the rates observed in practice.

Safety data are derived from a safety and efficacy study in pediatric patients with GHD [see Clinical Studies (14.1)]. The data from the 12-month main study period reflect exposure of 109 patients to NGENLA administered once weekly (0.66 mg/kg/wk) and 115 patients to somatropin administered once daily (0.034 mg/kg/day).

The mean age across the treatment groups, was 7.7 years (min 3.01, max 11.96); 40.2% of patients were >3 years to ≤7 years, 59.8% were >7 years, 71.9% of patients were male, and 28.1% were female. In this study, 74.6% of patients were White, 20.1% were Asian, 0.9% were Black or African American, 0.5% were American Indian or Alaska Native, 0.5% were Native Hawaiian or Other Pacific Islander, and for 3.6% race information was missing; 10.7% of patients identified as Hispanic or Latino. Baseline disease characteristics were balanced across treatment groups.

Table 1 shows the adverse reactions that occurred in ≥5% of patients treated with NGENLA or daily somatropin during the 12-month main study period. Reporting of injection site reactions was solicited through the use of a patient diary after each weekly injection for patients administered NGENLA and once weekly for patients administered daily injections of somatropin.

Table 1  Adverse Reactions Occurring in ≥5% of NGENLA- or Somatropin-Treated Pediatric Patients (52 Weeks of Treatment)
Adverse reactions that are medically related were grouped to a single preferred term.
*
Injection site reactions included: injection site pain (39% somatrogon-ghla vs 25% daily somatropin), injection site swelling/induration/hypertrophy/inflammation (10% somatrogon-ghla vs 1% daily somatropin), injection site erythema (8% somatrogon-ghla vs none daily somatropin), injection site pruritus (5% somatrogon-ghla vs none daily somatropin), injection site hemorrhage (5% somatrogon-ghla vs none daily somatropin).
Nasopharyngitis included: rhinitis, pharyngitis, rhinitis allergic, pharyngitis streptococcal, viral pharyngitis, nasopharyngitis.

Adverse Drug Reactions

Daily Somatropin

(N=115)

n (%)

NGENLA

(N=109)

n (%)

Injection site reactions*

29 (25.2)

46 (42.2)

Nasopharyngitis

33 (28.7)

36 (33)

Headache

25 (21.7)

18 (16.5)

Pyrexia

17 (14.8)

18 (16.5)

Anemia

10 (8.7)

10 (9.2)

Cough

9 (7.8)

9 (8.3)

Vomiting

9 (7.8)

8 (7.3)

Hypothyroidism

3 (2.6)

7 (6.4)

Abdominal pain

8 (7.0)

7 (6.4)

Rash

7 (6.1)

6 (5.5)

Oropharyngeal pain

4 (3.5)

6 (5.5)

Arthralgia

8 (7.0)

5 (4.6)

Otitis media

10 (8.7)

5 (4.6)

Tonsillitis

6 (5.2)

5 (4.6)

Bronchitis

9 (7.8)

3 (2.8)

Laboratory Tests

More NGENLA-treated patients shifted from normal eosinophil levels at baseline to elevated eosinophil levels at the end of the 12-month study compared to the daily somatropin group (29% vs 12%).

Medication Guide

Health Professional Information

{{section_name_patient}}

{{section_body_html_patient}}

Resources

Didn’t find what you were looking for? Contact us.

MI Digital Assistant

Chat online with Pfizer Medical Information regarding your inquiry on a Pfizer medicine.

Call 800-438-1985*

*Speak with a Pfizer Medical Information Professional regarding your medical inquiry. Available 9AM-5PM ET Monday to Friday; excluding holidays.

Medical Inquiry

Submit a medical question for Pfizer prescription products.

Report Adverse Event

Pfizer Safety

To report an adverse event related to the Pfizer-BioNTech COVID-19 Vaccine, and you are not part of a clinical trial* for this product, click the link below to submit your information:

Pfizer Safety Reporting Site

*If you are involved in a clinical trial for this product, adverse events should be reported to your coordinating study site.

If you cannot use the above website, or would like to report an adverse event related to a different Pfizer product, please call Pfizer Safety at (800) 438-1985.

FDA Medwatch

You may also contact the U.S. Food and Drug Administration (FDA) directly to report adverse events or product quality concerns either online at www.fda.gov/medwatch or call (800) 822-7967.