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Human Growth Hormone

HGH · Somatropin · rHGH · Genotropin

Pituitary & Trophic HormonesApproved
MW
285.26g/mol
Formula
C13H11N5O3

Human Growth Hormone (hGH), also known as somatotropin, is a peptide hormone produced by the anterior pituitary gland that plays a crucial role in growth, metabolism, and body composition. Researchers primarily study hGH for its effects on growth hormone deficiency (GHD) and its implications in various growth disorders. Key findings from recent studies indicate that long-acting formulations of hGH, such as lonapegsomatropin, demonstrate superior efficacy in height velocity compared to traditional daily injections, while maintaining a similar safety profile. Clinical evidence suggests that these advancements may enhance treatment adherence and overall outcomes in pediatric patients with GHD. Current research continues to explore the therapeutic potential of hGH and its derivatives in both pediatric and adult populations, highlighting its significance in endocrinology.

Overview

Übersicht

Human Growth Hormone (HGH), also known as somatropin or recombinant HGH (rHGH), is a peptide hormone produced by the anterior pituitary gland. It belongs to the class of pituitary and trophic hormones and plays a crucial role in growth and metabolism. Synthetic forms of HGH, such as somatropin, are used for therapeutic purposes, particularly in cases of growth hormone deficiency (GHD). Researchers have extensively studied HGH for its role in promoting growth and development in children and its potential applications in adults. The primary physiological roles of HGH include stimulating growth in children and adolescents, regulating body composition, body fluids, muscle and bone growth, sugar and fat metabolism, and possibly heart function. Researchers have observed that HGH is involved in numerous research areas, including its use in treating growth disorders and its potential anti-aging effects. HGH exerts its effects primarily through binding to the growth hormone receptor (GHR), which activates the JAK-STAT signaling pathway, leading to the production of insulin-like growth factor 1 (IGF-1) in the liver and other tissues. This cascade promotes growth and metabolic effects. Pharmacokinetically, the endogenous circulating half-life of HGH is approximately 20-30 minutes, but its effects are mediated through IGF-1, which has a longer half-life. Synthetic HGH formulations, such as lonapegsomatropin, are designed for extended release, reducing the frequency of administration. Clinically, HGH is used to treat growth hormone deficiency in both pediatric and adult patients. It has been approved by regulatory agencies such as the FDA for specific indications. Long-acting formulations like lonapegsomatropin have been developed to improve adherence by reducing the need for daily injections. HGH is a prescription medication and is subject to regulatory control in various countries.

Chemical profile

Chemische Struktur

Chemical structure of Human Growth Hormone
FormelC13H11N5O3
Molekulargewicht285.26g/mol
PubChem CID137552069
Mechanism

Wirkmechanismus

Human Growth Hormone acts on the growth hormone receptor (GHR), primarily activating the JAK-STAT signaling pathway. This activation leads to the production of insulin-like growth factor 1 (IGF-1), which mediates many of the growth-promoting and metabolic effects of HGH.

Mechanism

Signalweg

Human growth hormone (hGH) primarily exerts its effects by binding to the growth hormone receptor (GHR) on target cells, activating the JAK2/STAT5 signaling pathway, which leads to the transcription of growth-related genes. This activation promotes various biological processes, including linear growth, metabolism, and tissue repair. Additionally, hGH influences insulin-like growth factor 1 (IGF-1) production in the liver, further mediating its anabolic effects; however, the complete mechanism of action and all downstream pathways remain to be fully elucidated.

Half-Life & Pharmacokinetics

ENEndogenous

Circulating half-life ~20-30 minutes

SCSubcutaneous

Data limited

POOral

Poor bioavailability due to first-pass

Synthetic formulations like lonapegsomatropin are designed for extended release, allowing for weekly administration.

Storage

Temperature

Refrigerate at 2-8C

Light

Protect from light

Form

Aqueous solution: use within specified time after reconstitution

Notes

Follow specific storage instructions for each formulation to maintain efficacy.

Solubility

Löslichkeit

HGH is soluble in water, which is relevant for its formulation as an injectable solution.

Legal Status

🇩🇪DE

Verschreibungspflichtig (prescription only); not listed under BtMG.

🇺🇸US

FDA approved for specific indications; prescription required.

🇦🇺AU

TGA Schedule 4 (prescription only medicine).

🇬🇧UK

Prescription only medicine (POM) under MHRA regulation.

Legal status information is provided for general reference only and may not reflect the most current regulatory changes. Always verify with official government sources before making any decisions.

Open Questions

Offene Forschungsfragen

Current evidence is limited regarding the long-term safety and efficacy of lonapegsomatropin in diverse populations, particularly in adults and those with comorbid conditions. Further research is needed to establish the optimal dosing strategies and treatment duration for various age groups and to explore the impact of long-acting hGH formulations on metabolic health and quality of life. Additionally, larger randomized controlled trials are necessary to assess the long-term outcomes of pegvisomant in acromegaly treatment, including its effects on cardiovascular health and bone density.

73 Research Publications

2,237

Total Citations

39

Human/RCT

2.8

Avg. Influence

2025

Latest

Sort
Filter
#01

Receptor and antibody epitopes in human growth hormone identified by homolog-scanning mutagenesis.

In VitroInfluence7.0
300
Researchers observed that homolog-scanning mutagenesis identified critical epitopes on human growth hormone for receptor binding, aiding in understanding functional variations among homologous proteins.
#02

Glucocorticoids enhance stability of human growth hormone mRNA.

In Vitro
246
Researchers observed that glucocorticoids enhance the stability of human growth hormone mRNA, leading to increased gene expression in mouse fibroblasts.
#03

Dimerization of human growth hormone by zinc.

In VitroInfluence10.0
234
Researchers observed that zinc ions induce the dimerization of human growth hormone, enhancing its stability against denaturation.
#04

Transdermal delivery of human growth hormone through RF-microchannels.

AnimalInfluence3.0
135
The study demonstrated that transdermal delivery of human growth hormone through radio-frequency microchannels resulted in high bioavailability and bioactivity in rats and guinea pigs.
#05

Metabolic effects of human growth hormone in corticosteroid-treated children.

Case Report
100
The study demonstrated that corticosteroid-treated children exhibited impaired growth hormone response, indicating corticosteroid antagonism of human growth hormone effects at the peripheral tissue level.
#06

Effects of human growth hormone therapy on melanocytic naevi.

In Vitro
95
The study demonstrated that human growth hormone therapy significantly accelerates the growth rate of melanocytic naevi in treated patients compared to untreated controls.
#07

Human growth hormone abuse in male weightlifters.

Case ReportInfluence4.0
76
Researchers observed that illicit human growth hormone use is prevalent among young male weightlifters, often associated with anabolic-androgenic steroid dependence.
#08

Expression, secretion and folding of human growth hormone in Escherichia coli. Purification and characterization.

In VitroInfluence3.0
75
The study demonstrated that human growth hormone can be efficiently expressed and secreted in Escherichia coli, yielding high purity and proper folding.
#09

Weekly Lonapegsomatropin in Treatment-Naïve Children With Growth Hormone Deficiency: The Phase 3 heiGHt Trial.

Thornton Paul S, et al. · The Journal of clinical endocrinology and metabolism · 2021

HumanInfluence10.0
65
The study demonstrated that once-weekly lonapegsomatropin showed superior annualized height velocity compared to daily somatropin in treatment-naïve children with growth hormone deficiency, with similar safety profiles.

Key findings

  1. 01Lonapegsomatropin showed greater annualized height velocity compared to daily somatropin.
  2. 02Both treatments resulted in similar increases in height standard deviation scores.
  3. 03Safety and tolerability were comparable between the two treatment groups.
#10

PEGylation of somatropin (recombinant human growth hormone): impact on its clearance in humans.

In VitroInfluence1.0
61
Researchers observed that PEGylation of somatropin significantly increases its half-life and area under the curve in humans, suggesting altered pharmacokinetics compared to unmodified somatropin.

Clinical Trials (13)

Preclinical
Phase I
Phase II
Phase III
Approved

13

Total Trials

10,490

Total Enrolled

Safety and Efficacy of Long-term Somatropin Treatment in Children

NCT01543867COMPLETED
Sponsor

Novo Nordisk A/S

Enrollment

5,442

Started

2001

Primary outcome

Number of adverse events

Growth Hormone DisorderGrowth Hormone Deficiency in ChildrenFoetal Growth ProblemSmall for Gestational AgeGenetic DisorderTurner SyndromeGrowth DisorderIdiopathic Short Stature

The Efficacy and Safety of PEGylated GH for the Treatment of Short Stature in Chinese Children-GLOBE Reg

NCT06037473RECRUITING
Sponsor

Beijing Children's Hospital

Enrollment

2,600

Started

2023

Primary outcome

the change in height standard deviation score

Growth Hormone TreatmentGrowth Disorders

Long Term Use of Somatropin in Patients Small for Gestational Age

NCT00793325COMPLETED
Sponsor

Pfizer

Enrollment

920

Started

2009

Primary outcome

Number of Participants With Treatment Related Adverse Events.

Small for Gestational Age

Effects of Growth Hormone Therapy on Metabolic Function in Fatty Liver Post-Pituitary Adenoma Surgery

NCT06448195Phase 4RECRUITING
Sponsor

Shanghai Zhongshan Hospital

Enrollment

40

Started

2023

Primary outcome

the percentage of liver fat

Growth Hormone Treatment

The Effect of Somatropin Treatment in Adult Patients on Chronic Dialysis

NCT00503698Phase 3TERMINATED
Sponsor

Novo Nordisk A/S

Enrollment

712

Started

2007

Primary outcome

Mortality - Time to All-cause Death

Chronic Kidney DiseaseEnd-Stage Renal Disease

A Trial to Investigate Long Term Efficacy and Safety of Lonapegsomatropin in Adults With Growth Hormone Deficiency

NCT05171855Phase 3COMPLETED
Sponsor

Ascendis Pharma Endocrinology Division A/S

Enrollment

220

Started

2021

Primary outcome

Number of Participants With Treatment-Emergent Adverse Events (TEAEs), Serious TEAEs and TEAE Leading to Study Discontinuation

Adult Growth Hormone DeficiencyEndocrine System DiseasesHormone Deficiency

A Research Study in Children With a Low Level of Hormone to Grow. Treatment is Somapacitan Once a Week Compared to Norditropin® Once a Day (REAL4)

NCT03811535Phase 3COMPLETED
Sponsor

Novo Nordisk A/S

Enrollment

200

Started

2019

Primary outcome

Height Velocity: In-trial Observation Period

Growth Hormone Deficiency in Children

Effect of Growth Hormone in Children With Growth Hormone Deficiency

NCT00262249Phase 3COMPLETED
Sponsor

Novo Nordisk A/S

Enrollment

173

Started

2000

Primary outcome

Change in height standard deviation score

Growth Hormone DisorderGrowth Hormone Deficiency in ChildrenGrowth DisorderIdiopathic Short Stature

Study Aimed At Improving Height With Genotonorm In Children Born Little And/Or Light With Growth Retardation At The Age

NCT00174252Phase 3COMPLETED
Sponsor

Pfizer

Enrollment

57

Started

2005

Primary outcome

Percentage of Children With Insulin Growth Factor-1 (IGF-1) > 2 Standard Deviation (SD) at 9 and 12 Months

Fetal Growth Retardation

A Trial to Evaluate the Correlation Between Spontaneous Catch-up Growth, Clinical Response to Saizen (Recombinant Human Growth Hormone, r-hGH) and Gene Expression Profiling in Children Small for Gestational Age (SGA)

NCT01067352Phase 3TERMINATED
Sponsor

Merck KGaA, Darmstadt, Germany

Enrollment

25

Started

2004

Primary outcome

Correlation Between Gene Expression Profiling and Catch-up Growth in Small for Gestational Age (SGA) Children

Infant, Small for Gestational Age

Early hGH Treatment of SGA Infants to Prevent Irreversible Neurologic and Psychological Damage and Sequelae

NCT02326610Phase 2UNKNOWN
Sponsor

Tel-Aviv Sourasky Medical Center

Enrollment

20

Started

2014

Primary outcome

Changes in Cognitive assessments (using the Bayley Scales of Infant Development (BSID-III)

Infant, Small for Gestational AgeGrowth Hormone TreatmentInfant, Premature, Diseases

Growth Hormone Administration and the Human Immune System

NCT00663611Phase 1COMPLETED
Sponsor

National Institute on Aging (NIA)

Enrollment

66

Started

2006

Primary outcome

GH administration may elicit clinical significant and relevant changes in the human immune system

Healthy Volunteers

Growth Hormone and Brain Functioning After Traumatic Brain Injury

NCT01699308Phase 1COMPLETED
Sponsor

Joe Springer

Enrollment

15

Started

2009

Primary outcome

Change in brain function assessed by functional MRI

Traumatic Brain Injury

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This page is for informational and research purposes only. All information is based on published scientific literature and does not constitute medical advice, diagnosis, or treatment recommendations. Many substances listed may not be approved for human use and may be subject to drug regulation laws (e.g., AMG in Germany, FDA in the US). PepStack does not encourage the use of any substance on humans. Always consult a qualified healthcare professional before making any health-related decisions. Use of this information is entirely at your own risk. PepStack assumes no liability for the accuracy, completeness, or timeliness of the content provided. Full disclaimer