Novo Nordisk’s Sogroya Wins NMPA Approval for Pediatric Growth Hormone Deficiency

Novo Nordisk (NYSE: NVO) announced that its once‑weekly long‑acting growth hormone (LAGH) injection, Sogroya (somapacitan), received approval from China’s National Medical Products Administration (NMPA) for the treatment of growth retardation in children aged 2.5 years and older due to insufficient endogenous growth hormone secretion. The approval is based on the REAL6 Chinese study, which demonstrated comparable height velocity to daily somatropin with a lower treatment burden.

Regulatory Milestone

ItemDetails
Approval Date22 Dec 2025
AgencyNMPA (China)
ProductSogroya (somapacitan)
IndicationPediatric growth hormone deficiency (PGHD) in children ≥2.5 years
MechanismOnce‑weekly long‑acting growth hormone (LAGH) injection
Efficacy BasisREAL6 Chinese Phase 3 study (110 treatment‑naïve patients)

Clinical Evidence – REAL6 Study

ParameterSogroya (0.16 mg/kg/week)Daily Somatropin (0.034 mg/kg/day)Outcome
Treatment Duration52 weeks52 weeksHead‑to‑head comparison
Mean Height Velocity (HV)11.0 cm/yearComparableNon‑inferior efficacy
Injection Site Reactions2.7% incidenceNot reportedLow local tolerability issues
Injection Site Pain0% reportedNot reportedSuperior patient experience
Safety ProfileConsistent with daily formulationNo new safety signals
Treatment BurdenSignificantly lowerDaily injectionsImproved compliance

Market Opportunity

MetricValueContext
China PGHD Prevalence~30,000‑40,000 children (2025)<10% receive growth hormone therapy
China Growth Hormone Market¥8‑10 billion (≈ US$1.1‑1.4 B)Dominated by daily formulations; LAGH penetration <5%
Sogroya Peak Sales¥1.5‑2.5 billion (≈ US$210‑350 M) by 203030‑40% share of eligible PGHD segment
Competitive LandscapeDaily somatropin (Novo’s Norditropin, domestic biosimilars)First weekly LAGH approved for PGHD in China
Pricing StrategyPremium LAGH pricing justified by conveniencePotential for NRDL inclusion in 2026

Strategic Implications

  • For Novo Nordisk: First weekly LAGH for PGHD in China; cardiovascular indication (approved simultaneously) creates dual‑indication advantage; REAL6 data validates Chinese patient efficacy; strengthens metabolic disease leadership.
  • For Patients: Weekly dosing dramatically reduces injection burden vs. daily; low injection site reactions improve tolerability; proven efficacy supports growth normalization.
  • For Market: LAGH adoption will accelerate as physicians gain experience; pediatric endocrinology will shift toward long‑acting formulations; Novo’s platform positions for future combination therapies (e.g., GIP/GLP‑1 in growth disorders).

Forward‑Looking Statements
This brief contains forward‑looking statements regarding Sogroya’s commercial launch, market penetration, and NRDL negotiations. Actual results may differ due to competitive responses, pricing pressures, or patient adoption rates.-Fineline Info & Tech