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An isolated growth hormone deficiency characterized by autosomal recessive inheritance of low but detectable levels of GH, short stature, significantly retarded bone age, and a positive response and immunologic tolerance to growth hormone therapy that has material basis in mutation in the GH1 or GHRHR genes on chromosomes 17q23.3 and 7p14.3, respectively.
Features include always present findings: Micropenis, Short stature, Reduced circulating growth hormone concentration, and Decreased response to growth hormone stimulation test; and common findings: Acromicria. 6 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Growth and development | 3 | Short stature, Reduced circulating growth hormone concentration, Decreased response to growth hormone stimulation test |
Hormones | 2 | Reduced circulating growth hormone concentration, Decreased response to growth hormone stimulation test |
Bones and joints | 1 | Delayed skeletal maturation |
GH1 encodes growth hormone 1 (217 aa). Plays an important role in growth control. Its major role in stimulating body growth is to stimulate the liver and other tissues to secrete IGF1. Highest expression in Pituitary (53,059 TPM) and Brain Cerebellum (5.3 TPM).
Isolated growth hormone deficiency type IB is associated with mutations in the GH1 gene on chromosome 17.
GH1 is classified as a druggable target (Druggable Genome, Growth Factor, and Hormone Activity categories) with score 8.7.
Genetic testing for GH1 is available. Testing is considered confirmatory for diagnosis.
4 FDA-approved treatments are available for isolated growth hormone deficiency type IB, including SOMATROGON-GHLA (NGENLA, approved 2023), LONAPEGSOMATROPIN-TCGD (SKYTROFA, approved 2021), and SOMAPACITAN-BECO (SOGROYA, approved 2020). An additional 7 compounds hold orphan drug designation.
Brand Name | Generic Name | Mechanism | Approved | Market Status |
|---|---|---|---|---|
NGENLA | SOMATROGON-GHLA | — | 2023 | Available |
SKYTROFA | LONAPEGSOMATROPIN-TCGD | — | 2021 | Available |
SOGROYA | SOMAPACITAN-BECO | — | 2020 | Available |
MACRILEN | MACIMORELIN ACETATE | — | 2017 | Available |
The following drugs have received orphan drug designation from the FDA for isolated growth hormone deficiency type IB. Orphan designation reflects regulatory interest and does not indicate approval for treatment.
Brand Name | Generic Name | Sponsor | Designated | Exclusivity End | Designation Status |
|---|---|---|---|---|---|
Growth Hormone Releasing Hormone (GHRH) 1-44 Human Amide and Arginine | Growth Hormone Releasing Hormone (GHRH) 1-44 Human Amide and Arginine | Hollenbeck Pharmaceuticals, Inc. | 2022 | — | Designated |
recombinant human growth hormone fused to alpha1-antitrypsin variant | recombinant human growth hormone fused to alpha1-antitrypsin variant | Alteogen, Inc. | 2019 | — | Designated |
View trials for isolated growth hormone deficiency type IB
Phenotype severity distribution: 4 always present features, 1 common feature.
No clinical trials have been registered for isolated growth hormone deficiency type IB.
2 publications have been identified in PubMed for isolated growth hormone deficiency type IB. Research spans Case Report / Case Series (50%) and Clinical Trial Publication (50%).
Noorian S (2025). [PMID: 39980897](https://pubmed.ncbi.nlm.nih.gov/39980897/). *Clinical case reports*. [Case Report / Case Series]
Huang X (2024). [PMID: 39435354](https://pubmed.ncbi.nlm.nih.gov/39435354/). *Frontiers in endocrinology*. [Clinical Trial Publication]
Data assembled from 7 of 12 sources · Last updated Sep 19, 2026, 4:32 PM UTC
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Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
ibutamoren mesylate
ibutamoren mesylate |
Lumos Pharma LLC |
2017 |
— |
Designated |
recombinant growth hormone fused to hyFc | recombinant growth hormone fused to hyFc | Genexine, Inc. | 2016 | — | Designated |
growth hormone releasing hormone, 1-44 human amide | growth hormone releasing hormone, 1-44 human amide | Hollenbeck Pharmaceuticals, Inc. | 2016 | — | Designated |
recombinant human serum albumin human growth hormone | recombinant human serum albumin human growth hormone | TEVA Branded Pharmaceutical Products R&D, Inc. | 2016 | — | Withdrawn |
somavaratan | somavaratan | Versartis, Inc. | 2013 | — | Designated |
AI-curated news mentioning isolated growth hormone deficiency type IB
Updated Aug 24, 2026
A new study explores precision dosing strategies for pediatric growth hormone deficiency, comparing daily and weekly administration of growth hormone. This research could inform treatment protocols and improve outcomes for affected children.
A case-based review highlights the relationship between paediatric sellar mature teratoma and isolated growth hormone deficiency. This study contributes to the understanding of rare teratomas and their potential endocrine implications in children.
Recent research highlights the role of pituitary developmental gene defects in contributing to growth hormone deficiency. This study provides insights into the genetic underpinnings of this condition, which may inform future therapeutic strategies.
FDA approves Ascendis' Yuviwel for the treatment of dwarfism, introducing a once-weekly injection to compete with BioMarin’s daily Voxzogo. This approval opens new market opportunities in the growth hormone deficiency space.