Related Experiment Video
Updated: Jun 9, 2026

Validation of Therapeutic Agent Conjugation to Polyvinyl Alcohol-Coated Medical Devices
Published on: November 29, 2024
Patient-Centric Design of the Lonapegsomatropin Auto-Injector for Growth Hormone Deficiency: Usability Validation of
Michael Lau1, Paul Erik Fabricius2, Nils Berg Madsen3
1Human Factors Engineering, Insight by Nemera, Chicago, IL, USA.
Insights
The lonapegsomatropin Auto-Injector offers a user-friendly solution for pediatric growth hormone deficiency (pGHD) treatment. This device facilitates successful weekly injections, potentially improving adherence and growth outcomes.
Area of Science:
- Pediatric Endocrinology
- Drug Delivery Systems
- Patient Adherence
Background:
- Daily human growth hormone (hGH) injections for pediatric growth hormone deficiency (pGHD) present challenges like needle anxiety.
- These challenges can lead to poor treatment adherence and suboptimal growth outcomes.
Purpose of the Study:
- To evaluate the usability of the lonapegsomatropin (TransCon hGH) Auto-Injector for once-weekly treatment of pGHD.
- To assess the device's potential to minimize injection challenges and improve patient adherence.
Main Methods:
- A usability validation study was conducted under simulated-use conditions.
- Participants included pediatric patients with pGHD, caregivers, and healthcare providers (HCPs).
- Simulated injections were performed by both naive and experienced individuals, with some receiving training.
Main Results:
- All participants (135 total) successfully completed simulated injections.
- 98% of participants felt confident using the device as intended, with or without supervision.
- Observed use deviations were low across all participant groups (patients, caregivers, HCPs).
Conclusions:
- The lonapegsomatropin Auto-Injector features a user-centric design for successful and confident administration.
- The device has the potential to overcome barriers associated with growth hormone injections.
- Improved adherence facilitated by the Auto-Injector may lead to better treatment outcomes for pGHD.
Purpose:
Treatment of pediatric growth hormone deficiency (pGHD) with daily somatropin (human growth hormone [hGH]) injections is associated with challenges including needle anxiety, which may lead to poor adherence and ultimately result in suboptimal growth outcomes. The lonapegsomatropin (TransCon hGH, SKYTROFA®) Auto-Injector, designed to deliver once-weekly lonapegsomatropin for the treatment of pGHD while minimizing injection challenges, was validated in usability studies in pGHD.
Patients And Methods:
The Auto-Injector was evaluated in a usability validation study conducted under simulated-use conditions in accordance with FDA guidance, involving simulated injections performed by injection-naive or injection-experienced patients with pGHD or proxy medical conditions, caregivers, and health care providers (HCPs) responsible for injections or training patients/caregivers. Half of the patient and caregiver participants received training by a Nurse Trainer.
Results:
All participants (60 children, 60 caregivers, and 15 HCPs) were able to complete an injection successfully. All participants reported that they could follow the instructions as written, and 98% felt they could use the device as intended on their own or, for pediatric patients, with supervision. Use deviations observed for injection tasks for all participant groups were low: patients (3.2% of tasks), caregivers (2.4%), and HCPs (2.8%).
Conclusion:
The user-centric design of the lonapegsomatropin Auto-Injector enables successful and confident use to deliver an injection as intended, with the potential to overcome known barriers associated with GH injections and facilitate adherence, which may improve treatment outcomes.
Related Concept Videos
Parenteral Drug Delivery Systems: Injectables, Implants, and Infusion Devices
Insulin Formulations: Types and Delivery
Short-acting insulins are divided into rapid-acting...
Insulin: Dosing Regimen and Adverse Effects
The basal dose constitutes about 40%-50% of the total daily dose, with the rest as premeal insulin. The mealtime insulin dose should mirror...
Bioavailability Study Design: Healthy Subjects Versus Patients
Modified-Release Drug Delivery Systems: Rate-Programmed I
