Омнитроп

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Омнитроп

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Medically reviewed

Marina Burgos

Last updated on 22/12/2025

This page provides general, reference-level information compiled from official medical sources. It is not a substitute for professional medical advice, diagnosis, or treatment. For decisions about your health, please consult a qualified healthcare professional.

Overview of Омнитроп

Quick Facts

Property Description
Active ingredient Somatropin (recombinant human growth hormone)
Form Lyophilized powder or solution for injection
Pharmacological class Growth Hormones (Pituitary and Hypothalamic)
Common use Replacement therapy to support growth and metabolism
Origin Biosimilar Biologic Drug (Recombinant DNA technology)

What Type of Medicine is Омнитроп (Somatropin)?

Омнитроп is a specialized biosimilar biologic drug whose active component is Somatropin. It is scientifically classified as a Growth Hormone, falling under the endocrine agents category. This medicine is a recombinant human growth hormone (rhGH) produced using advanced recombinant DNA technology. This synthetic process ensures the Somatropin protein structure is virtually identical to the natural hormone, Somatotropin, made in the human pituitary gland.

This high fidelity is supported by extensive pharmacological studies, confirming that Омнитроп is clinically recognized as a biosimilar to the reference Somatropin product, providing a precise, targeted replacement therapy.

Composition and Physical Form of Омнитроп

The medicine is a single active ingredient product, containing only Somatropin. As a prescription-only medicine manufactured by Sandoz, it is typically supplied for subcutaneous injection either as a lyophilized powder that requires reconstitution or as a ready-to-use solution for injection in cartridges. The injectable form is necessary because, as a large peptide hormone, the active ingredient would be rapidly broken down and inactivated by the digestive system if taken orally. The final preparation is always an aqueous solution with stabilizing excipients.

The General Purpose of Recombinant Growth Hormone

The general purpose of this therapy is to provide hormonal replacement to individuals who are unable to produce sufficient levels of the natural hormone. Somatropin's core action is stimulating cell reproduction and regeneration, which is vital for promoting linear growth in children and supporting the health of various tissues, including muscle and bone. The effectiveness of Somatropin is well-established in endocrinology, assisting in maintaining healthy body composition and overall physical integrity.

Regulatory References

  1. Omnitrope EPAR
  2. Somatropin Injection: MedlinePlus Drug Information

What side effects are possible with Омнитроп?

Possible Side Effects and Safety Information

The safety profile for Somatropin (Омнитроп) is officially documented by government health authorities, classifying adverse reactions by frequency and physiological system affected.

Classification Examples of Officially Documented Adverse Reactions
Very Common Injection site reactions (pain, redness, swelling), peripheral edema (fluid retention), arthralgia (joint pain), and headache.
Common Myalgia (muscle pain), stiffness, paresthesia (tingling/numbness), carpal tunnel syndrome, and impaired glucose tolerance.

These effects are grouped into System-Organ Classes such as Musculoskeletal, Nervous System, and Metabolism and Nutrition Disorders, reflecting the hormone's regulatory effects on the body. Symptoms like edema and joint pain are often observed early in treatment and may be related to the dose.

Serious Adverse Reactions and restrictions are highlighted in official labeling. The medicine is contraindicated in patients with active malignancy, acute critical illness following major surgery or trauma, and in pediatric patients after epiphyseal closure. Specific risks include Benign Intracranial Hypertension (BIH), which typically develops within the first eight weeks of therapy, and the potential for Slipped Capital Femoral Epiphysis in children. The label requires the monitoring of thyroid function and glucose levels due to the potential for metabolic changes. Furthermore, the use of Somatropin is specifically restricted in severely obese patients with Prader-Willi Syndrome who have severe respiratory impairment.

Overdose and Emergency Response

Overdose and When to Seek Help

Official regulatory documents define the risk of overdose with Omnitrop (somatropin) based on the duration of exposure—either short-term (acute) or long-term (chronic).

Documented Overdose Presentations

1. Acute (Short-Term) Overdose

An overdose over a brief period is associated with immediate but temporary effects on the body's metabolism. These effects include a temporary drop in blood sugar (hypoglycemia) followed by an elevated blood sugar (hyperglycemia). Fluid retention (edema) is also a documented, transient presentation of an acute overdose.

2. Chronic (Long-Term) Overdose

Overdosing for an extended period, which may span several months or years, carries a significantly higher risk of serious and irreversible complications. In pediatric patients whose growth plates are still open, chronic overexposure can lead to gigantism. In adults, or when growth plates are closed, chronic overdose can result in acromegaly. Both of these conditions can have severe and potentially fatal consequences.

When to Seek Emergency Help

Immediate medical attention is required for any suspected case of overdose, regardless of whether the individual is showing symptoms. Regulatory guidelines strictly advise contacting a doctor, hospital emergency department, or a regional Poison Control Center right away. This immediate action is necessary because even mild initial symptoms may mask the development of serious, life-threatening complications related to chronic overexposure.

Therapeutic Uses of Омнитроп

What Омнитроп treats: Main Uses and Benefits

This medication is a recombinant human growth hormone commonly used in the management of specific issues related to growth and body composition.

Therapeutic Focus and Benefits

Омнитроп is generally used to support growth in pediatric patients and as a long-term replacement therapy for adults with confirmed growth hormone deficiency (GHD). In children, the treatment is relevant for easing the manifestations of short stature associated with conditions such as Turner syndrome, Prader-Willi syndrome, Short Stature associated with Small for Gestational Age, and Idiopathic Short Stature. The key benefit in children is helping to support the potential for increased linear growth and contributing to their physical development.

In adults, it is applied to assist in easing distressing symptoms like reduced muscle strength, poor bone density, and chronic symptoms of low energy. This medication is applied across domains where additional symptomatic support is needed.

“This therapy is relevant for easing symptoms linked to systemic imbalance, helping patients cope more steadily with symptom fluctuations.”

Quick Fact: Support for Low Energy Symptoms

These benefits contribute to improved comfort during periods of symptomatic fluctuation, assisting with functional stability and general well-being.

Eligibility and Restrictions for Use

Eligibility Map: Who Can and Cannot Use Omnitrope (Somatropin)

The eligibility for Omnitrope is strictly defined by regulatory documents, establishing clear limitations on who may and must not receive the medicine.

Absolute Contraindications

Omnitrope is contraindicated and must not be used in specific high-risk populations. These include patients with active malignancy or evidence of tumor activity, those who are acutely critically ill (e.g., following major surgery or trauma), and children whose growth plates are closed (fused epiphyses), if the intent is growth promotion. Use is also prohibited in children with Prader-Willi Syndrome who are severely obese or have severe respiratory impairment.

Condition-Based Restrictions

Patients with active proliferative or severe non-proliferative diabetic retinopathy are ineligible. While the medicine is indicated for growth failure in Chronic Renal Insufficiency (CRI), treatment must be discontinued at the time of renal transplantation. In older adults, clinical experience is limited, and treatment should proceed with caution and the lowest effective dose.

Pregnancy and Lactation Status

Official labeling classifies the medicine as Pregnancy Category B, and its use is not recommended unless clearly needed. Caution is advised for nursing mothers as excretion into human milk is unknown.

What should I know about interactions with other medicines?

Omnitrope (somatropin) is a human growth hormone that may interact with other medications, requiring dosage adjustments or careful monitoring. It is essential to inform your healthcare provider about all prescription, over-the-counter (OTC), and herbal products you are taking.

Key Drug Interactions

Drug Class/Type Potential Effect of Interaction Clinical Management Consideration
Glucocorticoids/Corticosteroids (e.g., prednisone, hydrocortisone) Can inhibit the growth-promoting effect of somatropin. Dosage of the corticosteroid may need adjustment to prevent impaired growth
Antidiabetic Agents (e.g., insulin, metformin) Somatropin can decrease insulin sensitivity, potentially raising blood sugar levels. Doses of insulin or oral antidiabetic agents may need to be increased. Monitor blood glucose closely.
Oral Estrogen (e.g., birth control pills, hormone replacement) May require a higher dose of Omnitrope to achieve the therapeutic goal. Somatropin dose may need to be adjusted upwards, especially when oral estrogen therapy begins.
Cytochrome P450-Metabolized Drugs (e.g., cyclosporine, certain anticonvulsants) Somatropin can accelerate the clearance of drugs metabolized by the CYP450 liver enzymes, making them less effective. Close monitoring of the interacting drug's levels and effects is recommended.

It is also important to note that initiating Omnitrope therapy may unmask previously undiagnosed central (secondary) hypoadrenalism, potentially necessitating glucocorticoid replacement.

Mechanism of Action

The core mechanism of Омнитроп (Somatropin) involves the central axis that controls growth and metabolism, driven by two sequential mechanistic domains.


GHR Activation and the Systemic IGF-1 Axis

Омнитроп works by acting as a full agonist that binds directly to the Growth Hormone Receptor (GHR) on cell surfaces, immediately activating the associated JAK2 kinase. This initial molecular event initiates the entire signaling cascade, primarily triggering the enhanced synthesis and endocrine release of Insulin-like Growth Factor 1 (IGF-1) from the liver. This system-wide release of IGF-1 serves as the crucial mediator, modulating processes related to growth and tissue regeneration.


Anabolic and Skeletal Mechanistic Consequences

The molecular cascade leads to two main physiological consequences: skeletal lengthening and continuous cellular turnover in various tissues. IGF-1 acts to stimulate the proliferation of chondrocytes within the epiphyseal growth plates, directly promoting skeletal development. Simultaneously, the drug’s direct GHR activation in muscle and fat tissue drives anabolic processes (protein synthesis) and induces lipolysis (fat breakdown), leading to shifts in body composition and modulation of energy substrate utilization.

Dosage and Administration Information

Administration Overview

Proper administration is essential for the effective use of this medication. The process involves preparing the solution, selecting appropriate injection sites, and maintaining a consistent schedule as determined by a healthcare provider.

Preparation and Handling

The medication must be handled with care to maintain its stability. If the product requires reconstitution, the solvent should be added gently to the powder. Vigorous shaking of the vial must be avoided, as this can denature the protein and render the medication ineffective. Before use, the solution should be inspected visually; it should be clear and free of particles.

Injection Technique

The medication is typically administered via subcutaneous injection. This involves delivering the solution into the fatty tissue layer just beneath the skin. Common areas for injection include the thighs, buttocks, or abdomen.

To prevent localized tissue changes, such as the loss of subcutaneous fat at the injection site, it is important to rotate the site of administration daily. The medication should not be injected into areas that are bruised, red, or hard.

Timing and Storage

Consistency in the timing of injections helps maintain steady levels of the hormone in the body. It is often recommended to administer the dose in the evening to mimic the body's natural physiological secretion patterns.

Unused portions of the medication must be stored according to specific temperature requirements to ensure continued potency. Any solution that has changed color or contains visible debris should not be used.

Recent Clinical Evidence

Research Evidence / Overview of Studies for Омнитроп


Evidence for Use in Children with Growth Hormone Deficiency (GHD)

The research conducted for this indication explored the context of Omnitrope in children whose bodies produce insufficient natural growth hormone. Study designs included short-term Randomized Controlled Trials (RCTs) where Omnitrope was compared against the original reference somatropin product. These trials research examined key growth parameters over defined time intervals. This core data is further supported by long-term, multinational, non-interventional registry data, which studies monitored children over many years in routine care settings.

Comparative short-term trials reported metrics showing patterns in the measured outcomes for the biosimilar compared to the reference somatropin product. The extensive registry follow-up research describes how growth metrics varied over time in the study populations. What remains uncertain is that the initial comparative RCTs only provided short-term observations (typically under one year) on growth changes; definitive assessment of final adult height requires observation that extends over many years.


Evidence for Use in Adults with Growth Hormone Deficiency (GHD)

The research structure for the use of Omnitrope in adults with GHD differed from the studies conducted for children. Regulatory decisions relied heavily on scientific extrapolation from the efficacy data of the somatropin class, supported by longitudinal observational post-marketing surveillance (PMS) studies specific to Omnitrope. These studies examined various parameters related to metabolic changes, primarily focusing on changes in body composition and bone mineral density (BMD).

Studies described patterns observed during the longitudinal monitoring of these metabolic parameters in adults. The key study limitation here is the lack of dedicated Omnitrope-specific Randomized Controlled Trials conducted directly in the adult GHD population. Consequently, certainty remains low for product-specific data, and long-term effects are not fully established regarding the impact on major clinical outcomes like heart disease, requiring continuous observation.


Synthesis of Evidence Gaps and Areas of Uncertainty

A review of the research indicates several areas where data are still emerging or evidence is limited. Comparative evidence is lacking for many of the less common pediatric indications (like Turner Syndrome or Prader-Willi Syndrome), where the evidence structure relies on the established efficacy of the somatropin class. Findings for certain subgroups remain uncertain in heterogeneous conditions like Idiopathic Short Stature, where variability across studies in measured outcomes was observed in some studies.

Key Studies & References

  1. A Phase 3, Multicenter, Randomized, Open-Label, Comparative Study of Efficacy and Safety of Omnitrope vs. Genotropin in Children with GHD
  2. PATRO Children and Adults: An Observational Study of Somatropin Treatment (Registry Data)

Frequently Asked Questions (FAQ)

Common questions about Омнитроп (FAQ)

Q: What is the difference between Омнитроп and other somatropin medicines, according to official sources?

Омнитроп is officially classified as a biosimilar to the reference somatropin product. Official documents confirm that the active ingredient, somatropin, has a structure that is highly similar to the natural hormone. Its efficacy and safety profile is considered highly similar to the reference product, supporting its clinical use, but differences may exist in non-active ingredients or the delivery device.

Q: What type of monitoring is required when a patient is using Омнитроп?

Monitoring is necessary due to the effect of somatropin on the body's metabolism. Monitoring typically includes checks of thyroid function and blood glucose levels (e.g., HbA1c) to track potential metabolic changes. Additionally, the concentration of IGF-I (Insulin-like Growth Factor 1) in the blood is measured and used to help guide appropriate dosage adjustments.

Q: Does long-term use of Омнитроп require regular laboratory testing?

Yes. According to the official product information, continued treatment generally requires regular laboratory testing for ongoing safety monitoring and dose adjustment. Testing is generally required to monitor parameters like IGF-I concentration and thyroid function throughout the treatment period.

Q: How does Омнитроп compare to the reference product (Genotropin) in terms of safety and efficacy?

Clinical studies and post-marketing surveillance data indicate that Омнитроп is considered comparable in safety and efficacy to the reference somatropin product. This comparability is consistent with its clinical recognition as a biosimilar for the approved therapeutic indications.

Q: How is the administration of Омнитроп different for the pen device versus the vial and syringe?

Омнитроп is supplied in forms that require different preparation steps. The vial contains a lyophilized powder which must first be carefully mixed with a diluent (reconstituted) before it is injected. In contrast, the cartridge/pen device typically contains a ready-to-use solution, simplifying the preparation process. Both forms are administered through a subcutaneous injection.

Q: How quickly can a person expect to see changes after starting Омнитроп?

Clinical benefits of somatropin therapy, such as changes in linear growth velocity, are typically measured over several months of continuous treatment. However, official studies indicate that metabolic changes—such as shifts in body composition (a decrease in fat mass and an increase in lean muscle mass)—may be observed within the initial months of therapy initiation.

Q: Does Омнитроп start working immediately, or does it take time?

The active ingredient, somatropin, is rapidly absorbed into the bloodstream after a subcutaneous injection, with peak concentration typically reached within about four hours. However, observable clinical effects and benefits, such as skeletal growth, typically take longer to become apparent.

Q: What is the expected length of time for treatment with Омнитроп?

The length of treatment with Омнитроп is strictly individualized based on the patient's condition and their response. In children, treatment often continues until the patient reaches final adult height. For adults with Growth Hormone Deficiency (GHD), treatment may be indefinite but is subject to periodic clinical re-evaluation.

Q: What are the signs of a potential allergic reaction to Омнитроп?

Official warnings describe a risk of severe hypersensitivity reactions, including anaphylaxis, with somatropin products. Signs that may indicate a serious reaction include a sudden rash, itching, difficulty breathing, or swelling of the face, lips, or tongue. Official documents emphasize that immediate medical attention should be sought if these signs occur.

Q: Can Омнитроп interact with common non-prescription medications or supplements?

Regulatory documents primarily focus on known interactions with prescription drug classes, such as corticosteroids and antidiabetic agents. However, patient counseling guidance consistently advises informing a healthcare provider about all prescription, over-the-counter (OTC) medicines, vitamins, and herbal supplements that are being used.

Q: Is Омнитроп typically used to treat children with Idiopathic Short Stature (ISS)?

Yes. Омнитроп is indicated for the treatment of pediatric patients diagnosed with Idiopathic Short Stature (ISS), provided they meet specific criteria defined in the prescribing information. This is one of the approved uses for the medication in children.

Q: What does 'Small for Gestational Age (SGA)' mean in the context of Омнитроп treatment?

Small for Gestational Age (SGA) is an approved pediatric indication for Омнитроп. It refers to children who were born significantly smaller than expected for their gestational age and who fail to show catch-up growth by an age specified in the prescribing information.

Q: What official research has been done to track the long-term effects of Омнитроп?

Long-term safety and effectiveness are tracked through ongoing, multinational post-marketing surveillance studies, such as patient registries and longitudinal observational follow-up studies. These studies monitor patients over many years in routine care settings to assess outcomes related to safety, growth metrics, and the development of metabolic conditions.

Q: Are there different forms of Омнитроп available, such as liquid cartridges versus powder vials?

Yes, regulatory information confirms that Омнитроп is supplied in two main forms. It is available as a solution for injection in prefilled cartridges (for use with a pen device) and as a lyophilized powder in a vial that requires mixing with a diluent before injection.

Q: What is the difference in storage conditions for the cartridge versus the loaded pen?

The unopened cartridges and vials must be stored in a refrigerator (2°C–8°C) and protected from light. Once a cartridge is first used (or loaded into the pen), it should remain refrigerated and is typically discarded after 28 days, regardless of the remaining volume.

Q: Does Омнитроп cause changes in a child's appetite or mood?

Official product information, in its classification of potential adverse reactions, has listed changes to appetite and depressed mood as possible, though less common or rare, side effects that may be associated with somatropin therapy.

Q: Is there a link described in regulatory documents between Омнитроп and changes in body weight?

Regulatory documents describe the pharmacological action of somatropin as leading to beneficial changes in body composition, including an increase in lean body mass and a decrease in total body fat mass. These metabolic shifts are part of the therapy's action on body composition, which may be associated with changes in overall weight.

Q: Does the efficacy of Омнитроп vary significantly between adults and children?

The therapeutic goals and dosing regimens for Омнитроп differ significantly between pediatric and adult patients. Efficacy in children focuses primarily on achieving skeletal growth, whereas efficacy in adults focuses on metabolic changes, such as improved body composition and bone mineral density, reflecting different physiological endpoints.

Q: Is there any evidence in official studies of a potential increased risk of bone tumors with somatropin use?

Pre-clinical and non-clinical toxicology studies for somatropin have examined the potential for increasing tumor risk. Official safety information requires close monitoring of patients with a history of malignancy, but specific evidence indicating an increased risk of bone tumors has not been established in these regulatory safety reports.

Q: Are there any known effects of Омнитроп on bone density in adults?

One of the goals of somatropin therapy in adults with Growth Hormone Deficiency (GHD) is the support of bone health. Clinical studies for adult GHD have reported that bone mineral density (BMD) can stabilize or improve over the course of treatment.

Q: Is the efficacy of Омнитроп measured only by height increase in children?

No. While changes in height velocity are a crucial parameter in children, the efficacy of Омнитроп is also monitored using other physiological markers. This includes tracking IGF-I concentrations and closely monitoring for adverse effects like changes in glucose tolerance and thyroid function.

How should Омнитроп be stored and disposed of?

Storage and Disposal of Omnitrope (Somatropin)

The official labeling mandates strict storage conditions to maintain the stability of Omnitrope. The product, in all forms, must be stored in a refrigerator at a temperature between 2°C to 8°C (36°F to 46°F).

Storage and Stability Rules

Condition
Do not freeze the product at any point.
Store in the original carton to protect the medicine from light.
The product must be kept out of the sight and reach of children.
Cartridges must be discarded 28 days after the first use, even if product remains.
Reconstituted vials must be discarded 21 days after mixing.

Disposal Requirements

Used needles and cartridges must be placed immediately into an FDA-cleared sharps disposal container. Unused or expired medication, as well as the sealed sharps container, must be disposed of according to local community guidelines or pharmaceutical take-back programs. The medicine must not be thrown in household trash or poured into wastewater.

Attention! Always consult to a doctor or pharmacist before using pills or medicines.

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