A Phase 3, Multicenter Study Designed To Evaluate The Efficacy And Safety Of A Long Acting Hgh Product (Mod-4023) In Adult Subjects With Growth Hormone Deficiency

Inclusion Criteria:

- Men and women between the age of 23 to 70 years old at screening, inclusive

- GHD subjects as defined in the Consensus guidelines for the diagnosis and treatment
of adults with GH deficiency II (2007).

- No r-hGH replacement therapy or use of GH secretagogues for at least 9 months with
any registered or investigational r-hGH or GH secretagogue product.

- The IGF-I level at screening ≤-1 SDS of the age and sex normal ranges according to
the central laboratory measurements

- Subjects who are on a stable diet and exercise regime and do not have plans to modify
their diet or exercise for at least 12 months

- Subject had a DXA screening and the results are interpretable according to the study
plan.

Exclusion Criteria:

- Women who are pregnant or breast-feeding (at least 6 months delay from childbirth or
lactation)

- Evidence of growth benign intracranial tumor within the last 12 months (determined by
comparing a previous MRI to a new one obtained no more than 6 months prior to study
entry to clarify dynamics of growth).

- History of any cancer. Exceptions to this exclusion criterion include resected in
situ carcinoma of the cervix and squamous cell or basal cell carcinoma of the skin
with complete local excision. Patients with GHD attributed to treatment of
intracranial malignant lesions in childhood or adulthood (or, tumors) or leukemia may
also be enrolled into the study provided that a recurrence-free survival period of at
least 5 years is well documented in the study record.

- Signs of intracranial hypertension at screening

- Heart insufficiency, NYHA class > 2 (Appendix B)

- History of overt diabetes mellitus (including currently treated, well-controlled DM)
defined according to the American Diabetes Association (ADA) Criteriaa. A history of
gestational diabetes, resolved after childbirth, is not exclusionary.

- History of Acromegaly