Trial Outcomes & Findings for Non Interventional Study For Patients Treated With Somavert® (NCT NCT00858143)

NCT ID: NCT00858143

Last Updated: 2009-09-02

Results Overview

Long term safety of Somavert in treatment of patients with acromegaly

Recruitment status

COMPLETED

Target enrollment

311 participants

Primary outcome timeframe

Baseline up to 5 years

Results posted on

2009-09-02

Participant Flow

Somavert® (active ingredient: Pegvisomant 10/15/20 mg). Dose and schedule were at discretion of each treating physician. Safety evaluations based on all 311 patients who received at least one dose of Somavert® (safety set). Results from 270 patients in the intent-to-treat (ITT) population were analyzed to evaluate the efficacy of Somavert® therapy.

Participant milestones

Participant milestones
Measure
Somavert®
Somavert® 10/15/20 milligrams (mg)(active ingredient: Pegvisomant)
Overall Study
STARTED
311
Overall Study
COMPLETED
261
Overall Study
NOT COMPLETED
50

Reasons for withdrawal

Reasons for withdrawal
Measure
Somavert®
Somavert® 10/15/20 milligrams (mg)(active ingredient: Pegvisomant)
Overall Study
Adverse Event
16
Overall Study
Lack of Efficacy
4
Overall Study
Death
7
Overall Study
Other
23

Baseline Characteristics

Non Interventional Study For Patients Treated With Somavert®

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Somavert®
n=311 Participants
Somavert® 10/15/20 milligrams (mg)(active ingredient: Pegvisomant)
Age Continuous
50.3 years
STANDARD_DEVIATION 13.8 • n=5 Participants
Sex: Female, Male
Female
154 Participants
n=5 Participants
Sex: Female, Male
Male
157 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline up to 5 years

Population: Safety Population; all patients who received at least one dose of Somavert® during the observation period.

Long term safety of Somavert in treatment of patients with acromegaly

Outcome measures

Outcome measures
Measure
Somavert®
n=311 Participants
Somavert® 10/15/20 milligrams (mg)(active ingredient: Pegvisomant)
Serious Adverse Events (SAE) and Adverse Events (AE)
Serious Adverse Events (SAE's)
116 participants
Serious Adverse Events (SAE) and Adverse Events (AE)
Adverse Events (AE's)
197 participants

SECONDARY outcome

Timeframe: Baseline, Follow-up 1 (FUP 1) at ~6 months , Follow-up 2 (FUP 2) at ~12 months, Follow-up 3 (FUP 3) at ~ 24 months, Follow-up 4 (FUP 4) at ~ 36 months, Follow-up 5 (FUP 5) at ~ 48 months, Follow-up 6 (FUP 6)at ~60 months

Population: Intent to Treat (ITT) Population, subjects who received at least one dose of Somavert during the observation period and had baseline and at least one post baseline efficacy measurement (n=number of subjects with efficacy measurement).

Change: IGF-I concentration at observation minus IGF-I concentration at baseline (local laboratory, different assay).

Outcome measures

Outcome measures
Measure
Somavert®
n=270 Participants
Somavert® 10/15/20 milligrams (mg)(active ingredient: Pegvisomant)
Change From Baseline Insulin-like Growth Factor I (IGF-I)
Follow-up 1 (n=243)
-200.3 micrograms per liter (ug/l)
Standard Deviation 239.1
Change From Baseline Insulin-like Growth Factor I (IGF-I)
Follow-up 2 (n=202)
-202.6 micrograms per liter (ug/l)
Standard Deviation 327.7
Change From Baseline Insulin-like Growth Factor I (IGF-I)
Follow-up 3 (n=131)
-273.7 micrograms per liter (ug/l)
Standard Deviation 251.3
Change From Baseline Insulin-like Growth Factor I (IGF-I)
Follow-up 4 (n=71)
-319.6 micrograms per liter (ug/l)
Standard Deviation 234.7
Change From Baseline Insulin-like Growth Factor I (IGF-I)
Follow-up 5 (n=18)
-296.6 micrograms per liter (ug/l)
Standard Deviation 189.6

SECONDARY outcome

Timeframe: Baseline, 6 months (follow-up 1-FUP 1), 12 months (FUP 2), 24 months (FUP 3), 36 months (FUP 4), 48 months (FUP 5)

Population: Intent to Treat (ITT) Population, subjects who received at least one dose of Somavert during the observation period and had baseline and at least one post baseline efficacy measurement (n=number of subjects with efficacy measurement).

Number of participants who have IGF-I values within normal range (local laboratory, different assay).

Outcome measures

Outcome measures
Measure
Somavert®
n=270 Participants
Somavert® 10/15/20 milligrams (mg)(active ingredient: Pegvisomant)
IGF-I Values Within Normal Range
Baseline (n=266)
59 participant
IGF-I Values Within Normal Range
Follow-up 1 (n=261)
156 participant
IGF-I Values Within Normal Range
Follow-up 2 (n=222)
154 participant
IGF-I Values Within Normal Range
Follow-up 3 (n=147)
108 participant
IGF-I Values Within Normal Range
Follow-up 4 (n=79)
56 participant
IGF-I Values Within Normal Range
Follow-up 5 (n=21)
14 participant

SECONDARY outcome

Timeframe: Baseline, 6 months (follow-up 1-FUP 1), 12 months (FUP 2), 24 months (FUP 3), 36 months (FUP 4), 48 months (FUP 5)

Population: Intent to Treat (ITT) Population, subjects who received at least one dose of Somavert during the observation period and had baseline and at least one post baseline efficacy measurement (n=number of subjects with efficacy measurement).

Number of participants who have IGF-I values above normal range (local laboratory, different assay).

Outcome measures

Outcome measures
Measure
Somavert®
n=270 Participants
Somavert® 10/15/20 milligrams (mg)(active ingredient: Pegvisomant)
IGF-I Values Above Normal Range
Baseline (n=266)
207 participant
IGF-I Values Above Normal Range
Follow-up 1 (n=261)
105 participant
IGF-I Values Above Normal Range
Follow-up 2 (n=222)
68 participant
IGF-I Values Above Normal Range
Follow-up 3 (n=147)
39 participant
IGF-I Values Above Normal Range
Follow-up 4 (n=79)
23 participant
IGF-I Values Above Normal Range
Follow-up 5 (n=21)
7 participant

SECONDARY outcome

Timeframe: Baseline, 6 months (follow-up 1-FUP 1), 12 months (FUP 2), 24 months (FUP 3), 36 months (FUP 4), 48 months (FUP 5)

Population: Intent to Treat (ITT) Population, subjects who received at least one dose of Somavert during the observation period and had baseline and at least one post baseline efficacy measurement (n=number of subjects with efficacy measurement).

Change: HbA 1c at observation minus HbA 1c at baseline.

Outcome measures

Outcome measures
Measure
Somavert®
n=270 Participants
Somavert® 10/15/20 milligrams (mg)(active ingredient: Pegvisomant)
Change From Baseline Hemoglobin A 1c (HbA 1c)
Follow-up 1 (n=124)
-0.3 percent (%)
Standard Deviation 0.9
Change From Baseline Hemoglobin A 1c (HbA 1c)
Follow-up 2 (n=123)
-0.3 percent (%)
Standard Deviation 1.0
Change From Baseline Hemoglobin A 1c (HbA 1c)
Follow-up 3 (n=80)
-0.3 percent (%)
Standard Deviation 1.1
Change From Baseline Hemoglobin A 1c (HbA 1c)
Follow-up 4 (n=41)
-0.3 percent (%)
Standard Deviation 1.6
Change From Baseline Hemoglobin A 1c (HbA 1c)
Follow-up 5 (n=10)
-0.0 percent (%)
Standard Deviation 0.7

SECONDARY outcome

Timeframe: Baseline, 6 months (follow-up 1-FUP 1), 12 months (FUP 2), 24 months (FUP 3), 36 months (FUP 4), 48 months (FUP 5)

Population: Intent to Treat (ITT) Population, subjects who received at least one dose of Somavert during the observation period and had baseline and at least one post baseline efficacy measurement (n=number of subjects with efficacy measurement).

Number of participants who have HbA 1c values within normal range.

Outcome measures

Outcome measures
Measure
Somavert®
n=270 Participants
Somavert® 10/15/20 milligrams (mg)(active ingredient: Pegvisomant)
HbA 1c Values Within Normal Range
Baseline (n=173)
104 participant
HbA 1c Values Within Normal Range
Follow-up 1 (n=132)
85 participant
HbA 1c Values Within Normal Range
Follow-up 2 (n=127)
78 participant
HbA 1c Values Within Normal Range
Follow-up 3 (n=82)
57 participant
HbA 1c Values Within Normal Range
Follow-up 4 (n=43)
30 participant
HbA 1c Values Within Normal Range
Follow-up 5 (n=10)
7 participant

SECONDARY outcome

Timeframe: Baseline, 6 months (follow-up 1-FUP 1), 12 months (FUP 2), 24 months (FUP 3), 36 months (FUP 4), 48 months (FUP 5), 60 months (FUP 6)

Population: Intent to Treat (ITT) Population, subjects who received at least one dose of Somavert during the observation period and had baseline and at least one post baseline efficacy measurement (n=number of subjects with efficacy measurement).

Number of participants who have HbA 1c values below normal range.

Outcome measures

Outcome measures
Measure
Somavert®
n=270 Participants
Somavert® 10/15/20 milligrams (mg)(active ingredient: Pegvisomant)
HbA 1c Values Below Normal Range
Baseline (n=173)
0 participants
HbA 1c Values Below Normal Range
Follow-up 1 (n=132)
1 participants
HbA 1c Values Below Normal Range
Follow-up 2 (n=127)
1 participants
HbA 1c Values Below Normal Range
Follow-up 3 (n=82)
1 participants
HbA 1c Values Below Normal Range
Follow-up 4 (n=43)
0 participants
HbA 1c Values Below Normal Range
Follow-up 5 (n=10)
0 participants

SECONDARY outcome

Timeframe: Baseline, 6 months (follow-up 1-FUP 1), 12 months (FUP 2), 24 months (FUP 3), 36 months (FUP 4), 48 months (FUP 5)

Population: Intent to Treat (ITT) Population, subjects who received at least one dose of Somavert during the observation period and had baseline and at least one post baseline efficacy measurement (n=number of subjects with efficacy measurement).

Number of participants with HbA 1c values above normal range.

Outcome measures

Outcome measures
Measure
Somavert®
n=270 Participants
Somavert® 10/15/20 milligrams (mg)(active ingredient: Pegvisomant)
HbA 1c Values Above Normal Range
Follow-up 5 (n=10)
3 participants
HbA 1c Values Above Normal Range
Baseline (n=173)
69 participants
HbA 1c Values Above Normal Range
Follow-up 1 (n=132)
46 participants
HbA 1c Values Above Normal Range
Follow-up 2 (n=127)
48 participants
HbA 1c Values Above Normal Range
Follow-up 3 (n=82)
24 participants
HbA 1c Values Above Normal Range
Follow-up 4 (n=43)
13 participants

SECONDARY outcome

Timeframe: Baseline, 6 months (follow-up 1-FUP 1), 12 months (FUP 2), 24 months (FUP 3), 36 months (FUP 4), 48 months (FUP 5)

Population: Intent to Treat (ITT) Population, subjects who received at least one dose of Somavert during the observation period and had baseline and at least one post baseline efficacy measurement (n=number of subjects with efficacy measurement).

Change: glucose at observation minus glucose at baseline.

Outcome measures

Outcome measures
Measure
Somavert®
n=270 Participants
Somavert® 10/15/20 milligrams (mg)(active ingredient: Pegvisomant)
Change From Baseline Glucose (Fasting)
Follow-up 1 (n=121)
-11.6 milligram per deciliter (mg/dl)
Standard Deviation 39.6
Change From Baseline Glucose (Fasting)
Follow-up 2 (n=103)
-14.2 milligram per deciliter (mg/dl)
Standard Deviation 40.1
Change From Baseline Glucose (Fasting)
Follow-up 3 (n=70)
-19.7 milligram per deciliter (mg/dl)
Standard Deviation 45.7
Change From Baseline Glucose (Fasting)
Follow-up 4 (n=33)
-12.9 milligram per deciliter (mg/dl)
Standard Deviation 51.0
Change From Baseline Glucose (Fasting)
Follow-up 5 (n=8)
-10.5 milligram per deciliter (mg/dl)
Standard Deviation 18.3

SECONDARY outcome

Timeframe: Baseline, 6 months (follow-up 1-FUP 1), 12 months (FUP 2), 24 months (FUP 3)

Population: Intent to Treat (ITT) Population, subjects who received at least one dose of Somavert during the observation period and had baseline and at least one post baseline efficacy measurement (n=number of subjects with efficacy measurement).

Change: glucose 2h oGTT at observation minus glucose 2h oGTT at baseline.

Outcome measures

Outcome measures
Measure
Somavert®
n=270 Participants
Somavert® 10/15/20 milligrams (mg)(active ingredient: Pegvisomant)
Change From Baseline Glucose <(2 Hour Oral Glucose Tolerance Test (2h oGTT)>
Follow-up 1 (n=3)
-1.5 milligram per deciliter (mg/dl)
Standard Deviation 38.7
Change From Baseline Glucose <(2 Hour Oral Glucose Tolerance Test (2h oGTT)>
Follow-up 2 (n=2)
-56.8 milligram per deciliter (mg/dl)
Standard Deviation 85.4
Change From Baseline Glucose <(2 Hour Oral Glucose Tolerance Test (2h oGTT)>
Follow-up 3 (n=2)
-61.3 milligram per deciliter (mg/dl)
Standard Deviation 79.0

SECONDARY outcome

Timeframe: Baseline, 6 months (follow-up 1-FUP 1), 12 months (FUP 2), 24 months (FUP 3), 36 months (FUP 4), 48 months (FUP 5)

Population: Intent to Treat (ITT) Population, subjects who received at least one dose of Somavert during the observation period and had baseline and at least one post baseline efficacy measurement (n=number of subjects with efficacy measurement).

Number of participants who have glucose values within normal range (fasting).

Outcome measures

Outcome measures
Measure
Somavert®
n=270 Participants
Somavert® 10/15/20 milligrams (mg)(active ingredient: Pegvisomant)
Glucose Values Within Normal Range (Fasting)
Baseline (n=172)
116 participants
Glucose Values Within Normal Range (Fasting)
Follow-up 1 (n=132)
103 participants
Glucose Values Within Normal Range (Fasting)
Follow-up 2 (n=117)
93 participants
Glucose Values Within Normal Range (Fasting)
Follow-up 3 (n=78)
65 participants
Glucose Values Within Normal Range (Fasting)
Follow-up 4 (n=35)
25 participants
Glucose Values Within Normal Range (Fasting)
Follow-up 5 (n=8)
6 participants

SECONDARY outcome

Timeframe: Baseline, 6 months (follow-up 1-FUP 1), 12 months (FUP 2), 24 months (FUP 3), 36 months (FUP 4), 48 months (FUP 5)

Population: Intent to Treat (ITT) Population, subjects who received at least one dose of Somavert during the observation period and had baseline and at least one post baseline efficacy measurement (n=number of subjects with efficacy measurement).

Number of participants with glucose values below normal range (fasting).

Outcome measures

Outcome measures
Measure
Somavert®
n=270 Participants
Somavert® 10/15/20 milligrams (mg)(active ingredient: Pegvisomant)
Glucose Values Below Normal Range (Fasting)
Baseline (n=172)
2 participants
Glucose Values Below Normal Range (Fasting)
Follow-up 1 (n=132)
3 participants
Glucose Values Below Normal Range (Fasting)
Follow-up 2 (n=117)
1 participants
Glucose Values Below Normal Range (Fasting)
Follow-up 3 (n=78)
1 participants
Glucose Values Below Normal Range (Fasting)
Follow-up 4 (n=35)
0 participants
Glucose Values Below Normal Range (Fasting)
Follow-up 5 (n=8)
0 participants

SECONDARY outcome

Timeframe: Baseline, 6 months (follow-up 1-FUP 1), 12 months (FUP 2), 24 months (FUP 3), 36 months (FUP 4), 48 months (FUP 5)

Population: Intent to Treat (ITT) Population, subjects who received at least one dose of Somavert during the observation period and had baseline and at least one post baseline efficacy measurement (n=number of subjects with efficacy measurement).

Number of participants with glucose values above normal range (fasting).

Outcome measures

Outcome measures
Measure
Somavert®
n=270 Participants
Somavert® 10/15/20 milligrams (mg)(active ingredient: Pegvisomant)
Glucose Values Above Normal Range (Fasting)
Baseline (n=172)
54 participants
Glucose Values Above Normal Range (Fasting)
Follow-up 1 (n=132)
26 participants
Glucose Values Above Normal Range (Fasting)
Follow-up 2 (n=117)
23 participants
Glucose Values Above Normal Range (Fasting)
Follow-up 3 (n=78)
12 participants
Glucose Values Above Normal Range (Fasting)
Follow-up 4 (n=35)
10 participants
Glucose Values Above Normal Range (Fasting)
Follow-up 5 (n=8)
2 participants

SECONDARY outcome

Timeframe: Baseline, 6 months (follow-up 1-FUP 1), 12 months (FUP 2), 24 months (FUP 3), 36 months (FUP 4), 48 months (FUP 5)

Population: Intent to Treat (ITT) Population, subjects who received at least one dose of Somavert during the observation period and had baseline and at least one post baseline efficacy measurement (n=number of subjects with efficacy measurement).

Number of participants with glucose values (2h oGTT) within normal range.

Outcome measures

Outcome measures
Measure
Somavert®
n=270 Participants
Somavert® 10/15/20 milligrams (mg)(active ingredient: Pegvisomant)
Glucose (2 Hour Oral Glucose Tolerance Test (2h oGTT)) Values Within Normal Range
Follow-up 1 (n=4)
3 participants
Glucose (2 Hour Oral Glucose Tolerance Test (2h oGTT)) Values Within Normal Range
Follow-up 2 (n=3)
3 participants
Glucose (2 Hour Oral Glucose Tolerance Test (2h oGTT)) Values Within Normal Range
Follow-up 3 (n=3)
3 participants
Glucose (2 Hour Oral Glucose Tolerance Test (2h oGTT)) Values Within Normal Range
Baseline (n=7)
5 participants
Glucose (2 Hour Oral Glucose Tolerance Test (2h oGTT)) Values Within Normal Range
Follow-up 4 (n=0)
0 participants
Glucose (2 Hour Oral Glucose Tolerance Test (2h oGTT)) Values Within Normal Range
Follow-up 5 (n=0)
0 participants

SECONDARY outcome

Timeframe: Baseline, 6 months (follow-up 1-FUP 1), 12 months (FUP 2), 24 months (FUP 3), 36 months (FUP 4), 48 months (FUP 5)

Population: Intent to Treat (ITT) Population, subjects who received at least one dose of Somavert during the observation period and had baseline and at least one post baseline efficacy measurement (n=number of subjects with efficacy measurement).

Number of participants with glucose values (2h oGTT) above normal range.

Outcome measures

Outcome measures
Measure
Somavert®
n=270 Participants
Somavert® 10/15/20 milligrams (mg)(active ingredient: Pegvisomant)
Glucose (2 Hour Oral Glucose Tolerance Test (2h oGTT)) Values Above Normal Range
Baseline (n=7)
2 participants
Glucose (2 Hour Oral Glucose Tolerance Test (2h oGTT)) Values Above Normal Range
Follow-up 1 (n=4)
1 participants
Glucose (2 Hour Oral Glucose Tolerance Test (2h oGTT)) Values Above Normal Range
Follow-up 2 (n=3)
0 participants
Glucose (2 Hour Oral Glucose Tolerance Test (2h oGTT)) Values Above Normal Range
Follow-up 3 (n=3)
0 participants
Glucose (2 Hour Oral Glucose Tolerance Test (2h oGTT)) Values Above Normal Range
Follow-up 4 (n=0)
0 participants
Glucose (2 Hour Oral Glucose Tolerance Test (2h oGTT)) Values Above Normal Range
Follow-up 5 (n=0)
0 participants

SECONDARY outcome

Timeframe: Baseline, 6 months (follow-up 1-FUP 1), 12 months (FUP 2), 24 months (FUP 3), 36 months (FUP 4), 48 months (FUP 5)

Population: Intent to Treat (ITT) Population, subjects who received at least one dose of Somavert during the observation period and had baseline and at least one post baseline efficacy measurement (n=number of subjects with efficacy measurement).

IGF-I absolute values (local laboratory, different assay).

Outcome measures

Outcome measures
Measure
Somavert®
n=270 Participants
Somavert® 10/15/20 milligrams (mg)(active ingredient: Pegvisomant)
IGF-I Absolute Values
Baseline (n=252)
480.1 micrograms per liter (ug/l)
Standard Deviation 249.5
IGF-I Absolute Values
Follow-up 1 (n=243)
277.2 micrograms per liter (ug/l)
Standard Deviation 160.5
IGF-I Absolute Values
Follow-up 2 (n=202)
281.6 micrograms per liter (ug/l)
Standard Deviation 285.0
IGF-I Absolute Values
Follow-up 3 (n=131)
240.6 micrograms per liter (ug/l)
Standard Deviation 134.7
IGF-I Absolute Values
Follow-up 4 (n=71)
236.1 micrograms per liter (ug/l)
Standard Deviation 124.2
IGF-I Absolute Values
Follow-up 5 (n=18)
241.8 micrograms per liter (ug/l)
Standard Deviation 107.4

SECONDARY outcome

Timeframe: Baseline, 6 months (follow-up 1-FUP 1), 12 months (FUP 2), 24 months (FUP 3), 36 months (FUP 4), 48 months (FUP 5)

Population: Intent to Treat (ITT) Population, subjects who received at least one dose of Somavert during the observation period and had baseline and at least one post baseline efficacy measurement (n=number of subjects with efficacy measurement).

Absolute Glucose values (fasting)

Outcome measures

Outcome measures
Measure
Somavert®
n=270 Participants
Somavert® 10/15/20 milligrams (mg)(active ingredient: Pegvisomant)
Absolute Glucose Values (Fasting)
Baseline (n=158)
112.6 milligram per deciliter (mg/dl)
Standard Deviation 44.3
Absolute Glucose Values (Fasting)
Follow-up 1 (n=121)
104.5 milligram per deciliter (mg/dl)
Standard Deviation 42.6
Absolute Glucose Values (Fasting)
Follow-up 2 (n=103)
98.7 milligram per deciliter (mg/dl)
Standard Deviation 34.0
Absolute Glucose Values (Fasting)
Follow-up 3 (n=70)
95.2 milligram per deciliter (mg/dl)
Standard Deviation 17.6
Absolute Glucose Values (Fasting)
Follow-up 4 (n=33)
105.9 milligram per deciliter (mg/dl)
Standard Deviation 42.7
Absolute Glucose Values (Fasting)
Follow-up 5 (n=8)
107.5 milligram per deciliter (mg/dl)
Standard Deviation 31.1

SECONDARY outcome

Timeframe: Baseline, 6 months (follow-up 1-FUP 1), 12 months (FUP 2), 24 months (FUP 3), 36 months (FUP 4), 48 months (FUP 5)

Population: Intent to Treat (ITT) Population, subjects who received at least one dose of Somavert during the observation period and had baseline and at least one post baseline efficacy measurement (n=number of subjects with efficacy measurement).

Absolute Glucose values - 2 Hour Oral Glucose Tolerance Test (2h oGTT).

Outcome measures

Outcome measures
Measure
Somavert®
n=270 Participants
Somavert® 10/15/20 milligrams (mg)(active ingredient: Pegvisomant)
Absolute Glucose Values (2h oGTT)
Baseline (n=5)
130.6 milligram per deciliter (mg/dl)
Standard Deviation 60.2
Absolute Glucose Values (2h oGTT)
Follow-up 1 (n=3)
145.3 milligram per deciliter (mg/dl)
Standard Deviation 71.8
Absolute Glucose Values (2h oGTT)
Follow-up 2 (n=2)
108.1 milligram per deciliter (mg/dl)
Standard Deviation 10.2
Absolute Glucose Values (2h oGTT)
Follow-up 3 (n=2)
112.6 milligram per deciliter (mg/dl)
Standard Deviation 3.8

SECONDARY outcome

Timeframe: Baseline, 6 months (follow-up 1-FUP 1), 12 months (FUP 2), 24 months (FUP 3), 36 months (FUP 4), 48 months (FUP 5)

Population: Intent to Treat (ITT) Population, subjects who received at least one dose of Somavert during the observation period and had baseline and at least one post baseline efficacy measurement (n=number of subjects with efficacy measurement).

Absolute value Hemoglobin A 1c (HbA 1c)

Outcome measures

Outcome measures
Measure
Somavert®
n=270 Participants
Somavert® 10/15/20 milligrams (mg)(active ingredient: Pegvisomant)
Absolute Hemoglobin A 1c (HbA 1c) Values
Baseline (n=166)
6.2 percent (%)
Standard Deviation 1.2
Absolute Hemoglobin A 1c (HbA 1c) Values
Follow-up 1 (n=124)
6.0 percent (%)
Standard Deviation 1.1
Absolute Hemoglobin A 1c (HbA 1c) Values
Follow-up 2 (n=123)
6.1 percent (%)
Standard Deviation 1.1
Absolute Hemoglobin A 1c (HbA 1c) Values
Follow-up 3 (n=80)
6.0 percent (%)
Standard Deviation 1.1
Absolute Hemoglobin A 1c (HbA 1c) Values
Follow-up 4 (n=41)
6.1 percent (%)
Standard Deviation 1.1
Absolute Hemoglobin A 1c (HbA 1c) Values
Follow-up 5 (n=10)
6.1 percent (%)
Standard Deviation 0.9

SECONDARY outcome

Timeframe: Baseline, 6 months (follow-up 1-FUP 1), 12 months (FUP 2), 24 months (FUP 3), 36 months (FUP 4), 48 months (FUP 5)

Population: Intent to Treat (ITT) Population, subjects who received at least one dose of Somavert during the observation period and had baseline and at least one post baseline efficacy measurement (n=number of subjects with efficacy measurement).

Change: IGF-I concentration at observation minus IGF-I concentration at baseline. (local laboratory, different assay).

Outcome measures

Outcome measures
Measure
Somavert®
n=192 Participants
Somavert® 10/15/20 milligrams (mg)(active ingredient: Pegvisomant)
Change From Baseline Insulin-Like Growth Factor I (IGF-I) in Diabetic Patients
Follow-up 1 (n=75)
-207.5 micrograms per liter (ug/l)
Interval -263.6 to -151.3
Change From Baseline Insulin-Like Growth Factor I (IGF-I) in Diabetic Patients
Follow-up 2 (n=67)
-194.5 micrograms per liter (ug/l)
Interval -257.4 to -131.6
Change From Baseline Insulin-Like Growth Factor I (IGF-I) in Diabetic Patients
Follow-up 3 (n=44)
-274.6 micrograms per liter (ug/l)
Interval -353.9 to -195.4
Change From Baseline Insulin-Like Growth Factor I (IGF-I) in Diabetic Patients
Follow-up 4 (n=24)
-314.9 micrograms per liter (ug/l)
Interval -433.6 to -196.2
Change From Baseline Insulin-Like Growth Factor I (IGF-I) in Diabetic Patients
Follow-up 5 (n=4)
-90.5 micrograms per liter (ug/l)
Interval -348.8 to 167.74

SECONDARY outcome

Timeframe: Baseline, 6 months (follow-up 1-FUP 1), 12 months (FUP 2), 24 months (FUP 3), 36 months (FUP 4), 48 months (FUP 5)

Population: Intent to Treat (ITT) Population, subjects who received at least one dose of Somavert during the observation period and had baseline and at least one post baseline efficacy measurement (n=number of subjects with efficacy measurement).

Absolute values Insulin-Like Growth Factor I (IGF-I) in Patients with Diabetes (local laboratory, different assay).

Outcome measures

Outcome measures
Measure
Somavert®
n=192 Participants
Somavert® 10/15/20 milligrams (mg)(active ingredient: Pegvisomant)
Absolute Values Insulin-Like Growth Factor I (IGF-I) in Diabetic Patients
Baseline (n=78)
478.8 micrograms per liter (ug/l)
Standard Deviation 264.6
Absolute Values Insulin-Like Growth Factor I (IGF-I) in Diabetic Patients
Follow-up 1 (n=75)
276.4 micrograms per liter (ug/l)
Standard Deviation 145.9
Absolute Values Insulin-Like Growth Factor I (IGF-I) in Diabetic Patients
Follow-up 2 (n=67)
293.2 micrograms per liter (ug/l)
Standard Deviation 212.3
Absolute Values Insulin-Like Growth Factor I (IGF-I) in Diabetic Patients
Follow-up 3 (n=44)
239.3 micrograms per liter (ug/l)
Standard Deviation 142.6
Absolute Values Insulin-Like Growth Factor I (IGF-I) in Diabetic Patients
Follow-up 4 (n=24)
242.5 micrograms per liter (ug/l)
Standard Deviation 115.5
Absolute Values Insulin-Like Growth Factor I (IGF-I) in Diabetic Patients
Follow-up 5 (n=4)
311.3 micrograms per liter (ug/l)
Standard Deviation 203.9

SECONDARY outcome

Timeframe: Baseline, 6 months (follow-up 1-FUP 1), 12 months (FUP 2), 24 months (FUP 3), 36 months (FUP 4), 48 months (FUP 5)

Population: Intent to Treat (ITT) Population, subjects who received at least one dose of Somavert during the observation period and had baseline and at least one post baseline efficacy measurement (n=number of subjects with efficacy measurement).

Number of Diabetic Patients with Insulin-Like Growth Factor I (IGF-I) values Within Normal Range (local laboratory, different assay).

Outcome measures

Outcome measures
Measure
Somavert®
n=192 Participants
Somavert® 10/15/20 milligrams (mg)(active ingredient: Pegvisomant)
Insulin-Like Growth Factor I (IGF-I) Values Within Normal Range in Diabetic Patients
Baseline (n=81)
14 participants
Insulin-Like Growth Factor I (IGF-I) Values Within Normal Range in Diabetic Patients
Follow-up 1 (n=80)
41 participants
Insulin-Like Growth Factor I (IGF-I) Values Within Normal Range in Diabetic Patients
Follow-up 2 (n=74)
47 participants
Insulin-Like Growth Factor I (IGF-I) Values Within Normal Range in Diabetic Patients
Follow-up 3 (n=49)
35 participants
Insulin-Like Growth Factor I (IGF-I) Values Within Normal Range in Diabetic Patients
Follow-up 4 (n=26)
16 participants
Insulin-Like Growth Factor I (IGF-I) Values Within Normal Range in Diabetic Patients
Follow-up 5 (n=5)
3 participants

SECONDARY outcome

Timeframe: Baseline, 6 months (follow-up 1-FUP 1), 12 months (FUP 2), 24 months (FUP 3), 36 months (FUP 4), 48 months (FUP 5)

Population: Intent to Treat (ITT) Population, subjects who received at least one dose of Somavert during the observation period and had baseline and at least one post baseline efficacy measurement (n=number of subjects with efficacy measurement).

Number of Diabetic Patients with Insulin-Like Growth Factor I (IGF-I) values Above Normal Range (local laboratory, different assay).

Outcome measures

Outcome measures
Measure
Somavert®
n=192 Participants
Somavert® 10/15/20 milligrams (mg)(active ingredient: Pegvisomant)
Insulin-Like Growth Factor I (IGF-I) Values Above Normal Range in Diabetic Patients
Baseline (n=81)
67 participants
Insulin-Like Growth Factor I (IGF-I) Values Above Normal Range in Diabetic Patients
Follow-up 1 (n=80)
39 participants
Insulin-Like Growth Factor I (IGF-I) Values Above Normal Range in Diabetic Patients
Follow-up 2 (n=74)
27 participants
Insulin-Like Growth Factor I (IGF-I) Values Above Normal Range in Diabetic Patients
Follow-up 3 (n=49)
14 participants
Insulin-Like Growth Factor I (IGF-I) Values Above Normal Range in Diabetic Patients
Follow-up 4 (n=26)
10 participants
Insulin-Like Growth Factor I (IGF-I) Values Above Normal Range in Diabetic Patients
Follow-up 5 (n=5)
2 participants

SECONDARY outcome

Timeframe: Baseline, 6 months (follow-up 1-FUP 1), 12 months (FUP 2), 24 months (FUP 3), 36 months (FUP 4), 48 months (FUP 5)

Population: Intent to Treat (ITT) Population, subjects who received at least one dose of Somavert during the observation period and had baseline and at least one post baseline efficacy measurement (n=number of subjects with efficacy measurement).

Absolute Values for Hemoglobin A 1c (HbA 1c) in Patients with Diabetes

Outcome measures

Outcome measures
Measure
Somavert®
n=192 Participants
Somavert® 10/15/20 milligrams (mg)(active ingredient: Pegvisomant)
Absolute Values for Hemoglobin A 1c (HbA 1c) in Diabetic Patients
Baseline (n=67)
7.0 percent (%)
Standard Deviation 1.4
Absolute Values for Hemoglobin A 1c (HbA 1c) in Diabetic Patients
Follow-up 1 (n=58)
6.6 percent (%)
Standard Deviation 1.2
Absolute Values for Hemoglobin A 1c (HbA 1c) in Diabetic Patients
Follow-up 2 (n=60)
6.5 percent (%)
Standard Deviation 1.2
Absolute Values for Hemoglobin A 1c (HbA 1c) in Diabetic Patients
Follow-up 3 (n=36)
6.6 percent (%)
Standard Deviation 1.3
Absolute Values for Hemoglobin A 1c (HbA 1c) in Diabetic Patients
Follow-up 4 (n=21)
6.6 percent (%)
Standard Deviation 1.3
Absolute Values for Hemoglobin A 1c (HbA 1c) in Diabetic Patients
Follow-up 5 (n=5)
6.6 percent (%)
Standard Deviation 1.0

SECONDARY outcome

Timeframe: Baseline, 6 months (follow-up 1-FUP 1), 12 months (FUP 2), 24 months (FUP 3), 36 months (FUP 4), 48 months (FUP 5)

Population: Intent to Treat (ITT) Population, subjects who received at least one dose of Somavert during the observation period and had baseline and at least one post baseline efficacy measurement (n=number of subjects with efficacy measurement).

Change: HbA 1c at observation minus HbA 1c at baseline.

Outcome measures

Outcome measures
Measure
Somavert®
n=192 Participants
Somavert® 10/15/20 milligrams (mg)(active ingredient: Pegvisomant)
Change From Baseline Hemoglobin A 1c (HbA 1c) in Diabetic Patients
Follow-up 1 (n=58)
-0.4 percent (%)
Interval -0.8 to -0.1
Change From Baseline Hemoglobin A 1c (HbA 1c) in Diabetic Patients
Follow-up 2 (n=60)
-0.5 percent (%)
Interval -0.8 to -0.2
Change From Baseline Hemoglobin A 1c (HbA 1c) in Diabetic Patients
Follow-up 3 (n=36)
-0.5 percent (%)
Interval -1.0 to 0.0
Change From Baseline Hemoglobin A 1c (HbA 1c) in Diabetic Patients
Follow-up 4 (n=21)
-0.6 percent (%)
Interval -1.6 to 0.4
Change From Baseline Hemoglobin A 1c (HbA 1c) in Diabetic Patients
Follow-up 5 (n=5)
-0.2 percent (%)
Interval -1.3 to 0.9

SECONDARY outcome

Timeframe: Baseline, 6 months (follow-up 1-FUP 1), 12 months (FUP 2), 24 months (FUP 3), 36 months (FUP 4), 48 months (FUP 5)

Population: Intent to Treat (ITT) Population, subjects who received at least one dose of Somavert during the observation period and had baseline and at least one post baseline efficacy measurement (n=number of subjects with efficacy measurement).

Number of Diabetic Patients with HbA 1c Values Within Normal Range.

Outcome measures

Outcome measures
Measure
Somavert®
n=192 Participants
Somavert® 10/15/20 milligrams (mg)(active ingredient: Pegvisomant)
HbA 1c Values Within Normal Range in Diabetic Patients
Baseline (n=72)
24 participants
HbA 1c Values Within Normal Range in Diabetic Patients
Follow-up 1 (n=64)
25 participants
HbA 1c Values Within Normal Range in Diabetic Patients
Follow-up 2 (n=62)
24 participants
HbA 1c Values Within Normal Range in Diabetic Patients
Follow-up 3 (n=38)
17 participants
HbA 1c Values Within Normal Range in Diabetic Patients
Follow-up 4 (n=22)
10 participants
HbA 1c Values Within Normal Range in Diabetic Patients
Follow-up 5 (n=5)
3 participants

SECONDARY outcome

Timeframe: Baseline, 6 months (follow-up 1-FUP 1), 12 months (FUP 2), 24 months (FUP 3), 36 months (FUP 4), 48 months (FUP 5)

Population: Intent to Treat (ITT) Population, subjects who received at least one dose of Somavert during the observation period and had baseline and at least one post baseline efficacy measurement (n=number of subjects with efficacy measurement).

Number of Diabetic Patients with HbA 1c Values Below Normal Range

Outcome measures

Outcome measures
Measure
Somavert®
n=192 Participants
Somavert® 10/15/20 milligrams (mg)(active ingredient: Pegvisomant)
HbA 1c Values Below Normal Range in Diabetic Patients
Baseline (n=72)
0 participant
HbA 1c Values Below Normal Range in Diabetic Patients
Follow-up 1 (n=64)
1 participant
HbA 1c Values Below Normal Range in Diabetic Patients
Follow-up 2 (n=62)
1 participant
HbA 1c Values Below Normal Range in Diabetic Patients
Follow-up 3 (n=38)
0 participant
HbA 1c Values Below Normal Range in Diabetic Patients
Follow-up 4 (n=22)
0 participant
HbA 1c Values Below Normal Range in Diabetic Patients
Follow-up 5 (n=5)
0 participant

SECONDARY outcome

Timeframe: Baseline, 6 months (follow-up 1-FUP 1), 12 months (FUP 2), 24 months (FUP 3), 36 months (FUP 4), 48 months (FUP 5)

Population: Intent to Treat (ITT) Population, subjects who received at least one dose of Somavert during the observation period and had baseline and at least one post baseline efficacy measurement (n=number of subjects with efficacy measurement).

Number of Diabetic Patients with HbA 1c Values Above Normal Range

Outcome measures

Outcome measures
Measure
Somavert®
n=192 Participants
Somavert® 10/15/20 milligrams (mg)(active ingredient: Pegvisomant)
HbA 1c Values Above Normal Range in Diabetic Patients
Baseline (n=72)
48 participant
HbA 1c Values Above Normal Range in Diabetic Patients
Follow-up 1 (n=64)
38 participant
HbA 1c Values Above Normal Range in Diabetic Patients
Follow-up 2 (n=62)
37 participant
HbA 1c Values Above Normal Range in Diabetic Patients
Follow-up 3 (n=38)
21 participant
HbA 1c Values Above Normal Range in Diabetic Patients
Follow-up 4 (n=22)
12 participant
HbA 1c Values Above Normal Range in Diabetic Patients
Follow-up 5 (n=5)
2 participant

SECONDARY outcome

Timeframe: Baseline, 6 months (follow-up 1-FUP 1), 12 months (FUP 2), 24 months (FUP 3), 36 months (FUP 4), 48 months (FUP 5)

Population: Intent to Treat (ITT) Population, subjects who received at least one dose of Somavert during the observation period and had baseline and at least one post baseline efficacy measurement (n=number of subjects with efficacy measurement).

Change: glucose at observation minus glucose at baseline

Outcome measures

Outcome measures
Measure
Somavert®
n=192 Participants
Somavert® 10/15/20 milligrams (mg)(active ingredient: Pegvisomant)
Glucose Change From Baseline in Diabetic Patients (Fasting)
Follow-up 1 (n=42)
-17.2 milligram per deciliter (mg/dl)
Interval -35.6 to 1.1
Glucose Change From Baseline in Diabetic Patients (Fasting)
Follow-up 2 (n=37)
-24.9 milligram per deciliter (mg/dl)
Interval -44.2 to -5.6
Glucose Change From Baseline in Diabetic Patients (Fasting)
Follow-up 3 (n=21)
-50.7 milligram per deciliter (mg/dl)
Interval -81.4 to -20.0
Glucose Change From Baseline in Diabetic Patients (Fasting)
Follow-up 4 (n=13)
-14.8 milligram per deciliter (mg/dl)
Interval -62.5 to 32.9
Glucose Change From Baseline in Diabetic Patients (Fasting)
Follow-up 5 (n=3)
-17.7 milligram per deciliter (mg/dl)
Interval -76.7 to 41.3

SECONDARY outcome

Timeframe: Baseline, 6 months (follow-up 1-FUP 1), 12 months (FUP 2), 24 months (FUP 3), 36 months (FUP 4), 48 months (FUP 5)

Population: Intent to Treat (ITT) Population, subjects who received at least one dose of Somavert during the observation period and had baseline and at least one post baseline efficacy measurement (n=number of subjects with efficacy measurement).

Absolute Glucose Values in Patients with Diabetes (fasting)

Outcome measures

Outcome measures
Measure
Somavert®
n=192 Participants
Somavert® 10/15/20 milligrams (mg)(active ingredient: Pegvisomant)
Absolute Glucose Values in Diabetic Patients (Fasting)
Baseline (n=51)
142.1 milligram per deciliter (mg/dl)
Standard Deviation 62.3
Absolute Glucose Values in Diabetic Patients (Fasting)
Follow-up 1 (n=42)
131.0 milligram per deciliter (mg/dl)
Standard Deviation 59.4
Absolute Glucose Values in Diabetic Patients (Fasting)
Follow-up 2 (n=37)
112.9 milligram per deciliter (mg/dl)
Standard Deviation 49.7
Absolute Glucose Values in Diabetic Patients (Fasting)
Follow-up 3 (n=21)
101.9 milligram per deciliter (mg/dl)
Standard Deviation 21.7
Absolute Glucose Values in Diabetic Patients (Fasting)
Follow-up 4 (n=13)
130.6 milligram per deciliter (mg/dl)
Standard Deviation 58.9
Absolute Glucose Values in Diabetic Patients (Fasting)
Follow-up 5 (n=3)
120.7 milligram per deciliter (mg/dl)
Standard Deviation 52.3

SECONDARY outcome

Timeframe: Baseline, 6 months (follow-up 1-FUP 1), 12 months (FUP 2), 24 months (FUP 3), 36 months (FUP 4), 48 months (FUP 5)

Population: Intent to Treat (ITT) Population, subjects who received at least one dose of Somavert during the observation period and had baseline and at least one post baseline efficacy measurement (n=number of subjects with efficacy measurement).

Number of Diabetic Patients (fasting) with Glucose Values Within Normal Range

Outcome measures

Outcome measures
Measure
Somavert®
n=192 Participants
Somavert® 10/15/20 milligrams (mg)(active ingredient: Pegvisomant)
Glucose Values Within Normal Range in Diabetic Patients (Fasting)
Baseline (n= 57)
24 participants
Glucose Values Within Normal Range in Diabetic Patients (Fasting)
Follow-up 1 (n=47)
28 participants
Glucose Values Within Normal Range in Diabetic Patients (Fasting)
Follow-up 2 (n=42)
25 participants
Glucose Values Within Normal Range in Diabetic Patients (Fasting)
Follow-up 3 (n=25)
18 participants
Glucose Values Within Normal Range in Diabetic Patients (Fasting)
Follow-up 4 (n=14)
6 participants
Glucose Values Within Normal Range in Diabetic Patients (Fasting)
Follow-up 5 (n=3)
2 participants

SECONDARY outcome

Timeframe: Baseline, 6 months (follow-up 1-FUP 1), 12 months (FUP 2), 24 months (FUP 3), 36 months (FUP 4), 48 months (FUP 5)

Population: Intent to Treat (ITT) Population, subjects who received at least one dose of Somavert during the observation period and had baseline and at least one post baseline efficacy measurement (n=number of subjects with efficacy measurement).

Number of Diabetic Patients (fasting) with Glucose Values Above Normal Range

Outcome measures

Outcome measures
Measure
Somavert®
n=192 Participants
Somavert® 10/15/20 milligrams (mg)(active ingredient: Pegvisomant)
Glucose Values Above Normal Range in Diabetic Patients (Fasting)
Baseline (n=57)
33 participants
Glucose Values Above Normal Range in Diabetic Patients (Fasting)
Follow-up 1 (n=47)
19 participants
Glucose Values Above Normal Range in Diabetic Patients (Fasting)
Follow-up 2 (n=42)
17 participants
Glucose Values Above Normal Range in Diabetic Patients (Fasting)
Follow-up 3 (n=25)
7 participants
Glucose Values Above Normal Range in Diabetic Patients (Fasting)
Follow-up 4 (n=14)
8 participants
Glucose Values Above Normal Range in Diabetic Patients (Fasting)
Follow-up 5 (n=3)
1 participants

SECONDARY outcome

Timeframe: Baseline, 6 months (follow-up 1-FUP 1), 12 months (FUP 2), 24 months (FUP 3), 36 months (FUP 4)

Population: ITT Population; subjects who received at least one dose of Somavert during the observation period and had baseline and at least one post baseline efficacy measurement (n=number of subjects with efficacy measurement). Data were available for 131 of the 270 ITT patients.

Change: score at observation minus score at baseline. Headache symptom in PASQ: disease-specific questionnaire consisting of 6 questions scoring 0-8. Maximum score indicates severe signs and symptoms, with lower scores reflecting improved quality of life.

Outcome measures

Outcome measures
Measure
Somavert®
n=131 Participants
Somavert® 10/15/20 milligrams (mg)(active ingredient: Pegvisomant)
Change in Headache Using Patient-assessed Acromegaly Symptom Questionnaire (PASQ)
Follow-up 1 (n=107)
-0.3 score on scale
Interval -0.7 to 0.1
Change in Headache Using Patient-assessed Acromegaly Symptom Questionnaire (PASQ)
Follow-up 2 (n=89)
-0.4 score on scale
Interval -0.8 to 0.1
Change in Headache Using Patient-assessed Acromegaly Symptom Questionnaire (PASQ)
Follow-up 3 (n=60)
-0.2 score on scale
Interval -0.6 to 0.2
Change in Headache Using Patient-assessed Acromegaly Symptom Questionnaire (PASQ)
Follow-up 4 (n=14)
-0.7 score on scale
Interval -2.5 to 1.0

SECONDARY outcome

Timeframe: Baseline, 6 months (follow-up 1-FUP 1), 12 months (FUP 2), 24 months (FUP 3), 36 months (FUP 4)

Population: ITT Population; subjects who received at least one dose of Somavert during the observation period and had baseline and at least one post baseline efficacy measurement (n=number of subjects with efficacy measurement). Data were available for 131 of the 270 ITT patients.

Change: score at observation minus score at baseline. Excessive sweating symptom in PASQ: disease-specific questionnaire consisting of 6 questions scoring 0-8. Maximum score indicates severe signs and symptoms, with lower scores reflecting improved quality of life.

Outcome measures

Outcome measures
Measure
Somavert®
n=131 Participants
Somavert® 10/15/20 milligrams (mg)(active ingredient: Pegvisomant)
Change in Excessive Sweating Using Patient-assessed Acromegaly Symptom Questionnaire (PASQ)
Follow-up 1 (n=108)
-0.1 score on scale
Interval -0.6 to 0.3
Change in Excessive Sweating Using Patient-assessed Acromegaly Symptom Questionnaire (PASQ)
Follow-up 2 (n=89)
-0.4 score on scale
Interval -0.9 to 0.2
Change in Excessive Sweating Using Patient-assessed Acromegaly Symptom Questionnaire (PASQ)
Follow-up 3 (n=60)
-0.0 score on scale
Interval -0.8 to 0.7
Change in Excessive Sweating Using Patient-assessed Acromegaly Symptom Questionnaire (PASQ)
Follow-up 4 (n=14)
-0.8 score on scale
Interval -2.8 to 1.3

SECONDARY outcome

Timeframe: Baseline, 6 months (follow-up 1-FUP 1), 12 months (FUP 2), 24 months (FUP 3), 36 months (FUP 4)

Population: ITT Population; subjects who received at least one dose of Somavert during the observation period and had baseline and at least one post baseline efficacy measurement (n=number of subjects with efficacy measurement). Data were available for 131 of the 270 ITT patients.

Change: score at observation minus score at baseline. Joint pain symptom in PASQ: disease-specific questionnaire consisting of 6 questions scoring 0-8. Maximum score indicates severe signs and symptoms, with lower scores reflecting improved quality of life.

Outcome measures

Outcome measures
Measure
Somavert®
n=131 Participants
Somavert® 10/15/20 milligrams (mg)(active ingredient: Pegvisomant)
Change in Joint Pain Using Patient-assessed Acromegaly Symptom Questionnaire (PASQ)
Follow-up 1 (n=108)
-0.6 score on scale
Interval -1.0 to -0.2
Change in Joint Pain Using Patient-assessed Acromegaly Symptom Questionnaire (PASQ)
Follow-up 2 (n=89)
-0.2 score on scale
Interval -0.8 to 0.4
Change in Joint Pain Using Patient-assessed Acromegaly Symptom Questionnaire (PASQ)
Follow-up 3 (n=60)
0.0 score on scale
Interval -0.5 to 0.6
Change in Joint Pain Using Patient-assessed Acromegaly Symptom Questionnaire (PASQ)
Follow-up 4 (n=14)
0.6 score on scale
Interval -1.1 to 2.2

SECONDARY outcome

Timeframe: Baseline, 6 months (follow-up 1-FUP 1), 12 months (FUP 2), 24 months (FUP 3), 36 months (FUP 4)

Population: ITT Population; subjects who received at least one dose of Somavert during the observation period and had baseline and at least one post baseline efficacy measurement (n=number of subjects with efficacy measurement). Data were available for 130 of the 270 ITT patients.

Change: score at observation minus score at baseline. Fatigue symptom in PASQ: disease-specific questionnaire consisting of 6 questions scoring 0-8. Maximum score indicates severe signs and symptoms, with lower scores reflecting improved quality of life.

Outcome measures

Outcome measures
Measure
Somavert®
n=131 Participants
Somavert® 10/15/20 milligrams (mg)(active ingredient: Pegvisomant)
Change in Fatigue Using Patient-assessed Acromegaly Symptom Questionnaire (PASQ)
Follow-up 1 (n=106)
0.2 score on scale
Interval -0.2 to 0.6
Change in Fatigue Using Patient-assessed Acromegaly Symptom Questionnaire (PASQ)
Follow-up 2 (n=88)
-0.5 score on scale
Interval -0.9 to 0.0
Change in Fatigue Using Patient-assessed Acromegaly Symptom Questionnaire (PASQ)
Follow-up 3 (n=59)
-0.4 score on scale
Interval -1.0 to 0.3
Change in Fatigue Using Patient-assessed Acromegaly Symptom Questionnaire (PASQ)
Follow-up 4 (n=14)
-0.4 score on scale
Interval -1.6 to 0.8

SECONDARY outcome

Timeframe: Baseline, 6 months (follow-up 1-FUP 1), 12 months (FUP 2), 24 months (FUP 3), 36 months (FUP 4)

Population: ITT Population; subjects who received at least one dose of Somavert during the observation period and had baseline and at least one post baseline efficacy measurement (n=number of subjects with efficacy measurement). Data were available for 131 of the 270 ITT patients.

Change: score at observation minus score at baseline. Soft tissue swelling symptom in PASQ: disease-specific questionnaire consisting of 6 questions scoring 0-8. Maximum score indicates severe signs and symptoms, with lower scores reflecting improved quality of life.

Outcome measures

Outcome measures
Measure
Somavert®
n=131 Participants
Somavert® 10/15/20 milligrams (mg)(active ingredient: Pegvisomant)
Change in Soft Tissue Swelling Using Patient-assessed Acromegaly Symptom Questionnaire (PASQ)
Follow-up 1 (n=105)
-0.6 score on scale
Interval -1.0 to -0.2
Change in Soft Tissue Swelling Using Patient-assessed Acromegaly Symptom Questionnaire (PASQ)
Follow-up 2 (n=88)
-0.8 score on scale
Interval -1.4 to -0.2
Change in Soft Tissue Swelling Using Patient-assessed Acromegaly Symptom Questionnaire (PASQ)
Follow-up 3 (n=60)
-0.8 score on scale
Interval -1.5 to -0.1
Change in Soft Tissue Swelling Using Patient-assessed Acromegaly Symptom Questionnaire (PASQ)
Follow-up 4 (n=14)
-1.2 score on scale
Interval -3.1 to 0.6

SECONDARY outcome

Timeframe: Baseline, 6 months (follow-up 1-FUP 1), 12 months (FUP 2), 24 months (FUP 3), 36 months (FUP 4)

Population: ITT Population; subjects who received at least one dose of Somavert during the observation period and had baseline and at least one post baseline efficacy measurement (n=number of subjects with efficacy measurement). Data were available for 130 of the 270 ITT patients.

Change: score at observation minus score at baseline. Numbness or tingling of limbs symptom in PASQ: disease-specific questionnaire consisting of 6 questions scoring 0-8. Maximum score indicates severe signs and symptoms, with lower scores reflecting improved quality of life.

Outcome measures

Outcome measures
Measure
Somavert®
n=131 Participants
Somavert® 10/15/20 milligrams (mg)(active ingredient: Pegvisomant)
Change in Numbness or Tingling of Limbs Using Patient-assessed Acromegaly Symptom Questionnaire (PASQ)
Follow-up 3 (n=60)
-0.6 score on scale
Interval -1.2 to 0.0
Change in Numbness or Tingling of Limbs Using Patient-assessed Acromegaly Symptom Questionnaire (PASQ)
Follow-up 4 (n=14)
-0.8 score on scale
Interval -2.0 to 0.4
Change in Numbness or Tingling of Limbs Using Patient-assessed Acromegaly Symptom Questionnaire (PASQ)
Follow-up 1 (n=108)
-0.7 score on scale
Interval -1.0 to -0.4
Change in Numbness or Tingling of Limbs Using Patient-assessed Acromegaly Symptom Questionnaire (PASQ)
Follow-up 2 (n=89)
-0.6 score on scale
Interval -1.0 to -0.2

SECONDARY outcome

Timeframe: Baseline, 6 months (follow-up 1-FUP 1), 12 months (FUP 2), 24 months (FUP 3), 36 months (FUP 4)

Population: ITT Population; subjects who received at least one dose of Somavert during the observation period and had baseline and at least one post baseline efficacy measurement (n=number of subjects with efficacy measurement). Data were available for 131 of the 270 ITT patients.

Change: score at observation minus score at baseline. General physical condition symptom in PASQ: disease-specific questionnaire based on the previous 6 questions which evaluated headache, excessive sweating, joint pain, fatigue, soft tissue swelling and numbness or tingling of limbs. Scoring 0-10 (0 = worst and 10 = best possible).

Outcome measures

Outcome measures
Measure
Somavert®
n=131 Participants
Somavert® 10/15/20 milligrams (mg)(active ingredient: Pegvisomant)
Change in General Physical Condition Using Patient-assessed Acromegaly Symptom Questionnaire (PASQ)
Follow-up 1 (n=106)
-0.6 score on scale
Interval -0.9 to -0.2
Change in General Physical Condition Using Patient-assessed Acromegaly Symptom Questionnaire (PASQ)
Follow-up 2 (n=89)
-0.6 score on scale
Interval -1.1 to -0.2
Change in General Physical Condition Using Patient-assessed Acromegaly Symptom Questionnaire (PASQ)
Follow-up 3 (n=59)
-0.6 score on scale
Interval -1.3 to 0.1
Change in General Physical Condition Using Patient-assessed Acromegaly Symptom Questionnaire (PASQ)
Follow-up 4 (n=14)
-0.5 score on scale
Interval -2.2 to 1.2

SECONDARY outcome

Timeframe: Baseline, 6 months (follow-up 1-FUP 1), 12 months (FUP 2), 24 months (FUP 3), 36 months (FUP 4)

Population: ITT Population; subjects who received at least one dose of Somavert during the observation period and had baseline and at least one post baseline efficacy measurement (n=number of subjects with efficacy measurement). Data were available for 131 of the 270 ITT patients.

Total PASQ score: total score calculated as sum of items 1-6; range is 0-48. Change from baseline calculated as total score at observation minus total score at baseline. PASQ: disease-specific questionnaire consisting of 6 questions scoring 0-8. Maximum score indicates severe signs and symptoms, with lower scores reflecting improved quality of life.

Outcome measures

Outcome measures
Measure
Somavert®
n=131 Participants
Somavert® 10/15/20 milligrams (mg)(active ingredient: Pegvisomant)
Change in Total PASQ Score Using Patient-assessed Acromegaly Symptom Questionnaire (PASQ)
Follow-up 1 (n=107)
-2.3 score on scale
Interval -3.7 to -0.9
Change in Total PASQ Score Using Patient-assessed Acromegaly Symptom Questionnaire (PASQ)
Follow-up 2 (n=89)
-2.7 score on scale
Interval -4.6 to -0.8
Change in Total PASQ Score Using Patient-assessed Acromegaly Symptom Questionnaire (PASQ)
Follow-up 3 (n=60)
-2.0 score on scale
Interval -4.4 to 0.5
Change in Total PASQ Score Using Patient-assessed Acromegaly Symptom Questionnaire (PASQ)
Follow-up 4 (n=14)
-3.5 score on scale
Interval -9.8 to 2.9

SECONDARY outcome

Timeframe: Baseline, 6 months (follow-up 1-FUP 1), 12 months (FUP 2), 48 months (FUP 5)

Population: Intent to Treat (ITT) Population, subjects who received at least one dose of Somavert during the observation period and had baseline and at least one post baseline efficacy measurement (n=number of subjects with efficacy measurement).

Change: body weight at observation minus body weight at baseline

Outcome measures

Outcome measures
Measure
Somavert®
n=270 Participants
Somavert® 10/15/20 milligrams (mg)(active ingredient: Pegvisomant)
Mean Change From Baseline for Body Weight
Follow-up 1 (n=213)
0.0 kilogram (kg)
Standard Deviation 5.2
Mean Change From Baseline for Body Weight
Follow-up 2 (n=185)
0.6 kilogram (kg)
Standard Deviation 6.0
Mean Change From Baseline for Body Weight
Follow-up 3 (n=118)
2.1 kilogram (kg)
Standard Deviation 7.4
Mean Change From Baseline for Body Weight
Follow-up 4 (n=61)
1.6 kilogram (kg)
Standard Deviation 7.7
Mean Change From Baseline for Body Weight
Follow-up 5 (n=13)
3.0 kilogram (kg)
Standard Deviation 8.4

SECONDARY outcome

Timeframe: Baseline, 6 months (follow-up 1-FUP 1), 12 months (FUP 2), 48 months (FUP 5)

Population: Intent to Treat (ITT) Population, subjects who received at least one dose of Somavert during the observation period and had baseline and at least one post baseline efficacy measurement (n=number of subjects with efficacy measurement).

Change: diastolic blood pressure at observation minus diastolic blood pressure at baseline

Outcome measures

Outcome measures
Measure
Somavert®
n=270 Participants
Somavert® 10/15/20 milligrams (mg)(active ingredient: Pegvisomant)
Change From Baseline for Diastolic Blood Pressure (BP)
Follow-up 1 (n=217)
-1.0 millimeters per mercury (mmHg)
Standard Deviation 11.0
Change From Baseline for Diastolic Blood Pressure (BP)
Follow-up 2 (n=189)
-1.2 millimeters per mercury (mmHg)
Standard Deviation 13.0
Change From Baseline for Diastolic Blood Pressure (BP)
Follow-up 3 (n=124)
-1.5 millimeters per mercury (mmHg)
Standard Deviation 13.4
Change From Baseline for Diastolic Blood Pressure (BP)
Follow-up 4 (n=64)
1.8 millimeters per mercury (mmHg)
Standard Deviation 15.2
Change From Baseline for Diastolic Blood Pressure (BP)
Follow-up 5 (n=15)
2.5 millimeters per mercury (mmHg)
Standard Deviation 15.1

SECONDARY outcome

Timeframe: Baseline, 6 months (follow-up 1-FUP 1), 12 months (FUP 2), 48 months (FUP 5)

Population: Intent to Treat (ITT) Population, subjects who received at least one dose of Somavert during the observation period and had baseline and at least one post baseline efficacy measurement (n=number of subjects with efficacy measurement).

Change: systolic blood pressure at observation minus systolic blood pressure at baseline

Outcome measures

Outcome measures
Measure
Somavert®
n=270 Participants
Somavert® 10/15/20 milligrams (mg)(active ingredient: Pegvisomant)
Change From Baseline for Systolic Blood Pressure (BP)
Follow-up 1 (n=217)
-0.1 millimeters Mercury (mmHg)
Standard Deviation 17.2
Change From Baseline for Systolic Blood Pressure (BP)
Follow-up 2 (n=189)
-2.9 millimeters Mercury (mmHg)
Standard Deviation 18.1
Change From Baseline for Systolic Blood Pressure (BP)
Follow-up 3 (n=124)
-4.3 millimeters Mercury (mmHg)
Standard Deviation 19.2
Change From Baseline for Systolic Blood Pressure (BP)
Follow-up 4 (n=65)
2.1 millimeters Mercury (mmHg)
Standard Deviation 21.4
Change From Baseline for Systolic Blood Pressure (BP)
Follow-up 5 (n=15)
8.4 millimeters Mercury (mmHg)
Standard Deviation 15.4

SECONDARY outcome

Timeframe: Baseline, 6 months (follow-up 1-FUP 1), 12 months (FUP 2), 24 months (FUP 3), 36 months (FUP 4), 48 months (FUP 5)

Population: Intent to Treat (ITT) Population, subjects who received at least one dose of Somavert during the observation period and had baseline and at least one post baseline efficacy measurement (n=number of subjects with efficacy measurement).

Change from baseline: ring size at observation minus ring size at baseline

Outcome measures

Outcome measures
Measure
Somavert®
n=270 Participants
Somavert® 10/15/20 milligrams (mg)(active ingredient: Pegvisomant)
Change From Baseline in Ring Size
Follow-up 1 (n=99)
0.2 millimeters
Standard Deviation 4.7
Change From Baseline in Ring Size
Follow-up 2 (n=82)
-0.8 millimeters
Standard Deviation 8.3
Change From Baseline in Ring Size
Follow-up 3 (n=37)
-0.3 millimeters
Standard Deviation 11.8
Change From Baseline in Ring Size
Follow-up 4 (n=16)
-6.1 millimeters
Standard Deviation 15.7
Change From Baseline in Ring Size
Follow-up 5 (n=2)
0.0 millimeters
Standard Deviation 0.0

SECONDARY outcome

Timeframe: Baseline, 6 months (follow-up 1-FUP 1), 12 months (FUP 2), 24 months (FUP 3), 36 months (FUP 4), 48 months (FUP 5)

Population: The safety evaluations were based on all 311 patients who received at least one dose of Somavert® (safety set).

Adjusted Mean Dose of Somavert® needed to normalize IGF-I concentration during study while simultaneously adjusting for potential confounding baseline variables measured prior to Somavert® therapy. Multiple linear regression model used to evaluate dose needed to normalise IGF-I concentration. Model included terms for IGF-I, growth hormone, age, weight and gender.

Outcome measures

Outcome measures
Measure
Somavert®
n=305 Participants
Somavert® 10/15/20 milligrams (mg)(active ingredient: Pegvisomant)
Adjusted Mean Dose of Somavert® Needed to Normalize the IGF-I Concentration in the Safety Population
16.8 milligram (mg)

SECONDARY outcome

Timeframe: Baseline, 6 months (follow-up 1-FUP 1), 12 months (FUP 2), 24 months (FUP 3), 36 months (FUP 4), 48 months (FUP 5)

Population: Intent to Treat (ITT) Population, subjects who received at least one dose of Somavert during the observation period and had baseline and at least one post baseline efficacy measurement (n=number of subjects with efficacy measurement; n=129).

Adjusted Mean Dose of Somavert® needed to normalize IGF-I concentration during study while simultaneously adjusting for potential confounding baseline variables measured prior to Somavert® therapy. Multiple linear regression model used to evaluate dose needed to normalise IGF-I concentration. Model included terms for IGF-I, growth hormone, age, weight and gender.

Outcome measures

Outcome measures
Measure
Somavert®
n=270 Participants
Somavert® 10/15/20 milligrams (mg)(active ingredient: Pegvisomant)
Adjusted Mean Dose of Somavert® Needed to Normalize the IGF-I Concentration in the ITT Population
16.4 milligram (mg)

Adverse Events

Somavert®

Serious events: 116 serious events
Other events: 197 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Somavert®
Somavert® 10/15/20 milligrams (mg)(active ingredient: Pegvisomant)
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Pituitary tumour benign
5.1%
16/311
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Pituitary tumour
2.3%
7/311
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Neoplasm progression
1.6%
5/311
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Colon cancer
0.64%
2/311
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Pituitary tumour recurrent
0.64%
2/311
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Breast cancer female
0.32%
1/311
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Bronchioloalveolar carcinoma
0.32%
1/311
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Cholesteatoma
0.32%
1/311
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Extragonadal primary malignant teratoma
0.32%
1/311
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Gastric cancer
0.32%
1/311
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Glioblastoma
0.32%
1/311
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Lung squamous cell carcinoma stage unspecified
0.32%
1/311
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Meningioma
0.32%
1/311
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Metastases to abdominal wall
0.32%
1/311
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Prostate cancer
0.32%
1/311
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Recurrent cancer
0.32%
1/311
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Renal cancer
0.32%
1/311
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Renal cell carcinoma
0.32%
1/311
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Respiratory tract neoplasm
0.32%
1/311
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Transitional cell carcinoma
0.32%
1/311
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Ureteral neoplasm
0.32%
1/311
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Uterine leiomyoma
0.32%
1/311
Surgical and medical procedures
Cholecystectomy
2.6%
8/311
Surgical and medical procedures
Pituitary tumour removal
2.6%
8/311
Surgical and medical procedures
Appendicectomy
0.32%
1/311
Surgical and medical procedures
Cardiac pacemaker insertion
0.32%
1/311
Surgical and medical procedures
Gallbladder operation
0.32%
1/311
Surgical and medical procedures
Gastrectomy
0.32%
1/311
Surgical and medical procedures
Hysterectomy
0.32%
1/311
Surgical and medical procedures
Knee arthroplasty
0.32%
1/311
Surgical and medical procedures
Knee operation
0.32%
1/311
Surgical and medical procedures
Laparoscopic surgery
0.32%
1/311
Surgical and medical procedures
Nephrectomy
0.32%
1/311
Surgical and medical procedures
Pituitary gland radiotherapy
0.32%
1/311
Surgical and medical procedures
Radiotherapy
0.32%
1/311
Surgical and medical procedures
Radiotherapy to brain
0.32%
1/311
Surgical and medical procedures
Umbilical hernia repair
0.32%
1/311
Investigations
Hepatic enzyme increased
4.2%
13/311
Investigations
Transaminases increased
2.3%
7/311
Investigations
Insulin-like growth factor increased
0.64%
2/311
Investigations
Alanine aminotransferase increased
0.32%
1/311
Investigations
blood creatine phosphokinase increased
0.32%
1/311
Investigations
Colonoscopy
0.32%
1/311
Investigations
Gamma-glutamyltransferase increased
0.32%
1/311
Hepatobiliary disorders
Cholelithiasis
2.9%
9/311
Hepatobiliary disorders
Bile duct stone
0.64%
2/311
Hepatobiliary disorders
Biliary colic
0.64%
2/311
Hepatobiliary disorders
Cholangitis
0.64%
2/311
Hepatobiliary disorders
Hepatocellular injury
0.64%
2/311
Hepatobiliary disorders
Cholecystitis
0.32%
1/311
Hepatobiliary disorders
Cholecystitis acute
0.32%
1/311
Gastrointestinal disorders
Pancreatitis
0.96%
3/311
Gastrointestinal disorders
Colitis
0.32%
1/311
Gastrointestinal disorders
Colonic polyp
0.32%
1/311
Gastrointestinal disorders
Diverticular perforation
0.32%
1/311
Gastrointestinal disorders
Gastritis haemorrhagic
0.32%
1/311
Gastrointestinal disorders
Ileus
0.32%
1/311
Gastrointestinal disorders
Pancreatitis acute
0.32%
1/311
Gastrointestinal disorders
Umbilical hernia
0.32%
1/311
Injury, poisoning and procedural complications
Femur fracture
0.64%
2/311
Injury, poisoning and procedural complications
Joint dislocation
0.64%
2/311
Injury, poisoning and procedural complications
Lower limb fracture
0.64%
2/311
Injury, poisoning and procedural complications
Road traffic accident
0.64%
2/311
Injury, poisoning and procedural complications
Drug exposure during pregnancy
0.32%
1/311
Injury, poisoning and procedural complications
Fall
0.32%
1/311
Injury, poisoning and procedural complications
Hand fracture
0.32%
1/311
Injury, poisoning and procedural complications
Rib fracture
0.32%
1/311
Injury, poisoning and procedural complications
Whiplash injury
0.32%
1/311
Nervous system disorders
Epilepsy
0.96%
3/311
Nervous system disorders
Anosmia
0.32%
1/311
Nervous system disorders
Cerebrospinal fistula
0.32%
1/311
Nervous system disorders
Cerebrospinal fluid rhinorrhoea
0.32%
1/311
Nervous system disorders
Chiasma syndrome
0.32%
1/311
Nervous system disorders
Hypoaesthesia
0.32%
1/311
Nervous system disorders
Hyposmia
0.32%
1/311
Nervous system disorders
Reversible ischaemic neurological deficit
0.32%
1/311
Nervous system disorders
Transient ischaemic attack
0.32%
1/311
Cardiac disorders
Aortic valve incompetence
0.64%
2/311
Cardiac disorders
Tachyarrhythmia
0.64%
2/311
Cardiac disorders
Acute myocardial infarction
0.32%
1/311
Cardiac disorders
Angina pectoris
0.32%
1/311
Cardiac disorders
Aortic valve sclerosis
0.32%
1/311
Cardiac disorders
Atrial fibrillation
0.32%
1/311
Cardiac disorders
Cardiac failure
0.32%
1/311
Cardiac disorders
Coronary artery disease
0.32%
1/311
Cardiac disorders
Cyanosis
0.32%
1/311
Cardiac disorders
Myocardial infarction
0.32%
1/311
Cardiac disorders
Ventricular fibrillation
0.32%
1/311
Cardiac disorders
Ventricular tachycardia
0.32%
1/311
General disorders
Cardiac death
0.64%
2/311
General disorders
Application site necrosis
0.32%
1/311
General disorders
Condition aggravated
0.32%
1/311
General disorders
Disease progression
0.32%
1/311
General disorders
No adverse event
0.32%
1/311
General disorders
Pain
0.32%
1/311
Vascular disorders
Deep vein thrombosis
0.96%
3/311
Vascular disorders
Hypertension
0.64%
2/311
Vascular disorders
Hypertensive crisis
0.32%
1/311
Vascular disorders
Peripheral circulatory failure
0.32%
1/311
Endocrine disorders
Adrenocortical insufficiency acute
0.64%
2/311
Endocrine disorders
Toxic nodular goitre
0.64%
2/311
Endocrine disorders
Hypopituitarism
0.32%
1/311
Respiratory, thoracic and mediastinal disorders
Chronic obstructive pulmonary disease
0.64%
2/311
Respiratory, thoracic and mediastinal disorders
Dyspnoea
0.64%
2/311
Respiratory, thoracic and mediastinal disorders
Pulmonary embolism
0.64%
2/311
Respiratory, thoracic and mediastinal disorders
Dysphonia
0.32%
1/311
Infections and infestations
Infection
0.64%
2/311
Infections and infestations
Pneumonia
0.64%
2/311
Musculoskeletal and connective tissue disorders
Back pain
0.32%
1/311
Musculoskeletal and connective tissue disorders
Cervical spinal stenosis
0.32%
1/311
Musculoskeletal and connective tissue disorders
Muscle spasms
0.32%
1/311
Musculoskeletal and connective tissue disorders
Myalgia
0.32%
1/311
Musculoskeletal and connective tissue disorders
Spinal disorder
0.32%
1/311
Metabolism and nutrition disorders
Diabetes mellitus
0.32%
1/311
Metabolism and nutrition disorders
Diabetic foot
0.32%
1/311
Metabolism and nutrition disorders
Electrolyte imbalance
0.32%
1/311
Blood and lymphatic system disorders
Anaemia
0.32%
1/311
Congenital, familial and genetic disorders
Adenomatous polyposis coli
0.32%
1/311
Eye disorders
Blindness transient
0.32%
1/311
Eye disorders
Optic ischaemic neuropathy
0.32%
1/311
Pregnancy, puerperium and perinatal conditions
Ectopic pregnancy
0.32%
1/311
Pregnancy, puerperium and perinatal conditions
Pregnancy
0.32%
1/311
Renal and urinary disorders
Hydronephrosis
0.32%
1/311
Reproductive system and breast disorders
Menorrhagia
0.32%
1/311

Other adverse events

Other adverse events
Measure
Somavert®
Somavert® 10/15/20 milligrams (mg)(active ingredient: Pegvisomant)
Investigations
Hepatic enzyme increased
6.8%
21/311
Investigations
Transaminases increased
3.5%
11/311
Investigations
Alanine aminotransferase increased
1.3%
4/311
Investigations
Insulin-like growth factor increased
0.96%
3/311
Investigations
Aspartate aminotransferase increased
0.64%
2/311
Investigations
Gamma-glutamyltransferase increased
0.64%
2/311
Investigations
Weight increased
0.64%
2/311
Investigations
Analgesic drug level increased
0.32%
1/311
Investigations
Blood creatine phosphokinase increased
0.32%
1/311
Investigations
Blood pressure increased
0.32%
1/311
Investigations
Colonoscopy
0.32%
1/311
Investigations
Waist circumference increased
0.32%
1/311
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Pituitary tumour benign
5.5%
17/311
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Pituitary tumour
2.3%
7/311
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Neoplasm progression
1.6%
5/311
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Benign colonic neoplasm
0.64%
2/311
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Colon cancer
0.64%
2/311
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Lipoma
0.64%
2/311
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Pituitary tumour recurrent
0.64%
2/311
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Benign neoplasm of skin
0.32%
1/311
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Breast cancer female
0.32%
1/311
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Bronchioloalveolar carcinoma
0.32%
1/311
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Cholesteatoma
0.32%
1/311
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Extragonadal primary malignant teratoma
0.32%
1/311
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Gastric cancer
0.32%
1/311
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Glioblastoma
0.32%
1/311
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Lung squamous cell carcinoma stage unspecified
0.32%
1/311
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Meningioma
0.32%
1/311
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Metastases to abdominal wall
0.32%
1/311
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Papillary thyroid cancer
0.32%
1/311
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Prostate cancer
0.32%
1/311
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Recurrent cancer
0.32%
1/311
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Renal cancer
0.32%
1/311
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Renal cell carcinoma
0.32%
1/311
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Respiratory tract neoplasm
0.32%
1/311
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Transitional cell carcinoma
0.32%
1/311
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Ureteral neoplasm
0.32%
1/311
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Uterine leiomyoma
0.32%
1/311
Surgical and medical procedures
Cholecystectomy
2.6%
8/311
Surgical and medical procedures
Pituitary tumour removal
2.6%
8/311
Surgical and medical procedures
Radiotherapy
1.6%
5/311
Surgical and medical procedures
Radiotherapy to brain
0.64%
2/311
Surgical and medical procedures
Appendicectomy
0.32%
1/311
Surgical and medical procedures
Cardiac pacemaker insertion
0.32%
1/311
Surgical and medical procedures
Gallbladder operation
0.32%
1/311
Surgical and medical procedures
Gastrectomy
0.32%
1/311
Surgical and medical procedures
Hypophysectomy
0.32%
1/311
Surgical and medical procedures
Hysterectomy
0.32%
1/311
Surgical and medical procedures
Knee arthroplasty
0.32%
1/311
Surgical and medical procedures
Knee operation
0.32%
1/311
Surgical and medical procedures
Laparoscopic surgery
0.32%
1/311
Surgical and medical procedures
Nephrectomy
0.32%
1/311
Surgical and medical procedures
Pituitary gland radiotherapy
0.32%
1/311
Surgical and medical procedures
Polypectomy
0.32%
1/311
Surgical and medical procedures
Therapy regimen changed
0.32%
1/311
Surgical and medical procedures
Umbilical hernia repair
0.32%
1/311
General disorders
Fat tissue increased
1.6%
5/311
General disorders
Injection site erythema
1.6%
5/311
General disorders
Disease progression
1.3%
4/311
General disorders
Cardiac death
0.64%
2/311
General disorders
Fatigue
0.64%
2/311
General disorders
Injection site hypertrophy
0.64%
2/311
General disorders
Injection site reaction
0.64%
2/311
General disorders
Injection site swelling
0.64%
2/311
General disorders
Pain
0.64%
2/311
General disorders
Adverse drug reaction
0.32%
1/311
General disorders
Application site necrosis
0.32%
1/311
General disorders
Condition aggravated
0.32%
1/311
General disorders
Drug ineffective
0.32%
1/311
General disorders
Facial pain
0.32%
1/311
General disorders
Feeling cold
0.32%
1/311
General disorders
Influenza like illness
0.32%
1/311
General disorders
Injection site induration
0.32%
1/311
General disorders
Injection site oedema
0.32%
1/311
General disorders
Injection site pruritus
0.32%
1/311
General disorders
No adverse event
0.32%
1/311
General disorders
Ulcer
0.32%
1/311
Nervous system disorders
Headache
4.2%
13/311
Nervous system disorders
Epilepsy
0.96%
3/311
Nervous system disorders
Hyposmia
0.64%
2/311
Nervous system disorders
Sciatica
0.64%
2/311
Nervous system disorders
Anosmia
0.32%
1/311
Nervous system disorders
Carpal tunnel syndrome
0.32%
1/311
Nervous system disorders
Cerebral infarction
0.32%
1/311
Nervous system disorders
Cerebrospinal fistula
0.32%
1/311
Nervous system disorders
Cerebrospinal fluid rhinorrhoea
0.32%
1/311
Nervous system disorders
Chiasma syndrome
0.32%
1/311
Nervous system disorders
Disturbance in attention
0.32%
1/311
Nervous system disorders
Dysaesthesia
0.32%
1/311
Nervous system disorders
Hypoaesthesia
0.32%
1/311
Nervous system disorders
IIIrd nerve paralysis
0.32%
1/311
Nervous system disorders
Memory impairment
0.32%
1/311
Nervous system disorders
Polyneuropathy
0.32%
1/311
Nervous system disorders
Reversible ischaemic neurological deficit
0.32%
1/311
Nervous system disorders
Spinal cord compression
0.32%
1/311
Nervous system disorders
Transient ischaemic attack
0.32%
1/311
Nervous system disorders
Visual field defect
0.32%
1/311
Gastrointestinal disorders
Constipation
1.9%
6/311
Gastrointestinal disorders
Pancreatitis
0.96%
3/311
Gastrointestinal disorders
Diarrhoea
0.64%
2/311
Gastrointestinal disorders
Gastrooesophageal reflux disease
0.64%
2/311
Gastrointestinal disorders
Abdominal pain lower
0.32%
1/311
Gastrointestinal disorders
Abdominal pain upper
0.32%
1/311
Gastrointestinal disorders
Colitis
0.32%
1/311
Gastrointestinal disorders
Colonic polyp
0.32%
1/311
Gastrointestinal disorders
Diverticular perforation
0.32%
1/311
Gastrointestinal disorders
Dyspepsia
0.32%
1/311
Gastrointestinal disorders
Faecal incontinence
0.32%
1/311
Gastrointestinal disorders
Gastric cyst
0.32%
1/311
Gastrointestinal disorders
Gastritis
0.32%
1/311
Gastrointestinal disorders
Gastritis erosive
0.32%
1/311
Gastrointestinal disorders
Gastritis haemorrhagic
0.32%
1/311
Gastrointestinal disorders
Gastrointestinal pain
0.32%
1/311
Gastrointestinal disorders
Gingivitis
0.32%
1/311
Gastrointestinal disorders
Haemorrhoids
0.32%
1/311
Gastrointestinal disorders
Ileus
0.32%
1/311
Gastrointestinal disorders
Nausea
0.32%
1/311
Gastrointestinal disorders
Pancreatitis acute
0.32%
1/311
Gastrointestinal disorders
Reflux oesophagitis
0.32%
1/311
Gastrointestinal disorders
Stomach discomfort
0.32%
1/311
Gastrointestinal disorders
Umbilical hernia
0.32%
1/311
Hepatobiliary disorders
Cholelithiasis
4.2%
13/311
Hepatobiliary disorders
Biliary colic
0.96%
3/311
Hepatobiliary disorders
Bile duct stone
0.64%
2/311
Hepatobiliary disorders
Cholangitis
0.64%
2/311
Hepatobiliary disorders
Hepatocellular injury
0.64%
2/311
Hepatobiliary disorders
Cholecystitis
0.32%
1/311
Hepatobiliary disorders
Cholecystitis acute
0.32%
1/311
Hepatobiliary disorders
Hepatic cyst
0.32%
1/311
Endocrine disorders
Adrenal insufficiency
0.96%
3/311
Endocrine disorders
Hypopituitarism
0.96%
3/311
Endocrine disorders
Adrenocortical insufficiency acute
0.64%
2/311
Endocrine disorders
Gonadotrophin deficiency
0.64%
2/311
Endocrine disorders
Hypogonadism
0.64%
2/311
Endocrine disorders
Toxic nodular goitre
0.64%
2/311
Endocrine disorders
Diabetes insipidus
0.32%
1/311
Endocrine disorders
Hyperparathyroidism primary
0.32%
1/311
Endocrine disorders
Hyperprolactinaemia
0.32%
1/311
Endocrine disorders
Hyperthyroidism
0.32%
1/311
Endocrine disorders
Pituitary haemorrhage
0.32%
1/311
Endocrine disorders
Secondary hypothyroidism
0.32%
1/311
Vascular disorders
Hypertension
3.9%
12/311
Vascular disorders
Deep vein thrombosis
0.96%
3/311
Vascular disorders
Hypertensive crisis
0.32%
1/311
Vascular disorders
Macroangiopathy
0.32%
1/311
Vascular disorders
Peripheral circulatory failure
0.32%
1/311
Vascular disorders
Thrombophlebitis superficial
0.32%
1/311
Musculoskeletal and connective tissue disorders
Osteoarthritis
0.96%
3/311
Musculoskeletal and connective tissue disorders
Back pain
0.64%
2/311
Musculoskeletal and connective tissue disorders
Muscle spasms
0.64%
2/311
Musculoskeletal and connective tissue disorders
Myalgia
0.64%
2/311
Musculoskeletal and connective tissue disorders
Arthralgia
0.32%
1/311
Musculoskeletal and connective tissue disorders
Bone pain
0.32%
1/311
Musculoskeletal and connective tissue disorders
Cervical spinal stenosis
0.32%
1/311
Musculoskeletal and connective tissue disorders
Chondropathy
0.32%
1/311
Musculoskeletal and connective tissue disorders
Musculoskeletal pain
0.32%
1/311
Musculoskeletal and connective tissue disorders
Nodal osteoarthritis
0.32%
1/311
Musculoskeletal and connective tissue disorders
Osteochondrosis
0.32%
1/311
Musculoskeletal and connective tissue disorders
Pain in extremity
0.32%
1/311
Musculoskeletal and connective tissue disorders
Sjogren's syndrome
0.32%
1/311
Musculoskeletal and connective tissue disorders
Spinal column stenosis
0.32%
1/311
Musculoskeletal and connective tissue disorders
Spinal disorder
0.32%
1/311
Musculoskeletal and connective tissue disorders
Synovial cyst
0.32%
1/311
Metabolism and nutrition disorders
Diabetes mellitus
0.96%
3/311
Metabolism and nutrition disorders
Vitamin D deficiency
0.96%
3/311
Metabolism and nutrition disorders
Hypercholesterolaemia
0.64%
2/311
Metabolism and nutrition disorders
Hyperlipidaemia
0.64%
2/311
Metabolism and nutrition disorders
Iron deficiency
0.64%
2/311
Metabolism and nutrition disorders
Diabetic foot
0.32%
1/311
Metabolism and nutrition disorders
Electrolyte imbalance
0.32%
1/311
Metabolism and nutrition disorders
Hyperuricaemia
0.32%
1/311
Metabolism and nutrition disorders
Hypoglycaemia
0.32%
1/311
Metabolism and nutrition disorders
Hypokalaemia
0.32%
1/311
Metabolism and nutrition disorders
Lactose intolerance
0.32%
1/311
Infections and infestations
Pneumonia
0.96%
3/311
Metabolism and nutrition disorders
Infection
0.64%
2/311
Infections and infestations
Sinusitis
0.64%
2/311
Infections and infestations
Dermatophytosis
0.32%
1/311
Infections and infestations
Helicobacter gastritis
0.32%
1/311
Infections and infestations
Helicobacter infection
0.32%
1/311
Infections and infestations
Herpes Zoster
0.32%
1/311
Infections and infestations
Lobar pneumonia
0.32%
1/311
Infections and infestations
Urinary tract infection
0.32%
1/311
Infections and infestations
Viral infection
0.32%
1/311
Cardiac disorders
Aortic valve incompetence
0.64%
2/311
Cardiac disorders
Atrial fibrillation
0.64%
2/311
Cardiac disorders
Cardiac failure
0.64%
2/311
Cardiac disorders
Tachyarrhythmia
0.64%
2/311
Cardiac disorders
Acute myocardial infarction
0.32%
1/311
Cardiac disorders
Angina pectoris
0.32%
1/311
Cardiac disorders
Aortic valve sclerosis
0.32%
1/311
Cardiac disorders
Arrhythmia
0.32%
1/311
Cardiac disorders
Coronary artery disease
0.32%
1/311
Cardiac disorders
Cyanosis
0.32%
1/311
Cardiac disorders
Myocardial infarction
0.32%
1/311
Cardiac disorders
Sinus arrhythmia
0.32%
1/311
Cardiac disorders
Ventricular fibrillation
0.32%
1/311
Cardiac disorders
Ventricular tachycardia
0.32%
1/311
Injury, poisoning and procedural complications
Femur fracture
0.64%
2/311
Injury, poisoning and procedural complications
Joint dislocation
0.64%
2/311
Injury, poisoning and procedural complications
Lower limb fracture
0.64%
2/311
Injury, poisoning and procedural complications
Road traffic accident
0.64%
2/311
Injury, poisoning and procedural complications
Drug exposure during pregnancy
0.32%
1/311
Injury, poisoning and procedural complications
Fall
0.32%
1/311
Injury, poisoning and procedural complications
Hand fracture
0.32%
1/311
Injury, poisoning and procedural complications
Procedural headache
0.32%
1/311
Injury, poisoning and procedural complications
Radiation associated pain
0.32%
1/311
Injury, poisoning and procedural complications
Rib fracture
0.32%
1/311
Injury, poisoning and procedural complications
Whiplash injury
0.32%
1/311
Skin and subcutaneous tissue disorders
Lipohypertrophy
1.3%
4/311
Skin and subcutaneous tissue disorders
Alopecia
0.64%
2/311
Skin and subcutaneous tissue disorders
Erythema
0.32%
1/311
Injury, poisoning and procedural complications
Hyperhidrosis
0.32%
1/311
Skin and subcutaneous tissue disorders
Rash
0.32%
1/311
Skin and subcutaneous tissue disorders
Rash pruritic
0.32%
1/311
Respiratory, thoracic and mediastinal disorders
Chronic obstructive pulmonary disease
0.64%
2/311
Respiratory, thoracic and mediastinal disorders
Dyspnoea
0.64%
2/311
Respiratory, thoracic and mediastinal disorders
Pulmonary embolism
0.64%
2/311
Respiratory, thoracic and mediastinal disorders
Asthma
0.32%
1/311
Respiratory, thoracic and mediastinal disorders
Bronchial irritation
0.32%
1/311
Respiratory, thoracic and mediastinal disorders
Dysphonia
0.32%
1/311
Psychiatric disorders
Loss of libido
0.64%
2/311
Psychiatric disorders
Depressed mood
0.32%
1/311
Psychiatric disorders
Depression
0.32%
1/311
Psychiatric disorders
Middle insomnia
0.32%
1/311
Psychiatric disorders
Restlessness
0.32%
1/311
Reproductive system and breast disorders
Benign prostatic hyperplasia
0.96%
3/311
Reproductive system and breast disorders
Gynaecomastia
0.32%
1/311
Reproductive system and breast disorders
Menorrhagia
0.32%
1/311
Reproductive system and breast disorders
Prostatism
0.32%
1/311
Eye disorders
Visual acuity reduced
0.64%
2/311
Eye disorders
Blindness transient
0.32%
1/311
Eye disorders
Cataract
0.32%
1/311
Eye disorders
Glaucoma
0.32%
1/311
Eye disorders
Optic ischaemic neuropathy
0.32%
1/311
Congenital, familial and genetic disorders
Adenomatous polyposis coli
0.96%
3/311
Renal and urinary disorders
Diabetic nephropathy
0.32%
1/311
Renal and urinary disorders
Hydronephrosis
0.32%
1/311
Renal and urinary disorders
Renal arteriosclerosis
0.32%
1/311
Renal and urinary disorders
Renal atrophy
0.32%
1/311
Renal and urinary disorders
Renal cyst
0.32%
1/311
Blood and lymphatic system disorders
Anaemia
0.64%
2/311
Blood and lymphatic system disorders
Iron deficiency anaemia
0.32%
1/311
Ear and labyrinth disorders
Hypoacusis
0.32%
1/311
Immune system disorders
House dust allergy
0.32%
1/311
Pregnancy, puerperium and perinatal conditions
Ectopic pregnancy
0.32%
1/311
Pregnancy, puerperium and perinatal conditions
Pregnancy
0.32%
1/311

Additional Information

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Phone: 1-800-718-1021

Results disclosure agreements

  • Principal investigator is a sponsor employee Pfizer has the right to review disclosures, requesting a delay of \<60 days. Investigator will postpone single center publications until after disclosure of pooled data (all sites), \<12 mo from study completion/termination at all participating sites. Investigator may not disclose previously undisclosed confidential info other than study results.
  • Publication restrictions are in place

Restriction type: OTHER