An Open-label, Multi-center, Expanded Treatment Protocol of Pasireotide LAR in Patients With Acromegaly

NCT ID: NCT01995734

Last Updated: 2015-12-29

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

APPROVED_FOR_MARKETING

Study Classification

EXPANDED_ACCESS

Brief Summary

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The present study is planned as an expanded treatment protocol to provide acromegalic patients for whom medical therapy is appropriate access to pasireotide LAR while regulatory approval for pasireotide is sought.

Detailed Description

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Conditions

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Acromegaly

Keywords

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Acromegaly, Pituitary diseases

Interventions

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Pasireotide long acting release formulation

Pasireotide LAR will be administered intramuscularly (i.m.) every 28 days until pasireotide becomes commercially available and reimbursed or until 31 December 2015, whichever occurs first.

Intervention Type DRUG

Other Intervention Names

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SOM230 LAR

Eligibility Criteria

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Inclusion Criteria

* Patients with confirmed diagnosis of active acromegaly with elevated IGF-1 (\>ULN) and random GH (\>1 μg/L) within 30 days of screening.
* Patients who are not controlled by pituitary surgery or who are not eligible for or refuse surgery.
* For patients on medical treatment for acromegaly the following washout periods must be completed before screening assessments are performed:

* Dopamine agonists (bromocriptine, cabergoline): 4 weeks
* GH-receptor antagonists (pegvisomant): 8 weeks
* Somatostatin analogues: no washout period required
* Karnofsky performance status ≥ 60.

Exclusion Criteria

* Concomitant treatment with somatostatin analogues unless concomitant treatment was discontinued 28 days before first pasireotide LAR injection is administrated.
* Concomitant treatment with growth hormone receptor (GHR)-antagonists or dopamine agonists unless concomitant treatment was discontinued and the washout period was completed before the screening assessments are performed.
* Patients with compression of the optic chiasm causing any visual field defect for whom surgical intervention is indicated.
* Patients who require a surgical intervention for relief of any sign or symptom associated with tumor compression.
* Patients who have undergone major surgery/surgical therapy for any cause within 4 weeks of screening.
* Patients who have received radiotherapy of the pituitary within 4 weeks prior to screening or have not recovered from side effects of radiotherapy.
* Patients who have a history of hypothyroidism and who are not adequately treated with stable doses of thyroid hormone replacement therapy.
* Patients with active malignant disease within the last five years (with the exception of basal cell carcinoma or carcinoma in situ of the cervix).
* Diabetic patients whose blood glucose is poorly controlled.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Novartis Pharmaceuticals

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Novartis Pharmaceuticals

Role: STUDY_DIRECTOR

Novartis Pharmaceuticals

Locations

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University of Alabama at Birmingham Univ. of Alabama Birmingham

Birmingham, Alabama, United States

Site Status

Advanced Research, LLC Advanced Reserch (4)

Peoria, Arizona, United States

Site Status

St. Joseph's Hospital Medical Center St. Joseph's Hosp Med Ctr (2)

Phoenix, Arizona, United States

Site Status

San Diego Coastal Endocrinology Group

Chula Vista, California, United States

Site Status

University of Southern California Keck School of Medicine

Los Angeles, California, United States

Site Status

University of California at Los Angeles UCLA - Los Angeles

Los Angeles, California, United States

Site Status

John Wayne Cancer Institute Saint John's Health Center

Santa Monica, California, United States

Site Status

Harbor-UCLA Medical Center Center for Men's Health

Torrance, California, United States

Site Status

George Washington University Medical Center Medical Faculty Associates Inc

Washington D.C., District of Columbia, United States

Site Status

Center for Diabetes & Endocrine Care Dept.of Ctr for Diab&Endoc - 2

Hollywood, Florida, United States

Site Status

Central Florida Endocrine & Diabetes Consultants

Maitland, Florida, United States

Site Status

Endocrine Assoc of FL

Ocoee, Florida, United States

Site Status

Emory University School of Medicine/Winship Cancer Institute Emory University (5)

Atlanta, Georgia, United States

Site Status

Dr. Steven Leichter, Endocrine Consultant

Columbus, Georgia, United States

Site Status

Northwestern University Endo, Metabolism and Molecular

Chicago, Illinois, United States

Site Status

The Johns Hopkins University School of Medicine Johns Hopkins University

Baltimore, Maryland, United States

Site Status

Sinai Hospital of Baltimore Sinai Hospital, Baltimore

Baltimore, Maryland, United States

Site Status

Tufts Medical Center Tufts Medical Ctr

Boston, Massachusetts, United States

Site Status

Mayo Clinic - Rochester Mayo Clinic (2)

Rochester, Minnesota, United States

Site Status

Washington University

St Louis, Missouri, United States

Site Status

PALM MEDICAL RESEARCH CENTER Palm Research Center, Inc

Las Vegas, Nevada, United States

Site Status

Robert Wood Johnson Medical School Div. Endo, Meta & Nutrition

New Brunswick, New Jersey, United States

Site Status

University of New Mexico School of Medicine Univ of NM

Albuquerque, New Mexico, United States

Site Status

Stony Brook Internists PC

East Setauket, New York, United States

Site Status

Mount Sinai School of Medicine Mt. Sinai Schoof of Med.

New York, New York, United States

Site Status

Columbia University Medical Center- New York Presbyterian Neuroendocrine Unit

New York, New York, United States

Site Status

Endocrine Associates of Long Island, P.C.

Smithtown, New York, United States

Site Status

Endocrinology Associates Inc

Columbus, Ohio, United States

Site Status

Toledo Clinic Toledo Clinic, Inc.

Toledo, Ohio, United States

Site Status

Oregon Health & Sciences University Oregon Health & Sciences

Portland, Oregon, United States

Site Status

Thomas Jefferson University Jefferson University Physician

Philadelphia, Pennsylvania, United States

Site Status

Allegheny Endocrinology Associates Allegheny Endo Associates

Pittsburgh, Pennsylvania, United States

Site Status

MidState Endocrine Associates

Nashville, Tennessee, United States

Site Status

Vanderbilt University Medical Center Clinical Trials Center

Nashville, Tennessee, United States

Site Status

Baylor College of Medicine Division of Endocrinology

Houston, Texas, United States

Site Status

Virginia Endocrinology Research

Chesapeake, Virginia, United States

Site Status

Swedish Cancer Institute Swedish Neuroscience Institute

Seattle, Washington, United States

Site Status

Countries

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United States

References

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Jerkins TW, Jerkins RK, Franklin R. Successful debulking of plurihormonal pituitary macroadenoma with long-acting pasireotide and dopamine agonist combination therapy. Clin Case Rep. 2019 Jan 28;7(3):445-451. doi: 10.1002/ccr3.1961. eCollection 2019 Mar.

Reference Type DERIVED
PMID: 30899469 (View on PubMed)

Lovato CM, Kapsner PL. Analgesic effect of long-acting somatostatin receptor agonist pasireotide in a patient with acromegaly and intractable headaches. BMJ Case Rep. 2018 Jun 19;2018:bcr2017219686. doi: 10.1136/bcr-2017-219686.

Reference Type DERIVED
PMID: 29925553 (View on PubMed)

Gordon MB, Nakhle S, Ludlam WH. Patients with Acromegaly Presenting with Colon Cancer: A Case Series. Case Rep Endocrinol. 2016;2016:5156295. doi: 10.1155/2016/5156295. Epub 2016 Nov 29.

Reference Type DERIVED
PMID: 28025627 (View on PubMed)

Fleseriu M, Rusch E, Geer EB; ACCESS Study Investigators. Safety and tolerability of pasireotide long-acting release in acromegaly-results from the acromegaly, open-label, multicenter, safety monitoring program for treating patients who have a need to receive medical therapy (ACCESS) study. Endocrine. 2017 Jan;55(1):247-255. doi: 10.1007/s12020-016-1182-4. Epub 2016 Nov 28.

Reference Type DERIVED
PMID: 27896545 (View on PubMed)

Other Identifiers

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CSOM230CUS33

Identifier Type: -

Identifier Source: org_study_id