The RApid Switch From 1st Generation Somatostatin Analogues to PaSireOtiDe In Acromegaly

NCT ID: NCT06597383

Last Updated: 2024-09-19

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

RECRUITING

Total Enrollment

100 participants

Study Classification

OBSERVATIONAL

Study Start Date

2023-11-24

Study Completion Date

2024-11-30

Brief Summary

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This is an observational, retrospective, national multicenter study aimed to evaluate the impact and efficacy of Time To Switch (TTS) from first-line to second-line medical therapy in Acromegaly.

Detailed Description

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The study will retrospectively collect clinical, laboratory and anamnestic data of approximately 100 patients evaluated at the UOs involved in the study in last 5 years and 6 months.

Acromegalic patients which neurosurgical intervention was not completely effective or contraindicated or rejected by the patient and for which first-line medical therapy with first-generation somatostatin analogues (octreotide LAR or lanreotide) did not result in disease control and switched to second-line medical therapy will be enrolled. The TTS is the time defined in days and months from the observation that disease is no longer biochemically controlled, defined by the presence of GH levels ≥1 μg/L and IGF-1\>1.3×ULN (upper limit of normal), during 1st line therapy, and the start of 2nd line therapy line.

Conditions

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Acromegaly

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

RETROSPECTIVE

Eligibility Criteria

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Inclusion Criteria

* Adult men and women (age ≥ 18 years) affected by acromegaly, including those of childbearing age
* Patients inadequately controlled with first generation somatostatin analogues (GH ≥1 μg/L and IGF-1 \>1.3×ULN)
* Second line medical treatment (Pasireotide; Pegvisomant only; combination Pegvisomant + 1st generation SSA) after use of first-line medical treatment
* At least 12 months of follow up during 2nd line therapy
* Signature of the informed consent to the study

Exclusion Criteria

* age ≤18 years
* Pregnant and/or breastfeeding women
* Patients unable to understand and sign the Informed Consent
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Turin, Italy

OTHER

Sponsor Role collaborator

University of Padova

OTHER

Sponsor Role collaborator

Fondazione Policlinico Universitario Agostino Gemelli IRCCS

OTHER

Sponsor Role collaborator

IRCCS San Raffaele

OTHER

Sponsor Role lead

Responsible Party

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Andrea Giustina

Professor of Endocrinology

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Andrea Giustina

Milan, , Italy

Site Status RECRUITING

Countries

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Italy

Central Contacts

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Luigi Di Filippo, medical doctor

Role: CONTACT

+39 0226435062

Gabriela Felipe, clinical research nurse

Role: CONTACT

+39 0226435062

Facility Contacts

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Gabriela Felipe, nurse

Role: primary

0226435062

Other Identifiers

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RAPSODIA

Identifier Type: -

Identifier Source: org_study_id

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