Trial | Phase | Enrollment | Study Type | Start Date | Status |
Evaluation of the Effect of Pasireotide LAR Administration in the Lymphocele Prevention After Axillary Node Dissection for Breast Cancer [NCT01356862] | Phase 2 | 91 participants (Actual) | Interventional | 2010-09-30 | Completed |
Phase II Study of the IGF-1 Inhibitor Pasireotide Lar in Combination With the m-TOR Inhibitor Everolimus in Patients With Relapsed/Refractory Multiple Myeloma [NCT01234974] | Phase 2 | 0 participants (Actual) | Interventional | 2010-12-31 | Withdrawn(stopped due to Study never undertaken) |
Breast Cancer Chemoprevention by SOM230, an IGF-I Action Inhibitor: A Proof of Principle Trial [NCT01372644] | Phase 1 | 15 participants (Actual) | Interventional | 2007-11-30 | Completed |
A Phase I, Multi-center, Open-label, Dose Escalation Study of Pasireotide (SOM230) LAR in Patients With Advanced Neuroendocrine Tumors (NETs) [NCT01364415] | Phase 1 | 29 participants (Actual) | Interventional | 2011-08-31 | Completed |
Breast Cancer Chemoprevention by SOM230, an IGF-I Action Inhibitor [NCT01372618] | Phase 1/Phase 2 | 9 participants (Actual) | Interventional | 2011-06-30 | Terminated(stopped due to PI has passed away. Requested by department to terminate study.) |
Pasireotide for Prevention of Hypoglycemia in Patients With Hyperinsulinemic Hypoglycemia [NCT03053284] | Phase 2 | 0 participants (Actual) | Interventional | 2017-04-30 | Withdrawn(stopped due to Funding was withdrawn by Sponsor prior to start of study) |
Assessing Efficacy of Combining Pasireotide With Aspiration Sclerotherapy to Improve Volume Reduction of Dominant Hepatic Cysts: a Randomized, Double-blind, Placebo-controlled Clinical Trial. [NCT02048319] | Phase 3 | 34 participants (Actual) | Interventional | 2013-12-31 | Completed |
Phase 1 Study to Evaluate Safety, and Preliminary Efficacy of Pasireotide LAR in Castration Resistant Prostate Cancer [NCT01646684] | Phase 1 | 9 participants (Actual) | Interventional | 2013-03-08 | Completed |
Phase II Study of SOM230 LAR in Combination With Bortezomib and Dexamethasone in Patients With Refractory or Relapsed Multiple Myeloma [NCT01329289] | Phase 2 | 0 participants (Actual) | Interventional | 2011-12-31 | Withdrawn(stopped due to Clinical trial being transferred to Columbia University with the Investigator.) |
Pasireotide in the Treatment of Hypoglycemia Following Gastric Bypass Surgery [NCT03514576] | Phase 4 | 5 participants (Anticipated) | Interventional | 2018-06-01 | Enrolling by invitation |
Treatment of Hypoglycemia Following Gastric Bypass Surgery [NCT02527993] | Phase 4 | 11 participants (Actual) | Interventional | 2015-10-31 | Completed |
A Three-Part Study to Assess the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of Single Ascending Subcutaneous Doses of HTL0030310 in Healthy Subjects [NCT03847207] | Phase 1 | 42 participants (Actual) | Interventional | 2019-02-13 | Completed |
Reduction by Pasireotide of the Effluent Volume in High-output Enterostomy in Patients Refractory to Usual Medical Treatment : Phase II Multicentric Randomized Double Bland Placebo Controlled Study [NCT02713776] | Phase 2 | 57 participants (Actual) | Interventional | 2016-12-13 | Completed |
An Open-label Phase I Study Evaluating the Safety and Tolerability of Pasireotide LAR in Combination With Everolimus in Advanced Metastatic NETs - The COOPERATE-1 Study [NCT01263353] | Phase 1 | 36 participants (Actual) | Interventional | 2010-11-30 | Completed |
A Phase II Study of RAD001 (Everolimus) and Pasireotide (SOM230) LAR in Patients With Advanced Uveal Melanoma [NCT01252251] | Phase 2 | 14 participants (Actual) | Interventional | 2010-11-30 | Completed |
Phase II Study of Pasireotide LAR in Patients With Metastatic Neuroendocrine Carcinomas [NCT01253161] | Phase 2 | 29 participants (Actual) | Interventional | 2011-02-01 | Completed |
Impact of Pasireotide on Postoperative Pancreatic Fistulas Following Distal Resections [NCT04281680] | | 258 participants (Actual) | Observational | 2014-07-01 | Completed |
An Open Label, Multicenter, Single Arm Study of Pasireotide LAR in Patients With Rare Tumors of Neuroendocrine Origin [NCT00958841] | Phase 2 | 118 participants (Actual) | Interventional | 2009-09-30 | Terminated(stopped due to Slow recruitment rate into this study with rare tumors of neuroendocrine origin (enrollment issues)) |
Effect of Pasireotide LAR on Gonadotroph Adenomas: A Pilot Study [NCT00929669] | Phase 2 | 2 participants (Actual) | Interventional | 2009-06-30 | Terminated(stopped due to unable to identify a third subject) |
A Proof of Concept and Open-label Study to Test the Efficacy and Safety of Pasireotide in Patients With Ectopic ACTH-producing Tumors [NCT02780882] | Phase 2 | 0 participants (Actual) | Interventional | 2015-12-31 | Withdrawn(stopped due to Due to stringent inclusion/exclusion criteria, study investigator deemed it not feasible.) |
Efficacy and Safety of Pasireotide Long Acting Release (LAR) in Combination With Weekly Pegvisomant in Previously Controlled Acromegaly Patients on Combination Treatment of Long-Acting Somatostatin Analogues and Weekly Pegvisomant [NCT02668172] | Phase 4 | 60 participants (Actual) | Interventional | 2015-08-31 | Active, not recruiting |
HYPAR Trial - Hydrocortisone vs Pasireotide in Reducing Pancreatic Fistula and Other Complications After Pancreatic Resection - a Prospective, Randomized, Controlled Trial [NCT02775227] | Phase 4 | 126 participants (Actual) | Interventional | 2016-05-31 | Active, not recruiting |
A Multicenter, Randomized, Blinded Efficacy and Safety Study of Pasireotide LAR vs Octreotide LAR in Patients With Metastatic Carcinoid Tumors Whose Disease-related Symptoms Are Inadequately Controlled by Somatostatin Analogues. [NCT00690430] | Phase 3 | 186 participants (Actual) | Interventional | 2008-04-30 | Completed |
Efficacy and Feasibility of Pasireotide to Reduce Clinically Relevant Digestive Leakage After Complete Cytoreductive Surgery (CRS) Plus Hyperthermic Intra-Peritoneal Chemotherapy (HIPEC) for Peritoneal Carcinomatosis - a Phase II Randomized Multicentric T [NCT04826432] | Phase 2 | 217 participants (Anticipated) | Interventional | 2020-09-03 | Suspended(stopped due to No more experimental drugs available) |
Prospective Randomized, Double Blind, Placebo Controlled Trial of SOM230 for the Reduction of Post-Pancreatectomy Fistula, Leak, and Abscess [NCT00994110] | Phase 3 | 439 participants (Actual) | Interventional | 2009-10-31 | Completed |
A Phase I, Open-label, Multi-center, Single Dose Study to Evaluate the Pharmacokinetics and Safety of Subcutaneous Pasireotide (SOM230) in Subjects With Varying Degrees of Hepatic Function [NCT00698464] | Phase 1 | 34 participants (Actual) | Interventional | 2008-07-31 | Completed |
A Phase II Study of SOM230 in Patients With Recurrent or Progressive Meningioma Who Have Previously Undergone or Are Not Candidates for Additional Surgery or Radiation [NCT00813592] | Phase 2 | 2 participants (Actual) | Interventional | 2008-11-30 | Terminated(stopped due to Original PI left and company withdrew support.) |
Phase I Study of Pasireotide (SOM230) in Combination With RAD001 in Patients With Advanced Neuroendocrine Tumors [NCT00804336] | Phase 1 | 22 participants (Actual) | Interventional | 2008-10-31 | Completed |
A Randomized, Double-blind Study to Assess the Safety and Efficacy of Different Dose Levels of Pasireotide (SOM230) Subcutaneous (sc) Over a 6 Month Treatment Period in Patients With de Novo, Persistent or Recurrent Cushing's Disease [NCT00434148] | Phase 3 | 162 participants (Actual) | Interventional | 2006-12-31 | Completed |
Extension to a Multi-Center, Randomized, Crossover, Open Label, Dose Finding Study to Compare the Safety, Efficacy, and Pharmacokinetics/Pharmacodynamics (PK/PD) Relationship of Multiple Doses of Pasireotide (SOM230) (200, 400, and 600 μg Bid) and Doses o [NCT00171730] | Phase 2 | 30 participants (Actual) | Interventional | 2004-08-24 | Completed |
An ACromegaly, Open-label, Multi-CEnter, Safety Monitoring Program for Treating Patients With SOM230 (Pasireotide) LAR Who Have Need to Receive Medical Therapy (ACCESS) [NCT01995734] | | 0 participants | Expanded Access | | Approved for marketing |
Phase I Study of Combination of SOM 230 Long Acting Release (LAR) + Gemcitabine in Locally Advanced or Metastatic Pancreatic Cancer [NCT01385956] | Phase 1 | 20 participants (Actual) | Interventional | 2011-06-30 | Completed |
A Phase III, Multicenter, Randomized, Parallel-group Study to Assess the Efficacy and Safety of Double-blind Pasireotide LAR 40 mg and Pasireotide LAR 60 mg Versus Open-label Octreotide LAR or Lanreotide ATG in Patients With Inadequately Controlled Acrome [NCT01137682] | Phase 3 | 198 participants (Actual) | Interventional | 2010-07-19 | Completed |
Extension to a Multicenter, Open-label Study to Assess the Safety and Efficacy of 600 μg SOM230, Administered Subcutaneously, Bid in Patients With Cushing's Disease [NCT00171951] | Phase 2 | 19 participants (Actual) | Interventional | 2004-08-13 | Completed |
An Open Label Randomized Phase II Study of SOM230 and Everolimus in Castrate-Resistant, Chemotherapy-Naïve Prostate Cancer Patients [NCT01313559] | Phase 2 | 6 participants (Actual) | Interventional | 2011-06-30 | Terminated(stopped due to Slow accrual) |
Randomized Phase II Trial Evaluating the Efficiency of Pasireotide for the Treatment of Gastrointestinal Angiodysplasia in Endoscopic Treatment Failure [NCT02622906] | Phase 2 | 24 participants (Actual) | Interventional | 2012-03-31 | Completed |
A Multicenter, Randomized, Blinded Study to Assess Safety and Efficacy of Pasireotide LAR vs. Octreotide LAR in Patients With Active Acromegaly [NCT00600886] | Phase 3 | 358 participants (Actual) | Interventional | 2008-02-11 | Completed |
A Phase II Trial of SOM230(PasireotideLAR) and Topotecan in Patients With Relapsed or Refractory Small Cell Lung Cancer [NCT01417806] | Phase 2 | 28 participants (Anticipated) | Interventional | 2011-07-31 | Recruiting |
A Multicenter, Randomized, Crossover, Open Label Dose Finding Study to Compare the Safety, Efficacy and PK/PD Relationship of Multiple Doses of SOM230 and Sandostatin in Acromegalic Patients [NCT00088582] | Phase 2 | 62 participants (Actual) | Interventional | 2004-03-31 | Completed |
A Phase I, Exploratory, Intra-patient Dose Escalation Study to Investigate the Preliminary Safety, Pharmacokinetics, and Anti-tumor Activity of Pasireotide (SOM230) s.c.Followed by Pasireotide LAR in Patients With Metastaticmelanoma or Metastatic Merkel C [NCT01652547] | Phase 1 | 10 participants (Actual) | Interventional | 2012-11-30 | Completed |
Phase IB/II Study of Pasireotide, Everolimus and Selective Internal Radioembolization Therapy (SIRT) for Unresectable Neuroendocrine Hepatic Metastases [NCT01469572] | Phase 1 | 13 participants (Actual) | Interventional | 2011-12-31 | Completed |
A Phase I, Multicenter, Open-label, Randomized Study Assessing the Pharmacokinetics, Safety, and Tolerability of Monthly Doses of Pasireotide i.m. LAR Injection in Patients With Acromegaly and Patients With Carcinoid Disease [NCT00446082] | Phase 1 | 85 participants (Actual) | Interventional | 2006-06-30 | Completed |
An Open-Label, Single Arm, Phase II Study to Evaluate the Efficacy and Safety of Pasireotide LAR on the Treatment of Patients With Clinically Non-Functioning Pituitary Adenoma [NCT01283542] | Phase 2 | 20 participants (Actual) | Interventional | 2012-11-26 | Completed |
A Multicenter, Open-label, Randomized, Phase II Study to Evaluate Efficacy, Safety, Pharmacokinetics and Pharmacodynamics of Pasireotide LAR in Japanese Patients With Active Acromegaly or Pituitary Gigantism [NCT01673646] | Phase 2 | 33 participants (Actual) | Interventional | 2012-10-16 | Completed |
Exploratory Randomized, Placebo-controlled Study to Assess Safety and Efficacy of sc Pasireotide in Patients With Dumping Syndrome [NCT01895296] | Phase 2 | 9 participants (Actual) | Interventional | 2008-09-30 | Completed |
A Multicenter, Open Label Study to Assess the Safety and Efficacy of 600 µg SOM230, Administered Subcutaneously, b.i.d. in Patients With Cushing's Disease [NCT00088608] | Phase 2 | 26 participants (Actual) | Interventional | 2004-04-30 | Completed |
Phase 2, Double-Blind, Randomized, Single Center Trial to Assess the Mechanism(s) Responsible for the Effect of the Somatostatin Analogue SOM230 (Pasireotide) in Healthy Male Volunteers. Version #2 05/09/2009 [NCT01128192] | Phase 2 | 45 participants (Actual) | Interventional | 2009-08-31 | Completed |
A Double-blind Randomized Placebo-controlled Dose-finding Phase II Study to Assess the Efficacy and Safety of Pasireotide s.c. in Patients With Post-Bariatric Hypoglycaemia [NCT05928390] | Phase 2 | 72 participants (Anticipated) | Interventional | 2023-10-31 | Not yet recruiting |
A 3-Arm Randomized Phase II Trial Evaluating Single Agent and Combined Efficacy of Pasireotide and Everolimus in Adult Patients With Radioiodine-Refractory Differentiated and Medullary Thyroid Cancer [NCT01270321] | Phase 2 | 42 participants (Actual) | Interventional | 2010-11-30 | Completed |
Mono Centre, Open Label Proof of Concept Study SOM230 in Progressive Medullary Thyroid Cancer Patients and the Combination With RAD001 Upon Progression [NCT01625520] | Phase 2 | 19 participants (Actual) | Interventional | 2012-02-29 | Completed |
Phase II Single Arm Study of Everolimus and Pasireotide (SOM230) in Patients With Advanced or Metastatic Hepatocellular Carcinoma (HCC) [NCT01488487] | Phase 2 | 24 participants (Actual) | Interventional | 2011-12-31 | Completed |
Adipokine Profile in Patients With Cushing's Disease on Pasireotide Treatment: Correlation With Disease Activity, Insulin Sensitivity and Secretion Parameters [NCT03080181] | Phase 4 | 24 participants (Actual) | Interventional | 2013-05-31 | Completed |
Prevention of Gastrointestinal Toxicity From Total Body Irradiation or High Dose Chemotherapy With Pasireotide [NCT02215070] | Phase 2 | 37 participants (Actual) | Interventional | 2015-01-21 | Completed |
Phase I/II Trial to Establish the Safety and Preliminary Efficacy of the Combination of Docetaxel, Prednisone, and SOM 230 (Pasireotide) in Metastatic Castrate Resistant Prostate Cancer (CRPC). [NCT01468532] | Phase 1/Phase 2 | 18 participants (Actual) | Interventional | 2011-10-31 | Completed |
Phase II Trial of SOM230 (Pasireotide LAR) in Patients With Unresectable Hepatocellular Carcinoma (HCC) [NCT01639352] | Phase 2 | 20 participants (Actual) | Interventional | 2012-07-31 | Completed |
A Phase IIIb Multicenter, Open-label, Single Arm Study to Evaluate the Efficacy and Safety of Pasireotide in Patients With Acromegaly Inadequately Controlled With First Generation Somatostatin Analogues [NCT02354508] | Phase 3 | 123 participants (Actual) | Interventional | 2015-03-31 | Completed |
Pilot Study of Pasireotide LAR Treatment of Silent Corticotrophin Pituitary Tumors and Effects on Plasma Levels of POMC [NCT02749227] | Phase 2 | 4 participants (Actual) | Interventional | 2017-07-10 | Terminated(stopped due to Lack of funding) |
Phase I Trial of Combination of FOLFIRI and SOM 230 in Advanced Gastrointestinal Malignancies [NCT01434069] | Phase 1 | 16 participants (Actual) | Interventional | 2011-09-30 | Completed |
An Open-label, Multicenter, Phase II Study Evaluating the Safety and Efficacy of Twice Daily Dosing of SOM230 in Patients With Metastatic Carcinoid Tumors [NCT00088595] | Phase 2 | 45 participants (Actual) | Interventional | 2004-01-31 | Completed |
Compassionate Use of SOM230 for Individual Patient (NS, 14-Jan-1986) With Hyperinsulinemic/Hypoglycemia [NCT02835131] | | 0 participants | Expanded Access | | No longer available |
A Randomized, Double-blind, Multicenter, Phase III Study to Evaluate the Efficacy and Safety of Pasireotide LAR in Patients With Cushing's Disease [NCT01374906] | Phase 3 | 150 participants (Actual) | Interventional | 2011-11-04 | Completed |
A Phase I, Open-label, Multicenter, Single Dose Study to Evaluate the Pharmacokinetics and Safety of Subcutaneous (s.c.) Pasireotide in Subjects With Varying Degrees of Renal Impairment Compared to a Matched Control Group of Healthy Volunteers [NCT01578928] | Phase 1 | 50 participants (Actual) | Interventional | 2012-05-31 | Completed |
"Extension Study to the Open-label Phase I Study Evaluating the Safety and Tolerability of Pasireotide LAR in Combination With Everolimus in Advanced Metastatic NETs - The COOPERATE-1 Study" [NCT01590199] | Phase 1 | 18 participants (Actual) | Interventional | 2012-05-18 | Completed |
An Open Label, Longitudinal Study of the Effects of Subcutaneous Acute and Chronic Pasireotide (som230) Therapy on Adrenocorticotrophic Hormone and Tumour Volume in Patients With Nelson's Syndrome [NCT01617733] | Phase 2 | 8 participants (Actual) | Interventional | 2011-03-31 | Terminated(stopped due to Inadequate patient recruitment) |
Somatostatin and Dopamine Receptors Expression in Non-functioning Pituitary Adenomas and Resistant Prolactinomas: Correlation With in Vitro and in Vivo Responsiveness to Somatostatin Analogs and Dopamine Agonist [NCT01620138] | Phase 2/Phase 3 | 21 participants (Actual) | Interventional | 2010-03-31 | Completed |
Efficacy of Medical Treatment With SOM230 LAR in Patients With Primary Inoperable Thymoma and/or With Local Recurrent Thymoma to Reduce Tumor Size [NCT02021942] | Phase 2 | 16 participants (Actual) | Interventional | 2012-03-31 | Completed |
Treatment Plan for an Individual Patient With Pasireotide for Hyperinsulinemic Hypoglycemia [NCT03103009] | Phase 1 | 1 participants (Actual) | Interventional | 2017-03-22 | Completed |
Pasireotide Treatment for Insulin Producing Pancreatic Neuro-endocrine Tumor [NCT02779257] | Phase 4 | 0 participants (Actual) | Interventional | 2016-04-30 | Withdrawn(stopped due to Subject passed away prior to enrollment) |
Non-interventional Study for the Generation of Long Term Safety and Efficacy Data of Pasireotide s.c. in Patients With Cushing's Disease (Post-Authorization Safety Study) [NCT02310269] | | 200 participants (Anticipated) | Observational | 2013-03-28 | Recruiting |
A Randomized, Open-label Phase II Multicenter Study Evaluating the Efficacy of Oral Everolimus Alone or in Combination With Pasireotide LAR i.m. in Advanced Progressive Pancreatic Neuroendocrine Tumors (PNET) - The COOPERATE-2 Study [NCT01374451] | Phase 2 | 160 participants (Actual) | Interventional | 2011-06-30 | Terminated(stopped due to The study was stopped for not meeting the primary endpoint for PFS.) |
An Open Label, Multi-center Pasireotide Roll-over Protocol for Patients Who Have Completed a Previous Novartis-sponsored Pasireotide Study and Are Judged by the Investigator to Benefit From Continued Pasireotide Treatment [NCT01794793] | Phase 4 | 413 participants (Actual) | Interventional | 2013-06-10 | Active, not recruiting |
A Multi-center, Intra-patient Dose Escalation Phase II Study to Evaluate the Preliminary Efficacy, Safety and Pharmacokinetics of Pasireotide (SOM230) Subcutaneous (s.c.) Followed by Pasireotide LAR in Patients With Dumping Syndrome [NCT01637272] | Phase 2 | 43 participants (Actual) | Interventional | 2013-01-08 | Completed |
A Multicenter, Placebo-Controlled, Single Dose Study in Acute Episodic and Chronic Cluster Headache to Evaluate the Safety and Efficacy of SOM230 Subcutaneous (s.c.) [NCT02619617] | Phase 2 | 28 participants (Actual) | Interventional | 2016-10-31 | Terminated(stopped due to Novartis decision based on Cohort 1 results) |
Phase II Study of Monthly SOM230C for Recurrent or Progressive Meningioma [NCT00859040] | Phase 2 | 34 participants (Actual) | Interventional | 2009-03-31 | Completed |
A Phase II Trial to Assess the Efficacy and Safety of Pasireotide s.c. Alone or in Combination With Cabergoline in Patients With Cushing's Disease [NCT01915303] | Phase 2 | 68 participants (Actual) | Interventional | 2014-03-06 | Terminated |
A Randomized, Placebo Controlled Clinical Trial of SOM230 (Pasireotide LAR) In Severe Polycystic Liver Disease [NCT01670110] | Phase 2 | 48 participants (Actual) | Interventional | 2012-08-31 | Completed |
Multicenter 3-arm Trial to Evaluate the Efficacy and Safety of Pasireotide LAR or Everolimus Alone or in Combination in Patients With Well Differentiated Neuroendocrine Carcinoma of the Lung and Thymus - LUNA Trial [NCT01563354] | Phase 2 | 124 participants (Actual) | Interventional | 2013-08-16 | Completed |
A Multi-center, Randomized, Open-label, Phase IV Study to Investigate the Management of Pasireotide-induced Hyperglycemia With Incretin Based Therapy or Insulin in Adult Patients With Cushing's Disease or Acromegaly [NCT02060383] | Phase 4 | 249 participants (Actual) | Interventional | 2014-05-23 | Completed |
An Open-label, Multi-center, Expanded Access Study of Pasireotide s.c. in Patients With Cushing's Disease (Seascape). [NCT01582061] | Phase 3 | 104 participants (Actual) | Interventional | 2011-08-16 | Completed |
[information is prepared from clinicaltrials.gov, extracted Sep-2024] |
Trial | Outcome |
NCT00088595 (5) [back to overview] | Symptom Control (Diarrhea/Flushing) Using a Patient Symptom Diary |
NCT00088595 (5) [back to overview] | Duration of Partial Symptom Control (Days) by Dose Class |
NCT00088595 (5) [back to overview] | Duration of Complete Symptom Control (Days) by Dose Class |
NCT00088595 (5) [back to overview] | The Overall Safety and Tolerability of Pasireotide |
NCT00088595 (5) [back to overview] | The Number of Patients (Participants) With Overall Tumor Response |
NCT00171730 (6) [back to overview] | Percentage of Participants With Growth Hormone (GH) and Insulin-like Growth Factor 1 (IGF-1) Observed Response by Dose Class |
NCT00171730 (6) [back to overview] | Percentage of Participants With One or More Adverse Events (AEs) |
NCT00171730 (6) [back to overview] | Time to Tumor Response |
NCT00171730 (6) [back to overview] | Percentage of Participants With Sleep Apnea Symptoms as Assessed by Epworth Sleepiness Scale by Situation |
NCT00171730 (6) [back to overview] | Percentage of Participants With Symptoms of Acromegaly |
NCT00171730 (6) [back to overview] | Summary Magnetic Resonance Imaging (MRI) Pituitary Tumor Volumes |
NCT00171951 (6) [back to overview] | Plasma Trough Concentrations (Ctrough) of Pasireotide in UFC Responders |
NCT00171951 (6) [back to overview] | Change From Baseline in Serum Cortisol Levels |
NCT00171951 (6) [back to overview] | Change From Baseline in Plasma Adrenocorticotropic Hormone (ACTH) Levels |
NCT00171951 (6) [back to overview] | Change From Baseline in Mean Urinary Free Cortisol (UFC) |
NCT00171951 (6) [back to overview] | Percentage of Responders With Mean Urinary Free Cortisol (UFC) Within Normal Limits |
NCT00171951 (6) [back to overview] | Number of Participants Who Had At Least One Adverse Event (AE) |
NCT00434148 (15) [back to overview] | Mean Change From Baseline in Clinical Signs and Symptoms of Cushing's Disease: Bone Mineral Density (BMD) |
NCT00434148 (15) [back to overview] | Mean Change From Baseline in Clinical Signs and Symptoms of Cushing's Disease: Waist Circumference |
NCT00434148 (15) [back to overview] | Percent Change From Baseline in Mean Adrenocorticotropic Hormone (ACTH) |
NCT00434148 (15) [back to overview] | Percent Change From Baseline in Serum Cortisol |
NCT00434148 (15) [back to overview] | Percentage Change From Baseline in Health Related Quality of Life (HRQL) Score |
NCT00434148 (15) [back to overview] | Mean Change From Baseline in Clinical Signs and Symptoms of Cushing's Disease: Total Cholesterol and Triglycerides |
NCT00434148 (15) [back to overview] | Number of mUFC (Urinary Free Cortisol) Responders by Randomized Dose Group |
NCT00434148 (15) [back to overview] | Time to First UFC Response |
NCT00434148 (15) [back to overview] | Change From Baseline in mUFC |
NCT00434148 (15) [back to overview] | Change From Baseline in Tumor Volume |
NCT00434148 (15) [back to overview] | Mean Change From Baseline in Clinical Signs and Symptoms of Cushing's Disease: Beck Depression Inventory (BDI-II) Score |
NCT00434148 (15) [back to overview] | Mean Change From Baseline in Clinical Signs and Symptoms of Cushing's Disease: Body Composition |
NCT00434148 (15) [back to overview] | Mean Change From Baseline in Clinical Signs and Symptoms of Cushing's Disease: Body Mass Index (BMI) |
NCT00434148 (15) [back to overview] | Mean Change From Baseline in Clinical Signs and Symptoms of Cushing's Disease: Ferriman-Galway Hirsutism Score |
NCT00434148 (15) [back to overview] | Mean Change From Baseline in Clinical Signs and Symptoms of Cushing's Disease: Sitting Sytolic Blood Pressure (SBP) and Sitting Diastolic Blood Pressure (DBP) |
NCT00600886 (30) [back to overview] | Percentage of Participants With a Reduction of Mean GH Level to < 2.5μg/L and Normalization of IGF-1 |
NCT00600886 (30) [back to overview] | Percentage of Participants With a Reduction of Mean GH Level to < 2.5μg/L and Normalization of IGF-1 After Crossover |
NCT00600886 (30) [back to overview] | Percentage of Participants With a Reduction of Mean GH Level to <2.5 μg/L and the Normalization of IGF-1 |
NCT00600886 (30) [back to overview] | Percentage of Participants With Normalization of IGF-1 |
NCT00600886 (30) [back to overview] | Pasireotide Trough Concentrations by Incident Dose |
NCT00600886 (30) [back to overview] | Percentage of Participants With a Reduction of Mean GH Level to < 2.5μg/L |
NCT00600886 (30) [back to overview] | Percentage of Participants With a Reduction of Mean GH Level to < 2.5μg/L |
NCT00600886 (30) [back to overview] | Percentage of Participants With a Reduction of Mean GH Level to < 2.5μg/L After Crossover |
NCT00600886 (30) [back to overview] | Percentage of Participants With Normalization of IGF-1 |
NCT00600886 (30) [back to overview] | Change From Extension Baseline in Tumor Volume After Crossover |
NCT00600886 (30) [back to overview] | Percentage of Participants With Normalization of IGF-1 After Crossover |
NCT00600886 (30) [back to overview] | Ring Size |
NCT00600886 (30) [back to overview] | Ring Size After Crossover |
NCT00600886 (30) [back to overview] | Ring Size After Crossover |
NCT00600886 (30) [back to overview] | Severity Scores of Acromegaly Symptoms |
NCT00600886 (30) [back to overview] | Severity Scores of Acromegaly Symptoms After Crossover |
NCT00600886 (30) [back to overview] | Summary of Mean GH Values |
NCT00600886 (30) [back to overview] | Summary of Mean GH Values After Crossover |
NCT00600886 (30) [back to overview] | Summary of Prolactin Levels |
NCT00600886 (30) [back to overview] | Summary of Prolactin Levels After Crossover |
NCT00600886 (30) [back to overview] | Duration of Response for Patients Achieving a Reduction of Mean GH Level to <2.5 μg/L and the Normalization of IGF-1 at Month 12 (No. of Responders: Pasireotide LAR = 51, Octreotide LAR = 32) |
NCT00600886 (30) [back to overview] | Time to First Response for Patients Achieving a Reduction of Mean GH Level to < 2.5 μg/L and Normalization of IGF-1 (No. of Responders: Pasireotite LAR = 81, Octreotide LAR = 63) ) |
NCT00600886 (30) [back to overview] | Change From Baseline in Tumor Volume |
NCT00600886 (30) [back to overview] | Change From Baseline in Tumor Volume at 12 Months |
NCT00600886 (30) [back to overview] | Health-related Quality-of-life as Measured by the AcroQoL Questionnaire |
NCT00600886 (30) [back to overview] | Health-related Quality-of-life as Measured by the AcroQoL Questionnaire After Crossover |
NCT00600886 (30) [back to overview] | Octreotide Trough Concentrations by Incident Dose |
NCT00600886 (30) [back to overview] | Octreotide Trough Concentrations by Incident Dose |
NCT00600886 (30) [back to overview] | Octreotide Trough Concentrations by Incident Dose |
NCT00600886 (30) [back to overview] | Pasireotide Trough Concentrations by Incident Dose |
NCT00690430 (5) [back to overview] | Percentage of Patients Who Achieved Clinical Symptom Improvement by Randomization Stratum and Treatment. |
NCT00690430 (5) [back to overview] | Improvement in Daily Mean Number of Flushing Episodes by Randomization Stratum and Treatment. |
NCT00690430 (5) [back to overview] | Improvement in Daily Mean Number of Diarrhea Bowel Movement Episodes by Randomization Stratum and Treatment. |
NCT00690430 (5) [back to overview] | Pasireotide LAR vs. Octreotide LAR on Disease Control Rate Based on RECIST Criteria |
NCT00690430 (5) [back to overview] | Objective Tumor Response Rate Assessed by Investigator |
NCT00813592 (1) [back to overview] | To Characterize the Safety and Tolerability of SOM230 |
NCT00859040 (6) [back to overview] | Median Time to Progression |
NCT00859040 (6) [back to overview] | Treatment-related Events |
NCT00859040 (6) [back to overview] | Response Rate |
NCT00859040 (6) [back to overview] | Overall Survival |
NCT00859040 (6) [back to overview] | Median Progression-Free Survival |
NCT00859040 (6) [back to overview] | 6 Month Progression Free Survival |
NCT00929669 (2) [back to overview] | Number of Participants With Change in Serum FSH Concentration (mIU/mL) in Patients Who Have Gonadotroph Adenomas Treated With Pasireotide. |
NCT00929669 (2) [back to overview] | Number of Participants With Change in Size of the Adenoma by ≥3 mm in at Least Two Dimensions as Determined by MRI |
NCT00958841 (6) [back to overview] | Percentage of Responders at Month 6 - Individual NETs |
NCT00958841 (6) [back to overview] | Percentage of Responders at Month 6 - Pooled Pancreatic NETs (PNETs) |
NCT00958841 (6) [back to overview] | Percentage of Responders With Probability of Success at Month 6 - Individual NETs |
NCT00958841 (6) [back to overview] | Nelson's Syndrome: Number of Patients Attaining Normalization or a More Than 50% Reduction in Primary Biochemical Tumor Marker |
NCT00958841 (6) [back to overview] | PNETs: Number of Patients Attaining Normalization or a More Than 50% Reduction in Primary Biochemical Tumor Marker |
NCT00958841 (6) [back to overview] | PiNETs: Number of Patients Attaining Normalization or a More Than 50% Reduction in Primary Biochemical Tumor Marker |
NCT00994110 (1) [back to overview] | To Compare 60-day ≥Grade 3 Pancreatic Complication Rates (Fistula, Leak, and Abscess) as Defined by the MSKCC Surgical Secondary Events System Between Patients Who Receive Perioperative SOM230 and Saline Placebo. |
NCT01128192 (11) [back to overview] | Change in High Dose % Endogenous Glucose Production (EGP) Inhibition |
NCT01128192 (11) [back to overview] | Change in Insulin Basal Level |
NCT01128192 (11) [back to overview] | Change in Low Dose % Endogenous Glucose Production (EGP) Inhibition |
NCT01128192 (11) [back to overview] | Change in Low-Dose Glucose Disposal Rate (GDR) |
NCT01128192 (11) [back to overview] | Change in Area Under the Curve (AUC) of Plasma Glucose 0-30mins, 30-180mins, 0-180mins During Oral Glucose Tolerance Test (OGTT) |
NCT01128192 (11) [back to overview] | Change in Area Under the Curve (AUC) of Plasma Insulin 0-30mins, 30-180mins, 0-180mins During Oral Glucose Tolerance Test (OGTT) |
NCT01128192 (11) [back to overview] | Change in Area Under the Curve (AUC) of Plasma Insulin Level 0-10mins, 10-180mins, 0-180mins During Hyperglycemic Clamp |
NCT01128192 (11) [back to overview] | Change in High-Dose Glucose Disposal Rate (GDR) |
NCT01128192 (11) [back to overview] | Change Fasting Plasma Insulin Level |
NCT01128192 (11) [back to overview] | Change in Basal Endogenous Glucose Production (EGP) |
NCT01128192 (11) [back to overview] | Change in Fasting Plasma Glucose Level |
NCT01137682 (16) [back to overview] | Percentage of Patients With Mean GH < 2.5 μg/L and Normalization of IGF-1, Treated With Pasireotide LAR Alone or With Concomitant Medications Used to Treat Acromegaly (Extension Full Analysis Set) |
NCT01137682 (16) [back to overview] | Duration of the First Response for Patients Achieving a Reduction of Mean GH Level to < 2.5 μg/L and Normalization of IGF-1 and Treated With Pasireotide LAR Alone or With Concomitant Medications Used to Treat Acromegaly (Extension Full Analysis Set) |
NCT01137682 (16) [back to overview] | Percentage of Participants With a Reduction of Mean GH Levels to < 2.5 µg/L and Normalization of Sex- and Age-adjusted IGF-1. |
NCT01137682 (16) [back to overview] | Time to First Response (Weeks) by Treatment for Patients Achieving a Reduction of Mean GH Level to < 2.5 µg/L and Normalization of IGF-1 and Treated With Pasireotide LAR Alone or With Concomitant Medications Used to Treat Acromegaly |
NCT01137682 (16) [back to overview] | Change From Baseline in AcroQoL Total Scores for Patients Treated With Pasireotide LAR Alone or With Concomitant Medications Used to Treat Acromegaly for CORE Visits(Extension Full Analysis Set) |
NCT01137682 (16) [back to overview] | Change From Baseline in AcroQoL Total Scores for Patients Treated With Pasireotide LAR Alone or With Concomitant Medications Used to Treat Acromegaly for Extension Visits (Extension Full Analysis Set) |
NCT01137682 (16) [back to overview] | Change From Baseline in Mean GH Values for Patients Treated With Pasireotide LAR Alone or With Concomitant Medications Used to Treat Acromegaly for CORE Visits (Extension Full Analysis Set) |
NCT01137682 (16) [back to overview] | Change From Baseline in Mean GH Values for Patients Treated With Pasireotide LAR Alone or With Concomitant Medications Used to Treat Acromegaly for Extension Visits (Extension Full Analysis Set) |
NCT01137682 (16) [back to overview] | Change From Baseline in Standardized IGF-1 Values for Patients Treated With Pasireotide LAR Alone or With Concomitant Medications Used to Treat Acromegaly for CORE Visits (Extension Full Analysis Set) |
NCT01137682 (16) [back to overview] | Change From Baseline in Standardized IGF-1 Values for Patients Treated With Pasireotide LAR Alone or With Concomitant Medications Used to Treat Acromegaly for Extension Visits (Extension Full Analysis Set) |
NCT01137682 (16) [back to overview] | Percentage of Participants With Normalization of Sex- and Age-adjusted IGF-1treated With Pasireotide LAR Alone or With Concomitant Medications Used to Treat Acromegaly (Extension Full Analysis Set). |
NCT01137682 (16) [back to overview] | Percentage of Patients With Mean GH < 1.0 μg/L and Normalization of IGF-1, Treated With Pasireotide LAR Alone or With Concomitant Medications Used to Treat Acromegaly (Extension Full Analysis Set) |
NCT01137682 (16) [back to overview] | Percentage of Patients With Mean GH < 2.5 μg/L Treated With Pasireotide LAR Alone or With Concomitant Medications Used to Treat Acromegaly (Extension Full Analysis Set) |
NCT01137682 (16) [back to overview] | Percentage of Patients With Mean GH <1.0 μg/L Treated With Pasireotide LAR Alone or With Concomitant Medications Used to Treat Acromegaly (Extension Full Analysis Set) |
NCT01137682 (16) [back to overview] | Summary of Pasireotide Trough Concentrations in Acromegaly Patients Following Monthly i.m. Injections of Pasireotide LAR by Incident Dose From Start of Extension Phase up to Week 196 of the Extension Phase (PK Set) |
NCT01137682 (16) [back to overview] | Summary of Pasireotide Trough Concentrations in Acromegaly Patients Following Monthly i.m. Injections of Pasireotide LAR by Incident Dose From Start of Extension Phase up to Week 196 of the Extension Phase (PK Set) |
NCT01252251 (3) [back to overview] | Number of Participants With Stable Disease (SD) |
NCT01252251 (3) [back to overview] | Median Progression Free Survival(PFS) |
NCT01252251 (3) [back to overview] | Median Overall Survival (OS) |
NCT01253161 (3) [back to overview] | Adverse Events Possibly Related to Study Treatment |
NCT01253161 (3) [back to overview] | Progression-free Survival (PFS) at One Year |
NCT01253161 (3) [back to overview] | Overall Radiographic Response Rate (ORR) |
NCT01270321 (2) [back to overview] | Number of Participants With Response Per Responsive Evaluation Criteria in Solid Tumors Criteria (RECIST v1.0) |
NCT01270321 (2) [back to overview] | Number of Participants With Progression-free Survival |
NCT01283542 (20) [back to overview] | Percentage of Participants Reporting Absence and Presence of Relevant Disease-related Symptoms (FAS) |
NCT01283542 (20) [back to overview] | Percentage of Patients Achieving Tumour Volume Reduction in Main Phase (FAS) |
NCT01283542 (20) [back to overview] | Percentage of Patients Achieving Tumour Volume Reduction of at Least ≥ 20% in Extension Phase (FAS) |
NCT01283542 (20) [back to overview] | Mean Alpha Subunit Levels in Main and Extension Phases (FAS) |
NCT01283542 (20) [back to overview] | Mean Cortisol Hormone Levels During Main and Extension Phases (FAS) |
NCT01283542 (20) [back to overview] | Mean TSH Hormone Levels During Main and Extension Phases (FAS) |
NCT01283542 (20) [back to overview] | Tumor Volume Change From Baseline in Main Phase (FAS) |
NCT01283542 (20) [back to overview] | Tumor Volume in Extension Phase (FAS) |
NCT01283542 (20) [back to overview] | Tumor Volume Main Phase (FAS) |
NCT01283542 (20) [back to overview] | Tumor Volume Percent Change From Baseline in Extension Phase (FAS) |
NCT01283542 (20) [back to overview] | Tumor Volume Change From Baseline in Extension Phase (FAS) |
NCT01283542 (20) [back to overview] | Tumor Volume Percent Change From Baseline in Main Phase (FAS) |
NCT01283542 (20) [back to overview] | Percentage of Patients Achieving Tumour Volume Reduction of at Least ≥ 20% in Main Phase (FAS) |
NCT01283542 (20) [back to overview] | Percentage of Patients Achieving Tumour Volume Reduction in Extension Phase (FAS) |
NCT01283542 (20) [back to overview] | Mean Testosterone and Free T4 Hormone Levels During Main and Extension Phases (FAS) |
NCT01283542 (20) [back to overview] | Percentage of Participants With Non-functioning Pituitary Adenomas (NFPA) Who Achieve Tumor Volume Reduction of at Least 20% After 24 Weeks (FAS) |
NCT01283542 (20) [back to overview] | Mean LH and FSH Hormone Levels During Main and Extension Phases (FAS) |
NCT01283542 (20) [back to overview] | Mean GH and IGF-1 Hormone Levels During Main and Extension Phases (FAS) |
NCT01283542 (20) [back to overview] | Mean ACTH and Estradiol Hormone Levels During Main and Extension Phases (FAS) |
NCT01283542 (20) [back to overview] | Percentage of Participants With Reduction From Baseline of Alpha Subunit ≥50% in Main and Extension Phases (FAS) |
NCT01313559 (4) [back to overview] | Number of Participants With > 50% Decline From Baseline PSA Level |
NCT01313559 (4) [back to overview] | Number of Participants Alive and Progression Free After 12 Weeks of Treatment |
NCT01313559 (4) [back to overview] | Number of Participants With Progression Free Survival (PFS) Based on RECIST 1.1 Criteria |
NCT01313559 (4) [back to overview] | Number of Participants Without New Bone Lesions After 12 Weeks of Treatment |
NCT01374451 (10) [back to overview] | Summary of Pharmacokinetics (PK) for Everolimus for Tmax |
NCT01374451 (10) [back to overview] | Overall Survival (OS) Using Kaplan Meier Method |
NCT01374451 (10) [back to overview] | Disease Control Rate (DCR) as Per Radiology Review |
NCT01374451 (10) [back to overview] | Summary of Pasireotide Concentrations Following Intramuscular Injection of Pasireotide LAR 60mg |
NCT01374451 (10) [back to overview] | Summary of Pharmacokinetics (PK) for Everolimus for Cmax and Cmin |
NCT01374451 (10) [back to overview] | Objective Response Rate (ORR) as Per Radiology Review |
NCT01374451 (10) [back to overview] | Progression-free Survival (PFS) Per Local Radiological Review |
NCT01374451 (10) [back to overview] | Summary of Pharmacokinetics (PK) for Everolimus for AUClast |
NCT01374451 (10) [back to overview] | Summary of Pharmacokinetics (PK) for Everolimus for CL/F |
NCT01374451 (10) [back to overview] | Safety and Tolerability Profile of Everolimus Alone or in Combination With Pasireotide LAR |
NCT01374906 (33) [back to overview] | Percentage of Participants Having a Favorable Shift From Baseline in Clinical Signs |
NCT01374906 (33) [back to overview] | Actual Change From Baseline in Clinical Signs Over Time: Blood Pressure |
NCT01374906 (33) [back to overview] | Percentage Participants That Attained a mUFC ≤ 1.0 x ULN at Month 7 Regardless of Dose Titration |
NCT01374906 (33) [back to overview] | Percentage of Participants That Attained a mUFC ≤ 1.0 x ULN at Month 7 and Had Not Had a Dose Increase at Month 4 |
NCT01374906 (33) [back to overview] | Actual Change From Baseline in Clinical Signs Over Time: Weight |
NCT01374906 (33) [back to overview] | Actual Change From Baseline in Clinical Signs Over Time: Waist Circumference |
NCT01374906 (33) [back to overview] | Actual Change From Baseline in Clinical Signs Over Time: Body Mass Index (BMI) |
NCT01374906 (33) [back to overview] | Actual Change From Baseline in Clinical Signs Over Time: Body Composition: Region |
NCT01374906 (33) [back to overview] | Percentage Change in Mean Urinary Free Cortisol (mUFC) From Baseline |
NCT01374906 (33) [back to overview] | Percentage Change From Baseline on Serum Cortisol Over Time |
NCT01374906 (33) [back to overview] | Percentage of Patients Who Attain mUFC ≤1.0 x ULN or Have at Least 50 % Reduction From Baseline in mUFC |
NCT01374906 (33) [back to overview] | Percentage of Patients With Uncontrolled Response at Month 7 & Month 12 Within the Subset of Patients Who Had Uncontrolled Response at a) Months 1 and 2; b) Months 1, 2, and 3 |
NCT01374906 (33) [back to overview] | Pharmacokinetic (PK) Parameter: Cmax |
NCT01374906 (33) [back to overview] | Pharmacokinetic (PK) Parameter: Cmax |
NCT01374906 (33) [back to overview] | Pharmacokinetic (PK) Parameter: Cmax |
NCT01374906 (33) [back to overview] | Pharmacokinetic (PK) Parameter: Ctrough |
NCT01374906 (33) [back to overview] | Pharmacokinetic (PK) Parameter: Ctrough |
NCT01374906 (33) [back to overview] | Pharmacokinetic (PK) Parameter: Ctrough |
NCT01374906 (33) [back to overview] | Percentage Change From Baseline on Plasma Adrenocorticotropic Hormone (ACTH) Over Time |
NCT01374906 (33) [back to overview] | Percentage Change From Baseline in Clinical Signs Over Time |
NCT01374906 (33) [back to overview] | Percent of Participants With a Duration of at Least 50% Reduction in mUFC From Baseline at Indicated Time Points |
NCT01374906 (33) [back to overview] | Percent of Participants Attaining a Time to First Achievement of at Least a 50% Reduction in mUFC From Baseline at Indicated Time Points |
NCT01374906 (33) [back to overview] | Percent of Participants Attaining a mUFC ≤ 1.0 x ULN or at Least a 50% Reduction in mUFC From Baseline at Indicated Time Points |
NCT01374906 (33) [back to overview] | Percent of Participants Attaining a Duration of Controlled or Partially Controlled Response at Indicated Time Points |
NCT01374906 (33) [back to overview] | Actual Change in SF-12v2 Score From Baseline - Physical Component Summary |
NCT01374906 (33) [back to overview] | Actual Change in Standardized Score of Cushing's Disease HRQoL (CushingQOL) Score From Baseline |
NCT01374906 (33) [back to overview] | Actual Change in SF-12v2 Score From Baseline - Mental Component Summary |
NCT01374906 (33) [back to overview] | Actual Change in Mean Urinary Free Cortisol (mUFC) From Baseline |
NCT01374906 (33) [back to overview] | Actual Change From Baseline in Clinical Signs Over Time: Cholesterol & Triglycerides |
NCT01374906 (33) [back to overview] | Percentage of Patients Who Attain mUFC ≤ 1.0 x ULN |
NCT01374906 (33) [back to overview] | Percentage of Patients Who Are Controlled Responders (mUFC ≤ 1.0 xULN) on at Least 4 of the 7 mUFC Assessments by Month 7 & on at Least 7 of the 12 mUFC Assessments by Month 12. |
NCT01374906 (33) [back to overview] | Percentage of Patients That Attain a Reduction of at Least 50% in mUFC From Baseline |
NCT01374906 (33) [back to overview] | Percentage of Participants That Attained a Mean Urinary Free Cortisol (mUFC) <= 1.0 x Upper Limit of Normal (ULN) at Month 7 Regardless of Dose Up-titration at Month 4. |
NCT01468532 (9) [back to overview] | Maximum Tolerated Dose (MTD) of Pasireotide in Combination With Docetaxel and Prednisone by the Occurrence of Adverse Events and the Associated Grade Per NCI Common Terminology Criteria for Adverse Events (CTCAE) Version 4.0 |
NCT01468532 (9) [back to overview] | Measurements of Tumor Using Response Evaluation Criteria In Solid Tumors (RECIST) Criteria Before and After Treatment With the Combination of Pasireotide in Combination With Docetaxel |
NCT01468532 (9) [back to overview] | Overall Survival (OS) |
NCT01468532 (9) [back to overview] | Time to Progression (TTP) |
NCT01468532 (9) [back to overview] | Measurement of Levels of IGF-1, Serum Chromogranin A (SCA), and Neuron Specific Enolase (NSE), the Change Between Time Points Pre-therapy, Post-therapy |
NCT01468532 (9) [back to overview] | Measurements of CTC Counts, the Change Between Time-points Pre-therapy, Post-therapy |
NCT01468532 (9) [back to overview] | Percentage Prostate-specific Antigen (PSA) Change Noted |
NCT01468532 (9) [back to overview] | Pharmacokinetics (PK) of SOM230 |
NCT01468532 (9) [back to overview] | The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0 |
NCT01488487 (4) [back to overview] | Time to Progression (TTP) |
NCT01488487 (4) [back to overview] | Objective Response Rate (ORR) |
NCT01488487 (4) [back to overview] | Number of Individuals Experiencing Toxicity |
NCT01488487 (4) [back to overview] | Overall Survival (OS) |
NCT01563354 (12) [back to overview] | Summary of Duration of Response (Months) |
NCT01563354 (12) [back to overview] | Summary of Time to Response (Months) |
NCT01563354 (12) [back to overview] | Duration of Biochemical Response (DBR), by Treatment (Full Analysis Set) |
NCT01563354 (12) [back to overview] | Summary of Biochemical Progression-free Survival Based on CgA Levels by Treatment |
NCT01563354 (12) [back to overview] | Summary of Progression-free Survival (PFS) Based on RECIST v1.1 |
NCT01563354 (12) [back to overview] | 12-month Disease Control Rate (DCR) and Objective Response Rate (ORR) |
NCT01563354 (12) [back to overview] | Biochemical Response Rate (BRR) for 5HIAA Levels |
NCT01563354 (12) [back to overview] | Biochemical Response Rate (BRR) for Chromogranin A (CgA) Levels |
NCT01563354 (12) [back to overview] | Kaplan-Meier Estimates of Progression-free Survival (PFS) |
NCT01563354 (12) [back to overview] | Kaplan-Meier Event-free Probability Estimate Based on CgA Levels |
NCT01563354 (12) [back to overview] | Kaplan-Meier Event-free Probability Estimate for Biochemical Progression-free Survival Based on CgA Levels |
NCT01563354 (12) [back to overview] | Percentage of Participants Progression-free at 9 Months Based on Response Evaluation Criteria In Solid Tumors v1.1 (RECIST v1.1) |
NCT01582061 (14) [back to overview] | Percentage of Patients With Mean Urinary Free Cortisol (UFC) ≤ Upper Limit of Normal (ULN) |
NCT01582061 (14) [back to overview] | Percent Change From Baseline in Growth Hormone (GH) Values |
NCT01582061 (14) [back to overview] | Percent Change From Baseline in Insulin Growth Factor - 1 (IGF - 1) Values |
NCT01582061 (14) [back to overview] | Percent Change in Cushing Quality of Life and Work Productivity and Activity Impairment-General Health (WPAI-GH) Scores |
NCT01582061 (14) [back to overview] | Percent Change in Cushing's Disease Clinical Signs and Symptoms - Blood Pressure (BP) |
NCT01582061 (14) [back to overview] | Percent Change in Cushing's Disease Clinical Signs and Symptoms - Body Mass Index (BMI) |
NCT01582061 (14) [back to overview] | Percent Change in Cushing's Disease Clinical Signs and Symptoms - Hirsutism |
NCT01582061 (14) [back to overview] | Percent Change in Cushing's Disease Clinical Signs and Symptoms - Muscle Strength |
NCT01582061 (14) [back to overview] | Percent Change in Cushing's Disease Clinical Signs and Symptoms - Pulse |
NCT01582061 (14) [back to overview] | Percent Change in Cushing's Disease Clinical Signs and Symptoms - Temperature |
NCT01582061 (14) [back to overview] | Percent Change in Cushing's Disease Clinical Signs and Symptoms - Waist Circumference |
NCT01582061 (14) [back to overview] | Percent Change in Cushing's Disease Clinical Signs and Symptoms - Weight |
NCT01582061 (14) [back to overview] | Percentage of Patients Achieving a Reduction of Mean UFC ≥ 50% From Baseline |
NCT01582061 (14) [back to overview] | Percentage of Patients With a Drug-related Adverse Event That is Recorded as Grade 3 or 4 or as a Serious Adverse Event (SAE) |
NCT01620138 (1) [back to overview] | Tumor Volume Changes for NFPA and Prolactin Level Changes for Prolactinoma |
NCT01637272 (19) [back to overview] | Insulin Levels During OGTT |
NCT01637272 (19) [back to overview] | Pasireotide Concentrations in LAR Phase |
NCT01637272 (19) [back to overview] | Plasma Pharmacokinetic (PK) Parameter of Pasireotide: Cmax, ss (Steady State) and Ctrough, ss, After s.c. Injection |
NCT01637272 (19) [back to overview] | Plasma PK Parameter of AUC0-3h, d21, End _inj and AUC0-3h, d28, 3rd_inj Associated With LAR (LAR Core Phase) |
NCT01637272 (19) [back to overview] | Response Rate in Hematocrit Levels |
NCT01637272 (19) [back to overview] | Response Rate in Pulse Rate |
NCT01637272 (19) [back to overview] | Summary of LAR PK Parameters by Dose |
NCT01637272 (19) [back to overview] | LAR PK Parameter: Ctrough - at Steady State (ss) by Dose |
NCT01637272 (19) [back to overview] | Patient Global Assessment at the End of Months 3, 6 and 12 |
NCT01637272 (19) [back to overview] | Plasma Pharmacokinetic (PK) Parameter of Pasireotide: AUC0-3h, ss, After s.c. Injection |
NCT01637272 (19) [back to overview] | Plasma Pharmacokinetic (PK) Parameter of Pasireotide: Tmax, ss, After s.c. Injection |
NCT01637272 (19) [back to overview] | Response Rate in Plasma Glucose Level |
NCT01637272 (19) [back to overview] | Response Rate in Plasma Glucose Level |
NCT01637272 (19) [back to overview] | Dumping Score Questionnaire (DSQ) at the End of Months 3, 6 and 12 |
NCT01637272 (19) [back to overview] | Dumping Severity Score (DSS) at the End of Months 3, 6 and 8 |
NCT01637272 (19) [back to overview] | Gastric Inhibitory Polypeptide (GIP) Levels at During OGTT |
NCT01637272 (19) [back to overview] | Glucagon Levels During OGTT |
NCT01637272 (19) [back to overview] | Glucagon-like Peptide 1 (GLP-1) Levels During OGTT |
NCT01637272 (19) [back to overview] | Health-related Quality of Live (HRQoL) Short Form- 36 (SF-36) Score(s) |
NCT01639352 (5) [back to overview] | Overall Response Rate (ORR) |
NCT01639352 (5) [back to overview] | Disease Control Rate (DCR) |
NCT01639352 (5) [back to overview] | Toxicity Profile of Protocol Therapy |
NCT01639352 (5) [back to overview] | Rate of Progression-Free Survival (PFS): |
NCT01639352 (5) [back to overview] | Rate of Overall Survival (OS) |
NCT01670110 (8) [back to overview] | Percentage Change in Estimated Glomerular Filtration Rate (eGFR) |
NCT01670110 (8) [back to overview] | Percent Change in Blood Glucose |
NCT01670110 (8) [back to overview] | Change in Kidney Volume |
NCT01670110 (8) [back to overview] | Change in Quality of Life |
NCT01670110 (8) [back to overview] | Percentage Change in Serum Creatinine |
NCT01670110 (8) [back to overview] | Change in Liver Volume |
NCT01670110 (8) [back to overview] | Percentage Change in Hemoglobin A1C |
NCT01670110 (8) [back to overview] | Percentage Change in Heart Rate |
NCT01673646 (18) [back to overview] | Percentage of Overall Participants With the Reduction of Mean GH Levels to <2.5 ug/L by Visit (Extension Phase) |
NCT01673646 (18) [back to overview] | Summary of Pasireotide LAR PK Parameter of Accumulation Ratio Randomized Dose Level |
NCT01673646 (18) [back to overview] | Response Rate at Month 3 by Randomized Dose Level |
NCT01673646 (18) [back to overview] | IGF-1 Response at Month 3 by Randomized Dose |
NCT01673646 (18) [back to overview] | GH Response at Month 3 by Randomized Dose |
NCT01673646 (18) [back to overview] | Percentage of Overall Participants With the Reduction of GH Levels to <2.5 ug/L by Visit (Core Phase) |
NCT01673646 (18) [back to overview] | Percentage of Overall Participants With the Normalization of IGF-1 by Visit (Extension Phase) |
NCT01673646 (18) [back to overview] | Percentage of Overall Participants With the Normalization of IGF-1 by Visit (Core Phase) |
NCT01673646 (18) [back to overview] | Number of Participants With Acromegaly Symptoms or Pituitary Gigantism (Core Phase) |
NCT01673646 (18) [back to overview] | Change of Tumor Volume From Baseline |
NCT01673646 (18) [back to overview] | Change in Ring Size From Baseline |
NCT01673646 (18) [back to overview] | Change in Mean GH Levels From Baseline |
NCT01673646 (18) [back to overview] | Change From Baseline in Prolactin |
NCT01673646 (18) [back to overview] | Summary of Pasireotide LAR PK Parameters of Ctrough & Cmax by Randomized Dose Level |
NCT01673646 (18) [back to overview] | Change From Baseline in Mean GH by Visit and SSA Uncontrolled Status (Extension Phase) |
NCT01673646 (18) [back to overview] | Total-group Response Rate by Visit (Extension Phase) |
NCT01673646 (18) [back to overview] | Total-group Response Rate (GH & IGF-1) Over Time (Core Phase) |
NCT01673646 (18) [back to overview] | Total-group Response Rate at Month 3 |
NCT01915303 (22) [back to overview] | Mean Scores of SF-12v2 Domain Scores at Week 17 and 35 |
NCT01915303 (22) [back to overview] | Duration (Weeks) of Controlled or Partially Controlled Response |
NCT01915303 (22) [back to overview] | LDL, HDL and Total Cholesterol at Week 35 |
NCT01915303 (22) [back to overview] | Mean Scores of Cushing QoL Standardized Score at Week 17 and 35 |
NCT01915303 (22) [back to overview] | Percentage of Responders With Mean Urinary Free Cortisol (mUFC) ≤ 1.0xULN Collected or Imputed at Week 35 |
NCT01915303 (22) [back to overview] | Body Mass Index at Week 35 |
NCT01915303 (22) [back to overview] | Plasma Adrenocorticotropic Hormone (ACTH) |
NCT01915303 (22) [back to overview] | Body Weight at Week 35 |
NCT01915303 (22) [back to overview] | Number of Participants With Improvement in Clinical Symptom of Hypercortisolism From Baseline - Dorsal Fat Pad |
NCT01915303 (22) [back to overview] | Mean Urinary Free Cortisol (mUFC) at Scheduled Visits |
NCT01915303 (22) [back to overview] | Sitting Diastolic Blood Pressure at Week 35 |
NCT01915303 (22) [back to overview] | Number of Participants With Improvement in Clinical Symptom of Hypercortisolism From Baseline - Hirsutism |
NCT01915303 (22) [back to overview] | Number of Participants With Improvement in Clinical Symptom of Hypercortisolism From Baseline - Facial Rubor |
NCT01915303 (22) [back to overview] | Waist Circumference at Week 35 |
NCT01915303 (22) [back to overview] | Sitting Systolic Blood Pressure at Week 35 |
NCT01915303 (22) [back to overview] | Number of Participants With Improvement in Clinical Symptom of Hypercortisolism From Baseline - Striae |
NCT01915303 (22) [back to overview] | Serum Cortisol Levels |
NCT01915303 (22) [back to overview] | Percentage of Responders With Mean Urinary Free Cortisol (mUFC) ≤ 1.0xULN |
NCT01915303 (22) [back to overview] | Percentage of Participants Who Attain mUFC ≤ 1.0 x ULN or Have at Least 50% Reduction From Baseline in mUFC |
NCT01915303 (22) [back to overview] | Number of Patients With Shift From Standing Easily to Not Being Able to Stand |
NCT01915303 (22) [back to overview] | Number of Participants With Shift From Mild to Severe in Clinical Signs of Hypercortisolism |
NCT01915303 (22) [back to overview] | Number of Participants With Improvement in Clinical Symptom of Hypercortisolism From Baseline - Supraclavicular Fat Pad |
NCT02021942 (6) [back to overview] | Assessment of Tumor Operability |
NCT02021942 (6) [back to overview] | Health Related Quality of Life |
NCT02021942 (6) [back to overview] | Safety: Number of Participants With Adverse Events (AE) and Serious Adverse Events (SAE) |
NCT02021942 (6) [back to overview] | Assessment of Myasthenia Gravis (MG) Status by Measuring ACHR-antibody Concentrations |
NCT02021942 (6) [back to overview] | Assessment of Myasthenia Gravis (MG) Status by Determining Titin-antibody Status |
NCT02021942 (6) [back to overview] | Percent Change in Tumor Volume From Baseline to EOS |
NCT02060383 (7) [back to overview] | Change in HbA1c From Randomization (R) Over Time Per Randomized Arm |
NCT02060383 (7) [back to overview] | Change in HbA1c From Randomization to Approximately 16 Weeks |
NCT02060383 (7) [back to overview] | Absolute Change in FPG From Baseline to End of Core Phase |
NCT02060383 (7) [back to overview] | Percentage of Participants in the Incretin-based Arm Who Required Anti-diabetic Rescue Therapy With Insulin |
NCT02060383 (7) [back to overview] | Percentage of Participants With ≤ 0.3% HbA1c Increase to End of Core Phase |
NCT02060383 (7) [back to overview] | Absolute Change in HbA1c From Baseline to End of Core Phase |
NCT02060383 (7) [back to overview] | Change in FPG (Fasting Plasma Glucose) From Randomization Until End of Core Phase |
NCT02215070 (7) [back to overview] | Disease Free Survival Compared to Historical Controls |
NCT02215070 (7) [back to overview] | Incidence of Chronic GVHD Compared to Historical Controls |
NCT02215070 (7) [back to overview] | Overall Survival Compared to Historical Controls |
NCT02215070 (7) [back to overview] | Percentage of Acute GVHD |
NCT02215070 (7) [back to overview] | Maximum Severity of Acute GVHD Compared to Historical Controls |
NCT02215070 (7) [back to overview] | Maximum Severity of Chronic GVHD Compared to Historical Controls |
NCT02215070 (7) [back to overview] | Percentage of GI Toxicity From the Preparatory Regimen and the GVHD Prophylaxis in Stem Cell Transplantation (SCT) Patients Who Are Treated With Pasireotide |
NCT02354508 (28) [back to overview] | Core Phase: Percentage of Participants With IGF-1 |
NCT02354508 (28) [back to overview] | Core Phase: Percentage of Participants With Mean GH < 1 g/L and IGF-1 < ULN at Week 36 Overall by Baseline Diabetic Status |
NCT02354508 (28) [back to overview] | Core Phase: Percentage of Participants With Mean GH <1 μg/L and IGF-1 |
NCT02354508 (28) [back to overview] | Core Phase: Percentage of Participants With Mean GH <1 μg/L and IGF-1 |
NCT02354508 (28) [back to overview] | Extension (Ext.) Phase: Percentage of Participants With Acromegaly Shift Symptoms From Extension Baseline to Most Extreme Post-extension Baseline |
NCT02354508 (28) [back to overview] | Extension (Ext.) Phase: Percentage of Participants With Acromegaly Shift Symptoms From Extension Baseline to Most Extreme Post-extension Baseline |
NCT02354508 (28) [back to overview] | Extension (Ext.) Phase: Percentage of Participants With Acromegaly Shift Symptoms From Extension Baseline to Most Extreme Post-extension Baseline |
NCT02354508 (28) [back to overview] | Extension (Ext.) Phase: Percentage of Participants With Acromegaly Shift Symptoms From Extension Baseline to Most Extreme Post-extension Baseline |
NCT02354508 (28) [back to overview] | Extension Phase: Percentage of Participants With Mean GH < 1 μg/L at Weeks 48, 60, 72 and Overall, Pasireotide Montherapy and Pasireotide With Concomittant Medication and by GH Level at Screening |
NCT02354508 (28) [back to overview] | Extension Phase: Percentage of Participants With Mean GH < 1 μg/L and IGF-1 < ULN at Weeks 48, 60 and 72 (Overall by Baseline Diabetic Status) |
NCT02354508 (28) [back to overview] | Extension Phase: Percentage of Participants With Mean GH < 1 μg/L and IGF-1 < ULN at Weeks 48, 60 & 72 (Up-titrated to Pasireotide LAR 60 mg) |
NCT02354508 (28) [back to overview] | Core Phase: Change in Mean Growth Hormone (GH) Values From Baseline to Week 36 |
NCT02354508 (28) [back to overview] | Core Phase: Percentage of Participants Reporting Levels 0 - 4 by Dimensions of Acromegaly Symptoms |
NCT02354508 (28) [back to overview] | Extension Phase: Percentage of Participants Reporting Levels 1 - 5 by Dimensions of Acromegaly Symptoms |
NCT02354508 (28) [back to overview] | Core Phase: Percentage of Participants With Acromegaly Shift Symptoms From Baseline to Most Extreme Post-baseline |
NCT02354508 (28) [back to overview] | Core Phase: Change in Standardized IGF-1 Values From Baseline to Week 36 |
NCT02354508 (28) [back to overview] | Core Phase: Percentage of Participants With Mean GH < 1 g/L and IGF-1 < ULN at Week 36 |
NCT02354508 (28) [back to overview] | Core Phase: Percentage of Participants With Mean GH < 1 g/L and IGF-1 < ULN at Week 36 |
NCT02354508 (28) [back to overview] | Core Phase: Percentage of Participants With Mean GH <1 μg/L and IGF-1 |
NCT02354508 (28) [back to overview] | Core Phase: Percentage of Participants With Mean GH < 1 g/L and IGF-1 < ULN at Week 36 by Previous Treatment and Overall - LOCF |
NCT02354508 (28) [back to overview] | Core Phase: Percentage of Participants With Mean GH < 1 g/L and IGF-1 < ULN at Week 36 for Participants Up-titrated to Pasireotide LAR 60 mg |
NCT02354508 (28) [back to overview] | Core Phase: Change From Baseline in EQ-5D-5L Index Scores |
NCT02354508 (28) [back to overview] | Core Phase: Change From Baseline in EQ-5D-5L VAS Assessment |
NCT02354508 (28) [back to overview] | Core Phase: Change From Baseline in Scores as Measured by Acromegaly Quality of Life (AcroQoL) |
NCT02354508 (28) [back to overview] | Extension Phase: Change From Baseline in Scores as Measured by Acromegaly Quality of Life (AcroQoL) |
NCT02354508 (28) [back to overview] | Extension Phase: Change From Baseline in EQ-5D-5L VAS Assessment |
NCT02354508 (28) [back to overview] | Extension Phase: Change From Baseline in EQ-5D-5L Index Scores |
NCT02354508 (28) [back to overview] | Core Phase: Percentage of Participants With Mean GH < 1 g/L and IGF-1 < ULN at Week 36 by Previous Treatment and Overall |
NCT02619617 (4) [back to overview] | Number of Participants Who Were Pain Free at 30 Minutes Post Dose |
NCT02619617 (4) [back to overview] | Change in Hemoglobin Values From Screening to End of Study |
NCT02619617 (4) [back to overview] | Pulse Rate |
NCT02619617 (4) [back to overview] | Number of Participants With Headache Response (PD Analysis Set) |
Symptom Control (Diarrhea/Flushing) Using a Patient Symptom Diary
"Complete Symptom Control: an average of ≤ 3 bowel movements per day for at least 15 consecutive days, with no more than 3 episodes on any given day, and no episodes of flushing over the time interval being studied.~Partial Symptom Control: an average of < 4 bowel movements per day for at least 15 consecutive days, with no more than 6 episodes per given day, and an average of fewer than 2 daily flushing episodes over the same given time interval.~Treatment failure: Failure to obtain partial or complete treatment success over a consecutive 15-day period at a constant dose level." (NCT00088595)
Timeframe: 15 days
Intervention | participants (Number) |
---|
| Complete symptom control | Partial symptom control | No control |
---|
Pasireotide (Any Dose) | 3 | 9 | 32 |
[back to top]
Duration of Partial Symptom Control (Days) by Dose Class
Partial symptom control: an average of less than four bowel movements per day for at least 15 consecutive days, with no more than six episodes per any given day, and an average of less than two daily flushing episodes over the same given time interval. (NCT00088595)
Timeframe: up to 15 days
Intervention | Days (Mean) |
---|
Pasireotide >900-≤1500 μg | 89.8 |
Pasireotide >1500-≤2400 μg | 36.3 |
Pasireotide Any Dose | 72.0 |
[back to top]
Duration of Complete Symptom Control (Days) by Dose Class
Complete symptom control: an average of three or less bowel movements per day for at least 15 consecutive days, with no more than three episodes on any given day, and no episodes of flushing over the time interval being studied. (NCT00088595)
Timeframe: 15 days
Intervention | Days (Mean) |
---|
Pasireotide >900 - ≤1500 μg | 42.0 |
Pasireotide >1500 - ≤2400 μg | 47.0 |
Pasireotide Any Dose | 43.7 |
[back to top]
The Overall Safety and Tolerability of Pasireotide
Safety assessments consisted of recording all AEs and serious adverse events (SAEs), the regular monitoring of hematology, blood chemistry, vital signs, physical condition and body weight. (NCT00088595)
Timeframe: At least 15 days
Intervention | Participants (Number) |
---|
| Death | Serious or Significant Events | Serious Adverse Events (SAEs) | Discontinued due to Adverse Events (AEs) |
---|
Pasireotide (Any Dose) | 1 | 23 | 14 | 12 |
[back to top]
The Number of Patients (Participants) With Overall Tumor Response
The disappearance of all lesions was considered a complete response and at least a 30% decrease in the diameter of lesions was considered a partial response (PR). Progressive disease (PD) required a 20% increase in the sum of the diameters of lesions and changes that did not qualify for PR or PD were considered stable disease. Progression not documented was defined as unknown. No more than a 10% increase in biochemical values, and no clinical signs of DP with complete or adequate control over symptoms were defined as complete treatment success and partial treatment success, respectively. (NCT00088595)
Timeframe: At least 15 days
Intervention | Participants (Number) |
---|
| Complete response for complete treatment success | Partial response for complete treatment success | Stable disease for complete treatment success | Progressive disease for complete treatment success | Unknown for complete treatment success | Missing for complete treatment success | Complete response for partial treatment success | Partial response for partial treatment success | Stable disease for partial treatment success | Progressive disease for partial treatment success | Unknown for partial treatment success | Missing for partial treatment success | Complete response for treatment failure | Partial response for treatment failure | Stable disease for treatment failure | Progressive disease for treatment failure | Unknown for treatment failure | Missing for treatment failure |
---|
Pasireotide (Any Dose) | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 4 | 0 | 0 | 0 | 0 | 0 | 8 | 10 | 1 | 20 |
[back to top]
Percentage of Participants With Growth Hormone (GH) and Insulin-like Growth Factor 1 (IGF-1) Observed Response by Dose Class
A participant was a responder to a dose level if the mean GH level after dosing (t30, t60, t90, and t120) was below/equal to 2.5 microgram/litre (μg/L), and if the mean of IGF-1 of the two pre-dose values (t-30, t-1) was within normal limits for age-sex matched controls. If three or more of t30, t60, t90, or t120 were missing, mean GH was considered missing. If either t-30 or t-1 was missing, mean IGF-1 was considered missing. Pasireotide incident dose classes were defined by total daily doses ranges (<1200 μg/d, 1200 to <1500 μg/d, ≥ 1500 μg/d). (NCT00171730)
Timeframe: Month 9 (Month 9 visit is at the completion of six months in this extension study)
Intervention | percentage of responders (Number) |
---|
Pasireotide s.c. <1200 μg/d | 20 |
Pasireotide s.c. 1200 to <1500 μg/d | 28.6 |
Pasireotide s.c. ≥1500 μg/d | 14.3 |
Pasireotide s.c. Overall | 23.1 |
[back to top]
Percentage of Participants With One or More Adverse Events (AEs)
An AE was any undesirable sign, symptom or medical condition that occurred after starting study drug even if the event was not considered to be related to study drug. Percentage of participants with any AE were categorized by pasireotide incident dose classes, which were defined by total daily doses ranges (<1200 μg/d, 1200 to <1500 μg/d, ≥ 1500 μg/d). (NCT00171730)
Timeframe: From start of study drug treatment up to end of study (approximately 111 months)
Intervention | percentage of participants (Number) |
---|
Pasireotide s.c. <1200 μg/d | 80.0 |
Pasireotide s.c. 1200 to <1500 μg/d | 86.7 |
Pasireotide s.c. ≥1500 μg/d | 91.7 |
[back to top]
Time to Tumor Response
Time to tumor response was defined as time from Sandostatin baseline (core study baseline) to at least 20% decrease in tumor volume. (NCT00171730)
Timeframe: Core study baseline to at least a 20% decrease in pituitary tumor volume (up to approximately 114 months)
Intervention | months (Median) |
---|
Pasireotide s.c. Overall | 12.2 |
[back to top]
Percentage of Participants With Sleep Apnea Symptoms as Assessed by Epworth Sleepiness Scale by Situation
Sleep apnea symptoms were assessed using the Epworth Sleepiness Scale (ESS). The ESS is a self-administered questionnaire with 8 questions. It provides a measure of a person's general level of daytime sleepiness, or average sleep propensity in daily life. Percentage of participants were reported in 8 different situations: sitting and reading; watching TV; sitting, inactive in a public place; passenger in a car, an hour without break; lying down to rest in the afternoon; sitting and talking to someone; sitting quietly after a lunch without alcohol; and in a car, stopped a few minutes in the traffic. The participants were rated: 0 = would never doze, 1 = slight chance of dozing, 2 = moderate chance of dozing, 3 = high chance of dozing. Higher scores indicate more severe daytime sleepiness. (NCT00171730)
Timeframe: Core study baseline till the last assessment of the extension study (up to approximately 114 months)
Intervention | percentage of participants (Number) |
---|
| Sitting and Reading - 0 | Sitting and Reading - 1 | Sitting and Reading - 2 | Sitting and Reading - 3 | Sitting and Reading - Not Done | Watching TV - 0 | Watching TV - 1 | Watching TV - 2 | Watching TV - 3 | Watching TV - Not Done | Sitting, Inactive in a Public Place - 0 | Sitting, Inactive in a Public Place - 1 | Sitting, Inactive in a Public Place - 2 | Sitting, Inactive in a Public Place - 3 | Sitting, Inactive in a Public Place - Not Done | Passenger in a Car, an Hour Without Break - 0 | Passenger in a Car, an Hour Without Break - 1 | Passenger in a Car, an Hour Without Break - 2 | Passenger in a Car, an Hour Without Break - 3 | Passenger in a Car, an Hour Without Break - Not Done | Lying Down to Rest in the Afternoon - 0 | Lying Down to Rest in the Afternoon - 1 | Lying Down to Rest in the Afternoon - 2 | Lying Down to Rest in the Afternoon - 3 | Lying Down to Rest in the Afternoon - Not Done | Sitting and Talking to Someone - 0 | Sitting and Talking to Someone - 1 | Sitting and Talking to Someone - 2 | Sitting and Talking to Someone - 3 | Sitting and Talking to Someone - Not Done | Sitting Quietly After a Lunch Without Alcohol - 0 | Sitting Quietly After a Lunch Without Alcohol - 1 | Sitting Quietly After a Lunch Without Alcohol - 2 | Sitting Quietly After a Lunch Without Alcohol - 3 | Sitting Quietly After a Lunch Without Alcohol - Not Done | In a Car, Stopped a Few Minutes in the Traffic - 0 | In a Car, Stopped a Few Minutes in the Traffic - 1 | In a Car, Stopped a Few Minutes in the Traffic - 2 | In a Car, Stopped a Few Minutes in the Traffic - 3 | In a Car, Stopped a Few Minutes in the Traffic - Not Done |
---|
Pasireotide s.c. Overall | 36.7 | 23.3 | 23.3 | 0 | 16.7 | 23.3 | 33.3 | 23.3 | 3.3 | 16.7 | 56.7 | 20 | 6.7 | 0 | 16.7 | 60 | 10 | 6.7 | 6.7 | 16.7 | 13.3 | 23.3 | 23.3 | 23.3 | 16.7 | 76.7 | 6.7 | 0 | 0 | 16.7 | 30 | 23.3 | 20 | 10 | 16.7 | 73.3 | 10 | 0 | 0 | 16.7 |
[back to top]
Percentage of Participants With Symptoms of Acromegaly
Participants scored the following symptoms of acromegaly: Headache, perspiration, paresthesia, fatigue, osteoarthralgia, and carpal tunnel syndrome on a 5-point scale (0 = None/absent, 1 = Mild, 2 = Moderate, 3 = Severe, 4 = Very severe). (NCT00171730)
Timeframe: Core study baseline till the last assessment of the extension study (up to approximately 114 months)
Intervention | percentage of participants (Number) |
---|
| Headache - 0 | Headache - 1 | Headache - 2 | Headache - 3 | Headache - 4 | Headache - Not Done | Perspiration - 0 | Perspiration - 1 | Perspiration - 2 | Perspiration - 3 | Perspiration - 4 | Perspiration - Not Done | Paresthesiae - 0 | Paresthesiae - 1 | Paresthesiae - 2 | Paresthesiae - 3 | Paresthesiae - 4 | Paresthesiae - Not Done | Fatigue - 0 | Fatigue - 1 | Fatigue - 2 | Fatigue - 3 | Fatigue - 4 | Fatigue - Not Done | Osteoarthralgia - 0 | Osteoarthralgia - 1 | Osteoarthralgia - 2 | Osteoarthralgia - 3 | Osteoarthralgia - 4 | Osteoarthralgia - Not Done | Carpal Tunnel Syndrome - 0 | Carpal Tunnel Syndrome - 1 | Carpal Tunnel Syndrome - 2 | Carpal Tunnel Syndrome - 3 | Carpal Tunnel Syndrome - 4 | Carpal Tunnel Syndrome - Not Done |
---|
Pasireotide s.c. Overall | 46.7 | 26.7 | 6.7 | 0 | 0 | 20 | 20 | 33.3 | 23.3 | 3.3 | 0 | 20 | 50 | 16.7 | 13.3 | 0 | 0 | 20 | 26.7 | 26.7 | 13.3 | 13.3 | 0 | 20 | 40 | 23.3 | 10 | 3.3 | 3.3 | 20 | 56.7 | 10 | 10 | 3.3 | 0 | 20 |
[back to top]
Summary Magnetic Resonance Imaging (MRI) Pituitary Tumor Volumes
Pituitary Tumor Volumes were assessed by MRI. Core study baseline was defined as the last non-missing observation prior to the start of Sandostatin s.c. treatment. (NCT00171730)
Timeframe: Core study baseline, Months 9, 27, 63, 75 and 99
Intervention | cubic millimeter (mm) (Mean) |
---|
| Core Study Baseline | Month 9 | Month 27 | Month 63 | Month 75 | Month 99 |
---|
Pasireotide s.c. Overall | 4457.4 | 2839.3 | 2536 | 456 | 1016 | 180 |
[back to top]
Plasma Trough Concentrations (Ctrough) of Pasireotide in UFC Responders
Participants with Cushing's disease were considered responders if mean UFC levels from the 24-hour urine collections at Day 15 (Core study) and at extension Month 6, were within normal limits. Ctrough levels of pasireotide were measured at Day 15 of Core study and Month 6. (NCT00171951)
Timeframe: Day 15 (Core study) and Month 6
Intervention | nanograms per milliliter (ng/mL) (Mean) |
---|
| Day 15 (Core Study) | Month 6 |
---|
Pasireotide 600 μg BID SC or Ramp up Dose 900 μg BID SC | 7.0 | 17.4 |
[back to top]
Change From Baseline in Serum Cortisol Levels
Blood samples were withdrawn to obtain the serum cortisol levels. A negative change from baseline indicates improvement. (NCT00171951)
Timeframe: Core Baseline, Day 15 (Core study), Months 6, 12, 24, and Month 105 (end of the study)
Intervention | nanomoles per liters (nmol/L) (Mean) |
---|
| Core Baseline | Change from Core Baseline to Day 15 | Change from Core Baseline to Month 6 | Change from Core Baseline to Month 12 | Change from Core Baseline to Month 24 | Change from Core Baseline to Month 105 |
---|
Pasireotide 600 μg BID SC or Ramp up Dose 900 μg BID SC | 723.60 | -25.96 | -150.60 | -66.06 | -227.53 | -166.00 |
[back to top]
Change From Baseline in Plasma Adrenocorticotropic Hormone (ACTH) Levels
Blood samples were withdrawn to obtain the ACTH levels. A negative change from baseline indicates improvement. (NCT00171951)
Timeframe: Core Baseline, Day 15 (Core study), Months 6, 12, 24 and Month 105 (end of the study)
Intervention | picomoles per litre (pmol/L) (Mean) |
---|
| Core Baseline | Change from Core Baseline to Day 15 | Change from Core Baseline to Month 6 | Change from Core Baseline to Month 12 | Change from Core Baseline to Month 24 | Change from Core Baseline to Month 105 |
---|
Pasireotide 600 μg BID SC or Ramp up Dose 900 μg BID SC | 13.72 | -1.28 | -3.36 | -3.60 | -4.50 | 0.00 |
[back to top]
Change From Baseline in Mean Urinary Free Cortisol (UFC)
24-hour urine samples were collected to obtain mean UFC measurements. A negative mean change from baseline indicates improvement. (NCT00171951)
Timeframe: Core Baseline, Days 14/15 (Core study), Months 6, 12, 24 and 102
Intervention | nanomoles per 24 hours (nmol/24h) (Mean) |
---|
| Core Baseline | Change from Core Baseline to Day 14/Day 15 | Change from Core Baseline to Month 6 | Change from Core Baseline to Month 12 | Change from Core Baseline to Month 24 | Change from Core Baseline to Month 102 |
---|
Pasireotide 600 μg BID SC or Ramp up Dose 900 μg BID SC | 1219.74 | -710.57 | -801.85 | -1202.1 | -1241.1 | -2417.0 |
[back to top]
Percentage of Responders With Mean Urinary Free Cortisol (UFC) Within Normal Limits
A participant was considered a responder if the mean UFC from the two 24-hour urine samples collected at Month 6 was within normal limits. The normal range for UFC is 55 to 276 nmol/day. (NCT00171951)
Timeframe: Month 6
Intervention | percentage of responders (Number) |
---|
Pasireotide 600 μg BID SC or Ramp up Dose 900 μg BID SC | 22.2 |
[back to top]
Number of Participants Who Had At Least One Adverse Event (AE)
An AE was any undesirable sign, symptom or medical condition occurring after starting study drug even if the event is not considered to be related to study drug. AEs were assessed according to incident dose group: Pasireotide 1200 μg sc total daily dose (TDD), Pasireotide 1800 μg SC TDD and Pasireotide SC Any Dose. The incident dose for an AE was the last total daily dose administered on or prior to the AE onset date. (NCT00171951)
Timeframe: Up to approximately 106 months
Intervention | Participants (Count of Participants) |
---|
Pasireotide 600 μg BID SC | 19 |
Pasireotide 900 μg BID SC | 8 |
[back to top]
Mean Change From Baseline in Clinical Signs and Symptoms of Cushing's Disease: Bone Mineral Density (BMD)
BMD was measured using Lunar or Hologic dual-energy X-ray absorptiometry (DXA) Instruments. Measurements were done in the lumbar vertebrae (L1-L4), proximal femur (total hip) and proximal femur (femur neck). A negative change from baseline indicates imrpovement. (NCT00434148)
Timeframe: baseline, month 3, month 6, month 12, month 24, month 36, month 48, month 60
Intervention | mg/cm^3 (Mean) |
---|
| Lumbar vertebrae, month 3 (n=2,2) | Lumbar vertebrae, month 6 (n=47,39) | Lumbar vertebrae, month 12 (n=33,29) | Lumbar vertebrae, month 24 (n=16,16) | Lumbar vertebrae, month 36 (n=8,9) | Lumbar vertebrae, month 48 (n=9,8) | Lumbar vertebrae, month 60 (n=7,6) | Proximal femur (total hip), month 3 (2,2) | Proximal femur (total hip), month 6 (n=46,38) | Proximal femur (total hip), month 12 (n=33,26) | Proximal femur (total hip), month 24 (n=16,13) | Proximal femur (total hip), month 36 (n=8,8) | Proximal femur (total hip), month 48 (n=8,8) | Proximal femur (total hip), month 60 (n=7,6) | Proximal femur (femur neck), month 3 (n=2,2) | Proximal femur (femur neck), month 6 (n=46,38) | Proximal femur (femur neck), month 12 (n=33,28) | Proximal femur (femur neck), month 24 (n=16,14) | Proximal femur (femur neck), month 36 (n=8,8) | Proximal femur (femur neck), month 48 (n=9,7) | Proximal femur (femur neck), month 60 (7,6) |
---|
Pasireotide 600 ug | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | -0.1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
,Pasireotide 900 ug | 0 | 0 | 0 | 0 | 0.1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
[back to top]
Mean Change From Baseline in Clinical Signs and Symptoms of Cushing's Disease: Waist Circumference
Waist circumference was measured with a measuring tape correctly positioned. A negative change from baseline indicates improvement. (NCT00434148)
Timeframe: baseline, month 3, month 6, month 12, month 24, month 36, month 48, month 60
Intervention | cm (Mean) |
---|
| month 3 (n=64,66) | month 6 (n=53,54) | month 12(n=34,35) | month 24 ( n=17,22) | month 36 (n=9,13) | month 48 (n=8,10) | month 60 (n=7,8) |
---|
Pasireotide 600 ug | -1.0 | -1.9 | -4.4 | -8.7 | -7.8 | -8.3 | -7.3 |
,Pasireotide 900 ug | -2.2 | -3.4 | -5.6 | -5.1 | -6.4 | -5.1 | -4.6 |
[back to top]
Percent Change From Baseline in Mean Adrenocorticotropic Hormone (ACTH)
Blood samples were drawn to obtain ACTH levels. A negative change from baseline indicates improvement. (NCT00434148)
Timeframe: baseline, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39, 42, 45, 48, 51, 54, 57, 60, 63, 66, 69, 72, 75, 78 months
Intervention | percent change (Mean) |
---|
| month 0.5 (n=78,75) | month 1 (n=78,71) | month 1.5 (n=74,69) | month 2 (n=72,66) | month 2.5 (n=69,65) | month 3 (n=69,66) | month 4 (n=66,61) | month 5 (n=62,55) | month 6 (n=58,55) | month 7 (n=52,52) | month 8 (n=48,46) | month 9 (n=46,47) | month 10 (n=42,46) | month 11 (n=42,40) | month 12 (n=39,39) | month 15 (n=26,26) | month 18 (n=26,25) | month 21 (n=20,23) | month 24 (n=18,21) | month 27 (n=16,18) | month 30 (n=14,18) | month 33 (n=13,14) | month 36 (n=10,13) | month 39 (n=10,12) | month 42 (n=10,12) | month 45 (n=9,11) | month 48 (n=9,9) | month 51 (n=9,9) | month 54 (n=9,9) | month 57 (n=7,7) | month 60 (n=8,8) | month 63 (n=6,7) | month 66 (n=4,6) | month 69 (n=3,5) | month 72 (n=3,3) | month 75 (n=2,3) | month 78 (n=1,1) |
---|
Pasireotide 600 ug | 9.3 | -10.0 | -13.4 | -7.7 | -8.2 | -9.2 | -7.2 | -3.0 | -8.4 | -11.4 | -5.0 | -5.3 | -10.2 | -11.5 | -7.4 | -14.5 | -5.9 | -1.5 | -10.9 | -10.4 | -14.7 | -9.4 | 19.1 | -20.9 | -6.7 | 11.9 | -10.8 | 0.0 | 4.6 | 9.6 | 9.6 | 11.9 | 25.3 | 38.9 | 35.6 | -5.0 | 50.0 |
,Pasireotide 900 ug | -15.9 | -19.1 | -10.5 | -13.2 | -12.0 | -16.3 | -12.8 | -15.0 | -17.3 | -14.6 | -17.0 | -18.2 | -18.2 | -17.4 | -26.5 | -16.3 | -21.2 | -17.3 | -18.0 | -12.5 | -20.0 | -2.4 | 1.2 | -5.3 | 2.7 | 8.1 | 11.7 | -3.1 | 7.3 | -5.0 | -1.3 | 15.4 | 18.3 | -1.2 | 22.0 | 23.1 | -11.1 |
[back to top]
Percent Change From Baseline in Serum Cortisol
Blood samlpes were drawn to obtain serum cortisol levels. A negative change from baseline indicates improvement. (NCT00434148)
Timeframe: baseline, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39, 42, 45, 48, 51, 54, 57, 60, 63, 66, 69, 72, 75, 78 months
Intervention | Percent change (Mean) |
---|
| month 0.5 (n=77,76) | month 1 (n=78,72) | month 1.5 (n=75,71) | month 2 (n=73,67) | month 2.5 (n=70,67) | month 3 (n=70,67) | month 4 (n=68,61) | month 5 (n=62,58) | month 6 (n=59,57) | month 7 (n=52,53) | month 8 (n=50,46) | month 9 (n=46,48) | month 10 (n=42,47) | month 11 (n=41,41) | month 12 (n=39,38) | month 15 (n=26,26) | month 18 (n=26,25) | month 21 (n=21,25) | month 24 (n=18,22) | month 27 (n=16,18) | month 30 (n=14,19) | month 33 (n=13,15) | month 36 (n=10,13) | month 39 (n=10,12) | month 42 (n=10,12) | month 45 (n=10,11) | month 48 (n=9,11) | month 51 (n=9,9) | month 54 (n=9,9) | month 57 (n=8,8) | month 60 (n=8,8) | month 63 (n=6,7) | month 66 (n=4,6) | month 69 (n=3,5) | month 72 (n=3,4) | month 75 (n=2,3) | month 78 (n=1,1) |
---|
Pasireotide 600 ug | -4.0 | -7.3 | -5.5 | -0.7 | -3.3 | -2.6 | -6.9 | -4.3 | -5.6 | -9.8 | -10.2 | -5.4 | -11.2 | -8.2 | -11.6 | -10.5 | -7.6 | -12.1 | -17.9 | -9.0 | -22.8 | -9.5 | -12.7 | -26.6 | -17.8 | -12.5 | -19.7 | -17.6 | -25.0 | -11.0 | -24.5 | -28.6 | -6.7 | -13.4 | -4.5 | -63.3 | 14.5 |
,Pasireotide 900 ug | -10.8 | -7.7 | -7.1 | -6.4 | -10.1 | -10.2 | -10.8 | -10.8 | -9.3 | -5.8 | -9.9 | -5.8 | -9.3 | -14.0 | -15.2 | -12.5 | -17.8 | -15.5 | -18.1 | -12.7 | -22.7 | -25.2 | -13.3 | -25.9 | -18.1 | -8.5 | -20.1 | -24.0 | -6.8 | -30.8 | -18.9 | -24.0 | -22.5 | -33.6 | -22.7 | -23.2 | -53.3 |
[back to top]
[back to top]
Mean Change From Baseline in Clinical Signs and Symptoms of Cushing's Disease: Total Cholesterol and Triglycerides
Blood samples were drawn to obtain total cholesterol and triglycerides' levels. A negative change from baseline indicates improvement. (NCT00434148)
Timeframe: baseline, month 3, month 6, month 12, month 24, month 36, month 48, month 60
Intervention | mmol/L (Mean) |
---|
| Cholesterol, month 3 (n=70,67) | Cholesterol, month 6 (n=59,55) | Cholesterol, month 12 (n=40,39) | Cholesterol, month 24 (n=18,22) | Cholesterol, month 36 (n=10,12) | Cholesterol, month 48 (n=9,10) | Cholesterol, month 60 (n=8,8) | Triglycerides, month 3 (n=70,67) | Triglycerides, month 6 (n=59,55) | Triglycerides, month 12 (n=40,39) | Triglycerides, month 24 (n=18,22) | Triglycerides, month 36 (n=10,12) | Triglycerides, month 48 (n=9,10) | Triglycerides, month 60 (n=8,8) |
---|
Pasireotide 600 ug | -0.2 | -0.4 | -0.5 | -0.6 | -0.8 | -0.9 | -1.5 | 0.1 | 0 | -0.1 | 0 | -0.2 | -0.5 | -0.7 |
,Pasireotide 900 ug | -0.3 | -0.4 | -0.6 | -0.3 | -0.1 | -0.4 | -0.4 | 0.1 | 0.1 | -0.2 | 0 | 0.3 | 0.4 | 0.2 |
[back to top]
Number of mUFC (Urinary Free Cortisol) Responders by Randomized Dose Group
A responder in the primary efficacy analysis was a patient with a mUFC≤ULN at Month 6 and whose dose was not increased prior to Month 6. (NCT00434148)
Timeframe: 6 months
Intervention | Responders (Number) |
---|
Pasireotide 600 ug | 12 |
Pasireotide 900 ug | 21 |
[back to top]
Time to First UFC Response
Time to first UFC response is defined as the number of months from baseline to first attainment of UFC response. (NCT00434148)
Timeframe: 12 months
Intervention | months (Median) |
---|
Pasireotide 600 ug | 1.0 |
Pasireotide 900 ug | 1.0 |
[back to top]
Change From Baseline in mUFC
Twenty four hour urine samples were collected to obtain mUFC measurements. A negative change from baseline indicates improvement. (NCT00434148)
Timeframe: baseline, 3 months, 12 months
Intervention | nmol/24h (Mean) |
---|
| month 3 (n=61,62) | month 12 (n=37,35) |
---|
Pasireotide 600 ug | -375.8 | -572.6 |
,Pasireotide 900 ug | -343.4 | -350.7 |
[back to top]
Change From Baseline in Tumor Volume
Pituitary magnetic resonance imaging (MRI) was performed to determine tumor volume. A negative change from baseline indicates imrpovement. (NCT00434148)
Timeframe: baseline, 6, 12, 18, 24, 30, 36, 42, 48, 54, 60, 66, 72, 78 months
Intervention | cm^3 (Mean) |
---|
| month 6 (n=25, 28) | month 12 (n=15, 18) | month 18 (n=8, 11) | month 24 (n=7, 13) | month 30 (n=6, 8) | month 36 (n=3, 5) | month 42 (n=3, 3) | month 48 (n=3, 3) | month 54 (n=3, 2) | month 60 (n=3, 2) | month 66 (n= 1, 1) | month 72 (n=1, 0) | month 78 (n=1, 0) |
---|
Pasireotide 600 ug | 9.3 | -8.1 | -18.1 | -27.4 | -52.1 | -94.1 | -95.2 | -20.5 | -29.1 | -13.5 | -100.0 | 45.6 | 77.2 |
,Pasireotide 900 ug | -19.0 | -43.8 | -36.0 | -11.5 | -20.9 | -27.6 | 84.0 | 29.2 | 20.3 | 127.6 | 269.8 | NA | NA |
[back to top]
Mean Change From Baseline in Clinical Signs and Symptoms of Cushing's Disease: Beck Depression Inventory (BDI-II) Score
"The BDI-II is a 21 item self-report rating inventory measuring characteristic attitudes and symptoms of depression. The BDI-II contains 21 questions, each answer being scored on a scale value of 0 to 3. Higher total scores indicate more severe depressive symptoms. The scores range as follows:~0-13: minimal depression; 14-19: mild depression; 20-28: moderate depression; and 29-63: severe depression. A negative change from baseline indicates imrpovement." (NCT00434148)
Timeframe: baseline, month 3, month 6, month 12, month 18, month 24
Intervention | score on a scale (Mean) |
---|
| month 3 (n=66,65) | month 6 (n=56,55) | month 12 (n=38,37) | month 18 (n=6,6) | month 24 (n=0,1) |
---|
Pasireotide 600 ug | -4.6 | -4.6 | -4.6 | -1.3 | NA |
,Pasireotide 900 ug | -1.9 | -5.5 | -5.2 | -7.8 | -12.0 |
[back to top]
Mean Change From Baseline in Clinical Signs and Symptoms of Cushing's Disease: Body Composition
Body composition as in percentage of body fat by region was assessed by total body scan. A negative change from baseline indicates improvement. (NCT00434148)
Timeframe: baseline, month 3, month 6, month 12, month 24, month 36, month 48, month 60
Intervention | Percentage of body fat (Mean) |
---|
| Month 3 (n=2,2) | Month 6 (n=39,32) | Month 12 (n=29,22) | Month 24 (n=13,14) | Month 36 (n=5,8) | Month 48 (n=4,7) | Month 60 (n=4,6) |
---|
Pasireotide 600 ug | 2.9 | -0.4 | -3.0 | -1.9 | -2.0 | -2.0 | -2.8 |
,Pasireotide 900 ug | 0.3 | -0.9 | -1.6 | -1.9 | -1.1 | 0.1 | -0.5 |
[back to top]
Mean Change From Baseline in Clinical Signs and Symptoms of Cushing's Disease: Body Mass Index (BMI)
BMI was determined by using height and weight measurements. A negative change from baseline indicates improvement. (NCT00434148)
Timeframe: baseline, month 3, month 6, month 12, month 24, month 36, month 48 and month 60
Intervention | kg/m^2 (Mean) |
---|
| month 3 (n=70,67) | month 6 (n=59,57) | month 12 (n=40,39) | month 24 (n=18,23) | month 36 (n=10,13) | month 48 (n=9,10) | month 60 (n=8,8) |
---|
Pasireotide 600 ug | -1.0 | -1.2 | -2.1 | -3.4 | -2.9 | -3.1 | -2.8 |
,Pasireotide 900 ug | -1.4 | -2.1 | -2.8 | -3.0 | -3.3 | -2.4 | -2.0 |
[back to top]
Mean Change From Baseline in Clinical Signs and Symptoms of Cushing's Disease: Ferriman-Galway Hirsutism Score
The Ferriman Gallwey scoring system is used to score the degree of excess male pattern body hair. The scorecard of every body location under survey begins from 0 (no excessive terminal hair growth) to 4 (extensive terminal hair growth) and the numbers are added up to a maximum count of 36. A score >= 6 indicates the hirsutism. A negative change from baseline indicates imrpovement. (NCT00434148)
Timeframe: baseline, month 3, month 6, month 12, month 24, month 36, month 48, month 60
Intervention | score on a scale (Mean) |
---|
| month 3 (n=52,50) | month 6 (n=44,47) | month 12 (n=30,35) | month 24 (n=12,22) | month 36 (n=7,12) | month 48 (n=6,10) | month 60 (n=5,8) |
---|
Pasireotide 600 ug | -1.3 | -0.9 | -1.3 | -2.8 | -3.7 | -6.0 | -5.0 |
,Pasireotide 900 ug | -1.3 | -2.4 | -3.5 | -4.0 | -3.2 | -2.5 | -2.9 |
[back to top]
Mean Change From Baseline in Clinical Signs and Symptoms of Cushing's Disease: Sitting Sytolic Blood Pressure (SBP) and Sitting Diastolic Blood Pressure (DBP)
Sitting blood pressure assessments were performed at every study visit. A negative change from baseline indicates improvement. (NCT00434148)
Timeframe: baseline, month 3, month 6, month 12, month 24, month 36, month 48, month 60
Intervention | mmHg (Mean) |
---|
| Sitting SBP, month 3 (n=70,67) | Sitting SBP, month 6 (n=59,57) | Sitting SBP, month 12 (n=39,39) | Sitting SBP, month 24 (n=18,23) | Sitting SBP, month 36 (n=10,13) | Sitting SBP, month 48 (n=9,10) | Sitting SBP, month 60 (n=7,8) | Sitting DBP, month 3 (n=70,67) | Sitting DBP , month 6 (n=59,57) | Sitting DBP, month 12 (n=39,39) | Sitting DBP, month 24 (n=18,23) | Sitting DBP, month 36 (n=10,13) | Sitting DBP, month 48 (n=9,10) | Sitting DBP, month 60 (n=7,8) |
---|
Pasireotide 600 ug | -7.4 | -6.8 | -2.8 | -11.6 | -3.0 | -12.0 | -12.8 | -3.3 | -4.2 | -2.0 | -8.1 | -6.8 | -11.7 | -9.1 |
,Pasireotide 900 ug | -9.9 | -11.4 | -9.4 | -11.0 | -11.5 | -3.6 | -2.0 | -4.1 | -5.0 | -5.4 | -6.4 | -7.3 | -1.0 | 0.7 |
[back to top]
Percentage of Participants With a Reduction of Mean GH Level to < 2.5μg/L and Normalization of IGF-1
"Percentage of participants with a reduction of mean GH levels to < 2.5μg/L (based on a 5-point 2-hour profile) and normalization of sex- and age-adjusted IGF-1.~Denominator for time points up to Month 12 is the Full Analysis Set (FAS). Denominator for time points after Month 12 excludes patients who completed the core and did not enter the extension. Patients who discontinued were considered non-responders for the time points after discontinuation, patients who crossed over were considered non-responders for all time points after crossover. Analysis was based on data up to crossover (i.e., included data from both blinded core & ext. phase up to 26 Months for patients who continued the same treatment in the extension. For patients who switched to the other treatment, only data collected before crossover was included.)" (NCT00600886)
Timeframe: Months 3, 6, 9, 12, 16, 19, 22, 25
Intervention | Percentage of participants (Number) |
---|
| Month 3 | Month 6 | Month 9 | Month 12 | Month 16 | Month 19 | Month 22 | Month 25 |
---|
Octreotide LAR (Core & Extension) | 21.4 | 19.8 | 23.1 | 17.6 | 12.4 | 13.7 | 16.3 | 13.7 |
,Pasireotide LAR (Core & Extension) | 30.1 | 30.1 | 27.8 | 29.0 | 25.2 | 23.1 | 25.2 | 24.5 |
[back to top]
Percentage of Participants With a Reduction of Mean GH Level to < 2.5μg/L and Normalization of IGF-1 After Crossover
Percentage of participants with a reduction of mean GH levels to < 2.5μg/L (based on a 5-point 2-hour profile) and normalization of sex- and age-adjusted IGF-1. Analysis was based on data after crossover (i.e., included data from blinded extension phase collected after the crossover time point for patients who crossed over). Denominator for all time points is the Crossover Analysis Set (CAS). (NCT00600886)
Timeframe: Months 3, 6, 9, 12 after crossover
Intervention | Percentage of participants (Number) |
---|
| M3 after crossover | M6 after crossover | M9 after crossover | M12 after crossover |
---|
Crossed Over to Octreotide LAR (Extension) | 2.6 | 2.6 | 5.3 | 0.0 |
,Crossed Over to Pasireotide LAR (Extension) | 17.3 | 21.0 | 22.2 | 17.3 |
[back to top]
Percentage of Participants With a Reduction of Mean GH Level to <2.5 μg/L and the Normalization of IGF-1
"Percentage of participants with a reduction of mean GH levels to <2.5μg/L (based on a 5-point 2-hour profile) and normalization of sex- and age-adjusted IGF-1.~Post surgery = patients with prior surgery but no previous medical treatment for acromegaly De novo = patients with de novo disease who refused pituitary surgery or for whom pituitary surgery was contraindicated." (NCT00600886)
Timeframe: 12 months
Intervention | Percentage of Participants (Number) |
---|
| Overall | Post Surgery | De novo |
---|
Octreotide LAR (Core) | 19.2 | 21.8 | 17.3 |
,Pasireotide LAR (Core) | 31.3 | 39.4 | 25.7 |
[back to top]
Percentage of Participants With Normalization of IGF-1
Percentage of participants with normalization of sex- and age-adjusted IGF-1. Post surgery = patients with prior surgery but no previous medical treatment for acromegaly De novo = patients with de novo disease who refused pituitary surgery or for whom pituitary surgery was contraindicated. (NCT00600886)
Timeframe: 12 Months
Intervention | Percentage of participants (Number) |
---|
| Overall | Post surgery | De novo |
---|
Octreotide LAR (Core) | 23.6 | 26.9 | 21.2 |
,Pasireotide LAR (Core) | 38.6 | 50.7 | 30.5 |
[back to top]
Pasireotide Trough Concentrations by Incident Dose
"Pasireotide LAR trough concentrations by incident dose (last dose administered prior to PK sample collection). PK observations with missing concentrations, missing dose, missing elapsed time or an elapsed time from previous injection outside of 28±2 days window were excluded.~5 patients with evaluable PK data in the pasireotide arm received erroneously 20 mg pasireotide LAR at baseline." (NCT00600886)
Timeframe: Months 1 - 12
Intervention | ng/mL (Mean) |
---|
| M4 | M5 | M6 | M7 | M8 | M9 | M10 | M11 | M12 |
---|
Pasireotide LAR 60mg | 13.48 | 13.42 | 13.08 | 14.76 | 15.88 | 16.03 | 16.01 | 16.31 | 16.16 |
[back to top]
Percentage of Participants With a Reduction of Mean GH Level to < 2.5μg/L
"Percentage of participants with a reduction of mean GH levels to < 2.5μg/L (based on a 5-point 2-hour profile).~Analysis was based on data up to crossover (i.e., included data from both blinded core and extension phase up to 26 Months for patients who continued the same treatment in the extension. For patients who switched to the other treatment, only data collected before crossover was included). Denominator for time points up to Month 12 is the Full Analysis Set. Denominator for time points after Month 12 excludes patients who completed the core and did not enter the extension. Patients who discontinued were considered non-responders for the time points after discontinuation, patients who crossed over were considered non-responders for all time points after crossover." (NCT00600886)
Timeframe: Months 3, 6, 9, 12, 16, 19, 22, 25
Intervention | Percentage of participants (Number) |
---|
| M3 | M6 | M9 | M12 | M16 | M19 | M22 | M25 |
---|
Octreotide LAR (Core & Extension) | 43.4 | 47.8 | 46.2 | 47.3 | 22.2 | 21.6 | 22.2 | 24.2 |
,Pasireotide LAR (Core & Extension) | 49.4 | 45.5 | 42.6 | 43.2 | 33.3 | 36.7 | 35.4 | 35.4 |
[back to top]
Percentage of Participants With a Reduction of Mean GH Level to < 2.5μg/L
"Percentage of participants with a reduction of mean GH levels to < 2.5μg/L (based on a 5-point 2-hour profile).~Post surgery = patients with prior surgery but no previous medical treatment for acromegaly De novo = patients with de novo disease who refused pituitary surgery or for whom pituitary surgery was contraindicated." (NCT00600886)
Timeframe: 12 Months
Intervention | Percentage of participants (Number) |
---|
| Overall | Post surgery | De novo |
---|
Octreotide LAR (Core) | 51.6 | 51.3 | 51.9 |
,Pasireotide LAR (Core) | 48.3 | 52.1 | 45.7 |
[back to top]
Percentage of Participants With a Reduction of Mean GH Level to < 2.5μg/L After Crossover
Percentage of participants with a reduction of mean GH levels to < 2.5μg/L (based on a 5-point 2-hour profile). Analysis was based on data after crossover (i.e., included data from blinded extension phase collected after the crossover time point for patients who crossed over). Denominator for all time points is the Crossover Analysis Set (CAS). (NCT00600886)
Timeframe: Months 3, 6, 9, 12 after crossover
Intervention | Percentage of participants (Number) |
---|
| M3 after crossover | M6 after crossover | M9 after crossover | M12 after crossover |
---|
Crossed Over to Octreotide LAR (Extension) | 28.9 | 31.6 | 31.6 | 23.7 |
,Crossed Over to Pasireotide LAR (Extension) | 49.4 | 43.2 | 54.3 | 44.4 |
[back to top]
Percentage of Participants With Normalization of IGF-1
Percentage of participants with normalization of sex- and age-adjusted IGF-1. Analysis was based on data up to crossover (i.e., included data from both blinded core and extension phase up to 26 Months for patients who continued the same treatment in the extension. For patients who switched to the other treatment, only data collected before crossover was included). Denominator for time points up to Month 12 is the FAS. Denominator for time points after Month 12 excludes patients who completed the core and did not enter the extension. Patients who discontinued were considered non-responders for the time points after discontinuation, patients who crossed over were considered non-responders for all time points after crossover. (NCT00600886)
Timeframe: Months 3, 6, 9, 12, 16, 19, 22, 25
Intervention | Percentage of participants (Number) |
---|
| M3 | M6 | M9 | M12 | M16 | M19 | M22 | M25 |
---|
Octreotide LAR (Core & Extension) | 25.3 | 24.2 | 28.0 | 22.0 | 13.7 | 15.7 | 17.0 | 14.4 |
,Pasireotide LAR (Core & Extension) | 35.2 | 35.8 | 34.1 | 35.8 | 29.9 | 25.2 | 25.9 | 25.9 |
[back to top]
Change From Extension Baseline in Tumor Volume After Crossover
"Percentage change from extension baseline in tumor volume (assessed by pituitary MRI).~Extension baseline was defined as last assessment prior to the administration of the new treatment after crossover. Analysis was based on data after crossover (i.e., included data from blinded extension phase collected after the crossover time point for patients who crossed over)." (NCT00600886)
Timeframe: Extension baseline, months 6, 12 after crossover
Intervention | mm^3 (Mean) |
---|
| Ext. Baseline | Value at M6 after crossover | % change - M6 after crossover | Value at M12 after crossover | % change - M12 after crossover |
---|
Crossed Over to Octreotide LAR (Extension) | 1809.6 | 1794.9 | -12.3 | 1610.4 | -17.9 |
,Crossed Over to Pasireotide LAR (Extension) | 1420.9 | 1027.5 | -18.1 | 949.0 | -24.7 |
[back to top]
Percentage of Participants With Normalization of IGF-1 After Crossover
Percentage of participants with normalization of sex- and age-adjusted IGF-1. Analysis was based on data after crossover (i.e., included data from blinded extension phase collected after the crossover time point for patients who crossed over). Denominator for all time points is the Crossover Analysis Set (CAS). (NCT00600886)
Timeframe: Months 3, 6, 9, 12 after crossover
Intervention | Percentage of participants (Number) |
---|
| M3 after crossover | M6 after crossover | M9 after crossover | M12 after crossover |
---|
Crossed Over to Octreotide LAR (Extension) | 7.9 | 7.9 | 10.5 | 5.3 |
,Crossed Over to Pasireotide LAR (Extension) | 19.8 | 30.9 | 29.6 | 27.2 |
[back to top]
Ring Size
Ring size (based on jeweler's finger gauge). Analysis was based on data up to crossover (i.e., included data from both blinded core and extension phase up to 26 Months for patients who continued the same treatment in the extension. For patients who switched to the other treatment, only data collected before crossover was included). (NCT00600886)
Timeframe: Baseline, Months 12, 25
Intervention | ring zize (Mean) |
---|
| Baseline left hand (LH) 4th digit | Baseline left hand 5th digit | Baseline right hand (RH) 4th digit | Baseline right hand 5th digit | M12 LH 4th digit | M12 LH 5th digit | M12 RH 4th digit | M12 RH 5th digit | M25 LH 4th digit | M25 LH 5th digit | M25 RH 4th digit | M25 RH 5th digit |
---|
Octreotide LAR (Core & Extension) | 11.8 | 12.4 | 11.4 | 11.3 | 11.1 | 12.4 | 11.3 | 10.5 | 11.1 | 14.3 | 10.9 | 7.5 |
,Pasireotide LAR (Core & Extension) | 11.6 | 11.7 | 12.5 | 11.2 | 10.6 | 11.8 | 12.2 | 10.7 | 10.1 | 10.0 | 11.8 | 7.8 |
[back to top]
Ring Size After Crossover
Ring size (based on jeweler's finger gauge). Extension baseline was defined as last measurement prior to the start of crossover treatment. Analysis was based on data after crossover (i.e., included data from blinded extension phase collected after the crossover time point for patients who crossed over). BL = baseline, LH = left hand, RH = right hand, CO = crossover (NCT00600886)
Timeframe: Extension baseline, month 12 after crossover
Intervention | ring size (Mean) |
---|
| Ext. BL LH 4th digit | Ext. BL LH 5th digit | Ext. BL RH 4th digit | M12 after CO LH 4th digit | M12 after CO LH 5th digit CO | M12 after CO RH 4th digit |
---|
Crossed Over to Octreotide LAR (Extension) | 11.0 | 12.3 | 12.4 | 11.2 | 12.5 | 11.4 |
[back to top]
Ring Size After Crossover
Ring size (based on jeweler's finger gauge). Extension baseline was defined as last measurement prior to the start of crossover treatment. Analysis was based on data after crossover (i.e., included data from blinded extension phase collected after the crossover time point for patients who crossed over). BL = baseline, LH = left hand, RH = right hand, CO = crossover (NCT00600886)
Timeframe: Extension baseline, month 12 after crossover
Intervention | ring size (Mean) |
---|
| Ext. BL LH 4th digit | Ext. BL LH 5th digit | Ext. BL RH 4th digit | Ext. BL RH 5th digit | M12 after CO LH 4th digit | M12 after CO LH 5th digit CO | M12 after CO RH 4th digit | M12 after CO RH 5th digit |
---|
Crossed Over to Pasireotide LAR (Extension) | 11.2 | 11.6 | 11.4 | 10.7 | 10.9 | 11.9 | 11.6 | 11.5 |
[back to top]
Severity Scores of Acromegaly Symptoms
Severity scores of acromegaly symptoms (Headache, Fatigue, Perspiration, Paresthesias, Osteoarthralgia). Symptoms were scored from 0 (no symptom) to 4 (very severe). Analysis was based on data up to crossover (i.e., included data from both blinded core and extension phase up to 26 Months for patients who continued the same treatment in the extension. For patients who switched to the other treatment, only data collected before crossover was included). (NCT00600886)
Timeframe: Baseline, Months 12, 25
Intervention | scores on a scale (Mean) |
---|
| Headache - Baseline | Fatigue - Baseline | Perspiration - Baseline | Paresthesia - Baseline | Osteoarthraliga - Baseline | Headache - M12 | Fatigue - M12 | Perspiration - M12 | Paresthesia - M12 | Osteoarthraliga - M12 | Headache - M25 | Fatigue - M25 | Perspiration - M25 | Paresthesia - M25 | Osteoarthraliga - M25 |
---|
Octreotide LAR (Core & Extension) | 1.0 | 1.4 | 1.3 | 0.8 | 1.3 | 0.6 | 0.7 | 0.5 | 0.4 | 0.7 | 0.6 | 0.7 | 0.4 | 0.4 | 0.8 |
,Pasireotide LAR (Core & Extension) | 0.9 | 1.2 | 1.1 | 0.7 | 1.0 | 0.5 | 0.8 | 0.4 | 0.3 | 0.5 | 0.4 | 0.5 | 0.4 | 0.2 | 0.4 |
[back to top]
Severity Scores of Acromegaly Symptoms After Crossover
"Severity scores of acromegaly symptoms (Headache, Fatigue, Perspiration, Paresthesias, Osteoarthralgia).~Symptoms were scored from 0 (no symptom) to 4 (very severe). Extension baseline was defined as last measurement prior to the start of crossover treatment. Analysis was based on data after crossover (i.e., included data from blinded extension phase collected after the crossover time point for patients who crossed over)." (NCT00600886)
Timeframe: Extension baseline, month 12 after crossover
Intervention | scores on a scale (Mean) |
---|
| Headache: Ext. BL | Headache: M12 after crossover | Fatigue: Ext. BL | Fatigue: M12 after crossover | Perspiration: Ext. BL | Perspiration: M12 after crossover | Paresthesia: Ext. BL | Paresthesia: M12 after crossover | Osteoarthralgia: Ext. BL | Osteoarthralgia: M12 after crossover |
---|
Crossed Over to Octreotide LAR (Extension) | 0.4 | 0.7 | 0.7 | 0.7 | 0.6 | 0.5 | 0.4 | 0.4 | 0.6 | 0.7 |
,Crossed Over to Pasireotide LAR (Extension) | 0.6 | 0.5 | 0.8 | 0.8 | 0.5 | 0.6 | 0.4 | 0.3 | 0.6 | 0.5 |
[back to top]
Summary of Mean GH Values
Mean GH levels (based on a 5-point profile over 2 hours). Analysis was based on data up to crossover (i.e., included data from both blinded core and extension phase up to 26 Months for patients who continued the same treatment in the extension. For patients who switched to the other treatment, only data collected before crossover was included). (NCT00600886)
Timeframe: Baseline, Months 3, 6, 9, 12, 16, 19, 22, 25
Intervention | μg/L (Mean) |
---|
| Baseline | Month 3 | Month 6 | Month 9 | Month 12 | Month 16 | Month 19 | Month 22 | Month 25 |
---|
Octreotide LAR (Core & Extension) | 18.8 | 5.8 | 5.2 | 4.3 | 4.5 | 1.4 | 1.5 | 1.4 | 1.2 |
,Pasireotide LAR (Core & Extension) | 21.9 | 6.3 | 5.6 | 4.9 | 4.6 | 2.3 | 2.1 | 2.1 | 2.0 |
[back to top]
Summary of Mean GH Values After Crossover
Mean GH levels (based on a 5-point profile over 2 hours). Extension baseline was defined as last measurement prior to the start of crossover treatment. Analysis was based on data after crossover (i.e., included data from blinded extension phase collected after the crossover time point for patients who crossed over). (NCT00600886)
Timeframe: Extension baseline, months 3, 6, 9, 12 after crossover
Intervention | μg/L (Mean) |
---|
| Ext. Baseline | M3 after crossover | M6 after crossover | M9 after crossover | M12 after crossover |
---|
Crossed Over to Octreotide LAR (Extension) | 7.1 | 9.8 | 9.8 | 8.7 | 10.4 |
,Crossed Over to Pasireotide LAR (Extension) | 5.9 | 5.9 | 4.8 | 2.6 | 2.5 |
[back to top]
Summary of Prolactin Levels
Prolactin Levels. Analysis was based on data up to crossover (i.e., included data from both blinded core and extension phase up to 26 Months for patients who continued the same treatment in the extension. For patients who switched to the other treatment, only data collected before crossover was included). (NCT00600886)
Timeframe: Baseline, Months 12, 25
Intervention | μg/L (Mean) |
---|
| Baseline | M12 | M25 |
---|
Octreotide LAR (Core & Extension) | 15.8 | 11.7 | 6.7 |
,Pasireotide LAR (Core & Extension) | 20.6 | 8.9 | 5.4 |
[back to top]
Summary of Prolactin Levels After Crossover
Prolactin (PRL) levels. Analysis was based on data after crossover (i.e., included data from blinded extension phase collected after the crossover time point for patients who crossed over). Extension baseline was defined as last measurement prior to the start of crossover treatment. (NCT00600886)
Timeframe: Extension baseline, month 12 after crossover
Intervention | μg/L (Mean) |
---|
| Ext. Baseline | M12 after crossover |
---|
Crossed Over to Octreotide LAR (Extension) | 15.7 | 16.1 |
,Crossed Over to Pasireotide LAR (Extension) | 11.9 | 7.5 |
[back to top]
Duration of Response for Patients Achieving a Reduction of Mean GH Level to <2.5 μg/L and the Normalization of IGF-1 at Month 12 (No. of Responders: Pasireotide LAR = 51, Octreotide LAR = 32)
"The duration of response is defined as the time from the date that patient first met and maintained the response criteria based on primary efficacy variable to the date that patient lost response status.~Median and corresponding 95% CI are derived based on Kaplan-Meier method. Analysis was based on data up to crossover (i.e., included data from both blinded core and extension phase up to 26 Months for patients who continued the same treatment in the extension. For patients who switched to the other treatment, only data collected before crossover was included)." (NCT00600886)
Timeframe: Up to 26 months
Intervention | Weeks (Median) |
---|
Pasireotide LAR (Core & Extension) | 64.4 |
Octreotide LAR (Core & Extension) | 64.6 |
[back to top]
Time to First Response for Patients Achieving a Reduction of Mean GH Level to < 2.5 μg/L and Normalization of IGF-1 (No. of Responders: Pasireotite LAR = 81, Octreotide LAR = 63) )
Time to first response for patients achieving a reduction of mean GH level to < 2.5 μg/L and normalization of IGF-1. Analysis was based on data up to crossover (i.e., included data from both blinded core and extension phase up to 26 Months for patients who continued the same treatment in the extension. For patients who switched to the other treatment, only data collected before crossover was included). (NCT00600886)
Timeframe: Up to 26 months
Intervention | Weeks (Median) |
---|
Pasireotide LAR (Core & Extension) | 12.6 |
Octreotide LAR (Core & Extension) | 12.4 |
[back to top]
Change From Baseline in Tumor Volume
Percentage change from baseline in tumor volume (assessed by pituitary MRI). Analysis was based on data up to crossover (i.e., included data from both blinded core and extension phase up to 26 Months for patients who continued the same treatment in the extension. For patients who switched to the other treatment, only data collected before crossover was included). (NCT00600886)
Timeframe: Baseline, months 6, 12, 19, 25
Intervention | mm^3 (Mean) |
---|
| Baseline | M6 | M12 | M19 | M25 | % change at M6 | % change at M12 | % change at M19 | % change at M25 |
---|
Octreotide LAR (Core & Extension) | 2259.2 | 1565.4 | 1390.4 | 1009.9 | 814.1 | -28.8 | -38.0 | -47.2 | -55.0 |
,Pasireotide LAR (Core & Extension) | 2420.7 | 1614.1 | 1482.4 | 956.6 | 840.4 | -29.9 | -39.7 | -48.9 | -51.8 |
[back to top]
Change From Baseline in Tumor Volume at 12 Months
Absolute and percentage change from baseline in tumor volume (assessed by pituitary MRI) Post surgery = patients with prior surgery but no previous medical treatment for acromegaly De novo = patients with de novo disease who refused pituitary surgery or for whom pituitary surgery was contraindicated. (NCT00600886)
Timeframe: Baseline, 12 Months
Intervention | mm^3 (Mean) |
---|
| Overall at baseline | Overall % change at month 12 | Post surgery at baseline | Post surgery % change at month 12 | De novo at baseline | De novo % change at month 12 | Overall absolute change at month 12 | Post surgery abs. change at month 12 | De novo absolute change at month 12 |
---|
Octreotide LAR (Core) | 2259.2 | -38.0 | 2196.5 | -39.0 | 2308.1 | -37.2 | -801.2 | -713.8 | -867.1 |
,Pasireotide LAR (Core) | 2420.7 | -39.7 | 2185.2 | -39.5 | 2592.4 | -39.9 | -987.1 | -873.7 | -1051.9 |
[back to top]
[back to top]
[back to top]
Octreotide Trough Concentrations by Incident Dose
Octreotide LAR trough concentrations by incident dose (last dose administered prior to PK sample collection). PK observations with missing concentrations, missing dose, missing elapsed time or an elapsed time from previous injection outside of 28±2 days window were excluded. (NCT00600886)
Timeframe: Months 1 - 12
Intervention | ng/mL (Mean) |
---|
| M1 | M2 | M3 | M4 | M5 | M6 | M7 | M8 | M9 | M10 | M11 | M12 |
---|
Octreotide LAR 20 mg | 0.86 | 1.21 | 1.29 | 1.45 | 1.65 | 1.58 | 1.46 | 1.55 | 1.74 | 1.66 | 1.74 | 1.58 |
[back to top]
Octreotide Trough Concentrations by Incident Dose
Octreotide LAR trough concentrations by incident dose (last dose administered prior to PK sample collection). PK observations with missing concentrations, missing dose, missing elapsed time or an elapsed time from previous injection outside of 28±2 days window were excluded. (NCT00600886)
Timeframe: Months 1 - 12
Intervention | ng/mL (Mean) |
---|
| M2 | M3 | M4 | M6 | M7 | M12 |
---|
Octreotide LAR 10mg | 0.61 | 0.62 | 0.19 | 1.33 | 0.70 | 0.30 |
[back to top]
Octreotide Trough Concentrations by Incident Dose
Octreotide LAR trough concentrations by incident dose (last dose administered prior to PK sample collection). PK observations with missing concentrations, missing dose, missing elapsed time or an elapsed time from previous injection outside of 28±2 days window were excluded. (NCT00600886)
Timeframe: Months 1 - 12
Intervention | ng/mL (Mean) |
---|
| M4 | M5 | M6 | M7 | M8 | M9 | M10 | M11 | M12 |
---|
Octreotide LAR 30 mg | 1.55 | 2.14 | 2.12 | 2.14 | 2.16 | 2.20 | 2.50 | 2.39 | 2.55 |
[back to top]
Pasireotide Trough Concentrations by Incident Dose
"Pasireotide LAR trough concentrations by incident dose (last dose administered prior to PK sample collection). PK observations with missing concentrations, missing dose, missing elapsed time or an elapsed time from previous injection outside of 28±2 days window were excluded.~5 patients with evaluable PK data in the pasireotide arm received erroneously 20 mg pasireotide LAR at baseline." (NCT00600886)
Timeframe: Months 1 - 12
Intervention | ng/mL (Mean) |
---|
| M1 | M2 | M3 | M4 | M5 | M6 | M7 | M8 | M9 | M10 | M11 | M12 |
---|
Pasireotide LAR 20 mg | 4.65 | 2.88 | 3.39 | 3.93 | 5.22 | 2.87 | 2.29 | 3.65 | 4.80 | 5.66 | 5.10 | 4.54 |
,Pasireotide LAR 40 mg | 6.65 | 7.81 | 8.70 | 9.51 | 10.92 | 10.59 | 11.85 | 12.33 | 12.75 | 12.42 | 12.62 | 11.11 |
[back to top]
Percentage of Patients Who Achieved Clinical Symptom Improvement by Randomization Stratum and Treatment.
Percentage of patients who received clinical benefit in symptom (diarrhea and/or flushing) improvement as: Diarrhea (D)+Flushing (F): Patients with a daily mean number (#) of at least four bowel movements and a total of five or more flushing episodes. Clinical Benefit Response Criteria (CBRC): <4 daily mean bowel movements AND at least 20% reduction from Baseline in the daily mean # of bowel movements AND any reduction in the total # of flushing episodes compared with Baseline. (D) Patients with a daily mean # of at least four bowel movements and a total # of <5 flushing episodes. (CBRC) <4 daily mean bowel movements AND at least a 20% reduction from Baseline in the daily mean # of bowel movements. (F) Patients with a total # of at least 14 flushing episodes and a daily mean # of <4 bowel movements (CBRC) At least a 30% reduction from Baseline in the total # of flushing episodes. (NCT00690430)
Timeframe: Month 6
Intervention | Percentage of Participants (Number) |
---|
| Diarrhea and Flushing (N=37, 39) | Diarrhea (N=2, 5) | Flushing (N=4, 1) | Overall (N=43, 45) |
---|
Octreotide LAR | 28.2 | 20.0 | 0.0 | 26.7 |
,Pasireotide LAR | 13.5 | 100 | 50 | 20.9 |
[back to top]
Improvement in Daily Mean Number of Flushing Episodes by Randomization Stratum and Treatment.
Percent change from Baseline in total number of flushing episodes comprising Month 6 were compared between the two treatment groups using ANCOVA model with treatment as the main effect and symptom levels at Baseline (e.g. total number of flushing episodes at Baseline) and randomization stratum (D+F or F) as covariates. (NCT00690430)
Timeframe: 6 months
Intervention | Percentage of Episodes (Mean) |
---|
| Diarrhea and Flushing (N=24, 28) | Predominately Flushing (N=4, 1) | Overall (N=28, 29) |
---|
Octreotide LAR | -52.8 | 47.2 | -49.4 |
,Pasireotide LAR | -41.0 | -48.4 | -42.1 |
[back to top]
Improvement in Daily Mean Number of Diarrhea Bowel Movement Episodes by Randomization Stratum and Treatment.
Percent change from Baseline in mean daily bowel movements at Month 6 were compared between the two treatment groups using ANCOVA model with treatment as the main effect and symptom levels at Baseline (e.g. mean daily bowel movement at Baseline) and randomization stratum (D+F or D) as covariates. Percentage change = (Month 6 - baseline)/baseline. (NCT00690430)
Timeframe: 6 months
Intervention | Percentage of Episodes (Mean) |
---|
| Diarrhea and Flushing (N=24, 28) | Predominantly Diarrhea (D) (N=2, 4) | Overall (N=26, 32) |
---|
Octreotide LAR | -38.4 | -22.9 | -36.5 |
,Pasireotide LAR | -23.5 | -44.2 | -25.1 |
[back to top]
Pasireotide LAR vs. Octreotide LAR on Disease Control Rate Based on RECIST Criteria
Disease control rate (DCR) is the proportion of patients with a best overall response of Complete Response (CR) or Partial Response (PR) or Stable Disease (SD). Complete Response (CR): Disappearance of all target lesions Partial Response (PR): At least a 30% decrease in the sum of the longest diameter of all target lesions, taking as reference the baseline sum of the longest diameters. Progressive Disease (PD): At least a 20% increase in the sum of the longest diameter of all measured target lesions, taking as reference the smallest sum of longest diameter of all target lesions recorded at or after baseline, or a new lesion; or progression of non-target lesions. Stable Disease (SD): Neither sufficient shrinkage to qualify for PR or CR nor an increase in lesions which would qualify for PD. Unknown (UNK) Progression has not been documented and one or more target lesions have not been assessed or have been assessed using a different method than baseline. (NCT00690430)
Timeframe: Month 6
Intervention | Percentage of participants (Number) |
---|
Pasireotide LAR | 62.7 |
Octreotide LAR | 46.2 |
[back to top]
Objective Tumor Response Rate Assessed by Investigator
Baseline evaluations were to include Triphasic CT scan or MRI of the abdomen. Triphasic CT or MRIs were to be read by same radiologist at each assessment, measuring the same target and non-target lesions and accounting for all lesions that were present at Baseline. All known disease was accounted for when assessing objective tumor status. Current objective tumor status was to be captured on Tumor Assessment CRF. Objective response rate was defined by RECIST criteria: Partial response (PR) must have ≥ 30% decrease in the sum of longest diameter of all target lesions, from the baseline sum. Complete response (CR) must have disappearance of all target and non-target lesions. For CR or PR, tumor measurements must be confirmed by 2nd assessments within 4 weeks. Progression = 20% increase in the sum of longest diameter of all target lesions, from smallest sum of longest diameter of all target lesions recorded at or after baseline; or a new lesion; or progression of non-target lesions. (NCT00690430)
Timeframe: Month 6
Intervention | Percentage of Participants (Number) |
---|
Pasireotide LAR | 2.0 |
Octreotide LAR | 3.8 |
[back to top]
To Characterize the Safety and Tolerability of SOM230
Number of participants to experience adverse events (NCT00813592)
Timeframe: Monthly from study entry until subject taken off study, average 28 months
Intervention | participants (Number) |
---|
All Participants | 2 |
[back to top]
[back to top]
[back to top]
Response Rate
"Number of participants to experience complete or partial response on study treatment.~For response per Modified Macdonald Criteria, all measurable and evaluable lesions and sites must be assessed using the same techniques as baseline.~Complete Response (CR): Complete disappearance of all measurable and evaluable disease. No new lesions. No evidence of non-evaluable disease. Patients must be on no steroids.~Partial Response (PR): Greater than or equal to 50% decrease under baseline in the sum of products of perpendicular diameters of all measurable lesions. No progression of evaluable disease. No new lesions. The steroid dose at the time of the scan evaluation should be no greater than the maximum dose used in the first 8 weeks from initiation of therapy." (NCT00859040)
Timeframe: 5 years
Intervention | participants (Number) |
---|
Participants With Atypical/Malignant Meningiomas | 0 |
Participants With Benign Meningiomas | 0 |
[back to top]
Overall Survival
Percentage of participants alive 34 months after initiating study treatment. Median Overall Survival has not yet been reached for one study group; therefore, we are reporting Overall Survival rates by the end of the study time frame. (NCT00859040)
Timeframe: 34 months
Intervention | percentage of participants (Number) |
---|
Participants With Atypical/Malignant Meningiomas | 45 |
Participants With Benign Meningiomas | 73 |
[back to top]
[back to top]
6 Month Progression Free Survival
Progression is defined using Modified Macdonald Criteria , using a >/= 25% increase in the sum of products of all measurable lesions over smallest sum observed (over baseline if no decrease) using the same techniques as baseline, OR clear worsening of any evaluable disease, OR appearance of any new lesion/site, OR clear clinical worsening or failure to return for evaluation due to death or deteriorating condition (unless clearly unrelated to this cancer). (NCT00859040)
Timeframe: 6 months
Intervention | percentage of patients (Number) |
---|
Participants With Atypical/Malignant Meningiomas | 11 |
Participants With Benign Meningiomas | 44 |
[back to top]
Number of Participants With Change in Serum FSH Concentration (mIU/mL) in Patients Who Have Gonadotroph Adenomas Treated With Pasireotide.
Serum FSH (mIU/mL) will be measured at baseline and then monthly for the 12 months of the study to determine if serum FSH concentrations decrease by 20%. (NCT00929669)
Timeframe: 12 months
Intervention | number of participants (Number) |
---|
Pasireotide LAR | 0 |
[back to top]
Number of Participants With Change in Size of the Adenoma by ≥3 mm in at Least Two Dimensions as Determined by MRI
MRI of the pituitary will be performed at baseline, Month 6 and Month 12 to demonstrate a decrease of ≥3 mm in at least two of three dimensions on MRI (cephalocaudal, transverse, and posterior-anterior). The outcome measure is defined as the number of participants who demonstrated a ≥3 mm decrease in adenoma size in two dimensions. (NCT00929669)
Timeframe: 12 months
Intervention | participants (Number) |
---|
Pasireotide LAR | 0 |
[back to top]
Percentage of Responders at Month 6 - Individual NETs
Percentage of responders for each of the 10 NET indications considered in the study. Responder analyses were performed for an indication only if there were at least 6 patients in the efficacy analyzable set. For all other individual indications, the numbers of patients in the efficacy analyzable sets were less than 6 and therefore no responder analyses were carried out for these indications. (NCT00958841)
Timeframe: 6 months
Intervention | percentage of participants (Number) |
---|
Gastrinoma | 46.2 |
Prolactinoma | 21.6 |
Nelson's Syndrome | 50.0 |
[back to top]
Percentage of Responders at Month 6 - Pooled Pancreatic NETs (PNETs)
The primary efficacy endpoint was defined as the percentage of responders at Month 6 among pooled PNET patients (insulinoma, gastrinoma, VIPoma, and glucagonoma). A responder was defined as a patient who either attained normalization or had a greater than 50% reduction from baseline of the level of the primary biochemical tumor marker at Month 6 (M6). Four insulinoma pts were excluded from analysis because of unavailability of normal ranges for the associated primary biochemical tumor marker (insulin-to-glucose ratio). One patient with VIPoma with a normal baseline was also excluded. As a result, only 20 out of 25 patients with PNET were included in the assessment of the primary endpoint, which was less than the planned sample size of 34. Therefore, the primary objective could not be assessed with sufficient power. Patients with missing Month 6 assessment were considered as non-responders. Responder analyses are reported only for indications with minimum of 6 patients. (NCT00958841)
Timeframe: 6 months
Intervention | percentage of participants (Number) |
---|
Gastrinoma | 46.2 |
VIpoma | 0.0 |
Glucagonoma | 0.0 |
[back to top]
Percentage of Responders With Probability of Success at Month 6 - Individual NETs
Percentage of responders for each of the 10 NET indications considered in the study. Responder analyses were performed for an indication only if there were at least 6 patients in the efficacy analyzable set. For all other individual indications, the numbers of patients in the efficacy analyzable sets were less than 6 and therefore no responder analyses were carried out for these indications. The probability of success was a chance that the true responder rate was greater than 15%) for the indications gastrinoma, prolactinoma, and Nelson's syndrome. (NCT00958841)
Timeframe: 6 months
Intervention | Percentage of participants (Number) |
---|
Gastrinoma | 46.2 |
Prolactinoma | 21.6 |
Nelson's Syndrome | 50.0 |
[back to top]
Nelson's Syndrome: Number of Patients Attaining Normalization or a More Than 50% Reduction in Primary Biochemical Tumor Marker
Six patients with Nelson's syndrome met the responder's criteria of attaining normalization or a reduction of more than 50% in primary tumor marker at Month 6. (NCT00958841)
Timeframe: Baseline, month 6
Intervention | Participants (Number) |
---|
| Baseline | Month 6 |
---|
Nelson's Syndrome | 6 | 6 |
[back to top]
PNETs: Number of Patients Attaining Normalization or a More Than 50% Reduction in Primary Biochemical Tumor Marker
Specific primary biochemical tumor markers were used to assess the efficacy of pasireotide in PNETs. A Month 6 responder was defined as the patients who either attained normalization or greater than 50% reduction from baseline in the level of the primary biochemical tumor marker at Month 6. One gastrinoma patient had a missing primary tumor marker value at Month 6, but had a Month 5 assessment done on Day 141, which fell within the allowed window period for Month 6. (NCT00958841)
Timeframe: Baseline, month 6
Intervention | Participants (Number) |
---|
| Baseline | Month 6 |
---|
All PNETS (Gastrinoma) | 8 | 5 |
[back to top]
PiNETs: Number of Patients Attaining Normalization or a More Than 50% Reduction in Primary Biochemical Tumor Marker
Specific primary biochemical tumor markers were used to assess the efficacy of pasireotide in PNETs. A Month 6 responder was defined as the patients who either attained normalization or greater than 50% reduction from baseline in the level of the primary biochemical tumor marker at Month 6. (NCT00958841)
Timeframe: Baseline, month 6
Intervention | Participants (Number) |
---|
| Baseline | Month 6 |
---|
All PiNETS (Prolactinoma) | 7 | 9 |
[back to top]
To Compare 60-day ≥Grade 3 Pancreatic Complication Rates (Fistula, Leak, and Abscess) as Defined by the MSKCC Surgical Secondary Events System Between Patients Who Receive Perioperative SOM230 and Saline Placebo.
(NCT00994110)
Timeframe: 60 days
Intervention | percentage of participants (Number) |
---|
SOM230 | 9 |
Placebo | 21 |
[back to top]
Change in High Dose % Endogenous Glucose Production (EGP) Inhibition
Change from Day 3 and Day 10 of high dose % EGP Inhibition (Hyperinsulinemic-Euglycemic Clamp) (NCT01128192)
Timeframe: Day 3 and Day 10
Intervention | percentage of EGP inhibition (Mean) |
---|
Pasireotide 600 µg sc Bid | -2.06 |
Pasireotide 900 µg sc Bid | 0.00 |
[back to top]
Change in Insulin Basal Level
Change from Day 2 and Day 9 of insulin basal levels (2-step hyperglycemic clamp test with arginine stimulation) (NCT01128192)
Timeframe: -30 min and -15 min on Day 2 and Day 9
Intervention | pmol/L (Mean) |
---|
Pasireotide 600 µg sc Bid | -24.37 |
Pasireotide 900 µg sc Bid | -29.60 |
[back to top]
Change in Low Dose % Endogenous Glucose Production (EGP) Inhibition
Change from Day 3 and Day 10 of low dose % EGP Inhibition (Hyperinsulinemic-Euglycemic Clamp) (NCT01128192)
Timeframe: Day 3 and Day 10
Intervention | percentage of EGP Inhibition (Mean) |
---|
Pasireotide 600 µg sc Bid | -7.54 |
Pasireotide 900 µg sc Bid | -6.28 |
[back to top]
Change in Low-Dose Glucose Disposal Rate (GDR)
Change from Day 3 and Day 10 in Low-Dose Glucose Disposal Rate (GDR) during Hyperinsulinemic-Euglycemic Clamp. (NCT01128192)
Timeframe: Day 3 and Day 10
Intervention | mg/kg/min (Mean) |
---|
Pasireotide 600 µg sc Bid | -0.029 |
Pasireotide 900 µg sc Bid | 0.791 |
[back to top]
Change in Area Under the Curve (AUC) of Plasma Glucose 0-30mins, 30-180mins, 0-180mins During Oral Glucose Tolerance Test (OGTT)
Blood samples were taken at -30 min, 0 min, 30 min, 60 min, 90 min, 120 min, 150 min, 180 min to assess the plasma glucose level. The mean change in plasma glucose level from Day 1 to Day 8 were calculated as Values on Day 8 - Values on Day 1. (NCT01128192)
Timeframe: 0-30 mins, 30-180 mins, 0-180 mins (Day 1 and Day 8)
Intervention | h*mmol/L (Mean) |
---|
| AUC 0-30 min | AUC 30-180 min | AUC 0-180 min |
---|
Pasireotide 600 µg sc Bid | -0.43 | 14.72 | 14.29 |
,Pasireotide 900 µg sc Bid | -0.86 | 12.35 | 11.49 |
[back to top]
Change in Area Under the Curve (AUC) of Plasma Insulin 0-30mins, 30-180mins, 0-180mins During Oral Glucose Tolerance Test (OGTT)
Blood samples were taken at -30 min, 0 min, 30 min, 60 min, 90 min, 120 min, 150 min, 180 min to assess the plasma insulin level. The mean change in plasma insulin level from Day 1 to Day 8 were calculated as Values on Day 8 - Values on Day 1 (NCT01128192)
Timeframe: 0-30 mins, 30-180 mins, 0-180 mins (Day 1 and Day 8)
Intervention | h*pmol/L (Mean) |
---|
| AUC 0-30 min | AUC 30-180 min | AUC 0-180 min |
---|
Pasireotide 600 µg sc Bid | -104.18 | -184.96 | -289.14 |
,Pasireotide 900 µg sc Bid | -100.90 | -262.15 | -363.06 |
[back to top]
Change in Area Under the Curve (AUC) of Plasma Insulin Level 0-10mins, 10-180mins, 0-180mins During Hyperglycemic Clamp
Blood samples were taken at -30 min, -15 min, 0 min, 15 min, 30 min, 45 min, 60 min, 75 min, 90 min, 105 min, 120 min, 135 min, 150 min, 165 min, 180 min to assess the plasma insulin levels during Hyperglycemic Clamp (2-step hyperglycemic clamp test with arginine stimulation). The mean change in plasma insulin levels from Day 2 to Day 9 were calculated as Values on Day 9 - Values on Day 2. (NCT01128192)
Timeframe: 0-10 mins, 10-180 mins, 0-180 mins (Day 2 and Day 9)
Intervention | h*pmol/L (Mean) |
---|
| AUC 0-10 min | AUC 10-180 min | AUC 0-180 min |
---|
Pasireotide 600 µg sc Bid | -28.07 | -1450.59 | -1478.65 |
,Pasireotide 900 µg sc Bid | -27.95 | -1474.65 | -1502.60 |
[back to top]
Change in High-Dose Glucose Disposal Rate (GDR)
Change from Day 3 and Day 10 in High-Dose Glucose Disposal Rate (GDR) during Hyperinsulinemic-Euglycemic Clamp. (NCT01128192)
Timeframe: Day 3 and Day 10
Intervention | mg/kg/min (Mean) |
---|
Pasireotide 600 µg sc Bid | 0.004 |
Pasireotide 900 µg sc Bid | -0.027 |
[back to top]
Change Fasting Plasma Insulin Level
An Oral Glucose Tolerance Test was performed at Day 1 (baseline) and Day 8 (post-treatment). Samples were taken at -30 min to assess the fasting plasma insulin level. The mean change in fasting plasma insulin level from Day 1 to Day 8 was assessed. (NCT01128192)
Timeframe: -30 minutes on Day 1 and -30 minutes on Day 8
Intervention | pmol/L (Mean) |
---|
Pasireotide 600 µg sc Bid | -6.62 |
Pasireotide 900 µg sc Bid | -11.69 |
[back to top]
Change in Basal Endogenous Glucose Production (EGP)
Change from Day 3 and Day 10 of Basal EGP (Hyperinsulinemic-Euglycemic Clamp) (NCT01128192)
Timeframe: Day 3 and Day 10
Intervention | mg/kg/min (Mean) |
---|
Pasireotide 600 µg sc Bid | -0.041 |
Pasireotide 900 µg sc Bid | 0.112 |
[back to top]
Change in Fasting Plasma Glucose Level
"An Oral Glucose Tolerance Test was performed at Day 1 (baseline) and Day 8 (post-treatment). Samples were taken at~-30 min to assess the fasting plasma glucose level. The mean change in fasting plasma glucose level from Day 1 to Day 8 was assessed." (NCT01128192)
Timeframe: -30 minutes on Day 1 and -30 minutes on Day 8
Intervention | mmol/L (Mean) |
---|
Pasireotide 600 µg sc Bid | -0.10 |
Pasireotide 900 µg sc Bid | 0.12 |
[back to top]
Percentage of Patients With Mean GH < 2.5 μg/L and Normalization of IGF-1, Treated With Pasireotide LAR Alone or With Concomitant Medications Used to Treat Acromegaly (Extension Full Analysis Set)
The percentage of patients achieving mean growth hormone (GH) levels < 2.5 μg/L and normalization of sex and age-adjusted IGF-1 was calculated with two sided 95% confidence interval. All GH assessments were based on a 5-point mean growth hormone (GH) assessed from a 2-hour profile. Scheduled time points for blood sampling were pre-dose at 0, 30, 60, 90 and 120 minutes. Total insulin-like growth factor (IGF-1) levels were assessed with one pre-dose sample at the same visits as GH. Concomitant medication known to affect GH or IGF-1 levels were allowed in patients who were not biochemically controlled after at least one year treatment with pasireotide LAR monotherapy: dopamine agonists and growth hormone receptor antagonists (extension full analysis set) (NCT01137682)
Timeframe: Extension baseline up to approximately week 268
Intervention | percentage of participants (Number) |
---|
| Week 16 | Week 28 | Week 40 | Week 52 | Week 64 | Week 76 | Week 88 | Week 100 | Week 112 | Week 124 | Week 136 | Week 148 | Week 160 | Week 172 | Week 184 | Week 196 | Week 208 | Week 220 | Week 232 | Week 244 | Week 256 | Week 268 |
---|
Cross Over to Pasireotide Extension | 19.4 | 19.4 | 17.7 | 21.0 | 25.8 | 27.4 | 25.8 | 32.3 | 25.8 | 25.8 | 29.0 | 29.0 | 30.6 | 21.0 | 17.7 | 24.2 | 19.4 | 14.5 | 14.5 | 11.3 | 3.2 | 1.6 |
,Pasireotide LAR 40 mg Extension | 19.3 | 17.5 | 21.1 | 21.1 | 22.8 | 21.1 | 24.6 | 24.6 | 24.6 | 21.1 | 15.8 | 21.1 | 19.3 | 22.8 | 17.5 | 15.8 | 17.5 | 21.1 | 14.0 | 14.0 | 10.5 | 5.3 |
,Pasireotide LAR 60 mg Extension | 25.9 | 25.9 | 27.8 | 29.6 | 20.4 | 29.6 | 31.5 | 24.1 | 25.9 | 24.1 | 24.1 | 20.4 | 20.4 | 20.4 | 20.4 | 20.4 | 18.5 | 11.1 | 14.8 | 7.4 | 7.4 | 5.6 |
[back to top]
Duration of the First Response for Patients Achieving a Reduction of Mean GH Level to < 2.5 μg/L and Normalization of IGF-1 and Treated With Pasireotide LAR Alone or With Concomitant Medications Used to Treat Acromegaly (Extension Full Analysis Set)
n is the number of patients achieving response criteria. The weeks correspond to duration of first response (in weeks) for patients achieving biomedical control. Median and 95% CI are derived from Kaplan-Meier curves. Kaplan-Meier estimates [95% CI] at each time point are estimates of probability of response. (NCT01137682)
Timeframe: CORE baseline up to approximately 268 weeks
Intervention | weeks (Median) |
---|
Pasireotide LAR 40 mg Extension | 29.1 |
Pasireotide LAR 60 mg Extension | 26.9 |
Cross Over to Pasireotide Extension | 24.9 |
[back to top]
Percentage of Participants With a Reduction of Mean GH Levels to < 2.5 µg/L and Normalization of Sex- and Age-adjusted IGF-1.
The primary objective of this study was to compare the percentage of patients achieving biochemical control (defined as mean GH levels <2.5 µg/L and normalization of sex- and age- adjusted IGF-1) at 24 weeks with pasireotide LAR 40 mg and pasireotide LAR 60 mg separately versus continued treatment with octreotide LAR 30 mg or lanreotide autogel (ATG) 120 mg. The primary efficacy variable is the proportion of patients with a reduction of mean GH levels to < 2.5 µg/L and normalization of sex- and age-adjusted IGF-1 at 24 weeks. (NCT01137682)
Timeframe: At 24 weeks
Intervention | percentage of participants (Number) |
---|
Pasireotide LAR 40 mg | 15.4 |
Pasireotide LAR 60 mg | 20.0 |
Control Arm (Octreotide or Lanreotide) | 0 |
[back to top]
Time to First Response (Weeks) by Treatment for Patients Achieving a Reduction of Mean GH Level to < 2.5 µg/L and Normalization of IGF-1 and Treated With Pasireotide LAR Alone or With Concomitant Medications Used to Treat Acromegaly
Time to first response is defined as the time from the date of first dose to the date of first occurrence of a reduction of mean GH < 2.5 µg/L and the normalization of IGF-1. The weeks correspond to time taken to achieve first mean GH < 2.5 µg/L and the normalization of IGF-1. (NCT01137682)
Timeframe: CORE baseline up to approximately 268 weeks
Intervention | weeks (Median) |
---|
Pasireotide LAR 40 mg Extension | 112.3 |
Pasireotide LAR 60 mg Extension | 65.3 |
Cross Over to Pasireotide Extension | 95.1 |
[back to top]
Change From Baseline in AcroQoL Total Scores for Patients Treated With Pasireotide LAR Alone or With Concomitant Medications Used to Treat Acromegaly for CORE Visits(Extension Full Analysis Set)
Acromegaly Quality of Life questionnaire (AcroQoL) is a validated disease specific questionnaire. It contains 22 items divided into two scales: physical aspects (8 items) and psychological aspects (14 items) which is divided in two sub-scales: physical appearance and personal relationships of the patient (seven items each). The total score and sub-scores were calculated using the following formula: ((X -Y) / 4Y) x 100, X=sum of the scores for individual items (between 1 and 5 for each item), Y=number of individual items included in above sum (i.e. 22 for the total score, 8 for the physical sub-score, 14 for the psychological sub-score, 7 for the sub-score 'appearance' and 'personal relations'). The scoring of the questionnaire was performed as specified by the instrument developers. Total scores range from 0 to 100. Higher scores represent better quality of life. If more than 25% of items are not completed, results were considered invalid. (NCT01137682)
Timeframe: CORE baseline up to approximately 24 weeks
Intervention | scores on a scale (Mean) |
---|
| Week 4 CORE | Week 8 CORE | Week 12 CORE | Week 16 CORE | Week 20 CORE | Week24 CORE |
---|
Pasireotide LAR 40 mg | 3.5 | 2.4 | 3.0 | 3.3 | 3.5 | 3.0 |
,Pasireotide LAR 60 mg | 2.3 | 2.5 | 1.9 | 6.6 | 4.0 | 5.4 |
[back to top]
Change From Baseline in AcroQoL Total Scores for Patients Treated With Pasireotide LAR Alone or With Concomitant Medications Used to Treat Acromegaly for Extension Visits (Extension Full Analysis Set)
Acromegaly Quality of Life questionnaire (AcroQoL) is a validated disease specific questionnaire. It contains 22 items divided into two scales: physical aspects (8 items) and psychological aspects (14 items) which is divided in two sub-scales: physical appearance and personal relationships of the patient (seven items each). The total score and sub-scores were calculated using the following formula: ((X -Y) / 4Y) x 100, X=sum of the scores for individual items (between 1 and 5 for each item), Y=number of individual items included in above sum (i.e. 22 for the total score, 8 for the physical sub-score, 14 for the psychological sub-score, 7 for the sub-score 'appearance' and 'personal relations'). The scoring of the questionnaire was performed as specified by the instrument developers. Total scores range from 0 to 100. Higher scores represent better quality of life. If more than 25% of items are not completed, results were considered invalid. (NCT01137682)
Timeframe: CORE Baseline and extension baseline up to approximately 268 weeks
Intervention | scores on a scale (Mean) |
---|
| Week 16 extension | Week 28 extension | Week 40 extension | Week 52 extension | Week 64 extension | Week 76 extension | Week 88 extension | Week 100 extension | Week 112 extension | Week 124 extension | Week 136 extension | Week 148 extension | Week 160 extension | Week 172 extension | Week 184 extension | Week 196 extension | Week 208 extension | Week 220 extension | Week 232 extension | Week 244 extension | Week 256 extension | Week 268 extension |
---|
Cross Over to Pasireotide Extension | 0.8 | 3.3 | 3.2 | 4.2 | 5.4 | 7.7 | 6.4 | 5.9 | 4.1 | 2.0 | 6.5 | 5.5 | 1.5 | 2.1 | 1.6 | 3.8 | 4.5 | 7.3 | 7.0 | 3.0 | 0.3 | -10.6 |
,Pasireotide LAR 40 mg Extension | 4.2 | 5.6 | 3.2 | 6.1 | 5.8 | 7.7 | 4.6 | 4.3 | 4.6 | 5.8 | 7.5 | 7.6 | 7.0 | 4.8 | 5.8 | 6.1 | 1.2 | 4.8 | 2.1 | 4.5 | 6.1 | 0.6 |
,Pasireotide LAR 60 mg Extension | 2.9 | 4.8 | 2.5 | 5.7 | 4.2 | 2.5 | 5.6 | 3.9 | 6.5 | 2.0 | 5.4 | 6.8 | 5.1 | 5.7 | 5.8 | 6.0 | 6.2 | 5.8 | -0.2 | 6.3 | -3.0 | -4.9 |
[back to top]
Change From Baseline in Mean GH Values for Patients Treated With Pasireotide LAR Alone or With Concomitant Medications Used to Treat Acromegaly for CORE Visits (Extension Full Analysis Set)
(NCT01137682)
Timeframe: CORE baseline up to approximately 24 weeks
Intervention | mcg/L (Mean) |
---|
| Week 12 - CORE | Week 24 - CORE |
---|
Pasireotide LAR 40 mg | -0.8 | -0.6 |
,Pasireotide LAR 60 mg | -6.4 | -7.2 |
[back to top]
Change From Baseline in Mean GH Values for Patients Treated With Pasireotide LAR Alone or With Concomitant Medications Used to Treat Acromegaly for Extension Visits (Extension Full Analysis Set)
Change from CORE baseline at each scheduled assessment was performed for patients randomized to pasireotide arms. Change from extension baseline at each scheduled assessment was performed for patients randomized to active control arm. (NCT01137682)
Timeframe: CORE and extension baseline up to approximately 268 weeks
Intervention | mcg/L (Mean) |
---|
| Week 16 - extension | Week 28 - extension | Week 40 - extension | Week 52 - extension | Week 64 - extension | Week 76 - extension | Week 88 - extension | Week 100 - extension | Week 112 - extension | Week 124 - extension | Week 136 - extension | Week 148 - extension | Week 160 - extension | Week 172 - extension | Week 184 - extension | Week 196 - extension | Week 208 - extension (n=22,20,23) | Week 220 - extension | Week 232 - extension | Week 244 - extension | Week 256 - extension | Week 268 - extension |
---|
Cross Over to Pasireotide Extension | -8.4 | -3.0 | -11.2 | -2.5 | -15.7 | -3.5 | -3.6 | -3.8 | -3.9 | -4.0 | -4.0 | -3.8 | -3.2 | -3.0 | -3.3 | -3.4 | -3.5 | -3.8 | -4.2 | -4.2 | -5.0 | -3.7 |
,Pasireotide LAR 40 mg Extension | -7.9 | -9.0 | -9.7 | -10.7 | -11.3 | -5.5 | -5.7 | -5.6 | -5.8 | -5.5 | -6.0 | -6.3 | -5.5 | -6.3 | -6.3 | -7.1 | -7.0 | -7.1 | -5.7 | -6.0 | -6.4 | -3.6 |
,Pasireotide LAR 60 mg Extension | -6.9 | -4.5 | -5.8 | -7.1 | -7.9 | -7.2 | -6.2 | -5.3 | -4.4 | -6.0 | -5.3 | 6.1 | -4.9 | -5.9 | -5.8 | -6.5 | -6.2 | -7.1 | -6.8 | -2.4 | -4.9 | -2.5 |
[back to top]
Change From Baseline in Standardized IGF-1 Values for Patients Treated With Pasireotide LAR Alone or With Concomitant Medications Used to Treat Acromegaly for CORE Visits (Extension Full Analysis Set)
Standardized IGF-1 = IGF-1 value / ULN, where ULN is the upper limit of the normal range (NCT01137682)
Timeframe: CORE baseline up to approximately 24 weeks
Intervention | mcg/L (Mean) |
---|
| CORE Week 12 | CORE Week 24 |
---|
Pasireotide LAR 40 mg | 0.7 | -0.7 |
,Pasireotide LAR 60 mg | -1.1 | -1.1 |
[back to top]
Change From Baseline in Standardized IGF-1 Values for Patients Treated With Pasireotide LAR Alone or With Concomitant Medications Used to Treat Acromegaly for Extension Visits (Extension Full Analysis Set)
Change from CORE baseline at each scheduled assessment was performed for patients randomized to pasireotide arms. Change from extension baseline at each scheduled assessment was performed for patients randomized to active control arm. Standardized IGF-1 = IGF-1 value / ULN, where ULN is the upper limit of the normal range (NCT01137682)
Timeframe: CORE and extension baseline up to approximately 268 weeks
Intervention | mcg/L (Mean) |
---|
| Week 16 extension | Week 28 extension | Week 40 extension | Week 52 extension | Week 64 extension | Week 76 extension | Week 88 extension | Week 100 extension | Week 112 extension | Week 124 extension | Week 136 extension | Week 148 extension | Week 160 extension | Week 172 extension | Week 184 extension | Week 196 extension | Week 208 extension | Week 220 extension | Week 232 extension | Week 244 extension | Week 256 extension | Week 268 extension |
---|
Cross Over to Pasireotide Extension | -0.9 | -0.9 | -1.1 | -1.1 | -1.3 | -1.3 | -1.3 | -1.3 | -1.4 | -1.3 | -1.4 | -1.3 | -1.4 | -1.3 | -1.4 | -1.3 | -1.2 | -1.4 | -1.7 | -1.5 | -1.8 | -1.7 |
,Pasireotide LAR 40 mg Extension | -0.8 | -0.9 | -1.1 | -1.1 | -1.3 | -1.3 | -1.3 | -1.4 | -1.5 | -1.4 | -1.4 | -1.4 | -1.4 | -1.5 | -1.3 | -1.4 | -1.4 | -1.4 | -1.4 | -1.3 | -1.3 | -1.4 |
,Pasireotide LAR 60 mg Extension | -1.4 | -1.3 | -1.4 | -1.3 | -1.4 | -1.5 | -1.6 | -1.5 | -1.5 | -1.5 | -1.7 | -1.5 | -1.6 | -1.6 | -1.5 | -1.5 | -1.6 | -1.6 | -1.5 | -1.9 | -1.4 | -1.7 |
[back to top]
Percentage of Participants With Normalization of Sex- and Age-adjusted IGF-1treated With Pasireotide LAR Alone or With Concomitant Medications Used to Treat Acromegaly (Extension Full Analysis Set).
The percentage of patients achieving normalization of sex and age-adjusted IGF-1 was calculated with two sided 95% confidence interval. Total insulin-like growth factor (IGF-1) levels were assessed with one pre-dose sample at the same visits as GH. Concomitant medication known to affect IGF-1 levels were allowed in patients who were not biochemically controlled after at least one year treatment with pasireotide LAR monotherapy: dopamine agonists and growth hormone receptor antagonists (Extension full analysis set) (NCT01137682)
Timeframe: Extension baseline up to approximately week 268
Intervention | percentage of participants (Number) |
---|
| Week 16 | Week 28 | Week 40 | Week 52 | Week 64 | Week 76 | Week 88 | Week 100 | Week 112 | Week 124 | Week 136 | Week 148 | Week 160 | Week 172 | Week 184 | Week 196 | Week 208 | Week 220 | Week 232 | Week 244 | Week 256 | Week 268 |
---|
Cross Over to Pasireotide Extension | 25.8 | 22.6 | 24.2 | 25.8 | 29.0 | 29.0 | 25.8 | 32.3 | 30.6 | 29.0 | 37.1 | 33.9 | 33.9 | 22.6 | 22.6 | 27.4 | 21.0 | 19.4 | 17.7 | 14.5 | 6.5 | 1.6 |
,Pasireotide LAR 40 mg Extension | 33.3 | 29.8 | 36.8 | 28.1 | 33.3 | 26.3 | 28.1 | 31.6 | 31.6 | 24.6 | 21.1 | 26.3 | 24.6 | 26.3 | 19.3 | 24.6 | 22.8 | 22.8 | 14.0 | 14.0 | 12.3 | 5.3 |
,Pasireotide LAR 60 mg Extension | 29.0 | 33.3 | 37.0 | 33.3 | 27.8 | 35.2 | 35.2 | 29.6 | 27.8 | 31.5 | 25.9 | 22.2 | 25.9 | 22.2 | 22.2 | 22.2 | 22.2 | 11.1 | 14.8 | 9.3 | 7.4 | 5.6 |
[back to top]
Percentage of Patients With Mean GH < 1.0 μg/L and Normalization of IGF-1, Treated With Pasireotide LAR Alone or With Concomitant Medications Used to Treat Acromegaly (Extension Full Analysis Set)
The percentage of patients achieving mean growth hormone (GH) levels < 1.0 μg/L and normalization of sex and age-adjusted IGF-1 was calculated with two sided 95% confidence interval. All GH assessments were based on a 5-point mean growth hormone (GH) assessed from a 2-hour profile. Scheduled time points for blood sampling were pre-dose at 0, 30, 60, 90 and 120 minutes. Total insulin-like growth factor (IGF-1) levels were assessed with one pre-dose sample at the same visits as GH. Concomitant medication known to affect GH or IGF-1 levels were allowed in patients who were not biochemically controlled after at least one year treatment with pasireotide LAR monotherapy: dopamine agonists and growth hormone receptor antagonists (Extension full analysis set (NCT01137682)
Timeframe: Extension baseline up to approximately week 268
Intervention | Participants (Number) |
---|
| Week 16 | Week 28 | Week 40 | Week 52 | Week 64 | Week 76 | Week 88 | Week 100 | Week 112 | Week 124 | Week 136 | Week 148 | Week 160 | Week 172 | Week 184 | Week 196 | Week 208 | Week 220 | Week 232 | Week 244 | Week 256 | Week 268 |
---|
Cross Over to Pasireotide Extension | 6.5 | 8.1 | 4.8 | 4.8 | 9.7 | 6.5 | 4.8 | 8.1 | 9.7 | 8.1 | 11.3 | 8.1 | 9.7 | 8.1 | 3.2 | 8.1 | 6.5 | 6.5 | 4.8 | 6.5 | 3.2 | 1.6 |
,Pasireotide LAR 40 mg Extension | 10.5 | 8.8 | 10.5 | 8.8 | 8.8 | 10.5 | 7.0 | 12.3 | 14.0 | 7.0 | 3.5 | 10.5 | 8.8 | 14.0 | 7.0 | 8.8 | 8.8 | 10.5 | 10.5 | 8.8 | 8.8 | 1.8 |
,Pasireotide LAR 60 mg Extension | 16.7 | 14.8 | 9.3 | 13.0 | 13.0 | 13.0 | 20.4 | 14.8 | 20.4 | 14.8 | 18.5 | 14.8 | 14.8 | 13.0 | 13.0 | 13.0 | 9.3 | 7.4 | 3.7 | 3.7 | 3.7 | 3.7 |
[back to top]
Percentage of Patients With Mean GH < 2.5 μg/L Treated With Pasireotide LAR Alone or With Concomitant Medications Used to Treat Acromegaly (Extension Full Analysis Set)
The percentage of patients achieving mean growth hormone (GH) levels < 2.5 μg/L was calculated with two sided 95% confidence interval. All GH assessments were based on a 5-point mean growth hormone (GH) assessed from a 2-hour profile. Scheduled time points for blood sampling were pre-dose at 0, 30, 60, 90 and 120 minutes. Concomitant medication known to affect GH levels were allowed in patients who were not biochemically controlled after at least one year treatment with pasireotide LAR monotherapy: dopamine agonists and growth hormone receptor antagonists (Extension full analysis set) (NCT01137682)
Timeframe: Extension baseline up to approximately week 268
Intervention | percentage of participants (Number) |
---|
| Week 16 | Week 28 | Week 40 | Week 52 | Week 64 | Week 76 | Week 88 | Week 100 | Week 112 | Week 124 | Week 136 | Week 148 | Week 160 | Week 172 | Week 184 | Week 196 | Week 208 | Week 220 | Week 232 | Week 244 | Week 256 | Week 268 |
---|
Control Arm (Octreotide or Lanreotide) Extension | 33.9 | 43.5 | 40.3 | 41.9 | 41.9 | 45.2 | 45.2 | 46.8 | 40.3 | 41.9 | 43.5 | 43.5 | 40.3 | 38.7 | 33.9 | 35.5 | 25.8 | 22.6 | 21.0 | 12.9 | 6.5 | 3.2 |
,Pasireotide LAR 40 mg Extension | 38.6 | 40.4 | 38.6 | 38.6 | 40.4 | 33.3 | 40.4 | 40.4 | 36.8 | 40.4 | 36.8 | 40.4 | 38.6 | 40.4 | 33.3 | 29.8 | 31.6 | 29.8 | 24.6 | 19.3 | 15.8 | 7.0 |
,Pasireotide LAR 60 mg Extension | 55.6 | 44.4 | 42.6 | 46.3 | 37.0 | 44.4 | 42.6 | 40.7 | 44.4 | 31.5 | 35.2 | 33.3 | 33.3 | 37.0 | 31.5 | 29.6 | 24.1 | 18.5 | 18.5 | 11.1 | 9.3 | 5.6 |
[back to top]
Percentage of Patients With Mean GH <1.0 μg/L Treated With Pasireotide LAR Alone or With Concomitant Medications Used to Treat Acromegaly (Extension Full Analysis Set)
The percentage of patients achieving mean growth hormone (GH) levels < 1.0 μg/L was calculated with two sided 95% confidence interval. All GH assessments were based on a 5-point mean growth hormone (GH) assessed from a 2-hour profile. Scheduled time points for blood sampling were pre-dose at 0, 30, 60, 90 and 120 minutes. Concomitant medication known to affect GH levels were allowed in patients who were not biochemically controlled after at least one year treatment with pasireotide LAR monotherapy: dopamine agonists and growth hormone receptor antagonists (Extension full analysis set) (NCT01137682)
Timeframe: Extension baseline up to approximately week 268
Intervention | percentage of participants (Number) |
---|
| Week 16 | Week 28 | Week 40 | Week 52 | Week 64 | Week 76 | Week 88 | Week 100 | Week 112 | Week 124 | Week 136 | Week 148 | Week 160 | Week 172 | Week 184 | Week 196 | Week 208 | Week 220 | Week 232 | Week 244 | Week 256 | Week 268 |
---|
Cross Over to Pasireotide Extension | 8.1 | 9.7 | 4.8 | 9.7 | 11.3 | 11.3 | 11.3 | 17.7 | 16.1 | 14.5 | 14.5 | 14.5 | 14.5 | 14.5 | 6.5 | 12.9 | 9.7 | 9.7 | 8.1 | 8.1 | 4.8 | 1.6 |
,Pasireotide LAR 40 mg Extension | 14.0 | 14.0 | 14.0 | 12.3 | 15.8 | 12.3 | 15.8 | 17.5 | 17.5 | 12.3 | 8.8 | 14.0 | 17.5 | 17.5 | 17.5 | 15.8 | 17.5 | 15.8 | 15.8 | 12.3 | 12.3 | 3.5 |
,Pasireotide LAR 60 mg Extension | 27.8 | 22.2 | 13.0 | 22.2 | 18.5 | 22.2 | 22.2 | 20.4 | 25.9 | 16.7 | 25.9 | 16.7 | 18.5 | 14.8 | 18.5 | 13.0 | 13.0 | 11.1 | 3.7 | 5.6 | 3.7 | 3.7 |
[back to top]
Summary of Pasireotide Trough Concentrations in Acromegaly Patients Following Monthly i.m. Injections of Pasireotide LAR by Incident Dose From Start of Extension Phase up to Week 196 of the Extension Phase (PK Set)
"PK samples were collected for those patients treated with pasireotide LAR in the core study and who continued on pasireotide LAR in the extension phase. PK samples were collected before the injection of pasireotide LAR only at weeks 112 and 196. PK samples were also collected at weeks 48 and 132 only for all patients treated with octreotide LAR 30 mg or lanreotide ATG 120 mg in the core study who started treatment with pasireotide LAR in the extension study.~Blood samples (2.5 mL each sample) were collected to yield 1-mL plasma for analysis of pasireotide LAR oncentration." (NCT01137682)
Timeframe: Extension baseline up to approximately 196 weeks
Intervention | mL (Mean) |
---|
| Week 112 | Week 196 |
---|
Pasireotide LAR 60 mg | 14.06 | 14.96 |
[back to top]
Summary of Pasireotide Trough Concentrations in Acromegaly Patients Following Monthly i.m. Injections of Pasireotide LAR by Incident Dose From Start of Extension Phase up to Week 196 of the Extension Phase (PK Set)
"PK samples were collected for those patients treated with pasireotide LAR in the core study and who continued on pasireotide LAR in the extension phase. PK samples were collected before the injection of pasireotide LAR only at weeks 112 and 196. PK samples were also collected at weeks 48 and 132 only for all patients treated with octreotide LAR 30 mg or lanreotide ATG 120 mg in the core study who started treatment with pasireotide LAR in the extension study.~Blood samples (2.5 mL each sample) were collected to yield 1-mL plasma for analysis of pasireotide LAR oncentration." (NCT01137682)
Timeframe: Extension baseline up to approximately 196 weeks
Intervention | mL (Mean) |
---|
| Week 48 | Week 112 | Week 132 | Week 196 |
---|
Pasireotide LAR 40 mg | 5.70 | 8.66 | 9.28 | 10.32 |
[back to top]
Number of Participants With Stable Disease (SD)
For patients with metastatic uveal melanoma treated with RAD001 and pasireotide LAR. (NCT01252251)
Timeframe: at 16 weeks
Intervention | Participants (Count of Participants) |
---|
RAD001 and Pasireotide LAR | 7 |
[back to top]
[back to top]
[back to top]
[back to top]
Progression-free Survival (PFS) at One Year
PFS: Defined as the time from the date of first study treatment to the date of the first documented disease progression, by Response Evaluation Criteria in Solid Tumors (RECIST 1.0) guidelines, or death due to any cause. Progressive Disease (PD): at least a 20% increase in the sum of the longest diameter of target lesions, taking as reference the smallest sum longest diameter recorded since the treatment started or the appearance of one or more new lesions. (NCT01253161)
Timeframe: 12 months
Intervention | months (Median) |
---|
Pasireotide LAR Treatment | 11 |
[back to top]
Overall Radiographic Response Rate (ORR)
Complete response (CR): complete disappearance of all target lesions, confirmed by repeat assessments at no less than 4 weeks after the criteria for response are first met. Partial response (PR): at least a 30% decrease in the sum of the longest diameter of target lesions, taking as reference the baseline sum longest diameter. This must be confirmed by repeat assessment at no less than 4 weeks after the criteria for response are first met. Stable Disease (SD): neither sufficient decrease to qualify for partial response nor sufficient increase to qualify for progressive disease, taking as reference the smallest sum longest diameter since the treatment started. (NCT01253161)
Timeframe: Up to 48 months
Intervention | percentage of participants (Number) |
---|
| Partial Response | Stable Disease | Progressive Disease |
---|
Pasireotide LAR Treatment | 4 | 60 | 36 |
[back to top]
Number of Participants With Response Per Responsive Evaluation Criteria in Solid Tumors Criteria (RECIST v1.0)
"Number of participants with response per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR." (NCT01270321)
Timeframe: Through study completion, an average of 1 year
Intervention | Participants (Count of Participants) |
---|
Arm A (Everolimus Alone) | 17 |
Arm B (Pasireotide Alone) | 9 |
Arm C (Everolimus + Pasireotide) | 11 |
[back to top]
Number of Participants With Progression-free Survival
"Time from starting treatment until disease progression as defined using Response Evaluation CriteriaIn Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions, or death." (NCT01270321)
Timeframe: Through study completion, an average of 1 year
Intervention | Participants (Count of Participants) |
---|
Arm A (Everolimus Alone) | 17 |
Arm B (Pasireotide Alone) | 9 |
Arm C (Everolimus + Pasireotide) | 11 |
[back to top]
[back to top]
Percentage of Patients Achieving Tumour Volume Reduction in Main Phase (FAS)
Tumor volume was evaluated by MRI. MRIs were performed and processed according to the guidelines of the central evaluator's facility. The pituitary adenomas were measured by a neuro-radiologist, using manual tracing together with the imaging analysis software. The largest diameter at any plan determined the maximum diameter of the tumor. (NCT01283542)
Timeframe: baseline to week 4, 12, 24
Intervention | percentage of patients (Number) |
---|
| Week 4 | Week 12 | Week 24 |
---|
Pasireotide LAR | 47.4 | 41.2 | 75.0 |
[back to top]
Percentage of Patients Achieving Tumour Volume Reduction of at Least ≥ 20% in Extension Phase (FAS)
Tumor volume was evaluated by MRI. MRIs were performed and processed according to the guidelines of the central evaluator's facility. The pituitary adenomas were measured by a neuro-radiologist, using manual tracing together with the imaging analysis software. The largest diameter at any plan determined the maximum diameter of the tumor. (NCT01283542)
Timeframe: baseline to week 48, 72, 96
Intervention | percentage of patients (Number) |
---|
| Extension Week 48 | Extension Week 72 | Extension Week 96 |
---|
Pasireotide LAR | 10.0 | 12.5 | 50.0 |
[back to top]
Mean Alpha Subunit Levels in Main and Extension Phases (FAS)
(NCT01283542)
Timeframe: Baseline and at weeks 12,24,48,72, 96
Intervention | ng/mL (Mean) |
---|
Baseline | 242.27 |
Week 12 | 309.04 |
Week 24 | 192.11 |
Week 48 | 234.21 |
Week 72 | 286.78 |
Week 96 | 435.00 |
[back to top]
Mean Cortisol Hormone Levels During Main and Extension Phases (FAS)
Hormone levels, including those of GH, IGF-1, follicle-stimulating hormone (FSH), luteinizing hormone (LH), adrenocorticotropic hormone (ACTH), thyroid-stimulating hormone (TSH), prolactin, cortisol, free T4, and estradiol (for women) or testosterone (for men), were evaluated by a central lab (NCT01283542)
Timeframe: Baseline and at weeks 24, 48, 96
Intervention | µg/dL (Mean) |
---|
Baseline | 12.60 |
Week 24 | 16.41 |
Week 48 | 12.12 |
Week 96 | 10.09 |
[back to top]
Mean TSH Hormone Levels During Main and Extension Phases (FAS)
Hormone levels, including those of GH, IGF-1, follicle-stimulating hormone (FSH), luteinizing hormone (LH), adrenocorticotropic hormone (ACTH), thyroid-stimulating hormone (TSH), prolactin, cortisol, free T4, and estradiol (for women) or testosterone (for men), were evaluated by a central lab (NCT01283542)
Timeframe: Baseline and at weeks 24, 48, 96
Intervention | µUI/mL (Mean) |
---|
Baseline | 151.81 |
Week 24 | 149.92 |
Week 48 | 1.67 |
Week 96 | 1.70 |
[back to top]
Tumor Volume Change From Baseline in Main Phase (FAS)
Tumor volume was evaluated by MRI. MRIs were performed and processed according to the guidelines of the central evaluator's facility. The pituitary adenomas were measured by a neuro-radiologist, using manual tracing together with the imaging analysis software. The largest diameter at any plan determined the maximum diameter of the tumor. (NCT01283542)
Timeframe: baseline to week 4, 12, 24
Intervention | cm^3 (Mean) |
---|
| Main Week 4 | Main Week 12 | Main Week 24 |
---|
Pasireotide LAR | 1.25 | 0.66 | 0.23 |
[back to top]
Tumor Volume in Extension Phase (FAS)
Tumor volume was evaluated by MRI. MRIs were performed and processed according to the guidelines of the central evaluator's facility. The pituitary adenomas were measured by a neuro-radiologist, using manual tracing together with the imaging analysis software. The largest diameter at any plan determined the maximum diameter of the tumor. (NCT01283542)
Timeframe: baseline to week 48, 72, 96
Intervention | cm^3 (Mean) |
---|
| Extension Week 48 | Extension Week 72 | Extension Week 96 |
---|
Pasireotide LAR | 3.57 | 3.12 | 1.70 |
[back to top]
Tumor Volume Main Phase (FAS)
Tumor volume was evaluated by MRI. MRIs were performed and processed according to the guidelines of the central evaluator's facility. The pituitary adenomas were measured by a neuro-radiologist, using manual tracing together with the imaging analysis software. The largest diameter at any plan determined the maximum diameter of the tumor. (NCT01283542)
Timeframe: baseline to week 4, 12, 24
Intervention | cm^3 (Mean) |
---|
| Main Baseline | Main Week 4 | Main Week 12 | Main Week 24 |
---|
Pasireotide LAR | 2.97 | 4.31 | 4.31 | 3.39 |
[back to top]
Tumor Volume Percent Change From Baseline in Extension Phase (FAS)
Tumor volume was evaluated by MRI. MRIs were performed and processed according to the guidelines of the central evaluator's facility. The pituitary adenomas were measured by a neuro-radiologist, using manual tracing together with the imaging analysis software. The largest diameter at any plan determined the maximum diameter of the tumor. (NCT01283542)
Timeframe: baseline to week 48, 72, 96
Intervention | percent change (Mean) |
---|
| Extension Week 48 | Extension Week 72 | Extension Week 96 |
---|
Pasireotide LAR | 14.83 | -2.57 | -1.59 |
[back to top]
Tumor Volume Change From Baseline in Extension Phase (FAS)
Tumor volume was evaluated by MRI. MRIs were performed and processed according to the guidelines of the central evaluator's facility. The pituitary adenomas were measured by a neuro-radiologist, using manual tracing together with the imaging analysis software. The largest diameter at any plan determined the maximum diameter of the tumor. (NCT01283542)
Timeframe: baseline to week 48, 72, 96
Intervention | cm^3 (Mean) |
---|
| Extension Week 48 | Extension Week 72 | Extension Week 96 |
---|
Pasireotide LAR | 0.53 | -0.14 | 0.0 |
[back to top]
Tumor Volume Percent Change From Baseline in Main Phase (FAS)
Tumor volume was evaluated by MRI. MRIs were performed and processed according to the guidelines of the central evaluator's facility. The pituitary adenomas were measured by a neuro-radiologist, using manual tracing together with the imaging analysis software. The largest diameter at any plan determined the maximum diameter of the tumor. (NCT01283542)
Timeframe: baseline to week 4, 12, 24
Intervention | percent change (Mean) |
---|
| Main Week 4 | Main Week 12 | Main Week 24 |
---|
Pasireotide LAR | 36.92 | 39.36 | 7.98 |
[back to top]
Percentage of Patients Achieving Tumour Volume Reduction of at Least ≥ 20% in Main Phase (FAS)
Tumor volume was evaluated by MRI. MRIs were performed and processed according to the guidelines of the central evaluator's facility. The pituitary adenomas were measured by a neuro-radiologist, using manual tracing together with the imaging analysis software. The largest diameter at any plan determined the maximum diameter of the tumor. (NCT01283542)
Timeframe: baseline to week 4, 12, 24
Intervention | percentage of patients (Number) |
---|
| Main Week 4 | Main Week 12 | Main Week 24 |
---|
Pasireotide LAR | 10.5 | 5.9 | 16.7 |
[back to top]
Percentage of Patients Achieving Tumour Volume Reduction in Extension Phase (FAS)
Tumor volume was evaluated by MRI. MRIs were performed and processed according to the guidelines of the central evaluator's facility. The pituitary adenomas were measured by a neuro-radiologist, using manual tracing together with the imaging analysis software. The largest diameter at any plan determined the maximum diameter of the tumor. (NCT01283542)
Timeframe: baseline to week 48, 72, 96
Intervention | percentage of patients (Number) |
---|
| Extension Week 48 | Extension Week 72 | Extension Week 96 |
---|
Pasireotide LAR | 10.0 | 12.5 | 50.0 |
[back to top]
Mean Testosterone and Free T4 Hormone Levels During Main and Extension Phases (FAS)
Hormone levels, including those of GH, IGF-1, follicle-stimulating hormone (FSH), luteinizing hormone (LH), adrenocorticotropic hormone (ACTH), thyroid-stimulating hormone (TSH), prolactin, cortisol, free T4, and estradiol (for women) or testosterone (for men), were evaluated by a central lab (NCT01283542)
Timeframe: Baseline and at weeks 24, 48, 96
Intervention | ng/dL (Mean) |
---|
| Testosterone | Free T4 |
---|
Baseline | 452.21 | 1.07 |
,Week 24 | 372.72 | 1.13 |
,Week 48 | 517.52 | 1.17 |
,Week 96 | 382.10 | 1.04 |
[back to top]
Percentage of Participants With Non-functioning Pituitary Adenomas (NFPA) Who Achieve Tumor Volume Reduction of at Least 20% After 24 Weeks (FAS)
Tumor volume was evaluated by MRI. MRIs were performed and processed according to the guidelines of the central evaluator's facility.The pituitary adenomas were measured by a neuro-radiologist, using manual tracing together with the imaging analysis software. The largest diameter at any plan determined the maximum diameter of the tumor. A change ≥ 20% in the original volume of the tumor was considered to be clinically significant. Evaluable participants required tumor volume assessment at baseline and at week 24. (NCT01283542)
Timeframe: Baseline up to 24 weeks
Intervention | percentage of participants (Number) |
---|
Pasireotide LAR | 16.7 |
[back to top]
Mean LH and FSH Hormone Levels During Main and Extension Phases (FAS)
Hormone levels, including those of GH, IGF-1, follicle-stimulating hormone (FSH), luteinizing hormone (LH), adrenocorticotropic hormone (ACTH), thyroid-stimulating hormone (TSH), prolactin, cortisol, free T4, and estradiol (for women) or testosterone (for men), were evaluated by a central lab (NCT01283542)
Timeframe: Baseline and at weeks 24, 48, 96
Intervention | mUI/mL (Mean) |
---|
| LH | FSH |
---|
Baseline | 5.57 | 11.83 |
,Week 24 | 5.32 | 12.90 |
,Week 48 | 7.44 | 16.23 |
,Week 96 | 9.95 | 21.45 |
[back to top]
Mean GH and IGF-1 Hormone Levels During Main and Extension Phases (FAS)
Hormone levels, including those of GH, IGF-1, and prolactin were evaluated by a central lab (NCT01283542)
Timeframe: Baseline and at weeks 24, 48, 96
Intervention | ng/mL (Mean) |
---|
| GH | IGF-1 | Prolactin |
---|
Baseline | 0.31 | 130.73 | 16.90 |
,Week 24 | 1.11 | 72.59 | 13.89 |
,Week 48 | 0.15 | 66.23 | 9.03 |
,Week 96 | 0.12 | 70.82 | 7.62 |
[back to top]
Mean ACTH and Estradiol Hormone Levels During Main and Extension Phases (FAS)
Hormone levels, including those of growth hormone (GH),insulin-like growth factor 1 (IGF-1), follicle-stimulating hormone (FSH), luteinizing hormone (LH), adrenocorticotropic hormone (ACTH), thyroid-stimulating hormone (TSH), prolactin, cortisol, free thyroxine (free T4), and estradiol (for women) or testosterone (for men), were evaluated by a central lab (NCT01283542)
Timeframe: Baseline and at weeks 24, 48, 96
Intervention | pg/mL (Mean) |
---|
| ACTH | Estradiol |
---|
Baseline | 28.91 | 35.72 |
,Week 24 | 23.18 | 32.12 |
,Week 48 | 36.06 | 34.69 |
,Week 96 | 29.90 | 19.98 |
[back to top]
Percentage of Participants With Reduction From Baseline of Alpha Subunit ≥50% in Main and Extension Phases (FAS)
Alpha subunit levels were determined at a central laboratory. (NCT01283542)
Timeframe: Baseline up to approximately Week 96
Intervention | percentage of participants (Number) |
---|
Week 12 | 8.3 |
Week 24 | 28.6 |
Week 48 | 12.5 |
Week 72 | 22.2 |
Week 96 | 0 |
[back to top]
Number of Participants With > 50% Decline From Baseline PSA Level
(NCT01313559)
Timeframe: After 12 weeks of treatment
Intervention | participants (Number) |
---|
Cohort A (Pasireotide) | 2 |
Cohort B (Pasireotide and Everolimus) | 0 |
[back to top]
Number of Participants Alive and Progression Free After 12 Weeks of Treatment
Progression of disease is defined as disease progression by RECIST 1.1 criteria on CT scan (X-ray computed tomography), or appearance of > 2 new bone lesions on bone scan, or prostate-specific antigen (PSA) progression by Prostate Cancer Clinical Trials Working Group (PCWG2) criteria or death from any cause. (NCT01313559)
Timeframe: 12 weeks after treatment
Intervention | participants (Number) |
---|
Cohort A (Pasireotide) | 0 |
Cohort B (Pasireotide and Everolimus) | 0 |
[back to top]
Number of Participants With Progression Free Survival (PFS) Based on RECIST 1.1 Criteria
Progression free survival (PFS) based on primary outcome criteria for disease progression. Patients without radiographic disease progression who permanently discontinue the study drugs will be censored (NCT01313559)
Timeframe: Assessed up to 30 days after completion of study treatment
Intervention | participants (Number) |
---|
Cohort A (Pasireotide) | 0 |
Cohort B (Pasireotide and Everolimus) | 0 |
[back to top]
Number of Participants Without New Bone Lesions After 12 Weeks of Treatment
(NCT01313559)
Timeframe: After 12 weeks of treatment
Intervention | participants (Number) |
---|
Cohort A (Pasireotide) | 0 |
Cohort B (Pasireotide and Everolimus) | 0 |
[back to top]
Summary of Pharmacokinetics (PK) for Everolimus for Tmax
(NCT01374451)
Timeframe: Cycle 2 Day 1
Intervention | hr (Median) |
---|
Paseriotide LAR + Everolimus | 1.00 |
Everolimus | 0.500 |
[back to top]
Overall Survival (OS) Using Kaplan Meier Method
Overall survival was defined as the time from date of randomization/start of treatment to date of death due to any cause. If a patient is not known to have died, survival was to be censored at the date of last contact. (NCT01374451)
Timeframe: Once 80 PFS events had occurred
Intervention | Percentage of participants (Number) |
---|
| 6 months | 12 months | 18 months | 24 months |
---|
Everolimus | 93.7 | 86.1 | 75.5 | 71.0 |
,Paseriotide LAR + Everolimus | 93.5 | 85.5 | 81.4 | 77.0 |
[back to top]
Disease Control Rate (DCR) as Per Radiology Review
Disease control rate is the percentage of patients with a best overall response of CR or PR or stable disease (SD) determined by the local radiologist according to the Response Evaluation Criteria In Solid Tumors Criteria (RECIST) Version 1.0. CR: Disappearance of all nontarget lesions. PR: At least a 30% decrease in the sum of the longest diameter of all target lesions, taking as reference the smallest sum of the longest diameter of all target lesions recorded at or after baseline. SD: Neither sufficient shrinkage to qualify for PR or CR nor an increase in lesions which would qualify for progressive disease (PD). PD: Any progression ≤ 18 weeks after randomization (and not qualifying for CR, PR or stable disease SD. (NCT01374451)
Timeframe: Once 80 PFS events had occurred
Intervention | Percentage of participants (Number) |
---|
Paseriotide LAR + Everolimus | 77.2 |
Everolimus | 82.7 |
[back to top]
Summary of Pasireotide Concentrations Following Intramuscular Injection of Pasireotide LAR 60mg
(NCT01374451)
Timeframe: Cycle 1 Day 21, Cycle 2 Day 29
Intervention | ng/mL (Mean) |
---|
| Cycle 1 Day 21 (n:69) | Cycle 2 Day 29 (n: 64) |
---|
Paseriotide LAR + Everolimus | 21.6 | 19.9 |
[back to top]
Summary of Pharmacokinetics (PK) for Everolimus for Cmax and Cmin
(NCT01374451)
Timeframe: Cycle 2 Day 1
Intervention | ng/mL (Mean) |
---|
| Cmax | Cmin |
---|
Everolimus | 60.2 | 7.67 |
,Paseriotide LAR + Everolimus | 58.7 | 14.7 |
[back to top]
Objective Response Rate (ORR) as Per Radiology Review
"Objective response was determined by the local radiologist according to the RECIST Version 1.0. ORR is the percentage of patients with a best overall response of complete response (CR) or partial response (PR). This is also referred to as Overall response rate.~CR: Disappearance of all nontarget lesions. PR: At least a 30% decrease in the sum of the longest diameter of all target lesions, taking as reference the smallest sum of the longest diameter of all target lesions recorded at or after baseline." (NCT01374451)
Timeframe: Once 80 PFS events had occurred
Intervention | Percentage of participants (Number) |
---|
Paseriotide LAR + Everolimus | 20.3 |
Everolimus | 6.2 |
[back to top]
Progression-free Survival (PFS) Per Local Radiological Review
PFS per RECIST 1.0. (Response Evaluation Criteria in Solid Tumors). PFS was defined as the time from the date of randomization to the date of the first radiologically documented disease progression or death due to any cause. (NCT01374451)
Timeframe: Once 80 PFS events had occurred aproximately after 24 months
Intervention | months (Median) |
---|
Paseriotide LAR + Everolimus | 16.82 |
Everolimus | 16.59 |
[back to top]
Summary of Pharmacokinetics (PK) for Everolimus for AUClast
(NCT01374451)
Timeframe: Cycle 2 Day 1
Intervention | ng*hr/mL (Mean) |
---|
Paseriotide LAR + Everolimus | 511 |
Everolimus | 378 |
[back to top]
Summary of Pharmacokinetics (PK) for Everolimus for CL/F
(NCT01374451)
Timeframe: Cycle 2 Day 1
Intervention | L/hr (Mean) |
---|
Paseriotide LAR + Everolimus | 20.0 |
Everolimus | 29.0 |
[back to top]
Safety and Tolerability Profile of Everolimus Alone or in Combination With Pasireotide LAR
Consisted of monitoring and recording the rate, type, severity, and causal relationship of adverse events (AEs) and serious AEs (SAEs) to treatment. The safety analysis was based mainly on the frequency of AEs or SAEs and on the number of laboratory values that fell outside of pre-determined range. (NCT01374451)
Timeframe: Once 80 PFS events had occurred
Intervention | Participants (Number) |
---|
| Deaths | Serious Adverse Events | Adverse Events |
---|
Everolimus | 10 | 49 | 81 |
,Paseriotide LAR + Everolimus | 7 | 41 | 78 |
[back to top]
Percentage of Participants Having a Favorable Shift From Baseline in Clinical Signs
This includes patients with improvements in symptoms from baseline. Clinical signs over time include: facial rubor, fat pads, hirsutism, striae, (via photographs by a second local physician who was blinded to the treatment dose and time point of the photograph) and muscle strength. (NCT01374906)
Timeframe: Month 7
Intervention | Percentage of participants (Number) |
---|
| Facial rubor | Hirsutism (females only) | Striae | Bruising | Supraclavicular fat pad | Dorsal fat pad | Muscle strength |
---|
10 mg Pasireotide LAR Dose | 32.7 | 22.2 | 23.1 | 25.0 | 40.4 | 28.8 | 8.9 |
,30 mg Pasireotide LAR Dose | 53.6 | 32.6 | 23.6 | 14.3 | 28.6 | 40.0 | 4.5 |
[back to top]
Actual Change From Baseline in Clinical Signs Over Time: Blood Pressure
Change in blood pressure measurements from Baseline (NCT01374906)
Timeframe: Month 7
Intervention | mmHg (Mean) |
---|
| Supine systolic blood pressure (SBP) | Supine diastolic blood (DBP) pressure |
---|
10 mg Pasireotide LAR Dose | -6.8 | -4.8 |
,30 mg Pasireotide LAR Dose | -4.6 | -3.0 |
[back to top]
Percentage Participants That Attained a mUFC ≤ 1.0 x ULN at Month 7 Regardless of Dose Titration
Percentage of participants that attained a mean urinary free cortisol (mUFC) <= 1.0 x upper limit of normal (ULN) at Month 7 regardless of dose up-titration at Month 4. Patients who discontinued before month 4 evaluations classed as non-responders. For patients missing month 7 mUFC assessments, the last available mUFC assessment at or after month 4 was carried forward as the month 7 mUFC assessment value. (NCT01374906)
Timeframe: Month 7
Intervention | percentage of participants (Number) |
---|
10 mg Pasireotide LAR Dose | 41.9 |
30 mg Pasireotide LAR Dose | 40.8 |
[back to top]
Percentage of Participants That Attained a mUFC ≤ 1.0 x ULN at Month 7 and Had Not Had a Dose Increase at Month 4
"Percentage of participants that attain a mUFC ≤ 1.0×ULN at Month 7 and had not had a dose increase at Month 4. Patients who had a dose increase prior to Month 7 were counted as non-responders in this analysis.~Patients who discontinued before month 4 evaluations classed as non-responders. For patients missing month 7 mUFC assessments, the last available mUFC assessment at or after month 4 was carried forward as the month 7 mUFC assessment value.~A responder was defined as a patient who attains mUFC ≤1.0 X ULN and had not had a dose increase at Month 4." (NCT01374906)
Timeframe: Month 7
Intervention | percentage of participants (Number) |
---|
10 mg Pasireotide LAR Dose | 28.4 |
30 mg Pasireotide LAR Dose | 31.6 |
[back to top]
Actual Change From Baseline in Clinical Signs Over Time: Weight
Change in weight measurements from Baseline (NCT01374906)
Timeframe: Month 7
Intervention | kg (Mean) |
---|
10 mg Pasireotide LAR Dose | -1.8 |
30 mg Pasireotide LAR Dose | -4.6 |
[back to top]
Actual Change From Baseline in Clinical Signs Over Time: Waist Circumference
Change in waist circumference measurements from Baseline (NCT01374906)
Timeframe: Month 7
Intervention | cm (Mean) |
---|
10 mg Pasireotide LAR Dose | -1.6 |
30 mg Pasireotide LAR Dose | -7.1 |
[back to top]
Actual Change From Baseline in Clinical Signs Over Time: Body Mass Index (BMI)
Change in BMI measurements from Baseline (NCT01374906)
Timeframe: Month 7
Intervention | kg/m2 (Mean) |
---|
10 mg Pasireotide LAR Dose | -0.7 |
30 mg Pasireotide LAR Dose | -1.8 |
[back to top]
Actual Change From Baseline in Clinical Signs Over Time: Body Composition: Region
Change in body composition: region measurements from Baseline (NCT01374906)
Timeframe: Month 7
Intervention | percentage fat (Mean) |
---|
10 mg Pasireotide LAR Dose | -1.0 |
30 mg Pasireotide LAR Dose | -1.8 |
[back to top]
Percentage Change in Mean Urinary Free Cortisol (mUFC) From Baseline
Percentage change in mUFC (nmol/24h) from baseline by randomized groups. (NCT01374906)
Timeframe: M7, M12, M24, M36
Intervention | percentage change (Mean) |
---|
| M7 | M12 | M24 | M36 |
---|
10 mg Pasireotide LAR Dose | -29.3 | -30.3 | -50.9 | -71.6 |
,30 mg Pasireotide LAR Dose | -33.2 | -31.1 | -51.2 | -48.8 |
[back to top]
Percentage Change From Baseline on Serum Cortisol Over Time
Percentage change in serum cortisol (nmol/L) from Baseline by randomized groups. (NCT01374906)
Timeframe: Months 7, 12, 24 & 36
Intervention | Percentage change (Mean) |
---|
| M7 | M12 | M24 | M36 |
---|
10 mg Pasireotide LAR Dose | -8.2 | -12.1 | -15.6 | 0.6 |
,30 mg Pasireotide LAR Dose | -5.1 | -0.4 | -7.4 | -23.2 |
[back to top]
Percentage of Patients Who Attain mUFC ≤1.0 x ULN or Have at Least 50 % Reduction From Baseline in mUFC
Controlled responder: mUFC ≤ 1.0×ULN. Partially controlled responder: at least 50% reduction in mUFC from Baseline, and mUFC >1.0×ULN. (NCT01374906)
Timeframe: M7, M12, M24, M36
Intervention | percentage of participants (Number) |
---|
| M7 | M12 | M24 | M36 |
---|
10 mg Pasireotide LAR Dose | 44.6 | 45.9 | 46.0 | 28.0 |
,30 mg Pasireotide LAR Dose | 53.9 | 42.1 | 27.9 | 6.0 |
[back to top]
Percentage of Patients With Uncontrolled Response at Month 7 & Month 12 Within the Subset of Patients Who Had Uncontrolled Response at a) Months 1 and 2; b) Months 1, 2, and 3
Percentage of patients with mUFC > 1.0 xULN at Month 7 and Month 12 within the subset of patients who were uncontrolled at a) Months 1 & 2, b) Months 1, 2, & 3 by randomized groups. (NCT01374906)
Timeframe: Month 7, Month12
Intervention | percentage of participants (Number) |
---|
| Uncontrolled Resp @ M7: subset: M1 & 2 | Uncontrolled Resp @ M7: subset: M1,2 & 3 | Uncontrolled Resp @ M12: subset: M1 & 2 | Uncontrolled Resp @ M12: subset: M1, 2 & 3 |
---|
10 mg Pasireotide LAR Dose | 60.6 | 61.3 | 69.7 | 74.2 |
,30 mg Pasireotide LAR Dose | 60.6 | 65.5 | 69.7 | 72.4 |
[back to top]
Pharmacokinetic (PK) Parameter: Cmax
"Pasireotide peak levels (Cmax) was one of the parameters used for PK assessments. Cmax is the post-dose PK concentration with an elapsed time from the previous injection of 21+/-2 days. All patients randomized to the study had at least one PK observation and were therefore included in the pharmacokinetic analysis set (PAS). Cmax PK observations (Day 20 and Day 104) with an elapsed time from the previous injection outside of 21+/-2 days window were excluded. Given that SOM230 LAR was administered once a month, the Cmax were collected every 28 days in this study, thus this provides a summary of Cmax values provided by incident dose (last dose administered prior to PK sample collection), not by randomized dose, hence each column is equivalent to an incident dose and not an arm/group. Patients randomized to either the 10mg or 30mg could be titrated down to 5mg due to safety, or titrated up to 40mg, hence the 4 incident doses/columns that were allowed per protocol during this study." (NCT01374906)
Timeframe: Days 22, 106, 190
Intervention | ng/mL (Mean) |
---|
| Day 190 (M6.75) |
---|
40 mg Pasireotide LAR Dose | 12.1 |
[back to top]
Pharmacokinetic (PK) Parameter: Cmax
"Pasireotide peak levels (Cmax) was one of the parameters used for PK assessments. Cmax is the post-dose PK concentration with an elapsed time from the previous injection of 21+/-2 days. All patients randomized to the study had at least one PK observation and were therefore included in the pharmacokinetic analysis set (PAS). Cmax PK observations (Day 20 and Day 104) with an elapsed time from the previous injection outside of 21+/-2 days window were excluded. Given that SOM230 LAR was administered once a month, the Cmax were collected every 28 days in this study, thus this provides a summary of Cmax values provided by incident dose (last dose administered prior to PK sample collection), not by randomized dose, hence each column is equivalent to an incident dose and not an arm/group. Patients randomized to either the 10mg or 30mg could be titrated down to 5mg due to safety, or titrated up to 40mg, hence the 4 incident doses/columns that were allowed per protocol during this study." (NCT01374906)
Timeframe: Days 22, 106, 190
Intervention | ng/mL (Mean) |
---|
| Day 106 (M 3.75) | Day 190 (M6.75) |
---|
5 mg Pasireptide LAR Dose | 1.7 | 1.4 |
[back to top]
Pharmacokinetic (PK) Parameter: Cmax
"Pasireotide peak levels (Cmax) was one of the parameters used for PK assessments. Cmax is the post-dose PK concentration with an elapsed time from the previous injection of 21+/-2 days. All patients randomized to the study had at least one PK observation and were therefore included in the pharmacokinetic analysis set (PAS). Cmax PK observations (Day 20 and Day 104) with an elapsed time from the previous injection outside of 21+/-2 days window were excluded. Given that SOM230 LAR was administered once a month, the Cmax were collected every 28 days in this study, thus this provides a summary of Cmax values provided by incident dose (last dose administered prior to PK sample collection), not by randomized dose, hence each column is equivalent to an incident dose and not an arm/group. Patients randomized to either the 10mg or 30mg could be titrated down to 5mg due to safety, or titrated up to 40mg, hence the 4 incident doses/columns that were allowed per protocol during this study." (NCT01374906)
Timeframe: Days 22, 106, 190
Intervention | ng/mL (Mean) |
---|
| Day 22 (M 0.75) | Day 106 (M 3.75) | Day 190 (M6.75) |
---|
10 mg Pasireotide LAR Dose | 3.0 | 3.3 | 4.0 |
,30 mg Pasireotide LAR Dose | 8.2 | 9.4 | 10.0 |
[back to top]
Pharmacokinetic (PK) Parameter: Ctrough
Pasireotide trough levels (Ctrough) was 1 of the parameters used for PK assessments. Ctrough is the pre-dose PK concentration with an elapsed time from previous injection of 28+/-2 days. All patients randomized to the study had at least 1 PK observation & were therefore included in the pharmacokinetic analysis set. PK observations with missing concentrations, missing dose, missing elapsed time or an elapsed time from previous injection outside of 28 ±2 days window were excluded. Given that SOM230 LAR was administered once a month, Ctrough was collected every 28 days and thus this provides a summary of Ctrough values provided by incident dose (last dose administered prior to PK sample collection), not by randomized dose, hence each column is equivalent to an incident dose & not an arm/group. Patients randomized to either 10mg or 30mg could be titrated down to 5mg due to safety, or titrated up to 40mg, hence the 4 incident doses/columns that were allowed per protocol during this study. (NCT01374906)
Timeframe: Days 29, 57, 85, 113, 141, 169, 197, 225, 253, 281, 309, 337
Intervention | ng/mL (Mean) |
---|
| Day 57 | Day 85 | Day 113 | Day 141 | Day 169 | Day 197 | Day 225 | Day 253 | Day 281 | Day 309 | Day 337 |
---|
5 mg Pasireotide LAR Dose | 0.83 | 1.03 | 1.29 | 1.04 | 2.01 | 0.72 | 1.19 | 1.77 | 1.24 | 0.66 | 1.91 |
[back to top]
Pharmacokinetic (PK) Parameter: Ctrough
Pasireotide trough levels (Ctrough) was 1 of the parameters used for PK assessments. Ctrough is the pre-dose PK concentration with an elapsed time from previous injection of 28+/-2 days. All patients randomized to the study had at least 1 PK observation & were therefore included in the pharmacokinetic analysis set. PK observations with missing concentrations, missing dose, missing elapsed time or an elapsed time from previous injection outside of 28 ±2 days window were excluded. Given that SOM230 LAR was administered once a month, Ctrough was collected every 28 days and thus this provides a summary of Ctrough values provided by incident dose (last dose administered prior to PK sample collection), not by randomized dose, hence each column is equivalent to an incident dose & not an arm/group. Patients randomized to either 10mg or 30mg could be titrated down to 5mg due to safety, or titrated up to 40mg, hence the 4 incident doses/columns that were allowed per protocol during this study. (NCT01374906)
Timeframe: Days 29, 57, 85, 113, 141, 169, 197, 225, 253, 281, 309, 337
Intervention | ng/mL (Mean) |
---|
| Day 29 | Day 57 | Day 85 | Day 113 | Day 141 | Day 169 | Day 197 | Day 225 | Day 253 | Day 281 | Day 309 | Day 337 |
---|
10 mg Pasireotide LAR Dose | 2.03 | 2.35 | 2.39 | 2.40 | 2.47 | 2.47 | 2.88 | 2.68 | 2.87 | 3.36 | 2.50 | 3.07 |
,30 mg Pasireotide LAR Dose | 7.63 | 7.82 | 8.56 | 8.31 | 7.88 | 8.46 | 9.13 | 8.57 | 9.00 | 8.18 | 9.34 | 8.90 |
[back to top]
Pharmacokinetic (PK) Parameter: Ctrough
Pasireotide trough levels (Ctrough) was 1 of the parameters used for PK assessments. Ctrough is the pre-dose PK concentration with an elapsed time from previous injection of 28+/-2 days. All patients randomized to the study had at least 1 PK observation & were therefore included in the pharmacokinetic analysis set. PK observations with missing concentrations, missing dose, missing elapsed time or an elapsed time from previous injection outside of 28 ±2 days window were excluded. Given that SOM230 LAR was administered once a month, Ctrough was collected every 28 days and thus this provides a summary of Ctrough values provided by incident dose (last dose administered prior to PK sample collection), not by randomized dose, hence each column is equivalent to an incident dose & not an arm/group. Patients randomized to either 10mg or 30mg could be titrated down to 5mg due to safety, or titrated up to 40mg, hence the 4 incident doses/columns that were allowed per protocol during this study. (NCT01374906)
Timeframe: Days 29, 57, 85, 113, 141, 169, 197, 225, 253, 281, 309, 337
Intervention | ng/mL (Mean) |
---|
| Day 141 | Day 169 | Day 197 | Day 225 | Day 253 | Day 281 | Day 309 | Day 337 |
---|
40 mg Pasireotide LAR Dose | 10.7 | 12.0 | 11.9 | 11.3 | 12.1 | 11.4 | 12.0 | 12.6 |
[back to top]
Percentage Change From Baseline on Plasma Adrenocorticotropic Hormone (ACTH) Over Time
Percentage change in ACTH (pmol/L) from Baseline by randomized groups. (NCT01374906)
Timeframe: Months 7, 12, 24 & 36
Intervention | Percentage change (Mean) |
---|
| M7 | M12 | M24 | M36 |
---|
10 mg Pasireotide LAR Dose | 2.7 | -10.2 | -12.1 | -15.4 |
,30 mg Pasireotide LAR Dose | -13.5 | -14.5 | 2.5 | -0.6 |
[back to top]
Percentage Change From Baseline in Clinical Signs Over Time
Percentage change in parameter measurements: blood pressure, body mass index, waist circumference, fasting serum lipid profile, weight, bone density and body composition (examined by DXA scan) from Baseline (NCT01374906)
Timeframe: Month 7
Intervention | Percentage change (Mean) |
---|
| SBP | DBP | BMI | Weight | Waist circumference | HDL | Total cholesterol | Triglycerides | Body composition |
---|
10 mg Pasireotide LAR Dose | -4.3 | -4.7 | -2.6 | -2.6 | -1.4 | -6.7 | -7.2 | 4.2 | -2.4 |
,30 mg Pasireotide LAR Dose | -3.0 | -2.6 | -6.1 | -6.1 | -6.6 | 0.3 | -6.6 | -0.9 | -3.6 |
[back to top]
Percent of Participants With a Duration of at Least 50% Reduction in mUFC From Baseline at Indicated Time Points
Duration of 50% reduction from baseline is defined as the period starting from the date of patient's first 50% reduction from baseline (NCT01374906)
Timeframe: Months 6, 12 & 18
Intervention | Percentage of participants (Number) |
---|
| M6 | M12 | M18 |
---|
10 mg Pasireotide LAR Dose | 78.4 | 84.9 | 84.9 |
,30 mg Pasireotide LAR Dose | 77.8 | 83.7 | 83.7 |
[back to top]
Percent of Participants Attaining a Time to First Achievement of at Least a 50% Reduction in mUFC From Baseline at Indicated Time Points
Time to first achievement of a 5by randomized groups.0% reduction in mUFC from baseline (NCT01374906)
Timeframe: every month in the core phase and every 3 months in the extension phase) up to and including the cut-off date for the Month 12 CSR (10-Nov-2015)
Intervention | Percentage of participants (Number) |
---|
| M7 | M12 |
---|
10 mg Pasireotide LAR Dose | 80.5 | 84.4 |
,30 mg Pasireotide LAR Dose | 73.4 | 80.7 |
[back to top]
Percent of Participants Attaining a mUFC ≤ 1.0 x ULN or at Least a 50% Reduction in mUFC From Baseline at Indicated Time Points
Time to first achievement of attaining a mUFC ≤ 1.0 x ULN or at least a 50% reduction in mUFC from baseline by randomized groups. (NCT01374906)
Timeframe: Momth 7, Month 12
Intervention | Percentage of participants (Number) |
---|
| Month 7 | Month 12 |
---|
10 mg Pasireotide LAR Dose | 86.2 | 90.1 |
,30 mg Pasireotide LAR Dose | 83.4 | 94.5 |
[back to top]
Percent of Participants Attaining a Duration of Controlled or Partially Controlled Response at Indicated Time Points
Duration of controlled or partially controlled response is defined as the period starting from the date of patient's first normalization (mUFC≤ 1.0 x ULN) or at least 50% reduction from baseline up to the date when the patient's mUFC >1.0 x ULN and the reduction from baseline falls to less than 50% for the first time. (NCT01374906)
Timeframe: Month 6, 12, 18
Intervention | Percentage of participants (Number) |
---|
| Month 6 | Month 12 | Month 18 |
---|
10 mg Pasireotide LAR Dose | 78.0 | 84.0 | 84.0 |
,30 mg Pasireotide LAR Dose | 72.9 | 82.8 | 87.1 |
[back to top]
Actual Change in SF-12v2 Score From Baseline - Physical Component Summary
SF-12v2 General Health Survey is a general patient reported outcome instrument over time. It is scored to provide eight health domain scores (Bodily Pain (BP), General Health (GH), Physical Functioning (PF), Role-Physical (RP), Social Functioning (SF), Role-Emotional (RE), Vitality (VT) and Mental Health (MH)). These eight domain scores can be combined to form two summary scores reflecting overall physical and mental health: the Physical Component Summary (PCS) and the Mental Component Summary (MCS). The analyses reported here focus on PCS and MCS scores. The domain scores use a norm-based score, which standardizes the scores with respect to the mean and standard deviation of a nationally representative sample of United States (US) adults. These are the scores on the original scale which have not been transformed in any way. The possible range of scores is 0 to 100, with higher scores representing better outcomes. (NCT01374906)
Timeframe: Months 7, 12 & 24
Intervention | scores on a scale (Mean) |
---|
| M7 | M12 | M24 |
---|
10 mg Pasireotide LAR Dose | 1.9 | 4.9 | 5.3 |
,30 mg Pasireotide LAR Dose | -0.8 | -0.5 | -1.1 |
[back to top]
Actual Change in Standardized Score of Cushing's Disease HRQoL (CushingQOL) Score From Baseline
CushingQol is a disease-specific patient-reported outcome instrument. It is a single-domain 12 item Cushing's disease quality of life instrument. The Cushing's syndrome quality of life (CushingQoL) questionnaire is a single domain questionnaire which includes 12 self-report items scored using a five point Likert scale anchored at (1=always/very much and 5=never/not at all). The patient is asked to report what they think or feel about their Cushing's syndrome and how much the illness has interfered in usual activities over the past 4 weeks. The total score is standardized on a 0-100 scale with lower scores indicating a greater impact on quality of life. (NCT01374906)
Timeframe: Months 7, 12, 24 & 36
Intervention | scores on a scale (Mean) |
---|
| M7 | M12 | M24 | M36 |
---|
10 mg Pasireotide LAR Dose | 5.7 | 6.4 | 5.9 | 1.4 |
,30 mg Pasireotide LAR Dose | 7.8 | 6.8 | 8.7 | 14.6 |
[back to top]
Actual Change in SF-12v2 Score From Baseline - Mental Component Summary
SF-12v2 General Health Survey is a general patient reported outcome instrument over time. It is scored to provide eight health domain scores (Bodily Pain (BP), General Health (GH), Physical Functioning (PF), Role-Physical (RP), Social Functioning (SF), Role-Emotional (RE), Vitality (VT) and Mental Health (MH)). These eight domain scores can be combined to form two summary scores reflecting overall physical and mental health: the Physical Component Summary (PCS) and the Mental Component Summary (MCS). The analyses reported here focus on PCS and MCS scores. The domain scores use a norm-based score, which standardizes the scores with respect to the mean and standard deviation of a nationally representative sample of United States (US) adults. These are the scores on the original scale which have not been transformed in any way. The possible range of scores is 0 to 100, with higher scores representing better outcomes. (NCT01374906)
Timeframe: Months 7, 12 & 24
Intervention | scores on a scale (Mean) |
---|
| M7 | M12 | M24 |
---|
10 mg Pasireotide LAR Dose | 4.1 | 2.3 | 3.3 |
,30 mg Pasireotide LAR Dose | 4.3 | 3.3 | 6.4 |
[back to top]
Actual Change in Mean Urinary Free Cortisol (mUFC) From Baseline
Actual change in mUFC (nmol/24h) from baseline by randomized groups. (NCT01374906)
Timeframe: baseline, Month 7 (M7), Month 12 (M12), Month 24 (M24) , Month 36 (M36)
Intervention | nmol/24h (Mean) |
---|
| M7 | M12 | M24 | M36 |
---|
10 mg Pasireotide LAR Dose | -192.4 | -195.1 | -236.2 | -398.4 |
,30 mg Pasireotide LAR Dose | -234.3 | -247.6 | -265.2 | -164.6 |
[back to top]
Actual Change From Baseline in Clinical Signs Over Time: Cholesterol & Triglycerides
Change in parameter measurements: cholesterol & triglycerides from Baseline (NCT01374906)
Timeframe: Month 7
Intervention | mmol/L (Mean) |
---|
| Total cholesterol | HDL cholesterol | Triglycerides |
---|
10 mg Pasireotide LAR Dose | -0.5 | -0.1 | 0 |
,30 mg Pasireotide LAR Dose | -0.4 | 0 | -0.2 |
[back to top]
Percentage of Patients Who Attain mUFC ≤ 1.0 x ULN
Controlled responder: mUFC ≤ 1.0×ULN by randomized groups. (NCT01374906)
Timeframe: M7, M12, M24, M36
Intervention | percentage of participants (Number) |
---|
| M7 - Controlled responder | M12 - Controlled responder | M24 - Controlled responder | M36 - Controlled responder |
---|
10 mg Pasireotide LAR Dose | 39.2 | 35.1 | 39.7 | 22.0 |
,30 mg Pasireotide LAR Dose | 40.8 | 25.0 | 21.3 | 4.0 |
[back to top]
Percentage of Patients Who Are Controlled Responders (mUFC ≤ 1.0 xULN) on at Least 4 of the 7 mUFC Assessments by Month 7 & on at Least 7 of the 12 mUFC Assessments by Month 12.
Percentage of patients with mUFC ≤ 1.0 x ULN at a minimum of 4 months up to and including Month 7, and at a minimum of 7 months up to and including Month 12 by randomized groups. (NCT01374906)
Timeframe: Month 7, Month 12
Intervention | percentage of participants (Number) |
---|
| Month 7 | Month 12 |
---|
10 mg Pasireotide LAR Dose | 25.7 | 25.7 |
,30 mg Pasireotide LAR Dose | 31.6 | 25.0 |
[back to top]
Percentage of Patients That Attain a Reduction of at Least 50% in mUFC From Baseline
"All of the participants who discontinued prior to month 4 evaluations were classed as non-responders. For participants missing month 7 mUFC assessments, the last available mUFC assessment at or after month 4 was carried forward as the month 7 mUFC assessment value.~Analysis split by screening strata of mUFC~Stratum 1:" (NCT01374906)
Timeframe: Months 7, 12, 24 & 36
Intervention | percentage of participants (Number) |
---|
| M7 | M12 | M24 | M36 |
---|
10 mg Pasireotide LAR Dose | 35.1 | 35.1 | 83.3 | 100 |
,30 mg Pasireotide LAR Dose | 43.4 | 38.2 | 57.1 | 33.33 |
[back to top]
Percentage of Participants That Attained a Mean Urinary Free Cortisol (mUFC) <= 1.0 x Upper Limit of Normal (ULN) at Month 7 Regardless of Dose Up-titration at Month 4.
"All of the participants who discontinued prior to month 4 evaluations were classed as non-responders. For participants missing month 7 mUFC assessments, the last available mUFC assessment at or after month 4 was carried forward as the month 7 mUFC assessment value.~Analysis split by screening strata of mUFC Stratum 1: mUFC 1.5x to < 2.0 x ULN Stratum 2: mUFC 2.0x to <= 5.0 x ULN" (NCT01374906)
Timeframe: Month 7
Intervention | percentage of participants (Number) |
---|
| stratum:1.5 x ULN to < 2.0 x ULN | stratum:2.0 x ULN to <= 5.0 x ULN |
---|
10 mg Pasireotide LAR Dose | 52.0 | 36.7 |
,30 mg Pasireotide LAR Dose | 52.0 | 35.3 |
[back to top]
Maximum Tolerated Dose (MTD) of Pasireotide in Combination With Docetaxel and Prednisone by the Occurrence of Adverse Events and the Associated Grade Per NCI Common Terminology Criteria for Adverse Events (CTCAE) Version 4.0
To identify the maximum tolerated dose (MTD) of pasireotide, The occurrence rate of binary endpoints (eg, specific types of toxicity at a certain dose level and severity grade, response, etc) will be described by point estimates and exact 90% confidence intervals (CIs) for proportions using Wilson's method. (NCT01468532)
Timeframe: Up to day 57
Intervention | mg (Number) |
---|
Treatment (Chemotherapy, Receptor Agonist) | 60 |
[back to top]
Measurements of Tumor Using Response Evaluation Criteria In Solid Tumors (RECIST) Criteria Before and After Treatment With the Combination of Pasireotide in Combination With Docetaxel
Percentage of participants responding to treatment by measurements of tumor using Response Evaluation Criteria In Solid Tumors (RECISTv1.0) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR, before and after treatment with the combination of pasireotide in combination with docetaxel (NCT01468532)
Timeframe: Every 12 weeks for the first 36 weeks and then every 16 weeks thereafter up to 100 weeks
Intervention | percentage of participants (Number) |
---|
Treatment (Chemotherapy, Receptor Agonist) | 44.4 |
[back to top]
Overall Survival (OS)
Time from Treatment start date to date of death or last follow-up. (NCT01468532)
Timeframe: Every 3 months for the first 9 months on study then every 4 months after the first 9 months on study
Intervention | months (Median) |
---|
Treatment (Chemotherapy, Receptor Agonist) | 18.3 |
[back to top]
Time to Progression (TTP)
Time from Treatment start date to Progression (TTP) Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions (NCT01468532)
Timeframe: Every 3 months for the first 9 months on study then every 4 months after the first 9 months on study, up to 2 years
Intervention | months (Median) |
---|
Treatment (Chemotherapy, Receptor Agonist) | 7.2 |
[back to top]
Measurement of Levels of IGF-1, Serum Chromogranin A (SCA), and Neuron Specific Enolase (NSE), the Change Between Time Points Pre-therapy, Post-therapy
Measurement of levels of IGF-1, serum chromogranin A (SCA), and neuron specific enolase (NSE), the change between time points (day 22 and day 43) from day 1 as measured in percent change. (NCT01468532)
Timeframe: Baseline and days 22 and 43
Intervention | percent change of biomarker from day 1 (Median) |
---|
| IGF-1 day 1 to day 22 | IGF-1 day 1 to day 43 | SCA day 1 to day 22 | SCA day 1 to day 43 | NSE day 1 to day 22 | NSE day 1 to day 43 |
---|
Treatment (Chemotherapy, Receptor Agonist) | -47.74 | -65.64 | -25.36 | -21.43 | -17.00 | 8.00 |
[back to top]
Measurements of CTC Counts, the Change Between Time-points Pre-therapy, Post-therapy
Measurements of CTC counts, the change between time-points (day 22 and day 43) from day 1 as measured in percent change. (NCT01468532)
Timeframe: Baseline and days 22 and 43
Intervention | percent change of CTC from day 1 (Median) |
---|
| CTC from day 1 to day 22 | CTC from day 1 to day 43 |
---|
Treatment (Chemotherapy, Receptor Agonist) | -5.50 | -29.50 |
[back to top]
Percentage Prostate-specific Antigen (PSA) Change Noted
Percentage change of prostate-specific antigen (PSA) decline or increase noted (NCT01468532)
Timeframe: On days 1, 22, 43
Intervention | percentage change of PSA from day 1 (Median) |
---|
| from day 1 to day 22 | from day 1 to day 43 |
---|
Treatment (Chemotherapy, Receptor Agonist) | -18.52 | -31.49 |
[back to top]
Pharmacokinetics (PK) of SOM230
Pharmacokinetics (PK) of SOM230 measured in the bloodstream (in ng/ml) at days 29, 57, and 85. (NCT01468532)
Timeframe: Predosing/end of infusion/2, 3, 4 ,7, 24 and 48 hours after start of docetaxel; Day 43; predosing for docetaxel and pasireotide/end of infusion/2, 3, 4, 7, 24 hours day 44/48 hours day 45 after start of infusion; days 29, 57, and 85 prior to pasireotide
Intervention | ng/ml (Median) |
---|
| Level at day 29 | Level at day 57 | Level at day 85 |
---|
Treatment (Chemotherapy, Receptor Agonist) | 15.4 | 14.9 | 14.5 |
[back to top]
The Number of Patients With Toxicity as Assessed Via NCI CTCAE Version 4.0
The count of patients who experience a given type and grade of toxicity as assessed via NCI CTCAE version 4.0 (NCT01468532)
Timeframe: On days 1, 8, 15, 22, 29, 36 43, 50 and 57
Intervention | Participants (Count of Participants) |
---|
| Abdominal pain grade 1 | Agitation grade 1 | Alkaline phosphatase increased grade 3 | Allergic reaction grade 1 | Alopecia grade 1 | Alopecia grade 2 | Anemia grade 1 | Anemia grade 3 | Anorexia grade 1 | Anorexia grade 2 | Arthritis grade 1 | Aspartate aminotransferase increased grade 2 | Aspartate aminotransferase increased grade 3 | Back pain grade 1 | Back pain grade 2 | Bladder infection grade 2 | Blood and lymphatic system disorders-Other grade 1 | Bruising grade 1 | Cardiac disorders - Other, specify grade 1 | Cataract grade 1 | Chills grade 1 | Cholesterol high grade 1 | Conjunctivitis grade 2 | Constipation grade 1 | Cough grade 1 | Cough grade 2 | Creatinine increased grade 1 | Dehydration grade 2 | Dehydration grade 3 | Depression grade 1 | Diarrhea grade 1 | Diarrhea grade 2 | Diarrhea grade 3 | Dizziness grade 1 | Dry mouth grade 1 | Dry skin grade 1 | Dysgeusia grade 1 | Dysgeusia grade 2 | Dyspnea grade 1 | Ear and labyrinth disorders-Other, specify grade 1 | Edema limbs grade 1 | Edema limbs grade 2 | EKG QT corrected interval prolong grade 1 | EKG QT corrected interval prolong grade 2 | EKG QT corrected interval prolong grade 3 | Eye disorders - Other, specify grade 1 | Fatigue grade 1 | Fatigue grade 2 | Fatigue grade 3 | Fever grade 1 | Flank pain grade 1 | Flu like symptoms grade 1 | Flushing grade 1 | Gastroesophageal reflux disease grade 1 | Gastroesophageal reflux disease grade 2 | Gastrointestinal disorders -Other, specify grade 1 | Generalized muscle weakness grade 1 | Generalized muscle weakness grade 2 | Headache grade 1 | Hearing impaired grade 1 | Heart failure grade 1 | Hematuria grade 1 | Hematuria grade 2 | Hoarseness grade 1 | Hot flashes grade 1 | Hyperglycemia grade 1 | Hyperglycemia grade 2 | Hyperglycemia grade 3 | Hyperkalemia grade 2 | Hypertension grade 2 | Hypertension grade 3 | Hypertriglyceridemia grade 1 | Hypertriglyceridemia grade 3 | Hypoalbuminemia grade 3 | Hypocalcemia grade 1 | Hypocalcemia grade 3 | Hypokalemia grade 2 | Hypomagnesemia grade 1 | Hypomagnesemia grade 2 | Hyponatremia grade 3 | Hypophosphatemia grade 3 | Hypotension grade 3 | Hypothyroidism grade 1 | Infusion related reaction grade 2 | Infusion site extravasation grade 2 | Injection site reaction grade 1 | Insomnia grade 1 | Localized edema grade 1 | Lymphedema grade 1 | Lymphocyte count decreased grade 1 | Lymphocyte count decreased grade 3 | Lymphocyte count decreased grade 4 | Mucositis oral grade 2 | Muscle weakness lower limb grade 1 | Musculoskeletal and connective tissue dis. grade 1 | Myalgia grade 1 | Nail discoloration grade 1 | Nail discoloration grade 2 | Nail loss grade 1 | Nail ridging grade 1 | Nasal congestion grade 1 | Nausea grade 1 | Nausea grade 2 | Nervous system disorders - Other grade 1 | Neutrophil count decreased grade 3 | Neutrophil count decreased grade 4 | Otitis externa grade 2 | Pain grade 1 | Pain in extremity grade 2 | Pelvic pain grade 1 | Penile infection grade 1 | Penile pain grade 1 | Peripheral sensory neuropathy grade 1 | Peripheral sensory neuropathy grade 2 | Platelet count decreased grade 1 | Rash acneiform grade 1 | Rash acneiform grade 2 | Rectal pain grade 1 | Renal and urinary disorders - Other grade 1 | Renal and urinary disorders - Other grade 2 | Respiratory, thoracic and mediastinal dis. grade 3 | Serum amylase increased grade 4 | Sinus disorder grade 1 | Sinusitis grade 2 | Skin and subcutaneous tissue disorders grade 1 | Skin and subcutaneous tissue disorders grade 2 | Skin infection grade 4 | Sore throat grade 1 | Thromboembolic event grade 3 | Toothache grade 1 | Tremor grade 1 | Upper respiratory infection grade 1 | Upper respiratory infection grade 2 | Upper respiratory infection grade 3 | Urinary frequency grade 1 | Urinary tract infection grade 2 | Urinary tract infection grade 3 | Urinary tract obstruction grade 2 | Vomiting grade 1 | Watering eyes grade 1 | Weight loss grade 1 | Weight loss grade 2 | Weight loss grade 3 | Wheezing grade 1 | White blood cell decreased grade 3 | White blood cell decreased grade 4 |
---|
Treatment (Chemotherapy, Receptor Agonist) | 1 | 1 | 3 | 1 | 1 | 1 | 4 | 4 | 6 | 1 | 2 | 1 | 1 | 3 | 1 | 1 | 1 | 1 | 1 | 1 | 4 | 5 | 1 | 4 | 2 | 1 | 1 | 2 | 1 | 2 | 10 | 2 | 1 | 8 | 2 | 2 | 1 | 4 | 6 | 1 | 1 | 1 | 1 | 1 | 1 | 2 | 6 | 7 | 1 | 1 | 1 | 2 | 2 | 3 | 1 | 7 | 5 | 2 | 1 | 1 | 1 | 2 | 1 | 1 | 3 | 3 | 1 | 10 | 1 | 5 | 5 | 3 | 1 | 1 | 1 | 1 | 2 | 1 | 1 | 4 | 3 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 7 | 1 | 1 | 2 | 5 | 1 | 2 | 1 | 1 | 2 | 1 | 10 | 1 | 1 | 10 | 6 | 1 | 2 | 1 | 1 | 1 | 1 | 7 | 4 | 1 | 6 | 1 | 2 | 1 | 2 | 1 | 1 | 1 | 1 | 9 | 1 | 1 | 3 | 1 | 1 | 1 | 2 | 1 | 1 | 4 | 4 | 1 | 1 | 4 | 1 | 1 | 6 | 1 | 1 | 11 | 3 |
[back to top]
Time to Progression (TTP)
Time to progression is defined as the time from study enrollment until radiological progression in a previously embolized lobe, development of new lesions in an untreated lobe, or evidence of extrahepatic progression (based on modified Hepatocellular Carcinoma (HCC) Response Evaluation Criteria In Solid Tumors (RECIST) criteria). Patients will be followed until death. Patients that die of causes unrelated to the study drug without evidence of progression will be censored. (NCT01488487)
Timeframe: 3.5 years
Intervention | months (Median) |
---|
Everolimus + Pasireotide | 3.5 |
[back to top]
Objective Response Rate (ORR)
"ORR is the rate of complete responses (CRs) + partial responses (PRs) as determined by RECIST (v1.1) and modified HCC RECIST criteria. Responses defined as follows:~CR: disappearance of all clinical/radiological evidence of tumor including any intratumoral arterial enhancement in all target lesions.~Partial Response (PR): at least a 30% decrease in the sum of diameters of viable (contrast enhancement in the arterial phase) target lesions, referencing the baseline sum.~Stable Disease (SD): any cases that do not qualify for either partial response or progressive disease.~Progressive Disease (PD): an increase of at least 20% in the sum of the diameters of viable target lesions, referencing the nadir sum, and/or the appearance of one or more new lesions. A new hepatic nodule signals PD when the longest diameter is at least 10 mm and the nodule shows the typical vascular pattern of HCC on dynamic imaging or if at least 1-cm interval growth is seen in subsequent scans." (NCT01488487)
Timeframe: 3.5 years
Intervention | percentage of participants (Number) |
---|
| Radiographic response (CR or PR) | Stable disease |
---|
Everolimus + Pasireotide | 0 | 45.5 |
[back to top]
Number of Individuals Experiencing Toxicity
Safety determinations are based on the rate of drug-related adverse events (AEs) reported based upon the toxicity as measured by the NCI Common Terminology Criteria for Adverse Events version 4.0 (CTCAE v4.0). (NCT01488487)
Timeframe: 3.5 years
Intervention | participants (Number) |
---|
| Dose Limiting Toxicities (DLT) | Any adverse event |
---|
Everolimus + Pasireotide | 1 | 24 |
[back to top]
Overall Survival (OS)
Overall survival is defined as the time from study enrollment until death. (NCT01488487)
Timeframe: 3.5 years
Intervention | months (Median) |
---|
Everolimus + Pasireotide | 6.7 |
[back to top]
Summary of Duration of Response (Months)
Date of first objective tumor response to date of tumor progression or death due to any cause. (NCT01563354)
Timeframe: Every 3 months up to Year 1
Intervention | months (Number) |
---|
| 25th percentile | Median | 75th percentile |
---|
Everolimus | NA | NA | NA |
,Pasireotide LAR | NA | NA | NA |
,Pasireotide LAR and Everolimus Combination | NA | NA | NA |
[back to top]
Summary of Time to Response (Months)
Time from start of treatment to the first observed objective tumor response (partial response or complete response) observed according to RECIST v1.1. (NCT01563354)
Timeframe: Every 3 months up to Year 1
Intervention | months (Number) |
---|
| 25th percentile | Median | 75th percentile |
---|
Everolimus | NA | NA | NA |
,Pasireotide LAR | NA | NA | NA |
,Pasireotide LAR and Everolimus Combination | NA | NA | NA |
[back to top]
Duration of Biochemical Response (DBR), by Treatment (Full Analysis Set)
Time from the first documentation of biochemical response to the first documentation of biochemical progression or to death due to any cause, whichever occurred first. Biochemical progression is defined as an increase of serum CgA levels ≥ 25% compared to baseline. (NCT01563354)
Timeframe: Baseline up to Month 18
Intervention | months (Median) |
---|
Pasireotide LAR | 14.75 |
Everolimus | 2.00 |
Pasireotide LAR and Everolimus Combination | 8.38 |
[back to top]
Summary of Biochemical Progression-free Survival Based on CgA Levels by Treatment
Time from the first documentation of biochemical response to the first documentation of biochemical progression or to death due to any cause, whichever occurred first. Biochemical progression is defined as an increase of serum CgA levels ≥ 25% compared to baseline. (NCT01563354)
Timeframe: Baseline up Month 24
Intervention | months (Median) |
---|
Pasireotide LAR | 2.89 |
Everolimus | 2.86 |
Pasireotide LAR and Everolimus Combination | 5.62 |
[back to top]
Summary of Progression-free Survival (PFS) Based on RECIST v1.1
Time from first study drug administration to objective tumor progression or death from any cause according to RECIST v1.1 (NCT01563354)
Timeframe: Baseline, every 3 months up to 69 months
Intervention | months (Median) |
---|
Pasireotide LAR | 8.51 |
Everolimus | 12.48 |
Pasireotide LAR and Everolimus Combination | 16.53 |
[back to top]
12-month Disease Control Rate (DCR) and Objective Response Rate (ORR)
Objective response rate (ORR) was defined as the percentage of patients showing a best overall response (BOR) of CR or PR during the core study according to RECIST v1.1 criteria. The best overall response is interpreted as the best response recorded from the start of the treatment until disease progression/recurrence, death from any cause or until the patient withdraws consent, whichever is earliest. DCR was was defined as the percentage of participants with a best overall response of complete response, partial response or stable disease during 12 months of treatment according to RECIST v1.1. (NCT01563354)
Timeframe: Baseline up to Month 12
Intervention | percentage of participants (Number) |
---|
| Objective response (CR+PR) | Disease control rate (CR+PR+SD) | Complete response (CR) | Partial response (PR) | Stable disease | Progressive disease | Unknown | Not assessed | Discontinued before month 12 |
---|
Everolimus | 2.4 | 73.8 | 0 | 2.4 | 71.4 | 4.8 | 4.8 | 16.7 | 64.3 |
,Pasireotide LAR | 2.4 | 80.5 | 0 | 2.4 | 78.0 | 14.6 | 2.4 | 2.4 | 68.3 |
,Pasireotide LAR and Everolimus Combination | 4.9 | 78.0 | 0 | 4.9 | 73.2 | 7.3 | 0 | 14.6 | 63.4 |
[back to top]
Biochemical Response Rate (BRR) for 5HIAA Levels
The percentages are the biochemical response rates i.e. percentage of patients showing normalization i.e. return to within normal ranges, or a decrease of >= 50% from baseline of 5HIAA concentrations. (NCT01563354)
Timeframe: Baseline up Week 52
Intervention | percentage of participants (Number) |
---|
| Week 12 | Week 24 | Week 36 | Week 48 | Week 52 |
---|
Everolimus | 11.1 | 11.1 | 11.1 | 0 | 0 |
,Pasireotide LAR | 20.0 | 5.0 | 5.0 | 5.0 | 5.0 |
,Pasireotide LAR and Everolimus Combination | 10.0 | 20.0 | 5.0 | 5.0 | 10.0 |
[back to top]
Biochemical Response Rate (BRR) for Chromogranin A (CgA) Levels
Percentage of patients showing normalization or a decrease of ≥ 30% of serum CgA concentrations compared to baseline. (NCT01563354)
Timeframe: Baseline up to Week 52
Intervention | percentage of participants (Number) |
---|
| Week 12 | Week 24 | Week 36 | Week 48 | Week 52 |
---|
Everolimus | 7.4 | 7.4 | 3.7 | 0 | 0 |
,Pasireotide LAR | 20.6 | 8.8 | 8.8 | 8.8 | 5.9 |
,Pasireotide LAR and Everolimus Combination | 17.1 | 20.0 | 11.4 | 11.4 | 5.7 |
[back to top]
Kaplan-Meier Estimates of Progression-free Survival (PFS)
Percent (%) event-free probability estimate is the estimated probability that a patient will remain event-free up to the specified time point. Percent event-free probability estimates are obtained from the Kaplan-Meier survival estimates. Events are time from first study drug administration to objective tumor progression or death from any cause according to RECIST v1.1. (NCT01563354)
Timeframe: Baseline, every 3 months up to 69 months
Intervention | event free probability estimates (Number) |
---|
| 3 months | 6 months | 9 months | 12 months | 15 months | 18 months | 21 months | 24 months | 27 months | 30 months | 33 months | 36 months | 39 months | 42 months | 45 months | 48 months | 51 months | 54 months | 57 months | 60 months | 63 months | 66 months | 69 months |
---|
Everolimus | 91.2 | 63.5 | 56.9 | 50.2 | 46.8 | 38.6 | 29.4 | 19.6 | 19.6 | 9.8 | 9.8 | 9.8 | 9.8 | 9.8 | 9.8 | 9.8 | NA | NA | NA | NA | NA | NA | NA |
,Pasireotide LAR | 83.6 | 68.2 | 49.6 | 39.9 | 32.6 | 21.8 | 14.5 | 14.5 | 14.5 | 10.9 | 10.9 | 10.9 | 10.9 | 10.9 | 10.9 | 10.9 | 10.9 | 10.9 | 10.9 | 10.9 | 10.9 | NA | NA |
,Pasireotide LAR and Everolimus Combination | 88.6 | 85.5 | 79.2 | 55.5 | 51.2 | 42.7 | 38.0 | 28.5 | 28.5 | 19.0 | 19.0 | 14.2 | 14.2 | 14.2 | 14.2 | 14.2 | 14.2 | 14.2 | 7.1 | 7.1 | 7.1 | 7.1 | 7.1 |
[back to top]
Kaplan-Meier Event-free Probability Estimate Based on CgA Levels
Kaplan Meier estimates are for Duration of biochemical response (DBR) outcome measure. Events are biochemical progressions i.e. an increase of CgA levels >= 25% compared to baseline or deaths due to any cause. Percent (%) Event-free probability estimate is the estimated probability that a patient will remain event-free up to the specified time point. (NCT01563354)
Timeframe: Baseline, every 3 months up to Month 18
Intervention | event free probability estimates (Number) |
---|
| 3 months | 6 months | 9 months | 12 months | 15 months | 18 months |
---|
Everolimus | 37.5 | NA | NA | NA | NA | NA |
,Pasireotide LAR | 75.0 | 56.3 | 56.3 | 56.3 | 37.5 | 37.5 |
,Pasireotide LAR and Everolimus Combination | 77.8 | 77.8 | 44.4 | 44.4 | 44.4 | 44.4 |
[back to top]
Kaplan-Meier Event-free Probability Estimate for Biochemical Progression-free Survival Based on CgA Levels
Percent (%) Event-free probability estimate is the estimated probability that a patient will remain event-free up to the specified time point. Percent event-free probability estimates are obtained from the Kaplan-Meier survival estimates. Events are biochemical progressions, i.e., an increase of CgA levels >= 25% compared to baseline or deaths due to any cause. (NCT01563354)
Timeframe: Baseline, every 3 months up to Month 24
Intervention | event free probability estimates (Number) |
---|
| 3 months | 6 months | 9 months | 12 months | 15 months | 18 months | 21 months | 24 months |
---|
Everolimus | 35.4 | 17.7 | 11.0 | 7.4 | NA | NA | NA | NA |
,Pasireotide LAR | 43.1 | 29.5 | 18.5 | 18.5 | 18.5 | 13.8 | 13.8 | NA |
,Pasireotide LAR and Everolimus Combination | 77.1 | 44.5 | 29.7 | 26.4 | 18.1 | 18.1 | 18.1 | 18.1 |
[back to top]
Percentage of Participants Progression-free at 9 Months Based on Response Evaluation Criteria In Solid Tumors v1.1 (RECIST v1.1)
"Patients with Complete Response (CR), Partial Response (PR), or Stable Disease (SD) at Month 9 were to be considered as progression-free based on RECIST v1.1. Patients with missing tumor assessment, or with overall lesion response unknown at Month 9 were considered as non progression-free, unless any of the following assessments at Week 48 or Week 52 indicate CR, PR, or SD, in which case the patient was to be considered as progression-free at Month 9. Patients discontinuing the study for any reason prior to the 9 month assessment were to be considered as non progression-free." (NCT01563354)
Timeframe: Baseline up to 9 months
Intervention | percentage of participants (Number) |
---|
| Complete response | Partial response | Stable disease | Progression-free (PF) at Month 9 |
---|
Everolimus | 0 | 2.4 | 31.0 | 33.3 |
,Pasireotide LAR | 0 | 2.4 | 34.1 | 39.0 |
,Pasireotide LAR and Everolimus Combination | 0 | 2.4 | 48.8 | 58.5 |
[back to top]
Percentage of Patients With Mean Urinary Free Cortisol (UFC) ≤ Upper Limit of Normal (ULN)
The 24h-UFC concentration results from three samples during screening were averaged to obtain baseline. After baseline, mean 24h UFC was determined at week 24. At Week 4, 8, 16 and 20, mean 24h UFC was determined from two 24 hour urine collections collected on two consecutive days occurring before the visit. At Week 12, 24 and 48, the mean 24h-UFC from three 24 hour urine collections, collected over the week before the visit, was determined. After Week 24, the mean 24h UFC was determined at 12-week intervals until end of study visit, from two 24 hour collections during two consecutive days prior to each respective visit (except at Week 48). UFC was determined by liquid chromatography tandem mass spectroscopy (LC/MS/MS). The normal ranges were determined by the central laboratory's own reference range. All samples, including screening samples, were analyzed by a central laboratory. (NCT01582061)
Timeframe: Baseline, week 12, 24 and 48
Intervention | percentage of participants (Number) |
---|
| Week 12 | Week 24 | Week 48 | Week 24 (LOCF) | Week 48 (LOCF) |
---|
All Patients | 54.5 | 47.8 | 42.9 | 39.5 | 34.9 |
,Pasireotide 600 μg | 77.8 | 68.2 | 70.0 | 54.1 | 51.4 |
,Pasireotide 900 μg | 38.5 | 29.2 | 18.2 | 28.6 | 22.4 |
[back to top]
Percent Change From Baseline in Growth Hormone (GH) Values
Descriptive summary of the effect of pasireotide on GH. (NCT01582061)
Timeframe: Baseline, week 12, 24 and 48
Intervention | percent change of µg/L (Mean) |
---|
| Week 12 | Week 24 | Week 48 |
---|
All Patients | -19.3 | -24.4 | 9.7 |
,Pasireotide 600 μg | -17.3 | -22.2 | 23.1 |
,Pasireotide 900 μg | -20.90 | -26.2 | -1.0 |
[back to top]
Percent Change From Baseline in Insulin Growth Factor - 1 (IGF - 1) Values
Descriptive summary of the effect of pasireotide on IGF-1 (NCT01582061)
Timeframe: Baseline, week 12, 24 and 48
Intervention | percent change of ng/ml (Mean) |
---|
| Week 12 | Week 24 | Week 48 |
---|
All Patients | -55.9 | -53.1 | -47.6 |
,Pasireotide 600 μg | -53.4 | -49.2 | -41.8 |
,Pasireotide 900 μg | -57.8 | -56.2 | -52.1 |
[back to top]
Percent Change in Cushing Quality of Life and Work Productivity and Activity Impairment-General Health (WPAI-GH) Scores
"A 12-item Cushing's syndrome HRQoL questionnaire (CushingQoL, cf. Webb et al 2008) was implemented and patients who completed 9 or more items at a visit were considered evaluable for that visit. The standardized scores were calculated as follows: 1) Obtain raw scores, denoted by X, as the sum of all the ratings on all the HRQoL questions for a single patient and the score can range from 12 (worst HRQoL) to 60 points (best HRQoL). Therefore, the lower the score, greater the negative impact on HRQoL and 2) obtain standardized score, Y, for a single patient~• Y = 100 (X-12) / (60-12) = 100 (X-12)/48. For example, if a patient answers all 12 items with 'Sometimes' or 'Somewhat', X = 36 and Y = 100 ∙ 24/48 = 50 The WPAI-GH questionnaire was used to assess work productivity and activity impairment. However, there was very limited baseline data and therefore the results and outcomes of the objective, 'change from baseline in WPAI-GH scores' are not included." (NCT01582061)
Timeframe: Baseline, week 12, 24 and 48
Intervention | percent change in score (Mean) |
---|
| Week 12 | Week 24 | Week 48 |
---|
All Patients | 67.1 | 82.3 | 34.4 |
,Pasireotide 600 μg | 21.3 | 36.7 | 24.0 |
,Pasireotide 900 μg | 100.8 | 119.7 | 42.3 |
[back to top]
Percent Change in Cushing's Disease Clinical Signs and Symptoms - Blood Pressure (BP)
Standing systolic and diastolic BP based on 1 assessment and sitting systolic and diastolic BP was mean of 3 assessments. (NCT01582061)
Timeframe: Baseline, week 12, 24 and 48
Intervention | percent change of mmhg (Mean) |
---|
| Sitting systolic Week 12 | Sitting systolic Week 24 | Sitting systolic Week 48 | Standing systolic Week 12 | Standing systolic Week 24 | Standing systolic Week 48 | Sitting diastolic Week 12 | Sitting diastolic Week 24 | Sitting diastolic Week 48 | Standing diastolic Week 12 | Standing diastolic Week 24 | Standing diastolic Week 48 |
---|
All Patients | -3.8 | -6.5 | -4.9 | -5.5 | -8.6 | -5.3 | -2.1 | -4.9 | -3.8 | -3.5 | -6.3 | -3.4 |
,Pasireotide 600 μg | -6.8 | -7.4 | -5.1 | -7.9 | -10.9 | -6.5 | -4.6 | -6.2 | -3.3 | -5.5 | -7.6 | -2.1 |
,Pasireotide 900 μg | -1.4 | -5.7 | -4.7 | -3.6 | -6.7 | -4.4 | -0.2 | -3.8 | -4.3 | -1.9 | -5.3 | -4.4 |
[back to top]
Percent Change in Cushing's Disease Clinical Signs and Symptoms - Body Mass Index (BMI)
Percent change in patients reducing by at least one class level. Class levels: <25.0, 25.0 to <30.0, ≥ 30.0. Percent change from baseline (BL) =((Post BL value - BL value)/ BL value)*100 (NCT01582061)
Timeframe: Baseline, week 12, 24 and 48
Intervention | percent change in kg/m2 (Mean) |
---|
| Week 12 | Week 24 | Week 48 |
---|
All Patients | -4.5 | -6.1 | -7.0 |
,Pasireotide 600 μg | -4.2 | -7.3 | -8.0 |
,Pasireotide 900 μg | -4.8 | -5.2 | -6.3 |
[back to top]
Percent Change in Cushing's Disease Clinical Signs and Symptoms - Hirsutism
Change from baseline is shown as: Percent change from baseline (BL) =((Post BL value - BL value)/ BL value)*100. Ferriman-Gallway scoring was used: 0=minimum and 36 was maximum in females only. (NCT01582061)
Timeframe: Baseline, week 12, 24 and 48
Intervention | percent change in scores (Mean) |
---|
| Week 12 | Week 24 | Week 48 |
---|
All Patients | -10.0 | 18.4 | -2.2 |
,Pasireotide 600 μg | -12.2 | -21.2 | -18.2 |
,Pasireotide 900 μg | -8.2 | -16.2 | 9.6 |
[back to top]
Percent Change in Cushing's Disease Clinical Signs and Symptoms - Muscle Strength
Direct observation of ability to stand unaided: 0=able to stand easily with arms extended, 1=able to stand after several efforts without using arms as assistance, 2=able to stand only by using arms as assistance 3=completely unable to stand (NCT01582061)
Timeframe: Baseline, week 12, 24 and 48
Intervention | percent change in scores (Mean) |
---|
| Week 12 | Week 24 | Week 48 |
---|
All Patients | -42.4 | -38.1 | -50.0 |
,Pasireotide 600 μg | -34.6 | -28.6 | -30.0 |
,Pasireotide 900 μg | -53.7 | -47.6 | -75.0 |
[back to top]
Percent Change in Cushing's Disease Clinical Signs and Symptoms - Pulse
Change from baseline is shown as: Percent change from baseline (BL) =((Post BL value - BL value)/ BL value)*100 (NCT01582061)
Timeframe: Baseline, week 12, 24 and 48
Intervention | percent change in bpm (Mean) |
---|
| Sitting pulse Week 12 | Sitting pulse Week 24 | Sitting pulse Week 48 |
---|
All Patients | -3.2 | -2.2 | 3.3 |
,Pasireotide 600 μg | 2.3 | -1.8 | 2.9 |
,Pasireotide 900 μg | -7.5 | -2.6 | 3.7 |
[back to top]
Percent Change in Cushing's Disease Clinical Signs and Symptoms - Temperature
degrees celius (NCT01582061)
Timeframe: Baseline week 12, 24 and 48
Intervention | percent change in celius (Mean) |
---|
| Week 12 | Week 24 | Week 48 |
---|
600 µg Bid - All Grades | 0.1 | -0.1 | 0.03 |
,900 μg - All Grades | -0.3 | -0.1 | -0.1 |
,All Patients - All Grades | -0.1 | -0.1 | 0.1 |
[back to top]
Percent Change in Cushing's Disease Clinical Signs and Symptoms - Waist Circumference
Clinically relevant threshold (at any time point). Reduction of ≥ 5%, Reduction of ≥ 10% (NCT01582061)
Timeframe: Baseline, week 12, 24 and 48
Intervention | percent change of centimeters (Mean) |
---|
| Week 12 | Week 24 | Week 48 |
---|
All Patients | -2.5 | -4.4 | -4.6 |
,Pasireotide 600 μg | -2.0 | -5.8 | -5.1 |
,Pasireotide 900 μg | -2.9 | -3.1 | -4.1 |
[back to top]
Percent Change in Cushing's Disease Clinical Signs and Symptoms - Weight
Clinically relevant threshold (at any time point) was reduction of ≥ 5% (NCT01582061)
Timeframe: Baseline, week 12, 24 and 48
Intervention | percent change in kg (Mean) |
---|
| Week 12 | Week 24 | Week 48 |
---|
All Patients | -4.5 | -6.1 | -7.0 |
,Pasireotide 600 μg | -4.2 | -7.3 | -8.0 |
,Pasireotide 900 μg | -4.8 | -5.2 | -6.3 |
[back to top]
Percentage of Patients Achieving a Reduction of Mean UFC ≥ 50% From Baseline
The 24h-UFC concentration results from three samples during screening were averaged to obtain baseline. After baseline, mean 24h UFC was determined at week 24. At Week 4, 8, 16 and 20, mean 24h UFC was determined from two 24 hour urine collections collected on two consecutive days occurring before the visit. At Week 12, 24 and 48, the mean 24h-UFC from three 24 hour urine collections, collected over the week before the visit, was determined. After Week 24, the mean 24h UFC was determined at 12-week intervals until end of study visit, from two 24 hour collections during two consecutive days prior to each respective visit (except at Week 48). UFC was determined by liquid chromatography tandem mass spectroscopy (LC/MS/MS). The normal ranges were determined by the central laboratory's own reference range. All samples, including screening samples, were analyzed by a central laboratory. (NCT01582061)
Timeframe: Baseline, week 12, 24 and 48
Intervention | percentage of participants (Number) |
---|
| Week 12 | Week 24 | Week 48 | Week 24 (LOCF) | Week 48 (LOCF) |
---|
All Patients | 59.1 | 50.00 | 57.1 | 46.5 | 46.5 |
,Pasireotide 600 μg | 74.1 | 68.2 | 60.0 | 56.8 | 51.4 |
,Pasireotide 900 μg | 48.7 | 33.3 | 54.5 | 38.8 | 42.9 |
[back to top]
[back to top]
Tumor Volume Changes for NFPA and Prolactin Level Changes for Prolactinoma
Magnetic resonance imaging (MRI) of the sella and prolactin will be performed before (baseline) and after 6 months of treatment with cabergoline or pasireotide. Disease progression will be defined as tumor growth > 25%, stable disease as changes < 25% and significant tumor shrinkage as > 25% in tumor volume compared to baseline MRI (baseline to six months). (NCT01620138)
Timeframe: Baseline to six months
Intervention | cmˆ3 (Median) |
---|
Pasireotide | 3.8 |
Cabergoline | 29.35 |
[back to top]
Insulin Levels During OGTT
Absolute insulin levels at the end of M3, M6, M12 (NCT01637272)
Timeframe: M3, M6, M12
Intervention | pmol/L (Mean) |
---|
| Pre-OGTT (n= 31, 29, 21) | 30 Minutes (n=30, 29, 23) | 60 Minutes (n= 31, 30, 22) | 90 Minutes (n=31, 30, 22) | 120 Minutes(n=32, 30, 22) | 150 Minutes(n=33, 30, 22) | 180 Minutes (n=32, 29, 22) |
---|
SOM230 - 12 Months (Ext) | 29.0 | 294.1 | 602.1 | 472.0 | 195.1 | 76.0 | 52.0 |
,SOM230 - 3 Months (sc) | 37.0 | 196.3 | 367.5 | 309.1 | 183.7 | 103.2 | 58.5 |
,SOM230 - 6 Months (LAR) | 34.7 | 499.8 | 573.2 | 420.4 | 205.7 | 102.8 | 69.1 |
[back to top]
Pasireotide Concentrations in LAR Phase
Summary of pasireotide concentrations following monthly i.m. injections of pasireotide LAR by incident dose (LAR Pharmacokinetic set) (NCT01637272)
Timeframe: M7 to M12
Intervention | ng/mL (Mean) |
---|
| M7 - 0hr (pre-dose) (n = 4, 11, 11, 0, 0) | M8 - 0hr (pre-dose) (n = 5, 7, 11, 0, 0) | M9 - 0hr (pre-dose) (n = 5, 6, 9, 6, 0) | M10 - 0hr (pre-dose) (n = 5, 6, 8, 5, 0) | M11 - 0hr (pre-dose) (n = 5, 4, 8, 4, 3) | M12 - 0hr (pre-dose) (n = 5, 3, 8, 4, 3) |
---|
SOM LAR 10mg | 2.25 | 2.91 | 2.97 | 3.53 | 3.45 | 3.27 |
,SOM LAR 20mg | 4.3 | 3.77 | 4.01 | 5.48 | 3.48 | 4.63 |
,SOM LAR 30mg | 7.76 | 6.5 | 6.38 | 8.38 | 7.99 | 10.3 |
,SOM LAR 40mg | NA | NA | 7.53 | 11.8 | 6.53 | 6.55 |
,SOM LAR 60mg | NA | NA | NA | NA | 17.9 | 18.1 |
[back to top]
Plasma Pharmacokinetic (PK) Parameter of Pasireotide: Cmax, ss (Steady State) and Ctrough, ss, After s.c. Injection
A pre-dose PK blood sample was collected before the morning pasireotide s.c. dose of 50 μg, 100 ug, 150 ug and 200 ug. OGTT was performed right after the morning s.c. dose (Time point zero); additional PK blood samples were collected at the same time points as the OGTT evaluation at 30, 60, 90, 120, 150 and 180 minutes. 'n' = number of subjects with non-missing values (NCT01637272)
Timeframe: M1 to M3
Intervention | ng/mL (Mean) |
---|
| Cmax, ss (n=35, 28, 18, 10) | Ctrough, ss (n=37, 30, 22, 12) |
---|
SOM sc 100 ug t.i.d. | 3.31 | 1.11 |
,SOM sc 150 ug t.i.d. | 4.56 | 1.5 |
,SOM sc 200 ug t.i.d. | 5.62 | 2.03 |
,SOM sc 50 ug t.i.d. | 1.49 | 0.574 |
[back to top]
Plasma PK Parameter of AUC0-3h, d21, End _inj and AUC0-3h, d28, 3rd_inj Associated With LAR (LAR Core Phase)
(NCT01637272)
Timeframe: M4 to M6
Intervention | hr*ng/mL (Mean) |
---|
| AUC0-3h,d21, 2nd injection (n = 12, 14) | AUC0-3h,d28, 3rd_injection (n = 9, 16) |
---|
SOM LAR 10mg | 6.92 | 5.97 |
,SOM LAR 20mg | 14.9 | 9.3 |
[back to top]
Response Rate in Hematocrit Levels
Percentage of patients with change in hematocrit >= 3% from pre-OGTT to 30 minutes post OGTT. (NCT01637272)
Timeframe: M3, M6, M12
Intervention | Percentage of participants (Number) |
---|
| hematocrit >= 3% at baseline | hematocrit >= 3% at post baseline |
---|
SOM230 - 12 Months (Ext) | 21.2 | 24.2 |
,SOM230 - 3 Months (sc) | 27.9 | 16.3 |
,SOM230 - 6 Months (LAR) | 21.2 | 27.3 |
[back to top]
Response Rate in Pulse Rate
Pulse rate was defined as percentage of patients with change in pulse rate >=10 bpm from pre-OGTT to 30 minutes post OGTT. (NCT01637272)
Timeframe: at baseline, M3, M6, M12
Intervention | Percentage of participants (Number) |
---|
| rate ≥ 10 bpm at baseline | rate ≥ 10 bpm at post-baseline |
---|
SOM230 - 12 Months (Ext) | 24.2 | 27.3 |
,SOM230 - 3 Months (sc) | 60.5 | 18.6 |
,SOM230 - 6 Months (LAR) | 24.2 | 36.4 |
[back to top]
Summary of LAR PK Parameters by Dose
Summary of plasma PK parameter Cmax, p2 , 2nd injection and Ctrough, d28 associated with LAR injection (LAR Core phase) (NCT01637272)
Timeframe: M4 to M6
Intervention | ng/mL (Mean) |
---|
| Cmax, p2, 2nd_inj (n = 10, 13) | Ctrough (n= 14, 19) |
---|
SOM LAR 10mg | 3.2 | 2.29 |
,SOM LAR 20mg | 6.2 | 3.33 |
[back to top]
LAR PK Parameter: Ctrough - at Steady State (ss) by Dose
In the LAR treatment phase, monthly injections of pasireotide LAR 10, 20, 30 and 40 mg were given to participants and trough concentration at steady state (Ctrough,ss) were obtained but due to only 1 participant in the 40mg arm, standard deviation could not be calculated. (NCT01637272)
Timeframe: M4 to M12
Intervention | ng/mL (Mean) |
---|
SOM LAR 10mg | 3.34 |
SOM LAR 20mg | 3.76 |
SOM LAR 30mg | 8.19 |
SOM LAR 40mg | 4.63 |
[back to top]
Patient Global Assessment at the End of Months 3, 6 and 12
"Treatment with pasireotide LAR (both early and late dumping scores), was assessed by patient global assessment. Patient Global Assessment served as an additional approach to symptom based measurement by DSQ. It incorporated a patient global assessment question: Considering all the ways that your disease affects you, rate how you are feeling during the last 7 days compared with your situation before starting the study .Patients Global Assessment was measured utilizing a 7 point scale (from 1=a lot worse to 7= a lot better)." (NCT01637272)
Timeframe: M3, M6, M12
Intervention | scores on a scale (Mean) |
---|
SOM230 - 3 Months (sc) | 5.1 |
SOM230 - 6 Months (LAR) | 5.1 |
SOM230 - 12 Months (Ext) | 5.9 |
[back to top]
Plasma Pharmacokinetic (PK) Parameter of Pasireotide: AUC0-3h, ss, After s.c. Injection
A pre-dose PK blood sample was collected before the morning pasireotide s.c. dose of 50 μg, 100 ug, 150 ug and 200 ug. OGTT was performed right after the morning s.c. dose (Time point zero); additional PK blood samples were collected at the same time points as the OGTT evaluation at 30, 60, 90, 120, 150 and 180 minutes. (NCT01637272)
Timeframe: M1 to M3
Intervention | hr*ng/mL (Mean) |
---|
SOM sc 50 ug t.i.d. | 3.04 |
SOM sc 100 ug t.i.d. | 6.53 |
SOM sc 150 ug t.i.d. | 8.84 |
SOM sc 200 ug t.i.d. | 11.5 |
[back to top]
Plasma Pharmacokinetic (PK) Parameter of Pasireotide: Tmax, ss, After s.c. Injection
A pre-dose PK blood sample was collected before the morning pasireotide s.c. dose of 50 μg, 100 ug, 150 ug and 200 ug. OGTT was performed right after the morning s.c. dose (Time point zero); additional PK blood samples were collected at the same time points as the OGTT evaluation at 30, 60, 90, 120, 150 and 180 minutes. (NCT01637272)
Timeframe: M1 to M3
Intervention | hr (Median) |
---|
SOM sc 50 ug t.i.d. | 0.583 |
SOM sc 100 ug t.i.d. | 0.6 |
SOM sc 150 ug t.i.d. | 0.583 |
SOM sc 200 ug t.i.d. | 0.633 |
[back to top]
Response Rate in Plasma Glucose Level
Response rate is defined as percentage of patients with no glucose values < 60 mg/dL at 90,120, 150 and 180 min during the Oral Glucose Tolerance Test (OGTT) at the end of 6 months (end of LAR/Core phase) and at the end of 12 months (extension phase) (NCT01637272)
Timeframe: at Month 6 (M6), Month 12 (M12)
Intervention | percentage of participants (Number) |
---|
SOM230- 6 Months (LAR) | 36.4 |
SOM230 - 12 Months (Ext) | 39.4 |
[back to top]
Response Rate in Plasma Glucose Level
Response rate is defined as percentage of patients with no glucose values < 60 mg/dL at 90,120, 150 and 180 min during the Oral Glucose Tolerance Test (OGTT) at the end of s.c. dose escalation phase (NCT01637272)
Timeframe: at Month 3 (M3)
Intervention | percentage of participants (Number) |
---|
SOM230 - 3 Months (sc) | 60.5 |
[back to top]
Dumping Score Questionnaire (DSQ) at the End of Months 3, 6 and 12
Absolute Dumping Score Questionnaire (DSQ) scores at end of Months 3, 6 & 12 from s.c. baseline. DSQ = disease-specific PRO scale. The questionnaire uses a 5-point Likert scale (0, none; 1, mild; 2, moderate; 3, severe; 4, very severe) to ask Pt. to evaluate intensity of 10 early dumping symptoms (within 30 minutes (<30 minutes) after food ingestion). The questionnaire also evaluates 5 late dumping symptoms (more than 1.5 hours (>90 minutes) after food ingestion). Early & late dumping score calculated by adding the scores of respective questions. A cumulative dumping score is obtained by adding early & late scores. At study start patients were assessed using DSS (older version of DSQ); however after the implementation of protocol amendment 2, all patients used DSQ. DSQ Range: (min (None) - max (Very severe)): Early dumping: 0-40; Late Dumping: 0-20; Cumulative: 0-60. Lower scores represent a better outcome. (NCT01637272)
Timeframe: M3, M6, M12
Intervention | scores on a scale (Mean) |
---|
| Early symptoms (n=15, 20, 23) | Late symptoms (n=15, 20, 23) | Overall score (n=15, 20, 23) |
---|
SOM230 - 12 Months (Ext) | 10.7 | 5.7 | 16.3 |
,SOM230 - 3 Months (sc) | 9.6 | 4.9 | 14.5 |
,SOM230 - 6 Months (LAR) | 9.2 | 5.6 | 14.8 |
[back to top]
Dumping Severity Score (DSS) at the End of Months 3, 6 and 8
Absolute Dumping Severity Score (DSS) scores at end of M3, M6 & M8. At study start patients were assessed using DSS (older version of DSQ); however after the implementation of protocol amendment 2, all patients were expected to use DSQ. No results available for M12 as last patient that answered the DSS was at M8. DSS = disease-specific patient (Pt.) reported outcome (PRO) questionnaire uses a 4-point Likert scale (0, absent; 1, mild; 2, relevant; 3, severe; 4) to ask Pt. to evaluate intensity of early dumping symptoms (within 30 minutes (<30 minutes) after food ingestion). The questionnaire also evaluates 65 late dumping symptoms (more than 1.5 hours (>90 minutes) after food ingestion). Early & late dumping score calculated by adding the scores of the respective questions. Cumulative dumping score is obtained by adding early & late scores. DSS Range (min (absent) - max (severe)): Early dumping: 0-24; Late Dumping: 0-18; Cumulative: 0-42. Lower scores represent a better outcome. (NCT01637272)
Timeframe: M3, M6, M8
Intervention | scores on a scale (Mean) |
---|
| Early symptoms (n=20, 9, 2) | Late symptoms (n=20, 9, 2) | Overall score (n=20, 9, 2) |
---|
SOM230 - 3 Months (sc) | 7.1 | 6.7 | 13.7 |
,SOM230 - 6 Months (LAR) | 6.8 | 6.4 | 13.2 |
,SOM230 - 8 Months (Ext) | 9.0 | 6.0 | 15.0 |
[back to top]
Gastric Inhibitory Polypeptide (GIP) Levels at During OGTT
Absolute Gastric Inhibitory Polypeptide (GIP) levels at the end of Months 3, 6 and 12 at different time points. (NCT01637272)
Timeframe: M3, M6, M12
Intervention | pmol/L (Mean) |
---|
| Pre-OGTT (n=31, 29, 23) | 30 Minutes (n=32, 29, 22) | 60 Minutes (n= 32, 30, 22) | 90 Minutes(n=31, 29, 22) | 120 Minutes (n=31, 29, 22) | 150 Minutes (n=30, 29, 22) | 180 Minutes (n=31, 29, 22) |
---|
SOM230 - 12 Months (Ext) | 1.7 | 24.8 | 11.6 | 5.2 | 3.0 | 1.9 | 2.5 |
,SOM230 - 3 Months (sc) | 2.608 | 15.704 | 9.471 | 4.141 | 2.089 | 1.376 | 1.260 |
,SOM230 - 6 Months (LAR) | 1.5 | 30.3 | 14.3 | 6.5 | 2.4 | 2.1 | 3.8 |
[back to top]
Glucagon Levels During OGTT
Absolute glucagon levels at the end of Months 3, 6 & 12 (NCT01637272)
Timeframe: M3, M6, M12
Intervention | pmol/L (Mean) |
---|
| Pre-OGTT (n= 31, 30, 23) | 30 Minutes (n= 33, 29, 22) | 60 Minutes (n= 33, 28, 22) | 90 Minutes (n= 32, 29, 22) | 120 Minutes (n= 32, 29, 22) | 150 Minutes (n= 32 28, 22) | 180 Minutes (n= 32, 29, 22) |
---|
SOM230 - 12 Months (Ext) | 21.4 | 23.8 | 22.9 | 21.5 | 22.0 | 21.8 | 22.3 |
,SOM230 - 3 Months (sc) | 20.70 | 20.64 | 20.80 | 20.07 | 19.73 | 19.94 | 20.16 |
,SOM230 - 6 Months (LAR) | 22.6 | 25.8 | 23.7 | 22.7 | 23.1 | 23.7 | 22.7 |
[back to top]
Glucagon-like Peptide 1 (GLP-1) Levels During OGTT
Absolute Glucagon-like peptide 1 (GLP-1) levels at the end of at the end of Months 3, 6 and 12 at different time points. (NCT01637272)
Timeframe: M3, M6, M12
Intervention | pmol/L (Mean) |
---|
| Pre-OGTT (n=31, 29, 23) | 30 Minutes(n=32, 29, 22) | 60 Minutes (n= 32, 30, 22) | 90 Minutes (n=31, 29, 22) | 120 Minutes (n=31, 29, 22) | 150 Minutes(n=31, 29, 22) | 180 Minutes (n=31, 29, 22) |
---|
SOM230 - 12 Months (Ext) | 1.6 | 17.4 | 12.6 | 7.2 | 5.0 | 3.7 | 3.2 |
,SOM230 - 3 Months (sc) | 3.021 | 12.811 | 11.208 | 6.986 | 5.003 | 3.565 | 2.974 |
,SOM230 - 6 Months (LAR) | 2.1 | 21.0 | 14.6 | 8.2 | 5.2 | 4.2 | 3.3 |
[back to top]
[back to top]
Overall Response Rate (ORR)
Proportion of patients achieving Complete Response and Partial Response (CR+PR) to protocol therapy per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) for target lesions and assessed by MRI or CT Scan. CR is defined as disappearance of all target lesions; PR is defined as at least a 30% decrease in the sum of the longest diameter (LD) of target lesions, taking as reference the baseline sum LD. (NCT01639352)
Timeframe: Up to 2 Years
Intervention | Participants (Count of Participants) |
---|
| Complete Response (CR) | Partial Response (PR) |
---|
SOM230 | 0 | 0 |
[back to top]
Disease Control Rate (DCR)
The disease-control rate (DCR) is defined as the proportion of participants achieving a best overall response of complete response (CR), partial response or stable disease (SD) per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.1) for target lesions assessed by MRI or CT Scan, and that is maintained for at least 8 weeks. CR is defined as disappearance of all target lesions; PR is defined as at least a 30% decrease in the sum of the longest diameter (LD) of target lesions, taking as reference the baseline sum LD; and SD is defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum LD since the treatment started. (NCT01639352)
Timeframe: At least 2 cycles, about 8 weeks
Intervention | Participants (Count of Participants) |
---|
| Complete Response (CR) | Partial Response (PR) | Stable Disease (SD) |
---|
SOM230 | 0 | 0 | 9 |
[back to top]
Toxicity Profile of Protocol Therapy
Number of patients experiencing adverse events and/or toxicities while receiving protocol therapy. (NCT01639352)
Timeframe: Up to 2 Years
Intervention | Participants (Count of Participants) |
---|
SOM230 | 20 |
[back to top]
Rate of Progression-Free Survival (PFS):
Rate of Progression-Free Survival (PFS). PFS will be measured from the date of enrollment to the earliest date of documented disease progression or death from any cause, whichever is earlier. Progression is defined according to RECIST v 1.1 criteria as an at least a 20% increase in the sum of the LD of target lesions, taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions and/or unequivocal progression of existing non-target lesions. For patients who remain alive without progression, follow up time will be censored at the date of last disease assessment. (NCT01639352)
Timeframe: From Enrollment Until Study Completion, Approximately 3 Years
Intervention | months (Median) |
---|
SOM230 | 3 |
[back to top]
Rate of Overall Survival (OS)
Rate of Overall Survival (OS) in participants receiving protocol therapy. OS will be measured from the date of enrollment to the date of death or last contact. (NCT01639352)
Timeframe: From Enrollment Until Study Completion, Approximately 3 Years
Intervention | months (Median) |
---|
SOM230 | 9 |
[back to top]
Percentage Change in Estimated Glomerular Filtration Rate (eGFR)
eGFR was measured using the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equation. This value at baseline and 12 months was used to calculate the percentage change by [12 month value-baseline value)/baseline value]*100 (NCT01670110)
Timeframe: Baseline, 12 months
Intervention | percentage of change (Mean) |
---|
Pasireotide LAR (SOM230) | -0.3 |
Placebo Injection | -2.2 |
[back to top]
Percent Change in Blood Glucose
Blood glucose (mg/dLb) level at baseline and 12 months was used to calculate the percentage change by [12 month value-baseline value)/baseline value]*100 (NCT01670110)
Timeframe: Baseline, 12 months
Intervention | percentage of change (Mean) |
---|
Pasireotide LAR (SOM230) | 39 |
Placebo Injection | 2.2 |
[back to top]
Change in Kidney Volume
Percent change was calculated for kidney volumes using the equation=[(12 month value-baseline value)/baseline value]*100*12/12 month (NCT01670110)
Timeframe: baseline to 12 months
Intervention | percentage of change (Mean) |
---|
Pasireotide LAR (SOM230) | -1.37 |
Placebo Injection | 3.85 |
[back to top]
Change in Quality of Life
Measured using the SF-36 health survey, which consist of eight subscales each scored on a range of 0 to 100 (0=worst imaginable, 100=best imaginable). Change calculated from baseline = 12 month value-baseline value (NCT01670110)
Timeframe: Baseline, 12 months
Intervention | units on a scale (Mean) |
---|
| Physical functioning | Physical role | Bodily pain | General health | Vitality | Social functioning | Role emotional | Mental health |
---|
Pasireotide LAR (SOM230) | 4.7 | 7.9 | 5.5 | -6.2 | 4.5 | 0.0 | 0.0 | 1.5 |
,Placebo Injection | -1 | -3 | 7 | 2 | -2 | -3 | 11 | -1.8 |
[back to top]
Percentage Change in Serum Creatinine
Serum creatinine level at baseline and 12 months was used to calculate the percentage change by [12 month value-baseline value)/baseline value]*100 (NCT01670110)
Timeframe: Baseline, 12 months
Intervention | percentage of change (Mean) |
---|
Pasireotide LAR (SOM230) | 1.8 |
Placebo Injection | 3.4 |
[back to top]
Change in Liver Volume
Percent change was calculated for liver volumes using the equation=[(12 month value-baseline value)/baseline value]*100*12/12 month (NCT01670110)
Timeframe: baseline , 12 month
Intervention | percentage of change (Mean) |
---|
Pasireotide LAR (SOM230) | -3.36 |
Placebo Injection | 6.29 |
[back to top]
Percentage Change in Hemoglobin A1C
Hemoglobin A1C level at baseline and 12 months was used to calculate the percentage change by [12 month value-baseline value)/baseline value]*100 (NCT01670110)
Timeframe: Baseline, 12 months
Intervention | percentage of change (Mean) |
---|
Pasireotide LAR (SOM230) | 18 |
Placebo Injection | 1.6 |
[back to top]
Percentage Change in Heart Rate
Heart rate, measured in beats per minute (BPM), at baseline and 12 months was used to calculate the percentage change by [12 month value-baseline value)/baseline value]*100 (NCT01670110)
Timeframe: Baseline, 12 months
Intervention | percentage of change (Mean) |
---|
Pasireotide LAR (SOM230) | -0.15 |
Placebo Injection | -0.1 |
[back to top]
Percentage of Overall Participants With the Reduction of Mean GH Levels to <2.5 ug/L by Visit (Extension Phase)
Percentage of participants with a reduction of mean GH levels to < 2.5µg/L at 18 and 24 months of study treatment (NCT01673646)
Timeframe: Months 18, 24
Intervention | Percentage of participants (Number) |
---|
| Month 18 | Month 24 |
---|
Pasireotide LAR - All Participants | 41.7 | 60.9 |
[back to top]
Summary of Pasireotide LAR PK Parameter of Accumulation Ratio Randomized Dose Level
The accumulation ratio was calculated as a ratio of (Ctrough day28, 3rd injection/Ctrough day28, 1st injection). (NCT01673646)
Timeframe: Day 28 after injections 1 and 3
Intervention | ratio (Mean) |
---|
Pasireotide LAR 20mg | 1.33 |
Pasireotide LAR 40mg | 1.85 |
Pasireotide LAR 60mg | 1.64 |
[back to top]
Response Rate at Month 3 by Randomized Dose Level
Percentage of participants with a reduction of mean GH levels to < 2.5 µg/L and the normalization of IGF-1 to within normal limits (age and sex related) at 3 months in each starting dose. (NCT01673646)
Timeframe: Month 3
Intervention | Percentage of participants (Number) |
---|
Pasireotide LAR 20mg | 9.1 |
Pasireotide LAR 40mg | 36.4 |
Pasireotide LAR 60mg | 9.1 |
[back to top]
IGF-1 Response at Month 3 by Randomized Dose
Percentage of participants with the normalization of IGF-1 to within normal limits (age and sex related) at 3 months. (NCT01673646)
Timeframe: Month 3
Intervention | Percentage of participants (Number) |
---|
Pasireotide LAR 20mg | 18.2 |
Pasireotide LAR 40mg | 45.5 |
Pasireotide LAR 60mg | 9.1 |
[back to top]
GH Response at Month 3 by Randomized Dose
Percentage of participants with a reduction of mean GH levels to < 2.5 µg/L at 3 months. (NCT01673646)
Timeframe: Month 3
Intervention | Percentage of participants (Number) |
---|
Pasireotide LAR 20mg | 27.3 |
Pasireotide LAR 40mg | 45.5 |
Pasireotide LAR 60mg | 18.2 |
[back to top]
Percentage of Overall Participants With the Reduction of GH Levels to <2.5 ug/L by Visit (Core Phase)
This refers to the percentage of participants with a reduction of growth hormone (GH) response rates to <2.5 ug/L over time. (NCT01673646)
Timeframe: Months 3, 6, 9, 12
Intervention | Percenage of participants (Number) |
---|
| Month 3 | Month 6 | Month 9 | Month 12 |
---|
Pasireotide LAR - All Participants | 30.3 | 33.3 | 30.3 | 36.4 |
[back to top]
Percentage of Overall Participants With the Normalization of IGF-1 by Visit (Extension Phase)
Percentage of participants with the normalization of IGF-1 to within normal limits (age and sex related) at 18 and 24 months of study. treatment (NCT01673646)
Timeframe: Months 18, 24
Intervention | Percentage of participants (Number) |
---|
| Month 18 | Month 24 |
---|
Pasireotide LAR - All Participants | 16.7 | 30.4 |
[back to top]
Percentage of Overall Participants With the Normalization of IGF-1 by Visit (Core Phase)
This refers to the percentage of participants with the normalization of insulin-like growth factor-1 (IGF-1) to within normal limits by visit. (NCT01673646)
Timeframe: Months 3, 6, 9, 12
Intervention | Percentage of participants (Number) |
---|
| Month 3 | Month 6 | Month 9 | Month 12 |
---|
Pasireotide LAR - All Participants | 24.2 | 33.3 | 39.4 | 27.3 |
[back to top]
Number of Participants With Acromegaly Symptoms or Pituitary Gigantism (Core Phase)
Number of participants with a change of clinical signs from baseline (BL): headache (HA), fatigue (FA), perspiration (PE), paresthesias (PA), osteoarthralgia (OS) (NCT01673646)
Timeframe: 12 Months (Core phase)
Intervention | Participants (Count of Participants) |
---|
| HA @ BL: non/absent | HA @ BL: mild | HA @ BL: moderate | HA @ BL: severe | HA @ BL: very severe | HA @ BL: total (all categories) | HA @ most extreme post-BL: total non/absent | HA @ most extreme post-BL: total mild | HA @ most extreme post-BL: total moderate | HA @ most extreme post-BL: total severe | HA @ most extreme post-BL: total very severe | HA @ most extreme post-BL: total (all categories) | FA @ BL: non/absent | FA @ BL: mild | FA @ BL: moderate | FA @ BL: severe | FA @ BL: very severe | FA @ BL: total (all categories) | FA @ most extreme post-BL: total non/absent | FA @ most extreme post-BL: total mild | FA @ most extreme post-BL: total moderate | FA @ most extreme post-BL: total severe | FA @ most extreme post-BL: total very severe | FA @ most extreme post-BL: total (all categories) | PE @ BL: non/absent | PE @ BL: mild | PE @ BL: moderate | PE @ BL: severe | PE @ BL: very severe | PE @ BL: total (all categories) | PE @ most extreme post-BL: total non/absent | PE @ most extreme post-BL: total mild | PE @ most extreme post-BL: total moderate | PE @ most extreme post-BL: total severe | PE @ most extreme post-BL: total very severe | PE @ most extreme post-BL: total (all categories) | OS @ BL: non/absent | OS @ BL: mild | OS @ BL: moderate | OS @ BL: severe | OS @ BL: very severe | OS @ BL: total (all categories) | OS @ most extreme post-BL: total non/absent | OS @ most extreme post-BL: total mild | OS @ most extreme post-BL: total moderate | OS @ most extreme post-BL: total severe | OS @ most extreme post-BL: total very severe | OS @ most extreme post-BL: total (all categories) | PA @ BL: non/absent | PA @ BL: mild | PA @ BL: moderate | PA @ BL: severe | PA @ BL: very severe | PA @ BL: total (all categories) | PA @ most extreme post-BL: total non/absent | PA @ most extreme post-BL: total mild | PA @ most extreme post-BL: total moderate | PA @ most extreme post-BL: total severe | PA @ most extreme post-BL: total very severe | PA @ most extreme post-BL: total (all categories) |
---|
Pasireotide LAR 20mg | 9 | 1 | 1 | 0 | 0 | 11 | 8 | 3 | 0 | 0 | 0 | 11 | 7 | 3 | 1 | 0 | 0 | 11 | 4 | 4 | 3 | 0 | 0 | 11 | 6 | 5 | 0 | 0 | 0 | 11 | 5 | 5 | 1 | 0 | 0 | 11 | 9 | 1 | 1 | 0 | 0 | 11 | 8 | 1 | 2 | 0 | 0 | 11 | 9 | 2 | 0 | 0 | 0 | 11 | 7 | 4 | 0 | 0 | 0 | 11 |
,Pasireotide LAR 40mg | 6 | 4 | 0 | 0 | 1 | 11 | 8 | 2 | 0 | 1 | 0 | 11 | 5 | 3 | 2 | 1 | 0 | 11 | 3 | 5 | 3 | 0 | 0 | 11 | 6 | 3 | 2 | 0 | 0 | 11 | 7 | 2 | 1 | 1 | 0 | 11 | 5 | 1 | 2 | 2 | 1 | 11 | 5 | 2 | 2 | 1 | 1 | 11 | 11 | 0 | 0 | 0 | 0 | 11 | 9 | 1 | 1 | 0 | 0 | 11 |
,Pasireotide LAR 60mg | 10 | 0 | 0 | 1 | 0 | 11 | 7 | 3 | 1 | 0 | 0 | 11 | 6 | 2 | 3 | 0 | 0 | 11 | 5 | 4 | 1 | 1 | 0 | 11 | 3 | 6 | 2 | 0 | 0 | 11 | 7 | 3 | 0 | 1 | 0 | 11 | 7 | 3 | 1 | 0 | 0 | 11 | 6 | 3 | 1 | 1 | 0 | 11 | 9 | 1 | 1 | 0 | 0 | 11 | 9 | 1 | 1 | 0 | 0 | 11 |
[back to top]
Change of Tumor Volume From Baseline
This shows the change in tumor volume from baseline to month 6 and from baseline to month 12 in patients treated with pasireotide LAR. (NCT01673646)
Timeframe: Baseline, Months 6 , 12
Intervention | mm^3 (Median) |
---|
| Change from baseline @ Month 6 | Change from baseline @ Month 12 |
---|
Pasireotide LAR - All Participants | -21.0 | -1.00 |
[back to top]
Change in Ring Size From Baseline
Change of clinical signs from baseline: ring size. In Japan, ring sizes are specified using a numerical scale, that only has whole sizes, and does not have simple linear correlation with diameter or circumference. Only numbers are used ranging from 1 to 27. For instance, a ring size of 1 in Japan is equivalent to an inside circumference ring size of 38.86 mm and a ring size of 27 in Japan is equivalent to an inside circumference ring size of 70.15 mm. (NCT01673646)
Timeframe: Baseline, Months 3, 6, 9, 12
Intervention | other - Japanese ring size number (Median) |
---|
| Month 3 | Month 6 | Month 9 | Month 12 |
---|
Pasireotide LAR - All Participants | -1.00 | -2.00 | -2.00 | -2.00 |
[back to top]
Change in Mean GH Levels From Baseline
This shows the change in mean GH levels from baseline in median GH levels by visit. (NCT01673646)
Timeframe: Baseline, Months 2.75, 3, 6, 9, 12, 18, 24
Intervention | ug/L (Median) |
---|
| Change from baseline @ Month 2.75 | Change from baseline @ Month 3 | Change from baseline @ Month 6 | Change from baseline @ Month 9 | Change from baseline @ Month 12 | Change from baseline @ Month 18 | Change from baseline @ Month 24 |
---|
Pasireotide LAR - All Participants | -7.60 | -5.98 | -7.27 | -8.83 | -8.90 | -15.68 | -16.67 |
[back to top]
Change From Baseline in Prolactin
Change in prolactin levels from baseline (NCT01673646)
Timeframe: Baseline, Months 3, 6, 9, 12
Intervention | pmol/L (Median) |
---|
| Month 3 | Month 6 | Month 9 | Month 12 |
---|
Pasireotide LAR - All Participants | -43.00 | 0.00 | 0.00 | 0.00 |
[back to top]
Summary of Pasireotide LAR PK Parameters of Ctrough & Cmax by Randomized Dose Level
"Ctrough: The trough level concentration on day 28, 3 months post 1st, 2nd and 3rd injections of Pasireotide LAR.~Cmax: The maximum concentration 3 months post the 1st injection and 3rd injection of LAR." (NCT01673646)
Timeframe: Ctrough: Day 28 after each injection 1-3, Cmax: 3 months after injections 1 and 3
Intervention | ng/mL (Mean) |
---|
| Ctrough Day 28, 1st inj | Ctrough Day 28, 2nd inj | Ctrough Day 28, 3rd inj | Cmax, 1st inj | Cmax, 3rd inj |
---|
Pasireotide LAR 20mg | 5.36 | 5.86 | 5.85 | 7.19 | 8.23 |
,Pasireotide LAR 40mg | 8.41 | 10.7 | 12.2 | 10.3 | 17.3 |
,Pasireotide LAR 60mg | 10.8 | 15.0 | 11.1 | 17.0 | 16.2 |
[back to top]
Change From Baseline in Mean GH by Visit and SSA Uncontrolled Status (Extension Phase)
This shows a change of mean GH levels and somatostatin analogues (SSAs) from baseline in extension phase (NCT01673646)
Timeframe: Baselnine, Months 2.75, 3, 6, 9, 12, 18, 24
Intervention | ug/L (Median) |
---|
| Month 2.75 | Month 3 | Month 6 | Month 9 | Month 12 | Month 18 | Month 24 |
---|
Others | -6.62 | -5.04 | -6.35 | -8.72 | -7.29 | -7.70 | -6.80 |
,SSA Uncontrolled | -8.84 | -6.71 | -8.15 | -9.02 | -10.10 | -8.88 | -9.76 |
[back to top]
Total-group Response Rate by Visit (Extension Phase)
Percentage of participants with a reduction of mean GH levels to < 2.5 µg/L and the normalization of IGF-1 to within normal limits (age and sex related) a18 and 24 months of study treatment. (NCT01673646)
Timeframe: Months 18, 24
Intervention | Percentage of participants (Number) |
---|
| Month 18 | Month 24 |
---|
Pasireotide LAR - All Participants | 12.5 | 30.4 |
[back to top]
Total-group Response Rate (GH & IGF-1) Over Time (Core Phase)
Percentage of participants with a reduction of mean GH levels to < 2.5 µg/L and the normalization of IGF-1 to within normal limits (age and sex related) at 3, 6, 9 and 12 months (NCT01673646)
Timeframe: Months 3, 6, 9 & 12
Intervention | Percentage of participants (Number) |
---|
| Month 3 | Month 6 | Month 9 | Month 12 |
---|
Pasireotide LAR - All Participants | 18.2 | 21.2 | 21.2 | 15.2 |
[back to top]
Total-group Response Rate at Month 3
Percentage of participants with a reduction of mean growth hormone (GH) levels to < 2.5 µg/L and the normalization of insulin-like growth factor-1 (IGF-1) to within normal limits (age and sex related) at 3 months across all doses (NCT01673646)
Timeframe: Month 3
Intervention | Percentage of participants (Number) |
---|
Pasireotide LAR - All Participants | 18.2 |
[back to top]
Mean Scores of SF-12v2 Domain Scores at Week 17 and 35
SF-12v2 General Health Survey is a general patient reported outcome instrument over time. It is scored to provide eight health domain scores (Bodily Pain (BP), General Health (GH), Physical Functioning (PF), Role-Physical (RP), Social Functioning (SF), Role-Emotional (RE), Vitality (VT) and Mental Health (MH)). These eight domain scores can be combined to form two summary scores reflecting overall physical and mental health: the Physical Component Summary (PCS) and the Mental Component Summary (MCS). The analyses reported here focus on PCS and MCS scores. The domain scores use a norm-based score, which standardizes the scores with respect to the mean and standard deviation of a nationally representative sample of United States (US) adults. These are the scores on the original scale which have not been transformed in any way. The possible range of scores is 0 to 100, with higher scores representing better outcomes. (NCT01915303)
Timeframe: Baseline, week 17 and 35
Intervention | scores on a scale (Mean) |
---|
| Baseline Bodily pain scale | Week 17 n=52 Bodily pain scale | Week 35 n=40 Bodily pain scale | Baseline n=67 General health scale: | Week 17 n=52 General health scale: | Week 35 n=40 General health scale: | Baseline n=67 Mental component | Week 17 n=52 Mental component | Week 35 n=40 Mental component | Baseline n=67 Mental health | Week 17 n=52 Mental health | Week 35 n=40 Mental health | Baseline n=67 Physical component summary | Week 17 n=52 Physical component summary | Week 35 n=40 Physical component summary | Baseline n=67 Physical functioning | Week 17 n=52 Physical functioning | Week 35 n=40 Physical functioning | Baseline n=67 Role emotional | Week 17 n=52 Role emotional | Week 35 n=40 Role emotional | Baseline n=67 Role physical scale: | Week 17 n=52 Role physical scale: | Week 35 n=40 Role physical scale: | Baseline n=67 Social functioning | Week 17 n=52 Social functioning | Week 35 n=40 Social functioning | Baseline n=67 Vitality scale: | Week 17 n=52 Vitality scale: | Week 35 n=40 Vitality scale: |
---|
All Patients | 42.9 | 45.1 | 44.9 | 38.9 | 40.9 | 40.7 | 42.4 | 41.9 | 42.1 | 41.9 | 43.0 | 42.4 | 42.7 | 44.0 | 43.4 | 42.1 | 41.9 | 42.1 | 39.7 | 38.0 | 38.7 | 42.3 | 42.8 | 41.3 | 42.2 | 43.0 | 43.3 | 47.2 | 45.7 | 45.6 |
[back to top]
Duration (Weeks) of Controlled or Partially Controlled Response
Duration of controlled or partially controlled response is defined as the period starting from the date of patient's first normalization (mUFC ≤ 1.0 x ULN) or at least 50% reduction from baseline up to the date when the patient's mUFC > 1.0 x ULN and the reduction from baseline falls to less than 50% from the first time (NCT01915303)
Timeframe: from the date patient's first normalization (mUFC ≤ 1.0xULN) or at least 50% reduction from baseline up to the date when the patient's mUFC > 1.0 x ULN
Intervention | weeks (Median) |
---|
| Core n=36 | Extension n=20 |
---|
All Patients | 13.1 | 22.0 |
[back to top]
LDL, HDL and Total Cholesterol at Week 35
LDL=Low density lipoprotein, HDL=high density llipoprotein and total protein were analyzed by a central laboratory (NCT01915303)
Timeframe: Baseline and week 35
Intervention | mmol/L (Mean) |
---|
| HDL Baseline | HDL Week 35 n=41 | LDL Baseline | LDL Week 35 n=41 | Total Baseline | Total Week 35 n=41 |
---|
All Patients | 1.5 | 1.5 | 3.2 | 2.8 | 69.4 | 68.6 |
[back to top]
Mean Scores of Cushing QoL Standardized Score at Week 17 and 35
Patients who completed nine or more items for the 12-item Cushing's syndrome QoL questionaire were considered evaluable for that assessment. Raw scores were obtained for the 12 items using the following scoring: 1) always or very much, 2) often or quite a bit, 3) sometimes or somewhat, 4) rarely or very little, 5) never or not at all. Then the standardized score, Y, was calculated for each patient as follows: Y = 100* (X - n) / n*5 - n*1) = 100 * (X - n) / 4*n where X denoted the raw score and n the number of questions answered by the patient. The higher the score, the better the QoL. The best possible standardized score was 100 and the worst possible standardized score was 0 (NCT01915303)
Timeframe: Baseline and week 17 and 35
Intervention | scores on a scale (Mean) |
---|
| Baseline Mean | Week 17 n=54 | Week 35 n=40 |
---|
All Patients | 41.6 | 46.3 | 47.6 |
[back to top]
Percentage of Responders With Mean Urinary Free Cortisol (mUFC) ≤ 1.0xULN Collected or Imputed at Week 35
Participants who attained mUFC ≤ 1.0 x ULN (upper limit of normal) with pasireotide alone or in combination with cabergoline. The 24h-UFC concentration results from three samples, collected during the screening period, were averaged to obtain the Baseline urinary free cortisol level. mean 24h-UFC was determined from two 24-hour urine collections collected on two consecutive days that occurred before the visit. Imputation: subjects who completed the end of treatment visit at Week 35, but had missing evaluation of mean urinary free cortisol (mUFC). The last available mUFC assessment at or after previous visit (week) before last week was carried forward as the last week mUFC assessment. (NCT01915303)
Timeframe: Baseline up to week 35
Intervention | percentage of responders (Number) |
---|
All Patients | 50.0 |
[back to top]
Body Mass Index at Week 35
Body mass index was one of the measurements of clinical symptoms of CD. Body mass index=weight in kg divided by the square of the body height (in meters) (NCT01915303)
Timeframe: Baseline and week 35
Intervention | kg/m2 (Mean) |
---|
| Baseline | Week 35 n=41 |
---|
All Patients | 31.3 | 28.4 |
[back to top]
Plasma Adrenocorticotropic Hormone (ACTH)
A pre-dose blood draw for plasma ACTH sampling was taken at visits. Samples were analyzed by a central laboratory. (NCT01915303)
Timeframe: Baseline, weeks 2, 4, every 4 or 5 weeks during core, every 8 weeks during extension
Intervention | pmol/L (Mean) |
---|
| Baseline | Core Week 2 n-62 | Core Week 4 n=63 | Core Week 8 n=61 | Core Week 13 n=53 | Core Week 17 n=58 | Core Week 22 n=49 | Core Week 26 n=55 | Core Week 31 n=49 | Core Week 35 n=40 | Ext Week 43 n=23 | Ext Week 51 n=21 | Ext Week 59 n=23 | Ext Week 67 n=22 | Ext Week 75 n=22 | Ext Week 83 n=19 | Ext Week 91 n=19 | Ext Week 99 n=16 | Ext Week 107 n=13 | Ext Week 115 n=15 | Ext Week 123 n=14 | Ext Week 131 n=12 | Ext Week 139 n=10 | Ext Week 147 n=9 | Ext Week 155 n=9 | Ext Week 163 n=5 | Ext Week 171 n=5 | Ext Week 179 n=5 | Ext Week 187 n=5 | Ext Week 195 n=4 | Ext Week 203 n=4 | Ext Week 211 n=3 | Ext Week 219 n=2 | Ext Week 227 n=2 | Ext Week 235 n=3 | Ext Week 243 n=1 | Ext Week 251 n=1 | Ext Week 267 n=1 |
---|
All Patients | 16.3 | 12.4 | 14.2 | 13.3 | 11.9 | 12.3 | 13.7 | 12.4 | 12.1 | 11.0 | 11.5 | 10.4 | 10.7 | 11.0 | 9.1 | 9.8 | 10.6 | 11.3 | 9.3 | 9.5 | 10.6 | 8.2 | 10.0 | 10.4 | 10.4 | 10.0 | 7.4 | 7.0 | 8.6 | 9.0 | 8.0 | 11.0 | 6.0 | 7.0 | 10.3 | 6.0 | 7.0 | 4.0 |
[back to top]
Body Weight at Week 35
Weight was was one of the measures of clinical symptoms of CD (NCT01915303)
Timeframe: Baseline and week 35
Intervention | kg (Mean) |
---|
| Baseline | Week 35 n=41 |
---|
All Patients | 82.2 | 75.6 |
[back to top]
Number of Participants With Improvement in Clinical Symptom of Hypercortisolism From Baseline - Dorsal Fat Pad
Clinical symptoms include: facial rubor, hirsutism, striae, and supraclavicular and dorsal fat pad. Two photographs, one frontal and one lateral from the shoulders up were taken to assess facial plethora, supraclavicular and dorsal fat pads. Two photographs, frontal and dorsal of the trunk with patient in standing position were taken to assess striae, and hirsutism. The photographs were assessed by a qualified physician at the site. Improvement=decrease in severity of symptom since baseline (NCT01915303)
Timeframe: Baseline, weeks 2, 4, every 4 or 5 weeks during core, every 16 weeks during extension
Intervention | participants (Number) |
---|
| Core Week 1 n=40 | Core Week 2 n-37 | Core Week 4 n=37 | Core Week 8 n=37 | Core Week 13 n=32 | Core Week 17 n=32 | Core Week 22 n=28 | Core Week 26 n=31 | Core Week 31 n=32 | Core Week 35 n=26 | Ext Week 43 n=11 | Ext Week 59 n=10 | Ext Week 75 n=12 | Ext Week 91 n=10 | Ext Week 107 n=9 | Ext Week 123 n=10 | Ext Week 139 n=7 | Ext Week 155 n=4 | Ext Week 171 n=3 | Ext Week 187 n=3 | Ext Week 203 n=4 | Ext Week 219 n=2 | Ext Week 235 n=3 | Ext Week 251 n=1 | Ext Week 267 n=1 |
---|
All Patients | 6 | 4 | 5 | 5 | 4 | 8 | 8 | 12 | 13 | 9 | 3 | 4 | 5 | 3 | 2 | 3 | 3 | 1 | 1 | 2 | 1 | 1 | 2 | 0 | 0 |
[back to top]
Mean Urinary Free Cortisol (mUFC) at Scheduled Visits
Mean value of mUFC at each scheduled visit was determined from two 24-hour urine collections collected on two consecutive days that occurred before the visit when UFC was measured. (NCT01915303)
Timeframe: Baseline, weeks 2, 4, every 4 or 5 weeks during core, every 8 weeks during extension
Intervention | nmol/24h (Mean) |
---|
| Baseline | Core Week 2 n-8 | Core Week 4 n=59 | Core Week 8 n=58 | Core Week 13 n=51 | Core Week 17 n=57 | Core Week 22 n=50 | Core Week 26 n=54 | Core Week 31 n=46 | Core Week 35 n=45 | Ext Week 43 n=22 | Ext Week 51 n=20 | Ext Week 59 n=24 | Ext Week 67 n=17 | Ext Week 75 n=18 | Ext Week 83 n=20 | Ext Week 91 n=18 | Ext Week 99 n=13 | Ext Week 107 n=12 | Ext Week 115 n=13 | Ext Week 123 n=13 | Ext Week 131 n=11 | Ext Week 139 n=9 | Ext Week 147 n=9 | Ext Week 155 n=4 | Ext Week 163 n=6 | Ext Week 171 n=6 | Ext Week 179 n=4 | Ext Week 187 n=4 | Ext Week 195 n=3 | Ext Week 203 n=4 | Ext Week 211 n=3 | Ext Week 219 n=2 | Ext Week 227 n=2 | Ext Week 235 n=3 | Ext Week 243 n=1 | Ext Week 251 n=1 | Ext Week 267 n=1 |
---|
All Patients | 501.6 | 217.0 | 242.1 | 230.0 | 231.0 | 310.3 | 214.0 | 211.6 | 154.3 | 184.8 | 136.1 | 156.8 | 157.7 | 213.8 | 157.6 | 157.9 | 180.0 | 222.5 | 118.5 | 126.0 | 147.5 | 76.4 | 92.9 | 90.1 | 76.3 | 141.1 | 89.5 | 61.3 | 89.9 | 46.1 | 194.0 | 107.3 | 70.6 | 47.1 | 62.0 | 117.7 | 202.9 | 249.0 |
[back to top]
Sitting Diastolic Blood Pressure at Week 35
The mean arterial blood pressure determinations were obtained in the sitting position. Three measurements were taken with 5 minute intervals and the mean was used for study specific procedures (NCT01915303)
Timeframe: Baseline and week 35
Intervention | mmHg (Mean) |
---|
| Baseline | Week 35 n=41 |
---|
All Patients | 81.8 | 77.2 |
[back to top]
Number of Participants With Improvement in Clinical Symptom of Hypercortisolism From Baseline - Hirsutism
Clinical symptoms include: facial rubor, hirsutism, striae, and supraclavicular and dorsal fat pad. Two photographs, one frontal and one lateral from the shoulders up were taken to assess facial plethora, supraclavicular and dorsal fat pads. Two photographs, frontal and dorsal of the trunk with patient in standing position were taken to assess striae, and hirsutism. The photographs were assessed by a qualified physician at the site. Improvement=decrease in severity of symptom since baseline (NCT01915303)
Timeframe: Baseline, weeks 2, 4, every 4 or 5 weeks during core, every 16 weeks during extension
Intervention | participants (Number) |
---|
| Core Week 1 n=35 | Core Week 2 n-33 | Core Week 4 n=32 | Core Week 8 n=32 | Core Week 13 n=27 | Core Week 17 n=28 | Core Week 22 n=25 | Core Week 26 n=27 | Core Week 31 n=28 | Core Week 35 n=23 | Ext Week 43 n=10 | Ext Week 59 n=9 | Ext Week 75 n=10 | Ext Week 91 n=9 | Ext Week 107 n=8 | Ext Week 123 n=9 | Ext Week 139 n=7 | Ext Week 155 n=4 | Ext Week 171 n=4 | Ext Week 187 n=3 | Ext Week 203 n=4 | Ext Week 219 n=2 | Ext Week 235 n=3 | Ext Week 251 n=1 | Ext Week 267 n=1 |
---|
All Patients | 5 | 3 | 4 | 4 | 4 | 3 | 5 | 8 | 9 | 7 | 2 | 2 | 3 | 2 | 1 | 2 | 2 | 2 | 2 | 2 | 2 | 1 | 1 | 0 | 0 |
[back to top]
Number of Participants With Improvement in Clinical Symptom of Hypercortisolism From Baseline - Facial Rubor
Clinical symptoms include: facial rubor, hirsutism, striae, and supraclavicular and dorsal fat pad. Two photographs, one frontal and one lateral from the shoulders up were taken to assess facial plethora, supraclavicular and dorsal fat pads. Two photographs, frontal and dorsal of the trunk with patient in standing position were taken to assess striae, and hirsutism. The photographs were assessed by a qualified physician at the site. Improvement=decrease in severity of symptom since baseline (NCT01915303)
Timeframe: Baseline, weeks 2, 4, every 4 or 5 weeks during core, every 16 weeks during extension
Intervention | participants (Number) |
---|
| Core Week 1 n=40 | Core Week 2 n=37 | Core Week 4 n=38 | Core Week 8 n=37 | Core Week 13 n=32 | Core Week 17 n=32 | Core Week 22 n=28 | Core Week 26 n=31 | Core Week 31 n=32 | Core Week 35 n=26 | Ext Week 43 n=11 | Ext Week 59 n=11 | Ext Week 75 n=12 | Ext Week 91 n=10 | Ext Week 107 n=9 | Ext Week 123 n=10 | Ext Week 139 n=7 | Ext Week 155 n=4 | Ext Week 171 n=3 | Ext Week 187 n=3 | Ext Week 203 n=4 | Ext Week 219 n=2 | Ext Week 235 n=3 | Ext Week 251 n=1 | Ext Week 267 n=1 |
---|
All Patients | 5 | 8 | 8 | 12 | 11 | 11 | 10 | 14 | 15 | 13 | 2 | 3 | 3 | 3 | 3 | 2 | 2 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
[back to top]
Waist Circumference at Week 35
Waist circumference was one of the measurements of clinical signs of CD (NCT01915303)
Timeframe: Baseline and week 35
Intervention | cm (Mean) |
---|
| Baseline | Week 35 n=41 |
---|
All Patients | 104.1 | 99.1 |
[back to top]
Sitting Systolic Blood Pressure at Week 35
The mean arterial blood pressure determinations were obtained in the sitting position. Three measurements were taken with 5 minute intervals and the mean was used for study specific procedures (NCT01915303)
Timeframe: Baseline and week 35
Intervention | mmHg (Mean) |
---|
| Baseline | Week 35 n=41 |
---|
All Patients | 125.9 | 119.5 |
[back to top]
Number of Participants With Improvement in Clinical Symptom of Hypercortisolism From Baseline - Striae
Clinical symptoms include: facial rubor, hirsutism, striae, and supraclavicular and dorsal fat pad. Two photographs, one frontal and one lateral from the shoulders up were taken to assess facial plethora, supraclavicular and dorsal fat pads. Two photographs, frontal and dorsal of the trunk with patient in standing position were taken to assess striae, and hirsutism. The photographs were assessed by a qualified physician at the site. Improvement=decrease in severity of symptom since baseline (NCT01915303)
Timeframe: Baseline, weeks 2, 4, every 4 or 5 weeks during core, every 16 weeks during extension
Intervention | participants (Number) |
---|
| Core Week 1 n=40 | Core Week 2 n-37 | Core Week 4 n=38 | Core Week 8 n=37 | Core Week 13 n=32 | Core Week 17 n=32 | Core Week 22 n=28 | Core Week 26 n=31 | Core Week 31 n=32 | Core Week 35 n=26 | Ext Week 43 n11= | Ext Week 59 n=11 | Ext Week 75 n=12 | Ext Week 91 n=10 | Ext Week 107 n=9 | Ext Week 123 n=10 | Ext Week 139 n=7 | Ext Week 155 n=4 | Ext Week 171 n=3 | Ext Week 187 n=3 | Ext Week 203 n=4 | Ext Week 219 n=2 | Ext Week 235 n=3 | Ext Week 251 n=1 | Ext Week 267 n=1 |
---|
All Patients | 5 | 2 | 5 | 8 | 7 | 7 | 7 | 9 | 12 | 8 | 1 | 1 | 1 | 1 | 0 | 0 | 0 | 1 | 0 | 0 | 1 | 0 | 1 | 0 | 1 |
[back to top]
Serum Cortisol Levels
A pre-dose blood draw for an 8 am fasting serum cortisol measurement were taken at visits. Samples were analyzed by a central laboratory. (NCT01915303)
Timeframe: Baseline, weeks 2, 4, every 4 or 5 weeks during core, every 8 weeks during extension
Intervention | nmol/L (Mean) |
---|
| Baseline | Core Week 2 n-62 | Core Week 4 n=64 | Core Week 8 n=61 | Core Week 13 n=53 | Core Week 17 n=58 | Core Week 22 n=49 | Core Week 26 n=55 | Core Week 31 n=49 | Core Week 35 n=40 | Ext Week 43 n=23 | Ext Week 51 n=21 | Ext Week 59 n=21 | Ext Week 67 n=22 | Ext Week 75 n=21 | Ext Week 83 n=19 | Ext Week 91 n=19 | Ext Week 99 n=16 | Ext Week 107 n=13 | Ext Week 115 n=15 | Ext Week 123 n=14 | Ext Week 131 n=12 | Ext Week 139 n=10 | Ext Week 147 n=10 | Ext Week 155 n=8 | Ext Week 163 n=6 | Ext Week 171 n=5 | Ext Week 179 n=5 | Ext Week 187 n=5 | Ext Week 195 n=4 | Ext Week 203 n=4 | Ext Week 211 n=3 | Ext Week 219 n=2 | Ext Week 227 n=2 | Ext Week 235 n=3 | Ext Week 243 n=1 | Ext Week 251 n=1 | Ext Week 267 n=1 |
---|
All Patients | 738.6 | 626.1 | 663.6 | 649.0 | 628.8 | 683.0 | 625.4 | 632.7 | 597.5 | 538.2 | 525.5 | 512.2 | 547.5 | 495.4 | 458.5 | 419.5 | 501.2 | 470.9 | 463.4 | 501.7 | 441.6 | 413.8 | 404.0 | 585.4 | 472.5 | 617.0 | 648.6 | 599.0 | 609.8 | 418.8 | 514.0 | 551.3 | 482.0 | 324.5 | 384.7 | 679.0 | 574.0 | 638.0 |
[back to top]
Percentage of Responders With Mean Urinary Free Cortisol (mUFC) ≤ 1.0xULN
Actual mean value of mUFC at each scheduled visit was determined from two 24-hour urine collections collected on two consecutive days that occurred before the visit when UFC was measured. (NCT01915303)
Timeframe: Baseline up to week 235
Intervention | percentage of responders (Number) |
---|
| Baseline | Core Week 17 n=57 | Core Week 35 n=45 | Ext Week 43 n=22 | Ext Week 67 n=17 | Ext Week 91 n=18 | Ext Week 115 n=13 | Ext Week 139 n=9 | Ext Week 163 n=6 | Ext Week 187 n=4 | Ext Week 211 n=3 | Ext Week 235 n=3 |
---|
All Patients | 4.4 | 28.1 | 48.9 | 63.6 | 47.1 | 61.1 | 76.9 | 77.8 | 66.7 | 75.0 | 66.7 | 100 |
[back to top]
Percentage of Participants Who Attain mUFC ≤ 1.0 x ULN or Have at Least 50% Reduction From Baseline in mUFC
Actual mean value of mUFC at each scheduled visit was determined from two 24-hour urine collections collected on two consecutive days that occurred before the visit when UFC was measured. (NCT01915303)
Timeframe: Baseline up to week 235
Intervention | percentage of responders (Number) |
---|
| Baseline | Core Week 17 n=57 | Core Week 35 n=45 | Ext Week 43 n=22 | Ext Week 67 n=17 | Ext Week 91 n=18 | Ext Week 115 n=13 | Ext Week 139 n=9 | Ext Week 163 n=6 | Ext Week 187 n=4 | Ext Week 211 n=3 | Ext Week 235 n=3 |
---|
All Patients | 4.4 | 54.4 | 68.9 | 86.4 | 76.5 | 83.3 | 92.3 | 77.8 | 83.3 | 100 | 66.7 | 100 |
[back to top]
Number of Patients With Shift From Standing Easily to Not Being Able to Stand
"To test proximal muscle strength patients should be placed in a low seated position (for instance on an examination room stool). They should be asked to extend the arms in front of them. From this seated position patients will be asked to stand up. Patients will be evaluated using the following scale: 3. - completely unable to stand 2. - able to stand only by using arms as assistance~1. - able to stand after several efforts without using arms as assistance 0. - able to stand easily with arms extended" (NCT01915303)
Timeframe: Baseline up to week 267
Intervention | participants (Number) |
---|
| Core Week 26 | Core Week 35 |
---|
All Patients | 1 | 1 |
[back to top]
Number of Participants With Shift From Mild to Severe in Clinical Signs of Hypercortisolism
Facial rubor, hirsutism, striae, and supraclavicular and dorsal fat pad were assessed. Two photographs, one frontal and one lateral from the shoulders up will be taken to assess facial plethora, supraclavicular and dorsal fat pads. Two photographs, frontal and dorsal of the trunk with patient in standing position will be taken to assess striae, and hirsutism. The photographs must be assessed by a qualified physician at the site. Improvement=decrease in severity of symptom since baseline (NCT01915303)
Timeframe: Baseline, weeks 1, 2, 4, every 4 or 5 weeks during core, every 8 weeks during extension
Intervention | participants (Number) |
---|
| Core Week 4 Facial rubor baseline n=17 | Core Week 35 Facial rubor baseline n=17 | Ext Week 43 Facial rubor baseline n=17 | Ext Week 59 Facial rubor baseline n=17 | Ext Week 67 Facial rubor baseline n=17 | Ext Week 83 Facial rubor baseline n=17 | Ext Week 91 Facial rubor baseline n=17 | Ext Week 99 Facial rubor baseline n=17 | Ext Week 107 Facial rubor baseline n=17 | Ext Week 115 Facial rubor baseline n=17 | Ext Week 123 Facial rubor baseline n=17 | Core Week 1 Hirsutism baseline n=12 | Core Week 2 Hirsutism baseline n=12 | Ext Week 59 Striae baseline n=10 | Ext Week 99 Striae baseline n=10 | Ext Week 107 Striae baseline n=10 | Ext Week 115 Striae baseline n=10 | Ext Week 123 Striae baseline n=10 | Ext Week 99 Supraclavicular fat pad BL n=17 | Ext Week 107 Supraclavicular fat pad BL n=17 |
---|
All Patients | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 |
[back to top]
Number of Participants With Improvement in Clinical Symptom of Hypercortisolism From Baseline - Supraclavicular Fat Pad
Clinical symptoms include: facial rubor, hirsutism, striae, and supraclavicular and dorsal fat pad. Two photographs, one frontal and one lateral from the shoulders up were taken to assess facial plethora, supraclavicular and dorsal fat pads. Two photographs, frontal and dorsal of the trunk with patient in standing position were taken to assess striae, and hirsutism. The photographs were assessed by a qualified physician at the site. Improvement=decrease in severity of symptom since baseline (NCT01915303)
Timeframe: Baseline, weeks 2, 4, every 4 or 5 weeks during core, every 8 weeks during extension
Intervention | participants (Number) |
---|
| Core Week 1 n=40 | Core Week 2 n-37 | Core Week 4 n=37 | Core Week 8 n=37 | Core Week 13 n=32 | Core Week 17 n=32 | Core Week 22 n=28 | Core Week 26 n=31 | Core Week 31 n=32 | Core Week 35 n=26 | Ext Week 43 n=11 | Ext Week 59 n=11 | Ext Week 75 n=12 | Ext Week 91 n=10 | Ext Week 107 n=9 | Ext Week 123 n=10 | Ext Week 139 n=7 | Ext Week 155 n=4 | Ext Week 171 n=3 | Ext Week 187 n=3 | Ext Week 203 n=4 | Ext Week 219 n=2 | Ext Week 235 n=3 | Ext Week 251 n=1 | Ext Week 267 n=1 |
---|
All Patients | 6 | 7 | 6 | 8 | 8 | 9 | 9 | 10 | 12 | 11 | 1 | 0 | 1 | 1 | 0 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 2 | 0 | 0 |
[back to top]
Assessment of Tumor Operability
Assessment if patients reaching operability at the EOS. (NCT02021942)
Timeframe: at least 6 months
Intervention | Participants (Count of Participants) |
---|
| Tumor assesed as operable. | Tumor assesed as not operable. |
---|
SOM230 LAR | 11 | 5 |
[back to top]
[back to top]
Safety: Number of Participants With Adverse Events (AE) and Serious Adverse Events (SAE)
(NCT02021942)
Timeframe: at least 6 months
Intervention | Participants (Count of Participants) |
---|
| Number of participants with AEs | Number of participants with SAEs |
---|
SOM230 LAR | 16 | 7 |
[back to top]
Assessment of Myasthenia Gravis (MG) Status by Measuring ACHR-antibody Concentrations
MG severity status is assessed by measuring ACHR-antibody concentrations at Baseline and EOS. (NCT02021942)
Timeframe: at least 6 months
Intervention | Participants (Count of Participants) |
---|
| Missing data at baseline or EOS | ACHR-antibody level increased | ACHR-antibody level decreased | ACHR-antibody level constant |
---|
SOM230 LAR | 8 | 1 | 4 | 3 |
[back to top]
Assessment of Myasthenia Gravis (MG) Status by Determining Titin-antibody Status
MG severity status is assessed by determining Titin-antibody status at Baseline and EOS. (NCT02021942)
Timeframe: at least 6 months
Intervention | Participants (Count of Participants) |
---|
| Missing data at baseline or EOS | Change from negative to negative | Change from negative to positive | Change from positive to positive | Change from positive to negative |
---|
SOM230 LAR | 8 | 4 | 0 | 2 | 2 |
[back to top]
Percent Change in Tumor Volume From Baseline to EOS
To evaluate whether SOM230 LAR is effective in patients with inoperable thymoma with respect to shrinkage of tumor volume. Response is defined as the decrease in tumor volume of 20 % at EOS as compared to baseline. Tumor shrinkage is assessed by CT or MRI. (NCT02021942)
Timeframe: at least 6 months
Intervention | percentage of tumor volume (Mean) |
---|
SOM230 LAR | -37.38 |
[back to top]
Change in HbA1c From Randomization (R) Over Time Per Randomized Arm
Absolute change in HbA1c overtime from randomization (i.e. start of randomized antidiabetic treatment) to end of core phase per randomized arm (NCT02060383)
Timeframe: Randomization (R), Week (W) 4 post R, W 8 post R, W 16 post R, end of Core phase (up to week 16 post R)
Intervention | HbA1c percentage (Mean) |
---|
| Randomization | Change at RW4 D29 | Change at RW8 D57 | Change at RW12 D85 | Change at RW16 D113 | End of Core Phase |
---|
Incretin Based Therapy (Randomized Group) | 7.1 | 0.5 | 0.3 | 0.2 | 0.0 | 0.0 |
,Insulin (Randomized Group) | 7.1 | 0.5 | 0.5 | 0.4 | 0.3 | 0.3 |
[back to top]
Change in HbA1c From Randomization to Approximately 16 Weeks
Absolute change in HbA1c from randomization to end of core phase (16 weeks) in incretin based therapy arm and insulin arm, and mean difference of change in HbA1c between the two treatment groups based on an ANOVA model using treatment (Incretin, Insulin) and the two randomization stratification factors (Disease: Cushing's disease vs Acromegaly; Baseline glycemic status: HbA1c <7% vs HbA1c ≥ 7%) as fixed effects. For Participants who discontinued the study or required rescue treatment before the time of assessing the primary endpoint, the last HbA1c assessment collected 8 weeks (56 days) after randomization (and prior to or on the date of start of rescue treatment) was carried forward. If the participant discontinued the study or used rescue treatment within 8 weeks after randomization, it was considered missing. (NCT02060383)
Timeframe: Randomization, 16 weeks
Intervention | Hba1c percentage (Mean) |
---|
| All Patients | Cushing's Disease | Acromegaly |
---|
Incretin Based Therapy (Randomized Group) | -0.12 | 0.33 | -0.25 |
,Insulin (Randomized Group) | 0.26 | 0.45 | 0.19 |
[back to top]
Absolute Change in FPG From Baseline to End of Core Phase
Absolute change in FPG from baseline to end of core phase in the incretin based therapy arm and the insulin arm. (NCT02060383)
Timeframe: Baseline, Up to 32 weeks (end of Core Phase)
Intervention | mg/dL (Mean) |
---|
| Baseline: All Patients | Change at EOP: All Patients | Baseline: Cushing's | Change at EOP: Cushing's | Baseline: Acromegaly | Change at EOP: Acromegaly |
---|
Baseline Insulin (BL) (Non-randomized Group) | 157.7 | 9.8 | 147.2 | 21.3 | 162.5 | 4.6 |
,Incretin Based Therapy (Randomized Group) | 111.1 | 22.2 | 117.9 | 13.4 | 107.9 | 26.5 |
,Insulin (Randomized Group) | 111.8 | 22.5 | 106.3 | 36.4 | 114.2 | 16.7 |
,No OAD (Non-randomized Group) | 92.2 | 16.3 | 85.5 | 11.7 | 93.4 | 17.0 |
,Oral Antidiabetic Drugs (OAD) (Non-randomized Group) | 97.2 | 22.9 | 93.3 | 15.8 | 98.8 | 25.8 |
[back to top]
Percentage of Participants in the Incretin-based Arm Who Required Anti-diabetic Rescue Therapy With Insulin
The percentage of participants who received anti-diabetic rescue therapy in incretin based therapy is summarized. (NCT02060383)
Timeframe: Randomization to up to 16 weeks
Intervention | Percentage of participants (Number) |
---|
Incretin Based Therapy (Randomized Group) | 31.6 |
[back to top]
Percentage of Participants With ≤ 0.3% HbA1c Increase to End of Core Phase
Percentage of participants with ≤ 0.3% HbA1c increase in the incretin based therapy arm and the insulin arm. (NCT02060383)
Timeframe: Randomization, up to 16 weeks
Intervention | Percentage of participants (Number) |
---|
Incretin Based Therapy (Randomized Group) | 73.7 |
Insulin (Randomized Group) | 65.1 |
[back to top]
Absolute Change in HbA1c From Baseline to End of Core Phase
Absolute change in HbA1c from baseline to end of core phase in the incretin based therapy arm and the insulin arm (NCT02060383)
Timeframe: Baseline, up to 32 weeks (end of Core phase)
Intervention | HbA1c percentage (Mean) |
---|
| Baseline: All Patients | Change at EOP: All Patients | Baseline: Cushing's | Change at EOP: Cushing's | Baseline: Acromegaly | Change at EOP: Acromegaly |
---|
Baseline Insulin (BL) (Non-randomized Group) | 7.7 | 1.3 | 6.9 | 1.4 | 8.0 | 1.2 |
,Incretin Based Therapy (Randomized Group) | 6.3 | 0.8 | 6.6 | 1.3 | 6.1 | 0.6 |
,Insulin (Randomized Group) | 6.3 | 1.1 | 6.5 | 1.7 | 6.3 | 0.8 |
,No OAD (Non-randomized Group) | 5.4 | 0.4 | 5.5 | 0.5 | 5.4 | 0.4 |
,Oral Antidiabetic Drugs (OAD) (Non-randomized Group) | 5.7 | 0.8 | 5.9 | 0.9 | 5.6 | 0.7 |
[back to top]
Change in FPG (Fasting Plasma Glucose) From Randomization Until End of Core Phase
Absolute change in fasting glucose overtime from randomization (i.e. start of randomized antidiabetic treatment) to end of core phase per randomized arm (NCT02060383)
Timeframe: Randomization, R(randomization) Week 2, R-Week 4, R-Week 6, R-Week 8, R-Week 10, R-Week 12, R-Week 14, R-Week 16, end of Core phase
Intervention | mg/dL (Mean) |
---|
| Randomization | Change at RW2 D15 | Change at RW4 D29 | Change at RW6 D43 | Change at RW8 D57 | Change at RW10 D71 | Change at RW12 D85 | Change at RW14 D99 | Change at RW16 D113 | End of Core Phase |
---|
Incretin Based Therapy (Randomized Group) | 172.2 | 4.6 | -15.0 | -17.7 | -25.7 | -28.8 | -33.4 | -35.1 | -38.8 | -40.1 |
,Insulin (Randomized Group) | 167.9 | -31.1 | -28.3 | -37.5 | -38.3 | -36.9 | -41.1 | -35.6 | -33.4 | -36.0 |
[back to top]
Disease Free Survival Compared to Historical Controls
Rate of disease free survival of participants at one year post transplant (NCT02215070)
Timeframe: 1 year
Intervention | percentage of participants (Number) |
---|
Pasireotide + Preparatory Regimen | 40 |
Historical Controls | 78 |
[back to top]
Incidence of Chronic GVHD Compared to Historical Controls
Measure the number of participants who experience chronic GVHD (NCT02215070)
Timeframe: 1 year
Intervention | Participants (Count of Participants) |
---|
Pasireotide + Preparatory Regimen | 16 |
Historical Controls | 22 |
[back to top]
Overall Survival Compared to Historical Controls
Rate of overall survival of participants at one year post transplant (NCT02215070)
Timeframe: 1 year
Intervention | percentage of participants (Number) |
---|
Pasireotide + Preparatory Regimen | 63 |
Historical Controls | 82 |
[back to top]
Percentage of Acute GVHD
Number of participants who experience acute GVHD (NCT02215070)
Timeframe: 100 days
Intervention | Participants (Count of Participants) |
---|
Pasireotide + Preparatory Regimen | 15 |
[back to top]
Maximum Severity of Acute GVHD Compared to Historical Controls
Assess maximum severity of acute GVHD scored as stage 1 (least severe) through stage 4 (most severe) using BMT CTN, 2013 standards (NCT02215070)
Timeframe: 100 days
Intervention | units on a scale (Median) |
---|
Pasireotide + Preparatory Regimen | 2 |
[back to top]
Maximum Severity of Chronic GVHD Compared to Historical Controls
Assess maximum severity of chronic GVHD scored as none, mild, moderate or severe using 2014 NIH Consensus Criteria (NCT02215070)
Timeframe: 1 year
Intervention | Participants (Count of Participants) |
---|
Pasireotide + Preparatory Regimen | 8 |
Historical Controls | 11 |
[back to top]
Percentage of GI Toxicity From the Preparatory Regimen and the GVHD Prophylaxis in Stem Cell Transplantation (SCT) Patients Who Are Treated With Pasireotide
Number of participants who experience grades III-IV GI toxicity (NCT02215070)
Timeframe: 30 Days
Intervention | Participants (Count of Participants) |
---|
Pasireotide + Preparatory Regimen | 21 |
[back to top]
Core Phase: Percentage of Participants With IGF-1 Percentage of participants achieving IGF-1 NCT02354508)
Timeframe: Weeks 12, 24 & 36
Intervention | Percentage of participants (Number) |
---|
| Week 12 | Week 24 | Week 36 |
---|
GH: > 2.5 μg/L | 16.0 | 23.4 | 25.5 |
,GH: ≥1 - ≤ 2.5 μg/L | 35.7 | 42.9 | 50.0 |
,GH: Missing | 0.0 | 0.0 | 0.0 |
,Pasireotide LAR Overall | 20.3 | 27.6 | 30.9 |
[back to top]
Core Phase: Percentage of Participants With Mean GH < 1 g/L and IGF-1 < ULN at Week 36 Overall by Baseline Diabetic Status
Percentage of participants who achieved biochemical control defined as GH <1μg/L and IGF-1 NCT02354508)
Timeframe: Week 36
Intervention | Percentage of participants (Number) |
---|
| Diabetic | Pre-diabetic | Non-diabetic |
---|
Pasireotide LAR Overall | 14.0 | 19.4 | 0.0 |
[back to top]
Core Phase: Percentage of Participants With Mean GH <1 μg/L and IGF-1 Percentage of participants achieving GH <1 μg/L and IGF-1 NCT02354508)
Timeframe: Week 12, Week 24, Week 36
Intervention | Percentage of participants (Number) |
---|
| Week 12: GH: ≥ 1 - ≤ 2.5 μg/L @ screening | Week 24: GH: ≥ 1 - ≤ 2.5 μg/L @ screening | Week 36: GH: ≥ 1 - ≤ 2.5 μg/L @ screening | Week 12: GH: > 2.5 μg/L @ screening | Week 24: GH: > 2.5 μg/L @ screening | Week 36: GH: > 2.5 μg/L @ screening |
---|
Pasireotide LAR (run-in Phase) | 25.0 | 25.0 | 25.0 | 7.7 | 7.7 | 7.7 |
[back to top]
Core Phase: Percentage of Participants With Mean GH <1 μg/L and IGF-1 Percentage of participants achieving GH <1 μg/L and IGF-1 NCT02354508)
Timeframe: Week 12, Week 24, Week 36
Intervention | Percentage of participants (Number) |
---|
| Week 12: GH: ≥ 1 - ≤ 2.5 μg/L @ screening | Week 24: GH: ≥ 1 - ≤ 2.5 μg/L @ screening | Week 36: GH: ≥ 1 - ≤ 2.5 μg/L @ screening | Week 12: GH: > 2.5 μg/L @ screening | Week 24: GH: > 2.5 μg/L @ screening | Week 36: GH: > 2.5 μg/L @ screening | Week 12: GH: Missing | Week 24: GH: Missing | Week 36: GH: Missing |
---|
Pasireotide LAR Overall | 28.6 | 39.3 | 42.9 | 5.3 | 5.3 | 6.4 | 0.0 | 0.0 | 0.0 |
[back to top]
Extension (Ext.) Phase: Percentage of Participants With Acromegaly Shift Symptoms From Extension Baseline to Most Extreme Post-extension Baseline
Symptoms of acromegaly were collected at various visits. The measurement was to be provided on a scale of 1-15 including half sizes. Investigators asked the participants to score the following symptoms of acromegaly: headache, fatigue, perspiration, paresthesias, osteoarthralgia according to a five-point score scale (0=absent, 1=mild, 2=moderate, 3=severe, 4=very severe). (NCT02354508)
Timeframe: Weeks 48, 60 & 72
Intervention | Percentage of participants (Number) |
---|
| Ext. Baseline (BL): Non/absent | Ext. BL: Mild | Ext. BL: Moderate | Ext. BL: Severe | Ext. BL: Total | Most extr. post-BL:tot Non/absent | Most extr. post-BL: total Mild | Most extr. post-BL: total Mod. | Most extr. post-BL: total Severe | Most extr. post-BL: tot. Very severe |
---|
Pasireotide LAR Overall - Acromegaly Symptom: Headache | 69.3 | 20.5 | 9.1 | 1.1 | 100.0 | 46.6 | 29.5 | 18.2 | 3.4 | 2.3 |
[back to top]
Extension (Ext.) Phase: Percentage of Participants With Acromegaly Shift Symptoms From Extension Baseline to Most Extreme Post-extension Baseline
Symptoms of acromegaly were collected at various visits. The measurement was to be provided on a scale of 1-15 including half sizes. Investigators asked the participants to score the following symptoms of acromegaly: headache, fatigue, perspiration, paresthesias, osteoarthralgia according to a five-point score scale (0=absent, 1=mild, 2=moderate, 3=severe, 4=very severe). (NCT02354508)
Timeframe: Weeks 48, 60 & 72
Intervention | Percentage of participants (Number) |
---|
| Ext. Baseline (BL): Non/absent | Ext. BL: Mild | Ext. BL: Moderate | Ext. BL: Very severe | Ext. BL: Total | Most extr. post-BL:tot Non/absent | Most extr. post-BL: total Mild | Most extr. post-BL: total Mod. | Most extr. post-BL: total Severe | Most extr. post-BL: tot. Very severe |
---|
Pasireotide LAR Overall - Acromegaly Symptom: Paresthsiae | 79.5 | 13.6 | 5.7 | 1.1 | 100.0 | 67.0 | 22.7 | 6.8 | 2.3 | 1.1 |
[back to top]
Extension (Ext.) Phase: Percentage of Participants With Acromegaly Shift Symptoms From Extension Baseline to Most Extreme Post-extension Baseline
Symptoms of acromegaly were collected at various visits. The measurement was to be provided on a scale of 1-15 including half sizes. Investigators asked the participants to score the following symptoms of acromegaly: headache, fatigue, perspiration, paresthesias, osteoarthralgia according to a five-point score scale (0=absent, 1=mild, 2=moderate, 3=severe, 4=very severe). (NCT02354508)
Timeframe: Weeks 48, 60 & 72
Intervention | Percentage of participants (Number) |
---|
| Ext. Baseline (BL): Non/absent | Ext. BL: Mild | Ext. BL: Moderate | Ext. BL: Severe | Ext. BL: Very severe | Ext. BL: Total | Most extr. post-BL:tot Non/absent | Most extr. post-BL: total Mild | Most extr. post-BL: total Mod. | Most extr. post-BL: total Severe | Most extr. post-BL: tot. Very severe |
---|
Pasireotide LAR Overall - Acromegaly Symptom: Fatigue | 56.8 | 23.9 | 12.5 | 4.5 | 2.3 | 100.0 | 51.1 | 22.7 | 18.2 | 6.8 | 1.1 |
,Pasireotide LAR Overall - Acromegaly Symptom: Osteoarthralgia | 52.3 | 30.7 | 12.5 | 3.4 | 1.1 | 100.0 | 43.2 | 33.0 | 13.6 | 8.0 | 2.3 |
[back to top]
Extension (Ext.) Phase: Percentage of Participants With Acromegaly Shift Symptoms From Extension Baseline to Most Extreme Post-extension Baseline
Symptoms of acromegaly were collected at various visits. The measurement was to be provided on a scale of 1-15 including half sizes. Investigators asked the participants to score the following symptoms of acromegaly: headache, fatigue, perspiration, paresthesias, osteoarthralgia according to a five-point score scale (0=absent, 1=mild, 2=moderate, 3=severe, 4=very severe). (NCT02354508)
Timeframe: Weeks 48, 60 & 72
Intervention | Percentage of participants (Number) |
---|
| Ext. Baseline (BL): Non/absent | Ext. BL: Mild | Ext. BL: Moderate | Ext. BL: Severe | Ext. BL: Total | Most extr. post-BL:tot Non/absent | Most extr. post-BL: total Mild | Most extr. post-BL: total Mod. | Most extr. post-BL: total Severe |
---|
Pasireotide LAR Overall - Acromegaly Symptom: Perspiration | 68.2 | 20.5 | 10.2 | 1.1 | 100.0 | 54.5 | 26.1 | 14.8 | 4.5 |
[back to top]
Extension Phase: Percentage of Participants With Mean GH < 1 μg/L at Weeks 48, 60, 72 and Overall, Pasireotide Montherapy and Pasireotide With Concomittant Medication and by GH Level at Screening
Percentage of patients achieving GH <1 μg/L and IGF-1 NCT02354508)
Timeframe: Weeks 48, 60, 72
Intervention | Percentage of participants (Number) |
---|
| Wk48:GH: >= 1 - <= 2.5 μg/L at screen. | Wk60:GH: >= 1 - <= 2.5 μg/L at screen. | Wk72:GH: >= 1 - <= 2.5 μg/L at screen. | Wk48: GH: > 2.5 μg/L at screening | Wk60: GH: > 2.5 μg/L at screening | Wk72: GH: > 2.5 μg/L at screening | Week 48: Pasireotide LAR overall | Week 60: Pasireotide LAR overall | Week 72: Pasireotide LAR overall |
---|
Pasireotide LAR Monotherapy | 76.5 | 70.6 | 64.7 | 11.9 | 11.9 | 11.9 | 26.3 | 25.0 | 23.7 |
,Pasireotide LAR Overall | 65.0 | 60.0 | 55.0 | 11.8 | 10.3 | 10.3 | 23.9 | 21.6 | 20.5 |
,Pasireotide With Concomitant Mediaction | 0.0 | 0.0 | 0.0 | 11.1 | 0.0 | 0.0 | 8.3 | 0.0 | 0.0 |
[back to top]
Extension Phase: Percentage of Participants With Mean GH < 1 μg/L and IGF-1 < ULN at Weeks 48, 60 and 72 (Overall by Baseline Diabetic Status)
Percentage of participants achieving IGF-1 NCT02354508)
Timeframe: Weeks 48, 60, 72
Intervention | Percentage of participants (Number) |
---|
| Week 48: Diabetic | Week 60: Diabetic | Week 72: Diabetic | Week 48: Pre-diabetic | Week 60: Pre-diabetic | Week 72: Pre-diabetic | Week 48: Non-diabetic | Week 60: Non-diabetic | Week 72: Non-diabetic |
---|
Pasireotide LAR Overall | 11.6 | 11.6 | 11.6 | 11.1 | 16.7 | 8.3 | 22.2 | 22.2 | 22.2 |
[back to top]
Extension Phase: Percentage of Participants With Mean GH < 1 μg/L and IGF-1 < ULN at Weeks 48, 60 & 72 (Up-titrated to Pasireotide LAR 60 mg)
Percentage of patients achieving IGF-1 NCT02354508)
Timeframe: Weeks 48, 60 & 72
Intervention | Percentage of participants (Number) |
---|
| Week 48 | Week 60 | Week 72 |
---|
Up-titrated to Pasireotide LAR 60 mg | 5.8 | 7.1 | 5.7 |
[back to top]
Core Phase: Change in Mean Growth Hormone (GH) Values From Baseline to Week 36
Core phase - Changes in mean GH from study baseline to week 36. (NCT02354508)
Timeframe: Baseline, week 36
Intervention | percentage change (Mean) |
---|
Lanreotide 120 mg | -7.7 |
Octreotide 30 mg | -8.5 |
Octreotide 40 mg | -2.9 |
Pasireotide LAR Overall | -6.0 |
[back to top]
Core Phase: Percentage of Participants Reporting Levels 0 - 4 by Dimensions of Acromegaly Symptoms
Symptoms of acromegaly were collected at various visits. The measurement was to be provided on a scale of 1-15 including half sizes. Investigators asked the participants to score the following symptoms of acromegaly: headache, fatigue, perspiration, paresthesias, osteoarthralgia according to a five-point score scale (0=absent, 1=mild, 2=moderate, 3=severe, 4=very severe). (NCT02354508)
Timeframe: Weeks 12, 24 & 36
Intervention | Percentage of participants (Number) |
---|
| Week 12: Non/absent | Week 12: Mild | Week 12: Moderate | Week 12: Severe | Week 12: Very severe | Week 12: Not done | Week 24: Non/absent | Week 24: Mild | Week 24: Moderate | Week 24: Severe | Week 24: Very severe | Week 24: Not done | Week 36: Non/absent | Week 36: Mild | Week 36: Moderate | Week 36: Severe | Week 36: Very severe | Week 36: Not done |
---|
Pasireotide LAR Overall - Acromegaly Symptom: Fatigue | 37.4 | 26.8 | 18.7 | 8.9 | 4.9 | 0.0 | 46.3 | 20.3 | 17.9 | 7.3 | 4.9 | 0.0 | 47.2 | 23.6 | 13.0 | 4.9 | 3.3 | 0.0 |
,Pasireotide LAR Overall - Acromegaly Symptom: Headache | 56.9 | 24.4 | 14.6 | 0.8 | 0.0 | 0.0 | 59.3 | 27.6 | 8.1 | 1.6 | 0.0 | 0.0 | 63.4 | 17.1 | 9.8 | 1.6 | 0.0 | 0.0 |
,Pasireotide LAR Overall - Acromegaly Symptom: Osteoarthralgia | 43.1 | 27.6 | 14.6 | 8.9 | 2.4 | 0.0 | 47.2 | 26.8 | 14.6 | 3.3 | 4.9 | 0.0 | 47.2 | 26.8 | 12.2 | 3.3 | 2.4 | 0.0 |
,Pasireotide LAR Overall - Acromegaly Symptom: Paresthesiae | 69.1 | 15.4 | 5.7 | 4.9 | 1.6 | 0.0 | 72.4 | 13.8 | 7.3 | 0.8 | 2.4 | 0.0 | 69.1 | 14.6 | 5.7 | 1.6 | 0.8 | 0.0 |
,Pasireotide LAR Overall - Acromegaly Symptom: Perspiration | 56.9 | 26.8 | 8.1 | 3.3 | 1.6 | 0.0 | 64.2 | 21.1 | 8.9 | 1.6 | 0.8 | 0.0 | 61.8 | 18.7 | 7.3 | 4.1 | 0.0 | 0.0 |
[back to top]
Extension Phase: Percentage of Participants Reporting Levels 1 - 5 by Dimensions of Acromegaly Symptoms
Symptoms of acromegaly were collected at various visits. The measurement was to be provided on a scale of 1-15 including half sizes. Investigators asked the participants to score the following symptoms of acromegaly: headache, fatigue, perspiration, paresthesias, osteoarthralgia according to a five-point score scale (0=absent, 1=mild, 2=moderate, 3=severe, 4=very severe). (NCT02354508)
Timeframe: Weeks 48, 60 & 72
Intervention | Percentage of participants (Number) |
---|
| Week 48: None/absent | Week 48: Mild | Week 48: Moderate | Week 48: Severe | Week 48: Very severe | Week 48: Not done | Week 60: None/absent | Week 60: Mild | Week 60: Moderate | Week 60: Severe | Week 60: Very severe | Week 60: Not done | Week 72: None/absent | Week 72: Mild | Week 72: Moderate | Week 72: Severe | Week 72: Very severe | Week 72: Not done |
---|
Pasireotide LAR Overall - Acromegaly Symptom: Fatigue | 59.1 | 17.0 | 12.5 | 3.4 | 0.0 | 0.0 | 48.9 | 20.5 | 13.6 | 4.5 | 0.0 | 0.0 | 44.3 | 23.9 | 10.2 | 4.5 | 1.1 | 0.0 |
,Pasireotide LAR Overall - Acromegaly Symptom: Headache | 63.6 | 19.3 | 8.0 | 1.1 | 0.0 | 0.0 | 60.2 | 17.0 | 6.8 | 3.4 | 0.0 | 0.0 | 56.8 | 17.0 | 8.0 | 2.3 | 0.0 | 0.0 |
,Pasireotide LAR Overall - Acromegaly Symptom: Osteoarthralgia | 53.4 | 25.0 | 9.1 | 3.4 | 1.1 | 0.0 | 56.8 | 14.8 | 11.4 | 3.4 | 1.1 | 0.0 | 51.1 | 20.5 | 10.2 | 1.1 | 1.1 | 0.0 |
,Pasireotide LAR Overall - Acromegaly Symptom: Paresthesiae | 71.6 | 14.8 | 4.5 | 0.0 | 1.1 | 0.0 | 70.5 | 10.2 | 4.5 | 1.1 | 1.1 | 0.0 | 67.0 | 11.4 | 5.7 | 0.0 | 0.0 | 0.0 |
,Pasireotide LAR Overall - Acromegaly Symptom: Perspiration | 69.3 | 13.6 | 9.1 | 0.0 | 0.0 | 0.0 | 60.2 | 20.5 | 6.8 | 0.0 | 0.0 | 0.0 | 61.4 | 15.9 | 6.8 | 0.0 | 0.0 | 0.0 |
[back to top]
Core Phase: Percentage of Participants With Acromegaly Shift Symptoms From Baseline to Most Extreme Post-baseline
Symptoms of acromegaly were collected at various visits. The measurement was to be provided on a scale of 1-15 including half sizes. Investigators asked the participants to score the following symptoms of acromegaly: headache, fatigue, perspiration, paresthesias, osteoarthralgia according to a five-point score scale (0=absent, 1=mild, 2=moderate, 3=severe, 4=very severe). (NCT02354508)
Timeframe: Weeks 12, 24 & 36
Intervention | Percentage of participants (Number) |
---|
| Baseline (BL): Non/absent | BL: Mild | BL: Moderate | BL: Severe | BL: Very severe | BL: Total | Most extr post-BL:tot Non/absent | Most extr. post-BL: total Mild | Most extr. post-BL: total Mod. | Most extr. post-BL: total Severe | Most extr post-BL:tot. Very severe |
---|
Pasireotide LAR Overall - Acromegaly Symptom: Fatigue | 36.6 | 17.8 | 26.0 | 13.8 | 4.9 | 100.0 | 26.0 | 22.8 | 22.8 | 15.4 | 13.0 |
,Pasireotide LAR Overall - Acromegaly Symptom: Headache | 41.5 | 25.2 | 18.7 | 7 | 5.7 | 100.0 | 36.6 | 30.9 | 20.3 | 9.8 | 2.4 |
,Pasireotide LAR Overall - Acromegaly Symptom: Osteoarthralgia | 33.3 | 21.1 | 26.0 | 16.3 | 3.3 | 100.0 | 26.8 | 26.0 | 24.4 | 14.6 | 8.1 |
,Pasireotide LAR Overall - Acromegaly Symptom: Paresthsiae | 54.5 | 25.2 | 10.6 | 8.9 | 0.8 | 100.0 | 47.2 | 27.6 | 13.0 | 9.8 | 2.4 |
,Pasireotide LAR Overall - Acromegaly Symptom: Perspiration | 43.1 | 25.2 | 18.7 | 8.9 | 4.1 | 100.0 | 37.4 | 29.3 | 20.3 | 7.3 | 5.7 |
[back to top]
Core Phase: Change in Standardized IGF-1 Values From Baseline to Week 36
Core phase - Changes in standardized IGF-1 from study baseline to week 36. (NCT02354508)
Timeframe: Baseline, week 36
Intervention | percentage change (Mean) |
---|
Lanreotide 120 mg | -1.1 |
Octreotide 30 mg | -0.8 |
Octreotide 40 mg | -1.1 |
Pasireotide LAR Overall | -1.0 |
[back to top]
Core Phase: Percentage of Participants With Mean GH < 1 g/L and IGF-1 < ULN at Week 36
Percentage of participants who achieved biochemical control defined as GH <1μg/L and IGF-1 NCT02354508)
Timeframe: Wek 36
Intervention | Percentage of participants (Number) |
---|
Pasireotide LAR Overall | 15.7 |
[back to top]
Core Phase: Percentage of Participants With Mean GH < 1 g/L and IGF-1 < ULN at Week 36
Percentage of patients who achieved biochemical control defined as GH <1μg/L and IGF-1 NCT02354508)
Timeframe: Week 36
Intervention | Percentage of participants (Number) |
---|
Lanreotide 120 mg | 7.7 |
Octreotide 30 mg | 13.0 |
Octreotide 40 mg | 20.5 |
Pasireotide LAR Monotherapy | 17.1 |
Pasireotide With Concomitant Medication | 0.0 |
Pasireotide LAR Overall | 14.8 |
[back to top]
Core Phase: Percentage of Participants With Mean GH <1 μg/L and IGF-1 Core phase - Percentage of patients achieving GH <1μg/L at week 12, 24, 36 overall and by GH level at screening. (NCT02354508)
Timeframe: Weeks 12, 24 & 36
Intervention | Percentage of participants (Number) |
---|
| Week 12 | Week 24 | Week 36 |
---|
Diabetic | 13.5 | 13.5 | 15.4 |
,Non-diabetic | 0.0 | 9.1 | 0.0 |
,Pre-diabetic | 10.0 | 13.3 | 16.7 |
[back to top]
Core Phase: Percentage of Participants With Mean GH < 1 g/L and IGF-1 < ULN at Week 36 by Previous Treatment and Overall - LOCF
Percentage of participants who achieved biochemical control defined as GH <1μg/L and IGF-1 NCT02354508)
Timeframe: Week 36
Intervention | Percentage of participants (Number) |
---|
Lanreotide 120 mg | 14.6 |
Octreotide 30 mg | 13.8 |
Octreotide 40 mg | 17.0 |
Pasireotide LAR Overall | 15.4 |
[back to top]
Core Phase: Percentage of Participants With Mean GH < 1 g/L and IGF-1 < ULN at Week 36 for Participants Up-titrated to Pasireotide LAR 60 mg
Percentage of participants who achieved biochemical control defined as GH <1μg/L and IGF-1 NCT02354508)
Timeframe: Week 36
Intervention | Percentage of participants (Number) |
---|
Up-titrated to Pasireotide LAR 60 mg | 6.7 |
Up-titrated to Pasireotide LAR 60 mg | 5.9 |
[back to top]
Core Phase: Change From Baseline in EQ-5D-5L Index Scores
"Evaluation of effect of pasireotide LAR on health status, measured by EQ-5D-5L, a valid and reliable instrument for measuring general health status. The EQ-5D-5L consists of 2 pages - the descriptive system and the EQ visual analogue scale (EQ VAS). The descriptive system comprises 5 dimensions (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression), each with 5 levels: no problems, slight problems, moderate problems, severe problems, and extreme problems. The EQ VAS records the respondent's self-rated health on a 20-cm vertical, visual analogue scale with endpoints labeled 'the best health you can imagine' and 'the worst health you can imagine'. This scale is numbered from 0 to 100. 100 means the best health you can imagine.~0 means the worst health you can imagine." (NCT02354508)
Timeframe: Baseline, Weeks 12, 24 & 36
Intervention | scores on a scale (Mean) |
---|
| Week 12 | Week 24 | Week 36 |
---|
Pasireotide LAR Overall | 0.0 | 0.0 | 0.0 |
[back to top]
Core Phase: Change From Baseline in EQ-5D-5L VAS Assessment
"Evaluation of effect of pasireotide LAR on health status, measured by EQ-5D-5L, a valid and reliable instrument for measuring general health status. The EQ-5D-5L consists of 2 pages - the descriptive system and the EQ visual analogue scale (EQ VAS). The descriptive system comprises 5 dimensions (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression), each with 5 levels: no problems, slight problems, moderate problems, severe problems, and extreme problems. The EQ VAS records the respondent's self-rated health on a 20-cm vertical, visual analogue scale with endpoints labeled 'the best health you can imagine' and 'the worst health you can imagine'. This scale is numbered from 0 to 100. 100 means the best health you can imagine.~0 means the worst health you can imagine." (NCT02354508)
Timeframe: Baseline, Weeks 12, 24 & 36
Intervention | scores on a scale (Mean) |
---|
| Week 12 | Week 24 | Week 36 |
---|
Pasireotide LAR Overall | 4.1 | 3.4 | 4.9 |
[back to top]
Core Phase: Change From Baseline in Scores as Measured by Acromegaly Quality of Life (AcroQoL)
Evaluation of effect of pasireotide LAR on Health Related Quality of Life (HRQoL) was assessed using AcroQoL, an acromegaly-specific quality of life instrument. The AcroQol instrument is comprised of 22 questions divided into two scales: one evaluating physical aspects (8 items) and the other that addresses psychological aspects (14 items). The psychological scale can also be further divided into subscale that evaluates physical appearance and the other subscale focused on the impact of the disease on personal relationships of the patient (7 items each). Each of the questions has a 5-item Likert scale. For each dimension the scores range from 0-4 with 0 being the lowest impact and 4 being the most severe. (NCT02354508)
Timeframe: Baseline, Weeks 12, 24 & 36
Intervention | scores on a scale (Mean) |
---|
| Week 12 | Week 24 | Week 36 |
---|
Pasireotide LAR Overall - AcroQOL Physical Sub-scores | 5.3 | 5.8 | 5.4 |
,Pasireotide LAR Overall - AcroQOL Psycho/Appearance Sub-scores | 6.5 | 7.2 | 7.0 |
,Pasireotide LAR Overall - AcroQOL Psychological Sub-scores | 4.1 | 4.0 | 4.3 |
,Pasireotide LAR Overall - AcroQOL Total Scores | 4.5 | 4.7 | 4.6 |
,Pasireotide LAR Overall-AcroQOL Psycho/Pers Relatns Sub-scores | 1.9 | 0.9 | 1.8 |
[back to top]
Extension Phase: Change From Baseline in Scores as Measured by Acromegaly Quality of Life (AcroQoL)
Evaluation of effect of pasireotide LAR on Health Related Quality of Life (HRQoL) was assessed using AcroQoL, an acromegaly-specific quality of life instrument. The AcroQol instrument is comprised of 22 questions divided into two scales: one evaluating physical aspects (8 items) and the other that addresses psychological aspects (14 items). The psychological scale can also be further divided into subscale that evaluates physical appearance and the other subscale focused on the impact of the disease on personal relationships of the patient (7 items each). Each of the questions has a 5-item Likert scale. For each dimension the scores range from 0-4 with 0 being the lowest impact and 4 being the most severe. (NCT02354508)
Timeframe: Baseline, Weeks 48, 60 & 72
Intervention | scores on a scale (Mean) |
---|
| Week 60 | Week 72 |
---|
Pasireotide LAR Overall - AcroQOL Physical Sub-scores | 0.0 | 0.9 |
,Pasireotide LAR Overall - AcroQOL Psycho/Appearance Sub-scores | -3.6 | 0.8 |
,Pasireotide LAR Overall - AcroQOL Psychological Sub-scores | -7.1 | 1.8 |
,Pasireotide LAR Overall - AcroQOL Total Scores | -4.5 | 1.6 |
,Pasireotide LAR Overall-AcroQOL Psycho/Pers Relatns Sub-scores | -10.7 | 2.9 |
[back to top]
Extension Phase: Change From Baseline in EQ-5D-5L VAS Assessment
"Evaluation of effect of pasireotide LAR on health status, measured by EQ-5D-5L, a valid and reliable instrument for measuring general health status. The EQ-5D-5L consists of 2 pages - the descriptive system and the EQ visual analogue scale (EQ VAS). The descriptive system comprises 5 dimensions (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression), each with 5 levels: no problems, slight problems, moderate problems, severe problems, and extreme problems. The EQ VAS records the respondent's self-rated health on a 20-cm vertical, visual analogue scale with endpoints labeled 'the best health you can imagine' and 'the worst health you can imagine'. This scale is numbered from 0 to 100. 100 means the best health you can imagine.~0 means the worst health you can imagine." (NCT02354508)
Timeframe: Baseline, Weeks 48, 60 & 72
Intervention | scores on a scale (Mean) |
---|
| Week 60 | Week 72 |
---|
Pasireotide LAR Overall | -10.0 | 1.6 |
[back to top]
Extension Phase: Change From Baseline in EQ-5D-5L Index Scores
"Evaluation of effect of pasireotide LAR on health status, measured by EQ-5D-5L, a valid and reliable instrument for measuring general health status. The EQ-5D-5L consists of 2 pages - the descriptive system and the EQ visual analogue scale (EQ VAS). The descriptive system comprises 5 dimensions (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression), each with 5 levels: no problems, slight problems, moderate problems, severe problems, and extreme problems. The EQ VAS records the respondent's self-rated health on a 20-cm vertical, visual analogue scale with endpoints labeled 'the best health you can imagine' and 'the worst health you can imagine'. This scale is numbered from 0 to 100. 100 means the best health you can imagine.~0 means the worst health you can imagine." (NCT02354508)
Timeframe: Baseline, Weeks 48, 60 & 72
Intervention | scores on a scale (Mean) |
---|
| Week 60 | Week 72 |
---|
Pasireotide LAR Overall | -0.1 | 0.0 |
[back to top]
Core Phase: Percentage of Participants With Mean GH < 1 g/L and IGF-1 < ULN at Week 36 by Previous Treatment and Overall
Percentage of participants who achieved biochemical control defined as GH <1μg/L and IGF-1 NCT02354508)
Timeframe: Week 36
Intervention | Percentage of participants (Number) |
---|
Lanreotide 120 mg | 14.6 |
Octreotide 30 mg | 13.8 |
Octreotide 40 mg | 15.1 |
Pasireotide LAR Overall | 14.6 |
[back to top]
Number of Participants Who Were Pain Free at 30 Minutes Post Dose
Participants who were pain free 30 minutes after dosing and reporting improvement of associated autonomic symptoms (for example, lacrimation, blushing, pupil constriction, etc.) over time was tabulated by dose. (NCT02619617)
Timeframe: 30 mins post dose
Intervention | participants (Number) |
---|
Placebo s.c. | 5 |
SOM230 1.5 mg | 7 |
[back to top]
Change in Hemoglobin Values From Screening to End of Study
Change in hemoglobin values from screening and end of study (NCT02619617)
Timeframe: screening and end of study, up to 9 days after treatment
Intervention | g/L (Mean) |
---|
| Screening | End of Study |
---|
Placebo s.c. /1.5 mg SOM230 s.c. | 153.4 | 149.5 |
[back to top]
Pulse Rate
Vital signs by treatment and time point (NCT02619617)
Timeframe: screening and end of study, up to 9 days after treatment
Intervention | Beats/min (Mean) |
---|
| Screening | Baseline | Period 1 - Placebo | Period 2 - SOM230 1.5 mg | End of Study |
---|
Placebo s.c. /1.5 mg SOM230 s.c. | 77.2 | 78.1 | 76.9 | 74.0 | 81.1 |
[back to top]
Number of Participants With Headache Response (PD Analysis Set)
Defined as very severe, severe, or moderate pain before dosing that becomes mild or nil at 30 minutes post-dosing (NCT02619617)
Timeframe: 30 minutes post dose
Intervention | participants (Number) |
---|
Placebo s.c. | 9 |
SOM230 1.5 mg | 10 |
[back to top]