Page last updated: 2024-11-12

pasireotide

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Description

pasireotide : A six-membered homodetic cyclic peptide composed from L-phenylglycyl, D-tryptophyl, L-lysyl, O-benzyl-L-tyrosyl, L-phenylalanyl and modified L-hydroxyproline residues joined in sequence. A somatostatin analogue with pharmacologic properties mimicking those of the natural hormone somatostatin; used (as its diaspartate salt) for treatment of Cushing's disease. [Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Cross-References

ID SourceID
PubMed CID9941444
CHEMBL ID3349607
CHEBI ID72312
SCHEMBL ID12462108
MeSH IDM0507457

Synonyms (38)

Synonym
gtpl2018
som 320
[(3s,6s,9s,12r,15s,18s,20r)-9-(4-aminobutyl)-12-(1h-indol-3-ylmethyl)-2,5,8,11,14,17-hexaoxo-15-phenyl-6-[[4-(phenylmethoxy)phenyl]methyl]-3-(phenylmethyl)-1,4,7,10,13,16-hexazabicyclo[16.3.0]henicosan-20-yl] n-(2-aminoethyl)carbamate
som-230
som 230
pasireotide
cyclo((4r)-4-(2-aminoethylcarbamoyloxy)-l-prolyl-l-phenylglycyl-d-tryptophyl-l-lysyl-4-o-benzyl-l-tyrosyl-l-phenylalanyl-)
pasireotide [usan:inn]
98h1t17066 ,
unii-98h1t17066
CHEBI:72312 ,
cyclo((4r)-4-(2-aminoethylcarbamoyloxy)-l-prolyl-l-phenylglycyl-d-tryptophyl-l-lysyl-4-o-benzyl-l-tyrosyl-l- phenylalanyl-)
pasireotida
pasireotidum
cyclo[(2s)-2-phenylglycyl-d-tryptophyl-l-lysyl-o-benzyl-l-tyrosyl-l-phenylalanyl-(4r)-4-{[(2-aminoethyl)carbamoyl]oxy}-l-prolyl]
SCHEMBL12462108
pasireotide [vandf]
pasireotide [mi]
pasireotide [who-dd]
DB06663
pasireotide [inn]
pasireotide [usan]
pasireotide [mart.]
HY-16381
CHEMBL3349607 ,
AKOS030526804
bdbm50474236
Q3896970
396091-73-9 (free base)
pasireotide free base
(3s,6r,9s,12s,15s,19r,20as)-6-((1h-indol-3-yl)methyl)-9-(4-aminobutyl)-15-benzyl-12-(4-(benzyloxy)benzyl)-1,4,7,10,13,16-hexaoxo-3-phenylicosahydropyrrolo[1,2-a][1,4,7,10,13,16]hexaazacyclooctadecin-19-yl (2-aminoethyl)carbamate
[(3s,6s,9s,12r,15s,18s,20r)-9-(4-aminobutyl)-3-benzyl-12-(1h-indol-3-ylmethyl)-2,5,8,11,14,17-hexaoxo-15-phenyl-6-[(4-phenylmethoxyphenyl)methyl]-1,4,7,10,13,16-hexazabicyclo[16.3.0]henicosan-20-yl] n-(2-aminoethyl)carbamate
NCGC00378682-03
(3s,6r,9s,12s,15s,19r,20as)-9-(4-aminobutyl)-15-benzyl-12-{[4-(benzyloxy)phenyl]methyl}-6-[(1h-indol-3-yl)methyl]-1,4,7,10,13,16-hexaoxo-3-phenyl-icosahydropyrrolo[1,2-a]1,4,7,10,13,16-hexaazacyclooctadecan-19-yl n-(2-aminoethyl)carbamate
EN300-23849528
h01cb05
pasireotide (mart.)
cyclo((2s)-2-phenylglycyl-d-tryptophyl-l-lysyl-o-benzyl-l-tyrosyl-l-phenylalanyl-(4r)-4-(((2-aminoethyl)carbamoyl)oxy)-l-prolyl)

Research Excerpts

Overview

Pasireotide (PAS) is a novel somatostatin receptor ligands (SRL), used in controlling hormonal hypersecretion in acromegaly and Cushing's Disease. Pasireotide treatment is an alternative treatment in CD, remission is obtained in the first months of treatment, and continues for an extended period.

ExcerptReferenceRelevance
"Pasireotide is an effective and well-tolerated therapy in the treatment of refractory hypoglycemia in metastatic insulinoma."( Pasireotide for Refractory Hypoglycemia in Malignant Insulinoma- Case Report and Review of the Literature.
Chanez, B; Ewald, J; Maniry-Quellier, J; Niccoli, P; Oziel-Taieb, S; Poizat, F, 2022
)
2.89
"Pasireotide (PAS) is a novel somatostatin receptor ligands (SRL), used in controlling hormonal hypersecretion in both acromegaly and Cushing's Disease (CD). "( Pasireotide-Induced Shrinkage in GH and ACTH Secreting Pituitary Adenoma: A Systematic Review and Meta-Analysis.
Barbot, M; Ceccato, F; Denaro, L; Ferrari, M; Manara, R; Mondin, A; Scaroni, C; Tizianel, I; Voltan, G, 2022
)
3.61
"Pasireotide treatment is an alternative treatment in CD, remission is obtained in the first months of treatment, and continues for an extended period. "( Pasireotide treatment in Cushing's disease: A single tertiary center's experience.
Durcan, E; Kadıoğlu, P; Karimova, G; Özcan, ŞG; Özkaya, HM; Şahin, S, 2022
)
3.61
"Pasireotide (PAS) is an effective treatment for Cushing's disease (CD) but its use is burdened by an associated high incidence of diabetes mellitus (DM). "( Is pasireotide-induced diabetes mellitus predictable? A pilot study on the effect of a single dose of pasireotide on glucose homeostasis.
Arnaldi, G; Barbot, M; Ceccato, F; Lizzul, L; Mondin, A; Plebani, M; Regazzo, D; Scaroni, C; Zaninotto, M; Zilio, M, 2020
)
2.62
"Pasireotide LAR is an effective therapeutic option in patients with acromegaly refractory to first-generation SRLs. "( The Effect of 6 Months' Treatment With Pasireotide LAR on Glucose Metabolism in Patients With Resistant Acromegaly in Real-World Clinical Settings.
Bolanowski, M; Jawiarczyk-Przybyłowska, A; Kałużny, M; Szamotulska, K; Witek, P; Wojciechowska-Luźniak, A, 2021
)
2.33
"Pasireotide is an effective treatment for acromegaly and Cushing's disease, although treatment-emergent hyperglycemia can occur. "( Managing pasireotide-associated hyperglycemia: a randomized, open-label, Phase IV study.
Bolanowski, M; Feldt-Rasmussen, U; Gu, F; Jabbour, N; Kalra, P; Paul, M; Pedroncelli, AM; Pultar, P; Samson, SL; Witek, P; Yu, Y; Zhang, S, 2021
)
2.48
"Pasireotide is a newer generation somatostatin analogue that led to a significant reduction in pancreatic fistula after pancreatectomy in a single-center randomized controlled trial. "( Prospective Evaluation of Pasireotide in Patients Undergoing Pancreaticoduodenectomy: The Washington University Experience.
Chapman, WC; Dominguez-Rosado, I; Doyle, MB; Fields, RC; Hammill, CW; Hawkins, WG; Horwedel, TA; Rose, JB; Sanford, DE; Strasberg, SM; Williams, G; Woolsey, CA, 2018
)
2.22
"Pasireotide is a somatostatin analogue with an affinity for somatostatin receptors 1, 2, 3, and 5."( Phase 1b study of pasireotide, everolimus, and selective internal radioembolization therapy for unresectable neuroendocrine tumors with hepatic metastases.
Alese, OB; Brutcher, E; Chen, Z; El-Rayes, BF; Kim, HS; Nagaraju, GP; Renfroe, M; Shaib, WL; Wu, C; Zhang, C, 2018
)
1.54
"Pasireotide (SOM230) is a multi-receptor ligand somatostatin analogue (SSA) developed as the successor of the first-generation SSAs. "( Pasireotide - Mechanism of Action and Clinical Applications.
Owecki, M; Ruchala, M; Sawicka-Gutaj, N, 2018
)
3.37
"Pasireotide is a novel multireceptor-targeted somatostatin analog with high affinity for SSTR1, 2, 3, and 5."( Pasireotide in the treatment of neuroendocrine tumors: a review of the literature.
Colao, A; Di Molfetta, S; Dicitore, A; Faggiano, A; Rubino, M; Sciammarella, C; Vitale, G, 2018
)
2.64
"Pasireotide is a new-generation somatostatin analog that acts through binding to multiple somatostatin receptor subtypes. "( Pasireotide treatment does not modify hyperglycemic and corticosterone acute restraint stress responses in rats.
Amaral, PHS; Bizzi, MF; Espirito-Santo, DTA; Ribeiro-Oliveira, A; Schmid, HA; Schweizer, JROL; Silveira, WCD; Soares, BS; Yuen, KCJ; Zille, G, 2018
)
3.37
"Pasireotide is a second-generation somatostatin (SRIF) receptor ligand (SRL), approved for medical treatment of acromegaly and Cushing's disease (CD). "( Cell specific interaction of pasireotide: review of preclinical studies in somatotroph and corticotroph pituitary cells.
Amarù, J; Arvigo, M; Boschetti, M; Bruzzone, E; Campana, C; Cocchiara, F; Ferone, D; Gatto, F; Giusti, M; Graziani, G, 2019
)
2.25
"Pasireotide is a sst multireceptor ligand with affinity for sst1, sst2, sst3 and sst5 and this broader binding profile may translate into a higher efficacy with respect to suppression of hormone production and cell growth in certain tumors."( Pasireotide, a multi-somatostatin receptor ligand with potential efficacy for treatment of pituitary and neuroendocrine tumors.
de Herder, WW; Feelders, RA; Hofland, LJ; Neggers, SJ; van der Lely, AJ, 2013
)
2.55
"Pasireotide (Signifor(®)) is a new subcutaneous somatostatin analogue that acts via somatostatin receptors to inhibit the secretion of corticotropin from the pituitary adenoma in patients with Cushing's disease. "( Pasireotide: a review of its use in Cushing's disease.
McKeage, K, 2013
)
3.28
"Pasireotide (SOM230) is a multireceptor-targeted somatostatin analog designed to have a broader somatostatin receptor binding profile than other currently available somatostatin analogs. "( Assessment of the absorption, metabolism and excretion of [¹⁴C]pasireotide in healthy volunteers using accelerator mass spectrometry.
Flarakos, J; He, H; Hu, K; Lin, TH; Mangold, JB; Sharr-McMahon, M; Wang, Y, 2013
)
2.07
"Pasireotide (SOM230) is a somatostatin analog with affinity for somatostatin receptor subtypes sst₁₋₃ and sst₅. "( Hyperglycemia associated with pasireotide: results from a mechanistic study in healthy volunteers.
Armstrong, D; Burke, P; Ciaraldi, TP; Henry, RR; Ligueros-Saylan, M; Mudaliar, S, 2013
)
2.12
"Pasireotide is a multi-receptor-targeted somatostatin analogue approved in the EU and in the US for the treatment of adults with Cushing's disease (CD). "( Up-to 5-year efficacy of pasireotide in a patient with Cushing's disease and pre-existing diabetes: literature review and clinical practice considerations.
Arnaldi, G; Boscaro, M; Cardinaletti, M; Concettoni, C; Marcelli, G; Trementino, L, 2015
)
2.16
"Pasireotide is a multireceptor-targeted somatostatin analog effective in the treatment of Cushing's disease (CD). "( The role of an acute pasireotide suppression test in predicting response to treatment in patients with Cushing's disease: findings from a pilot study.
Arnaldi, G; Barbot, M; Boscaro, M; Ceccato, F; Marcelli, G; Michetti, G; Scaroni, C; Trementino, L; Zilio, M, 2015
)
2.18
"Pasireotide LAR is a long-acting somatostatin analog that may inhibit meningioma growth. "( Phase II study of monthly pasireotide LAR (SOM230C) for recurrent or progressive meningioma.
Batchelor, TT; Beroukhim, R; Doherty, L; Drappatz, J; Gaffey, SC; Gerard, M; Haidar, S; Hammond, SN; Kaley, TJ; Lafrankie, D; Lee, EQ; Lesser, GJ; Ligon, KL; McCluskey, C; Muzikansky, A; Norden, AD; Phuphanich, S; Plotkin, SR; Raizer, JJ; Reardon, DA; Smith, KH; Wen, PY; Wong, ET, 2015
)
2.16
"Pasireotide (SOM230) is a multireceptor-targeted somatostatin analogue with a 39-, 30- and 5-fold higher binding affinity for sstr5, sstr1 and sstr3, respectively, and a slightly lower (0.4-fold) affinity for sstr2 compared with octreotide."( Pasireotide (SOM230) prevents sulfonylurea-induced hypoglycemia in rats.
Schmid, HA, 2015
)
2.58
"Pasireotide is a novel multireceptor ligand somatostatin analog that improves biochemical control of humans with HST."( Pasireotide for the Medical Management of Feline Hypersomatotropism.
Church, D; Forcada, Y; Gostelow, R; Niessen, SJ; Schmid, HA; Scudder, CJ,
)
2.3
"Pasireotide (SOM230) is a somatostatin analog with high binding affinity for somatostatin receptors including sst1, 2, 3 and 5 and inhibit insulin like growth factor-1. "( Phase I trial of combination of FOLFIRI and pasireotide, a somatostatin analogue, in advanced gastrointestinal malignancies.
Almhanna, K; Fulp, W; Kim, R; Mahipal, A; Shibata, D; Siegel, E; Springett, G; Williams-Elson, I, 2015
)
2.12
"Pasireotide is a multi-receptor targeted somatostatin-analog with improved affinity for SSTR5."( Pasireotide for malignant insulinoma.
Elnekave, E; Nir, K; Ravkin, Y; Saeger, W; Shimon, I; Solomonov, E; Stemmer, SM; Talmor, Y; Tirosh, A, 2016
)
2.6
"Pasireotide LAR is a long-acting somatostatin multireceptor ligand."( Pasireotide: a novel treatment for patients with acromegaly.
Cuevas-Ramos, D; Fleseriu, M, 2016
)
2.6
"Pasireotide LAR is a promising treatment option for patients with acromegaly inadequately controlled with the first-generation somatostatin analogue octreotide LAR."( Switching patients with acromegaly from octreotide to pasireotide improves biochemical control: crossover extension to a randomized, double-blind, Phase III study.
Bronstein, MD; Chen, Y; Colao, A; Farrall, AJ; Fleseriu, M; Freda, P; Gadelha, M; Gu, F; Hermosillo Reséndiz, K; Neggers, S; Ruffin, M; Shen, CC; Sheppard, M, 2016
)
2.13
"Pasireotide is a new-generation, multireceptor-targeted somatostatin receptor ligand approved for CD (subcutaneous [SC] injection formulation) and acromegaly (long-acting release [LAR] formulation)."( Hyperglycemia induced by pasireotide in patients with Cushing's disease or acromegaly.
Silverstein, JM, 2016
)
1.46
"Pasireotide is a novel multireceptor ligand somatostatin analogue, which has been demonstrated to reduce the incidence of PF following pancreas resection; however, the drug cost is significant."( Pasireotide for the Prevention of Pancreatic Fistula Following Pancreaticoduodenectomy: A Cost-effectiveness Analysis.
Behman, R; Coburn, NG; Eeson, G; Goyert, N; Hallet, J; Kagedan, DJ; Karanicolas, PJ; Law, C; Lemke, M; Mittmann, N, 2017
)
2.62
"Pasireotide appears to be a cost-saving treatment following PD across a wide variation of clinical and cost scenarios."( Pasireotide for the Prevention of Pancreatic Fistula Following Pancreaticoduodenectomy: A Cost-effectiveness Analysis.
Behman, R; Coburn, NG; Eeson, G; Goyert, N; Hallet, J; Kagedan, DJ; Karanicolas, PJ; Law, C; Lemke, M; Mittmann, N, 2017
)
3.34
"Pasireotide is a next-generation SRL with a broader pattern of interaction with sst."( Somatostatin receptor ligands in the treatment of acromegaly.
Bronstein, MD; Ferone, D; Gadelha, MR; Gatto, F; Wildemberg, LE, 2017
)
1.18
"Pasireotide (SOM230) is a novel multireceptor ligand somatostatin analog with affinity for somatostatin receptor subtypes sst(1-3) and sst(5). "( Pasireotide (SOM230) demonstrates efficacy and safety in patients with acromegaly: a randomized, multicenter, phase II trial.
Abs, R; Barkan, A; Biller, BM; Buchelt, A; Colao, A; Farrall, AJ; Ho, YY; Hu, K; Melmed, S; Mohideen, P; Petersenn, S; Schopohl, J, 2010
)
3.25
"Pasireotide is a promising treatment for acromegaly. "( Pasireotide (SOM230) demonstrates efficacy and safety in patients with acromegaly: a randomized, multicenter, phase II trial.
Abs, R; Barkan, A; Biller, BM; Buchelt, A; Colao, A; Farrall, AJ; Ho, YY; Hu, K; Melmed, S; Mohideen, P; Petersenn, S; Schopohl, J, 2010
)
3.25
"Pasireotide is a novel multi-receptor-targeted somatostatin analogue with high affinity for sst(1,2,3) and sst(5)."( Medical treatment of Cushing's disease: somatostatin analogues and pasireotide.
Pedroncelli, AM, 2010
)
1.32
"Pasireotide is a novel multireceptor-targeted somatostatin analogue that has shown efficacy in patients with acromegaly and Cushing's disease when administered by subcutaneous (SC) injection. "( Pasireotide (SOM230), a novel multireceptor-targeted somatostatin analogue, is well tolerated when administered as a continuous 7-day subcutaneous infusion in healthy male volunteers.
Bouillaud, E; Hu, K; Mann, K; Petersenn, S; Reséndiz, KH; Unger, N; Wang, Y; Weisshaar, B; Zhang, Y, 2012
)
3.26
"Pasireotide (SOM230) is a multireceptor-targeted somatostatin analog with high binding affinity for sstr(1,2,3) and sstr(5). "( Effects of somatostatin analogs on glucose homeostasis in rats.
Brueggen, J; Schmid, HA, 2012
)
1.82
"Pasireotide is a novel, multireceptor-targeted somatostatin analogue with high affinity for sst(1,2,3) and sst(5) under clinical evaluation in tumors of neuroendocrine origin, including Cushing's disease, acromegaly, and neuroendocrine tumors. "( Effect of hepatic impairment on the pharmacokinetics of pasireotide (SOM230): results from a multicenter phase I study.
Botha, FP; Bouillaud, E; Heuman, DM; Horsmans, Y; Hu, K; Mazur, D; Ruffin, M; Song, D; Wang, Y, 2012
)
2.07
"Pasireotide (SOM230) is a multireceptor-targeted somatostatin analog with high binding affinity for four of the five somatostatin receptor subtypes (sst(1,2,3) and sst(5)), and potential clinical activity in several neuroendocrine and oncologic conditions, including acromegaly, Cushing's disease, and neuroendocrine tumors (NET). "( A first-in-man study to evaluate the safety, tolerability, and pharmacokinetics of pasireotide (SOM230), a multireceptor-targeted somatostatin analog, in healthy volunteers.
Bouillaud, E; Buchelt, A; Golor, G; Hu, K; Maldonado, M; Ruffin, M; Wang, Y, 2012
)
2.05
"Pasireotide is a multireceptor-targeted somatostatin analogue that has high affinity for 4 of the 5 somatostatin receptor subtypes (sst1,2,3 and sst5) and has therapeutic potential in conditions with tumors of neuroendocrine origin, such as Cushing disease, acromegaly, and neuroendocrine tumors. "( An open-label dose-escalation study of once-daily and twice-daily pasireotide in healthy volunteers: safety, tolerability, and effects on glucose, insulin, and glucagon levels.
Bouillaud, E; Hu, K; Hudson, M; Maldonado, M; Nesheiwat, D; Shenouda, M; Wang, Y,
)
1.81
"Pasireotide is a somatostatin analog with binding affinity to a broader range of somatostatin receptor subtypes than octreotide."( Phase I study of pasireotide (SOM 230) and everolimus (RAD001) in advanced neuroendocrine tumors.
Abrams, TA; Chan, JA; Fuchs, CS; Kulke, MH; Malinowski, P; Regan, EM; Ryan, DP; Wolpin, BM; Zhu, AX, 2012
)
1.44
"Pasireotide (SOM230) is a novel multireceptor-targeted somatostatin (sst) analog with high binding affinity for sst receptor subtype 1, 2, 3 (sst(1,2,3)) and sst(5). "( Pasireotide (SOM230) shows efficacy and tolerability in the treatment of patients with advanced neuroendocrine tumors refractory or resistant to octreotide LAR: results from a phase II study.
Anthony, L; Arnold, R; de Herder, WW; Hu, K; Hughes, G; Kvols, LK; Mohideen, P; O'Dorisio, TM; Oberg, KE; Wiedenmann, B; Zhang, Y, 2012
)
3.26
"Pasireotide is a multireceptor-targeted somatostatin analogue and is the only approved medical therapy for Cushing's disease that treats the underlying cause of the disorder."( Pituitary-directed medical therapy with pasireotide for a corticotroph macroadenoma: pituitary volume reduction and literature review.
Inbar, E; Rot, L; Shimon, I, 2012
)
1.37
"Pasireotide (SOM230) is a multi-receptor ligand somatostatin analogue with high binding affinity for somatostatin receptor subtypes sst(1,2,3) and sst(5). "( Pasireotide (SOM230): development, mechanism of action and potential applications.
Schmid, HA, 2008
)
3.23
"Pasireotide (SOM-230) is a small somatostatin (SST) analog that is being developed by Novartis Pharma AG for the potential treatment of acromegaly, Cushing's disease and neuroendocrine tumors; the compound is currently in phase III clinical trials for Cushing's disease. "( Pasireotide--a somatostatin analog for the potential treatment of acromegaly, neuroendocrine tumors and Cushing's disease.
Ben-Shlomo, A; Melmed, S, 2007
)
3.23

Effects

Pasireotide has a receptor binding profile that is distinct from that of other somatostatin analogues. It binds with high affinity to the SSTR(5) receptor, which is strongly over expressed in corticotroph adenoma cells.

Pasireotide has been associated with tumor shrinkage in patients with Cushing's disease subjected to long term treatment. The compound has been shown to be more effective than other SRLs in providing biochemical control in Patients with acromegaly.

ExcerptReferenceRelevance
"Pasireotide, which has a high affinity for somatostatin receptor (SSTR) 5, has attracted attention as a new treatment for refractory Cushing's disease. "( Pasireotide-resistant Refractory Cushing's Disease without Somatostatin Receptor 5 Expression.
Fukuhara, N; Inoshita, N; Mizuno, T; Nishioka, H; Takeshita, A; Takeuchi, Y; Tatsushima, K; Yamada, S, 2022
)
3.61
"Pasireotide has a high affinity for SSTR5, indicating that these tumours may be more sensitive to treatment."( Improved pasireotide response in USP8 mutant corticotroph tumours in vitro.
Albani, A; Buchfelder, M; Colón-Bolea, P; Flitsch, J; Herms, J; Lucia, KE; Perez-Rivas, LG; Reincke, M; Roeber, S; Rotermund, R; Schopohl, J; Simon, J; Stalla, G; Tang, S; Theodoropoulou, M; Thorsteinsdottir, J, 2022
)
1.86
"Pasireotide has a high affinity for SSTR2 and SSTR5, and the addition of SSTR2- and SSTR5-specific antagonists leads to a loss of protection."( Pasireotide protects mammalian cochlear hair cells from gentamicin ototoxicity by activating the PI3K-Akt pathway.
Bodmer, D; Horvath, L; Kucharava, K; Petkovic, V; Sekulic-Jablanovic, M, 2019
)
2.68
"Pasireotide has a broader somatostatin receptor binding profile than other somatostatin analogues. "( Long-term efficacy and safety of subcutaneous pasireotide in acromegaly: results from an open-ended, multicenter, Phase II extension study.
Barkan, A; Block, C; Caron, P; Colao, A; Cuneo, R; De Block, C; Farrall, AJ; Hermosillo Reséndiz, K; Hu, K; Hughes, G; Kleinberg, D; Melmed, S; Petersenn, S; Ruffin, M; Schopohl, J, 2014
)
2.1
"Pasireotide has a receptor binding profile that is distinct from that of other somatostatin analogues, binding with high affinity to somatostatin receptor subtype 5, which is strongly over expressed in corticotroph adenoma cells."( Pasireotide: a review of its use in Cushing's disease.
McKeage, K, 2013
)
2.55
"Pasireotide has a safety profile similar to other somatostatin analogues with the exception of hyperglycemia."( Up-to 5-year efficacy of pasireotide in a patient with Cushing's disease and pre-existing diabetes: literature review and clinical practice considerations.
Arnaldi, G; Boscaro, M; Cardinaletti, M; Concettoni, C; Marcelli, G; Trementino, L, 2015
)
1.44
"Pasireotide has a unique binding profile, with high affinity for four of the five somatostatin receptors, especially SSTR(5), the receptor most prevalent in corticotroph tumors."( Pasireotide for the treatment of Cushing's disease.
Arnaldi, G; Boscaro, M, 2010
)
2.52
"Pasireotide has been positioned mostly as a compound to be used in first-generation SRLs resistant patients and after surgical failure, but sufficient data are now available to indicate it is a first line therapy for patients with certain characteristics."( Pasireotide in the Personalized Treatment of Acromegaly.
Aller, J; Alvarez-Escolá, C; Bernabéu, I; Biagetti, B; Cámara, R; Gálvez, MA; Gil, J; Jordà, M; Lamas, C; Marazuela, M; Marques-Pamies, M; Picó, A; Puig-Domingo, M; Soldevila, B, 2021
)
2.79
"Pasireotide has been associated with tumor shrinkage in patients with Cushing's disease subjected to long term treatment. "( Somatostatin analogs regulate tumor corticotrophs growth by reducing ERK1/2 activity.
Arosio, M; Catalano, R; Giardino, E; Locatelli, M; Mangili, F; Mantovani, G; Peverelli, E; Sala, E; Spada, A; Treppiedi, D; Vercesi, P, 2019
)
1.96
"Pasireotide LAR has been shown to be more effective than other SRLs in providing biochemical control in patients with acromegaly."( Management of Hyperglycemia in Patients With Acromegaly Treated With Pasireotide LAR.
Samson, SL, 2016
)
1.39

Actions

ExcerptReferenceRelevance
"Pasireotide was able to activate sst(3) and sst(5) receptors but was only a partial agonist at the sst(2) receptor."( A transplantable phosphorylation probe for direct assessment of G protein-coupled receptor activation.
Kliewer, A; Mann, A; Petrich, A; Pöll, F; Schulz, S, 2012
)
1.1

Treatment

Pasireotide was the only treatment to be assessed in a randomized trial and was supported by a 'moderate' level of evidence. Co-treatment with pasireotide, a somatostatin analog that blocks GH secretion and IGF-I action in the mammary gland, prevented hormone-induced hyperplasia.

ExcerptReferenceRelevance
"Pasireotide treatment is an alternative treatment in CD, remission is obtained in the first months of treatment, and continues for an extended period. "( Pasireotide treatment in Cushing's disease: A single tertiary center's experience.
Durcan, E; Kadıoğlu, P; Karimova, G; Özcan, ŞG; Özkaya, HM; Şahin, S, 2022
)
3.61
"Pasireotide treatment resulted in significant decreases in insulin AUC0-180 min during both the hyperglycemic clamp test (-77.5%; P < .001 in both dose groups) and the OGTT (-61.9%; P < .001 in both dose groups). "( Hyperglycemia associated with pasireotide: results from a mechanistic study in healthy volunteers.
Armstrong, D; Burke, P; Ciaraldi, TP; Henry, RR; Ligueros-Saylan, M; Mudaliar, S, 2013
)
2.12
"Pasireotide was the only treatment to be assessed in a randomized trial and was supported by a 'moderate' level of evidence."( Efficacy of medical treatment in Cushing's disease: a systematic review.
Gadelha, MR; Vieira Neto, L, 2014
)
1.12
"Pasireotide treatment can result in a meaningful HRQOL improvement among those who complete a 12-month treatment period, most often among patients achieving biochemical control."( Treatment effectiveness of pasireotide on health-related quality of life in patients with Cushing's disease.
Badia, X; de Block, C; Forsythe, A; Gadelha, M; Maldonado, M; McLeod, L; Nelson, LM; Portocarrero-Ortiz, L; Signorovitch, JE; Ware, JE; Webb, SM; Yang, M; Zgliczynski, W, 2014
)
2.14
"Pasireotide treatment was associated with a normalization of 24-h urinary-free cortisol at last follow-up in about 68 % of patients."( The role of an acute pasireotide suppression test in predicting response to treatment in patients with Cushing's disease: findings from a pilot study.
Arnaldi, G; Barbot, M; Boscaro, M; Ceccato, F; Marcelli, G; Michetti, G; Scaroni, C; Trementino, L; Zilio, M, 2015
)
1.46
"Pasireotide treatment induced full disease control in 37.5 % and partial disease control in 37.5 % after 6 months, whereas full and partial disease control after 12 months was obtained in 28.6 % and in 57.1 % of patients, respectively."( The treatment with pasireotide in Cushing's disease: effects of long-term treatment on tumor mass in the experience of a single center.
Auriemma, RS; Cirillo, S; Colao, A; Cozzolino, A; De Leo, M; De Martino, MC; Iacuaniello, D; Mainolfi, CG; Pivonello, C; Pivonello, R; Rossi, R; Simeoli, C; Tortora, F, 2015
)
1.47
"Pasireotide-treated Men1(+/-) mice had increased survival (pasireotide, 80.9% vs PBS, 65.2%; P < .05), with fewer mice developing pancreatic NETs (pasireotide, 86.9% vs PBS, 96.9%; P < .05) and smaller increases in pituitary NET volumes (pre-treated vs post-treated, 0.803 ± 0.058 mm(3) vs 2.872 ± 0.728 mm(3) [pasireotide] compared with 0.844 ± 0.066 mm(3) vs 8.847 ±1.948 mm(3) [PBS]; P < .01)."( Pasireotide Therapy of Multiple Endocrine Neoplasia Type 1-Associated Neuroendocrine Tumors in Female Mice Deleted for an Men1 Allele Improves Survival and Reduces Tumor Progression.
Grossman, AB; Lines, KE; Schmid, HA; Soukup, BS; Stevenson, M; Thakker, RV; Walls, GV, 2016
)
2.6
"Pasireotide treatment was associated with sustained biochemical and clinical benefit in about 60% of CD patients."( A Single-Center 10-Year Experience with Pasireotide in Cushing's Disease: Patients' Characteristics and Outcome.
Angeletti, A; Arnaldi, G; Boscaro, M; Cardinaletti, C; Concettoni, C; Marcelli, G; Michetti, G; Polenta, B; Trementino, L, 2016
)
1.42
"Co-treatment with pasireotide, a somatostatin analog that blocks GH secretion and IGF-I action in the mammary gland, prevented hormone-induced hyperplasia."( Pasireotide, an IGF-I action inhibitor, prevents growth hormone and estradiol-induced mammary hyperplasia.
Ameri, P; Kleinberg, DL; Singh, B, 2011
)
2.14

Toxicity

The most common grade 1-2 adverse events with a suspected association with long-acting pasireotide monotherapy were diarrhoea and hyperglycaemia. Pasireotide was generally well tolerated at all doses. Adverse events were predominantly mild-to-moderate gastrointestinal disorders.

ExcerptReferenceRelevance
" Assessments included adverse events (AEs), PKs, and glucose, insulin, glucagon, and HbA1c levels."( Safety, tolerability, and pharmacokinetics of a single dose of pasireotide long-acting release in healthy volunteers: a single-center Phase I study.
Bouillaud, E; Dietrich, H; Hasskarl, J; Hu, K; Ruffin, M; Song, D; Wang, Y, 2012
)
0.62
" Pasireotide was well tolerated with no serious adverse events observed at any dose."( A first-in-man study to evaluate the safety, tolerability, and pharmacokinetics of pasireotide (SOM230), a multireceptor-targeted somatostatin analog, in healthy volunteers.
Bouillaud, E; Buchelt, A; Golor, G; Hu, K; Maldonado, M; Ruffin, M; Wang, Y, 2012
)
1.51
" Pasireotide was generally well tolerated at all doses; adverse events were predominantly mild-to-moderate gastrointestinal disorders."( An open-label dose-escalation study of once-daily and twice-daily pasireotide in healthy volunteers: safety, tolerability, and effects on glucose, insulin, and glucagon levels.
Bouillaud, E; Hu, K; Hudson, M; Maldonado, M; Nesheiwat, D; Shenouda, M; Wang, Y,
)
1.28
" The most common adverse events were transient gastrointestinal disturbances; hyperglycemia-related events occurred in 14 patients."( Long-term efficacy and safety of subcutaneous pasireotide in acromegaly: results from an open-ended, multicenter, Phase II extension study.
Barkan, A; Block, C; Caron, P; Colao, A; Cuneo, R; De Block, C; Farrall, AJ; Hermosillo Reséndiz, K; Hu, K; Hughes, G; Kleinberg, D; Melmed, S; Petersenn, S; Ruffin, M; Schopohl, J, 2014
)
0.66
" Adverse events were reported by 34 (81 %) patients, with the most frequently reported including diarrhea, fatigue, abdominal pain, and nausea."( Safety, tolerability, pharmacokinetics, and pharmacodynamics of a long-acting release (LAR) formulation of pasireotide (SOM230) in patients with gastroenteropancreatic neuroendocrine tumors: results from a randomized, multicenter, open-label, phase I stud
Bouillaud, E; Giannone, V; Hu, K; Hughes, G; Resendiz, KH; Wolin, EM, 2013
)
0.6
" Adverse events were mostly gastrointestinal and mild/moderate."( Pharmacokinetics, pharmacodynamics, and safety of pasireotide LAR in patients with acromegaly: a randomized, multicenter, open-label, phase I study.
Arafat, AM; Beckers, A; Bollerslev, J; Giannone, V; Hu, K; Hughes, G; Katznelson, L; Lasher, J; Petersenn, S; Reséndiz, KH; Schopohl, J; Serri, O; Shen, G, 2014
)
0.66
"Of the 45 randomized HVs, 42 completed the study per protocol, 1 withdrew his informed consent for personal reasons, and 2 prematurely discontinued the study because of adverse events (AEs)."( Pharmacokinetics and safety of subcutaneous pasireotide and intramuscular pasireotide long-acting release in Chinese male healthy volunteers: a phase I, single-center, open-label, randomized study.
Chen, X; Darstein, C; Hu, K; Hu, P; Jiang, J; Lasher, J; Liu, H; Shen, G, 2014
)
0.66
"The most commonly reported adverse events include injection-site discomfort and erythema, gastrointestinal (GI) disturbances such as diarrhea, abdominal pain, nausea and vomiting, biliary sludge or gallstones, and abnormal glucose metabolism."( Adverse events associated with somatostatin analogs in acromegaly.
Auriemma, RS; Colao, A; Grasso, LF; Pivonello, R, 2015
)
0.42
" The primary outcome was the proportion of patients having a treatment-emergent grade ≥3 or serious adverse event."( Safety and tolerability of pasireotide long-acting release in acromegaly-results from the acromegaly, open-label, multicenter, safety monitoring program for treating patients who have a need to receive medical therapy (ACCESS) study.
Fleseriu, M; Geer, EB; Rusch, E, 2017
)
0.75
" Twenty-five grade ≥3 treatment-emergent adverse events were reported in 11 patients (25."( Safety and tolerability of pasireotide long-acting release in acromegaly-results from the acromegaly, open-label, multicenter, safety monitoring program for treating patients who have a need to receive medical therapy (ACCESS) study.
Fleseriu, M; Geer, EB; Rusch, E, 2017
)
0.75
"Grade ≥3 adverse events (primary outcome) were reported in 25."( Safety and tolerability of pasireotide long-acting release in acromegaly-results from the acromegaly, open-label, multicenter, safety monitoring program for treating patients who have a need to receive medical therapy (ACCESS) study.
Fleseriu, M; Geer, EB; Rusch, E, 2017
)
0.75
" Twenty-nine patients completed the 12-month core phase, 1 withdrew consent, and 3 discontinued treatment due to adverse events (AEs; diabetes mellitus, hyperglycemia, liver function abnormality, n=1 each)."( Efficacy and safety of long-acting pasireotide in Japanese patients with acromegaly or pituitary gigantism: results from a multicenter, open-label, randomized, phase 2 study.
Kaneko, T; Murakami, M; Shimatsu, A; Tahara, S, 2017
)
0.73
" The most common adverse events were hyperglycaemia (36 [49%] in the 10 mg group and 36 [47%] in the 30 mg group), diarrhoea (26 [35%] and 33 [43%]), cholelithiasis (15 [20%] and 34 [45%]), diabetes mellitus (14 [19%] and 18 [24%]), and nausea (15 [20%] and 16 [21%])."( Efficacy and safety of once-monthly pasireotide in Cushing's disease: a 12 month clinical trial.
Biller, BMK; Boscaro, M; Gallardo, W; Gu, F; Lacroix, A; Newell-Price, J; Petersenn, S; Pivonello, R; Ravichandran, S; Roughton, M; Salvatori, R; Tauchmanova, L; Witek, P; Yamada, M; Yu, Y, 2018
)
0.76
" The most common grade 1-2 adverse events with a suspected association with long-acting pasireotide monotherapy were diarrhoea (15 [37%] of 41), hyperglycaemia (17 [41%]), and weight loss (8 [20%]); those with a suspected association with everolimus monotherapy were stomatitis (26 [62%] of 42) and diarrhoea (16 [38%]); and those suspected to be associated with combination treatment were hyperglycaemia (27 [66%] of 41]), diarrhoea (19 [46%]), and asthenia (8 [20%])."( Efficacy and safety of long-acting pasireotide or everolimus alone or in combination in patients with advanced carcinoids of the lung and thymus (LUNA): an open-label, multicentre, randomised, phase 2 trial.
Baudin, E; Berruti, A; Brizzi, MP; Buikhuisen, W; Damiano, V; De Castro, J; Do Cao, C; Ferolla, P; Gislimberti, G; Grohé, C; Grønbæk, H; Léna, H; Lombard-Bohas, C; Mansoor, W; Mazieres, J; Meyer, T; Minotti, V; Öberg, K; Reed, N; Singh, N; Stankovic, M; Tiseo, M, 2017
)
0.95
" PAS-LAR was well tolerated, but hyperglycemia was the most frequent adverse event."( Efficacy and Safety of Switching to Pasireotide in Patients With Acromegaly Controlled With Pegvisomant and First-Generation Somatostatin Analogues (PAPE Study).
Dallenga, AHG; Delhanty, PJD; Haitsma, IK; Janssen, JAMJL; Muhammad, A; Neggers, SJCMM; van der Lely, AJ, 2018
)
0.76
" Overall (month 0-12), the most frequent (>20% of patients) adverse events were headache (34."( Safety and efficacy of pasireotide in dumping syndrome-results from a phase 2, multicentre study.
Aberle, J; Arts, J; Bender, G; Bhoyrul, S; Laville, M; McLaughlin, T; O'Connell, P; Oppert, JM; Passos, VQ; Tack, J; Van Beek, AP; Vella, A; Yoshikawa, T; Zhou, J, 2018
)
0.79
" In addition, the current study focused on safety issues encountered during the study, detailing the management of the different adverse events associated with the treatment with pasireotide in Naples center."( The treatment with pasireotide in Cushing's disease: effect of long-term treatment on clinical picture and metabolic profile and management of adverse events in the experience of a single center.
Angellotti, D; Colao, A; De Martino, MC; Ferrigno, R; Iacuaniello, D; Negri, M; Papa, F; Patalano, R; Pivonello, C; Pivonello, R; Simeoli, C, 2020
)
1.08
" Deterioration of glucose metabolism represented the most common adverse event, occurring in 71."( The treatment with pasireotide in Cushing's disease: effect of long-term treatment on clinical picture and metabolic profile and management of adverse events in the experience of a single center.
Angellotti, D; Colao, A; De Martino, MC; Ferrigno, R; Iacuaniello, D; Negri, M; Papa, F; Patalano, R; Pivonello, C; Pivonello, R; Simeoli, C, 2020
)
0.89
" Among 31 new-use and 92 prior-use patients with ≥ 1 safety assessment, respectively: 24 (77%) and 37 (40%) had drug-related adverse events (AEs); 7 (23%) and 10 (11%) had serious drug-related AEs."( Long-term safety and efficacy of subcutaneous pasireotide in patients with Cushing's disease: interim results from a long-term real-world evidence study.
Deutschbein, T; Giordano, C; Kriemler-Krahn, U; Maamari, R; Manetti, L; Roughton, M; Schopohl, J; Tauchmanova, L; Yuen, KCJ, 2019
)
0.77
" This single center, longitudinal retrospective study evaluated the incidence and the predictors of biliary adverse events (BAE) in acromegaly during SRL therapy and their response to ursodeoxycholic acid (UDCA)."( Biliary adverse events in acromegaly during somatostatin receptor ligands: predictors of onset and response to ursodeoxycholic acid treatment.
Berton, AM; Bona, C; Cuboni, D; Fenoglio, LM; Gasco, V; Ghigo, E; Grottoli, S; Parasiliti-Caprino, M; Prencipe, N, 2021
)
0.62
"Biliary stone disease is a frequent SRL adverse event, although it is often symptomless."( Biliary adverse events in acromegaly during somatostatin receptor ligands: predictors of onset and response to ursodeoxycholic acid treatment.
Berton, AM; Bona, C; Cuboni, D; Fenoglio, LM; Gasco, V; Ghigo, E; Grottoli, S; Parasiliti-Caprino, M; Prencipe, N, 2021
)
0.62
" All adverse events that occurred in participants throughout the study period, including abnormalities in fasting levels of glucose, insulin, and glucagon, as well as laboratory measurements and electrocardiograms, were recorded."( Pharmacokinetics and Safety of Long-Acting Release Formulations of Pasireotide (SOM230) in a Male Population Who Are Hyperendemic Hepatitis B/C and Chronic Kidney Disease: An Open-Label, Phase I Study.
Huang, CJ; Lu, CH; Shih, KC, 2023
)
1.15
"8%) were the most frequent adverse events."( Long-term efficacy and safety of subcutaneous pasireotide alone or in combination with cabergoline in Cushing's disease.
Bex, M; Biller, BMK; Boguszewski, CL; Chattopadhyay, A; Feelders, RA; Fleseriu, M; González-Devia, D; Kadioglu, P; Maamari, R; Patino, H; Pedroncelli, AM; Pivonello, R; Yavuz, DG, 2023
)
1.17

Pharmacokinetics

The purpose of this study was to assess the pharmacokinetic (PK) properties and safety of single and multiple doses of subcutaneous (SC) pasireotide and a single-dose intramuscular (IM) long-acting release (LAR) formulation.

ExcerptReferenceRelevance
" SOM230, a novel somatostatin analog, was compared with octreotide with respect to pharmacokinetic (PK) profiles and inhibition of GH secretion in acromegalic patients."( Pharmacokinetic-pharmacodynamic comparison of a novel multiligand somatostatin analog, SOM230, with octreotide in patients with acromegaly.
Lamberts, SW; Ma, P; Nedelman, J; Schran, H; Tran, LL; van der Hoek, J; Wang, Y, 2005
)
0.33
" The elimination half-life for SOM230 is about 5 times longer than that for octreotide (11."( Pharmacokinetic-pharmacodynamic comparison of a novel multiligand somatostatin analog, SOM230, with octreotide in patients with acromegaly.
Lamberts, SW; Ma, P; Nedelman, J; Schran, H; Tran, LL; van der Hoek, J; Wang, Y, 2005
)
0.33
"SOM230 demonstrates a lower clearance and longer half-life than octreotide, which compensates for the lower potency in GH inhibition."( Pharmacokinetic-pharmacodynamic comparison of a novel multiligand somatostatin analog, SOM230, with octreotide in patients with acromegaly.
Lamberts, SW; Ma, P; Nedelman, J; Schran, H; Tran, LL; van der Hoek, J; Wang, Y, 2005
)
0.33
"To evaluate the safety profile, tolerability, and pharmacokinetic profile of pasireotide in single- and divided-dose regimens in healthy volunteers."( Tolerability and dose proportional pharmacokinetics of pasireotide administered as a single dose or two divided doses in healthy male volunteers: a single-center, open-label, ascending-dose study.
Bouillaud, E; Hu, K; Lasher, J; Maldonado, M; Mann, K; Petersenn, S; Unger, N; Wang, Y; Zhang, Y, 2012
)
0.86
" Mean total body clearance was 8 to 9 L/h across the dosage groups and dosing regimens, indicating a linear pharmacokinetic profile between doses."( Tolerability and dose proportional pharmacokinetics of pasireotide administered as a single dose or two divided doses in healthy male volunteers: a single-center, open-label, ascending-dose study.
Bouillaud, E; Hu, K; Lasher, J; Maldonado, M; Mann, K; Petersenn, S; Unger, N; Wang, Y; Zhang, Y, 2012
)
0.63
" Its pharmacokinetic profile indicated rapid absorption, low clearance, high volume of distribution, and a long terminal half-life."( Tolerability and dose proportional pharmacokinetics of pasireotide administered as a single dose or two divided doses in healthy male volunteers: a single-center, open-label, ascending-dose study.
Bouillaud, E; Hu, K; Lasher, J; Maldonado, M; Mann, K; Petersenn, S; Unger, N; Wang, Y; Zhang, Y, 2012
)
0.63
"5 hours), low clearance (CL/F: 8-13 L/hour), long effective elimination half-life (mean t(½,β): 7-11 hours), and a proportional dose-exposure relationship."( A first-in-man study to evaluate the safety, tolerability, and pharmacokinetics of pasireotide (SOM230), a multireceptor-targeted somatostatin analog, in healthy volunteers.
Bouillaud, E; Buchelt, A; Golor, G; Hu, K; Maldonado, M; Ruffin, M; Wang, Y, 2012
)
0.6
" Pharmacokinetic sampling for pasireotide SC and verapamil was done during days 18 to 25 and days 15 to 21, respectively."( Effect of verapamil on the pharmacokinetics of pasireotide in healthy volunteers.
Hu, K; Kornberger, R; Nesheiwat, D; Passos, VQ; Rodrigues, H; Ting, LS; Tripathi, AP, 2014
)
0.95
"The purpose of this study was to assess the pharmacokinetic (PK) properties and safety of single and multiple doses of subcutaneous (SC) pasireotide and a single-dose intramuscular (IM) long-acting release (LAR) formulation of pasireotide in Chinese healthy volunteers (HVs) versus the PK properties in Western HVs (pooled from previous PK studies)."( Pharmacokinetics and safety of subcutaneous pasireotide and intramuscular pasireotide long-acting release in Chinese male healthy volunteers: a phase I, single-center, open-label, randomized study.
Chen, X; Darstein, C; Hu, K; Hu, P; Jiang, J; Lasher, J; Liu, H; Shen, G, 2014
)
0.87
" After considering age and weight as covariates in the statistical model, the GMRs and 90% CIs for other PK parameters were within the predefined interval (Cmax in single-dose SC administration) or significantly decreased (Cmin,ss in multiple BID SC doses and first peak Cmax in the single-dose LAR formulation)."( Pharmacokinetics and safety of subcutaneous pasireotide and intramuscular pasireotide long-acting release in Chinese male healthy volunteers: a phase I, single-center, open-label, randomized study.
Chen, X; Darstein, C; Hu, K; Hu, P; Jiang, J; Lasher, J; Liu, H; Shen, G, 2014
)
0.66
" A three-compartment, linear structural pharmacokinetic model was used."( Population Pharmacokinetics of Subcutaneous Pasireotide in Healthy Volunteers and Cushing's Disease Patients.
Fisch, R; Hu, K; Nedelman, J; Paule, I; Zhou, J, 2018
)
0.74
" Therefore, this open-label, phase I study aimed to evaluate the pharmacokinetic profiles and safety of subcutaneous (SC) and long-acting release (LAR) intramuscular injections of pasireotide in male Taiwanese volunteers who are hyperendemic hepatitis B/C and chronic kidney disease (CKD)."( Pharmacokinetics and Safety of Long-Acting Release Formulations of Pasireotide (SOM230) in a Male Population Who Are Hyperendemic Hepatitis B/C and Chronic Kidney Disease: An Open-Label, Phase I Study.
Huang, CJ; Lu, CH; Shih, KC, 2023
)
1.34
" Pharmacokinetic parameters were assessed from both formulations."( Pharmacokinetics and Safety of Long-Acting Release Formulations of Pasireotide (SOM230) in a Male Population Who Are Hyperendemic Hepatitis B/C and Chronic Kidney Disease: An Open-Label, Phase I Study.
Huang, CJ; Lu, CH; Shih, KC, 2023
)
1.15

Compound-Compound Interactions

A new non-cytotoxic therapy that SOM230 (pasireotide) combined with celecoxib, a selective cyclooxygenase-2 (COX-2) inhibitor was tested in nude mice bearing HepG2 xenografts. Aim of this study was to evaluate pasireotide alone and  celecoxib.

ExcerptReferenceRelevance
"A new non-cytotoxic therapy that SOM230 (pasireotide),a somatostatin analogue (SSTA) combined with celecoxib, a selective cyclooxygenase-2 (COX-2) inhibitor was tested in nude mice bearing HepG2 xenografts."( SOM230 combined with celecoxib prolongs the survival in nude mice with HepG-2 xenografts.
Chen, S; Tang, CW; Wang, CH; Xie, Y, 2011
)
0.64
" This trial will evaluate the effect of aspiration sclerotherapy combined with the somatostatin analogue pasireotide on cyst reduction."( Aspiration sclerotherapy combined with pasireotide to improve reduction of large symptomatic hepatic cysts (SCLEROCYST): study protocol for a randomized controlled trial.
Drenth, JP; Gevers, TJ; Kool, LJ; Wijnands, TF, 2015
)
0.9
"This single center, randomized, double-blind, placebo-controlled clinical trial evaluates the additional effect of pasireotide when combined with aspiration sclerotherapy in patients with a large (>5 cm) symptomatic hepatic cyst."( Aspiration sclerotherapy combined with pasireotide to improve reduction of large symptomatic hepatic cysts (SCLEROCYST): study protocol for a randomized controlled trial.
Drenth, JP; Gevers, TJ; Kool, LJ; Wijnands, TF, 2015
)
0.9
" The validated method was successfully implemented to support a toxicity study in monkeys administered with 5 and 30mg of SOM230 in a single intramuscular injection of a long acting release (LAR) formulation."( Quantitative analysis of pasireotide (SOM230), a cyclic peptide, in monkey plasma using liquid chromatography in combination with tandem mass spectrometry.
Flarakos, J; Fu, Y; Li, W; Tse, FLS, 2016
)
0.74
" In this study, we aim at determining the antitumor efficacy of everolimus alone or in combination with the SSAs octreotide and pasireotide in primary cultures of pNETs."( Anti-proliferative and anti-secretory effects of everolimus on human pancreatic neuroendocrine tumors primary cultures: is there any benefit from combination with somatostatin analogs?
Albertelli, M; Barbieri, F; Barlier, A; Brue, T; Delpero, JR; Ferone, D; Florio, T; Garcia, S; Gerard, C; Mohamed, A; Moutardier, V; Niccoli, P; Poizat, F; Roche, C; Romano, D; Saveanu, A, 2017
)
0.66
" Aim of this study was to evaluate pasireotide alone and in combination with everolimus in patients with MTC."( The antiproliferative effect of pasireotide LAR alone and in combination with everolimus in patients with medullary thyroid cancer: a single-center, open-label, phase II, proof-of-concept study.
Aria, M; Camera, L; Chiofalo, MG; Colao, A; Del Prete, M; Faggiano, A; Ferolla, P; Fonti, R; Modica, R; Pezzullo, L; Severino, R; Vitale, G, 2018
)
1.04
"This study evaluated short- and long-term efficacy and safety of the second-generation somatostatin receptor ligand pasireotide alone or in combination with dopamine agonist cabergoline in patients with Cushing's disease (CD)."( Long-term efficacy and safety of subcutaneous pasireotide alone or in combination with cabergoline in Cushing's disease.
Bex, M; Biller, BMK; Boguszewski, CL; Chattopadhyay, A; Feelders, RA; Fleseriu, M; González-Devia, D; Kadioglu, P; Maamari, R; Patino, H; Pedroncelli, AM; Pivonello, R; Yavuz, DG, 2023
)
1.38

Dosage Studied

A total of 45 male volunteers were randomized to receive one of nine treatment sequences. In contrast, acute and chronic pasireotide dosing increased random and post-intraperitoneal glucose tolerance test blood glucose measures.

ExcerptRelevanceReference
" Concentrations of SOM230, octreotide, and GH were determined at designated times after dosing and at baseline."( Pharmacokinetic-pharmacodynamic comparison of a novel multiligand somatostatin analog, SOM230, with octreotide in patients with acromegaly.
Lamberts, SW; Ma, P; Nedelman, J; Schran, H; Tran, LL; van der Hoek, J; Wang, Y, 2005
)
0.33
" As a result of the lower interpatient variability for EC50 , SOM230 is expected to have a more uniform clinical GH inhibition than octreotide for acromegalic patients at a clinically effective dosing regimen."( Pharmacokinetic-pharmacodynamic comparison of a novel multiligand somatostatin analog, SOM230, with octreotide in patients with acromegaly.
Lamberts, SW; Ma, P; Nedelman, J; Schran, H; Tran, LL; van der Hoek, J; Wang, Y, 2005
)
0.33
" Mean total body clearance was 8 to 9 L/h across the dosage groups and dosing regimens, indicating a linear pharmacokinetic profile between doses."( Tolerability and dose proportional pharmacokinetics of pasireotide administered as a single dose or two divided doses in healthy male volunteers: a single-center, open-label, ascending-dose study.
Bouillaud, E; Hu, K; Lasher, J; Maldonado, M; Mann, K; Petersenn, S; Unger, N; Wang, Y; Zhang, Y, 2012
)
0.63
" PK steady state appeared to be achieved after 3 days of dosing and PK exposures had a moderate accumulation of 20-40 % across doses."( Multiple once-daily subcutaneous doses of pasireotide were well tolerated in healthy male volunteers: a randomized, double-blind, placebo-controlled, cross-over, Phase I study.
Beglinger, C; Bouillaud, E; Darstein, C; Hu, K; Mohideen, P; Wang, Y, 2012
)
0.64
" Dose-response studies with 1 nM-1 μM SOM230 were performed on rat adrenals."( Stimulatory effect of SOM230 on human and rat adrenal corticosteroid secretion in vitro.
Cassarino, MF; Castelli, L; Cavagnini, F; Martucci, F; Montanari, E; Pagliardini, L; Pecori Giraldi, F; Schmid, HA; Sesta, A, 2012
)
0.38
" In contrast, acute and chronic pasireotide dosing increased random and post-intraperitoneal glucose tolerance test blood glucose measures, compared to vehicle-treated controls."( Effect of AP102, a subtype 2 and 5 specific somatostatin analog, on glucose metabolism in rats.
Boyle, CN; Daly, AF; Eugster, PJ; Grouzmann, E; Harris, AG; Lutz, TA; Pfundstein, S; Seebeck, P; Tarasco, E, 2017
)
0.74
" Continuous administration of everolimus at a low dose as opposed to high intermittent dosing schedule has greater antitumor efficacy against thyroid cancer xenografts in vivo."( Evaluation of preclinical efficacy of everolimus and pasireotide in thyroid cancer cell lines and xenograft models.
Chen, Z; Khuri, FR; Lallani, SB; Lonial, S; Marcus, A; Martinson, DE; Owonikoko, TK; Sun, SY; Zhang, G, 2019
)
0.76
"Of 88 enrolled subjects, 52 and 82 participated in sc and LAR dosing phases, respectively."( Combination of pasireotide and octreotide: effects on GH and IGF-I secretion and glucose metabolism in healthy volunteers.
Breitschaft, A; Choudhury, S; Darstein, C; Drutinus, E; Gericke, G; Han, KT; Holder, G; Paul, M; Pedroncelli, AM; Schmid, HA; Tauchmanova, L, 2022
)
1.07
"A total of 45 male volunteers were randomized to receive one of nine treatment sequences, involving a single subcutaneous injection of 300, 600, or 900 μg pasireotide, a multiple SC injection of the same dosage of pasireotide [300, 600, or 900 μg, twice daily (b."( Pharmacokinetics and Safety of Long-Acting Release Formulations of Pasireotide (SOM230) in a Male Population Who Are Hyperendemic Hepatitis B/C and Chronic Kidney Disease: An Open-Label, Phase I Study.
Huang, CJ; Lu, CH; Shih, KC, 2023
)
1.34
[information is derived through text-mining from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Roles (1)

RoleDescription
antineoplastic agentA substance that inhibits or prevents the proliferation of neoplasms.
[role information is derived from Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Drug Classes (2)

ClassDescription
homodetic cyclic peptideA homodetic cyclic peptide is a cyclic peptide in which the ring consists solely of amino-acid residues in peptide linkages.
peptide hormoneAny peptide with hormonal activity in animals, whether endocrine, neuroendocrine, or paracrine.
[compound class information is derived from Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Protein Targets (6)

Inhibition Measurements

ProteinTaxonomyMeasurementAverageMin (ref.)Avg (ref.)Max (ref.)Bioassay(s)
Somatostatin receptor type 1Homo sapiens (human)Ki0.00630.00030.41232.3920AID203390
Somatostatin receptor type 2Homo sapiens (human)Ki0.00100.00000.40914.7200AID203409
Somatostatin receptor type 4Homo sapiens (human)Ki0.10000.00060.27333.2000AID203570
Somatostatin receptor type 3Homo sapiens (human)Ki0.00080.00010.03200.1290AID203551
Somatostatin receptor type 5Homo sapiens (human)Ki0.00010.00010.44794.0700AID203709
[prepared from compound, protein, and bioassay information from National Library of Medicine (NLM), extracted Dec-2023]

Other Measurements

ProteinTaxonomyMeasurementAverageMin (ref.)Avg (ref.)Max (ref.)Bioassay(s)
interferon gamma precursorHomo sapiens (human)AC5015.90000.128015.173038.6100AID1259418
[prepared from compound, protein, and bioassay information from National Library of Medicine (NLM), extracted Dec-2023]

Biological Processes (23)

Processvia Protein(s)Taxonomy
G protein-coupled receptor signaling pathway, coupled to cyclic nucleotide second messengerSomatostatin receptor type 1Homo sapiens (human)
glutamate receptor signaling pathwaySomatostatin receptor type 1Homo sapiens (human)
spermatogenesisSomatostatin receptor type 1Homo sapiens (human)
negative regulation of cell population proliferationSomatostatin receptor type 1Homo sapiens (human)
cerebellum developmentSomatostatin receptor type 1Homo sapiens (human)
forebrain developmentSomatostatin receptor type 1Homo sapiens (human)
somatostatin signaling pathwaySomatostatin receptor type 1Homo sapiens (human)
response to starvationSomatostatin receptor type 1Homo sapiens (human)
cellular response to leukemia inhibitory factorSomatostatin receptor type 1Homo sapiens (human)
cellular response to estradiol stimulusSomatostatin receptor type 1Homo sapiens (human)
neuropeptide signaling pathwaySomatostatin receptor type 1Homo sapiens (human)
G protein-coupled receptor signaling pathway, coupled to cyclic nucleotide second messengerSomatostatin receptor type 2Homo sapiens (human)
adenylate cyclase-inhibiting G protein-coupled receptor signaling pathwaySomatostatin receptor type 2Homo sapiens (human)
spermatogenesisSomatostatin receptor type 2Homo sapiens (human)
negative regulation of cell population proliferationSomatostatin receptor type 2Homo sapiens (human)
cerebellum developmentSomatostatin receptor type 2Homo sapiens (human)
peristalsisSomatostatin receptor type 2Homo sapiens (human)
forebrain developmentSomatostatin receptor type 2Homo sapiens (human)
somatostatin signaling pathwaySomatostatin receptor type 2Homo sapiens (human)
response to starvationSomatostatin receptor type 2Homo sapiens (human)
cellular response to glucocorticoid stimulusSomatostatin receptor type 2Homo sapiens (human)
cellular response to estradiol stimulusSomatostatin receptor type 2Homo sapiens (human)
neuropeptide signaling pathwaySomatostatin receptor type 2Homo sapiens (human)
G protein-coupled receptor signaling pathwaySomatostatin receptor type 4Homo sapiens (human)
G protein-coupled receptor signaling pathway, coupled to cyclic nucleotide second messengerSomatostatin receptor type 4Homo sapiens (human)
negative regulation of cell population proliferationSomatostatin receptor type 4Homo sapiens (human)
cell migrationSomatostatin receptor type 4Homo sapiens (human)
forebrain developmentSomatostatin receptor type 4Homo sapiens (human)
somatostatin signaling pathwaySomatostatin receptor type 4Homo sapiens (human)
positive regulation of ERK1 and ERK2 cascadeSomatostatin receptor type 4Homo sapiens (human)
positive regulation of arachidonic acid secretionSomatostatin receptor type 4Homo sapiens (human)
negative regulation of adenylate cyclase-activating G protein-coupled receptor signaling pathwaySomatostatin receptor type 4Homo sapiens (human)
neuropeptide signaling pathwaySomatostatin receptor type 4Homo sapiens (human)
cellular response to glucocorticoid stimulusSomatostatin receptor type 4Homo sapiens (human)
G protein-coupled receptor signaling pathway, coupled to cyclic nucleotide second messengerSomatostatin receptor type 3Homo sapiens (human)
cell-cell signalingSomatostatin receptor type 3Homo sapiens (human)
spermatogenesisSomatostatin receptor type 3Homo sapiens (human)
negative regulation of cell population proliferationSomatostatin receptor type 3Homo sapiens (human)
hormone-mediated apoptotic signaling pathwaySomatostatin receptor type 3Homo sapiens (human)
cerebellum developmentSomatostatin receptor type 3Homo sapiens (human)
forebrain developmentSomatostatin receptor type 3Homo sapiens (human)
somatostatin signaling pathwaySomatostatin receptor type 3Homo sapiens (human)
response to starvationSomatostatin receptor type 3Homo sapiens (human)
cellular response to glucocorticoid stimulusSomatostatin receptor type 3Homo sapiens (human)
cellular response to estradiol stimulusSomatostatin receptor type 3Homo sapiens (human)
neuropeptide signaling pathwaySomatostatin receptor type 3Homo sapiens (human)
G protein-coupled receptor signaling pathwaySomatostatin receptor type 5Homo sapiens (human)
G protein-coupled receptor signaling pathway, coupled to cyclic nucleotide second messengerSomatostatin receptor type 5Homo sapiens (human)
negative regulation of cell population proliferationSomatostatin receptor type 5Homo sapiens (human)
positive regulation of cytokinesisSomatostatin receptor type 5Homo sapiens (human)
somatostatin signaling pathwaySomatostatin receptor type 5Homo sapiens (human)
cellular response to glucocorticoid stimulusSomatostatin receptor type 5Homo sapiens (human)
neuropeptide signaling pathwaySomatostatin receptor type 5Homo sapiens (human)
regulation of insulin secretionSomatostatin receptor type 5Homo sapiens (human)
[Information is prepared from geneontology information from the June-17-2024 release]

Molecular Functions (6)

Processvia Protein(s)Taxonomy
somatostatin receptor activitySomatostatin receptor type 1Homo sapiens (human)
protein bindingSomatostatin receptor type 1Homo sapiens (human)
neuropeptide bindingSomatostatin receptor type 1Homo sapiens (human)
protein bindingSomatostatin receptor type 2Homo sapiens (human)
PDZ domain bindingSomatostatin receptor type 2Homo sapiens (human)
somatostatin receptor activitySomatostatin receptor type 2Homo sapiens (human)
neuropeptide bindingSomatostatin receptor type 2Homo sapiens (human)
protein bindingSomatostatin receptor type 4Homo sapiens (human)
somatostatin receptor activitySomatostatin receptor type 4Homo sapiens (human)
neuropeptide bindingSomatostatin receptor type 4Homo sapiens (human)
somatostatin receptor activitySomatostatin receptor type 3Homo sapiens (human)
signaling receptor bindingSomatostatin receptor type 3Homo sapiens (human)
protein bindingSomatostatin receptor type 3Homo sapiens (human)
neuropeptide bindingSomatostatin receptor type 3Homo sapiens (human)
G protein-coupled receptor activitySomatostatin receptor type 3Homo sapiens (human)
protein bindingSomatostatin receptor type 5Homo sapiens (human)
neuropeptide bindingSomatostatin receptor type 5Homo sapiens (human)
somatostatin receptor activitySomatostatin receptor type 5Homo sapiens (human)
[Information is prepared from geneontology information from the June-17-2024 release]

Ceullar Components (6)

Processvia Protein(s)Taxonomy
plasma membraneSomatostatin receptor type 1Homo sapiens (human)
plasma membraneSomatostatin receptor type 1Homo sapiens (human)
neuron projectionSomatostatin receptor type 1Homo sapiens (human)
cytosolSomatostatin receptor type 2Homo sapiens (human)
plasma membraneSomatostatin receptor type 2Homo sapiens (human)
neuron projectionSomatostatin receptor type 2Homo sapiens (human)
plasma membraneSomatostatin receptor type 2Homo sapiens (human)
plasma membraneSomatostatin receptor type 4Homo sapiens (human)
neuron projectionSomatostatin receptor type 4Homo sapiens (human)
plasma membraneSomatostatin receptor type 4Homo sapiens (human)
plasma membraneSomatostatin receptor type 3Homo sapiens (human)
ciliumSomatostatin receptor type 3Homo sapiens (human)
ciliary membraneSomatostatin receptor type 3Homo sapiens (human)
non-motile ciliumSomatostatin receptor type 3Homo sapiens (human)
neuron projectionSomatostatin receptor type 3Homo sapiens (human)
plasma membraneSomatostatin receptor type 3Homo sapiens (human)
plasma membraneSomatostatin receptor type 5Homo sapiens (human)
plasma membraneSomatostatin receptor type 5Homo sapiens (human)
neuron projectionSomatostatin receptor type 5Homo sapiens (human)
[Information is prepared from geneontology information from the June-17-2024 release]

Bioassays (12)

Assay IDTitleYearJournalArticle
AID1346332Human SST3 receptor (Somatostatin receptors)2004Neuroendocrinology, , Volume: 80 Suppl 1Functional activity of the multiligand analog SOM230 at human recombinant somatostatin receptor subtypes supports its usefulness in neuroendocrine tumors.
AID1346384Human SST1 receptor (Somatostatin receptors)2004Neuroendocrinology, , Volume: 80 Suppl 1Functional activity of the multiligand analog SOM230 at human recombinant somatostatin receptor subtypes supports its usefulness in neuroendocrine tumors.
AID1346419Rat SST2 receptor (Somatostatin receptors)2011Molecular endocrinology (Baltimore, Md.), Jun, Volume: 25, Issue:6
Ligand-dependent mechanisms of sst2A receptor trafficking: role of site-specific phosphorylation and receptor activation in the actions of biased somatostatin agonists.
AID1346419Rat SST2 receptor (Somatostatin receptors)2010Molecular endocrinology (Baltimore, Md.), Jan, Volume: 24, Issue:1
Agonist-biased signaling at the sst2A receptor: the multi-somatostatin analogs KE108 and SOM230 activate and antagonize distinct signaling pathways.
AID1346413Human SST5 receptor (Somatostatin receptors)2004Neuroendocrinology, , Volume: 80 Suppl 1Functional activity of the multiligand analog SOM230 at human recombinant somatostatin receptor subtypes supports its usefulness in neuroendocrine tumors.
AID1346424Human SST2 receptor (Somatostatin receptors)2004Neuroendocrinology, , Volume: 80 Suppl 1Functional activity of the multiligand analog SOM230 at human recombinant somatostatin receptor subtypes supports its usefulness in neuroendocrine tumors.
AID203390Binding affinity towards human Somatostatin receptor type 1 (sst1) using Tyr11-[125I]-SRIF as radioligand was determined in CHO cells2003Journal of medicinal chemistry, Jun-05, Volume: 46, Issue:12
A novel somatostatin mimic with broad somatotropin release inhibitory factor receptor binding and superior therapeutic potential.
AID203570Binding affinity towards human Somatostatin receptor type 4 (sst4) using Tyr11-[125I]-SRIF as radioligand was determined in CHO cells2003Journal of medicinal chemistry, Jun-05, Volume: 46, Issue:12
A novel somatostatin mimic with broad somatotropin release inhibitory factor receptor binding and superior therapeutic potential.
AID203709Binding affinity towards human Somatostatin receptor type 5 (sst5) using Tyr11-[125I]-SRIF as radioligand was determined in COS cell2003Journal of medicinal chemistry, Jun-05, Volume: 46, Issue:12
A novel somatostatin mimic with broad somatotropin release inhibitory factor receptor binding and superior therapeutic potential.
AID179248In vitro inhibition of GHRH induced GH release in primary cultures of rat pituitary cells2003Journal of medicinal chemistry, Jun-05, Volume: 46, Issue:12
A novel somatostatin mimic with broad somatotropin release inhibitory factor receptor binding and superior therapeutic potential.
AID203409Binding affinity towards human Somatostatin receptor type 2 (sst2) using Tyr11-[125I]-SRIF as radioligand was determined in CHO cells2003Journal of medicinal chemistry, Jun-05, Volume: 46, Issue:12
A novel somatostatin mimic with broad somatotropin release inhibitory factor receptor binding and superior therapeutic potential.
AID203551Binding affinity towards human Somatostatin receptor type 3 (sst3) using Tyr11-[125I]-SRIF as radioligand was determined in CHO cells2003Journal of medicinal chemistry, Jun-05, Volume: 46, Issue:12
A novel somatostatin mimic with broad somatotropin release inhibitory factor receptor binding and superior therapeutic potential.
[information is prepared from bioassay data collected from National Library of Medicine (NLM), extracted Dec-2023]

Research

Studies (417)

TimeframeStudies, This Drug (%)All Drugs %
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's60 (14.39)29.6817
2010's287 (68.82)24.3611
2020's70 (16.79)2.80
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Market Indicators

Research Demand Index: 53.72

According to the monthly volume, diversity, and competition of internet searches for this compound, as well the volume and growth of publications, there is estimated to be very strong demand-to-supply ratio for research on this compound.

MetricThis Compound (vs All)
Research Demand Index53.72 (24.57)
Research Supply Index6.24 (2.92)
Research Growth Index5.09 (4.65)
Search Engine Demand Index88.06 (26.88)
Search Engine Supply Index2.00 (0.95)

This Compound (53.72)

All Compounds (24.57)

Study Types

Publication TypeThis drug (%)All Drugs (%)
Trials86 (20.24%)5.53%
Reviews110 (25.88%)6.00%
Case Studies39 (9.18%)4.05%
Observational2 (0.47%)0.25%
Other188 (44.24%)84.16%
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Clinical Trials (79)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Evaluation of the Effect of Pasireotide LAR Administration in the Lymphocele Prevention After Axillary Node Dissection for Breast Cancer [NCT01356862]Phase 291 participants (Actual)Interventional2010-09-30Completed
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 20 participants (Actual)Interventional2010-12-31Withdrawn(stopped due to Study never undertaken)
Breast Cancer Chemoprevention by SOM230, an IGF-I Action Inhibitor: A Proof of Principle Trial [NCT01372644]Phase 115 participants (Actual)Interventional2007-11-30Completed
A Phase I, Multi-center, Open-label, Dose Escalation Study of Pasireotide (SOM230) LAR in Patients With Advanced Neuroendocrine Tumors (NETs) [NCT01364415]Phase 129 participants (Actual)Interventional2011-08-31Completed
Breast Cancer Chemoprevention by SOM230, an IGF-I Action Inhibitor [NCT01372618]Phase 1/Phase 29 participants (Actual)Interventional2011-06-30Terminated(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 20 participants (Actual)Interventional2017-04-30Withdrawn(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 334 participants (Actual)Interventional2013-12-31Completed
Phase 1 Study to Evaluate Safety, and Preliminary Efficacy of Pasireotide LAR in Castration Resistant Prostate Cancer [NCT01646684]Phase 19 participants (Actual)Interventional2013-03-08Completed
Phase II Study of SOM230 LAR in Combination With Bortezomib and Dexamethasone in Patients With Refractory or Relapsed Multiple Myeloma [NCT01329289]Phase 20 participants (Actual)Interventional2011-12-31Withdrawn(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 45 participants (Anticipated)Interventional2018-06-01Enrolling by invitation
Treatment of Hypoglycemia Following Gastric Bypass Surgery [NCT02527993]Phase 411 participants (Actual)Interventional2015-10-31Completed
A Three-Part Study to Assess the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of Single Ascending Subcutaneous Doses of HTL0030310 in Healthy Subjects [NCT03847207]Phase 142 participants (Actual)Interventional2019-02-13Completed
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 257 participants (Actual)Interventional2016-12-13Completed
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 136 participants (Actual)Interventional2010-11-30Completed
A Phase II Study of RAD001 (Everolimus) and Pasireotide (SOM230) LAR in Patients With Advanced Uveal Melanoma [NCT01252251]Phase 214 participants (Actual)Interventional2010-11-30Completed
Phase II Study of Pasireotide LAR in Patients With Metastatic Neuroendocrine Carcinomas [NCT01253161]Phase 229 participants (Actual)Interventional2011-02-01Completed
Impact of Pasireotide on Postoperative Pancreatic Fistulas Following Distal Resections [NCT04281680]258 participants (Actual)Observational2014-07-01Completed
An Open Label, Multicenter, Single Arm Study of Pasireotide LAR in Patients With Rare Tumors of Neuroendocrine Origin [NCT00958841]Phase 2118 participants (Actual)Interventional2009-09-30Terminated(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 22 participants (Actual)Interventional2009-06-30Terminated(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 20 participants (Actual)Interventional2015-12-31Withdrawn(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 460 participants (Actual)Interventional2015-08-31Active, not recruiting
HYPAR Trial - Hydrocortisone vs Pasireotide in Reducing Pancreatic Fistula and Other Complications After Pancreatic Resection - a Prospective, Randomized, Controlled Trial [NCT02775227]Phase 4126 participants (Actual)Interventional2016-05-31Active, 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 3186 participants (Actual)Interventional2008-04-30Completed
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 2217 participants (Anticipated)Interventional2020-09-03Suspended(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 3439 participants (Actual)Interventional2009-10-31Completed
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 134 participants (Actual)Interventional2008-07-31Completed
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 22 participants (Actual)Interventional2008-11-30Terminated(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 122 participants (Actual)Interventional2008-10-31Completed
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 3162 participants (Actual)Interventional2006-12-31Completed
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 230 participants (Actual)Interventional2004-08-24Completed
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 AccessApproved for marketing
Phase I Study of Combination of SOM 230 Long Acting Release (LAR) + Gemcitabine in Locally Advanced or Metastatic Pancreatic Cancer [NCT01385956]Phase 120 participants (Actual)Interventional2011-06-30Completed
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 3198 participants (Actual)Interventional2010-07-19Completed
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 219 participants (Actual)Interventional2004-08-13Completed
An Open Label Randomized Phase II Study of SOM230 and Everolimus in Castrate-Resistant, Chemotherapy-Naïve Prostate Cancer Patients [NCT01313559]Phase 26 participants (Actual)Interventional2011-06-30Terminated(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 224 participants (Actual)Interventional2012-03-31Completed
A Multicenter, Randomized, Blinded Study to Assess Safety and Efficacy of Pasireotide LAR vs. Octreotide LAR in Patients With Active Acromegaly [NCT00600886]Phase 3358 participants (Actual)Interventional2008-02-11Completed
A Phase II Trial of SOM230(PasireotideLAR) and Topotecan in Patients With Relapsed or Refractory Small Cell Lung Cancer [NCT01417806]Phase 228 participants (Anticipated)Interventional2011-07-31Recruiting
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 262 participants (Actual)Interventional2004-03-31Completed
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 110 participants (Actual)Interventional2012-11-30Completed
Phase IB/II Study of Pasireotide, Everolimus and Selective Internal Radioembolization Therapy (SIRT) for Unresectable Neuroendocrine Hepatic Metastases [NCT01469572]Phase 113 participants (Actual)Interventional2011-12-31Completed
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 185 participants (Actual)Interventional2006-06-30Completed
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 220 participants (Actual)Interventional2012-11-26Completed
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 233 participants (Actual)Interventional2012-10-16Completed
Exploratory Randomized, Placebo-controlled Study to Assess Safety and Efficacy of sc Pasireotide in Patients With Dumping Syndrome [NCT01895296]Phase 29 participants (Actual)Interventional2008-09-30Completed
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 226 participants (Actual)Interventional2004-04-30Completed
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 245 participants (Actual)Interventional2009-08-31Completed
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 272 participants (Anticipated)Interventional2023-10-31Not 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 242 participants (Actual)Interventional2010-11-30Completed
Mono Centre, Open Label Proof of Concept Study SOM230 in Progressive Medullary Thyroid Cancer Patients and the Combination With RAD001 Upon Progression [NCT01625520]Phase 219 participants (Actual)Interventional2012-02-29Completed
Phase II Single Arm Study of Everolimus and Pasireotide (SOM230) in Patients With Advanced or Metastatic Hepatocellular Carcinoma (HCC) [NCT01488487]Phase 224 participants (Actual)Interventional2011-12-31Completed
Adipokine Profile in Patients With Cushing's Disease on Pasireotide Treatment: Correlation With Disease Activity, Insulin Sensitivity and Secretion Parameters [NCT03080181]Phase 424 participants (Actual)Interventional2013-05-31Completed
Prevention of Gastrointestinal Toxicity From Total Body Irradiation or High Dose Chemotherapy With Pasireotide [NCT02215070]Phase 237 participants (Actual)Interventional2015-01-21Completed
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 218 participants (Actual)Interventional2011-10-31Completed
Phase II Trial of SOM230 (Pasireotide LAR) in Patients With Unresectable Hepatocellular Carcinoma (HCC) [NCT01639352]Phase 220 participants (Actual)Interventional2012-07-31Completed
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 3123 participants (Actual)Interventional2015-03-31Completed
Pilot Study of Pasireotide LAR Treatment of Silent Corticotrophin Pituitary Tumors and Effects on Plasma Levels of POMC [NCT02749227]Phase 24 participants (Actual)Interventional2017-07-10Terminated(stopped due to Lack of funding)
Phase I Trial of Combination of FOLFIRI and SOM 230 in Advanced Gastrointestinal Malignancies [NCT01434069]Phase 116 participants (Actual)Interventional2011-09-30Completed
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 245 participants (Actual)Interventional2004-01-31Completed
Compassionate Use of SOM230 for Individual Patient (NS, 14-Jan-1986) With Hyperinsulinemic/Hypoglycemia [NCT02835131]0 participants Expanded AccessNo 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 3150 participants (Actual)Interventional2011-11-04Completed
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 150 participants (Actual)Interventional2012-05-31Completed
"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 118 participants (Actual)Interventional2012-05-18Completed
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 28 participants (Actual)Interventional2011-03-31Terminated(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 321 participants (Actual)Interventional2010-03-31Completed
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 216 participants (Actual)Interventional2012-03-31Completed
Treatment Plan for an Individual Patient With Pasireotide for Hyperinsulinemic Hypoglycemia [NCT03103009]Phase 11 participants (Actual)Interventional2017-03-22Completed
Pasireotide Treatment for Insulin Producing Pancreatic Neuro-endocrine Tumor [NCT02779257]Phase 40 participants (Actual)Interventional2016-04-30Withdrawn(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)Observational2013-03-28Recruiting
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 2160 participants (Actual)Interventional2011-06-30Terminated(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 4413 participants (Actual)Interventional2013-06-10Active, 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 243 participants (Actual)Interventional2013-01-08Completed
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 228 participants (Actual)Interventional2016-10-31Terminated(stopped due to Novartis decision based on Cohort 1 results)
Phase II Study of Monthly SOM230C for Recurrent or Progressive Meningioma [NCT00859040]Phase 234 participants (Actual)Interventional2009-03-31Completed
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 268 participants (Actual)Interventional2014-03-06Terminated
A Randomized, Placebo Controlled Clinical Trial of SOM230 (Pasireotide LAR) In Severe Polycystic Liver Disease [NCT01670110]Phase 248 participants (Actual)Interventional2012-08-31Completed
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 2124 participants (Actual)Interventional2013-08-16Completed
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 4249 participants (Actual)Interventional2014-05-23Completed
An Open-label, Multi-center, Expanded Access Study of Pasireotide s.c. in Patients With Cushing's Disease (Seascape). [NCT01582061]Phase 3104 participants (Actual)Interventional2011-08-16Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

TrialOutcome
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

Interventionparticipants (Number)
Complete symptom controlPartial symptom controlNo control
Pasireotide (Any Dose)3932

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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

InterventionDays (Mean)
Pasireotide >900-≤1500 μg89.8
Pasireotide >1500-≤2400 μg36.3
Pasireotide Any Dose72.0

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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

InterventionDays (Mean)
Pasireotide >900 - ≤1500 μg42.0
Pasireotide >1500 - ≤2400 μg47.0
Pasireotide Any Dose43.7

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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

InterventionParticipants (Number)
DeathSerious or Significant EventsSerious Adverse Events (SAEs)Discontinued due to Adverse Events (AEs)
Pasireotide (Any Dose)1231412

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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

InterventionParticipants (Number)
Complete response for complete treatment successPartial response for complete treatment successStable disease for complete treatment successProgressive disease for complete treatment successUnknown for complete treatment successMissing for complete treatment successComplete response for partial treatment successPartial response for partial treatment successStable disease for partial treatment successProgressive disease for partial treatment successUnknown for partial treatment successMissing for partial treatment successComplete response for treatment failurePartial response for treatment failureStable disease for treatment failureProgressive disease for treatment failureUnknown for treatment failureMissing for treatment failure
Pasireotide (Any Dose)00100000400000810120

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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)

Interventionpercentage of responders (Number)
Pasireotide s.c. <1200 μg/d20
Pasireotide s.c. 1200 to <1500 μg/d28.6
Pasireotide s.c. ≥1500 μg/d14.3
Pasireotide s.c. Overall23.1

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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)

Interventionpercentage of participants (Number)
Pasireotide s.c. <1200 μg/d80.0
Pasireotide s.c. 1200 to <1500 μg/d86.7
Pasireotide s.c. ≥1500 μg/d91.7

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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)

Interventionmonths (Median)
Pasireotide s.c. Overall12.2

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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)

Interventionpercentage of participants (Number)
Sitting and Reading - 0Sitting and Reading - 1Sitting and Reading - 2Sitting and Reading - 3Sitting and Reading - Not DoneWatching TV - 0Watching TV - 1Watching TV - 2Watching TV - 3Watching TV - Not DoneSitting, Inactive in a Public Place - 0Sitting, Inactive in a Public Place - 1Sitting, Inactive in a Public Place - 2Sitting, Inactive in a Public Place - 3Sitting, Inactive in a Public Place - Not DonePassenger in a Car, an Hour Without Break - 0Passenger in a Car, an Hour Without Break - 1Passenger in a Car, an Hour Without Break - 2Passenger in a Car, an Hour Without Break - 3Passenger in a Car, an Hour Without Break - Not DoneLying Down to Rest in the Afternoon - 0Lying Down to Rest in the Afternoon - 1Lying Down to Rest in the Afternoon - 2Lying Down to Rest in the Afternoon - 3Lying Down to Rest in the Afternoon - Not DoneSitting and Talking to Someone - 0Sitting and Talking to Someone - 1Sitting and Talking to Someone - 2Sitting and Talking to Someone - 3Sitting and Talking to Someone - Not DoneSitting Quietly After a Lunch Without Alcohol - 0Sitting Quietly After a Lunch Without Alcohol - 1Sitting Quietly After a Lunch Without Alcohol - 2Sitting Quietly After a Lunch Without Alcohol - 3Sitting Quietly After a Lunch Without Alcohol - Not DoneIn a Car, Stopped a Few Minutes in the Traffic - 0In a Car, Stopped a Few Minutes in the Traffic - 1In a Car, Stopped a Few Minutes in the Traffic - 2In a Car, Stopped a Few Minutes in the Traffic - 3In a Car, Stopped a Few Minutes in the Traffic - Not Done
Pasireotide s.c. Overall36.723.323.3016.723.333.323.33.316.756.7206.7016.760106.76.716.713.323.323.323.316.776.76.70016.73023.3201016.773.3100016.7

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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)

Interventionpercentage of participants (Number)
Headache - 0Headache - 1Headache - 2Headache - 3Headache - 4Headache - Not DonePerspiration - 0Perspiration - 1Perspiration - 2Perspiration - 3Perspiration - 4Perspiration - Not DoneParesthesiae - 0Paresthesiae - 1Paresthesiae - 2Paresthesiae - 3Paresthesiae - 4Paresthesiae - Not DoneFatigue - 0Fatigue - 1Fatigue - 2Fatigue - 3Fatigue - 4Fatigue - Not DoneOsteoarthralgia - 0Osteoarthralgia - 1Osteoarthralgia - 2Osteoarthralgia - 3Osteoarthralgia - 4Osteoarthralgia - Not DoneCarpal Tunnel Syndrome - 0Carpal Tunnel Syndrome - 1Carpal Tunnel Syndrome - 2Carpal Tunnel Syndrome - 3Carpal Tunnel Syndrome - 4Carpal Tunnel Syndrome - Not Done
Pasireotide s.c. Overall46.726.76.700202033.323.33.30205016.713.3002026.726.713.313.30204023.3103.33.32056.710103.3020

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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

Interventioncubic millimeter (mm) (Mean)
Core Study BaselineMonth 9Month 27Month 63Month 75Month 99
Pasireotide s.c. Overall4457.42839.325364561016180

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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

Interventionnanograms per milliliter (ng/mL) (Mean)
Day 15 (Core Study)Month 6
Pasireotide 600 μg BID SC or Ramp up Dose 900 μg BID SC7.017.4

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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)

Interventionnanomoles per liters (nmol/L) (Mean)
Core BaselineChange from Core Baseline to Day 15Change from Core Baseline to Month 6Change from Core Baseline to Month 12Change from Core Baseline to Month 24Change from Core Baseline to Month 105
Pasireotide 600 μg BID SC or Ramp up Dose 900 μg BID SC723.60-25.96-150.60-66.06-227.53-166.00

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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)

Interventionpicomoles per litre (pmol/L) (Mean)
Core BaselineChange from Core Baseline to Day 15Change from Core Baseline to Month 6Change from Core Baseline to Month 12Change from Core Baseline to Month 24Change from Core Baseline to Month 105
Pasireotide 600 μg BID SC or Ramp up Dose 900 μg BID SC13.72-1.28-3.36-3.60-4.500.00

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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

Interventionnanomoles per 24 hours (nmol/24h) (Mean)
Core BaselineChange from Core Baseline to Day 14/Day 15Change from Core Baseline to Month 6Change from Core Baseline to Month 12Change from Core Baseline to Month 24Change from Core Baseline to Month 102
Pasireotide 600 μg BID SC or Ramp up Dose 900 μg BID SC1219.74-710.57-801.85-1202.1-1241.1-2417.0

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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

Interventionpercentage of responders (Number)
Pasireotide 600 μg BID SC or Ramp up Dose 900 μg BID SC22.2

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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

InterventionParticipants (Count of Participants)
Pasireotide 600 μg BID SC19
Pasireotide 900 μg BID SC8

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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

,
Interventionmg/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 ug0000000000000-0.10000000
Pasireotide 900 ug00000.10000000000000000

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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

,
Interventioncm (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

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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

,
Interventionpercent 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 ug9.3-10.0-13.4-7.7-8.2-9.2-7.2-3.0-8.4-11.4-5.0-5.3-10.2-11.5-7.4-14.5-5.9-1.5-10.9-10.4-14.7-9.419.1-20.9-6.711.9-10.80.04.69.69.611.925.338.935.6-5.050.0
Pasireotide 900 ug-15.9-19.1-10.5-13.2-12.0-16.3-12.8-15.0-17.3-14.6-17.0-18.2-18.2-17.4-26.5-16.3-21.2-17.3-18.0-12.5-20.0-2.41.2-5.32.78.111.7-3.17.3-5.0-1.315.418.3-1.222.023.1-11.1

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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

,
InterventionPercent 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-4.0-7.3-5.5-0.7-3.3-2.6-6.9-4.3-5.6-9.8-10.2-5.4-11.2-8.2-11.6-10.5-7.6-12.1-17.9-9.0-22.8-9.5-12.7-26.6-17.8-12.5-19.7-17.6-25.0-11.0-24.5-28.6-6.7-13.4-4.5-63.314.5
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

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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

,
Interventionmmol/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-0.2-0.4-0.5-0.6-0.8-0.9-1.50.10-0.10-0.2-0.5-0.7
Pasireotide 900 ug-0.3-0.4-0.6-0.3-0.1-0.4-0.40.10.1-0.200.30.40.2

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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

InterventionResponders (Number)
Pasireotide 600 ug12
Pasireotide 900 ug21

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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

Interventionmonths (Median)
Pasireotide 600 ug1.0
Pasireotide 900 ug1.0

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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

,
Interventionnmol/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

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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

,
Interventioncm^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 ug9.3-8.1-18.1-27.4-52.1-94.1-95.2-20.5-29.1-13.5-100.045.677.2
Pasireotide 900 ug-19.0-43.8-36.0-11.5-20.9-27.684.029.220.3127.6269.8NANA

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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

,
Interventionscore 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-4.6-4.6-4.6-1.3NA
Pasireotide 900 ug-1.9-5.5-5.2-7.8-12.0

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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

,
InterventionPercentage 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 ug2.9-0.4-3.0-1.9-2.0-2.0-2.8
Pasireotide 900 ug0.3-0.9-1.6-1.9-1.10.1-0.5

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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

,
Interventionkg/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

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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

,
Interventionscore 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

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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

,
InterventionmmHg (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-9.9-11.4-9.4-11.0-11.5-3.6-2.0-4.1-5.0-5.4-6.4-7.3-1.00.7

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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

,
InterventionPercentage of participants (Number)
Month 3Month 6Month 9Month 12Month 16Month 19Month 22Month 25
Octreotide LAR (Core & Extension)21.419.823.117.612.413.716.313.7
Pasireotide LAR (Core & Extension)30.130.127.829.025.223.125.224.5

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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

,
InterventionPercentage of participants (Number)
M3 after crossoverM6 after crossoverM9 after crossoverM12 after crossover
Crossed Over to Octreotide LAR (Extension)2.62.65.30.0
Crossed Over to Pasireotide LAR (Extension)17.321.022.217.3

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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

,
InterventionPercentage of Participants (Number)
OverallPost SurgeryDe novo
Octreotide LAR (Core)19.221.817.3
Pasireotide LAR (Core)31.339.425.7

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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

,
InterventionPercentage of participants (Number)
OverallPost surgeryDe novo
Octreotide LAR (Core)23.626.921.2
Pasireotide LAR (Core)38.650.730.5

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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

Interventionng/mL (Mean)
M4M5M6M7M8M9M10M11M12
Pasireotide LAR 60mg13.4813.4213.0814.7615.8816.0316.0116.3116.16

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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

,
InterventionPercentage of participants (Number)
M3M6M9M12M16M19M22M25
Octreotide LAR (Core & Extension)43.447.846.247.322.221.622.224.2
Pasireotide LAR (Core & Extension)49.445.542.643.233.336.735.435.4

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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

,
InterventionPercentage of participants (Number)
OverallPost surgeryDe novo
Octreotide LAR (Core)51.651.351.9
Pasireotide LAR (Core)48.352.145.7

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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

,
InterventionPercentage of participants (Number)
M3 after crossoverM6 after crossoverM9 after crossoverM12 after crossover
Crossed Over to Octreotide LAR (Extension)28.931.631.623.7
Crossed Over to Pasireotide LAR (Extension)49.443.254.344.4

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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

,
InterventionPercentage of participants (Number)
M3M6M9M12M16M19M22M25
Octreotide LAR (Core & Extension)25.324.228.022.013.715.717.014.4
Pasireotide LAR (Core & Extension)35.235.834.135.829.925.225.925.9

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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

,
Interventionmm^3 (Mean)
Ext. BaselineValue at M6 after crossover% change - M6 after crossoverValue at M12 after crossover% change - M12 after crossover
Crossed Over to Octreotide LAR (Extension)1809.61794.9-12.31610.4-17.9
Crossed Over to Pasireotide LAR (Extension)1420.91027.5-18.1949.0-24.7

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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

,
InterventionPercentage of participants (Number)
M3 after crossoverM6 after crossoverM9 after crossoverM12 after crossover
Crossed Over to Octreotide LAR (Extension)7.97.910.55.3
Crossed Over to Pasireotide LAR (Extension)19.830.929.627.2

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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

,
Interventionring zize (Mean)
Baseline left hand (LH) 4th digitBaseline left hand 5th digitBaseline right hand (RH) 4th digitBaseline right hand 5th digitM12 LH 4th digitM12 LH 5th digitM12 RH 4th digitM12 RH 5th digitM25 LH 4th digitM25 LH 5th digitM25 RH 4th digitM25 RH 5th digit
Octreotide LAR (Core & Extension)11.812.411.411.311.112.411.310.511.114.310.97.5
Pasireotide LAR (Core & Extension)11.611.712.511.210.611.812.210.710.110.011.87.8

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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

Interventionring size (Mean)
Ext. BL LH 4th digitExt. BL LH 5th digitExt. BL RH 4th digitM12 after CO LH 4th digitM12 after CO LH 5th digit COM12 after CO RH 4th digit
Crossed Over to Octreotide LAR (Extension)11.012.312.411.212.511.4

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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

Interventionring size (Mean)
Ext. BL LH 4th digitExt. BL LH 5th digitExt. BL RH 4th digitExt. BL RH 5th digitM12 after CO LH 4th digitM12 after CO LH 5th digit COM12 after CO RH 4th digitM12 after CO RH 5th digit
Crossed Over to Pasireotide LAR (Extension)11.211.611.410.710.911.911.611.5

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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

,
Interventionscores on a scale (Mean)
Headache - BaselineFatigue - BaselinePerspiration - BaselineParesthesia - BaselineOsteoarthraliga - BaselineHeadache - M12Fatigue - M12Perspiration - M12Paresthesia - M12Osteoarthraliga - M12Headache - M25Fatigue - M25Perspiration - M25Paresthesia - M25Osteoarthraliga - M25
Octreotide LAR (Core & Extension)1.01.41.30.81.30.60.70.50.40.70.60.70.40.40.8
Pasireotide LAR (Core & Extension)0.91.21.10.71.00.50.80.40.30.50.40.50.40.20.4

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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

,
Interventionscores on a scale (Mean)
Headache: Ext. BLHeadache: M12 after crossoverFatigue: Ext. BLFatigue: M12 after crossoverPerspiration: Ext. BLPerspiration: M12 after crossoverParesthesia: Ext. BLParesthesia: M12 after crossoverOsteoarthralgia: Ext. BLOsteoarthralgia: M12 after crossover
Crossed Over to Octreotide LAR (Extension)0.40.70.70.70.60.50.40.40.60.7
Crossed Over to Pasireotide LAR (Extension)0.60.50.80.80.50.60.40.30.60.5

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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

,
Interventionμg/L (Mean)
BaselineMonth 3Month 6Month 9Month 12Month 16Month 19Month 22Month 25
Octreotide LAR (Core & Extension)18.85.85.24.34.51.41.51.41.2
Pasireotide LAR (Core & Extension)21.96.35.64.94.62.32.12.12.0

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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

,
Interventionμg/L (Mean)
Ext. BaselineM3 after crossoverM6 after crossoverM9 after crossoverM12 after crossover
Crossed Over to Octreotide LAR (Extension)7.19.89.88.710.4
Crossed Over to Pasireotide LAR (Extension)5.95.94.82.62.5

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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

,
Interventionμg/L (Mean)
BaselineM12M25
Octreotide LAR (Core & Extension)15.811.76.7
Pasireotide LAR (Core & Extension)20.68.95.4

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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

,
Interventionμg/L (Mean)
Ext. BaselineM12 after crossover
Crossed Over to Octreotide LAR (Extension)15.716.1
Crossed Over to Pasireotide LAR (Extension)11.97.5

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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

InterventionWeeks (Median)
Pasireotide LAR (Core & Extension)64.4
Octreotide LAR (Core & Extension)64.6

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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

InterventionWeeks (Median)
Pasireotide LAR (Core & Extension)12.6
Octreotide LAR (Core & Extension)12.4

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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

,
Interventionmm^3 (Mean)
BaselineM6M12M19M25% change at M6% change at M12% change at M19% change at M25
Octreotide LAR (Core & Extension)2259.21565.41390.41009.9814.1-28.8-38.0-47.2-55.0
Pasireotide LAR (Core & Extension)2420.71614.11482.4956.6840.4-29.9-39.7-48.9-51.8

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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

,
Interventionmm^3 (Mean)
Overall at baselineOverall % change at month 12Post surgery at baselinePost surgery % change at month 12De novo at baselineDe novo % change at month 12Overall absolute change at month 12Post surgery abs. change at month 12De novo absolute change at month 12
Octreotide LAR (Core)2259.2-38.02196.5-39.02308.1-37.2-801.2-713.8-867.1
Pasireotide LAR (Core)2420.7-39.72185.2-39.52592.4-39.9-987.1-873.7-1051.9

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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

Interventionng/mL (Mean)
M1M2M3M4M5M6M7M8M9M10M11M12
Octreotide LAR 20 mg0.861.211.291.451.651.581.461.551.741.661.741.58

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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

Interventionng/mL (Mean)
M2M3M4M6M7M12
Octreotide LAR 10mg0.610.620.191.330.700.30

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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

Interventionng/mL (Mean)
M4M5M6M7M8M9M10M11M12
Octreotide LAR 30 mg1.552.142.122.142.162.202.502.392.55

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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

,
Interventionng/mL (Mean)
M1M2M3M4M5M6M7M8M9M10M11M12
Pasireotide LAR 20 mg4.652.883.393.935.222.872.293.654.805.665.104.54
Pasireotide LAR 40 mg6.657.818.709.5110.9210.5911.8512.3312.7512.4212.6211.11

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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

,
InterventionPercentage of Participants (Number)
Diarrhea and Flushing (N=37, 39)Diarrhea (N=2, 5)Flushing (N=4, 1)Overall (N=43, 45)
Octreotide LAR28.220.00.026.7
Pasireotide LAR13.51005020.9

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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

,
InterventionPercentage of Episodes (Mean)
Diarrhea and Flushing (N=24, 28)Predominately Flushing (N=4, 1)Overall (N=28, 29)
Octreotide LAR-52.847.2-49.4
Pasireotide LAR-41.0-48.4-42.1

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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

,
InterventionPercentage 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

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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

InterventionPercentage of participants (Number)
Pasireotide LAR62.7
Octreotide LAR46.2

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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

InterventionPercentage of Participants (Number)
Pasireotide LAR2.0
Octreotide LAR3.8

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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

Interventionparticipants (Number)
All Participants2

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Median Time to Progression

"Per protocol, the study's secondary objectives are to be evaluated for the estimate of median ... PFS ... at time of interest. At this time, all study participants have been followed for progression for a minimum of 34 months (final patient to accrue to study was registered to trial on 06/14/2011), and study manuscript is currently being written-up with this information." (NCT00859040)
Timeframe: 34 months

Interventiondays (Median)
SOM230C124

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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

Interventionparticipants (Number)
Participants With Atypical/Malignant Meningiomas0
Participants With Benign Meningiomas0

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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

Interventionpercentage of participants (Number)
Participants With Atypical/Malignant Meningiomas45
Participants With Benign Meningiomas73

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Median Progression-Free Survival

(NCT00859040)
Timeframe: 5 years

Interventionweeks (Median)
Participants With Atypical/Malignant Meningiomas15
Participants With Benign Meningiomas26

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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

Interventionpercentage of patients (Number)
Participants With Atypical/Malignant Meningiomas11
Participants With Benign Meningiomas44

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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

Interventionnumber of participants (Number)
Pasireotide LAR0

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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

Interventionparticipants (Number)
Pasireotide LAR0

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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

Interventionpercentage of participants (Number)
Gastrinoma46.2
Prolactinoma21.6
Nelson's Syndrome50.0

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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

Interventionpercentage of participants (Number)
Gastrinoma46.2
VIpoma0.0
Glucagonoma0.0

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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

InterventionPercentage of participants (Number)
Gastrinoma46.2
Prolactinoma21.6
Nelson's Syndrome50.0

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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

InterventionParticipants (Number)
BaselineMonth 6
Nelson's Syndrome66

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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

InterventionParticipants (Number)
BaselineMonth 6
All PNETS (Gastrinoma)85

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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

InterventionParticipants (Number)
BaselineMonth 6
All PiNETS (Prolactinoma)79

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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

Interventionpercentage of participants (Number)
SOM2309
Placebo21

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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

Interventionpercentage of EGP inhibition (Mean)
Pasireotide 600 µg sc Bid-2.06
Pasireotide 900 µg sc Bid0.00

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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

Interventionpmol/L (Mean)
Pasireotide 600 µg sc Bid-24.37
Pasireotide 900 µg sc Bid-29.60

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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

Interventionpercentage of EGP Inhibition (Mean)
Pasireotide 600 µg sc Bid-7.54
Pasireotide 900 µg sc Bid-6.28

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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

Interventionmg/kg/min (Mean)
Pasireotide 600 µg sc Bid-0.029
Pasireotide 900 µg sc Bid0.791

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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)

,
Interventionh*mmol/L (Mean)
AUC 0-30 minAUC 30-180 minAUC 0-180 min
Pasireotide 600 µg sc Bid-0.4314.7214.29
Pasireotide 900 µg sc Bid-0.8612.3511.49

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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)

,
Interventionh*pmol/L (Mean)
AUC 0-30 minAUC 30-180 minAUC 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

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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)

,
Interventionh*pmol/L (Mean)
AUC 0-10 minAUC 10-180 minAUC 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

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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

Interventionmg/kg/min (Mean)
Pasireotide 600 µg sc Bid0.004
Pasireotide 900 µg sc Bid-0.027

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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

Interventionpmol/L (Mean)
Pasireotide 600 µg sc Bid-6.62
Pasireotide 900 µg sc Bid-11.69

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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

Interventionmg/kg/min (Mean)
Pasireotide 600 µg sc Bid-0.041
Pasireotide 900 µg sc Bid0.112

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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

Interventionmmol/L (Mean)
Pasireotide 600 µg sc Bid-0.10
Pasireotide 900 µg sc Bid0.12

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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

,,
Interventionpercentage of participants (Number)
Week 16Week 28Week 40Week 52Week 64Week 76Week 88Week 100Week 112Week 124Week 136Week 148Week 160Week 172Week 184Week 196Week 208Week 220Week 232Week 244Week 256Week 268
Cross Over to Pasireotide Extension19.419.417.721.025.827.425.832.325.825.829.029.030.621.017.724.219.414.514.511.33.21.6
Pasireotide LAR 40 mg Extension19.317.521.121.122.821.124.624.624.621.115.821.119.322.817.515.817.521.114.014.010.55.3
Pasireotide LAR 60 mg Extension25.925.927.829.620.429.631.524.125.924.124.120.420.420.420.420.418.511.114.87.47.45.6

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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

Interventionweeks (Median)
Pasireotide LAR 40 mg Extension29.1
Pasireotide LAR 60 mg Extension26.9
Cross Over to Pasireotide Extension24.9

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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

Interventionpercentage of participants (Number)
Pasireotide LAR 40 mg15.4
Pasireotide LAR 60 mg20.0
Control Arm (Octreotide or Lanreotide)0

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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

Interventionweeks (Median)
Pasireotide LAR 40 mg Extension112.3
Pasireotide LAR 60 mg Extension65.3
Cross Over to Pasireotide Extension95.1

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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

,
Interventionscores on a scale (Mean)
Week 4 COREWeek 8 COREWeek 12 COREWeek 16 COREWeek 20 COREWeek24 CORE
Pasireotide LAR 40 mg3.52.43.03.33.53.0
Pasireotide LAR 60 mg2.32.51.96.64.05.4

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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

,,
Interventionscores on a scale (Mean)
Week 16 extensionWeek 28 extensionWeek 40 extensionWeek 52 extensionWeek 64 extensionWeek 76 extensionWeek 88 extensionWeek 100 extensionWeek 112 extensionWeek 124 extensionWeek 136 extensionWeek 148 extensionWeek 160 extensionWeek 172 extensionWeek 184 extensionWeek 196 extensionWeek 208 extensionWeek 220 extensionWeek 232 extensionWeek 244 extensionWeek 256 extensionWeek 268 extension
Cross Over to Pasireotide Extension0.83.33.24.25.47.76.45.94.12.06.55.51.52.11.63.84.57.37.03.00.3-10.6
Pasireotide LAR 40 mg Extension4.25.63.26.15.87.74.64.34.65.87.57.67.04.85.86.11.24.82.14.56.10.6
Pasireotide LAR 60 mg Extension2.94.82.55.74.22.55.63.96.52.05.46.85.15.75.86.06.25.8-0.26.3-3.0-4.9

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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

,
Interventionmcg/L (Mean)
Week 12 - COREWeek 24 - CORE
Pasireotide LAR 40 mg-0.8-0.6
Pasireotide LAR 60 mg-6.4-7.2

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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

,,
Interventionmcg/L (Mean)
Week 16 - extensionWeek 28 - extensionWeek 40 - extensionWeek 52 - extensionWeek 64 - extensionWeek 76 - extensionWeek 88 - extensionWeek 100 - extensionWeek 112 - extensionWeek 124 - extensionWeek 136 - extensionWeek 148 - extensionWeek 160 - extensionWeek 172 - extensionWeek 184 - extensionWeek 196 - extensionWeek 208 - extension (n=22,20,23)Week 220 - extensionWeek 232 - extensionWeek 244 - extensionWeek 256 - extensionWeek 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-6.9-4.5-5.8-7.1-7.9-7.2-6.2-5.3-4.4-6.0-5.36.1-4.9-5.9-5.8-6.5-6.2-7.1-6.8-2.4-4.9-2.5

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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

,
Interventionmcg/L (Mean)
CORE Week 12CORE Week 24
Pasireotide LAR 40 mg0.7-0.7
Pasireotide LAR 60 mg-1.1-1.1

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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

,,
Interventionmcg/L (Mean)
Week 16 extensionWeek 28 extensionWeek 40 extensionWeek 52 extensionWeek 64 extensionWeek 76 extensionWeek 88 extensionWeek 100 extensionWeek 112 extensionWeek 124 extensionWeek 136 extensionWeek 148 extensionWeek 160 extensionWeek 172 extensionWeek 184 extensionWeek 196 extensionWeek 208 extensionWeek 220 extensionWeek 232 extensionWeek 244 extensionWeek 256 extensionWeek 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

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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

,,
Interventionpercentage of participants (Number)
Week 16Week 28Week 40Week 52Week 64Week 76Week 88Week 100Week 112Week 124Week 136Week 148Week 160Week 172Week 184Week 196Week 208Week 220Week 232Week 244Week 256Week 268
Cross Over to Pasireotide Extension25.822.624.225.829.029.025.832.330.629.037.133.933.922.622.627.421.019.417.714.56.51.6
Pasireotide LAR 40 mg Extension33.329.836.828.133.326.328.131.631.624.621.126.324.626.319.324.622.822.814.014.012.35.3
Pasireotide LAR 60 mg Extension29.033.337.033.327.835.235.229.627.831.525.922.225.922.222.222.222.211.114.89.37.45.6

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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

,,
InterventionParticipants (Number)
Week 16Week 28Week 40Week 52Week 64Week 76Week 88Week 100Week 112Week 124Week 136Week 148Week 160Week 172Week 184Week 196Week 208Week 220Week 232Week 244Week 256Week 268
Cross Over to Pasireotide Extension6.58.14.84.89.76.54.88.19.78.111.38.19.78.13.28.16.56.54.86.53.21.6
Pasireotide LAR 40 mg Extension10.58.810.58.88.810.57.012.314.07.03.510.58.814.07.08.88.810.510.58.88.81.8
Pasireotide LAR 60 mg Extension16.714.89.313.013.013.020.414.820.414.818.514.814.813.013.013.09.37.43.73.73.73.7

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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

,,
Interventionpercentage of participants (Number)
Week 16Week 28Week 40Week 52Week 64Week 76Week 88Week 100Week 112Week 124Week 136Week 148Week 160Week 172Week 184Week 196Week 208Week 220Week 232Week 244Week 256Week 268
Control Arm (Octreotide or Lanreotide) Extension33.943.540.341.941.945.245.246.840.341.943.543.540.338.733.935.525.822.621.012.96.53.2
Pasireotide LAR 40 mg Extension38.640.438.638.640.433.340.440.436.840.436.840.438.640.433.329.831.629.824.619.315.87.0
Pasireotide LAR 60 mg Extension55.644.442.646.337.044.442.640.744.431.535.233.333.337.031.529.624.118.518.511.19.35.6

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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

,,
Interventionpercentage of participants (Number)
Week 16Week 28Week 40Week 52Week 64Week 76Week 88Week 100Week 112Week 124Week 136Week 148Week 160Week 172Week 184Week 196Week 208Week 220Week 232Week 244Week 256Week 268
Cross Over to Pasireotide Extension8.19.74.89.711.311.311.317.716.114.514.514.514.514.56.512.99.79.78.18.14.81.6
Pasireotide LAR 40 mg Extension14.014.014.012.315.812.315.817.517.512.38.814.017.517.517.515.817.515.815.812.312.33.5
Pasireotide LAR 60 mg Extension27.822.213.022.218.522.222.220.425.916.725.916.718.514.818.513.013.011.13.75.63.73.7

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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

InterventionmL (Mean)
Week 112Week 196
Pasireotide LAR 60 mg14.0614.96

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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

InterventionmL (Mean)
Week 48Week 112Week 132Week 196
Pasireotide LAR 40 mg5.708.669.2810.32

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Number of Participants With Stable Disease (SD)

For patients with metastatic uveal melanoma treated with RAD001 and pasireotide LAR. (NCT01252251)
Timeframe: at 16 weeks

InterventionParticipants (Count of Participants)
RAD001 and Pasireotide LAR7

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Median Progression Free Survival(PFS)

(NCT01252251)
Timeframe: Up to 3 years

Interventionweeks (Median)
RAD001 and Pasireotide LAR16

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Median Overall Survival (OS)

(NCT01252251)
Timeframe: Up to 3 years

Interventionmonths (Median)
RAD001 and Pasireotide LAR11

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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

Interventionmonths (Median)
Pasireotide LAR Treatment11

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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

Interventionpercentage of participants (Number)
Partial ResponseStable DiseaseProgressive Disease
Pasireotide LAR Treatment46036

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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

InterventionParticipants (Count of Participants)
Arm A (Everolimus Alone)17
Arm B (Pasireotide Alone)9
Arm C (Everolimus + Pasireotide)11

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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

InterventionParticipants (Count of Participants)
Arm A (Everolimus Alone)17
Arm B (Pasireotide Alone)9
Arm C (Everolimus + Pasireotide)11

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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

Interventionpercentage of patients (Number)
Week 4Week 12Week 24
Pasireotide LAR47.441.275.0

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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

Interventionpercentage of patients (Number)
Extension Week 48Extension Week 72Extension Week 96
Pasireotide LAR10.012.550.0

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Mean Alpha Subunit Levels in Main and Extension Phases (FAS)

(NCT01283542)
Timeframe: Baseline and at weeks 12,24,48,72, 96

Interventionng/mL (Mean)
Baseline242.27
Week 12309.04
Week 24192.11
Week 48234.21
Week 72286.78
Week 96435.00

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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

Interventionµg/dL (Mean)
Baseline12.60
Week 2416.41
Week 4812.12
Week 9610.09

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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

InterventionµUI/mL (Mean)
Baseline151.81
Week 24149.92
Week 481.67
Week 961.70

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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

Interventioncm^3 (Mean)
Main Week 4Main Week 12Main Week 24
Pasireotide LAR1.250.660.23

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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

Interventioncm^3 (Mean)
Extension Week 48Extension Week 72Extension Week 96
Pasireotide LAR3.573.121.70

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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

Interventioncm^3 (Mean)
Main BaselineMain Week 4Main Week 12Main Week 24
Pasireotide LAR2.974.314.313.39

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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

Interventionpercent change (Mean)
Extension Week 48Extension Week 72Extension Week 96
Pasireotide LAR14.83-2.57-1.59

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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

Interventioncm^3 (Mean)
Extension Week 48Extension Week 72Extension Week 96
Pasireotide LAR0.53-0.140.0

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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

Interventionpercent change (Mean)
Main Week 4Main Week 12Main Week 24
Pasireotide LAR36.9239.367.98

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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

Interventionpercentage of patients (Number)
Main Week 4Main Week 12Main Week 24
Pasireotide LAR10.55.916.7

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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

Interventionpercentage of patients (Number)
Extension Week 48Extension Week 72Extension Week 96
Pasireotide LAR10.012.550.0

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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

,,,
Interventionng/dL (Mean)
TestosteroneFree T4
Baseline452.211.07
Week 24372.721.13
Week 48517.521.17
Week 96382.101.04

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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

Interventionpercentage of participants (Number)
Pasireotide LAR16.7

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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

,,,
InterventionmUI/mL (Mean)
LHFSH
Baseline5.5711.83
Week 245.3212.90
Week 487.4416.23
Week 969.9521.45

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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

,,,
Interventionng/mL (Mean)
GHIGF-1Prolactin
Baseline0.31130.7316.90
Week 241.1172.5913.89
Week 480.1566.239.03
Week 960.1270.827.62

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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

,,,
Interventionpg/mL (Mean)
ACTHEstradiol
Baseline28.9135.72
Week 2423.1832.12
Week 4836.0634.69
Week 9629.9019.98

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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

Interventionpercentage of participants (Number)
Week 128.3
Week 2428.6
Week 4812.5
Week 7222.2
Week 960

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Number of Participants With > 50% Decline From Baseline PSA Level

(NCT01313559)
Timeframe: After 12 weeks of treatment

Interventionparticipants (Number)
Cohort A (Pasireotide)2
Cohort B (Pasireotide and Everolimus)0

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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

Interventionparticipants (Number)
Cohort A (Pasireotide)0
Cohort B (Pasireotide and Everolimus)0

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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

Interventionparticipants (Number)
Cohort A (Pasireotide)0
Cohort B (Pasireotide and Everolimus)0

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Number of Participants Without New Bone Lesions After 12 Weeks of Treatment

(NCT01313559)
Timeframe: After 12 weeks of treatment

Interventionparticipants (Number)
Cohort A (Pasireotide)0
Cohort B (Pasireotide and Everolimus)0

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Summary of Pharmacokinetics (PK) for Everolimus for Tmax

(NCT01374451)
Timeframe: Cycle 2 Day 1

Interventionhr (Median)
Paseriotide LAR + Everolimus1.00
Everolimus0.500

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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

,
InterventionPercentage of participants (Number)
6 months12 months18 months24 months
Everolimus93.786.175.571.0
Paseriotide LAR + Everolimus93.585.581.477.0

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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

InterventionPercentage of participants (Number)
Paseriotide LAR + Everolimus77.2
Everolimus82.7

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Summary of Pasireotide Concentrations Following Intramuscular Injection of Pasireotide LAR 60mg

(NCT01374451)
Timeframe: Cycle 1 Day 21, Cycle 2 Day 29

Interventionng/mL (Mean)
Cycle 1 Day 21 (n:69)Cycle 2 Day 29 (n: 64)
Paseriotide LAR + Everolimus21.619.9

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Summary of Pharmacokinetics (PK) for Everolimus for Cmax and Cmin

(NCT01374451)
Timeframe: Cycle 2 Day 1

,
Interventionng/mL (Mean)
CmaxCmin
Everolimus60.27.67
Paseriotide LAR + Everolimus58.714.7

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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

InterventionPercentage of participants (Number)
Paseriotide LAR + Everolimus20.3
Everolimus6.2

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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

Interventionmonths (Median)
Paseriotide LAR + Everolimus16.82
Everolimus16.59

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Summary of Pharmacokinetics (PK) for Everolimus for AUClast

(NCT01374451)
Timeframe: Cycle 2 Day 1

Interventionng*hr/mL (Mean)
Paseriotide LAR + Everolimus511
Everolimus378

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Summary of Pharmacokinetics (PK) for Everolimus for CL/F

(NCT01374451)
Timeframe: Cycle 2 Day 1

InterventionL/hr (Mean)
Paseriotide LAR + Everolimus20.0
Everolimus29.0

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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

,
InterventionParticipants (Number)
DeathsSerious Adverse EventsAdverse Events
Everolimus104981
Paseriotide LAR + Everolimus74178

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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

,
InterventionPercentage of participants (Number)
Facial ruborHirsutism (females only)StriaeBruisingSupraclavicular fat padDorsal fat padMuscle strength
10 mg Pasireotide LAR Dose32.722.223.125.040.428.88.9
30 mg Pasireotide LAR Dose53.632.623.614.328.640.04.5

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Actual Change From Baseline in Clinical Signs Over Time: Blood Pressure

Change in blood pressure measurements from Baseline (NCT01374906)
Timeframe: Month 7

,
InterventionmmHg (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

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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

Interventionpercentage of participants (Number)
10 mg Pasireotide LAR Dose41.9
30 mg Pasireotide LAR Dose40.8

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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

Interventionpercentage of participants (Number)
10 mg Pasireotide LAR Dose28.4
30 mg Pasireotide LAR Dose31.6

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Actual Change From Baseline in Clinical Signs Over Time: Weight

Change in weight measurements from Baseline (NCT01374906)
Timeframe: Month 7

Interventionkg (Mean)
10 mg Pasireotide LAR Dose-1.8
30 mg Pasireotide LAR Dose-4.6

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Actual Change From Baseline in Clinical Signs Over Time: Waist Circumference

Change in waist circumference measurements from Baseline (NCT01374906)
Timeframe: Month 7

Interventioncm (Mean)
10 mg Pasireotide LAR Dose-1.6
30 mg Pasireotide LAR Dose-7.1

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Actual Change From Baseline in Clinical Signs Over Time: Body Mass Index (BMI)

Change in BMI measurements from Baseline (NCT01374906)
Timeframe: Month 7

Interventionkg/m2 (Mean)
10 mg Pasireotide LAR Dose-0.7
30 mg Pasireotide LAR Dose-1.8

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Actual Change From Baseline in Clinical Signs Over Time: Body Composition: Region

Change in body composition: region measurements from Baseline (NCT01374906)
Timeframe: Month 7

Interventionpercentage fat (Mean)
10 mg Pasireotide LAR Dose-1.0
30 mg Pasireotide LAR Dose-1.8

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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

,
Interventionpercentage change (Mean)
M7M12M24M36
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

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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

,
InterventionPercentage change (Mean)
M7M12M24M36
10 mg Pasireotide LAR Dose-8.2-12.1-15.60.6
30 mg Pasireotide LAR Dose-5.1-0.4-7.4-23.2

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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

,
Interventionpercentage of participants (Number)
M7M12M24M36
10 mg Pasireotide LAR Dose44.645.946.028.0
30 mg Pasireotide LAR Dose53.942.127.96.0

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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

,
Interventionpercentage of participants (Number)
Uncontrolled Resp @ M7: subset: M1 & 2Uncontrolled Resp @ M7: subset: M1,2 & 3Uncontrolled Resp @ M12: subset: M1 & 2Uncontrolled Resp @ M12: subset: M1, 2 & 3
10 mg Pasireotide LAR Dose60.661.369.774.2
30 mg Pasireotide LAR Dose60.665.569.772.4

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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

Interventionng/mL (Mean)
Day 190 (M6.75)
40 mg Pasireotide LAR Dose12.1

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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

Interventionng/mL (Mean)
Day 106 (M 3.75)Day 190 (M6.75)
5 mg Pasireptide LAR Dose1.71.4

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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

,
Interventionng/mL (Mean)
Day 22 (M 0.75)Day 106 (M 3.75)Day 190 (M6.75)
10 mg Pasireotide LAR Dose3.03.34.0
30 mg Pasireotide LAR Dose8.29.410.0

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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

Interventionng/mL (Mean)
Day 57Day 85Day 113Day 141Day 169Day 197Day 225Day 253Day 281Day 309Day 337
5 mg Pasireotide LAR Dose0.831.031.291.042.010.721.191.771.240.661.91

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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

,
Interventionng/mL (Mean)
Day 29Day 57Day 85Day 113Day 141Day 169Day 197Day 225Day 253Day 281Day 309Day 337
10 mg Pasireotide LAR Dose2.032.352.392.402.472.472.882.682.873.362.503.07
30 mg Pasireotide LAR Dose7.637.828.568.317.888.469.138.579.008.189.348.90

[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

Interventionng/mL (Mean)
Day 141Day 169Day 197Day 225Day 253Day 281Day 309Day 337
40 mg Pasireotide LAR Dose10.712.011.911.312.111.412.012.6

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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

,
InterventionPercentage change (Mean)
M7M12M24M36
10 mg Pasireotide LAR Dose2.7-10.2-12.1-15.4
30 mg Pasireotide LAR Dose-13.5-14.52.5-0.6

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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

,
InterventionPercentage change (Mean)
SBPDBPBMIWeightWaist circumferenceHDLTotal cholesterolTriglyceridesBody composition
10 mg Pasireotide LAR Dose-4.3-4.7-2.6-2.6-1.4-6.7-7.24.2-2.4
30 mg Pasireotide LAR Dose-3.0-2.6-6.1-6.1-6.60.3-6.6-0.9-3.6

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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

,
InterventionPercentage of participants (Number)
M6M12M18
10 mg Pasireotide LAR Dose78.484.984.9
30 mg Pasireotide LAR Dose77.883.783.7

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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)

,
InterventionPercentage of participants (Number)
M7M12
10 mg Pasireotide LAR Dose80.584.4
30 mg Pasireotide LAR Dose73.480.7

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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

,
InterventionPercentage of participants (Number)
Month 7Month 12
10 mg Pasireotide LAR Dose86.290.1
30 mg Pasireotide LAR Dose83.494.5

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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

,
InterventionPercentage of participants (Number)
Month 6Month 12Month 18
10 mg Pasireotide LAR Dose78.084.084.0
30 mg Pasireotide LAR Dose72.982.887.1

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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

,
Interventionscores on a scale (Mean)
M7M12M24
10 mg Pasireotide LAR Dose1.94.95.3
30 mg Pasireotide LAR Dose-0.8-0.5-1.1

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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

,
Interventionscores on a scale (Mean)
M7M12M24M36
10 mg Pasireotide LAR Dose5.76.45.91.4
30 mg Pasireotide LAR Dose7.86.88.714.6

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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

,
Interventionscores on a scale (Mean)
M7M12M24
10 mg Pasireotide LAR Dose4.12.33.3
30 mg Pasireotide LAR Dose4.33.36.4

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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)

,
Interventionnmol/24h (Mean)
M7M12M24M36
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

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Actual Change From Baseline in Clinical Signs Over Time: Cholesterol & Triglycerides

Change in parameter measurements: cholesterol & triglycerides from Baseline (NCT01374906)
Timeframe: Month 7

,
Interventionmmol/L (Mean)
Total cholesterolHDL cholesterolTriglycerides
10 mg Pasireotide LAR Dose-0.5-0.10
30 mg Pasireotide LAR Dose-0.40-0.2

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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

,
Interventionpercentage of participants (Number)
M7 - Controlled responderM12 - Controlled responderM24 - Controlled responderM36 - Controlled responder
10 mg Pasireotide LAR Dose39.235.139.722.0
30 mg Pasireotide LAR Dose40.825.021.34.0

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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

,
Interventionpercentage of participants (Number)
Month 7Month 12
10 mg Pasireotide LAR Dose25.725.7
30 mg Pasireotide LAR Dose31.625.0

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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

,
Interventionpercentage of participants (Number)
M7M12M24M36
10 mg Pasireotide LAR Dose35.135.183.3100
30 mg Pasireotide LAR Dose43.438.257.133.33

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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

,
Interventionpercentage of participants (Number)
stratum:1.5 x ULN to < 2.0 x ULNstratum:2.0 x ULN to <= 5.0 x ULN
10 mg Pasireotide LAR Dose52.036.7
30 mg Pasireotide LAR Dose52.035.3

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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

Interventionmg (Number)
Treatment (Chemotherapy, Receptor Agonist)60

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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

Interventionpercentage of participants (Number)
Treatment (Chemotherapy, Receptor Agonist)44.4

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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

Interventionmonths (Median)
Treatment (Chemotherapy, Receptor Agonist)18.3

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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

Interventionmonths (Median)
Treatment (Chemotherapy, Receptor Agonist)7.2

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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

Interventionpercent change of biomarker from day 1 (Median)
IGF-1 day 1 to day 22IGF-1 day 1 to day 43SCA day 1 to day 22SCA day 1 to day 43NSE day 1 to day 22NSE day 1 to day 43
Treatment (Chemotherapy, Receptor Agonist)-47.74-65.64-25.36-21.43-17.008.00

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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

Interventionpercent change of CTC from day 1 (Median)
CTC from day 1 to day 22CTC from day 1 to day 43
Treatment (Chemotherapy, Receptor Agonist)-5.50-29.50

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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

Interventionpercentage change of PSA from day 1 (Median)
from day 1 to day 22from day 1 to day 43
Treatment (Chemotherapy, Receptor Agonist)-18.52-31.49

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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

Interventionng/ml (Median)
Level at day 29Level at day 57Level at day 85
Treatment (Chemotherapy, Receptor Agonist)15.414.914.5

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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

InterventionParticipants (Count of Participants)
Abdominal pain grade 1Agitation grade 1Alkaline phosphatase increased grade 3Allergic reaction grade 1Alopecia grade 1Alopecia grade 2Anemia grade 1Anemia grade 3Anorexia grade 1Anorexia grade 2Arthritis grade 1Aspartate aminotransferase increased grade 2Aspartate aminotransferase increased grade 3Back pain grade 1Back pain grade 2Bladder infection grade 2Blood and lymphatic system disorders-Other grade 1Bruising grade 1Cardiac disorders - Other, specify grade 1Cataract grade 1Chills grade 1Cholesterol high grade 1Conjunctivitis grade 2Constipation grade 1Cough grade 1Cough grade 2Creatinine increased grade 1Dehydration grade 2Dehydration grade 3Depression grade 1Diarrhea grade 1Diarrhea grade 2Diarrhea grade 3Dizziness grade 1Dry mouth grade 1Dry skin grade 1Dysgeusia grade 1Dysgeusia grade 2Dyspnea grade 1Ear and labyrinth disorders-Other, specify grade 1Edema limbs grade 1Edema limbs grade 2EKG QT corrected interval prolong grade 1EKG QT corrected interval prolong grade 2EKG QT corrected interval prolong grade 3Eye disorders - Other, specify grade 1Fatigue grade 1Fatigue grade 2Fatigue grade 3Fever grade 1Flank pain grade 1Flu like symptoms grade 1Flushing grade 1Gastroesophageal reflux disease grade 1Gastroesophageal reflux disease grade 2Gastrointestinal disorders -Other, specify grade 1Generalized muscle weakness grade 1Generalized muscle weakness grade 2Headache grade 1Hearing impaired grade 1Heart failure grade 1Hematuria grade 1Hematuria grade 2Hoarseness grade 1Hot flashes grade 1Hyperglycemia grade 1Hyperglycemia grade 2Hyperglycemia grade 3Hyperkalemia grade 2Hypertension grade 2Hypertension grade 3Hypertriglyceridemia grade 1Hypertriglyceridemia grade 3Hypoalbuminemia grade 3Hypocalcemia grade 1Hypocalcemia grade 3Hypokalemia grade 2Hypomagnesemia grade 1Hypomagnesemia grade 2Hyponatremia grade 3Hypophosphatemia grade 3Hypotension grade 3Hypothyroidism grade 1Infusion related reaction grade 2Infusion site extravasation grade 2Injection site reaction grade 1Insomnia grade 1Localized edema grade 1Lymphedema grade 1Lymphocyte count decreased grade 1Lymphocyte count decreased grade 3Lymphocyte count decreased grade 4Mucositis oral grade 2Muscle weakness lower limb grade 1Musculoskeletal and connective tissue dis. grade 1Myalgia grade 1Nail discoloration grade 1Nail discoloration grade 2Nail loss grade 1Nail ridging grade 1Nasal congestion grade 1Nausea grade 1Nausea grade 2Nervous system disorders - Other grade 1Neutrophil count decreased grade 3Neutrophil count decreased grade 4Otitis externa grade 2Pain grade 1Pain in extremity grade 2Pelvic pain grade 1Penile infection grade 1Penile pain grade 1Peripheral sensory neuropathy grade 1Peripheral sensory neuropathy grade 2Platelet count decreased grade 1Rash acneiform grade 1Rash acneiform grade 2Rectal pain grade 1Renal and urinary disorders - Other grade 1Renal and urinary disorders - Other grade 2Respiratory, thoracic and mediastinal dis. grade 3Serum amylase increased grade 4Sinus disorder grade 1Sinusitis grade 2Skin and subcutaneous tissue disorders grade 1Skin and subcutaneous tissue disorders grade 2Skin infection grade 4Sore throat grade 1Thromboembolic event grade 3Toothache grade 1Tremor grade 1Upper respiratory infection grade 1Upper respiratory infection grade 2Upper respiratory infection grade 3Urinary frequency grade 1Urinary tract infection grade 2Urinary tract infection grade 3Urinary tract obstruction grade 2Vomiting grade 1Watering eyes grade 1Weight loss grade 1Weight loss grade 2Weight loss grade 3Wheezing grade 1White blood cell decreased grade 3White blood cell decreased grade 4
Treatment (Chemotherapy, Receptor Agonist)1131114461211311111145142112121021822146111111267111223175211121133110155311112114311111111171125121121101110612111174161212111191131112114411411611113

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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

Interventionmonths (Median)
Everolimus + Pasireotide3.5

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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

Interventionpercentage of participants (Number)
Radiographic response (CR or PR)Stable disease
Everolimus + Pasireotide045.5

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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

Interventionparticipants (Number)
Dose Limiting Toxicities (DLT)Any adverse event
Everolimus + Pasireotide124

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Overall Survival (OS)

Overall survival is defined as the time from study enrollment until death. (NCT01488487)
Timeframe: 3.5 years

Interventionmonths (Median)
Everolimus + Pasireotide6.7

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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

,,
Interventionmonths (Number)
25th percentileMedian75th percentile
EverolimusNANANA
Pasireotide LARNANANA
Pasireotide LAR and Everolimus CombinationNANANA

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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

,,
Interventionmonths (Number)
25th percentileMedian75th percentile
EverolimusNANANA
Pasireotide LARNANANA
Pasireotide LAR and Everolimus CombinationNANANA

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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

Interventionmonths (Median)
Pasireotide LAR14.75
Everolimus2.00
Pasireotide LAR and Everolimus Combination8.38

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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

Interventionmonths (Median)
Pasireotide LAR2.89
Everolimus2.86
Pasireotide LAR and Everolimus Combination5.62

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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

Interventionmonths (Median)
Pasireotide LAR8.51
Everolimus12.48
Pasireotide LAR and Everolimus Combination16.53

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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

,,
Interventionpercentage of participants (Number)
Objective response (CR+PR)Disease control rate (CR+PR+SD)Complete response (CR)Partial response (PR)Stable diseaseProgressive diseaseUnknownNot assessedDiscontinued before month 12
Everolimus2.473.802.471.44.84.816.764.3
Pasireotide LAR2.480.502.478.014.62.42.468.3
Pasireotide LAR and Everolimus Combination4.978.004.973.27.3014.663.4

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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

,,
Interventionpercentage of participants (Number)
Week 12Week 24Week 36Week 48Week 52
Everolimus11.111.111.100
Pasireotide LAR20.05.05.05.05.0
Pasireotide LAR and Everolimus Combination10.020.05.05.010.0

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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

,,
Interventionpercentage of participants (Number)
Week 12Week 24Week 36Week 48Week 52
Everolimus7.47.43.700
Pasireotide LAR20.68.88.88.85.9
Pasireotide LAR and Everolimus Combination17.120.011.411.45.7

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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

,,
Interventionevent free probability estimates (Number)
3 months6 months9 months12 months15 months18 months21 months24 months27 months30 months33 months36 months39 months42 months45 months48 months51 months54 months57 months60 months63 months66 months69 months
Everolimus91.263.556.950.246.838.629.419.619.69.89.89.89.89.89.89.8NANANANANANANA
Pasireotide LAR83.668.249.639.932.621.814.514.514.510.910.910.910.910.910.910.910.910.910.910.910.9NANA
Pasireotide LAR and Everolimus Combination88.685.579.255.551.242.738.028.528.519.019.014.214.214.214.214.214.214.27.17.17.17.17.1

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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

,,
Interventionevent free probability estimates (Number)
3 months6 months9 months12 months15 months18 months
Everolimus37.5NANANANANA
Pasireotide LAR75.056.356.356.337.537.5
Pasireotide LAR and Everolimus Combination77.877.844.444.444.444.4

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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

,,
Interventionevent free probability estimates (Number)
3 months6 months9 months12 months15 months18 months21 months24 months
Everolimus35.417.711.07.4NANANANA
Pasireotide LAR43.129.518.518.518.513.813.8NA
Pasireotide LAR and Everolimus Combination77.144.529.726.418.118.118.118.1

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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

,,
Interventionpercentage of participants (Number)
Complete responsePartial responseStable diseaseProgression-free (PF) at Month 9
Everolimus02.431.033.3
Pasireotide LAR02.434.139.0
Pasireotide LAR and Everolimus Combination02.448.858.5

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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

,,
Interventionpercentage of participants (Number)
Week 12Week 24Week 48Week 24 (LOCF)Week 48 (LOCF)
All Patients54.547.842.939.534.9
Pasireotide 600 μg77.868.270.054.151.4
Pasireotide 900 μg38.529.218.228.622.4

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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

,,
Interventionpercent change of µg/L (Mean)
Week 12Week 24Week 48
All Patients-19.3-24.49.7
Pasireotide 600 μg-17.3-22.223.1
Pasireotide 900 μg-20.90-26.2-1.0

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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

,,
Interventionpercent change of ng/ml (Mean)
Week 12Week 24Week 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

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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

,,
Interventionpercent change in score (Mean)
Week 12Week 24Week 48
All Patients67.182.334.4
Pasireotide 600 μg21.336.724.0
Pasireotide 900 μg100.8119.742.3

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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

,,
Interventionpercent change of mmhg (Mean)
Sitting systolic Week 12Sitting systolic Week 24Sitting systolic Week 48Standing systolic Week 12Standing systolic Week 24Standing systolic Week 48Sitting diastolic Week 12Sitting diastolic Week 24Sitting diastolic Week 48Standing diastolic Week 12Standing diastolic Week 24Standing 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

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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

,,
Interventionpercent change in kg/m2 (Mean)
Week 12Week 24Week 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

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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

,,
Interventionpercent change in scores (Mean)
Week 12Week 24Week 48
All Patients-10.018.4-2.2
Pasireotide 600 μg-12.2-21.2-18.2
Pasireotide 900 μg-8.2-16.29.6

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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

,,
Interventionpercent change in scores (Mean)
Week 12Week 24Week 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

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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

,,
Interventionpercent change in bpm (Mean)
Sitting pulse Week 12Sitting pulse Week 24Sitting pulse Week 48
All Patients-3.2-2.23.3
Pasireotide 600 μg2.3-1.82.9
Pasireotide 900 μg-7.5-2.63.7

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Percent Change in Cushing's Disease Clinical Signs and Symptoms - Temperature

degrees celius (NCT01582061)
Timeframe: Baseline week 12, 24 and 48

,,
Interventionpercent change in celius (Mean)
Week 12Week 24Week 48
600 µg Bid - All Grades0.1-0.10.03
900 μg - All Grades-0.3-0.1-0.1
All Patients - All Grades-0.1-0.10.1

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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

,,
Interventionpercent change of centimeters (Mean)
Week 12Week 24Week 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

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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

,,
Interventionpercent change in kg (Mean)
Week 12Week 24Week 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

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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

,,
Interventionpercentage of participants (Number)
Week 12Week 24Week 48Week 24 (LOCF)Week 48 (LOCF)
All Patients59.150.0057.146.546.5
Pasireotide 600 μg74.168.260.056.851.4
Pasireotide 900 μg48.733.354.538.842.9

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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

Interventioncmˆ3 (Median)
Pasireotide3.8
Cabergoline29.35

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Insulin Levels During OGTT

Absolute insulin levels at the end of M3, M6, M12 (NCT01637272)
Timeframe: M3, M6, M12

,,
Interventionpmol/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)29.0294.1602.1472.0195.176.052.0
SOM230 - 3 Months (sc)37.0196.3367.5309.1183.7103.258.5
SOM230 - 6 Months (LAR)34.7499.8573.2420.4205.7102.869.1

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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

,,,,
Interventionng/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 10mg2.252.912.973.533.453.27
SOM LAR 20mg4.33.774.015.483.484.63
SOM LAR 30mg7.766.56.388.387.9910.3
SOM LAR 40mgNANA7.5311.86.536.55
SOM LAR 60mgNANANANA17.918.1

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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

,,,
Interventionng/mL (Mean)
Cmax, ss (n=35, 28, 18, 10)Ctrough, ss (n=37, 30, 22, 12)
SOM sc 100 ug t.i.d.3.311.11
SOM sc 150 ug t.i.d.4.561.5
SOM sc 200 ug t.i.d.5.622.03
SOM sc 50 ug t.i.d.1.490.574

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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

,
Interventionhr*ng/mL (Mean)
AUC0-3h,d21, 2nd injection (n = 12, 14)AUC0-3h,d28, 3rd_injection (n = 9, 16)
SOM LAR 10mg6.925.97
SOM LAR 20mg14.99.3

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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

,,
InterventionPercentage of participants (Number)
hematocrit >= 3% at baselinehematocrit >= 3% at post baseline
SOM230 - 12 Months (Ext)21.224.2
SOM230 - 3 Months (sc)27.916.3
SOM230 - 6 Months (LAR)21.227.3

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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

,,
InterventionPercentage of participants (Number)
rate ≥ 10 bpm at baselinerate ≥ 10 bpm at post-baseline
SOM230 - 12 Months (Ext)24.227.3
SOM230 - 3 Months (sc)60.518.6
SOM230 - 6 Months (LAR)24.236.4

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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

,
Interventionng/mL (Mean)
Cmax, p2, 2nd_inj (n = 10, 13)Ctrough (n= 14, 19)
SOM LAR 10mg3.22.29
SOM LAR 20mg6.23.33

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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

Interventionng/mL (Mean)
SOM LAR 10mg3.34
SOM LAR 20mg3.76
SOM LAR 30mg8.19
SOM LAR 40mg4.63

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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

Interventionscores on a scale (Mean)
SOM230 - 3 Months (sc)5.1
SOM230 - 6 Months (LAR)5.1
SOM230 - 12 Months (Ext)5.9

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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

Interventionhr*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

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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

Interventionhr (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

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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)

Interventionpercentage of participants (Number)
SOM230- 6 Months (LAR)36.4
SOM230 - 12 Months (Ext)39.4

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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)

Interventionpercentage of participants (Number)
SOM230 - 3 Months (sc)60.5

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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

,,
Interventionscores 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)10.75.716.3
SOM230 - 3 Months (sc)9.64.914.5
SOM230 - 6 Months (LAR)9.25.614.8

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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

,,
Interventionscores 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)7.16.713.7
SOM230 - 6 Months (LAR)6.86.413.2
SOM230 - 8 Months (Ext)9.06.015.0

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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

,,
Interventionpmol/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)1.724.811.65.23.01.92.5
SOM230 - 3 Months (sc)2.60815.7049.4714.1412.0891.3761.260
SOM230 - 6 Months (LAR)1.530.314.36.52.42.13.8

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Glucagon Levels During OGTT

Absolute glucagon levels at the end of Months 3, 6 & 12 (NCT01637272)
Timeframe: M3, M6, M12

,,
Interventionpmol/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)21.423.822.921.522.021.822.3
SOM230 - 3 Months (sc)20.7020.6420.8020.0719.7319.9420.16
SOM230 - 6 Months (LAR)22.625.823.722.723.123.722.7

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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

,,
Interventionpmol/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)1.617.412.67.25.03.73.2
SOM230 - 3 Months (sc)3.02112.81111.2086.9865.0033.5652.974
SOM230 - 6 Months (LAR)2.121.014.68.25.24.23.3

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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

InterventionParticipants (Count of Participants)
Complete Response (CR)Partial Response (PR)
SOM23000

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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

InterventionParticipants (Count of Participants)
Complete Response (CR)Partial Response (PR)Stable Disease (SD)
SOM230009

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Toxicity Profile of Protocol Therapy

Number of patients experiencing adverse events and/or toxicities while receiving protocol therapy. (NCT01639352)
Timeframe: Up to 2 Years

InterventionParticipants (Count of Participants)
SOM23020

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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

Interventionmonths (Median)
SOM2303

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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

Interventionmonths (Median)
SOM2309

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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

Interventionpercentage of change (Mean)
Pasireotide LAR (SOM230)-0.3
Placebo Injection-2.2

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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

Interventionpercentage of change (Mean)
Pasireotide LAR (SOM230)39
Placebo Injection2.2

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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

Interventionpercentage of change (Mean)
Pasireotide LAR (SOM230)-1.37
Placebo Injection3.85

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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

,
Interventionunits on a scale (Mean)
Physical functioningPhysical roleBodily painGeneral healthVitalitySocial functioningRole emotionalMental health
Pasireotide LAR (SOM230)4.77.95.5-6.24.50.00.01.5
Placebo Injection-1-372-2-311-1.8

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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

Interventionpercentage of change (Mean)
Pasireotide LAR (SOM230)1.8
Placebo Injection3.4

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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

Interventionpercentage of change (Mean)
Pasireotide LAR (SOM230)-3.36
Placebo Injection6.29

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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

Interventionpercentage of change (Mean)
Pasireotide LAR (SOM230)18
Placebo Injection1.6

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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

Interventionpercentage of change (Mean)
Pasireotide LAR (SOM230)-0.15
Placebo Injection-0.1

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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

InterventionPercentage of participants (Number)
Month 18Month 24
Pasireotide LAR - All Participants41.760.9

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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

Interventionratio (Mean)
Pasireotide LAR 20mg1.33
Pasireotide LAR 40mg1.85
Pasireotide LAR 60mg1.64

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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

InterventionPercentage of participants (Number)
Pasireotide LAR 20mg9.1
Pasireotide LAR 40mg36.4
Pasireotide LAR 60mg9.1

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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

InterventionPercentage of participants (Number)
Pasireotide LAR 20mg18.2
Pasireotide LAR 40mg45.5
Pasireotide LAR 60mg9.1

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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

InterventionPercentage of participants (Number)
Pasireotide LAR 20mg27.3
Pasireotide LAR 40mg45.5
Pasireotide LAR 60mg18.2

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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

InterventionPercenage of participants (Number)
Month 3Month 6Month 9Month 12
Pasireotide LAR - All Participants30.333.330.336.4

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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

InterventionPercentage of participants (Number)
Month 18Month 24
Pasireotide LAR - All Participants16.730.4

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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

InterventionPercentage of participants (Number)
Month 3Month 6Month 9Month 12
Pasireotide LAR - All Participants24.233.339.427.3

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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)

,,
InterventionParticipants (Count of Participants)
HA @ BL: non/absentHA @ BL: mildHA @ BL: moderateHA @ BL: severeHA @ BL: very severeHA @ BL: total (all categories)HA @ most extreme post-BL: total non/absentHA @ most extreme post-BL: total mildHA @ most extreme post-BL: total moderateHA @ most extreme post-BL: total severeHA @ most extreme post-BL: total very severeHA @ most extreme post-BL: total (all categories)FA @ BL: non/absentFA @ BL: mildFA @ BL: moderateFA @ BL: severeFA @ BL: very severeFA @ BL: total (all categories)FA @ most extreme post-BL: total non/absentFA @ most extreme post-BL: total mildFA @ most extreme post-BL: total moderateFA @ most extreme post-BL: total severeFA @ most extreme post-BL: total very severeFA @ most extreme post-BL: total (all categories)PE @ BL: non/absentPE @ BL: mildPE @ BL: moderatePE @ BL: severePE @ BL: very severePE @ BL: total (all categories)PE @ most extreme post-BL: total non/absentPE @ most extreme post-BL: total mildPE @ most extreme post-BL: total moderatePE @ most extreme post-BL: total severePE @ most extreme post-BL: total very severePE @ most extreme post-BL: total (all categories)OS @ BL: non/absentOS @ BL: mildOS @ BL: moderateOS @ BL: severeOS @ BL: very severeOS @ BL: total (all categories)OS @ most extreme post-BL: total non/absentOS @ most extreme post-BL: total mildOS @ most extreme post-BL: total moderateOS @ most extreme post-BL: total severeOS @ most extreme post-BL: total very severeOS @ most extreme post-BL: total (all categories)PA @ BL: non/absentPA @ BL: mildPA @ BL: moderatePA @ BL: severePA @ BL: very severePA @ BL: total (all categories)PA @ most extreme post-BL: total non/absentPA @ most extreme post-BL: total mildPA @ most extreme post-BL: total moderatePA @ most extreme post-BL: total severePA @ most extreme post-BL: total very severePA @ most extreme post-BL: total (all categories)
Pasireotide LAR 20mg9110011830001173100114430011650001155100119110011812001192000117400011
Pasireotide LAR 40mg64001118201011532101135300116320011721101151221115221111110000119110011
Pasireotide LAR 60mg10001011731001162300115411011362001173010117310011631101191100119110011

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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

Interventionmm^3 (Median)
Change from baseline @ Month 6Change from baseline @ Month 12
Pasireotide LAR - All Participants-21.0-1.00

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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

Interventionother - Japanese ring size number (Median)
Month 3Month 6Month 9Month 12
Pasireotide LAR - All Participants-1.00-2.00-2.00-2.00

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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

Interventionug/L (Median)
Change from baseline @ Month 2.75Change from baseline @ Month 3Change from baseline @ Month 6Change from baseline @ Month 9Change from baseline @ Month 12Change from baseline @ Month 18Change from baseline @ Month 24
Pasireotide LAR - All Participants-7.60-5.98-7.27-8.83-8.90-15.68-16.67

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Change From Baseline in Prolactin

Change in prolactin levels from baseline (NCT01673646)
Timeframe: Baseline, Months 3, 6, 9, 12

Interventionpmol/L (Median)
Month 3Month 6Month 9Month 12
Pasireotide LAR - All Participants-43.000.000.000.00

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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

,,
Interventionng/mL (Mean)
Ctrough Day 28, 1st injCtrough Day 28, 2nd injCtrough Day 28, 3rd injCmax, 1st injCmax, 3rd inj
Pasireotide LAR 20mg5.365.865.857.198.23
Pasireotide LAR 40mg8.4110.712.210.317.3
Pasireotide LAR 60mg10.815.011.117.016.2

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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

,
Interventionug/L (Median)
Month 2.75Month 3Month 6Month 9Month 12Month 18Month 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

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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

InterventionPercentage of participants (Number)
Month 18Month 24
Pasireotide LAR - All Participants12.530.4

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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

InterventionPercentage of participants (Number)
Month 3Month 6Month 9Month 12
Pasireotide LAR - All Participants18.221.221.215.2

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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

InterventionPercentage of participants (Number)
Pasireotide LAR - All Participants18.2

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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

Interventionscores on a scale (Mean)
Baseline Bodily pain scaleWeek 17 n=52 Bodily pain scaleWeek 35 n=40 Bodily pain scaleBaseline n=67 General health scale:Week 17 n=52 General health scale:Week 35 n=40 General health scale:Baseline n=67 Mental componentWeek 17 n=52 Mental componentWeek 35 n=40 Mental componentBaseline n=67 Mental healthWeek 17 n=52 Mental healthWeek 35 n=40 Mental healthBaseline n=67 Physical component summaryWeek 17 n=52 Physical component summaryWeek 35 n=40 Physical component summaryBaseline n=67 Physical functioningWeek 17 n=52 Physical functioningWeek 35 n=40 Physical functioningBaseline n=67 Role emotionalWeek 17 n=52 Role emotionalWeek 35 n=40 Role emotionalBaseline n=67 Role physical scale:Week 17 n=52 Role physical scale:Week 35 n=40 Role physical scale:Baseline n=67 Social functioningWeek 17 n=52 Social functioningWeek 35 n=40 Social functioningBaseline n=67 Vitality scale:Week 17 n=52 Vitality scale:Week 35 n=40 Vitality scale:
All Patients42.945.144.938.940.940.742.441.942.141.943.042.442.744.043.442.141.942.139.738.038.742.342.841.342.243.043.347.245.745.6

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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

Interventionweeks (Median)
Core n=36Extension n=20
All Patients13.122.0

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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

Interventionmmol/L (Mean)
HDL BaselineHDL Week 35 n=41LDL BaselineLDL Week 35 n=41Total BaselineTotal Week 35 n=41
All Patients1.51.53.22.869.468.6

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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

Interventionscores on a scale (Mean)
Baseline MeanWeek 17 n=54Week 35 n=40
All Patients41.646.347.6

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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

Interventionpercentage of responders (Number)
All Patients50.0

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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

Interventionkg/m2 (Mean)
BaselineWeek 35 n=41
All Patients31.328.4

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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

Interventionpmol/L (Mean)
BaselineCore Week 2 n-62Core Week 4 n=63Core Week 8 n=61Core Week 13 n=53Core Week 17 n=58Core Week 22 n=49Core Week 26 n=55Core Week 31 n=49Core Week 35 n=40Ext Week 43 n=23Ext Week 51 n=21Ext Week 59 n=23Ext Week 67 n=22Ext Week 75 n=22Ext Week 83 n=19Ext Week 91 n=19Ext Week 99 n=16Ext Week 107 n=13Ext Week 115 n=15Ext Week 123 n=14Ext Week 131 n=12Ext Week 139 n=10Ext Week 147 n=9Ext Week 155 n=9Ext Week 163 n=5Ext Week 171 n=5Ext Week 179 n=5Ext Week 187 n=5Ext Week 195 n=4Ext Week 203 n=4Ext Week 211 n=3Ext Week 219 n=2Ext Week 227 n=2Ext Week 235 n=3Ext Week 243 n=1Ext Week 251 n=1Ext Week 267 n=1
All Patients16.312.414.213.311.912.313.712.412.111.011.510.410.711.09.19.810.611.39.39.510.68.210.010.410.410.07.47.08.69.08.011.06.07.010.36.07.04.0

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Body Weight at Week 35

Weight was was one of the measures of clinical symptoms of CD (NCT01915303)
Timeframe: Baseline and week 35

Interventionkg (Mean)
BaselineWeek 35 n=41
All Patients82.275.6

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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

Interventionparticipants (Number)
Core Week 1 n=40Core Week 2 n-37Core Week 4 n=37Core Week 8 n=37Core Week 13 n=32Core Week 17 n=32Core Week 22 n=28Core Week 26 n=31Core Week 31 n=32Core Week 35 n=26Ext Week 43 n=11Ext Week 59 n=10Ext Week 75 n=12Ext Week 91 n=10Ext Week 107 n=9Ext Week 123 n=10Ext Week 139 n=7Ext Week 155 n=4Ext Week 171 n=3Ext Week 187 n=3Ext Week 203 n=4Ext Week 219 n=2Ext Week 235 n=3Ext Week 251 n=1Ext Week 267 n=1
All Patients645548812139345323311211200

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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

Interventionnmol/24h (Mean)
BaselineCore Week 2 n-8Core Week 4 n=59Core Week 8 n=58Core Week 13 n=51Core Week 17 n=57Core Week 22 n=50Core Week 26 n=54Core Week 31 n=46Core Week 35 n=45Ext Week 43 n=22Ext Week 51 n=20Ext Week 59 n=24Ext Week 67 n=17Ext Week 75 n=18Ext Week 83 n=20Ext Week 91 n=18Ext Week 99 n=13Ext Week 107 n=12Ext Week 115 n=13Ext Week 123 n=13Ext Week 131 n=11Ext Week 139 n=9Ext Week 147 n=9Ext Week 155 n=4Ext Week 163 n=6Ext Week 171 n=6Ext Week 179 n=4Ext Week 187 n=4Ext Week 195 n=3Ext Week 203 n=4Ext Week 211 n=3Ext Week 219 n=2Ext Week 227 n=2Ext Week 235 n=3Ext Week 243 n=1Ext Week 251 n=1Ext Week 267 n=1
All Patients501.6217.0242.1230.0231.0310.3214.0211.6154.3184.8136.1156.8157.7213.8157.6157.9180.0222.5118.5126.0147.576.492.990.176.3141.189.561.389.946.1194.0107.370.647.162.0117.7202.9249.0

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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

InterventionmmHg (Mean)
BaselineWeek 35 n=41
All Patients81.877.2

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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

Interventionparticipants (Number)
Core Week 1 n=35Core Week 2 n-33Core Week 4 n=32Core Week 8 n=32Core Week 13 n=27Core Week 17 n=28Core Week 22 n=25Core Week 26 n=27Core Week 31 n=28Core Week 35 n=23Ext Week 43 n=10Ext Week 59 n=9Ext Week 75 n=10Ext Week 91 n=9Ext Week 107 n=8Ext Week 123 n=9Ext Week 139 n=7Ext Week 155 n=4Ext Week 171 n=4Ext Week 187 n=3Ext Week 203 n=4Ext Week 219 n=2Ext Week 235 n=3Ext Week 251 n=1Ext Week 267 n=1
All Patients5344435897223212222221100

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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

Interventionparticipants (Number)
Core Week 1 n=40Core Week 2 n=37Core Week 4 n=38Core Week 8 n=37Core Week 13 n=32Core Week 17 n=32Core Week 22 n=28Core Week 26 n=31Core Week 31 n=32Core Week 35 n=26Ext Week 43 n=11Ext Week 59 n=11Ext Week 75 n=12Ext Week 91 n=10Ext Week 107 n=9Ext Week 123 n=10Ext Week 139 n=7Ext Week 155 n=4Ext Week 171 n=3Ext Week 187 n=3Ext Week 203 n=4Ext Week 219 n=2Ext Week 235 n=3Ext Week 251 n=1Ext Week 267 n=1
All Patients58812111110141513233332200000000

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Waist Circumference at Week 35

Waist circumference was one of the measurements of clinical signs of CD (NCT01915303)
Timeframe: Baseline and week 35

Interventioncm (Mean)
BaselineWeek 35 n=41
All Patients104.199.1

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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

InterventionmmHg (Mean)
BaselineWeek 35 n=41
All Patients125.9119.5

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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

Interventionparticipants (Number)
Core Week 1 n=40Core Week 2 n-37Core Week 4 n=38Core Week 8 n=37Core Week 13 n=32Core Week 17 n=32Core Week 22 n=28Core Week 26 n=31Core Week 31 n=32Core Week 35 n=26Ext Week 43 n11=Ext Week 59 n=11Ext Week 75 n=12Ext Week 91 n=10Ext Week 107 n=9Ext Week 123 n=10Ext Week 139 n=7Ext Week 155 n=4Ext Week 171 n=3Ext Week 187 n=3Ext Week 203 n=4Ext Week 219 n=2Ext Week 235 n=3Ext Week 251 n=1Ext Week 267 n=1
All Patients52587779128111100010010101

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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

Interventionnmol/L (Mean)
BaselineCore Week 2 n-62Core Week 4 n=64Core Week 8 n=61Core Week 13 n=53Core Week 17 n=58Core Week 22 n=49Core Week 26 n=55Core Week 31 n=49Core Week 35 n=40Ext Week 43 n=23Ext Week 51 n=21Ext Week 59 n=21Ext Week 67 n=22Ext Week 75 n=21Ext Week 83 n=19Ext Week 91 n=19Ext Week 99 n=16Ext Week 107 n=13Ext Week 115 n=15Ext Week 123 n=14Ext Week 131 n=12Ext Week 139 n=10Ext Week 147 n=10Ext Week 155 n=8Ext Week 163 n=6Ext Week 171 n=5Ext Week 179 n=5Ext Week 187 n=5Ext Week 195 n=4Ext Week 203 n=4Ext Week 211 n=3Ext Week 219 n=2Ext Week 227 n=2Ext Week 235 n=3Ext Week 243 n=1Ext Week 251 n=1Ext Week 267 n=1
All Patients738.6626.1663.6649.0628.8683.0625.4632.7597.5538.2525.5512.2547.5495.4458.5419.5501.2470.9463.4501.7441.6413.8404.0585.4472.5617.0648.6599.0609.8418.8514.0551.3482.0324.5384.7679.0574.0638.0

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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

Interventionpercentage of responders (Number)
BaselineCore Week 17 n=57Core Week 35 n=45Ext Week 43 n=22Ext Week 67 n=17Ext Week 91 n=18Ext Week 115 n=13Ext Week 139 n=9Ext Week 163 n=6Ext Week 187 n=4Ext Week 211 n=3Ext Week 235 n=3
All Patients4.428.148.963.647.161.176.977.866.775.066.7100

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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

Interventionpercentage of responders (Number)
BaselineCore Week 17 n=57Core Week 35 n=45Ext Week 43 n=22Ext Week 67 n=17Ext Week 91 n=18Ext Week 115 n=13Ext Week 139 n=9Ext Week 163 n=6Ext Week 187 n=4Ext Week 211 n=3Ext Week 235 n=3
All Patients4.454.468.986.476.583.392.377.883.310066.7100

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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

Interventionparticipants (Number)
Core Week 26Core Week 35
All Patients11

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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

Interventionparticipants (Number)
Core Week 4 Facial rubor baseline n=17Core Week 35 Facial rubor baseline n=17Ext Week 43 Facial rubor baseline n=17Ext Week 59 Facial rubor baseline n=17Ext Week 67 Facial rubor baseline n=17Ext Week 83 Facial rubor baseline n=17Ext Week 91 Facial rubor baseline n=17Ext Week 99 Facial rubor baseline n=17Ext Week 107 Facial rubor baseline n=17Ext Week 115 Facial rubor baseline n=17Ext Week 123 Facial rubor baseline n=17Core Week 1 Hirsutism baseline n=12Core Week 2 Hirsutism baseline n=12Ext Week 59 Striae baseline n=10Ext Week 99 Striae baseline n=10Ext Week 107 Striae baseline n=10Ext Week 115 Striae baseline n=10Ext Week 123 Striae baseline n=10Ext Week 99 Supraclavicular fat pad BL n=17Ext Week 107 Supraclavicular fat pad BL n=17
All Patients11111111111111111111

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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

Interventionparticipants (Number)
Core Week 1 n=40Core Week 2 n-37Core Week 4 n=37Core Week 8 n=37Core Week 13 n=32Core Week 17 n=32Core Week 22 n=28Core Week 26 n=31Core Week 31 n=32Core Week 35 n=26Ext Week 43 n=11Ext Week 59 n=11Ext Week 75 n=12Ext Week 91 n=10Ext Week 107 n=9Ext Week 123 n=10Ext Week 139 n=7Ext Week 155 n=4Ext Week 171 n=3Ext Week 187 n=3Ext Week 203 n=4Ext Week 219 n=2Ext Week 235 n=3Ext Week 251 n=1Ext Week 267 n=1
All Patients6768899101211101101111111200

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Assessment of Tumor Operability

Assessment if patients reaching operability at the EOS. (NCT02021942)
Timeframe: at least 6 months

InterventionParticipants (Count of Participants)
Tumor assesed as operable.Tumor assesed as not operable.
SOM230 LAR115

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Safety: Number of Participants With Adverse Events (AE) and Serious Adverse Events (SAE)

(NCT02021942)
Timeframe: at least 6 months

InterventionParticipants (Count of Participants)
Number of participants with AEsNumber of participants with SAEs
SOM230 LAR167

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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

InterventionParticipants (Count of Participants)
Missing data at baseline or EOSACHR-antibody level increasedACHR-antibody level decreasedACHR-antibody level constant
SOM230 LAR8143

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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

InterventionParticipants (Count of Participants)
Missing data at baseline or EOSChange from negative to negativeChange from negative to positiveChange from positive to positiveChange from positive to negative
SOM230 LAR84022

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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

Interventionpercentage of tumor volume (Mean)
SOM230 LAR-37.38

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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)

,
InterventionHbA1c percentage (Mean)
RandomizationChange at RW4 D29Change at RW8 D57Change at RW12 D85Change at RW16 D113End of Core Phase
Incretin Based Therapy (Randomized Group)7.10.50.30.20.00.0
Insulin (Randomized Group)7.10.50.50.40.30.3

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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

,
InterventionHba1c percentage (Mean)
All PatientsCushing's DiseaseAcromegaly
Incretin Based Therapy (Randomized Group)-0.120.33-0.25
Insulin (Randomized Group)0.260.450.19

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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)

,,,,
Interventionmg/dL (Mean)
Baseline: All PatientsChange at EOP: All PatientsBaseline: Cushing'sChange at EOP: Cushing'sBaseline: AcromegalyChange at EOP: Acromegaly
Baseline Insulin (BL) (Non-randomized Group)157.79.8147.221.3162.54.6
Incretin Based Therapy (Randomized Group)111.122.2117.913.4107.926.5
Insulin (Randomized Group)111.822.5106.336.4114.216.7
No OAD (Non-randomized Group)92.216.385.511.793.417.0
Oral Antidiabetic Drugs (OAD) (Non-randomized Group)97.222.993.315.898.825.8

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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

InterventionPercentage of participants (Number)
Incretin Based Therapy (Randomized Group)31.6

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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

InterventionPercentage of participants (Number)
Incretin Based Therapy (Randomized Group)73.7
Insulin (Randomized Group)65.1

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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)

,,,,
InterventionHbA1c percentage (Mean)
Baseline: All PatientsChange at EOP: All PatientsBaseline: Cushing'sChange at EOP: Cushing'sBaseline: AcromegalyChange at EOP: Acromegaly
Baseline Insulin (BL) (Non-randomized Group)7.71.36.91.48.01.2
Incretin Based Therapy (Randomized Group)6.30.86.61.36.10.6
Insulin (Randomized Group)6.31.16.51.76.30.8
No OAD (Non-randomized Group)5.40.45.50.55.40.4
Oral Antidiabetic Drugs (OAD) (Non-randomized Group)5.70.85.90.95.60.7

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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

,
Interventionmg/dL (Mean)
RandomizationChange at RW2 D15Change at RW4 D29Change at RW6 D43Change at RW8 D57Change at RW10 D71Change at RW12 D85Change at RW14 D99Change at RW16 D113End of Core Phase
Incretin Based Therapy (Randomized Group)172.24.6-15.0-17.7-25.7-28.8-33.4-35.1-38.8-40.1
Insulin (Randomized Group)167.9-31.1-28.3-37.5-38.3-36.9-41.1-35.6-33.4-36.0

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Disease Free Survival Compared to Historical Controls

Rate of disease free survival of participants at one year post transplant (NCT02215070)
Timeframe: 1 year

Interventionpercentage of participants (Number)
Pasireotide + Preparatory Regimen40
Historical Controls78

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Incidence of Chronic GVHD Compared to Historical Controls

Measure the number of participants who experience chronic GVHD (NCT02215070)
Timeframe: 1 year

InterventionParticipants (Count of Participants)
Pasireotide + Preparatory Regimen16
Historical Controls22

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Overall Survival Compared to Historical Controls

Rate of overall survival of participants at one year post transplant (NCT02215070)
Timeframe: 1 year

Interventionpercentage of participants (Number)
Pasireotide + Preparatory Regimen63
Historical Controls82

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Percentage of Acute GVHD

Number of participants who experience acute GVHD (NCT02215070)
Timeframe: 100 days

InterventionParticipants (Count of Participants)
Pasireotide + Preparatory Regimen15

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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

Interventionunits on a scale (Median)
Pasireotide + Preparatory Regimen2

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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

InterventionParticipants (Count of Participants)
Pasireotide + Preparatory Regimen8
Historical Controls11

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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

InterventionParticipants (Count of Participants)
Pasireotide + Preparatory Regimen21

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Core Phase: Percentage of Participants With IGF-1

Percentage of participants achieving IGF-1 NCT02354508)
Timeframe: Weeks 12, 24 & 36

,,,
InterventionPercentage of participants (Number)
Week 12Week 24Week 36
GH: > 2.5 μg/L16.023.425.5
GH: ≥1 - ≤ 2.5 μg/L35.742.950.0
GH: Missing0.00.00.0
Pasireotide LAR Overall20.327.630.9

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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

InterventionPercentage of participants (Number)
DiabeticPre-diabeticNon-diabetic
Pasireotide LAR Overall14.019.40.0

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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

InterventionPercentage of participants (Number)
Week 12: GH: ≥ 1 - ≤ 2.5 μg/L @ screeningWeek 24: GH: ≥ 1 - ≤ 2.5 μg/L @ screeningWeek 36: GH: ≥ 1 - ≤ 2.5 μg/L @ screeningWeek 12: GH: > 2.5 μg/L @ screeningWeek 24: GH: > 2.5 μg/L @ screeningWeek 36: GH: > 2.5 μg/L @ screening
Pasireotide LAR (run-in Phase)25.025.025.07.77.77.7

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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

InterventionPercentage of participants (Number)
Week 12: GH: ≥ 1 - ≤ 2.5 μg/L @ screeningWeek 24: GH: ≥ 1 - ≤ 2.5 μg/L @ screeningWeek 36: GH: ≥ 1 - ≤ 2.5 μg/L @ screeningWeek 12: GH: > 2.5 μg/L @ screeningWeek 24: GH: > 2.5 μg/L @ screeningWeek 36: GH: > 2.5 μg/L @ screeningWeek 12: GH: MissingWeek 24: GH: MissingWeek 36: GH: Missing
Pasireotide LAR Overall28.639.342.95.35.36.40.00.00.0

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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

InterventionPercentage of participants (Number)
Ext. Baseline (BL): Non/absentExt. BL: MildExt. BL: ModerateExt. BL: SevereExt. BL: TotalMost extr. post-BL:tot Non/absentMost extr. post-BL: total MildMost extr. post-BL: total Mod.Most extr. post-BL: total SevereMost extr. post-BL: tot. Very severe
Pasireotide LAR Overall - Acromegaly Symptom: Headache69.320.59.11.1100.046.629.518.23.42.3

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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

InterventionPercentage of participants (Number)
Ext. Baseline (BL): Non/absentExt. BL: MildExt. BL: ModerateExt. BL: Very severeExt. BL: TotalMost extr. post-BL:tot Non/absentMost extr. post-BL: total MildMost extr. post-BL: total Mod.Most extr. post-BL: total SevereMost extr. post-BL: tot. Very severe
Pasireotide LAR Overall - Acromegaly Symptom: Paresthsiae79.513.65.71.1100.067.022.76.82.31.1

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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

,
InterventionPercentage of participants (Number)
Ext. Baseline (BL): Non/absentExt. BL: MildExt. BL: ModerateExt. BL: SevereExt. BL: Very severeExt. BL: TotalMost extr. post-BL:tot Non/absentMost extr. post-BL: total MildMost extr. post-BL: total Mod.Most extr. post-BL: total SevereMost extr. post-BL: tot. Very severe
Pasireotide LAR Overall - Acromegaly Symptom: Fatigue56.823.912.54.52.3100.051.122.718.26.81.1
Pasireotide LAR Overall - Acromegaly Symptom: Osteoarthralgia52.330.712.53.41.1100.043.233.013.68.02.3

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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

InterventionPercentage of participants (Number)
Ext. Baseline (BL): Non/absentExt. BL: MildExt. BL: ModerateExt. BL: SevereExt. BL: TotalMost extr. post-BL:tot Non/absentMost extr. post-BL: total MildMost extr. post-BL: total Mod.Most extr. post-BL: total Severe
Pasireotide LAR Overall - Acromegaly Symptom: Perspiration68.220.510.21.1100.054.526.114.84.5

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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

,,
InterventionPercentage 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 screeningWk60: GH: > 2.5 μg/L at screeningWk72: GH: > 2.5 μg/L at screeningWeek 48: Pasireotide LAR overallWeek 60: Pasireotide LAR overallWeek 72: Pasireotide LAR overall
Pasireotide LAR Monotherapy76.570.664.711.911.911.926.325.023.7
Pasireotide LAR Overall65.060.055.011.810.310.323.921.620.5
Pasireotide With Concomitant Mediaction0.00.00.011.10.00.08.30.00.0

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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

InterventionPercentage of participants (Number)
Week 48: DiabeticWeek 60: DiabeticWeek 72: DiabeticWeek 48: Pre-diabeticWeek 60: Pre-diabeticWeek 72: Pre-diabeticWeek 48: Non-diabeticWeek 60: Non-diabeticWeek 72: Non-diabetic
Pasireotide LAR Overall11.611.611.611.116.78.322.222.222.2

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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

InterventionPercentage of participants (Number)
Week 48Week 60Week 72
Up-titrated to Pasireotide LAR 60 mg5.87.15.7

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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

Interventionpercentage change (Mean)
Lanreotide 120 mg-7.7
Octreotide 30 mg-8.5
Octreotide 40 mg-2.9
Pasireotide LAR Overall-6.0

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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

,,,,
InterventionPercentage of participants (Number)
Week 12: Non/absentWeek 12: MildWeek 12: ModerateWeek 12: SevereWeek 12: Very severeWeek 12: Not doneWeek 24: Non/absentWeek 24: MildWeek 24: ModerateWeek 24: SevereWeek 24: Very severeWeek 24: Not doneWeek 36: Non/absentWeek 36: MildWeek 36: ModerateWeek 36: SevereWeek 36: Very severeWeek 36: Not done
Pasireotide LAR Overall - Acromegaly Symptom: Fatigue37.426.818.78.94.90.046.320.317.97.34.90.047.223.613.04.93.30.0
Pasireotide LAR Overall - Acromegaly Symptom: Headache56.924.414.60.80.00.059.327.68.11.60.00.063.417.19.81.60.00.0
Pasireotide LAR Overall - Acromegaly Symptom: Osteoarthralgia43.127.614.68.92.40.047.226.814.63.34.90.047.226.812.23.32.40.0
Pasireotide LAR Overall - Acromegaly Symptom: Paresthesiae69.115.45.74.91.60.072.413.87.30.82.40.069.114.65.71.60.80.0
Pasireotide LAR Overall - Acromegaly Symptom: Perspiration56.926.88.13.31.60.064.221.18.91.60.80.061.818.77.34.10.00.0

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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

,,,,
InterventionPercentage of participants (Number)
Week 48: None/absentWeek 48: MildWeek 48: ModerateWeek 48: SevereWeek 48: Very severeWeek 48: Not doneWeek 60: None/absentWeek 60: MildWeek 60: ModerateWeek 60: SevereWeek 60: Very severeWeek 60: Not doneWeek 72: None/absentWeek 72: MildWeek 72: ModerateWeek 72: SevereWeek 72: Very severeWeek 72: Not done
Pasireotide LAR Overall - Acromegaly Symptom: Fatigue59.117.012.53.40.00.048.920.513.64.50.00.044.323.910.24.51.10.0
Pasireotide LAR Overall - Acromegaly Symptom: Headache63.619.38.01.10.00.060.217.06.83.40.00.056.817.08.02.30.00.0
Pasireotide LAR Overall - Acromegaly Symptom: Osteoarthralgia53.425.09.13.41.10.056.814.811.43.41.10.051.120.510.21.11.10.0
Pasireotide LAR Overall - Acromegaly Symptom: Paresthesiae71.614.84.50.01.10.070.510.24.51.11.10.067.011.45.70.00.00.0
Pasireotide LAR Overall - Acromegaly Symptom: Perspiration69.313.69.10.00.00.060.220.56.80.00.00.061.415.96.80.00.00.0

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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

,,,,
InterventionPercentage of participants (Number)
Baseline (BL): Non/absentBL: MildBL: ModerateBL: SevereBL: Very severeBL: TotalMost extr post-BL:tot Non/absentMost extr. post-BL: total MildMost extr. post-BL: total Mod.Most extr. post-BL: total SevereMost extr post-BL:tot. Very severe
Pasireotide LAR Overall - Acromegaly Symptom: Fatigue36.617.826.013.84.9100.026.022.822.815.413.0
Pasireotide LAR Overall - Acromegaly Symptom: Headache41.525.218.775.7100.036.630.920.39.82.4
Pasireotide LAR Overall - Acromegaly Symptom: Osteoarthralgia33.321.126.016.33.3100.026.826.024.414.68.1
Pasireotide LAR Overall - Acromegaly Symptom: Paresthsiae54.525.210.68.90.8100.047.227.613.09.82.4
Pasireotide LAR Overall - Acromegaly Symptom: Perspiration43.125.218.78.94.1100.037.429.320.37.35.7

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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

Interventionpercentage change (Mean)
Lanreotide 120 mg-1.1
Octreotide 30 mg-0.8
Octreotide 40 mg-1.1
Pasireotide LAR Overall-1.0

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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

InterventionPercentage of participants (Number)
Pasireotide LAR Overall15.7

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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

InterventionPercentage of participants (Number)
Lanreotide 120 mg7.7
Octreotide 30 mg13.0
Octreotide 40 mg20.5
Pasireotide LAR Monotherapy17.1
Pasireotide With Concomitant Medication0.0
Pasireotide LAR Overall14.8

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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

,,
InterventionPercentage of participants (Number)
Week 12Week 24Week 36
Diabetic13.513.515.4
Non-diabetic0.09.10.0
Pre-diabetic10.013.316.7

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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

InterventionPercentage of participants (Number)
Up-titrated to Pasireotide LAR 60 mg6.7
Up-titrated to Pasireotide LAR 60 mg5.9

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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

Interventionscores on a scale (Mean)
Week 12Week 24Week 36
Pasireotide LAR Overall0.00.00.0

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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

Interventionscores on a scale (Mean)
Week 12Week 24Week 36
Pasireotide LAR Overall4.13.44.9

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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

,,,,
Interventionscores on a scale (Mean)
Week 12Week 24Week 36
Pasireotide LAR Overall - AcroQOL Physical Sub-scores5.35.85.4
Pasireotide LAR Overall - AcroQOL Psycho/Appearance Sub-scores6.57.27.0
Pasireotide LAR Overall - AcroQOL Psychological Sub-scores4.14.04.3
Pasireotide LAR Overall - AcroQOL Total Scores4.54.74.6
Pasireotide LAR Overall-AcroQOL Psycho/Pers Relatns Sub-scores1.90.91.8

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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

,,,,
Interventionscores on a scale (Mean)
Week 60Week 72
Pasireotide LAR Overall - AcroQOL Physical Sub-scores0.00.9
Pasireotide LAR Overall - AcroQOL Psycho/Appearance Sub-scores-3.60.8
Pasireotide LAR Overall - AcroQOL Psychological Sub-scores-7.11.8
Pasireotide LAR Overall - AcroQOL Total Scores-4.51.6
Pasireotide LAR Overall-AcroQOL Psycho/Pers Relatns Sub-scores-10.72.9

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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

Interventionscores on a scale (Mean)
Week 60Week 72
Pasireotide LAR Overall-10.01.6

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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

Interventionscores on a scale (Mean)
Week 60Week 72
Pasireotide LAR Overall-0.10.0

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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

Interventionparticipants (Number)
Placebo s.c.5
SOM230 1.5 mg7

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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

Interventiong/L (Mean)
ScreeningEnd of Study
Placebo s.c. /1.5 mg SOM230 s.c.153.4149.5

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Pulse Rate

Vital signs by treatment and time point (NCT02619617)
Timeframe: screening and end of study, up to 9 days after treatment

InterventionBeats/min (Mean)
ScreeningBaselinePeriod 1 - PlaceboPeriod 2 - SOM230 1.5 mgEnd of Study
Placebo s.c. /1.5 mg SOM230 s.c.77.278.176.974.081.1

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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

Interventionparticipants (Number)
Placebo s.c.9
SOM230 1.5 mg10

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