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Study to Assess the Efficacy and Safety of Different Doses of BIM 23A760 in Patients With Carcinoid Syndrome

Phase 2
Terminated
Conditions
Carcinoid Syndrome
Interventions
Registration Number
NCT01018953
Lead Sponsor
Ipsen
Brief Summary

The purpose of the protocol is to assess the efficacy and safety of BIM 23A760 on patient's overall satisfaction in terms of symptom relief (diarrhoea and/or flushes) in patients with carcinoid syndrome after 24 weeks of treatment.

Detailed Description

Not available

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
8
Inclusion Criteria
  • The patient has a carcinoid syndrome defined as ≥3 stools/day and/or ≥3 flushes/week.
  • The patient has elevated 5-Hydroxyindoleacetic acid (above upper limit normal).
  • The patient has a well-differentiated mid-gut carcinoid tumour or serotonin secreting tumour of unknown localisation with hepatic metastasis.
Exclusion Criteria
  • The patient has undergone surgery related to a neuroendocrine tumour (NET) within 4 weeks prior to study entry or has surgery planned during the study.
  • The patient has received short acting somatostatin analogues (SSAs) within 2 weeks before study entry or has received short acting SSAs for more than 3 months.
  • The patient has received a radiolabelled SSA at any time before study entry.
  • The patient has received long acting SSAs under certain circumstances.
  • The patient has previously received any specific anti tumour treatment such as chemotherapy, (chemo)embolisation, radiotherapy or interferon in the last 6 months.
  • The patient has signs or symptoms of cardiac insufficiency.
  • The patient has an ejection fraction <40% and/or clinically severe cardiac valvular regurgitation.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
BIM 23A760BIM 23A760This dose adaptive study is planned to treat up to 20 patients in each starting dose cohort, with a maximum of three starting dose cohorts. The doses planned to be assessed are 1, 2, 4, 6 and 8 mg, however, the maximum starting dose will be 4 mg. The starting dose of the first cohort will be 1 mg; the first cohort will include at least five patients. After the first fifteen patients have been treated for 4 weeks, the results will be reviewed by a Data Review Committee. An extension phase (Part B) is planned for those subjects completing the initial study and fulfilling specific eligibility criteria (symptoms control, willingness to participate, safety and tolerability).
Primary Outcome Measures
NameTimeMethod
Percentage of Patients With a Positive Overall Satisfactory Relief of Symptoms (Diarrhoea and/or Flushes) on the Likert ScaleWeek 24

Patient satisfaction based on a Likert scale from 0-5 (0 being not satisfied and 5 being completely satisfied)

Secondary Outcome Measures
NameTimeMethod
Concentration at 2 Hours Postdose (C2 Hours) BIM 23A760 Plasma LevelsAt 8 timepoints up to week 24
Percentage of Patients With Improvement in Symptoms (Diarrhoea and/or Flushes)Up to week 24
Number of Subjects Reported Adverse Events, Including Any Findings From an Examination of the Injection Site(s)Up to week 26
Change in the Quality of Life (QoL) AssessmentWeek 24
Minimum Concentration (Cmin) BIM 23A760 Plasma LevelsAt 9 timepoints up to 1 week after 24th administration in week 24
Change in 5 Hydroxyindoleacetic Acid (5 HIAA) and Chromogranin AWeek 24

Trial Locations

Locations (54)

University Hospital, Internal Medicine - Oncology

🇦🇹

Vienna, Austria

UZ Antwerpen

🇧🇪

Edegem, Belgium

UZ Gent

🇧🇪

Gent, Belgium

UZ GAsthuisberg

🇧🇪

Leuven, Belgium

Fakultní nemocnice Hradec Králové

🇨🇿

Hradec Králové, Czechia

Fakultní nemocnice Olomouc

🇨🇿

Olomouc, Czechia

Fakultní nemocnice Na Bulovce, Ústav radiační onkologie

🇨🇿

Praha 8, Czechia

Helsinki Central University Hospital

🇫🇮

Helsinki, Finland

Turku University Hospital

🇫🇮

Turku, Finland

Service de Gastroentérologie

🇫🇷

Clichy, France

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University Hospital, Internal Medicine - Oncology
🇦🇹Vienna, Austria

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