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
试验速览
- 阶段
- 2 期
- 状态
- 已完成
- 入组人数
- 20
- 试验地点
- 1
- 主要终点
- Percentage of Participants With Non-functioning Pituitary Adenomas (NFPA) Who Achieve Tumor Volume Reduction of at Least 20% After 24 Weeks (FAS)
研究概览
简要总结
This study assessed pasireotide LAR efficacy on patients with non-functioning pituitary adenomas concerning tumor growth.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Non-functioning pituitary adenoma ≥ 1cm, patients without any previous treatment for the tumor
- •Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1
排除标准
- •Patients who required a surgical intervention for relief of any sign or symptom associated with tumor compression
- •Previous pituitary surgery
- •Previous medical treatment for pituitary tumor
- •Patients who had received pituitary irradiation within 10 years prior to randomization
- •Prolactin (PRL) levels > 100 ng/mL. PRL evaluation should have been performed with diluted samples to ensure "hook effect." was avoided
- •Patients who presented prolactinomas, acromegaly or Cushing's disease
- •Patients with compression of the optic chiasm causing acute clinically significant visual field defects
研究组 & 干预措施
Pasireotide LAR
All patients will receive pasireotide LAR (long acting release) 60 mg every 28 ± 3 days for 24 weeks
干预措施: Pasireotide LAR (Drug)
结局指标
主要结局
Percentage of Participants With Non-functioning Pituitary Adenomas (NFPA) Who Achieve Tumor Volume Reduction of at Least 20% After 24 Weeks (FAS)
时间窗: Baseline up to 24 weeks
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.
次要结局
- Percentage of Patients Achieving Tumour Volume Reduction of at Least ≥ 20% in Main Phase (FAS)(baseline to week 4, 12, 24)
- Mean GH and IGF-1 Hormone Levels During Main and Extension Phases (FAS)(Baseline and at weeks 24, 48, 96)
- Percentage of Patients Achieving Tumour Volume Reduction in Main Phase (FAS)(baseline to week 4, 12, 24)
- Percentage of Patients Achieving Tumour Volume Reduction of at Least ≥ 20% in Extension Phase (FAS)(baseline to week 48, 72, 96)
- Mean Cortisol Hormone Levels During Main and Extension Phases (FAS)(Baseline and at weeks 24, 48, 96)
- Mean LH and FSH Hormone Levels During Main and Extension Phases (FAS)(Baseline and at weeks 24, 48, 96)
- Tumor Volume Change From Baseline in Main Phase (FAS)(baseline to week 4, 12, 24)
- Tumor Volume Change From Baseline in Extension Phase (FAS)(baseline to week 48, 72, 96)
- Percentage of Patients Achieving Tumour Volume Reduction in Extension Phase (FAS)(baseline to week 48, 72, 96)
- Percentage of Participants Reporting Absence and Presence of Relevant Disease-related Symptoms (FAS)(Baseline and at weeks 4, 12,24,48,72, 96)
- Mean TSH Hormone Levels During Main and Extension Phases (FAS)(Baseline and at weeks 24, 48, 96)
- Mean Alpha Subunit Levels in Main and Extension Phases (FAS)(Baseline and at weeks 12,24,48,72, 96)
- Tumor Volume Main Phase (FAS)(baseline to week 4, 12, 24)
- Tumor Volume Percent Change From Baseline in Main Phase (FAS)(baseline to week 4, 12, 24)
- Tumor Volume Percent Change From Baseline in Extension Phase (FAS)(baseline to week 48, 72, 96)
- Mean Testosterone and Free T4 Hormone Levels During Main and Extension Phases (FAS)(Baseline and at weeks 24, 48, 96)
- Percentage of Participants With Reduction From Baseline of Alpha Subunit ≥50% in Main and Extension Phases (FAS)(Baseline up to approximately Week 96)
- Tumor Volume in Extension Phase (FAS)(baseline to week 48, 72, 96)
- Mean ACTH and Estradiol Hormone Levels During Main and Extension Phases (FAS)(Baseline and at weeks 24, 48, 96)
