Open-label Treatment in Cushing's Syndrome
- Registration Number
- NCT03621280
- Lead Sponsor
- Cortendo AB
- Brief Summary
This is a long-term, open-label extension study of levoketoconazole in subjects with endogenous Cushing's Syndrome.
- Detailed Description
This is a long-term, OLE study of levoketoconazole in subjects with endogenous CS who have completed one or both parent studies or otherwise potentially qualify for this study, as defined in the eligibility criteria.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 51
-
Completed the Extended Evaluation Phase of Study COR-2012-01 (i.e. M12)
-
Completed the Restoration Phase of Study COR-2017-01 (i.e. RES2)
NOTE: Subjects meeting criteria 1 or 2 above who have had a break in therapy may be eligible only after discussion with the Medical Monitor. If eligible, such subjects may require re-establishment of the Therapeutic Dose via titration. All subjects who have had a break in therapy should be discussed with the Medical Monitor to determine the starting dose of levoketoconazole. Prior to resuming treatment with levoketoconazole, other therapies for Cushing's Syndrome must undergo an appropriate washout period, with minimum durations as follows:
- Ketoconazole or metyrapone: 2 weeks;
- Dopamine agonists: bromocriptine (2 weeks), cabergoline (8 weeks);
- Octreotide acetate LAR, lanreotide Autogel, pasireotide LAR: 12 weeks;
- Lanreotide SR: 8 weeks;
- Octreotide acetate (immediate release) or short-acting pasireotide: 1 week;
- Mifepristone (RU 486, KORLYM): 4 weeks;
- Megestrol acetate or medroxyprogesterone acetate (and selected other synthetic progestins): 6 weeks.
-
Currently in a named patient program or other Expanded Access Program receiving levoketoconazole
-
Were levoketoconazole-naïve prior to entry and received early rescue therapy with open-label levoketoconazole in Study COR-2017-01.
-
Achieved a clinically meaningful partial response (with reduction of UFC) in Study COR-2017-01 at dose level 7 or at a maximally tolerated dose of levoketoconazole but did not meet the randomization criteria for Study COR-2017-01 at the end of the Dose Titration and Maintenance Phase when randomization was open.
-
Were levoketoconazole-naïve prior to entry and were enrolled in Study COR-2017-01 in the Dose Titration and Maintenance Phase when randomization was closed. (NOTE: Such subjects must receive at least 1 dose of levoketoconazole before transitioning to this study.)
- Discontinued levoketoconazole while participating in Study COR-2012-01 or Study COR-2017-01 or a named patient program or other Expanded Access program, due to safety or tolerability concerns or lack of efficacy.
- Scheduled for surgery for treatment of CS or received surgery for treatment of CS within the 6 weeks prior to Screening.
- Treated with mitotane within 6 months prior to enrollment.
- History of malignancy, including adrenal or pituitary carcinomas (other than low-risk, well-differentiated carcinomas of thyroid, breast or prostate that are very unlikely to require further treatment in the opinion of the treating physician, or squamous cell or basal cell carcinoma of the skin).
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description Levoketoconazole Levoketoconazole Levoketoconazole taken twice daily up to 1200 mg daily
- Primary Outcome Measures
Name Time Method Changes from Baseline in 24-h UFC From Baseline to final study visit or up to a maximum of 3 years, whichever comes first. Changes or shifts from baseline in mUFC
Changes from Baseline in Late Night Salivary Cortisol From Baseline to final study visit or up to a maximum of 3 years, whichever comes first. Changes or shifts from baseline in late night salivary cortisol levels
Changes from Baseline in AEs/SAEs/AESI as assessed by CTCAE V4.03 From Baseline to final study visit or up to a maximum of 3 years, whichever comes first. Changes from Baseline in the incidence and severity of AEs, SAEs, AESIs
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (30)
Columbia University Medical Center
🇺🇸New York, New York, United States
APHM Hôpital de la Conception
🇫🇷Marseille, France
Memorial Sloan Kettering Cancer Center
🇺🇸New York, New York, United States
Clinica Endocrinologia malattie del Metabolismo
🇮🇹Ancona, Italy
Sveti Georgy University Hospital Clinic of Endocrinology and Metabolic Diseases
🇧🇬Plovdiv, Bulgaria
Alexandovska University Hospital
🇧🇬Sofia, Bulgaria
Bnai Zion Medical Center Endocrinology Institute
🇮🇱Haifa, Israel
Spitalul Clinic Judetean Mures
🇷🇴Târgu-Mureş, Romania
Emory University
🇺🇸Atlanta, Georgia, United States
Cleveland Clinic
🇺🇸Cleveland, Ohio, United States
The Center for Diabetes and Endocrine Care
🇺🇸Fort Lauderdale, Florida, United States
University of New Mexico HSC - HSC Sponsored Projects Office
🇺🇸Albuquerque, New Mexico, United States
Washington University School of Medicine
🇺🇸Saint Louis, Missouri, United States
Oregon Health & Science University
🇺🇸Portland, Oregon, United States
University Specialized Hospital for Active Treatment in Endocrinology
🇧🇬Sofia, Bulgaria
Policlinico Universitario Sant'Andrea
🇮🇹Roma, Italy
General Hospital of Athens Evangelismos Department of Endocrinology and Diabete
🇬🇷Athens, Greece
Tel Aviv-Sourasky Medical Center Institute Endocrinology Metabolism & Hypertension
🇮🇱Tel Aviv, Israel
Hippokration General Hospital Endocrinology and Diabetes Department
🇬🇷Thessaloníki, Greece
Semmelweis Egyetem II. Belgyógyászati Klinika
🇭🇺Budapest, Hungary
Rabin Medical Center, Beilinson Campus
🇮🇱Petah tikva, Israel
AOU Policlinico G. Martino Sezione di Endocrinologia
🇮🇹Messina, Italy
Via Sergio Pansini 5 Uni Naples FedericoII Dept of Molecular&Clinical Endocrinology&Oncology
🇮🇹Naples, Italy
Erasmus Medical Center
🇳🇱Rotterdam, Netherlands
University of Turin
🇮🇹Turin, Italy
Institutul National de Endocrinologie C.I. Parhon
🇷🇴Cluj-Napoca, Romania
Instytut Centrum Zdrowia Matki Polki
🇵🇱Łódź, Poland
Hospital Universidad De La Ribera
🇪🇸Alzira, Spain
Hospital Universitario Ramón y Cajal
🇪🇸Madrid, Spain
Spitalul Clinic Judetean de Urgenta Cluj-Napoca
🇷🇴Cluj-Napoca, Romania