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A Trial to Assess Efficacy and Safety of Octreotide Subcutaneous Depot in Patients With Acromegaly

Phase 3
Completed
Conditions
Acromegaly
Interventions
Drug: CAM2029 (octreotide subcutaneous depot)
Drug: Matching placebo
Registration Number
NCT04076462
Lead Sponsor
Camurus AB
Brief Summary

The purpose of this trial is to assess the efficacy and safety of CAM2029 in patients with acromegaly. Patients will be randomized to either CAM2029 or placebo administered subcutaneously once monthly during 6 months.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
72
Inclusion Criteria
  • Male or female patients, ≥18 years at screening
  • Able to provide written informed consent to participate in the trial prior to any trial related procedures are performed
  • Diagnosis of acromegaly by historical evidence of (persistent or recurrent) acromegaly
  • Treatment with a stable dose of octreotide LAR or lanreotide ATG for at least 3 months as monotherapy prior to screening
  • IGF-1 levels ≤1xULN at screening
  • Adequate liver, pancreatic, renal and bone marrow functions
  • Normal ECG
Exclusion Criteria
  • GH ≥2.5 μg/L at screening (cycle)
  • Have received medical treatment for acromegaly with pasireotide (within 6 months prior to screening), pegvisomant (within 3 months prior to screening), dopamine agonists (within 3 months prior to screening) or other investigational agents (within 30 days or 5 half-lives prior to screening [whichever is longer]
  • Patients who usually take octreotide LAR or lanreotide ATG less frequently than every 4 weeks (e.g. every 6 weeks or 8 weeks)
  • Patients with compression of the optic chiasm causing any visual field defect for whom surgical intervention is indicated
  • Patients who have undergone major surgery/surgical therapy for any cause within 1 month from screening
  • Patients who have undergone pituitary surgery within 6 months prior to screening
  • Patients who have received prior pituitary irradiation
  • Patients with poorly controlled diabetes mellitus (hemoglobin A1c >8.0%)

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
CAM2029 (octreotide subcutaneous depot)CAM2029 (octreotide subcutaneous depot)CAM2029 (octreotide subcutaneous depot) 20mg/1.0 mL for 20 mg dose, subcutaneous injection once monthly, six months treatment. If down-titration is required, 10mg/0.5 mL for 10 mg dose is available.
Matching placeboMatching placeboPlacebo (subcutaneous depot) 1.0 mL, subcutaneous injection once monthly, six months treatment. If down-titration is required, 0.5 mL dose is available.
Primary Outcome Measures
NameTimeMethod
Proportion of patients with mean IGF-1 levels ≤1xULNWeek 22 and 24
Secondary Outcome Measures
NameTimeMethod
Proportion of patients with mean GH levels <2.5 µg/LWeek 24
Proportion of patients/partners declared competent by a healthcare professional to administer interventionWeek 0 to 20 and week 24

During patients/partners first three attempts during the trial period of 24 weeks whenever these visits take place

Proportion of patients with mean IGF-1 levels ≤1xULN, including patients with dose reductionWeek 22 and 24
Incidence of treatment emergent adverse eventsWeek 0 to 24
Proportion of patients with mean GH levels <1.0 µg/LWeek 24
Octreotide plasma concentrations over timeWeek 0 to 24
Proportion of patients with mean IGF-1 levels ≤1xULN at Week 22/Week 24 and mean GH levels <2.5 µg/L at Week 24Week 22 and 24

Trial Locations

Locations (62)

UCLA Department of Medicine Division of Endocrinology

🇺🇸

Los Angeles, California, United States

Stanford University Medical Center

🇺🇸

Palo Alto, California, United States

Prufen Clinical Research LLC

🇺🇸

Miami, Florida, United States

University of Michigan

🇺🇸

Ann Arbor, Michigan, United States

Mayo Clinic

🇺🇸

Rochester, Minnesota, United States

Washington University in St. Louis, School of Medicine

🇺🇸

Saint Louis, Missouri, United States

Palm Research Center

🇺🇸

Las Vegas, Nevada, United States

Columbia University Medical Center

🇺🇸

New York, New York, United States

University of Cincinnati

🇺🇸

Cincinnati, Ohio, United States

Thomas Jefferson University

🇺🇸

Philadelphia, Pennsylvania, United States

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UCLA Department of Medicine Division of Endocrinology
🇺🇸Los Angeles, California, United States
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