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Roll-over Study in Patients With Endogenous Cushing's Syndrome for LCI699

Phase 2
Completed
Conditions
Cushing's Syndrome
Interventions
Registration Number
NCT03606408
Lead Sponsor
RECORDATI GROUP
Brief Summary

The purpose of this study is the evaluation of long-term safety of osilodrostat in patients who have already received osilodrostat treatment in a previous Global Novartis-sponsored trial and who, based on investigators' judgement, will continue benefiting with its administration.

Detailed Description

There will be no screening period for this study. Eligible subjects can start their treatment with osilodrostat as soon as they are enrolled in the study. The first study visit will be scheduled at the time of the last study visit for the parent study. Subjects must return to the study center at least on a quarterly basis (every 12 weeks ± 2 weeks) for safety and clinical benefit assessments, and resupply of study medication. Drug dispensing and administration information and adverse events will be collected. The subject may return to the clinic at any given time as per standard of care or treating physician recommendation; however, only the quarterly study visits will be recorded in the Case Report Form (CRF). Study medication dispensed will be recorded in the CRF dose administration page.

All adverse events and serious adverse events, including pregnancy, will be collected throughout the study. Subjects will continue to be treated in this roll-over study until they are no longer benefiting from their osilodrostat treatment as judged by the Investigator or until osilodrostat is commercially available or until one of other discontinuation criteria is met.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
127
Inclusion Criteria
  • Patient is currently participating in a Global Novartis-sponsored study receiving osilodrostat for any type of endogenous CS and has fulfilled all their requirements in the parent study.
  • Patient is currently benefiting from treatment with osilodrostat, as determined by the Investigator.
  • Patient has demonstrated compliance, as assessed by the Investigator, with the parent study protocol requirements.
  • Willingness and ability to comply with scheduled visits and treatment plans.
  • Written informed consent obtained prior to enrolling into the roll-over study before evaluating the applicability of the subject's participating in the study. -- If consent cannot be expressed in writing, it must be formally documented and witnessed, ideally via an independent trusted witness.
Exclusion Criteria
  • Patient has been permanently discontinued from osilodrostat study treatment in a parent Novartis-sponsor study.

  • Patients who are receiving osilodrostat in combination with unapproved or experimental treatments for any type of endogenous CS.

  • Pregnant or nursing (lactating) women, where pregnancy is defined as the state of a female after conception and until the termination of gestation, confirmed by a positive hCG laboratory test. Pregnant or nursing (lactating) women

  • Women of child-bearing potential, defined as all women physiologically capable of becoming pregnant, unless they are using highly effective methods of contraception during dosing and for 1 week of study after stopping medication. Highly effective contraception methods include:

    • Total abstinence (when this is in line with the preferred and usual lifestyle of the subject. Periodic abstinence (e.g., calendar, ovulation, symptothermal, post-ovulation methods) and withdrawal are not acceptable methods of contraception
    • Female sterilization (have had surgical bilateral oophorectomy with or without hysterectomy), total hysterectomy, or tubal ligation. at least six weeks before taking study treatment. In case of oophorectomy alone, only when the reproductive status of the woman has been confirmed by follow up hormone level assessment
    • Male sterilization (at least 6 months prior to baseline). The vasectomized male partner should be the sole partner for that subject
    • Use of oral, (estrogen and progesterone), injected or implanted hormonal methods of contraception or placement of an intrauterine device (IUD) or intrauterine system (IUS), or other forms of hormonal contraception that have comparable efficacy (failure rate <1%), for example hormone vaginal ring or transdermal hormone contraception.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
osilodrostatosilodrostatopen label, with patients receiving same dose as provided in the parent study
Primary Outcome Measures
NameTimeMethod
Number of Participants With Adverse/Serious Adverse Eventsup to 5 years

To evaluate long-term safety data with osilodrostat treatment (Frequency and severity of adverse events (AEs)/serious adverse events (SAEs))

Secondary Outcome Measures
NameTimeMethod
Percentage of Patients With Clinical Benefitup to of 5 years

Proportion of patients with clinical benefit as assessed by the Investigator at scheduled visits based on medical check-up and lab values such as Urine Free Cortisol.

Trial Locations

Locations (56)

Emory University School of Medicine G2304 - C2301

🇺🇸

Atlanta, Georgia, United States

Memorial Sloan Kettering Cancer Center

🇺🇸

New York, New York, United States

Columbia University Medical Center New York Presbyterian Neuroendocrine Unit

🇺🇸

New York, New York, United States

Cleveland Clinic Foundation

🇺🇸

Cleveland, Ohio, United States

Oregon Health and Science University

🇺🇸

Portland, Oregon, United States

University of Pennsylvania Medical Center Univ Penn

🇺🇸

Philadelphia, Pennsylvania, United States

Medical College of Wisconsin MCW 2

🇺🇸

Milwaukee, Wisconsin, United States

Gasthuisberg University Hospital

🇧🇪

Leuven, Belgium

Hospital Universitario Clementino Fraga Filho

🇧🇷

Rio de Janeiro, RJ, Brazil

Hospital do Servidor Publico Estadual de Sao Paulo

🇧🇷

Sao Paulo, SP, Brazil

Hospital das Clinicas da Faculdade de Medicina da USP

🇧🇷

Sao Paulo, SP, Brazil

QEII Health Sciences Centre

🇨🇦

Halifax, Nova Scotia, Canada

Centre de recherche du CHUM CRCHUM

🇨🇦

Montreal, Quebec, Canada

Hopital Kremlin Bicetre

🇫🇷

Le Kremlin Bicetre, France

Universitaetsklinikum Muenchen LMU

🇩🇪

Muenchen, Germany

Hyogo College of Medicine Hospital

🇯🇵

Nishinomiya, Hyogo, Japan

Seoul National University Hospital

🇰🇷

Seoul, Korea, Republic of

Hospital Universitario i Politecnico La Fe

🇪🇸

Valencia, Spain

West China Hospital of Sichuan University

🇨🇳

Chengdu, Sichuan, China

The First Affiliated Hopsital, Sun Yat-Sun University

🇨🇳

Guangzhou, Guangdong, China

Peking Union Medical College Hospital

🇨🇳

Beijing, China

Sanatorio Guemes

🇦🇷

Caba, Buenos Aires, Argentina

Universitaetsklinik fuer Innere Medizin III

🇦🇹

Vienna, Austria

USHATE Akad Ivan Penchev

🇧🇬

Sofia, Bulgaria

Erasmus MC

🇳🇱

Rotterdam, Netherlands

Center for Endocrinology Russian Academy of Med Sciences

🇷🇺

Moscow, Russian Federation

Clinica Los Yoses

🇨🇷

San Pedro, San Jose, Costa Rica, Costa Rica

All India Institute of Medical Sciences

🇮🇳

New Delhi, India

National Hospital Organization Nagoya Medical Center

🇯🇵

Nagoya, Aichi, Japan

SP ZOZ Szpital Uniwersytecki w Krakowie

🇵🇱

Krakow, Poland

University of Alberta Hospital

🇨🇦

Edmonton, Alberta, Canada

Northwestern University SC - LCI699C2301

🇺🇸

Chicago, Illinois, United States

University of Colorado

🇺🇸

Aurora, Colorado, United States

Universidade Federal do Ceara

🇧🇷

Fortaleza, CE, Brazil

CHUS Hopital Fleurimont

🇨🇦

Sherbrooke, Quebec, Canada

CHRU de Lille

🇫🇷

Lille Cedex, France

Hopital Cochin

🇫🇷

Paris, France

CHU de Bordeaux

🇫🇷

Pessac, Cedex, France

AOU Osp Riuniti Umberto I GM Lancisi G Salesi Univ Studi

🇮🇹

Ancona, AN, Italy

Az Ospedaliero Universitaria Pisana Pres Osped di Cisanello

🇮🇹

Pisa, PI, Italy

Universitaetsklinikum Erlangen Nuernberg

🇩🇪

Erlangen, Germany

Azienda Ospedaliera di Padova Università degli Studi

🇮🇹

Padova, PD, Italy

A O Universitaria Policlinico Federico II Univ Studi Fed II

🇮🇹

Napoli, Italy

Yonsei Univ Health System YUCM

🇰🇷

Seoul, Korea, Republic of

Mazowiecki Szpital Brodnowski

🇵🇱

Warszawa, Poland

Complejo Uni. Hosp. A Coruña ( antes Hospital Juan Canalejo)

🇪🇸

La Coruna, Galicia, Spain

King Chulalongkorn Memorial Hospital

🇹🇭

Bangkok, Thailand

Hospital Universitario Virgen del Rocio

🇪🇸

Sevilla, Andalucia, Spain

Siriraj Hospital

🇹🇭

Bangkok, Thailand

Istanbul University Cerrahpasa Faculty of Medicine

🇹🇷

Istanbul, TUR, Turkey

Hospital Gregorio Maranon

🇪🇸

Madrid, Spain

Songklanagarind Hospital Endocrinology and Metabolism

🇹🇭

Songkla, Thailand

Marmara University Medical Faculty

🇹🇷

Altunizade, Turkey

Kocaeli University Medical Faculty

🇹🇷

Kocaeli, Turkey

University of Michigan Comprehensive Cancer Center

🇺🇸

Ann Arbor, Michigan, United States

Peking University First Hospital

🇨🇳

Beijing, China

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