EUCTR2012-003939-27-DK进行中(未招募)不适用
Objective evaluation of the effects of pasireotide on gastrointestinal and colorectal transit times, rectal wall properties, and postprandial response in patients with carcinoid diarrhea
Klaus Krogh0 个研究点开始时间: 2013年2月12日最近更新:
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试验速览
- 阶段
- 不适用
- 状态
- 进行中(未招募)
- 发起方
研究概览
简要总结
暂无简介。
研究设计
- 研究类型
- Interventional clinical trial of medicinal product
入排标准
- 性别
- All
入选标准
- •In substudy 1 and 2 all inclusion criteria listed below have to be fulfilled. In substudy 3 and 4 inclusion criteria 1-7 have to be fulfilled.
- •1.Male or female patients ? 18 years of age
- •2.NET confirmed by histology
- •3.Diarrhea, (at least 3 bowel movements per day) as part of carcinoid syndrome
- •4.Treatment naïve or without treatment with long-acting SA for at least eight weeks or short acting SA for at least 14 days
- •5.WHO/ ECOG Performance Status of 0-2.
- •6.Life expectancy ?12 weeks
- •7.Written informed consent obtained prior to any screening procedures
- •8.Patients with a known history of impaired fasting blood glucose (glucose >100 and <126 (>5.5mmol/l and <7 mmol/l)) may be included at the discretion of the PI. These patients will be monitored closely throughout the trial and anti-hyperglycemic treatment adjusted as necessary. Patients that are deemed non eligible due to elevated glucose can be re-screened after adequate medical treatment if not started in other SA treatment
- •9.Adequate end organ function as defined by:
- •Adequate bone marrow function:
- •WBC = 2.5 x 109/L
- •Absolute Neutrophil Count (ANC) = 1.5 x 109/L
- •Platelets = 100 x 109/L
- •Hb = 9 g/dL (=5.6 mmol/l)
- •No evidence of significant liver disease:
- •Serum bilirubin =1.5 x ULN
- •INR < 1.3
- •ALT and AST = 3 x ULN
- •Serum creatinine = 2.0 mg/dl and estimated glomerular filtration rate (eGFR) > 30 ml/min/m2
- •Serum amylase = 1.5 x ULN
- •Alkaline phosphatase = 2.5 x ULN
- •10.Willingness and ability to comply with scheduled visits, treatment plans, laboratory tests and other study procedures
- •Are the trial subjects under 18? no
- •Number of subjects for this age range:
- •F.1.2 Adults (18-64 years) yes
- •F.1.2.1 Number of subjects for this age range 8
- •F.1.3 Elderly (>=65 years) yes
- •F.1.3.1 Number of subjects for this age range 7
排除标准
- •In substudy 1 and 2 all exclusion criteria listed below have to be fulfilled. In substudy 3 and 4 exclusion criteria 1-5 have to be fulfilled.
- •1.Patients with known malabsorption syndrome, short bowel or chologenic diarrhea not controlled by specific therapeutic means.
- •2.Patients who have undergone major surgery/surgical therapy for any cause within 1 month. Patients should have recovered from the treatment and have good clinical condition before entering the study.
- •3.Patients who have any current or prior medical condition that may interfere with the conduct of the study or the study or the evaluation of its results.
- •4.Use of an investigational drug within 1 month prior to dosing
- •5.Patients with a history of non-compliance to medical regimens or who are considered potentially unreliable or will not be able to complete the entire study
- •6.Female patients who are pregnant or lactating, or are of childbearing potential (defined as all women physiologically capable of becoming pregnant) and not practicing an effective method of contraception/birth control. Sexually active males must use a condom during intercourse while taking the drug and for 2 months after the last dose of study drug and should not father a child in this period. A condom is required to be used also by vasectomized men in order to prevent delivery of the drug via seminal fluid. Effective contraception methods include:
- •Use of oral, injected or implanted hormonal methods of contraception or
- •Placement of an intrauterine device (IUD) or intrauterine system (IUS)
- •Barrier methods of contraception: condom or occlusive cap (diaphragm or cervical/vault caps) with spermicidal foam/gel/film/cream/ vaginal suppository
- •Total abstinence or patient sterilization (male or female)
- •7.Patients with a known hypersensitivity to SA or any component of the pasireotide s.c. formulation.
- •8.Patients with abnormal coagulation (PT or aPTT elevated by 30% above normal limits).
- •9.Patients on continuous anticoagulation therapy. Patients who were on anticoagulant therapy must complete a washout period of at least 10 days and have confirmed normal coagulation parameters before study inclusion.
- •10.Patients with symptomatic cholelithiasis.
- •11.Patients who are not biochemically euthyroid. Patients with known history of hypothyroidism are eligible if they are on adequate and stable replacement thyroid hormone therapy for at least 3 months.
- •12.QT-related exclusion criteria:
- •QTcF at screening > 450 msec
- •History of syncope or family history of idiopathic sudden death
- •Sustained or clinically significant cardiac arrhythmias
- •Risk factors for Torsades de Pointes such as hypokalemia, hypomagnesemia, cardiac failure, clinically significant/symptomatic bradycardia, or high-grade AV block
- •Concomitant disease(s) that could prolong QT such as autonomic neuropathy (caused by diabetes, or Parkinson's disease), HIV, cirrhosis, uncontrolled hypothyroidism or cardiac failure
- •Family history of long QT syndrome
- •Concomitant medications known to prolong the QT interval.
- •Potassium < or = 3.5 mmol/L
- •13.Patients who have any severe and/or uncontrolled medical conditions or other conditions that could affect their participation in the study such as:
- •Uncontrolled diabetes as defined by HbA1c > 8% despite adequate therapy,
- •Patients with the presence of active or suspected acute or chronic uncontrolled infection or with a history of immunodeficiency, includi
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