Cushings Disease Clinical Trial
Official title:
A Phase II Trial to Assess the Efficacy and Safety of Pasireotide s.c. Alone or in Combination With Cabergoline in Patients With Cushing's Disease
The main purpose of this prospective, multicenter, open-label phase II study, was to evaluate the efficacy and safety of pasireotide alone or in combination with cabergoline in patients with Cushing's disease.
This was an open-label, multi-center, international, non-comparative study with adult
patients with confirmed diagnosis of Cushing's disease. Given the fact that CD patients may
need a multimodality treatment approach, the trial design aimed to mimic CD treatment by
using a medical stepwise approach. Therefore, the whole patient population started treatment
with Pasireotide and only in patients within this population who did not achieve biochemical
control, cabergoline was added.
The whole patient population had never received pasireotide or had received it in the past
(reasons of discontinuation not related to safety).
Core Phase
- Pasireotide naïve patients started pasireotide monotherapy at the dose of 0.6 mg s.c.
bid. If at the end of the 8 week treatment period, the biochemical control was not
achieved and the 0.6mg bid dose was well tolerated, the pasireotide dose was increased
to 0.9mg bid. If the 0.9mg bid dose of pasireotide did not lead to biochemical control,
cabergoline was added with a starting dose of 0.5mg qd. If the combination dose of 0.9mg
bid of pasireotide plus 0.5mg qd cabergolinedid not achieve biochemical control, the
cabergoline dose will be increased to 1.0mg qd.
- Patients who were currently being treated with maximal tolerated doses of pasireotide
monotherapy for at least 8 weeks at screening without achieving normal mUFC, entered the
study with a combination therapy starting with cabergoline 0.5mg qd.
Extension Phase
• After 35 weeks of treatment in core phase, patients had the option to continue study
treatment if pasireotide was not yet approved for commercial use and/or reimbursed - if
country reimbursement was applicable - in each respective country, or until 31st December
2017, or once an applicable roll over protocol became available, or whichever occurred first.
Novartis had a local transition plan in order to ensure that all trial patients had access to
the study medication without any delay in their treatment
;
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