Safety and Efficacy of Pasireotide Long Acting Release vs. Octreotide Long Acting Release in Patients With Metastatic Carcinoid Disease (LAR)

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
Novartis ( Novartis Pharmaceuticals )
ClinicalTrials.gov Identifier:
NCT00690430
First received: May 15, 2008
Last updated: December 5, 2012
Last verified: December 2012
  Purpose

The purpose of thie randomized, multicenter, Phase III study is to compare the efficacy of pasierotide LAR and octreotide LAR in patients whose disease-related symptoms are inadequately controlled by currently available somatostatin analogues.


Condition Intervention Phase
Symptomatic Refractory Resistant Carcinoid Disease
Drug: Pasireotide
Drug: Octreotide
Phase 3

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Double Blind (Subject, Caregiver, Investigator)
Primary Purpose: Treatment
Official Title: A Multicenter, Randomized, Blinded Efficacy and Safety Study of Pasireotide LAR vs Octreotide LAR in Patients With Metastatic Carcinoid Tumors Whose Disease-related Symptoms Are Inadequately Controlled by Somatostatin Analogues.

Resource links provided by NLM:


Further study details as provided by Novartis:

Primary Outcome Measures:
  • Efficacy assessed by Symptoms (Bowel Movements and/or Flushing) [ Time Frame: when all randomized patients have completed the core study ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Safety/tolerability of pasireotide LAR assessed by AEs, SAEs, and labs Tumor response by RECIST Biochemical parameter, 5-HIAA Quality of Life assessed by FACIT-D Questionnaire [ Time Frame: when all randomized patients have completed the core study ] [ Designated as safety issue: No ]

Enrollment: 186
Study Start Date: April 2008
Study Completion Date: April 2012
Primary Completion Date: April 2012 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Active Comparator: Pasireotide Drug: Pasireotide
Pasireotide LAR 60mg i.m. injection - patients may also receive pasireotide 600 µg s.c 3 times a day for symptom control as needed
Other Name: SOM230
Active Comparator: Octreotide Drug: Octreotide
Octreotide LAR 40mg i.m. depot injection - Patients may also receive octreotide 100 µg s.c. 3 times a day for symptom control as needed
Other Name: Sadostatin LAR

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion criteria:

  • Male or female patients aged 18 or greater
  • Patients with carcinoid tumors and symptoms (diarrhea and flushing) that are not adequately controlled by somatostatin analogues.
  • Female patients of child bearing potential must have a negative pregnancy test at baseline.
  • Patients for whom written informed consent to participate in the study has been obtained.

Exclusion criteria:

  • Patients receiving radiolabeled somatostatin analogue therapy within the 3 months or any cytotoxic chemotherapy or interferon therapy within the 4 weeks prior to randomization
  • Diabetic patients on anti-diabetic medications whose fasting blood glucose is poorly controlled as indicated by HBA1C > 8%
  • Patients with symptomatic cholelithiasis
  • Patient with malabsorption syndrome, short bowel or cholegenic diarrhea not controlled by specific therapeutic means.

Other protocol-defined inclusion/exclusion criteria may apply

  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00690430

  Show 60 Study Locations
Sponsors and Collaborators
Novartis Pharmaceuticals
Investigators
Study Director: Novartis Pharmaceuticals Novartis Pharmaceuticals
  More Information

Additional Information:
No publications provided

Responsible Party: Novartis ( Novartis Pharmaceuticals )
ClinicalTrials.gov Identifier: NCT00690430     History of Changes
Other Study ID Numbers: CSOM230C2303, 2007-000739-25
Study First Received: May 15, 2008
Last Updated: December 5, 2012
Health Authority: United States: Food and Drug Administration
Argentina: Ministry of Health
Austria: Agency for Health and Food Safety
Belgium: Directorate general for the protection of Public health: Medicines
Brazil: Ministry of Health
European Union: European Medicines Agency
Canada: Health Canada
France: Ministry of Health
Germany: Ministry of Health
Israel: Ministry of Health
Italy: Ministry of Health
Netherlands: Independent Ethics Committee
Norway: The National Committees for Research Ethics
Poland: Ministry of Health
Spain: Ministry of Health
Sweden: Institutional Review Board
United Kingdom: Research Ethics Committee

Keywords provided by Novartis:
Carcinoid
neuroendocrine
gastroenteropancreatic
somatostatin analogue
Symptomatic Refractory Resistant Carcinoid Disease

Additional relevant MeSH terms:
Carcinoid Tumor
Neuroendocrine Tumors
Neuroectodermal Tumors
Neoplasms, Germ Cell and Embryonal
Neoplasms by Histologic Type
Neoplasms
Adenocarcinoma
Carcinoma
Neoplasms, Glandular and Epithelial
Neoplasms, Nerve Tissue
Octreotide
Somatostatin
Antineoplastic Agents, Hormonal
Antineoplastic Agents
Therapeutic Uses
Pharmacologic Actions
Gastrointestinal Agents
Hormones
Hormones, Hormone Substitutes, and Hormone Antagonists
Physiological Effects of Drugs

ClinicalTrials.gov processed this record on May 16, 2013