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AcromegalyPhase 2NCT02299089

Phase II Study of Subcutaneous Inj. Depot of Octreotide in Patients With Acromegaly and Neuroendocrine Tumours (NETs)

A Phase 2 study testing octreotide FluidCrystal® injection depot in people with Acromegaly and Neuroendocrine Tumors, run by Camurus AB at 10 sites in 4 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This is a Phase II, open-label multicentre, randomised study to assess the PK, PD, efficacy, and safety of two dosing regimens of CAM2029 in adult patients with acromegaly or a functional, well-differentiated NET, with carcinoid symptoms. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Acromegaly, Neuroendocrine Tumors
What is being tested?
octreotide FluidCrystal® injection depot
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
12 participants
Where
10 sitesin 4 countries
Study dates
Jan 2015to Jun 2016
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Acromegaly:
  • Male or female patients ≥18 years of age
  • Acromegaly currently treated with Sandostatin LAR
  • NET:
  • Male or female patients ≥18 years of age
  • Functional, well-differentiated (Grade 1 or Grade 2) NET with symptoms of carcinoid syndrome (number of bowel movements and/or flushing)
  • Currently treated with Sandostatin LAR for symptom control

Who cannot join

  • Acromegaly:
  • Inadequate bone marrow function
  • Abnormal coagulation or chronic treatment with warfarin or coumarin derivates
  • Impaired liver, cardiac and/or renal function
  • Known gallbladder, bile duct disease or pancreatitis
  • Diabetes with poorly controlled blood glucose levels despite adequate therapy
Show all 17Show fewer
  • Hypothyroidisms not adequately treated
  • NET:
  • Poorly differentiated neuroendocrine carcinoma, high-grade neuroendocrine carcinoma, adenocarcinoid, pancreatic islet cell carcinoma, insulinoma, glucagonoma, gastrinoma, goblet cell carcinoid, typical and atypical lung carcinoids, large cell neuroendocrine carcinoma and small cell carcinoma
  • Carcinoid syndrome refractory to treatment with conventional doses of somatostatin analogues (SSAs)
  • Inadequate bone marrow function
  • Abnormal coagulation or chronic treatment with warfarin or coumarin derivates
  • Impaired liver, cardiac and/or renal function
  • Known gallbladder, bile duct disease or pancreatitis
  • Short-bowel syndrome
  • Diabetics with poorly controlled blood glucose levels despite adequate therapy
  • Hypothyroidism, not adequately treated

Trial locations and contacts

10 sites in 4 countries.

10 sites in 4 countries

Italy4 sites
  • RCCS Azienda Ospedaliera Universitaria San Martino IST

    Genova

  • Fondazione Irccs Ca' Granda

    Milan

  • Università degli Studi di Napoli Federico II

    Naples

  • Istituto Clinico Humanitas

    Rozzano

Other trials in Italy

Germany3 sites
  • Abteilung: Klinische Studien

    Bad Berka

  • Charité Campus Virchow Klinikum

    Berlin

  • Universitätsklinikum Essen

    Essen

Other trials in Germany

France2 sites
  • Hospices Civils de Lyon

    Bron

  • CHU Rouen, Hôpital Charles Nicolle

    Rouen

Other trials in France

Sweden1 site
  • Akademiska sjukhuset

    Uppsala

Other trials in Sweden

About this study

Official title: A Phase II, Open-label, Multicentre, Randomised Study of the Pharmacokinetics, Pharmacodynamics, Efficacy, and Safety of CAM2029 in Patients With Acromegaly and Neuroendocrine Tumours (NETs) Previously Treated With Sandostatin® LAR®

This is a Phase II, open-label multicentre, randomised study to assess the PK, PD, efficacy, and safety of two dosing regimens of CAM2029 in adult patients with acromegaly or a functional, well-differentiated NET, with carcinoid symptoms.

Read the detailed description

This is a Phase II, open-label multicentre, randomised study to assess the PK, PD, efficacy, and safety of two dosing regimens of CAM2029 in adult patients with acromegaly or a functional, well-differentiated NET, with carcinoid symptoms, treated for at least 2 months with Sandostatin LAR at doses of 10 mg, 20 mg, or 30 mg before the start of the Sandostatin LAR Last Dose Assessment Phase (Day -28).

Being tested
octreotide FluidCrystal® injection depot
Keywords
acromegaly, neuroendocrine tumour (NET), carcinoid syndrome, octreotide, Sandostatin LAR
Medical subject headings
Acromegaly, Neuroendocrine Tumors, Serotonin Syndrome

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • octreotide FluidCrystal® injection depotDrug

    Also called CAM2029

Study groups in NCT02299089
Study groupRoleWhat they receive
CAM2029 10 mg (NET)ExperimentalCAM2029 (octreotide FluidCrystal® injection depot) 10 mg, subcutaneous injection every two weeks
Receives: Drug: octreotide FluidCrystal® injection depot
CAM2029 20 mg (NET)ExperimentalCAM2029 (octreotide FluidCrystal® injection depot) 20 mg, subcutaneous injection once monthly
Receives: Drug: octreotide FluidCrystal® injection depot
CAM2029 10 mg (Acromegaly)ExperimentalCAM2029 (octreotide FluidCrystal® injection depot) 10 mg, subcutaneous injection every two weeks
Receives: Drug: octreotide FluidCrystal® injection depot
CAM2029 20 mg (Acromegaly)ExperimentalCAM2029 (octreotide FluidCrystal® injection depot) 20 mg, subcutaneous injection once monthly
Receives: Drug: octreotide FluidCrystal® injection depot

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Pharmacokinetic (PK) Profile of Octreotide After Each Injection of CAM2029 as Compared With Baseline PK for Sandostatin® Long-acting Release (LAR®) AUC

    Pharmacokinetics (PK) of octreotide after injection of Sandostatin Long-acting Release (LAR) was determined for the dosing period Day -28 to Day 0; AUC0-28d (day*ng/mL).

    AUC0-28d: AUC from 0 to 28 days over the final dosing interval (day*ng/mL) for Sandostatin LAR.

    Measured: Pre-dose; study Day -28- to Day 0 (PK analysis:Sandostatin (LAR®) sampling time points: 0, 1hour, 24hours, 7days, 14days, 21days and 28days)

  2. Pharmacokinetic (PK) Profile of Octreotide After Each Injection of CAM2029 as Compared With Baseline PK for Sandostatin® Long-acting Release (LAR®) AUC.

    Pharmacokinetics (PK) of octreotide after administrations of CAM2029 was determined for the dosing period Day 0 to Day 84 ; AUC0-28d (day*ng/mL).

    AUC0-28d: AUC from 0 to 28 days over the dosing intervals (day*ng/mL) for CAM2029 20 mg q4w and CAM2029 10 mg q2w (to estimate AUC0-28d for those patients receiving CAM2029 10 mg q2w, AUC0-14d was multiplied by a factor of 2 as an estimate of the AUC0-28d) dosing intervals

    Measured: (Day 0) to Day 84 (PK analysis:CAM2029 sampling time points: CAM2029 10mg q2w; 0, 2hours, 24hours, 48hours, 7days and 14days CAM2029 20mg q4w; 0, 2hours, 24hours, 48hours, 7days, 21days and 28days)

  3. Pharmacokinetic (PK) Profile of Octreotide After Each Injection of CAM2029 as Compared With Baseline PK for Sandostatin® Long-acting Release (LAR®) Ctrough

    Pharmacokinetics (PK) of octreotide after injection of Sandostatin Long-acting Release (LAR) was determined for the dosing period Day -28 to Day 0; Ctrough (ng/mL).

    Ctrough; Concentration levels assessed prior to next injection for the final (Sandostatin LAR) dosing interval (ng/mL).

    Measured: Pre-dose; study Day -28- to Day 0 (PK analysis:Sandostatin (LAR®) sampling time points: 0, 1hour, 24hours, 7days, 14days, 21days and 28days)

  4. Pharmacokinetic (PK) Profile of Octreotide After Each Injection of CAM2029 as Compared With Baseline PK for Sandostatin® Long-acting Release (LAR®) Cmax

    Pharmacokinetics (PK) of octreotide after injection of Sandostatin Long-acting Release (LAR) was determined for the dosing period Day -28 to Day 0; Cmax (ng/mL).

    Cmax (ng/mL): Maximum observed plasma concentration over the final (Sandostatin LAR) dosing interval (ng/mL)

    Measured: Pre-dose; study Day -28- to Day 0 (PK analysis:Sandostatin (LAR®) sampling time points: 0, 1hour, 24hours, 7days, 14days, 21days and 28days)

  5. Pharmacokinetic (PK) Profile of Octreotide After Each Injection of CAM2029 as Compared With Baseline PK for Sandostatin® Long-acting Release (LAR®) Ctrough

    Pharmacokinetics (PK) of octreotide after administrations of CAM2029 was determined for the dosing period Day 0 to Day 84; Ctrough (ng/mL).

    Ctrough; Concentration levels assessed prior to next injection for CAM2029 20 mg q4w and CAM2029 10 mg q2w dosing intervals (ng/mL)

    Measured: (Day 0) to Day 84 (PK analysis:CAM2029 sampling time points: CAM2029 10mg q2w; 0, 2hours, 24hours, 48hours, 7days and 14days CAM2029 20mg q4w; 0, 2hours, 24hours, 48hours, 7days, 21days and 28days)

  6. Pharmacokinetic (PK) Profile of Octreotide After Each Injection of CAM2029 as Compared With Baseline PK for Sandostatin® Long-acting Release (LAR®) Cmax.

    Pharmacokinetics (PK) of octreotide after administrations of CAM2029 was determined for the dosing period Day 0 to Day 84 ; Cmax (ng/mL).

    Cmax (ng/mL): Maximum observed plasma concentration over CAM2029 20 mg q4w and CAM2029 10 mg q2w dosing intervals (ng/mL)

    Measured: (Day 0) to Day 84 (PK analysis:CAM2029 sampling time points: CAM2029 10mg q2w; 0, 2hours, 24hours, 48hours, 7days and 14days CAM2029 20mg q4w; 0, 2hours, 24hours, 48hours, 7days, 21days and 28days)

Secondary outcomes (3)
  1. Number of Adverse Events and Serious Adverse Events

    Safety (number of adverse events and serious adverse events) after repeated doses of CAM2029 (assessment period from Day 0 to Day 84) and single dose Sandostatin LAR (assessment period Day -28 to Day 0)

    Measured: Day -28 to Day 84

  2. CAM2029 Effect on Insulin-like Growth Factor (IGF-1) (Acromegaly)

    Data is presented as number of patients

    • Within the reference limits (see below)
    • Above ULN (Upper Limits of Normal)

    In the Acromegaly group both males and females were included the age was between 42-70 years. The IGF normal range for the different genders and age are presented below.

    REFERENCE VALUES

    Males (NMOL/L) 8.34-27.44 (41-45 years) 7.7-26.36 (46-50 years) 7.3-26.34 (51-55 years) 6.64-25.44 (56-60 years) 6.17-25.02 (61-65 years) 5.96-25.48 (66-70 years)

    Females (NMOL/L) 8.06-26.89 (41-45 years) 7.39-25.44 (46-50 years) 6.92-24.98 (51-55 years) 5.92-22.7 (56-60 years) 5.42-21.96 (61-65 years) 5.07-21.97 (66-70 years)

    Measured: Day 84

  3. CAM2029 Effect on Growth Hormone (GH) (Acromegaly)

    GH (growth hormone) levels measured on Day 84 in patients with acromegaly

    Measured: Day 84

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted24 Nov 2014 (estimated)
  2. Study startJan 2015
  3. Primary completionMay 2016
  4. Study completionJun 2016

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
12 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02299089
Sponsor's protocol ID
HS-12-455
Status last verified
May 2017
First submitted
17 Nov 2014
Last updated
15 Dec 2017
Data monitoring committee
No
Individual data sharing
No: No plan to share IPD

Publications

  • Pavel M, Borson-Chazot F, Cailleux A, Horsch D, Lahner H, Pivonello R, Tauchmanova L, Darstein C, Olsson H, Tiberg F, Ferone D. Octreotide SC depot in patients with acromegaly and functioning neuroendocrine tumors: a phase 2, multicenter study. Cancer Chemother Pharmacol. 2019 Feb;83(2):375-385. doi: 10.1007/s00280-018-3734-1. Epub 2018 Dec 8.

    PubMed 30535537

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing octreotide FluidCrystal® injection depot in people with Acromegaly and Neuroendocrine Tumors, run by Camurus AB at 10 sites in 4 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 17 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 15 Dec 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 10 sites in Italy, Germany, France, Sweden. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 15 Dec 2017). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Pharmacokinetic (PK) Profile of Octreotide After Each Injection of CAM2029 as Compared With Baseline PK for Sandostatin® Long-acting Release (LAR®) AUC (time frame: Pre-dose; study Day -28- to Day 0 (PK analysis:Sandostatin (LAR®) sampling time points: 0, 1hour, 24hours, 7days, 14days, 21days and 28days)). The study lists 6 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02299089, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 15 Dec 2017.

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