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AcromegalyPhase 1/2NCT02396953

Study to Determine the Maximum Tolerated Dose, Safety and Tolerability of a Single Dose of Lanreotide Prolonged Release Formulation (PRF) in Subjects With Acromegaly

A Phase 1/2 study testing Lanreotide PRF in people with Acromegaly, run by Ipsen at 36 sites in 12 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

The objectives of the protocol is to determine the maximum tolerated dose and to investigate the pharmacokinetics of a single dose of lanreotide PRF in subjects with acromegaly. Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Acromegaly
What is being tested?
Lanreotide PRF
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
28 participants
Where
36 sitesin 12 countries
Study dates
Mar 2015to 28 Nov 2017
Phase
Phase 1/2
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 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Documented diagnosis of acromegaly.
  • Provided written informed consent prior to any study related procedures.
  • Between 18 and 75 years of age inclusive.
  • Female of non-childbearing potential or male. Non-childbearing potential is defined as being postmenopausal for at least 1 year, or women with documented infertility (natural or acquired).
  • Male subjects must agree that, if their partner is at risk of becoming pregnant, they will use a medically accepted, effective method of contraception (i.e. condom) for the duration of the study (maximum of 7.5 months).
  • Treatment with a stable dose of either octreotide LAR or lanreotide Autogel for at least 3 months immediately prior to study entry, with confirmation of disease control during this treatment period (documentation of age adjusted IGF 1 <1.3 x upper limit of normal (ULN), based on local laboratory results, during screening period).
  • If the subject is receiving treatment for hypertension, the dose has been stable for at least 1 month prior to study entry.
  • Subjects must be willing and able to comply with study restrictions and to remain at the clinic for the required duration during the study period and willing to return to the clinic for the follow up evaluation as specified in the protocol.

Who cannot join

  • Has undergone radiotherapy within 2 years prior to study entry.
  • Has been treated with a dopamine agonist and/or GH receptor antagonist or has undergone pituitary surgery within 3 months prior to study entry.
  • Is anticipated to require pituitary surgery or radiotherapy during the study.
  • Has clinically significant hepatic abnormalities and/or alanine aminotransferase (ALT) and/or aspartate aminotransferase (AST) ≥3 x ULN and/or alkaline phosphatase (AP) ≥2.5 x ULN and/or total bilirubin ≥1.5 x ULN and/or gamma-glutamyl transpeptidase (GGT) ≥2.5 x ULN during the Screening period (central laboratory results) or a history of these findings when on somatostatin analogue (SSTa) treatment.
  • Has clinically significant pancreatic abnormalities and/or amylase and/or lipase ≥1.5 x ULN during the Screening period (central laboratory results).
  • Has any significant renal abnormalities and/or creatinine ≥1.5 x ULN during the screening period (central laboratory results).
Show all 17Show fewer
  • Has uncontrolled diabetes (glycosylated haemoglobin (HbA1c) ≥9%, centrally assessed during the Screening period), or has diabetes treated with insulin for less than 6 months prior to study entry.
  • Has any known uncontrolled cardiovascular disease or had any of the following within 6 months of Screening: ventricular or atrial dysrhythmia
  • ≥grade 2, bradycardia ≥grade 2, electrocardiogram (ECG) QT interval corrected (QTc) prolonged ≥grade 2, myocardial infarction, severe/unstable angina, symptomatic congestive heart failure, cerebrovascular accident or transient ischemic attack, pulmonary embolism, hypertension not adequately controlled by current medications.
  • Use of any hormone replacement therapy (HRT) with oestrogens.
  • Has symptomatic gallstones/ sludge at the Screening Visit echography (local assessment) OR is asymptomatic but has echography showing clear evidence of impending inflammation such as localised mucosal thickening suggesting the subject is at high risk of developing acute disease. Subjects with asymptomatic gallstones/ sludge and otherwise normal echography may be entered at the discretion of the investigator.
  • Has abnormal findings during the Screening period, any other medical condition(s) or laboratory findings that, in the opinion of the investigator, might jeopardise the subject's safety.
  • Has been treated with any other investigational medicinal product (IMP) prior to the first study visit without undergoing a washout period of seven times the elimination half-life of the investigational compound.
  • Has a known hypersensitivity to any of the test materials or related compounds.
  • Is likely to require treatment during the study with drugs that are not permitted by the study protocol.
  • Has a history of, or known current, problems with alcohol or drug abuse.
  • Has any mental condition rendering him/her unable to understand the nature, scope and possible consequences of the study, and/or evidence of an uncooperative attitude.

Trial locations and contacts

36 sites in 12 countries.

36 sites in 12 countries

Italy6 sites
  • IRCCS AOU San Martino-IST, University of Genova

    Genova, 16139

  • Azienda Ospedaliera Padova

    Padova, 35128

  • Policlinico of Palermo

    Palermo, 90127

  • Ospedale Cisanello

    Pisa, 56124

  • Azienda Ospedaliera Universitaria Senese

    Siena, 53100

  • AO Città della Salute e della Scienza di Torino

    Torino, 10126

Other trials in Italy

Russia6 sites
  • Kazan state Medical Academy

    Kazan', 420012

  • Kemerovo Regional Clinical Hospital

    Kemerovo, 650066

  • Endocrinological Research Center Ministry of Health Russian Federation

    Moscow, 117036

  • Healthcare Institution

    Nizhny Novgorod, 603126

  • Federal State Budgetary Military

    Saint Petersburg, 191015

  • North-Western State Medical University

    Saint Petersburg, 191015

Other trials in Russia

France4 sites
  • CHU le BOCAGE

    Dijon, 21079

  • Hôpital de Bicêtre (AP-HP)

    Le Kremlin-Bicêtre, 94275

  • CHU de la Timone

    Marseille, 13385

  • Hôpital Haut Lévêque

    Pessac, 33604

Other trials in France

Poland4 sites
  • Uniwersytecki Szpital Kliniczny w Białymstoku

    Bialystok, 15-276

  • Szpital Kliniczny im. H. Święcickiego UM w Poznaniu

    Poznan, 60-355

  • Szpital Bielanski im. ks. Jerzego Popieluszki SPZOZ

    Warsaw, 01-809

  • Szpital Kliniczny nr 1

    Wroclaw, 50-367

Other trials in Poland

Spain3 sites
  • Hospital Universitario Vall d' Hebron

    Barcelona, 08035

  • Hospital Ramon y Cajal

    Madrid, 28034

  • Hospital Universitario Virgen del Rocio

    Seville, 41013

Other trials in Spain

United Kingdom3 sites
  • Queen Mary, University of London

    London, EC1M 6BQ

  • Christie NHS Foundation Trust

    Manchester, M20 4BX

  • Churchill Hospital

    Oxford, OX3 7LE

Other trials in United Kingdom

Belgium2 sites
  • Antwerp University Hospital

    Edegem

  • Domaine Universitaire Sart Tilman

    Liège

Other trials in Belgium

Czechia2 sites
  • Fakultni nemocnice u sv. Anny v Brne

    Brno

  • Fakultní nemocnice Hradec Králové (University Hospital Hradec)

    Hradec Králové

Other trials in Czechia

Germany2 sites
  • University Medicine Berlin

    Berlin, 10117

  • University Medical Center Hamburg-Eppendorf

    Hamburg, 20246

Other trials in Germany

Lithuania2 sites
  • Lithuanian University of Health Sciences (LUHS) Kauno klinikos

    Kaunas

  • Vilnius University hospital Santariskiu Klinikos

    Vilnius

Other trials in Lithuania

Netherlands1 site
  • Erasmus University Medical Centre Rotterdam

    Rotterdam, 3000 ca

Other trials in Netherlands

Romania1 site
  • National Institute of Endocrinology

    Bucharest, 11863

Other trials in Romania

About this study

Official title: Phase IIa, Open Label, Dose Ascending Study to Determine the Maximum Tolerated Dose, Safety and Tolerability, Pharmacokinetics and Pharmacodynamics of a Single Dose of Lanreotide PRF in Subjects With Acromegaly Previously Treated and Controlled With Either Octreotide LAR or Lanreotide Autogel

The objectives of the protocol is to determine the maximum tolerated dose and to investigate the pharmacokinetics of a single dose of lanreotide PRF in subjects with acromegaly.

Conditions
Acromegaly
Being tested
Lanreotide PRF
Medical subject headings
Acromegaly

What participants receive

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

  • Lanreotide PRFDrug

    Also called Lanreotide acetate

Study groups in NCT02396953
Study groupRoleWhat they receive
lanreotide PRFExperimentalOne single dose of lanreotide PRF (via subcutaneous injection) either 180mg or 270mg or 360mg.
Receives: Drug: Lanreotide PRF

What is being measured

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

  1. Determination of the Maximum Tolerated Dose (MTD) by Number of Subjects With DLTs.

    The MTD was defined based on the DLTs observed in each cohort. A DLT was defined as an adverse event (AE) (excluding anorexia and fatigue) or an abnormal laboratory value occurring within the first week (up to Week 2) following lanreotide PRF administration and during the entire study duration, assessed as unrelated to acromegaly, intercurrent illness or concomitant medications and which met any of the pre-established toxicity criteria. If no DLTs were reported then no MTD could be defined.

    Measured: From Day 1 up to Week 25.

  2. PK Analysis of Lanreotide: Maximum Observed Serum Concentration (Cmax).

    Blood samples for determination of lanreotide serum concentrations were collected at Baseline (pre-dose), at 1, 2, 4, 6, 8,12 and 24 hours post-dose, on Days 3 and 5 and at Weeks 2, 3, 5, 9 and 13 after lanreotide PRF administration. Samples were also collected during follow-up at Weeks 17, 21 and 25 (or EW).

    Mean serum lanreotide Cmax values were determined using non-compartmental analysis.

    Measured: From Baseline (pre-dose) up to Week 25.

  3. PK Analysis of Lanreotide: Time to Reach Maximum Serum Concentration (Tmax).

    Blood samples for determination of lanreotide serum concentrations were collected at Baseline (pre-dose), at 1, 2, 4, 6, 8,12 and 24 hours post-dose, on Days 3 and 5 and at Weeks 2, 3, 5, 9 and 13 after lanreotide PRF administration. Samples were also collected during follow-up at Weeks 17, 21 and 25 (or EW).

    Median serum lanreotide Tmax values were determined using non-compartmental analysis.

    Measured: From Baseline (pre-dose) up to Week 25.

  4. PK Analysis of Lanreotide: Apparent Terminal Elimination Half-life (t1/2).

    Blood samples for determination of lanreotide serum concentrations were collected at Baseline (pre-dose), at 1, 2, 4, 6, 8,12 and 24 hours post-dose, on Days 3 and 5 and at Weeks 2, 3, 5, 9 and 13 after lanreotide PRF administration. Samples were also collected during follow-up at Weeks 17, 21 and 25 (or EW).

    Mean serum lanreotide t1/2 values were determined using non-compartmental analysis. Only values fulfilling the determination rules for t1/2 were analysed.

    Measured: From Baseline (pre-dose) up to Week 25.

  5. PK Analysis of Lanreotide: Area Under the Serum Concentration-time Curve From Time 0 to 85 Days (AUC0-85).

    Blood samples for determination of lanreotide serum concentrations were collected at Baseline (pre-dose), at 1, 2, 4, 6, 8,12 and 24 hours post-dose, on Days 3 and 5 and at Weeks 2, 3, 5, 9 and 13 after lanreotide PRF administration. Sample were also collected during follow-up at Weeks 17, 21 and 25 (or EW).

    Mean serum lanreotide AUC0-85 values were determined using non-compartmental analysis.

    Measured: From Baseline (pre-dose) up to Day 85

  6. PK Analysis of Lanreotide: Area Under the Serum Concentration-time Curve Extrapolated to Infinity (AUC0-∞).

    Blood samples for determination of lanreotide serum concentrations were collected at Baseline (pre-dose), at 1, 2, 4, 6, 8,12 and 24 hours post-dose, on Days 3 and 5 and at Weeks 2, 3, 5, 9 and 13 after lanreotide PRF administration. Samples were also collected during follow-up at Weeks 17, 21 and 25 (or EW).

    Mean serum lanreotide AUC0-∞ values were determined using non-compartmental analysis. Only values fulfilling the accuracy determination rules for AUC0-∞ were analysed.

    Measured: From Baseline (pre-dose) up to Week 25.

Secondary outcomes (9)
  1. Overall Summary of Number of Subjects With AEs.

    AEs reported by the investigators using the National Cancer Institute-Common Toxicity Criteria (NCI CTCAE) classification (Version 4.03) and incidence of all reported treatment emergent AEs (TEAEs) and serious AEs (SAEs) are presented by dose cohort. AEs were assigned to a NCI CTCAE Grade from 1 through 5 as follows: Grade 1: Mild; Grade 2: Moderate; Grade 3: Severe or medically significant but not immediately life threatening or requiring hospitalisation; Grade 4: Life-threatening consequences; Grade 5: Death related to AE. TEAEs were defined as any AE that occurs during the active phase of the study (between the start of the 3 month treatment period and 3 months after the end of study treatment). The worst intensity of TEAES at each grade are reported for all and for related TEAES. In the event of multiple occurrences of the same AEs being reported by the same subject, the maximum intensity and the most serious causality were reported.

    Measured: From Day -42 up to Week 25.

  2. PK Analysis of Glycofurol Excipients: Cmax.

    Blood samples for determination of the excipients (N1-glycofurol and N2-glycofurol) serum concentrations were collected at Baseline (pre-dose), at 1, 2, 4, 6, 8, 12 and 24 hours post-dose and on Days 3 and 5. Mean serum N1-glycofurol and N2-glycofurol Cmax values were determined using non-compartmental analysis.

    Measured: From Baseline (pre-dose) up to Day 5.

  3. PK Analysis of Glycofurol Excipients: Tmax.

    Blood samples for determination of the excipients (N1-glycofurol and N2-glycofurol) serum concentrations were collected at Baseline (pre-dose), at 1, 2, 4, 6, 8, 12 and 24 hours post-dose and on Days 3 and 5.

    Median serum N1-glycofurol and N2-glycofurol Tmax values were determined using non-compartmental analysis.

    Measured: From Baseline (pre-dose) up to Day 5.

  4. PK Analysis of Glycofurol Excipients: AUC0-∞ and Area Under the Serum Concentration Time Curve From Time 0 to Last Quantifiable Timepoint (AUC0-t).

    Blood samples for determination of the excipients (N1-glycofurol and N2-glycofurol) serum concentrations were collected at Baseline (pre-dose), at 1, 2, 4, 6, 8, 12 and 24 hours post-dose and on Days 3 and 5.

    Mean serum N1-glycofurol and N2-glycofurol AUC0-∞ and AUC0-t values were determined using non-compartmental analysis. Only AUC0-∞ values fulfilling the accuracy determination rules were analysed.

    Measured: From Baseline (pre-dose) up to Day 5.

  5. PD Analysis: Mean Change From Baseline in Insulin-like Growth Factor 1 (IGF-1).

    Blood samples were collected for the determination of IGF-1 in serum at Baseline (pre-dose), 6 hours post-dose and at Weeks 5, 9 and 13. Samples were also collected during follow-up at Weeks 17, 21 and 25 (or EW). Serum concentrations of IGF-1 were calculated using the Immulite 2000 Platform for all subjects in the safety population. The production of the reagent kits was stopped by the vendor during the study. The old reagent kits were used for Cohorts 1 and 2 until their expiry date and then the kits were switched to a new reagent and used for remaining subjects in Cohorts 2 and 3. Summary data for serum concentrations of IGF-1 were obtained using both methods (old and new reagent) and the mean change from Baseline at each time point is presented.

    Measured: From Baseline (pre-dose) up to Week 25.

  6. PD Analysis: Mean Change From Baseline in Growth Hormone (GH).

    GH cycle assessments were performed by taking 5 samples in the morning (with a sample taken every 30 minutes for 2 hours) at Baseline (pre-dose), Week 5 and Week 13. Summary data for the mean of the 5 samplings of the GH cycle were generated and the mean change from Baseline at each time point is presented.

    Measured: From Baseline (pre-dose) up to Week 13.

  7. PD Analysis: Mean Change From Baseline in Free Triiodothyroxine (FT3) and Free Thyroxine (FT4).

    Blood samples were collected for the determination of FT3 and FT4 in serum at Baseline (pre-dose) and at Weeks 2, 5, 13 and 25 (or EW). Summary data for serum concentrations of FT3 and FT4 were calculated and the mean change from Baseline at each time point is presented.

    Measured: From Baseline (pre-dose) up to Week 25.

  8. PD Analysis: Mean Change From Baseline in Thyroid Stimulating Hormone (TSH).

    Blood samples were collected for the determination of TSH in serum at Baseline (pre-dose) and at Weeks 2, 5, 13 and 25 (or EW). Summary data for serum concentrations of TSH were calculated and the mean change from Baseline at each time point is presented.

    Measured: From Baseline (pre-dose) up to Week 25.

  9. PD Analysis: Mean Change From Baseline in Prolactin.

    Blood samples were collected for the determination of prolactin in serum at Baseline (pre-dose) and at Weeks 2, 5, 13 and 25 (or EW). Summary data for serum concentration of prolactin were calculated and the mean change from Baseline at each time point is presented.

    Measured: From Baseline (pre-dose) up to Week 25.

Timeline

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

  1. First posted24 Mar 2015 (estimated)
  2. Study startMar 2015
  3. Primary completion28 Nov 2017
  4. Study completion28 Nov 2017

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 1/2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
28 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02396953
Sponsor's protocol ID
8-55-52030-309
Other IDs
2014-002389-62, 2014
Status last verified
Apr 2019
First submitted
18 Mar 2015
Last updated
25 Apr 2019
Data monitoring committee
Yes

Publications

  • Neggers S, Badiu C, Biagetti B, Durand-Gasselin L, Petit A, Petrossians P, Regnault B, Rich D, Shafigullina Z, Shustov S, Vydrych A. Pharmacological and safety profile of a prolonged-release lanreotide formulation in acromegaly. Expert Rev Clin Pharmacol. 2021 Dec;14(12):1551-1560. doi: 10.1080/17512433.2021.1986004. Epub 2021 Nov 8.

    PubMed 34664531

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing Lanreotide PRF in people with Acromegaly, run by Ipsen at 36 sites in 12 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 8 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 25 Apr 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 36 sites in Italy, Russia, France, Poland, Spain and 7 more countries. 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 combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

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 25 Apr 2019). 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?

Determination of the Maximum Tolerated Dose (MTD) by Number of Subjects With DLTs. (time frame: From Day 1 up to Week 25.). 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 NCT02396953, 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 25 Apr 2019.

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