Roll-over Study in Patients With Endogenous Cushing's Syndrome for LCI699

November 22, 2024 updated by: RECORDATI GROUP

An Open-label, Multi-center, Roll-over Study to Assess Long Term Safety in Patients With Endogenous Cushing's Syndrome Who Have Completed a Prior Novartis-sponsored Osilodrostat (LCI699) Study and Are Judged by the Investigator to Benefit From Continued Treatment With Osilodrostat

The purpose of this study is the evaluation of long-term safety of osilodrostat in patients who have already received osilodrostat treatment in a previous Global Novartis-sponsored trial and who, based on investigators' judgement, will continue benefiting with its administration.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

There will be no screening period for this study. Eligible subjects can start their treatment with osilodrostat as soon as they are enrolled in the study. The first study visit will be scheduled at the time of the last study visit for the parent study. Subjects must return to the study center at least on a quarterly basis (every 12 weeks ± 2 weeks) for safety and clinical benefit assessments, and resupply of study medication. Drug dispensing and administration information and adverse events will be collected. The subject may return to the clinic at any given time as per standard of care or treating physician recommendation; however, only the quarterly study visits will be recorded in the Case Report Form (CRF). Study medication dispensed will be recorded in the CRF dose administration page.

All adverse events and serious adverse events, including pregnancy, will be collected throughout the study. Subjects will continue to be treated in this roll-over study until they are no longer benefiting from their osilodrostat treatment as judged by the Investigator or until osilodrostat is commercially available or until one of other discontinuation criteria is met.

Study Type

Interventional

Enrollment (Actual)

127

Phase

  • Phase 2

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

    • Buenos Aires
      • Caba, Buenos Aires, Argentina, C1180AAX
        • Sanatorio Güemes
      • Vienna, Austria, A-1090
        • Universitaetsklinik fuer Innere Medizin III
      • Leuven, Belgium, 3000
        • Gasthuisberg University Hospital
    • CE
      • Fortaleza, CE, Brazil, 60020-181
        • Universidade Federal do Ceara
    • RJ
      • Rio de Janeiro, RJ, Brazil, 21941-913
        • Hospital Universitario Clementino Fraga Filho
    • SP
      • Sao Paulo, SP, Brazil, 04039 004
        • Hospital do Servidor Publico Estadual de Sao Paulo
      • Sao Paulo, SP, Brazil, 05403 000
        • Hospital das Clinicas da Faculdade de Medicina da USP
      • Sofia, Bulgaria, 1431
        • USHATE Akad Ivan Penchev
    • Alberta
      • Edmonton, Alberta, Canada, T6G 2B7
        • University of Alberta Hospital
    • Nova Scotia
      • Halifax, Nova Scotia, Canada, B3H 1V7
        • QEII Health Sciences Centre
    • Quebec
      • Montreal, Quebec, Canada, H2W 1T8
        • Centre de recherche du CHUM CRCHUM
      • Sherbrooke, Quebec, Canada, J1H 5N4
        • CHUS Hopital Fleurimont
      • Beijing, China, 100730
        • Peking Union Medical College Hospital
      • Beijing, China, 100034
        • Peking University First Hospital
    • Guangdong
      • Guangzhou, Guangdong, China, 510080
        • The First Affiliated Hopsital, Sun Yat-Sun University
    • Sichuan
      • Chengdu, Sichuan, China, 610041
        • West China Hospital of Sichuan University
    • San Jose, Costa Rica
      • San Pedro, San Jose, Costa Rica, Costa Rica, 1406 1200
        • Clinica Los Yoses
      • Le Kremlin Bicetre, France, 94275
        • Hôpital Kremlin Bicêtre
      • Lille Cedex, France, 59037
        • CHRU de Lille
      • Paris, France, 75014
        • Hopital Cochin
    • Cedex
      • Pessac, Cedex, France, 33604
        • CHU de Bordeaux
      • Erlangen, Germany, 91054
        • Universitaetsklinikum Erlangen Nuernberg
      • Muenchen, Germany, 81377
        • Universitaetsklinikum Muenchen LMU
      • New Delhi, India, 110029
        • All India Institute of Medical Sciences
      • Napoli, Italy, 80131
        • A O Universitaria Policlinico Federico II Univ Studi Fed II
    • AN
      • Ancona, AN, Italy, 60126
        • AOU Osp Riuniti Umberto I GM Lancisi G Salesi Univ Studi
    • PD
      • Padova, PD, Italy, 35128
        • Azienda Ospedaliera di Padova Università degli Studi
    • PI
      • Pisa, PI, Italy, 56124
        • Az Ospedaliero Universitaria Pisana Pres Osped di Cisanello
    • Aichi
      • Nagoya, Aichi, Japan, 460-0001
        • National Hospital Organization Nagoya Medical Center
    • Hyogo
      • Nishinomiya, Hyogo, Japan, 663 8501
        • Hyogo College of Medicine Hospital
      • Seoul, Korea, Republic of, 03080
        • Seoul National University Hospital
      • Seoul, Korea, Republic of, 03722
        • Yonsei Univ Health System YUCM
      • Rotterdam, Netherlands, 3015 GD
        • Erasmus MC
      • Krakow, Poland, 31-501
        • SP ZOZ Szpital Uniwersytecki w Krakowie
      • Warszawa, Poland, 03 242
        • Mazowiecki Szpital Bródnowski
      • Moscow, Russian Federation, 117036
        • Center for Endocrinology Russian Academy of Med Sciences
      • Madrid, Spain, 28009
        • Hospital Gregorio Marañon
      • Valencia, Spain, 46026
        • Hospital Universitario i Politecnico La Fe
    • Andalucia
      • Sevilla, Andalucia, Spain, 41013
        • Hospital Universitario Virgen del Rocio
    • Galicia
      • La Coruna, Galicia, Spain, 15006
        • Complejo Uni. Hosp. A Coruña ( antes Hospital Juan Canalejo)
      • Bangkok, Thailand, 10330
        • King Chulalongkorn Memorial Hospital
      • Bangkok, Thailand, 10700
        • Siriraj Hospital
      • Songkla, Thailand, 90110
        • Songklanagarind Hospital Endocrinology and Metabolism
      • Altunizade, Turkey, 34662
        • Marmara University Medical Faculty
      • Kocaeli, Turkey, 41380
        • Kocaeli University Medical Faculty
    • TUR
      • Istanbul, TUR, Turkey, 34098
        • Istanbul University Cerrahpasa Faculty of Medicine
    • Colorado
      • Aurora, Colorado, United States, 80045
        • University of Colorado
    • Georgia
      • Atlanta, Georgia, United States, 30322
        • Emory University School of Medicine G2304 - C2301
    • Illinois
      • Chicago, Illinois, United States, 60611
        • Northwestern University SC - LCI699C2301
    • Michigan
      • Ann Arbor, Michigan, United States, 48109
        • University of Michigan Comprehensive Cancer Center
    • New York
      • New York, New York, United States, 10065
        • Memorial Sloan Kettering Cancer Center
      • New York, New York, United States, 10032
        • Columbia University Medical Center New York Presbyterian Neuroendocrine Unit
    • Ohio
      • Cleveland, Ohio, United States, 44195
        • Cleveland Clinic Foundation
    • Oregon
      • Portland, Oregon, United States, 97239
        • Oregon Health and Science University
    • Pennsylvania
      • Philadelphia, Pennsylvania, United States, 19104
        • University of Pennsylvania Medical Center Univ Penn
    • Wisconsin
      • Milwaukee, Wisconsin, United States, 53226
        • Medical College of Wisconsin MCW 2

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years to 75 years (Adult, Older Adult)

Accepts Healthy Volunteers

No

Description

Inclusion Criteria:

  • Patient is currently participating in a Global Novartis-sponsored study receiving osilodrostat for any type of endogenous CS and has fulfilled all their requirements in the parent study.
  • Patient is currently benefiting from treatment with osilodrostat, as determined by the Investigator.
  • Patient has demonstrated compliance, as assessed by the Investigator, with the parent study protocol requirements.
  • Willingness and ability to comply with scheduled visits and treatment plans.
  • Written informed consent obtained prior to enrolling into the roll-over study before evaluating the applicability of the subject's participating in the study. -- If consent cannot be expressed in writing, it must be formally documented and witnessed, ideally via an independent trusted witness.

Exclusion Criteria:

  • Patient has been permanently discontinued from osilodrostat study treatment in a parent Novartis-sponsor study.
  • Patients who are receiving osilodrostat in combination with unapproved or experimental treatments for any type of endogenous CS.
  • Pregnant or nursing (lactating) women, where pregnancy is defined as the state of a female after conception and until the termination of gestation, confirmed by a positive hCG laboratory test. Pregnant or nursing (lactating) women
  • Women of child-bearing potential, defined as all women physiologically capable of becoming pregnant, unless they are using highly effective methods of contraception during dosing and for 1 week of study after stopping medication. Highly effective contraception methods include:

    • Total abstinence (when this is in line with the preferred and usual lifestyle of the subject. Periodic abstinence (e.g., calendar, ovulation, symptothermal, post-ovulation methods) and withdrawal are not acceptable methods of contraception
    • Female sterilization (have had surgical bilateral oophorectomy with or without hysterectomy), total hysterectomy, or tubal ligation. at least six weeks before taking study treatment. In case of oophorectomy alone, only when the reproductive status of the woman has been confirmed by follow up hormone level assessment
    • Male sterilization (at least 6 months prior to baseline). The vasectomized male partner should be the sole partner for that subject
    • Use of oral, (estrogen and progesterone), injected or implanted hormonal methods of contraception or placement of an intrauterine device (IUD) or intrauterine system (IUS), or other forms of hormonal contraception that have comparable efficacy (failure rate <1%), for example hormone vaginal ring or transdermal hormone contraception.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: N/A
  • Interventional Model: Single Group Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Other: osilodrostat
open label, with patients receiving same dose as provided in the parent study
osilodrostat, in the form of film coated tablets for oral administration, in the following tablet strengths: 1mg, 5mg, 10mg. Each strength has unique tablet size, colour and imprint.
Other Names:
  • LCI699

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Number of Participants With Adverse/Serious Adverse Events
Time Frame: up to 5 years
To evaluate long-term safety data with osilodrostat treatment (Frequency and severity of adverse events (AEs)/serious adverse events (SAEs))
up to 5 years

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Percentage of Patients With Clinical Benefit
Time Frame: up to of 5 years
Proportion of patients with clinical benefit as assessed by the Investigator at scheduled visits based on medical check-up and lab values such as Urine Free Cortisol.
up to of 5 years

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Investigators

  • Study Director: Recordati, Recordati AG

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

October 5, 2018

Primary Completion (Actual)

November 16, 2023

Study Completion (Actual)

November 16, 2023

Study Registration Dates

First Submitted

July 20, 2018

First Submitted That Met QC Criteria

July 27, 2018

First Posted (Actual)

July 30, 2018

Study Record Updates

Last Update Posted (Actual)

March 25, 2025

Last Update Submitted That Met QC Criteria

November 22, 2024

Last Verified

November 1, 2024

More Information

Terms related to this study

Other Study ID Numbers

  • CLCI699C2X01B

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

YES

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

Yes

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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