Et forsøg for at vurdere effektivitet og sikkerhed af octreotid subkutan depot hos patienter med akromegali (ACROINNOVA 1)
Et fase 3, randomiseret, dobbeltblindt, placebokontrolleret, multicenterforsøg for at vurdere effektivitet og sikkerhed af octreotid subkutant depot (CAM2029) hos patienter med akromegali
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Undersøgelsestype
Undersøgelsestype
Tilmelding (Faktiske)
Tilmelding
Fase
Fase
- Fase 3
Kontakter og lokationer
Studiesteder
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Birmingham, Det Forenede Kongerige, B15 2TT
- College of Medical and Dental Sciences
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Coventry, Det Forenede Kongerige, CV2 2DX
- University Hospitals Coventry and Warwickshire NHS Trust
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Leeds, Det Forenede Kongerige, LS97TF
- Leeds Teaching Hospitals NHS Trust
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Manchester, Det Forenede Kongerige, M20 4BX
- The Christie NHS Foundation Trust
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Salford, Det Forenede Kongerige, M6 8HD
- Salford Royal Foundation Trust
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California
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Los Angeles, California, Forenede Stater, 90095
- UCLA Department of Medicine Division of Endocrinology
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Palo Alto, California, Forenede Stater, 94305
- Stanford University Medical Center
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Florida
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Miami, Florida, Forenede Stater, 33130
- Prufen Clinical Research LLC
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Michigan
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Ann Arbor, Michigan, Forenede Stater, 48106
- University of Michigan
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Minnesota
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Rochester, Minnesota, Forenede Stater, 55905
- Mayo Clinic
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Missouri
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St Louis, Missouri, Forenede Stater, 63110
- Washington University in St. Louis, School of Medicine
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Nevada
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Las Vegas, Nevada, Forenede Stater, 89148
- Palm Research Center
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New York
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New York, New York, Forenede Stater, 10018
- Columbia University Medical Center
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Ohio
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Cincinnati, Ohio, Forenede Stater, 45267
- University of Cincinnati
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Pennsylvania
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Philadelphia, Pennsylvania, Forenede Stater, 19107
- Thomas Jefferson University
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Pittsburgh, Pennsylvania, Forenede Stater, 15212
- Allegheny Endocrinology Associates
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Texas
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Dallas, Texas, Forenede Stater, 75231
- Research Institute of Dallas
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Athens, Grækenland, 115 27
- General Hospital of Athens "Laiko", Endocrinology University Clinic
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Athens, Grækenland, 115 28
- Aretaeio University Hospital Endocrinology Department, Faculty of Diabetes and Metabolism
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Thessaloniki, Grækenland, 546 42
- General Hospital of Thessaloniki "Ippokratio"
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Genova, Italien, 16132
- IRCCS Policlinico San Martino
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Naples, Italien, 80131
- Azienda Universitaria "Federico II"
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Padova, Italien, 35128
- Azienda Ospedaliera Padova, Department of Internal medicine
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Roma, Italien
- Policlinic Gemelli University Hospital IRCCS, Department of Endocrinology
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Verona, Italien, 37134
- AOUI Verona, Policlinic of GB Rossi
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Krakow, Polen, 30-688
- Samodzielny Publiczny Zaklad Opieki Zdrowotnej Szpital Uniwersytecki w Krakowie
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Krakow, Polen, 31-011
- Centrum Nowoczesnych Terapii "Dobry Lekarz"
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Lodz, Polen, 90-644
- AmiCare Sp. z o.o. Sp. k.
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Piekary Śląskie, Polen, 41-940
- Piekarskie Centrum Medyczne, Szpital Miejski
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Kazan', Rusland, 420087
- Interregional Clinical Diagnostic Center
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Moscow, Rusland
- "Atlas" Medical Center
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Moscow, Rusland
- Sechenov Moscow First State Medical University
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Moscow, Rusland
- Vladimirsky Moscow Regional Research Clinical Institute
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Novosibirsk, Rusland, 630087
- Novosibirsk State Regional Clinical Hospital
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Ryazan, Rusland, 420087
- Interregional Clinical Diagnostic Center
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Saratov, Rusland, 410053
- Saratov Regional Clinic Hospital
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A Coruña, Spanien, 15006 A
- University Hospital Complex A Coruña
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Alicante, Spanien, 03010
- University Hospital of Alicante
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Barcelona, Spanien, 08035
- Hospital Universitario Vall d'Hebron
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Madrid, Spanien, 28006
- Hospital Universitario La Princesa
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Madrid, Spanien, 28009
- Hospital Universitario Gregorio Marañón
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Santiago de Compostela, Spanien, 15706
- Complejo Hospitalario Universitario Santiago de Compostela
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Seville, Spanien, 41013
- University Hospital Virgen del Rocio
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Valencia, Spanien, 46026
- Hospital Universitario y Politécnico La Fe
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Valencia, Spanien, 46600
- Hospital Universitario de La Ribera
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Antalya, Tyrkiet (Türkiye), 07985
- Akdeniz University Faculty of Medicine Department of Endocrinology
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Aydin, Tyrkiet (Türkiye), 09010
- Aydın Adnan Menderes University Research and Application Hospital
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Denizli, Tyrkiet (Türkiye), 20070
- Pamukkale University Faculty of Medicine Department of Endocrinology
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Eskişehir, Tyrkiet (Türkiye), 26480
- Eskisehir Osmangazi University Medical Faculty
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Fatih, Tyrkiet (Türkiye), 34098
- Istanbul University Medical Faculty
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Kocaeli, Tyrkiet (Türkiye), 41000
- Kocaeli University Faculty of Medicine Department of Endocrinology and Metabolism
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Malatya, Tyrkiet (Türkiye), 44000
- Inonu University Medical Faculty Endocrinology Department
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Melikgazi, Tyrkiet (Türkiye), 38039
- Erciyes University Medical Faculty, Dept. of Endocrinology
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Trabzon, Tyrkiet (Türkiye), 61080
- Karadeniz Technical University Farabi Hospital
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Zonguldak, Tyrkiet (Türkiye), 67600
- Zonguldak Bulent Ecevit University Department of Internal Medicine, Division of Endocrinology and Metabolism Ibni Sina Campus
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Essen, Tyskland, 45147
- Universitätsklinikum Essen
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Frankfurt, Tyskland, 60590
- Universitätsklinikum Frankfurt, Medizinische Klinik 1, Schwerpunkt Endokrinologie, Diabetologie, Ernährungsmedizin
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Freiburg im Breisgau, Tyskland, 79601
- Universitatsklinikum Freiburg
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Munich, Tyskland, 80336
- LMU Clinic of University of Munich, Medical Clinic and Polyclinic IV
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Munich, Tyskland, 81667
- Medicover Neuroendokrinologie
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Oldenburg, Tyskland, 26122
- Medicover Oldenburg MVZ
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Budapest, Ungarn, 1062
- Military Healt Center, 2nd Department of Internal Medicine
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Szeged, Ungarn, 6720
- SZTE ÁOK I.sz. Belgyógyászati Klinika
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Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Beskrivelse
Inklusionskriterier:
- Mandlige eller kvindelige patienter, ≥18 år ved screening
- Kunne give skriftligt informeret samtykke til at deltage i forsøget, før der udføres forsøgsrelaterede procedurer
- Diagnose af akromegali ved historisk bevis for (vedvarende eller tilbagevendende) akromegali
- Behandling med en stabil dosis af octreotid LAR eller lanreotid ATG i mindst 3 måneder som monoterapi før screening
- IGF-1-niveauer ≤1xULN ved screening
- Tilstrækkelig lever-, bugspytkirtel-, nyre- og knoglemarvsfunktion
- Normalt EKG
Ekskluderingskriterier:
- GH ≥2,5 μg/L ved screening (cyklus)
- Har modtaget medicinsk behandling for akromegali med pasireotid (inden for 6 måneder før screening), pegvisomant (inden for 3 måneder før screening), dopaminagonister (inden for 3 måneder før screening) eller andre forsøgsmidler (inden for 30 dage eller 5 halveringstider før screening [alt efter hvad der er længst]
- Patienter, der normalt tager octreotid LAR eller lanreotid ATG sjældnere end hver 4. uge (f. hver 6. uge eller 8. uge)
- Patienter med kompression af den optiske chiasme, der forårsager enhver synsfeltdefekt, for hvem kirurgisk indgreb er indiceret
- Patienter, der har gennemgået større operationer/kirurgisk behandling af en hvilken som helst årsag inden for 1 måned fra screening
- Patienter, der har gennemgået en hypofyseoperation inden for 6 måneder før screening
- Patienter, der tidligere har modtaget hypofysebestråling
- Patienter med dårligt kontrolleret diabetes mellitus (hæmoglobin A1c >8,0 %)
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Tredobbelt
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
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Eksperimentel: CAM2029 (octreotid subkutant depot)
CAM2029 (octreotid subkutant depot) 20mg/1,0
ml til 20 mg dosis, subkutan injektion én gang om måneden, seks måneders behandling.
Hvis nedtitrering er påkrævet, er 10 mg/0,5 ml til 10 mg dosis tilgængelig.
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Octreotid subkutant depot til månedlige injektioner hos akromegalipatienter
Andre navne:
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Placebo komparator: Matchende placebo
Placebo (subkutant depot) 1,0 ml, subkutan injektion én gang om måneden, seks måneders behandling.
Hvis nedtitrering er påkrævet, er 0,5 ml dosis tilgængelig.
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Matchende placebo til CAM2029
Andre navne:
|
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Proportion of Participants With Mean Insulin-like Growth Factor -1 (IGF-1) Levels ≤1 x Upper Limit of Normal (ULN) at Week 22/24
Tidsramme: Week 22 and 24
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If one of the IGF-1 values at Week 22 or Week 24 was missing, the other value was used to define a responder/non-responder in the analysis.
The variable of interest was considered missing only if no IGF-1 value could be obtained from either the Week 22 or the Week 24 sample.
A composite strategy was assumed for intercurrent events, and a participant was considered as a non-responder if they discontinued IMP, or had the dose reduced prior to Week 22 (regardless of IGF-1 values), and/or was switched to rescue medication.
ULN was derived from the participant's sex and age at screening.
In order to account for all participants in the intention-to-treat (ITT) analysis set, multiple imputation was applied.
The mean proportion of responders was calculated as an average of responders across the imputed datasets.
The resulting proportion was multiplied by 100 to present "Percentage of participants".
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Week 22 and 24
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Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Proportion of Participants With Mean IGF-1 Levels ≤1x Upper Limit or Normal (ULN) at Week 22/24, Including Participants With Dose Reduction
Tidsramme: Week 22 and 24
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First key secondary endpoint.
If one of the IGF-1 values at Week 22 or Week 24 was missing, the other value was used to define a responder/non-responder in the analysis.
The variable of interest was considered missing only if no IGF-1 value could be obtained from either the Week 22 or the Week 24 sample.
A composite strategy was assumed for intercurrent events, and a participant was considered as a non-responder if they discontinued IMP and/or was switched to rescue medication.
For this endpoint, a patient who had their dose reduced was not directly classified as a non-responder.
No participant had their dose reduced during the trial.
ULN was derived from the participant's sex and age at screening.
In order to account for all participants in the ITT analysis set, multiple imputation was applied.
The mean proportion of responders was calculated as an average of responders across the imputed datasets.
The resulting proportion was multiplied by 100 to present "Percentage of participants"
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Week 22 and 24
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Proportion of Participants With Mean IGF-1 Levels ≤1xULN at Week 22/Week 24 and Mean Growth Hormone (GH) Levels <2.5 µg/L at Week 24
Tidsramme: Week 22 and 24
|
Second key secondary endpoint.
If one of the IGF-1 values at Week 22 or Week 24 was missing, the other value was used to define a responder/non-responder in the analysis.
The variable of interest was considered missing only if no IGF-1 value could be obtained from either the Week 22 or the Week 24 sample or no GH value at Week 24.
A composite strategy was assumed for intercurrent events, and a patient was considered as a non-responder if they discontinued IMP or had the dose reduced prior to Week 22 (regardless of IGF-1 values), and/or was switched to rescue medication.
ULN was based on the patient's sex and age at screening.
In order to account for all participants in the ITT analysis set, multiple imputation was applied.
The mean proportion of responders was calculated as an average of responders across the imputed datasets.
The resulting proportion was multiplied by 100 to present "Percentage of participants".
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Week 22 and 24
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Proportion of Participants With Mean GH Levels <2.5 µg/L at Week 24
Tidsramme: Week 24
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For the responder analysis of mean GH <2.5 µg/L at Week 24, a composite strategy was assumed for intercurrent events.
A participant was considered as a non-responder if they discontinued IMP, or had the dose reduced prior to Week 24 (regardless of mean GH values), and/or was switched to rescue medication.
In order to account for all participants in the ITT analysis set, multiple imputation was applied.
The mean proportion of participants was calculated as an average of responders across the imputed datasets.
The resulting proportion was multiplied by 100 to present "Percentage of participants".
|
Week 24
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Proportion of Participants With Mean GH Levels <1.0 µg/L at Week 24
Tidsramme: Week 24
|
For the responder analysis of mean GH <1.0 µg/L at Week 24, a composite strategy was assumed for intercurrent events.
A participant was considered as a non-responder if they discontinued IMP, or had the dose reduced prior to Week 24 (regardless of mean GH values), and/or was switched to rescue medication.
In order to account for all participants in the ITT analysis set, multiple imputation was applied.
The mean proportion of participants was calculated as an average of responders across the imputed datasets.
The resulting proportion was multiplied by 100 to present "Percentage of participants".
|
Week 24
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Number of Participants With Treatment Emergent Adverse Events
Tidsramme: Week 0 to 24
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A treatment emergent adverse event was defined as an adverse event that occurred during or after the first administration of the IMP to the end of trial visit or the next dose of any acromegaly treatment, whichever came first.
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Week 0 to 24
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Proportion of Participants/Partners Declared Competent by a Healthcare Professional to Administer Intervention
Tidsramme: Week 0 to 20 and Week 24
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During participants'/partners' first three attempts during the trial period of 24 weeks whenever these visits took place.
Percentages were based on those who opted for self-/partner-administration.
|
Week 0 to 20 and Week 24
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Octreotide Plasma Concentrations Over Time
Tidsramme: Week 0 to 24
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Plasma samples were taken pre-dose on dosing days.
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Week 0 to 24
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Efterforskere
Efterforskere
- Ledende efterforsker: Pamela Freda, M.D, Columbia University
Publikationer og nyttige links
Generelle publikationer
- Glatard A, Friberg-Hietala S, Keutzer L, Hansson A, Johnsson M, Tiberg F. Population Pharmacokinetic Analysis of an Octreotide Depot (CAM2029) in the Treatment of Acromegaly. Clin Pharmacokinet. 2025 Jul;64(7):1079-1092. doi: 10.1007/s40262-025-01522-3. Epub 2025 May 26.
- Ferone D, Freda P, Katznelson L, Gatto F, Kadioglu P, Maffei P, Seufert J, Silverstein JM, Spencer-Segal JL, Isaeva E, Dreval A, Harrie M, Svedberg A, Tiberg F. Octreotide Subcutaneous Depot for Acromegaly: A Randomized, Double-blind, Placebo-controlled Phase 3 Trial, ACROINNOVA 1. J Clin Endocrinol Metab. 2025 May 19;110(6):1729-1739. doi: 10.1210/clinem/dgae707.
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Studiestart
Primær færdiggørelse (Faktiske)
Primær færdiggørelse
Studieafslutning (Faktiske)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
- Sygdomme i det endokrine system
- Knoglesygdomme
- Muskuloskeletale sygdomme
- Hjernesygdomme
- Sygdomme i centralnervesystemet
- Sygdomme i nervesystemet
- Hypothalamus sygdomme
- Hyperpituitarisme
- Hypofysesygdomme
- Knoglesygdomme, endokrine
- Akromegali
- Antineoplastiske midler
- Gastrointestinale midler
- Antineoplastiske midler, hormonelle
- Octreotid
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- HS-18-633
- 2019-001191-11 (EudraCT nummer)
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Studerer et amerikansk FDA-reguleret enhedsprodukt
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