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Octreotide

Phase 3

Acromegaly | Small molecule | Endocrine |Novartis AG|Last Updated: Mar 31, 2017

Success Probability

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Market & Valuation

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Trial Design

RandomizedCONTROLLED
Total Trials1
Total Enrollment28

FDA Designations

No designations recorded

Clinical trial landscape

Octreotide · 4 trials · 5 indications

Phase 3 3Phase 2 1
NCT00412061Everolimus and Octreotide in Patients With Advanced Carcinoid TumorCarcinoid Tumor
COMPLETED429 Analytics
NCT00372697Efficacy/Safety of Octreotide Acetate in Patients With Uncontrolled AcromegalyAcromegaly
COMPLETED28 Analytics
NCT00241020Evaluation of the Efficacy of Long-acting Release Octreotide in Patients With Advanced Hepatocellular CarcinomaAdvanced Hepatocellular Carcinoma
COMPLETED270 Analytics
PHASE3COMPLETED
Everolimus and Octreotide in Patients With Advanced Carcinoid Tumor
Carcinoid TumorUnlock trial analytics
PHASE3COMPLETED
Efficacy/Safety of Octreotide Acetate in Patients With Uncontrolled Acromegaly
AcromegalyUnlock trial analytics
PHASE3COMPLETED
Evaluation of the Efficacy of Long-acting Release Octreotide in Patients With Advanced Hepatocellular Carcinoma
Advanced Hepatocellular CarcinomaUnlock trial analytics

Study Endpoints

Primary Endpoints

Progression Free Survival (PFS) as Per Adjudicated Central Radiology Review
Time from randomisation to dates of disease progression, death from any cause or last tumor assessment, reported between day of first patient randomised, 10 January 2007, until cut-off date 02 April 2010

Progression free survival (PFS) is defined as the time from randomization to the date of first documented disease progression or death from any cause. The primary analysis of PFS was based on the independent central adjudicated assessment using Kaplan-Meier method.

Change in Growth Hormone (GH) Level From Screening to End of Study (Week 24)
Screening to end of study (Week 24)

Growth hormone (GH) level was the average value measured in 3 blood samples collected at 15 minute intervals at each visit. GH was measured with an automated immunometric assay in a central laboratory.

Change in Insulin-like Growth Factor 1 (IGF-1) Level From Screening to End of Study (Week 24)
Screening to end of study (Week 24)

Insulin-like growth factor 1 (IGF-1) level was measured in a blood sample with an automated immunometric assay in a central laboratory.

Overall Survival
Shrinkage of tumor size and diameter of 3 respectively 6 months
6 months

Secondary Endpoints

Best Overall Response Rate as Per Adjudicated Central Radiology Review Based on Response Evaluation Criteria in Solid Tumors (RECIST)
Time from randomisation to dates of disease progression, death from any cause or last tumor assessment, reported between day of first patient randomised, 10 January 2007, until cut-off date 02 April 2010
Progression Free Survival (PFS) as Per Adjudicated Central Review by Baseline 5-hydroxyindoleacetic Acid (5-HIAA) Level
If elevated at baseline, evaluated every cycle visit (28 days/cycle) reported between day of first patient randomised, 10 January 2007, until cut-off date 02 April 2010
Overall Survival Using Kaplan-Meier Methodology
Months 12, 24, 36, 48
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Octreotide+ EverolimusEXPERIMENTALEverolimus was administered in accordance with a 10-mg daily dosing regimen (two 5-mg tablets) in conjunction with octreotide 30 mg intramuscularly (i.m.) every 28 days. Patients were treated until progression or unacceptable toxicity. Each treatment cycle lasted 28 days. Patients received their first dose of everolimus at Cycle 1, Day 1. Administration of octreotide was performed every 28 days (± 4 days) starting on Cycle 1, Day 1.
Octreotide+ PlaceboPLACEBO_COMPARATORMatching placebo was administered in accordance with a 10-mg daily dosing regimen (two 5-mg tablets) in conjunction with octreotide 30 mg intramuscularly (i.m.) every 28 days. Patients were treated until progression or unacceptable toxicity; Each treatment cycle lasted 28 days. Patients received their first dose of matching placebo at Cycle 1, Day 1. Administration of octreotide was performed every 28 days (± 4 days) starting on Cycle 1 Day 1.
Octreotide 30 mg every 21 daysEXPERIMENTALPatients received octreotide 30 mg every 21 days intramuscularly (im) for 6 months, a total of 8 doses. At each study visit, octreotide was administered only after completion of all scheduled efficacy and safety evaluations for that visit. Octreotide was injected im into the right or left gluteal regions. The injections were initially administered by a trained and authorized member of the investigational team. When no study visit at the investigational site was required, the injections were given by a trained nurse or the family doctor.
Octreotide 60 mg every 28 daysEXPERIMENTALPatients received octreotide 60 mg every 28 days intramuscularly (im) for 6 months, a total of 6 doses. Octreotide mg was administered as two 30 mg injections. At each study visit, octreotide was administered only after completion of all scheduled efficacy and safety evaluations for that visit. Octreotide was injected im into the right or left gluteal regions. The injections were initially administered by a trained and authorized member of the investigational team. When no study visit at the investigational site was required, the injections were given by a trained nurse or the family doctor.
OctreotideEXPERIMENTAL -
SandostatinEXPERIMENTAL -

Interventions

NameTypeDescription
OctreotideDRUGOctreotide 30 mg intramuscularly (i.m.) every 28 days.
PlaceboDRUGA 10-mg oral daily dosing regimen (two 5-mg tablets) of matching placebo.
EverolimusDRUGA 10-mg oral daily dosing regimen (two 5-mg tablets) of everolimus.
Octreotide acetate 30 mg suspensionDRUGEach vial of study medication contained octreotide acetate 30 mg in a microencapsulated biodegradable polymer, poly (DL-lactide-co-glycolide) (D-(+)glucose), with 17% w/w mannitol in an approximate octreotide:polymer ratio of 1:20. The vehicle contained 0.5% sodium carboxymethylcellulose.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites70

Inclusion criteria: * Advanced (unresectable or metastatic) carcinoid tumor * Confirmed low-grade or intermediate-grade neuroendocrine carcinoma * Documented progression of disease within 12 months prior to randomization. * Measurable disease determined by triphasic computer tomography (CT) scan or...

Countries:United StatesAustraliaBelgiumCanadaCzechiaFinlandFranceGermanyGreeceItalyNetherlandsSlovakiaSpainSwedenUnited Kingdom
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Frequently asked questions about Octreotide

What is Octreotide used for?

Octreotide is used for advanced hepatocellular carcinoma, acromegaly, carcinoid tumor, and thymoma. It is a small molecule developed by Novartis AG for endocrine conditions. Clinical trials have evaluated its efficacy in these indications, including a Phase 3 study in advanced hepatocellular carcinoma and a Phase 3 study in uncontrolled acromegaly.

What does Octreotide target?

Octreotide is a somatostatin analog that targets somatostatin receptors, which are often overexpressed in neuroendocrine tumors and other conditions. By binding to these receptors, it inhibits the release of growth hormone and other hormones, helping to manage conditions like acromegaly and carcinoid tumors.

Who makes Octreotide?

Octreotide is developed by Novartis AG, a multinational pharmaceutical company traded under the ticker NVS. Novartis has conducted multiple clinical trials of Octreotide across various indications, including advanced hepatocellular carcinoma, acromegaly, carcinoid tumor, and thymoma.

What phase is Octreotide in?

Octreotide has completed Phase 3 clinical trials for advanced hepatocellular carcinoma, acromegaly, and carcinoid tumor, as well as a Phase 2 trial for thymoma. It is an investigational drug in these settings, with all trials completed. It is not described as FDA approved in the available data.

What clinical trials is Octreotide in?

Octreotide has been studied in several completed trials, including NCT00241020 (Phase 3, advanced hepatocellular carcinoma, 270 patients), NCT00332969 (Phase 2, thymoma, 25 patients), NCT00372697 (Phase 3, acromegaly, 28 patients), and NCT00412061 (Phase 3, carcinoid tumor, 429 patients).

Is Octreotide the same as Octreotide Acetate?

Octreotide is also known as Octreotide Acetate, as seen in the trial titled 'Efficacy/Safety of Octreotide Acetate in Patients With Uncontrolled Acromegaly.' The drug is a small molecule somatostatin analog used in endocrine-related conditions such as acromegaly and carcinoid tumors.