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Octreotide LAR

Phase 3

Acromegaly | Small molecule | Endocrine |Novartis AG|Last Updated: Apr 30, 2026

Target and mechanism

Molecular targetSSTR5, SSTR2, SSTR4, SSTR1, SSTR3
Target classAgonist
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

RandomizedUNCONTROLLED
Total Trials2
Total Enrollment200

FDA Designations

No designations recorded

Clinical trial landscape

Octreotide LAR · 5 trials · 7 indications

Phase 3 3Phase 2 2
NCT06784752Study to Evaluate the Efficacy and Safety of [177Lu]Lu-DOTA-TATE in Patients With Grade 1 and Grade 2 Advanced GEP-NETSomatostatin Receptor Positive (SSTR+)
RECRUITING240 Analytics
NCT00128232Safety and Efficacy of Octreotide Long Acting Release (LAR) in Treatment Naïve Acromegalic PatientsAcromegaly
COMPLETED100 Analytics
NCT00225979Safety and Efficacy of Long-acting Repeatable Octreotide Acetate for Injectable Suspension vs. Surgery in Treatment-naïve Patients With AcromegalyAcromegaly
COMPLETED100 Analytics
PHASE3RECRUITING
Study to Evaluate the Efficacy and Safety of [177Lu]Lu-DOTA-TATE in Patients With Grade 1 and Grade 2 Advanced GEP-NET
Somatostatin Receptor Positive (SSTR+)Unlock trial analytics
PHASE3COMPLETED
Safety and Efficacy of Octreotide Long Acting Release (LAR) in Treatment Naïve Acromegalic Patients
AcromegalyUnlock trial analytics
PHASE3COMPLETED
Safety and Efficacy of Long-acting Repeatable Octreotide Acetate for Injectable Suspension vs. Surgery in Treatment-naïve Patients With Acromegaly
AcromegalyUnlock trial analytics

Study Endpoints

Primary Endpoints

Progression Free Survival (PFS) centrally assessed by Blinded Independent Review Committee (BIRC)
After observing approximately 88 PFS events as per BIRC assessments, expected after approximately 33 months from study start

PFS is defined as the time from randomization to the first occurrence of progression (centrally assessed by Blinded Independent Review Committee (BIRC) according to RECIST v1.1) or death due to any cause.

Mean GH and IGF-I at baseline, week 12, 24 and 48
Number of Participants With Treatment Success From Day 10 to Day 13
Day 10 to Day 13

Treatment Success was defined as: less than 2 episodes of vomiting on average per day for the 4 days prior to Day 14 \[from Day 10 to Day 13\] and no use of an Nasogastric Tube (NGT) since at least Day 10 and no use of an anticholinergic agent until Day 14. Treatment Failure is defined as: 2 or more episodes of vomiting per day on average for the 4 days prior to Day 14 or use of an NGT after Day 9 or use of an anticholinergic agent before Day 14 or withdrawal from the trial between Day 1 and Day 14 (included), whatever the cause.

Time to 25% decrease in chromogranin A plasma level (evaluation every 4 weeks for the first 12 weeks and every 12 weeks after)

Secondary Endpoints

Time to Deterioration (TDD) (Key Secondary)
After observing approximately 88 PFS events as per BIRC assessment, expected after approximately 33 months from study start
Progression Free Survival (PFS)
After observing approximately 88 PFS events as per BIRC assessment, expected after approximately 33 months from study start
Objective Response Rate (ORR)
After observing approximately 88 PFS events as per BIRC assessment, expected after approximately 33 months from study start
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
[177Lu]Lu-DOTA-TATE + Octreotide LAREXPERIMENTALParticipants in this arm will receive \[177Lu\]Lu-DOTA-TATE plus Octreotide long-acting release (LAR).
Octreotide LARACTIVE_COMPARATORParticipants in this arm will receive Octreotide LAR only.
SMS995EXPERIMENTAL -
OctreotideEXPERIMENTALParticipants received Octreotide long-acting release (LAR) 30 mg intramuscular injection every 28 days for 3 months beginning on Day 1. Participants also received immediate-release Octreotide 600 µg/day (administered subcutaneously 2 or 3 times a day or via continuous intravenous (IV) or subcutaneous injection over a 24 hour period) and methlylpredinisolone 3-4 mg/kg per day (IV bolus for 1 hour or 2 subcutaneous injections) for the first 6 days.
PlaceboPLACEBO_COMPARATORParticipants received physiologic saline solution intramuscular injection every 28 days for 3 months beginning on Day 1. Participants also received physiologic saline solution (administered subcutaneously 2 or 3 times a day or via continuous intravenous or subcutaneous injection over a 24 hour period) and methlylpredinisolone 3-4 mg/kg per day (IV bolus for 1 hour or 2 subcutaneous injections) for the first 6 days.

Interventions

NameTypeDescription
[177Lu]Lu-DOTA-TATERADIATION\[177Lu\]Lu-DOTA-TATE will be administered 4 times during treatment period with frequency of every 8 weeks (Q8W)
Octreotide LARDRUGOctreotide LAR will be administered Q8W when co-administered with \[177Lu\]Lu-DOTA-TATE in the investigational arm followed by Q4W. In the control arm Octreotide LAR will be administered Q4W.
Octreotide (Immediate release)DRUGImmediate-release Octreotide supplied in 100 µg/mL ampules.
methylprednisoloneDRUGmethlylpredinisolone 3-4 mg/kg per day (IV bolus for 1 hour or 2 subcutaneous injections).
PlaceboDRUGPhysiologic saline solution
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Eligibility Criteria

Age Range12 Years to 100 Years
SexALL
Healthy VolunteersNo
Study Sites65

Inclusion Criteria: * Presence of metastasized or locally advanced, unresectable (curative intent), histologically proven, well differentiated Grade 1 or Grade 2 (Ki-67 \<10%) gastroenteropancreatic neuroendocrine tumor (GEP-NET) diagnosed within 6 months prior to screening. * Participants with hig...

Countries:United StatesCanadaChinaFranceGermanyHungaryItalyNetherlandsPolandSouth KoreaSpainUnited Kingdom
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Frequently asked questions about Octreotide LAR

What is Octreotide LAR used for?

Octreotide LAR is used for acromegaly, prostate cancer, and peritoneal neoplasms. It is also being studied in somatostatin receptor positive (SSTR+) gastroenteropancreatic neuroendocrine tumors (GEP-NET). The drug is a long-acting repeatable formulation of octreotide acetate for injectable suspension.

What does Octreotide LAR target?

Octreotide LAR is a peptide that targets somatostatin receptors. It is being evaluated in patients with somatostatin receptor positive (SSTR+) tumors, including gastroenteropancreatic neuroendocrine tumors (GEP-NET). The drug's activity is related to its binding to these receptors.

Who makes Octreotide LAR?

Octreotide LAR is developed by Novartis AG, which trades under the ticker NVS. The company is conducting clinical trials of the drug across multiple indications, including acromegaly, prostate cancer, and peritoneal neoplasms.

What phase is Octreotide LAR in?

Octreotide LAR is in Phase 3 clinical development. A Phase 3 trial is currently recruiting patients with somatostatin receptor positive (SSTR+) gastroenteropancreatic neuroendocrine tumors (GEP-NET). The drug is investigational and not yet approved for this indication.

What clinical trials is Octreotide LAR in?

Octreotide LAR is being studied in a Phase 3 trial with NCT number NCT06784752, which is recruiting 240 patients with SSTR+ GEP-NET. Completed trials include NCT00166725 in prostate cancer, NCT00225979 in acromegaly, and NCT00332696 in peritoneal neoplasms.

Is Octreotide LAR the same as octreotide acetate?

Octreotide LAR is a long-acting repeatable formulation of octreotide acetate for injectable suspension. Clinical trials reference octreotide acetate as the active substance, and Octreotide LAR is the extended-release version designed for sustained delivery.