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Pasireotide LAR

Phase 3

Acromegaly | Small molecule | Endocrine |Novartis AG|Last Updated: Dec 10, 2019

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedCONTROLLEDBiomarker
Total Trials2
Total Enrollment156
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02354508Pasireotide in Patients With Acromegaly Inadequately Controlled With First Generation Somatostatin AnaloguesPHASE3 COMPLETED 123Mar 31, 2015Sep 27, 2018Dec 10, 201950 Argentina, Belgium +13
NCT01673646Efficacy and Safety of Pasireotide LAR (Long-acting Release) in Japanese Patients With Acromegaly or Pituitary GigantismPHASE2 COMPLETED 33Oct 16, 2012Apr 10, 2017Sep 16, 201927 Japan
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Study Endpoints
Primary Endpoints
Core Phase: Percentage of Participants With Mean GH < 1 g/L and IGF-1 < ULN at Week 36 by Previous Treatment and Overall
Week 36

Percentage of participants who achieved biochemical control defined as GH \<1μg/L and IGF-1 \<ULN at week 36.

Core Phase: Percentage of Participants With Mean GH < 1 g/L and IGF-1 < ULN at Week 36 for Participants Up-titrated to Pasireotide LAR 60 mg
Week 36

Percentage of participants who achieved biochemical control defined as GH \<1μg/L and IGF-1 \<ULN at week 36, for participants who had been up-titrated with pasireotide LAR 60 mg.

Core Phase: Percentage of Participants With Mean GH < 1 g/L and IGF-1 < ULN at Week 36
Wek 36

Percentage of participants who achieved biochemical control defined as GH \<1μg/L and IGF-1 \<ULN at week 36.

Core Phase: Percentage of Participants With Mean GH < 1 g/L and IGF-1 < ULN at Week 36 Overall by Baseline Diabetic Status
Week 36

Percentage of participants who achieved biochemical control defined as GH \<1μg/L and IGF-1 \<ULN at week 36, overall by baseline diabetic status.

Core Phase: Percentage of Participants With Mean GH < 1 g/L and IGF-1 < ULN at Week 36 by Previous Treatment and Overall - LOCF
Week 36

Percentage of participants who achieved biochemical control defined as GH \<1μg/L and IGF-1 \<ULN at week 36, by previous treatment and overall - last observation carried forward (LOCF)

Total-group Response Rate at Month 3
Month 3

Percentage of participants with a reduction of mean growth hormone (GH) levels to \< 2.5 µg/L and the normalization of insulin-like growth factor-1 (IGF-1) to within normal limits (age and sex related) at 3 months across all doses

Secondary Endpoints
Core Phase: Change in Mean Growth Hormone (GH) Values From Baseline to Week 36
Baseline, week 36
Core Phase: Change in Standardized IGF-1 Values From Baseline to Week 36
Baseline, week 36
Core Phase: Percentage of Participants With Mean GH <1 μg/L and IGF-1 <ULN
Week 12, Week 24, Week 36
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Study Design & Arms
AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Pasireotide LAREXPERIMENTALPatients who qualify for the core phase of the study will be treated with pasireotide LAR 40 mg initially. Patients not achieving biochemical control can be up-titrated to pasireotide LAR 60 mg.
Pasireotide LAR 20mgEXPERIMENTALEnrolled patients were randomized to 20mg pasireotide LAR.
Pasireotide LAR 40mgEXPERIMENTALEnrolled patients were randomized to 40mg pasireotide LAR.
Pasireotide LAR 60mgEXPERIMENTALEnrolled patients were randomized to 60mg pasireotide LAR.
Interventions
NameTypeDescription
Pasireotide LARDRUGPasireotide 40 mg and 60 mg. Pasireotide 20 mg which was allowed for dose decrease in case of adverse event.
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites50

Inclusion Criteria: * Written informed consent * Male and female patients ≥18 years * Patients with confirmed diagnosis of inadequately controlled acromegaly (mean GH concentration ≥1 μg/L and sex- and age-adjusted IGF-1 \>1.3 x ULN) * Patients treated with octreotide LAR (30 mg or 40 mg) or lanreo...

Countries:ArgentinaBelgiumBrazilBulgariaChinaColombiaFranceHungaryItalyMalaysiaMexicoPortugalRomaniaTurkey (Türkiye)United KingdomJapan
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