18 and older, any sex, with Cushing's Disease. Patients with the condition only — healthy volunteers not accepted.
Results — posted to ClinicalTrials.gov
Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.
Percentage of Patients With a Drug-related Adverse Event That is Recorded as Grade 3 or 4 or as a Serious Adverse Event (SAE)Primary· Baseline up to approximately 256 weeks
Only AEs occurring on or after the start of study treatment and no more than 28 days after the discontinuation of study treatment. A patient with multiple occurrences of an AE under one treatment is counted only once in the AE category for that treatment. A patient with multiple severity grades for an AE while on a treatment, is only counted under the maximum grade.
Any primary system organ class
Group
Value
95% CI
600 µg Bid - All Grades
53.1
600 μg - Grades 3/4
53.1
900 μg - All Grades
29.1
900 μg - Grades 3/4
27.3
All Patients - All Grades
40.4
All Patients - Grades 3/4
39.4
Metabolism and nutrition disorders
Group
Value
95% CI
600 µg Bid - All Grades
26.5
600 μg - Grades 3/4
26.5
900 μg - All Grades
12.7
900 μg - Grades 3/4
10.9
All Patients - All Grades
19.2
All Patients - Grades 3/4
18.3
Gastrointestinal disorders
Group
Value
95% CI
600 µg Bid - All Grades
18.4
600 μg - Grades 3/4
18.4
900 μg - All Grades
7.3
900 μg - Grades 3/4
7.3
All Patients - All Grades
12.5
All Patients - Grades 3/4
12.5
Investigations
Group
Value
95% CI
600 µg Bid - All Grades
8.2
600 μg - Grades 3/4
8.2
900 μg - All Grades
3.6
900 μg - Grades 3/4
3.6
All Patients - All Grades
5.8
All Patients - Grades 3/4
5.8
Hepatobiliary disorders
Group
Value
95% CI
600 µg Bid - All Grades
2.0
600 μg - Grades 3/4
2.0
900 μg - All Grades
5.5
900 μg - Grades 3/4
5.5
All Patients - All Grades
3.8
All Patients - Grades 3/4
3.8
Endocrine disorders
Group
Value
95% CI
600 µg Bid - All Grades
6.1
600 μg - Grades 3/4
6.1
900 μg - All Grades
0
900 μg - Grades 3/4
0
All Patients - All Grades
2.9
All Patients - Grades 3/4
2.9
Gen disorders,admin site conditions
Group
Value
95% CI
600 µg Bid - All Grades
4.1
600 μg - Grades 3/4
4.1
900 μg - All Grades
0
900 μg - Grades 3/4
0
All Patients - All Grades
1.9
All Patients - Grades 3/4
1.9
Ear and labyrinth disorders
Group
Value
95% CI
600 µg Bid - All Grades
2.0
600 μg - Grades 3/4
2.0
900 μg - All Grades
0
900 μg - Grades 3/4
0
All Patients - All Grades
1.0
All Patients - Grades 3/4
1.0
Percentage of Patients With Mean Urinary Free Cortisol (UFC) ≤ Upper Limit of Normal (ULN)Secondary· Baseline, week 12, 24 and 48
The 24h-UFC concentration results from three samples during screening were averaged to obtain baseline. After baseline, mean 24h UFC was determined at week 24. At Week 4, 8, 16 and 20, mean 24h UFC was determined from two 24 hour urine collections collected on two consecutive days occurring before the visit. At Week 12, 24 and 48, the mean 24h-UFC from three 24 hour urine collections, collected over the week before the visit, was determined. After Week 24, the mean 24h UFC was determined at 12-week intervals until end of study visit, from two 24 hour collections during two consecutive days pri
Week 12
Group
Value
95% CI
Pasireotide 600 μg
77.8
57.74 – 91.38
Pasireotide 900 μg
38.5
23.36 – 55.38
All Patients
54.5
41.81 – 66.86
Week 24
Group
Value
95% CI
Pasireotide 600 μg
68.2
45.13 – 86.14
Pasireotide 900 μg
29.2
12.62 – 51.09
All Patients
47.8
32.89 – 63.05
Week 48
Group
Value
95% CI
Pasireotide 600 μg
70.0
34.75 – 93.33
Pasireotide 900 μg
18.2
2.28 – 51.78
All Patients
42.9
21.82 – 65.98
Week 24 (LOCF)
Group
Value
95% CI
Pasireotide 600 μg
54.1
36.92 – 70.51
Pasireotide 900 μg
28.6
16.59 – 43.26
All Patients
39.5
29.15 – 50.66
Week 48 (LOCF)
Group
Value
95% CI
Pasireotide 600 μg
51.4
34.40 – 68.08
Pasireotide 900 μg
22.4
11.78 – 36.62
All Patients
34.9
24.92 – 45.92
Percentage of Patients Achieving a Reduction of Mean UFC ≥ 50% From BaselineSecondary· Baseline, week 12, 24 and 48
The 24h-UFC concentration results from three samples during screening were averaged to obtain baseline. After baseline, mean 24h UFC was determined at week 24. At Week 4, 8, 16 and 20, mean 24h UFC was determined from two 24 hour urine collections collected on two consecutive days occurring before the visit. At Week 12, 24 and 48, the mean 24h-UFC from three 24 hour urine collections, collected over the week before the visit, was determined. After Week 24, the mean 24h UFC was determined at 12-week intervals until end of study visit, from two 24 hour collections during two consecutive days pri
Week 12
Group
Value
95% CI
Pasireotide 600 μg
74.1
53.72 – 88.89
Pasireotide 900 μg
48.7
32.42 – 65.22
All Patients
59.1
46.29 – 71.05
Week 24
Group
Value
95% CI
Pasireotide 600 μg
68.2
45.13 – 86.14
Pasireotide 900 μg
33.3
15.63 – 55.32
All Patients
50.00
34.90 – 65.10
Week 48
Group
Value
95% CI
Pasireotide 600 μg
60.0
26.24 – 87.84
Pasireotide 900 μg
54.5
23.38 – 83.25
All Patients
57.1
34.02 – 78.18
Week 24 (LOCF)
Group
Value
95% CI
Pasireotide 600 μg
56.8
39.49 – 72.90
Pasireotide 900 μg
38.8
25.20 – 53.76
All Patients
46.5
35.68 – 57.59
Week 48 (LOCF)
Group
Value
95% CI
Pasireotide 600 μg
51.4
34.40 – 68.08
Pasireotide 900 μg
42.9
28.82 – 57.79
All Patients
46.5
35.68 – 57.59
Percent Change in Cushing Quality of Life and Work Productivity and Activity Impairment-General Health (WPAI-GH) ScoresSecondary· Baseline, week 12, 24 and 48
A 12-item Cushing's syndrome HRQoL questionnaire (CushingQoL, cf. Webb et al 2008) was implemented and patients who completed 9 or more items at a visit were considered evaluable for that visit. The standardized scores were calculated as follows: 1) Obtain raw scores, denoted by X, as the sum of all the ratings on all the HRQoL questions for a single patient and the score can range from 12 (worst HRQoL) to 60 points (best HRQoL). Therefore, the lower the score, greater the negative impact on HRQoL and 2) obtain standardized score, Y, for a single patient
• Y = 100 (X-12) / (60-12) = 100 (X-12
Week 12
Group
Value
95% CI
Pasireotide 600 μg
21.3
± 47.03
Pasireotide 900 μg
100.8
± 252.25
All Patients
67.1
± 197.09
Week 24
Group
Value
95% CI
Pasireotide 600 μg
36.7
± 59.25
Pasireotide 900 μg
119.7
± 321.61
All Patients
82.3
± 243.19
Week 48
Group
Value
95% CI
Pasireotide 600 μg
24.0
± 37.76
Pasireotide 900 μg
42.3
± 60.75
All Patients
34.4
± 52.29
Percent Change in Cushing's Disease Clinical Signs and Symptoms - Blood Pressure (BP)Secondary· Baseline, week 12, 24 and 48
Standing systolic and diastolic BP based on 1 assessment and sitting systolic and diastolic BP was mean of 3 assessments.
Sitting systolic Week 12
Group
Value
95% CI
Pasireotide 600 μg
-6.8
± 12.04
Pasireotide 900 μg
-1.4
± 14.40
All Patients
-3.8
± 13.61
Sitting systolic Week 24
Group
Value
95% CI
Pasireotide 600 μg
-7.4
± 8.97
Pasireotide 900 μg
-5.7
± 11.09
All Patients
-6.5
± 10.13
Sitting systolic Week 48
Group
Value
95% CI
Pasireotide 600 μg
-5.1
± 8.57
Pasireotide 900 μg
-4.7
± 12.55
All Patients
-4.9
± 10.87
Standing systolic Week 12
Group
Value
95% CI
Pasireotide 600 μg
-7.9
± 12.49
Pasireotide 900 μg
-3.6
± 15.38
All Patients
-5.5
± 14.27
Standing systolic Week 24
Group
Value
95% CI
Pasireotide 600 μg
-10.9
± 10.30
Pasireotide 900 μg
-6.7
± 14.09
All Patients
-8.6
± 12.62
Standing systolic Week 48
Group
Value
95% CI
Pasireotide 600 μg
-6.5
± 9.45
Pasireotide 900 μg
-4.4
± 13.86
All Patients
-5.3
± 12.10
Sitting diastolic Week 12
Group
Value
95% CI
Pasireotide 600 μg
-4.6
± 15.13
Pasireotide 900 μg
-0.2
± 14.40
All Patients
-2.1
± 14.79
Sitting diastolic Week 24
Group
Value
95% CI
Pasireotide 600 μg
-6.2
± 7.29
Pasireotide 900 μg
-3.8
± 15.83
All Patients
-4.9
± 12.65
Percent Change in Cushing's Disease Clinical Signs and Symptoms - PulseSecondary· Baseline, week 12, 24 and 48
Change from baseline is shown as: Percent change from baseline (BL) =((Post BL value - BL value)/ BL value)\*100
Sitting pulse Week 12
Group
Value
95% CI
Pasireotide 600 μg
2.3
± 18.93
Pasireotide 900 μg
-7.5
± 11.50
All Patients
-3.2
± 15.87
Sitting pulse Week 24
Group
Value
95% CI
Pasireotide 600 μg
-1.8
± 17.05
Pasireotide 900 μg
-2.6
± 18.07
All Patients
-2.2
± 17.46
Sitting pulse Week 48
Group
Value
95% CI
Pasireotide 600 μg
2.9
± 16.39
Pasireotide 900 μg
3.7
± 15.46
All Patients
3.3
± 15.65
Percent Change in Cushing's Disease Clinical Signs and Symptoms - TemperatureSecondary· Baseline week 12, 24 and 48
degrees celius
Week 12
Group
Value
95% CI
600 µg Bid - All Grades
0.1
± 1.26
900 μg - All Grades
-0.3
± 1.06
All Patients - All Grades
-0.1
± 1.17
Week 24
Group
Value
95% CI
600 µg Bid - All Grades
-0.1
± 1.15
900 μg - All Grades
-0.1
± 1.26
All Patients - All Grades
-0.1
± 1.20
Week 48
Group
Value
95% CI
600 µg Bid - All Grades
0.03
± 1.47
900 μg - All Grades
-0.1
± 1.19
All Patients - All Grades
0.1
± 1.31
Percent Change in Cushing's Disease Clinical Signs and Symptoms - Body Mass Index (BMI)Secondary· Baseline, week 12, 24 and 48
Percent change in patients reducing by at least one class level. Class levels: \<25.0, 25.0 to \<30.0, ≥ 30.0. Percent change from baseline (BL) =((Post BL value - BL value)/ BL value)\*100
Week 12
Group
Value
95% CI
Pasireotide 600 μg
-4.2
± 3.70
Pasireotide 900 μg
-4.8
± 5.38
All Patients
-4.5
± 4.69
Week 24
Group
Value
95% CI
Pasireotide 600 μg
-7.3
± 5.46
Pasireotide 900 μg
-5.2
± 6.51
All Patients
-6.1
± 6.10
Week 48
Group
Value
95% CI
Pasireotide 600 μg
-8.0
± 6.82
Pasireotide 900 μg
-6.3
± 7.88
All Patients
-7.0
± 7.39
Percent Change in Cushing's Disease Clinical Signs and Symptoms - WeightSecondary· Baseline, week 12, 24 and 48
Clinically relevant threshold (at any time point) was reduction of ≥ 5%
Week 12
Group
Value
95% CI
Pasireotide 600 μg
-4.2
± 3.70
Pasireotide 900 μg
-4.8
± 5.38
All Patients
-4.5
± 4.69
Week 24
Group
Value
95% CI
Pasireotide 600 μg
-7.3
± 5.46
Pasireotide 900 μg
-5.2
± 6.51
All Patients
-6.1
± 6.10
Week 48
Group
Value
95% CI
Pasireotide 600 μg
-8.0
± 6.82
Pasireotide 900 μg
-6.3
± 7.88
All Patients
-7.0
± 7.39
Percent Change in Cushing's Disease Clinical Signs and Symptoms - Muscle StrengthSecondary· Baseline, week 12, 24 and 48
Direct observation of ability to stand unaided: 0=able to stand easily with arms extended, 1=able to stand after several efforts without using arms as assistance, 2=able to stand only by using arms as assistance 3=completely unable to stand
Week 12
Group
Value
95% CI
Pasireotide 600 μg
-34.6
± 62.53
Pasireotide 900 μg
-53.7
± 46.98
All Patients
-42.4
± 56.28
Week 24
Group
Value
95% CI
Pasireotide 600 μg
-28.6
± 48.80
Pasireotide 900 μg
-47.6
± 50.40
All Patients
-38.1
± 48.67
Week 48
Group
Value
95% CI
Pasireotide 600 μg
-30.0
± 44.72
Pasireotide 900 μg
-75.0
± 50.0
All Patients
-50.0
± 50.00
Percent Change in Cushing's Disease Clinical Signs and Symptoms - Waist CircumferenceSecondary· Baseline, week 12, 24 and 48
Clinically relevant threshold (at any time point). Reduction of ≥ 5%, Reduction of ≥ 10%
Week 12
Group
Value
95% CI
Pasireotide 600 μg
-2.0
± 4.29
Pasireotide 900 μg
-2.9
± 6.70
All Patients
-2.5
± 5.72
Week 24
Group
Value
95% CI
Pasireotide 600 μg
-5.8
± 6.28
Pasireotide 900 μg
-3.1
± 5.48
All Patients
-4.4
± 5.96
Week 48
Group
Value
95% CI
Pasireotide 600 μg
-5.1
± 5.74
Pasireotide 900 μg
-4.1
± 5.64
All Patients
-4.6
± 5.62
Percent Change in Cushing's Disease Clinical Signs and Symptoms - HirsutismSecondary· Baseline, week 12, 24 and 48
Change from baseline is shown as: Percent change from baseline (BL) =((Post BL value - BL value)/ BL value)\*100. Ferriman-Gallway scoring was used: 0=minimum and 36 was maximum in females only.
Week 12
Group
Value
95% CI
Pasireotide 600 μg
-12.2
± 24.57
Pasireotide 900 μg
-8.2
± 35.30
All Patients
-10.0
± 30.88
Week 24
Group
Value
95% CI
Pasireotide 600 μg
-21.2
± 32.72
Pasireotide 900 μg
-16.2
± 46.99
All Patients
18.4
± 40.79
Week 48
Group
Value
95% CI
Pasireotide 600 μg
-18.2
± 30.12
Pasireotide 900 μg
9.6
± 143.83
All Patients
-2.2
± 110.20
Adverse events — posted to ClinicalTrials.gov
Time frame: Adverse Events (AEs) are collected from First Patient First Visit (FPFV) until Last Patient Last Visit (LPLV). All AEs reported in this record are from date of First Patient First Treatment until Last Patient Last Visit up to approximately 256 weeks.
Reporting threshold: 5%.
Adverse-event reports describe events observed during the trial — not all are caused by the drug.
This study provided access to pasireotide sc in patients with Cushing's disease.and provided additional information for safety and efficacy of pasireotide s.c.
Publications & conference data
2 peer-reviewed publications reference this trial (live from Europe PMC):
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Publications: Europe PMC API search by NCT ID, retrieved 10 June 2026
Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
Sponsor: as reported to ClinicalTrials.gov by Novartis Pharmaceuticals
Last refreshed: 19 June 2018
Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT01582061.