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NCT01582061: SEASCAPE

An Open-label, Multi-center, Expanded Access Study of Pasireotide s.c. in Patients With Cushing's Disease.

Completed Phase 3 Results posted Last updated 19 June 2018
What this trial tests

Phase 3 trial testing Pasireotide sub-cutaneous in Cushing's Disease in 104 participants. Completed in 26 January 2017.

Timeline
16 August 2011
Primary endpoint
26 January 2017
26 January 2017

Quick facts

Lead sponsorNovartis Pharmaceuticals
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment104
Start date16 August 2011
Primary completion26 January 2017
Estimated completion26 January 2017
Sites65 locations across Russia, Greece, Germany, South Korea, Romania, Thailand, Lebanon, Spain

Drugs / interventions tested

Conditions studied

Sponsor

Novartis Pharmaceuticals — full company profile →

Who can join

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
GroupValue95% CI
600 µg Bid - All Grades53.1
600 μg - Grades 3/453.1
900 μg - All Grades29.1
900 μg - Grades 3/427.3
All Patients - All Grades40.4
All Patients - Grades 3/439.4
Metabolism and nutrition disorders
GroupValue95% CI
600 µg Bid - All Grades26.5
600 μg - Grades 3/426.5
900 μg - All Grades12.7
900 μg - Grades 3/410.9
All Patients - All Grades19.2
All Patients - Grades 3/418.3
Gastrointestinal disorders
GroupValue95% CI
600 µg Bid - All Grades18.4
600 μg - Grades 3/418.4
900 μg - All Grades7.3
900 μg - Grades 3/47.3
All Patients - All Grades12.5
All Patients - Grades 3/412.5
Investigations
GroupValue95% CI
600 µg Bid - All Grades8.2
600 μg - Grades 3/48.2
900 μg - All Grades3.6
900 μg - Grades 3/43.6
All Patients - All Grades5.8
All Patients - Grades 3/45.8
Hepatobiliary disorders
GroupValue95% CI
600 µg Bid - All Grades2.0
600 μg - Grades 3/42.0
900 μg - All Grades5.5
900 μg - Grades 3/45.5
All Patients - All Grades3.8
All Patients - Grades 3/43.8
Endocrine disorders
GroupValue95% CI
600 µg Bid - All Grades6.1
600 μg - Grades 3/46.1
900 μg - All Grades0
900 μg - Grades 3/40
All Patients - All Grades2.9
All Patients - Grades 3/42.9
Gen disorders,admin site conditions
GroupValue95% CI
600 µg Bid - All Grades4.1
600 μg - Grades 3/44.1
900 μg - All Grades0
900 μg - Grades 3/40
All Patients - All Grades1.9
All Patients - Grades 3/41.9
Ear and labyrinth disorders
GroupValue95% CI
600 µg Bid - All Grades2.0
600 μg - Grades 3/42.0
900 μg - All Grades0
900 μg - Grades 3/40
All Patients - All Grades1.0
All Patients - Grades 3/41.0
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
GroupValue95% CI
Pasireotide 600 μg77.857.74 – 91.38
Pasireotide 900 μg38.523.36 – 55.38
All Patients54.541.81 – 66.86
Week 24
GroupValue95% CI
Pasireotide 600 μg68.245.13 – 86.14
Pasireotide 900 μg29.212.62 – 51.09
All Patients47.832.89 – 63.05
Week 48
GroupValue95% CI
Pasireotide 600 μg70.034.75 – 93.33
Pasireotide 900 μg18.22.28 – 51.78
All Patients42.921.82 – 65.98
Week 24 (LOCF)
GroupValue95% CI
Pasireotide 600 μg54.136.92 – 70.51
Pasireotide 900 μg28.616.59 – 43.26
All Patients39.529.15 – 50.66
Week 48 (LOCF)
GroupValue95% CI
Pasireotide 600 μg51.434.40 – 68.08
Pasireotide 900 μg22.411.78 – 36.62
All Patients34.924.92 – 45.92
Percentage of Patients Achieving a Reduction of Mean UFC ≥ 50% From Baseline 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
GroupValue95% CI
Pasireotide 600 μg74.153.72 – 88.89
Pasireotide 900 μg48.732.42 – 65.22
All Patients59.146.29 – 71.05
Week 24
GroupValue95% CI
Pasireotide 600 μg68.245.13 – 86.14
Pasireotide 900 μg33.315.63 – 55.32
All Patients50.0034.90 – 65.10
Week 48
GroupValue95% CI
Pasireotide 600 μg60.026.24 – 87.84
Pasireotide 900 μg54.523.38 – 83.25
All Patients57.134.02 – 78.18
Week 24 (LOCF)
GroupValue95% CI
Pasireotide 600 μg56.839.49 – 72.90
Pasireotide 900 μg38.825.20 – 53.76
All Patients46.535.68 – 57.59
Week 48 (LOCF)
GroupValue95% CI
Pasireotide 600 μg51.434.40 – 68.08
Pasireotide 900 μg42.928.82 – 57.79
All Patients46.535.68 – 57.59
Percent Change in Cushing Quality of Life and Work Productivity and Activity Impairment-General Health (WPAI-GH) Scores Secondary · 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
GroupValue95% CI
Pasireotide 600 μg21.3± 47.03
Pasireotide 900 μg100.8± 252.25
All Patients67.1± 197.09
Week 24
GroupValue95% CI
Pasireotide 600 μg36.7± 59.25
Pasireotide 900 μg119.7± 321.61
All Patients82.3± 243.19
Week 48
GroupValue95% CI
Pasireotide 600 μg24.0± 37.76
Pasireotide 900 μg42.3± 60.75
All Patients34.4± 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
GroupValue95% 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
GroupValue95% 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
GroupValue95% 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
GroupValue95% 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
GroupValue95% 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
GroupValue95% 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
GroupValue95% 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
GroupValue95% 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 - Pulse Secondary · 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
GroupValue95% CI
Pasireotide 600 μg2.3± 18.93
Pasireotide 900 μg-7.5± 11.50
All Patients-3.2± 15.87
Sitting pulse Week 24
GroupValue95% 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
GroupValue95% CI
Pasireotide 600 μg2.9± 16.39
Pasireotide 900 μg3.7± 15.46
All Patients3.3± 15.65
Percent Change in Cushing's Disease Clinical Signs and Symptoms - Temperature Secondary · Baseline week 12, 24 and 48

degrees celius

Week 12
GroupValue95% CI
600 µg Bid - All Grades0.1± 1.26
900 μg - All Grades-0.3± 1.06
All Patients - All Grades-0.1± 1.17
Week 24
GroupValue95% 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
GroupValue95% CI
600 µg Bid - All Grades0.03± 1.47
900 μg - All Grades-0.1± 1.19
All Patients - All Grades0.1± 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
GroupValue95% CI
Pasireotide 600 μg-4.2± 3.70
Pasireotide 900 μg-4.8± 5.38
All Patients-4.5± 4.69
Week 24
GroupValue95% CI
Pasireotide 600 μg-7.3± 5.46
Pasireotide 900 μg-5.2± 6.51
All Patients-6.1± 6.10
Week 48
GroupValue95% 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 - Weight Secondary · Baseline, week 12, 24 and 48

Clinically relevant threshold (at any time point) was reduction of ≥ 5%

Week 12
GroupValue95% CI
Pasireotide 600 μg-4.2± 3.70
Pasireotide 900 μg-4.8± 5.38
All Patients-4.5± 4.69
Week 24
GroupValue95% CI
Pasireotide 600 μg-7.3± 5.46
Pasireotide 900 μg-5.2± 6.51
All Patients-6.1± 6.10
Week 48
GroupValue95% 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 Strength Secondary · 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
GroupValue95% CI
Pasireotide 600 μg-34.6± 62.53
Pasireotide 900 μg-53.7± 46.98
All Patients-42.4± 56.28
Week 24
GroupValue95% CI
Pasireotide 600 μg-28.6± 48.80
Pasireotide 900 μg-47.6± 50.40
All Patients-38.1± 48.67
Week 48
GroupValue95% 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 Circumference Secondary · Baseline, week 12, 24 and 48

Clinically relevant threshold (at any time point). Reduction of ≥ 5%, Reduction of ≥ 10%

Week 12
GroupValue95% CI
Pasireotide 600 μg-2.0± 4.29
Pasireotide 900 μg-2.9± 6.70
All Patients-2.5± 5.72
Week 24
GroupValue95% CI
Pasireotide 600 μg-5.8± 6.28
Pasireotide 900 μg-3.1± 5.48
All Patients-4.4± 5.96
Week 48
GroupValue95% 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 - Hirsutism Secondary · 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
GroupValue95% CI
Pasireotide 600 μg-12.2± 24.57
Pasireotide 900 μg-8.2± 35.30
All Patients-10.0± 30.88
Week 24
GroupValue95% CI
Pasireotide 600 μg-21.2± 32.72
Pasireotide 900 μg-16.2± 46.99
All Patients18.4± 40.79
Week 48
GroupValue95% CI
Pasireotide 600 μg-18.2± 30.12
Pasireotide 900 μg9.6± 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.

600 µg Bid
Serious: 13/49 (27%)
Deaths: 0/49
900 µg Bid
Serious: 17/55 (31%)
Deaths: 1/55
All Patients
Serious: 30/104 (29%)
Deaths: 1/104

Serious adverse events (41 terms)

ReactionSystem600 µg Bid900 µg BidAll Patients
DiarrhoeaGastrointestinal disorders
Cholecystitis acuteHepatobiliary disorders
Diabetes mellitusMetabolism and nutrition disorders
HyperglycaemiaMetabolism and nutrition disorders
HypokalaemiaMetabolism and nutrition disorders
AnaemiaBlood and lymphatic system disorders
Atrial fibrillationCardiac disorders
Adrenal insufficiencyEndocrine disorders
Glucocorticoid deficiencyEndocrine disorders
HyperprolactinaemiaEndocrine disorders
Pituitary-dependent Cushing's syndromeEndocrine disorders
Abdominal painGastrointestinal disorders
Gastrointestinal ulcerGastrointestinal disorders
PancreatitisGastrointestinal disorders
Pancreatitis necrotisingGastrointestinal disorders
DeathGeneral disorders
Drug ineffectiveGeneral disorders
Bile duct stoneHepatobiliary disorders
Cholangitis acuteHepatobiliary disorders
CholelithiasisHepatobiliary disorders
Hepatic lesionHepatobiliary disorders
CellulitisInfections and infestations
Dengue feverInfections and infestations
MeningitisInfections and infestations
PneumoniaInfections and infestations
Other adverse events (60 terms — click to expand)

ReactionSystem600 µg Bid900 µg BidAll Patients
DiarrhoeaGastrointestinal disorders
NauseaGastrointestinal disorders
HyperglycaemiaMetabolism and nutrition disorders
HeadacheNervous system disorders
CholelithiasisHepatobiliary disorders
FatigueGeneral disorders
Diabetes mellitusMetabolism and nutrition disorders
Abdominal painGastrointestinal disorders
DizzinessNervous system disorders
Blood glucose increasedInvestigations
Oedema peripheralGeneral disorders
FlatulenceGastrointestinal disorders
AstheniaGeneral disorders
AlopeciaSkin and subcutaneous tissue disorders
VomitingGastrointestinal disorders
Insulin-like growth factor decreasedInvestigations
NasopharyngitisInfections and infestations
Abdominal pain upperGastrointestinal disorders
Dry mouthGastrointestinal disorders
Procedural nauseaInjury, poisoning and procedural complications
Type 2 diabetes mellitusMetabolism and nutrition disorders
Pain in extremityMusculoskeletal and connective tissue disorders
Upper respiratory tract infectionInfections and infestations
Gamma-glutamyltransferase increasedInvestigations
Decreased appetiteMetabolism and nutrition disorders
HypoglycaemiaMetabolism and nutrition disorders
ArthralgiaMusculoskeletal and connective tissue disorders
DepressionPsychiatric disorders
HypertensionVascular disorders
DyspepsiaGastrointestinal disorders
RashSkin and subcutaneous tissue disorders
BradycardiaCardiac disorders
Sinus bradycardiaCardiac disorders
Adrenal insufficiencyEndocrine disorders
ConstipationGastrointestinal disorders
Faeces softGastrointestinal disorders
Frequent bowel movementsGastrointestinal disorders
Injection site erythemaGeneral disorders
Hepatic steatosisHepatobiliary disorders
GastroenteritisInfections and infestations

Most-reported serious reactions: Diarrhoea, Cholecystitis acute, Diabetes mellitus, Hyperglycaemia, Hypokalaemia, Anaemia, Atrial fibrillation, Adrenal insufficiency.

Data from ClinicalTrials.gov NCT01582061 adverse events section.

Sponsor's own description

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):

  1. Medical Treatment of Cushing's Disease: An Overview of the Current and Recent Clinical Trials.
    Pivonello R, Ferrigno R, De Martino MC, Simeoli C, et al · · 2020 · cited 84× · PMID 33363514 · DOI 10.3389/fendo.2020.00648
  2. Safety and Efficacy of Subcutaneous Pasireotide in Patients With Cushing's Disease: Results From an Open-Label, Multicenter, Single-Arm, Multinational, Expanded-Access Study.
    Fleseriu M, Iweha C, Salgado L, Mazzuco TL, et al · · 2019 · cited 13× · PMID 31379734 · DOI 10.3389/fendo.2019.00436

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Other recruiting trials for Cushing's Disease

Currently open trials in the same condition.

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Trials by the same sponsor.

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Data sources for this page

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.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing