Determination of the Maximum Tolerated Dose (MTD) by Number of Subjects With DLTs.
| Group | Value (participants) |
|---|---|
| 180 mg Lanreotide PRF | 0 |
| 270 mg Lanreotide PRF | 0 |
| 360 mg Lanreotide PRF | 0 |
Trial · Interventional
CompletedPhase 1/2Results postedRegistry dataBelgium, Czechia, France, Germany, Italy, Lithuania, Netherlands, Poland, Romania, Russia, Spain, United Kingdom
1 trial · 1 completed · 1 with posted results
Study to Determine the Maximum Tolerated Dose, Safety and Tolerability of a Single Dose of Lanreotide Prolonged Release Formulation (PRF) in Subjects With Acromegaly
NCT02396953Mar 2015 to 28 Nov 2017
Text and fields below are the sponsor's entries at ClinicalTrials.gov, shown as posted.
The objectives of the protocol is to determine the maximum tolerated dose and to investigate the pharmacokinetics of a single dose of lanreotide PRF in subjects with acromegaly.
Experimental
lanreotide PRF
One single dose of lanreotide PRF (via subcutaneous injection) either 180mg or 270mg or 360mg.
Outcomes the sponsor listed as primary.
Determination of the Maximum Tolerated Dose (MTD) by Number of Subjects With DLTs.
Time frame · From Day 1 up to Week 25.
The MTD was defined based on the DLTs observed in each cohort. A DLT was defined as an adverse event (AE) (excluding anorexia and fatigue) or an abnormal laboratory value occurring within the first week (up to Week 2) following lanreotide PRF administration and during the entire study duration, assessed as unrelated to acromegaly, intercurrent illness or concomitant medications and which met any of the pre-established toxicity criteria. If no DLTs were reported then no MTD could be defined.
PK Analysis of Lanreotide: Maximum Observed Serum Concentration (Cmax).
Time frame · From Baseline (pre-dose) up to Week 25.
Blood samples for determination of lanreotide serum concentrations were collected at Baseline (pre-dose), at 1, 2, 4, 6, 8,12 and 24 hours post-dose, on Days 3 and 5 and at Weeks 2, 3, 5, 9 and 13 after lanreotide PRF administration. Samples were also collected during follow-up at Weeks 17, 21 and 25 (or EW). Mean serum lanreotide Cmax values were determined using non-compartmental analysis.
PK Analysis of Lanreotide: Time to Reach Maximum Serum Concentration (Tmax).
Time frame · From Baseline (pre-dose) up to Week 25.
Blood samples for determination of lanreotide serum concentrations were collected at Baseline (pre-dose), at 1, 2, 4, 6, 8,12 and 24 hours post-dose, on Days 3 and 5 and at Weeks 2, 3, 5, 9 and 13 after lanreotide PRF administration. Samples were also collected during follow-up at Weeks 17, 21 and 25 (or EW). Median serum lanreotide Tmax values were determined using non-compartmental analysis.
PK Analysis of Lanreotide: Apparent Terminal Elimination Half-life (t1/2).
Time frame · From Baseline (pre-dose) up to Week 25.
Blood samples for determination of lanreotide serum concentrations were collected at Baseline (pre-dose), at 1, 2, 4, 6, 8,12 and 24 hours post-dose, on Days 3 and 5 and at Weeks 2, 3, 5, 9 and 13 after lanreotide PRF administration. Samples were also collected during follow-up at Weeks 17, 21 and 25 (or EW). Mean serum lanreotide t1/2 values were determined using non-compartmental analysis. Only values fulfilling the determination rules for t1/2 were analysed.
PK Analysis of Lanreotide: Area Under the Serum Concentration-time Curve From Time 0 to 85 Days (AUC0-85).
Time frame · From Baseline (pre-dose) up to Day 85
Blood samples for determination of lanreotide serum concentrations were collected at Baseline (pre-dose), at 1, 2, 4, 6, 8,12 and 24 hours post-dose, on Days 3 and 5 and at Weeks 2, 3, 5, 9 and 13 after lanreotide PRF administration. Sample were also collected during follow-up at Weeks 17, 21 and 25 (or EW). Mean serum lanreotide AUC0-85 values were determined using non-compartmental analysis.
PK Analysis of Lanreotide: Area Under the Serum Concentration-time Curve Extrapolated to Infinity (AUC0-∞).
Time frame · From Baseline (pre-dose) up to Week 25.
Blood samples for determination of lanreotide serum concentrations were collected at Baseline (pre-dose), at 1, 2, 4, 6, 8,12 and 24 hours post-dose, on Days 3 and 5 and at Weeks 2, 3, 5, 9 and 13 after lanreotide PRF administration. Samples were also collected during follow-up at Weeks 17, 21 and 25 (or EW). Mean serum lanreotide AUC0-∞ values were determined using non-compartmental analysis. Only values fulfilling the accuracy determination rules for AUC0-∞ were analysed.
Overall Summary of Number of Subjects With AEs.
Time frame · From Day -42 up to Week 25.
AEs reported by the investigators using the National Cancer Institute-Common Toxicity Criteria (NCI CTCAE) classification (Version 4.03) and incidence of all reported treatment emergent AEs (TEAEs) and serious AEs (SAEs) are presented by dose cohort. AEs were assigned to a NCI CTCAE Grade from 1 through 5 as follows: Grade 1: Mild; Grade 2: Moderate; Grade 3: Severe or medically significant but not immediately life threatening or requiring hospitalisation; Grade 4: Life-threatening consequences; Grade 5: Death related to AE. TEAEs were defined as any AE that occurs during the active phase of the study (between the start of the 3 month treatment period and 3 months after the end of study treatment). The worst intensity of TEAES at each grade are reported for all and for related TEAES. In the event of multiple occurrences of the same AEs being reported by the same subject, the maximum intensity and the most serious causality were reported.
PK Analysis of Glycofurol Excipients: Cmax.
Time frame · From Baseline (pre-dose) up to Day 5.
Blood samples for determination of the excipients (N1-glycofurol and N2-glycofurol) serum concentrations were collected at Baseline (pre-dose), at 1, 2, 4, 6, 8, 12 and 24 hours post-dose and on Days 3 and 5. Mean serum N1-glycofurol and N2-glycofurol Cmax values were determined using non-compartmental analysis.
PK Analysis of Glycofurol Excipients: Tmax.
Time frame · From Baseline (pre-dose) up to Day 5.
Blood samples for determination of the excipients (N1-glycofurol and N2-glycofurol) serum concentrations were collected at Baseline (pre-dose), at 1, 2, 4, 6, 8, 12 and 24 hours post-dose and on Days 3 and 5. Median serum N1-glycofurol and N2-glycofurol Tmax values were determined using non-compartmental analysis.
PK Analysis of Glycofurol Excipients: AUC0-∞ and Area Under the Serum Concentration Time Curve From Time 0 to Last Quantifiable Timepoint (AUC0-t).
Time frame · From Baseline (pre-dose) up to Day 5.
Blood samples for determination of the excipients (N1-glycofurol and N2-glycofurol) serum concentrations were collected at Baseline (pre-dose), at 1, 2, 4, 6, 8, 12 and 24 hours post-dose and on Days 3 and 5. Mean serum N1-glycofurol and N2-glycofurol AUC0-∞ and AUC0-t values were determined using non-compartmental analysis. Only AUC0-∞ values fulfilling the accuracy determination rules were analysed.
PD Analysis: Mean Change From Baseline in Insulin-like Growth Factor 1 (IGF-1).
Time frame · From Baseline (pre-dose) up to Week 25.
Blood samples were collected for the determination of IGF-1 in serum at Baseline (pre-dose), 6 hours post-dose and at Weeks 5, 9 and 13. Samples were also collected during follow-up at Weeks 17, 21 and 25 (or EW). Serum concentrations of IGF-1 were calculated using the Immulite 2000 Platform for all subjects in the safety population. The production of the reagent kits was stopped by the vendor during the study. The old reagent kits were used for Cohorts 1 and 2 until their expiry date and then the kits were switched to a new reagent and used for remaining subjects in Cohorts 2 and 3. Summary data for serum concentrations of IGF-1 were obtained using both methods (old and new reagent) and the mean change from Baseline at each time point is presented.
PD Analysis: Mean Change From Baseline in Growth Hormone (GH).
Time frame · From Baseline (pre-dose) up to Week 13.
GH cycle assessments were performed by taking 5 samples in the morning (with a sample taken every 30 minutes for 2 hours) at Baseline (pre-dose), Week 5 and Week 13. Summary data for the mean of the 5 samplings of the GH cycle were generated and the mean change from Baseline at each time point is presented.
PD Analysis: Mean Change From Baseline in Free Triiodothyroxine (FT3) and Free Thyroxine (FT4).
Time frame · From Baseline (pre-dose) up to Week 25.
Blood samples were collected for the determination of FT3 and FT4 in serum at Baseline (pre-dose) and at Weeks 2, 5, 13 and 25 (or EW). Summary data for serum concentrations of FT3 and FT4 were calculated and the mean change from Baseline at each time point is presented.
PD Analysis: Mean Change From Baseline in Thyroid Stimulating Hormone (TSH).
Time frame · From Baseline (pre-dose) up to Week 25.
Blood samples were collected for the determination of TSH in serum at Baseline (pre-dose) and at Weeks 2, 5, 13 and 25 (or EW). Summary data for serum concentrations of TSH were calculated and the mean change from Baseline at each time point is presented.
PD Analysis: Mean Change From Baseline in Prolactin.
Time frame · From Baseline (pre-dose) up to Week 25.
Blood samples were collected for the determination of prolactin in serum at Baseline (pre-dose) and at Weeks 2, 5, 13 and 25 (or EW). Summary data for serum concentration of prolactin were calculated and the mean change from Baseline at each time point is presented.
Values are shown as posted at ClinicalTrials.gov, with their units. PepBank has not converted, pooled or compared them.
| Group | Value (participants) |
|---|---|
| 180 mg Lanreotide PRF | 0 |
| 270 mg Lanreotide PRF | 0 |
| 360 mg Lanreotide PRF | 0 |
| Group | Value (nanograms/millilitre (ng/mL)) | Spread |
|---|---|---|
| Lanreotide PK Set: 180 mg Lanreotide PRF | 19.0 | 15.7 |
| Lanreotide PK Set: 270 mg Lanreotide PRF | 14.0 | 10.3 |
| Lanreotide PK Set: 360 mg Lanreotide PRF | 20.5 | 5.86 |
| Group | Value (days) |
|---|---|
| Lanreotide PK Set: 180 mg Lanreotide PRF | 0.250 |
| Lanreotide PK Set: 270 mg Lanreotide PRF | 0.253 |
| Lanreotide PK Set: 360 mg Lanreotide PRF | 0.250 |
| Group | Value (days) | Spread |
|---|---|---|
| Lanreotide PK Set: 180 mg Lanreotide PRF | 54.2 | 17.0 |
| Lanreotide PK Set: 270 mg Lanreotide PRF | 61.7 | 13.9 |
| Lanreotide PK Set: 360 mg Lanreotide PRF | 63.1 | 13.3 |
| Group | Value (ng*day/mL) | Spread |
|---|---|---|
| Lanreotide PK Set: 180 mg Lanreotide PRF | 161 | 97.6 |
| Lanreotide PK Set: 270 mg Lanreotide PRF | 179 | 54.2 |
| Lanreotide PK Set: 360 mg Lanreotide PRF | 265 | 87.1 |
| Group | Value (ng*day/mL) | Spread |
|---|---|---|
| Lanreotide PK Set: 180 mg Lanreotide PRF | NA | NA |
| Lanreotide PK Set: 270 mg Lanreotide PRF | NA | NA |
| Lanreotide PK Set: 360 mg Lanreotide PRF | NA | NA |
| Group | Value (participants) |
|---|---|
| 180 mg Lanreotide PRF | 6 |
| 270 mg Lanreotide PRF | 7 |
| 360 mg Lanreotide PRF | 7 |
| Group | Value (ng/mL) | Spread |
|---|---|---|
| Glycofurol PK Set: 180 mg Lanreotide PRF | 75.4 | 65.6 |
| Glycofurol PK Set: 270 mg Lanreotide PRF | 61.7 | 17.2 |
| Glycofurol PK Set: 360 mg Lanreotide PRF | not posted | – |
| Group | Deaths | Serious events | Other events |
|---|---|---|---|
| 180 mg Lanreotide PRFOn Day 1, 3 initial subjects in Cohort 1 received 180 mg lanreotide PRF by a single deep subcutaneous injection in the superior, external quadrant of the buttock and a 12-week treatment period then commenced. The dose escalation proceeded with a 3+3+3 scheme. If 0 or 1 out of the 3 dosed subjects had experienced a DLT, 3 more subjects would have been dosed with the same dose. If more than 3 out of 9 subjects had experienced a DLT, dose escalation would have stopped, and the dose declared the maximum administered dose. If ≤3 DLTs had been observed in the 9 treated subjects and the overall safety was in line with the known lanreotide safety profile, the DRC would have allowed the dose to be escalated to 270 mg (Cohort 2). At the end of the treatment period subjects continued to be assessed over a 12-week follow up period until EOS at Week 25 or EW. | 0 / 9 | 1 / 9 | 6 / 9 |
| 270 mg Lanreotide PRFOn Day 1, 1 initial subject in Cohort 2 received 270 mg lanreotide PRF by a single deep subcutaneous injection in the superior, external quadrant of the buttock and a 12-week treatment period then commenced. Cohort 2 subjects were treated and reviewed on a 1+2+2+2+2 scheme. If no DLT was experienced, 2 more subjects would have been dosed with the same dose. If more than 3 out of 9 subjects had experienced a DLT, dose escalation would have stopped, and the dose was declared the maximum administered dose. If ≤3 DLTs had been observed in the 9 treated subjects and the overall safety was in line with the known lanreotide safety profile, the DRC would have allowed dose to be escalated to 360 mg (Cohort 3). At the end of the treatment period subjects continued to be assessed over a 12-week follow up period until EOS at Week 25 or EW. | 0 / 9 | 0 / 9 | 7 / 9 |
| 360 mg Lanreotide PRFOn Day 1, 2 initial subjects in Cohort 3 received 360 mg lanreotide PRF by a single deep subcutaneous injection in the superior, external quadrant of the buttock and a 12-week treatment period then commenced. Cohort 3 subjects were treated and reviewed on a 2+2+2+3 scheme. An additional subject was also dosed in this cohort as it was considered unethical to exclude an eligible subject. If 0 or 1 subject had experienced a DLT, 2 more subjects would have been dosed with the same dose. If more than 3 out of 9 subjects had experienced a DLT, dose escalation would have been stopped and the dose was declared the maximum administered dose. At the end of the treatment period subjects continued to be assessed over a 12-week follow up period until EOS at Week 25 or EW. | 0 / 10 | 1 / 10 | 7 / 10 |
Each cell reads participants affected / participants at risk, as the registry posted them.
Registry data comes from ClinicalTrials.gov. Study results come from studies, not from the registry. How PepBank works
Studies that cite this trial.
1 study on this page
PubMed tag: none · 2021
Neggers et al. 2021Expert review of clinical pharmacologycited by 8
PMID 34664531DOI 10.1080/17512433.2021.1986004PUB-34664531
Who could join, as posted.
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