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Phase 2 N=64 Randomized Double-blind Treatment

Octreotide Compared to Placebo in Patients With Inoperable Bowel Obstruction Due to Peritoneal Carcinomatosis

Peritoneal Neoplasms · Intestinal Obstruction · Carcinomatosis

Enrolled (actual)
64
Serious AEs
18.8%
Results posted
Jun 2011
Primary outcome: Primary: Number of Participants With Treatment Success From Day 10 to Day 13 — 12; 9; 19; 13 Participants

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
Octreotide LAR (Drug); Octreotide (Immediate release) (Drug); methylprednisolone (Drug); Placebo (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Novartis Pharmaceuticals
Primary completion
Sep 2008

Outcome Measures

OutcomeResultp-value
PRIMARY
Number of Participants With Treatment Success From Day 10 to Day 13
12; 9; 19; 13; 2; 2
SECONDARY
Number of Participants With Treatment Success From Day 5 to Day 7
22; 20; 28; 25; 1; 2
SECONDARY
Number of Vomiting Episodes Per Day at Day1, Day 2 and Day 14
1.2; 0.6; 0.3; 0.4; 0.3; 0.5
SECONDARY
Number of Participants Reporting Scores 0 to 3 on the Nausea Intensity World Heath Organization (WHO) Scale at Day 1
16; 13; 1; 2; 7; 9
SECONDARY
Number of Participants Reporting Scores 0 to 3 on the Nausea Intensity World Heath Organization (WHO) Scale at Day 7
21; 15; 2; 9; 5; 6
SECONDARY
Number of Participants Reporting Scores 0 to 3 on the Nausea Intensity World Heath Organization (WHO) Scale at Day 14
22; 22; 2; 3; 2; 1
SECONDARY
Number of Participants With Relief From Obstruction at Day 7 and Day 14
9; 15; 20; 12; 11; 10
SECONDARY
Number of Participants With Recurrence of an Episode of Bowel Obstruction at Month 1
1; 2; 13; 13
SECONDARY
Number of Participants With Recurrence of an Episode of Bowel Obstruction at Month 2
2; 2; 6; 5
SECONDARY
Number of Participants With Recurrence of an Episode of Bowel Obstruction at Month 3
0; 0; 3; 2
SECONDARY
Participant's Quality of Life Using the Edmonton Scale
4.12; 4.12; 4.23; 3.37; 4.30; 3.85

Summary

To evaluate in combination with corticosteroid and local standard medical care the efficacy and safety of long-acting octreotide compared to placebo for the treatment of symptoms of inoperable bowel obstruction in patients with peritoneal carcinomatosis

Eligibility Criteria

Inclusion Criteria

  • Patients with symptoms and signs of inoperable bowel obstruction confirmed by a surgeon or clinic and radiographic assessment (CT scan or at least abdominal X-ray);
  • Confirmed peritoneal carcinomatosis (with one of the following criteria : surgery, imaging and/or cytology);
  • No corticotherapy at dose more than 1mg/kg equivalent-methylprednisolone, in the previous 2 weeks ;
  • No chemotherapy in the previous week;
  • No radio or chemotherapy planned at the inclusion and within the two weeks following inclusion
  • Authorized concomitant treatments for local standard medical care : antiemetics, antispasmodics, anti-Histamine2 (H2) drugs blockers or proton pump inhibitor, analgesics; nasogastric tube

Exclusion Criteria

  • Abnormal coagulation (prothrombin time < 60%, platelets < 50x10^9/L).
  • Non authorized concomitant treatments :
  • Anticholinergics such as scopolamine
  • Other somatostatin analogues

Other protocol-defined inclusion/exclusion criteria may apply

View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00332696). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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