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Phase 3 Completed N=146 Randomized Treatment

Comparison of Oral Octreotide Capsules to Injectable Somatostatin Analogs in Acromegaly

Acromegaly
Source: ClinicalTrials.gov NCT02685709 ↗
Enrolled (actual)
146
Serious AEs
4.8%
Results posted
Apr 2022
Primary outcomePrimary: Proportion of Patients Who Are Biochemically Controlled Throughout the RCT Phase — 50; 37 Participants
◆ Published Evidence
Established
54citations · ~14 / year
Maintenance of response to oral octreotide compared with injectable somatostatin receptor ligands in patients with acromegaly: a phase 3, multicentre, randomised controlled trial.
The lancet. Diabetes & endocrinology · 2022 · Open access · Likely link

Summary

Octreotide capsule is a novel, orally-administered formulation of the commercially-available injectable drug octreotide. In a recent phase 3 trial (OPTMAL; NCT03252353), oral octreotide capsules demonstrated sustained biochemical response up to 13 months in patients with acromegaly previously managed with somatostatin analog injections (ref). The objective of this study was to compare the efficacy, safety, and patient reported outcomes (PROs) between oral octreotide capsules and injectable somatostatin receptor ligands (SRLs).

Linked Publications

  • Maintenance of response to oral octreotide compared with injectable somatostatin receptor ligands in patients with acromegaly: a phase 3, multicentre, randomised controlled trial.
    The lancet. Diabetes & endocrinology · 2022 · 54 citations · Open access · Likely link

Outcome Measures

OutcomeResultp-value
PRIMARY
Proportion of Patients Who Are Biochemically Controlled Throughout the RCT Phase
50; 37
SECONDARY
Proportion of Patients With Clinical and Biochemical Control at the End of the RCT Phase
36; 27
SECONDARY
Proportion of Patients Who Maintain or Reduce the Overall Number of Active Acromegaly Symptoms at the End of the RCT Phase
41; 26
SECONDARY
Proportion of Patients Who Maintain or Improve Their Overall Acromegaly Index of Severity (AIS) Score at the End of the RCT Phase
40; 25
SECONDARY
Proportion of Patients of Those Completing the RCT Phase Who Entered the Study Extension Phase
34; 18
SECONDARY
Change in IGF-1 Levels in the RCT Phase
-0.01; -0.04
SECONDARY
Change in GH Levels in the RCT Phase
-0.02; 0.27

Eligibility Criteria

Inclusion Criteria

  • Confirmed diagnosis of acromegaly
  • Treatment with Somatostatin analogs injections (octreotide or lanreotide) for at least 6 months
  • Biochemical control (IGF -1 8 weeks.
  • Pituitary radiotherapy within 5 years
  • Pituitary surgery within six months
  • Patients who previously participated in CH-ACM-01 study
  • Any clinically significant uncontrolled concomitant disease
  • Symptomatic cholelithiasis
  • Previous treatment with:
  • Pegvisomant, within 12 weeks
  • Dopamine agonists, within 6 weeks
  • Pasireotide, within 12 weeks
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02685709) and the linked publication. 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. Informational only — not medical advice.

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