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Trial ยท NCT00383708

Lanreotide Autogel and Pegvisomant Combination Therapy in Acromegalic Patients

NCT00383708, Phase 3, Completed, Ipsen; results first posted 2018-07-23

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Lanreotide Autogel and Pegvisomant Combination Therapy in Acromegalic Patients. Trials, record NCT00383708. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT00383708

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Lanreotide Autogel and Pegvisomant Combination Therapy in Acromegalic Patients
NCT number
NCT00383708
Status
Completed
Phases
Phase 3
Enrollment
125 participants, actual
Lead sponsor
Ipsen
Conditions
Acromegaly
Interventions
lanreotide (Autogel formulation), Pegvisomant
First posted
2006-10-03
Last updated
2022-09-27
Results first posted
2018-07-23

Source ClinicalTrials.gov

Registered outcomes30

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryPercentage of Subjects With Acromegaly With a Normalised (Age and Sex Adjusted) IGF-1 Level at the End of the Co-administration PeriodV3 (Week 12; Baseline) up to V11 (Week 44)
Serum IGF-1 is a well known and validated marker of acromegaly. IGF-1 assessments were performed at Visit (V) 1, V2, V3, V5, V7, V9 and V11 (or in case of premature study discontinuation, at the early withdrawal visit) and were based on a single serum sample taken in fasting conditions, prior to investigational medicinal product (IMP) administration. Percentage of subjects with a normalised (age and sex adjusted) IGF-1 level at the end of the co-administration period are presented. The last observation carried forward (LOCF) was used to replace missing IGF-1 values.
Primary
Percentage of Subjects With Acromegaly With a Normalised (Age and Sex Adjusted) IGF-1 Level at the End of the Co-administration Period; Summarised by Previous Treatment and by Final Dose of Pegvisomant
V3 (Week 12; Baseline) up to V11 (Week 44)
Serum IGF-1 is a well known and validated marker of acromegaly. IGF-1 assessments were performed at V1, V2, V3, V5, V7, V9 and V11 (or in case of premature study discontinuation, at the early withdrawal visit) and were based on a single serum sample taken in fasting conditions, prior to IMP administration. Percentage of subjects with a normalised (age and sex adjusted) IGF-1 level at the end of the co-administration period, summarised by previous treatment and by final pegvisomant dose are presented. The denominator used to calculate percentages was the number of subjects in each subgroup, comprising previous treatment with pegvisomant, lanreotide Autogel and octreotide long acting repeatable (LAR) and final pegvisomant dose as either 40 mg, 60 mg or 80 mg once a week or 40 mg or 60 mg twice per week. The LOCF approach was used to replace missing IGF-1 values.
PrimaryPercentage of Subjects With Acromegaly With a Normalised (Age and Sex Adjusted) IGF-1 Level at the End of the Co-administration Period; Summarised by Diabetic Status at BaselineV3 (Week 12; Baseline) up to V11 (Week 44)
Serum IGF-1 is a well known and validated marker of acromegaly. IGF-1 assessments were performed at V1, V2, V3, V5, V7, V9 and V11 (or in case of premature study discontinuation, at the early withdrawal visit) and were based on a single serum sample taken in fasting conditions, prior to IMP administration. Percentage of subjects with a normalised (age and sex adjusted) IGF-1 level at the end of the co-administration period, summarised by diabetic status are presented. The denominator used to calculate percentages was the number of subjects in each subgroup (diabetic and non diabetic). The LOCF approach was used to replace missing IGF-1 values.
SecondaryPercentage of Subjects With a Normalised (Age and Sex Adjusted) IGF-1 Level at Any Time During the Co-administration PeriodV3 (Week 12; Baseline) up to V11 (Week 44)
Serum IGF-1 is a well known and validated marker of acromegaly. IGF-1 assessments were performed at V1, V2, V3, V5, V7, V9 and V11 (or in case of premature study discontinuation, at the early withdrawal visit) and were based on a single serum sample taken in fasting conditions, prior to IMP administration. Percentage of subjects with a normalised (age and sex adjusted) IGF-1 level at least once during the co-administration period, summarised by 'while taking the final dose during co-administration' and 'at any time during co-administration' are presented.
SecondaryPercentage of Subjects With Normalised (Age and Sex Adjusted) IGF-1 at Each AssessmentV1 (Screening) up to V11 (Week 44)
Serum IGF-1 is a well known and validated marker of acromegaly. IGF-1 assessments were performed at V1, V2, V3, V5, V7, V9 and V11 (or in case of premature study discontinuation, at the early withdrawal visit) and were based on a single serum sample taken in fasting conditions, prior to IMP administration. The percentage of subjects with a normalised (age and sex adjusted) IGF-1 level is presented. The denominator used to calculate the percentages was the number of ITT population subjects with an assessment at the visit. In addition to the data for each individual visit, the last value available (LVA) data is also presented. None of the ITT population subjects had serum IGF-1 normalised at V3, consistent with the criterion to continue in the study and be treated in the co-administration period.
SecondaryChange From Baseline in Serum IGF-1 Levels (Expressed as Z-scores) During the Co-administration PeriodV3 (Week 12; Baseline) up to V11 (Week 44)
The change in serum IGF-1 levels, expressed as z-scores calculated using the age and sex specific mean and standard deviation \[SD\] values from Baseline to V11 and to LVA are presented. A z-score between +/- 2 indicates a normal IGF-1 concentration.
SecondaryChange From Baseline in Acromegaly Symptoms During the Co-administration PeriodV3 (Week 12; Baseline) up to V11 (Week 44)
Acromegaly symptoms, including arthralgia, excessive perspiration, fatigue, headache and soft tissue swelling were assessed with scores ranging from 0 (no symptoms) to 8 (severe, incapacitating symptoms). Symptoms were assessed by the subject in paper format before any other procedure planned during the visit. The change in acromegaly symptoms from Baseline to V11 and to LVA are presented.
SecondaryChange From Baseline in Acromegaly Quality of Life (ACROQoL) Assessments During the Co-administration PeriodV3 (Week 12; Baseline) up to V11 (Week 44)
The ACROQoL is a health-related quality of life (QoL) questionnaire for patients with acromegaly consisting of 22 items measured on a 5-point Likert-type scale that assesses frequency of occurrence (always to never) or degree of agreement (completely agree to completely disagree) with the statements. The ACROQoL consists of questions that evaluate physical (8 items) and psychological aspects related to appearance and personal relations (7 items each). Answers are transformed to a percentage value, where 100 is the maximal (best) and 0 the minimum (worse) score depicting self-perceived quality QoL. An increase in ACROQoL score is associated with an improved QoL. The change in ACROQoL global score, physical and psychological dimension scores and appearance and personal relationships sub-dimension scores from Baseline to V11 and to LVA are presented. Relnship = Relationship; Dim = Dimension.
SecondaryCorrelation Between the Changes in ACROQoL Assessments With the Corresponding Changes in Z-score of IGF-1 Levels Over the Run-in Period and Co-administration PeriodAt V2 (Day 1; Run-in), V3 (Week 12; Baseline) and V11 (Week 44)
The correlation between the changes in ACROQoL (expressed as standardised scores and undertaken for global score, physical and psychological dimension scores and appearance and personal relationships sub-dimension scores) over the run-in period (V3 minus V2) and co-administration period (V11 and LVA minus V3) with the corresponding changes in z-score for the IGF-1 level is presented. A decrease in IGF-1 z-score represents an improvement and an increase in ACROQoL score represents an improvement. Spearman's rank correlation (r) values are presented for change from V2 to V3 (Baseline) and from Baseline to V11/LVA for each of the specified ACROQoL categories. Corr = Correlation; Dim = Dimension; Relnship = Relationship.
SecondaryChange From Baseline in Mean Weight From Baseline During the Co-administration PeriodV3 (Week 12; Baseline) up to V11 (Week 44)Weight was recorded at V2, V3 and V11 (or in case of premature study discontinuation, at the early withdrawal visit). The change in mean weight from Baseline to V11 and to LVA are presented.

Outcomes30

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYPercentage of Subjects With Acromegaly With a Normalised (Age and Sex Adjusted) IGF-1 Level at the End of the Co-administration PeriodV3 (Week 12; Baseline) up to V11 (Week 44)
The ITT population was defined as all co-administered subjects (treated with at least one dose of each of the two IMPs within the co-administration period) having at least one baseline and at least one post-baseline assessment of the primary efficacy endpoint.
percentage of subjectsNUMBER
PRIMARY
Percentage of Subjects With Acromegaly With a Normalised (Age and Sex Adjusted) IGF-1 Level at the End of the Co-administration Period; Summarised by Previous Treatment and by Final Dose of Pegvisomant
V3 (Week 12; Baseline) up to V11 (Week 44)
The ITT population was defined as all co-administered subjects (treated with at least one dose of each of the two IMPs within the co-administration period) having at least one baseline and at least one post-baseline assessment of the primary efficacy endpoint. Only evaluable subjects within each individual subgroup analysed for each category.
percentage of subjectsNUMBER
PRIMARYPercentage of Subjects With Acromegaly With a Normalised (Age and Sex Adjusted) IGF-1 Level at the End of the Co-administration Period; Summarised by Diabetic Status at BaselineV3 (Week 12; Baseline) up to V11 (Week 44)
The ITT population was defined as all co-administered subjects (treated with at least one dose of each of the two IMPs within the co-administration period) having at least one baseline and at least one post-baseline assessment of the primary efficacy endpoint. Only evaluable subjects within each of the two subgroups analysed for each category.
percentage of subjectsNUMBER
SECONDARYPercentage of Subjects With a Normalised (Age and Sex Adjusted) IGF-1 Level at Any Time During the Co-administration PeriodV3 (Week 12; Baseline) up to V11 (Week 44)
The ITT population was defined as all co-administered subjects (treated with at least one dose of each of the two IMPs within the co-administration period) having at least one baseline and at least one post-baseline assessment of the primary efficacy endpoint.
percentage of subjectsNUMBER
SECONDARYPercentage of Subjects With Normalised (Age and Sex Adjusted) IGF-1 at Each AssessmentV1 (Screening) up to V11 (Week 44)
The ITT population was defined as all co-administered subjects (treated with at least one dose of each of the two IMPs within the co-administration period) having at least one baseline and at least one post-baseline assessment of the primary efficacy endpoint. Only evaluable subjects with assessments at each specified visit included in analysis.
percentage of subjectsNUMBER
SECONDARYChange From Baseline in Serum IGF-1 Levels (Expressed as Z-scores) During the Co-administration PeriodV3 (Week 12; Baseline) up to V11 (Week 44)
The ITT population was defined as all co-administered subjects (treated with at least one dose of each of the two IMPs within the co-administration period) having at least one baseline and at least one post-baseline assessment of the primary efficacy endpoint. Only evaluable subjects with assessments at each specified visit included in analysis.
z-scoreMEAN
SECONDARYChange From Baseline in Acromegaly Symptoms During the Co-administration PeriodV3 (Week 12; Baseline) up to V11 (Week 44)
The ITT population was defined as all co-administered subjects (treated with at least one dose of each of the two IMPs within the co-administration period) having at least one baseline and at least one post-baseline assessment of the primary efficacy endpoint. Only evaluable subjects with assessments at each specified visit included in analysis.
units on a scaleMEAN
SECONDARYChange From Baseline in Acromegaly Quality of Life (ACROQoL) Assessments During the Co-administration PeriodV3 (Week 12; Baseline) up to V11 (Week 44)
The ITT population was defined as all co-administered subjects (treated with at least one dose of each of the two IMPs within the co-administration period) having at least one baseline and at least one post-baseline assessment of the primary efficacy endpoint. Only evaluable subjects with assessments at each specified visit included in analysis.
units on a scaleMEAN
SECONDARYCorrelation Between the Changes in ACROQoL Assessments With the Corresponding Changes in Z-score of IGF-1 Levels Over the Run-in Period and Co-administration PeriodAt V2 (Day 1; Run-in), V3 (Week 12; Baseline) and V11 (Week 44)
The ITT population was defined as all co-administered subjects (treated with at least one dose of each of the two IMPs within the co-administration period) having at least one baseline and at least one post-baseline assessment of the primary efficacy endpoint.
correlation valueNUMBER
OTHER_PRE_SPECIFIEDChange From Baseline in Serum GH Levels During the Co-administration PeriodV3 (Week 12; Baseline) up to V11 (Week 44)
The ITT population was defined as all co-administered subjects (treated with at least one dose of each of the two IMPs within the co-administration period) having at least one baseline and at least one post-baseline assessment of the primary efficacy endpoint. Only evaluable subjects with assessments at each specified visit included in analysis.
nanograms per millilitre (ng/mL)MEAN

Results by group119

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Percentage of Subjects With Acromegaly With a Normalised (Age and Sex Adjusted) IGF-1 Level at the End of the Co-administration PeriodLanreotide Autogel + Pegvisomant Co-administration57.9percentage of subjects
Percentage of Subjects With Acromegaly With a Normalised (Age and Sex Adjusted) IGF-1 Level at the End of the Co-administration Period; Summarised by Previous Treatment and by Final Dose of Pegvisomant
Lanreotide Autogel + Pegvisomant Co-administrationPrevious Treatment: Pegvisomant46.2percentage of subjects
Percentage of Subjects With Acromegaly With a Normalised (Age and Sex Adjusted) IGF-1 Level at the End of the Co-administration Period; Summarised by Previous Treatment and by Final Dose of Pegvisomant
Lanreotide Autogel + Pegvisomant Co-administrationPrevious Treatment: Lanreotide Autogel54.2percentage of subjects
Percentage of Subjects With Acromegaly With a Normalised (Age and Sex Adjusted) IGF-1 Level at the End of the Co-administration Period; Summarised by Previous Treatment and by Final Dose of Pegvisomant
Lanreotide Autogel + Pegvisomant Co-administrationPrevious Treatment: Octreotide LAR70.0percentage of subjects
Percentage of Subjects With Acromegaly With a Normalised (Age and Sex Adjusted) IGF-1 Level at the End of the Co-administration Period; Summarised by Previous Treatment and by Final Dose of Pegvisomant
Lanreotide Autogel + Pegvisomant Co-administrationFinal Dose Pegvisomant: 40 mg/week76.9percentage of subjects
Percentage of Subjects With Acromegaly With a Normalised (Age and Sex Adjusted) IGF-1 Level at the End of the Co-administration Period; Summarised by Previous Treatment and by Final Dose of Pegvisomant
Lanreotide Autogel + Pegvisomant Co-administrationFinal Dose Pegvisomant: 60 mg/week61.5percentage of subjects
Percentage of Subjects With Acromegaly With a Normalised (Age and Sex Adjusted) IGF-1 Level at the End of the Co-administration Period; Summarised by Previous Treatment and by Final Dose of Pegvisomant
Lanreotide Autogel + Pegvisomant Co-administrationFinal Dose Pegvisomant: 80 mg/week75.0percentage of subjects
Percentage of Subjects With Acromegaly With a Normalised (Age and Sex Adjusted) IGF-1 Level at the End of the Co-administration Period; Summarised by Previous Treatment and by Final Dose of Pegvisomant
Lanreotide Autogel + Pegvisomant Co-administrationFinal Dose Pegvisomant: 40 mg 2x/week60.0percentage of subjects
Percentage of Subjects With Acromegaly With a Normalised (Age and Sex Adjusted) IGF-1 Level at the End of the Co-administration Period; Summarised by Previous Treatment and by Final Dose of Pegvisomant
Lanreotide Autogel + Pegvisomant Co-administrationFinal Dose Pegvisomant: 60 mg 2x/week0percentage of subjects
Percentage of Subjects With Acromegaly With a Normalised (Age and Sex Adjusted) IGF-1 Level at the End of the Co-administration Period; Summarised by Diabetic Status at BaselineLanreotide Autogel + Pegvisomant Co-administrationDiabetic Subjects47.4percentage of subjects

Participant flow9

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Enrolment Through Start TreatmentSTARTEDAll Subjects125
Enrolment Through Start TreatmentCOMPLETEDAll Subjects92
Enrolment Through Start TreatmentNOT COMPLETEDAll Subjects33
Run-in PeriodSTARTEDAll Subjects92
Run-in PeriodCOMPLETEDAll Subjects85
Run-in PeriodNOT COMPLETEDAll Subjects7
Co-administration PeriodSTARTEDAll Subjects57
Co-administration PeriodCOMPLETEDAll Subjects52
Co-administration PeriodNOT COMPLETEDAll Subjects5

Adverse events74

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherInjection site noduleGeneral disordersRun-in Period1571
otherInjection site noduleGeneral disordersCo-administration Period2572
otherInjection site painGeneral disordersRun-in Period2572
otherInjection site painGeneral disordersCo-administration Period0570
otherInjection site erythemaGeneral disordersRun-in Period0570
otherInjection site erythemaGeneral disordersCo-administration Period2574
otherDepressionPsychiatric disordersRun-in Period2572
otherDepressionPsychiatric disordersCo-administration Period0570
otherAlanine aminotransferase increasedInvestigationsRun-in Period0570
otherAlanine aminotransferase increasedInvestigationsCo-administration Period2572

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityRun-in Period057
Total, all-cause mortalityCo-administration Period057
Total, other adverse eventsRun-in Period3057
Total, other adverse eventsCo-administration Period4157
Total, serious adverse eventsRun-in Period257
Total, serious adverse eventsCo-administration Period857

Papers1

The papers the trial lists on ClinicalTrials.gov.

PMIDListed as
21148630RESULT

Source PubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons2

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Run-in Period vs Co-administration Period: deaths from any causeTrial comparisons
Run-in Period vs Co-administration Period: serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT00383708

GET https://conductscience.org/api/trials/v1/NCT00383708/registered?page=2