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Trial · NCT00434148

Safety and Efficacy of Different Dose Levels of Pasireotide in Patients With de Novo, Persistent or Recurrent Cushing's Disease

NCT00434148, Phase 3, Completed, Novartis Pharmaceuticals; results first posted 2013-02-06

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Safety and Efficacy of Different Dose Levels of Pasireotide in Patients With de Novo, Persistent or Recurrent Cushing's Disease. Trials, record NCT00434148. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT00434148

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Trial

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

Title
Safety and Efficacy of Different Dose Levels of Pasireotide in Patients With de Novo, Persistent or Recurrent Cushing's Disease
NCT number
NCT00434148
Status
Completed
Phases
Phase 3
Enrollment
162 participants, actual
Lead sponsor
Novartis Pharmaceuticals
Conditions
Cushing's Disease
Interventions
Pasireotide
First posted
2007-02-12
Last updated
2016-03-08
Other registries' IDs
eudract:2006-004111-22
Results first posted
2013-02-06

Source ClinicalTrials.gov

Registered outcomes15

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

ListOutcomeTime frameDescription
PrimaryNumber of mUFC (Urinary Free Cortisol) Responders by Randomized Dose Group6 monthsA responder in the primary efficacy analysis was a patient with a mUFC≤ULN at Month 6 and whose dose was not increased prior to Month 6.
SecondaryChange From Baseline in mUFCbaseline, 3 months, 12 monthsTwenty four hour urine samples were collected to obtain mUFC measurements. A negative change from baseline indicates improvement.
SecondaryTime to First UFC Response12 monthsTime to first UFC response is defined as the number of months from baseline to first attainment of UFC response.
SecondaryPercent Change From Baseline in Serum Cortisolbaseline, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39, 42, 45, 48, 51, 54, 57, 60, 63, 66, 69, 72, 75, 78 monthsBlood samlpes were drawn to obtain serum cortisol levels. A negative change from baseline indicates improvement.
SecondaryPercent Change From Baseline in Mean Adrenocorticotropic Hormone (ACTH)baseline, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39, 42, 45, 48, 51, 54, 57, 60, 63, 66, 69, 72, 75, 78 monthsBlood samples were drawn to obtain ACTH levels. A negative change from baseline indicates improvement.
SecondaryMean Change From Baseline in Clinical Signs and Symptoms of Cushing's Disease: Sitting Sytolic Blood Pressure (SBP) and Sitting Diastolic Blood Pressure (DBP)baseline, month 3, month 6, month 12, month 24, month 36, month 48, month 60Sitting blood pressure assessments were performed at every study visit. A negative change from baseline indicates improvement.
SecondaryMean Change From Baseline in Clinical Signs and Symptoms of Cushing's Disease: Body Mass Index (BMI)baseline, month 3, month 6, month 12, month 24, month 36, month 48 and month 60BMI was determined by using height and weight measurements. A negative change from baseline indicates improvement.
SecondaryMean Change From Baseline in Clinical Signs and Symptoms of Cushing's Disease: Waist Circumferencebaseline, month 3, month 6, month 12, month 24, month 36, month 48, month 60Waist circumference was measured with a measuring tape correctly positioned. A negative change from baseline indicates improvement.
SecondaryMean Change From Baseline in Clinical Signs and Symptoms of Cushing's Disease: Total Cholesterol and Triglyceridesbaseline, month 3, month 6, month 12, month 24, month 36, month 48, month 60Blood samples were drawn to obtain total cholesterol and triglycerides' levels. A negative change from baseline indicates improvement.
SecondaryMean Change From Baseline in Clinical Signs and Symptoms of Cushing's Disease: Beck Depression Inventory (BDI-II) Scorebaseline, month 3, month 6, month 12, month 18, month 24
The BDI-II is a 21 item self-report rating inventory measuring characteristic attitudes and symptoms of depression. The BDI-II contains 21 questions, each answer being scored on a scale value of 0 to 3. Higher total scores indicate more severe depressive symptoms. The scores range as follows: 0-13: minimal depression; 14-19: mild depression; 20-28: moderate depression; and 29-63: severe depression. A negative change from baseline indicates imrpovement.

Outcomes15

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYNumber of mUFC (Urinary Free Cortisol) Responders by Randomized Dose Group6 monthsThe full analysis set (FAS) was the primary population for efficacy and consisted of all 162 randomized patients who received at least one dose of paseriotide.RespondersNUMBER
SECONDARYChange From Baseline in mUFCbaseline, 3 months, 12 months
Only participants from the full analysis set, who had measurements at baseline and the post baseline time point, were included in the analysis for that post baseline time point. The full analysis set included all randomized participants who received at least one dose of study drug.
nmol/24hMEAN
SECONDARYTime to First UFC Response12 monthsFull Analysis Set (FAS): The full analysis set included all randomized participants who received at least one dose of study drug.monthsMEDIAN
SECONDARYPercent Change From Baseline in Serum Cortisolbaseline, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39, 42, 45, 48, 51, 54, 57, 60, 63, 66, 69, 72, 75, 78 months
Only participants from the full analysis set, who had measurements at baseline and the post baseline time point, were included in the analysis for that post baseline time point. The full analysis set included all randomized participants who received at least one dose of study drug.
Percent changeMEAN
SECONDARYPercent Change From Baseline in Mean Adrenocorticotropic Hormone (ACTH)baseline, 0.5, 1, 1.5, 2, 2.5, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 15, 18, 21, 24, 27, 30, 33, 36, 39, 42, 45, 48, 51, 54, 57, 60, 63, 66, 69, 72, 75, 78 months
Only participants from the full analysis set, who had measurements at baseline and the post baseline time point, were included in the analysis for that post baseline time point. The full analysis set included all randomized participants who received at least one dose of study drug.
percent changeMEAN
SECONDARYMean Change From Baseline in Clinical Signs and Symptoms of Cushing's Disease: Sitting Sytolic Blood Pressure (SBP) and Sitting Diastolic Blood Pressure (DBP)baseline, month 3, month 6, month 12, month 24, month 36, month 48, month 60
Only participants from the full analysis set, who had measurements at baseline and the post baseline time point, were included in the analysis for that post baseline time point. The full analysis set included all randomized participants who received at least one dose of study drug.
mmHgMEAN
SECONDARYMean Change From Baseline in Clinical Signs and Symptoms of Cushing's Disease: Body Mass Index (BMI)baseline, month 3, month 6, month 12, month 24, month 36, month 48 and month 60
Only participants from the full analysis set, who had measurements at baseline and the post baseline time point, were included in the analysis for that post baseline time point. The full analysis set included all randomized participants who received at least one dose of study drug.
kg/m^2MEAN
SECONDARYMean Change From Baseline in Clinical Signs and Symptoms of Cushing's Disease: Waist Circumferencebaseline, month 3, month 6, month 12, month 24, month 36, month 48, month 60
Only participants from the full analysis set, who had measurements at baseline and the post baseline time point, were included in the analysis for that post baseline time point. The full analysis set included all randomized participants who received at least one dose of study drug.
cmMEAN
SECONDARYMean Change From Baseline in Clinical Signs and Symptoms of Cushing's Disease: Total Cholesterol and Triglyceridesbaseline, month 3, month 6, month 12, month 24, month 36, month 48, month 60
Only participants from the full analysis set, who had measurements at baseline and the post baseline time point, were included in the analysis for that post baseline time point. The full analysis set included all randomized participants who received at least one dose of study drug.
mmol/LMEAN
SECONDARYMean Change From Baseline in Clinical Signs and Symptoms of Cushing's Disease: Beck Depression Inventory (BDI-II) Scorebaseline, month 3, month 6, month 12, month 18, month 24
Only participants from the full analysis set, who had measurements at baseline and the post baseline time point, were included in the analysis for that post baseline time point. The full analysis set included all randomized participants who received at least one dose of study drug.
score on a scaleMEAN

Results by group352

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

OutcomeGroupCategoryValueSpreadUnits
Number of mUFC (Urinary Free Cortisol) Responders by Randomized Dose GroupPasireotide 600 ug1295% Confidence Interval 7.0 to 22.3Responders
Number of mUFC (Urinary Free Cortisol) Responders by Randomized Dose GroupPasireotide 900 ug2195% Confidence Interval 16.6 to 35.9Responders
Change From Baseline in mUFCPasireotide 600 ugmonth 3 (n=61,62)-375.8Standard Deviation 631.07nmol/24h
Change From Baseline in mUFCPasireotide 900 ugmonth 3 (n=61,62)-343.4Standard Deviation 485.48nmol/24h
Change From Baseline in mUFCPasireotide 600 ugmonth 12 (n=37,35)-572.6Standard Deviation 941.44nmol/24h
Change From Baseline in mUFCPasireotide 900 ugmonth 12 (n=37,35)-350.7Standard Deviation 380.25nmol/24h
Time to First UFC ResponsePasireotide 600 ug1.0Inter-Quartile Range 0.9 to 2.7months
Time to First UFC ResponsePasireotide 900 ug1.0Inter-Quartile Range 0.9 to 2.7months
Percent Change From Baseline in Serum CortisolPasireotide 600 ugmonth 0.5 (n=77,76)-4.0Standard Deviation 28.23Percent change
Percent Change From Baseline in Serum CortisolPasireotide 900 ugmonth 0.5 (n=77,76)-10.8Standard Deviation 30.57Percent change

Participant flow12

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDPasireotide 600 ug82
Overall StudySTARTEDPasireotide 900 ug80
Overall StudyCompleted Month 12Pasireotide 600 ug39
Overall StudyCompleted Month 12Pasireotide 900 ug39
Overall StudyCompleted m. 12; Did Not Enter ExtensionPasireotide 600 ug13
Overall StudyCompleted m. 12; Did Not Enter ExtensionPasireotide 900 ug7
Overall StudyCompleted Month 12; Entered ExtensionPasireotide 600 ug26
Overall StudyCompleted Month 12; Entered ExtensionPasireotide 900 ug32
Overall StudyCOMPLETEDPasireotide 600 ug13
Overall StudyCOMPLETEDPasireotide 900 ug7

Adverse events272

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAnaemiaBlood and lymphatic system disordersPasireotide 600 ug182
otherAnaemiaBlood and lymphatic system disordersPasireotide 900 ug580
otherIron deficiency anaemiaBlood and lymphatic system disordersPasireotide 600 ug382
otherIron deficiency anaemiaBlood and lymphatic system disordersPasireotide 900 ug480
otherSinus bradycardiaCardiac disordersPasireotide 600 ug882
otherSinus bradycardiaCardiac disordersPasireotide 900 ug280
otherVertigoEar and labyrinth disordersPasireotide 600 ug482
otherVertigoEar and labyrinth disordersPasireotide 900 ug680
otherHypothyroidismEndocrine disordersPasireotide 600 ug382
otherHypothyroidismEndocrine disordersPasireotide 900 ug480

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityPasireotide 600 ug
Total, all-cause mortalityPasireotide 900 ug
Total, other adverse eventsPasireotide 600 ug7882
Total, other adverse eventsPasireotide 900 ug7980
Total, serious adverse eventsPasireotide 600 ug2382
Total, serious adverse eventsPasireotide 900 ug2580

Papers6

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
22397653DERIVEDPubMed
23746264DERIVEDPubMed
24287689DERIVEDPubMed
25537481DERIVEDPubMed
28289402DERIVEDPubMed
31875276DERIVEDPubMed

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 comparisons1

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

Comparison
Pasireotide 600 ug vs Pasireotide 900 ug: serious adverse events

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/NCT00434148

GET https://conductscience.org/api/trials/v1/NCT00434148/results?page=2