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    Clinical Trial Results:
    A randomized, double-blind, placebo-controlled clinical trial assessing the efficacy of combining pasireotide with aspiration sclerotherapy to improve volume reduction of dominant hepatic cysts

    Summary
    EudraCT number
    2013-003168-29
    Trial protocol
    NL  
    Global end of trial date
    01 Apr 2016

    Results information
    Results version number
    v1(current)
    This version publication date
    11 Oct 2022
    First version publication date
    11 Oct 2022
    Other versions
    Summary report(s)
    Publication study 2013-003168-29

    Trial information

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    Trial identification
    Sponsor protocol code
    JDTW45115
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT02048319
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Radboud University Medical Center
    Sponsor organisation address
    Geert Grooteplein zuid 10, Nijmegen, Netherlands,
    Public contact
    Wijnands, TFM, Radboud University Nijmegen Medical Center, 0031 243614760, t.wijnands@mdl.umcn.nl
    Scientific contact
    Wijnands, TFM, Radboud University Nijmegen Medical Center, 0031 243614760, t.wijnands@mdl.umcn.nl
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    01 Apr 2016
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    01 Apr 2016
    Global end of trial reached?
    Yes
    Global end of trial date
    01 Apr 2016
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    The main objective is to minimize fluid reaccumulation in the hepatic cyst after aspiration sclerotherapy in order to reduce cyst size.
    Protection of trial subjects
    Ethical approval of the study protocol was given by the Central Committee on Research Involving Human Subjects and by the local accredited Medical Research Ethics Committee of the region Arnhem-Nijmegen, the Netherlands (reference number: 2013/354).
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    01 Oct 2013
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    Yes
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Netherlands: 34
    Worldwide total number of subjects
    34
    EEA total number of subjects
    34
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    30
    From 65 to 84 years
    4
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    -

    Pre-assignment
    Screening details
    During a 4 week screening period patients were screened based on the inclusion and exclusion criteria

    Period 1
    Period 1 title
    Baseline period (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Randomised - controlled
    Blinding used
    Double blind
    Roles blinded
    Subject, Investigator, Data analyst, Assessor

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Pasireotide treatment
    Arm description
    pasireotide treatment long-acting release, 60 mg injection
    Arm type
    Experimental

    Investigational medicinal product name
    pasireotide (long-acting release, 60 mg injection)
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Injection
    Routes of administration
    Injection
    Dosage and administration details
    pasireotide (long-acting release, 60 mg injection) two weeks prior to and two weeks following aspiration sclerotherapy

    Arm title
    Placebo
    Arm description
    -
    Arm type
    Placebo

    Investigational medicinal product name
    Placebo
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Injection
    Routes of administration
    Injection
    Dosage and administration details
    placebo

    Number of subjects in period 1
    Pasireotide treatment Placebo
    Started
    17
    17
    Completed
    17
    17

    Baseline characteristics

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    End points

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    End points reporting groups
    Reporting group title
    Pasireotide treatment
    Reporting group description
    pasireotide treatment long-acting release, 60 mg injection

    Reporting group title
    Placebo
    Reporting group description
    -

    Primary: Mean proportional change (%) in cyst diameter

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    End point title
    Mean proportional change (%) in cyst diameter
    End point description
    End point type
    Primary
    End point timeframe
    four weeks after AS
    End point values
    Pasireotide treatment Placebo
    Number of subjects analysed
    17
    17
    Units: % cyst diameter
    17
    17
    Statistical analysis title
    Intention-to-treat (ITT) analyses
    Comparison groups
    Pasireotide treatment v Placebo
    Number of subjects included in analysis
    34
    Analysis specification
    Pre-specified
    Analysis type
    superiority
    P-value
    < 0.05
    Method
    Wilcoxon (Mann-Whitney)
    Parameter type
    Mean proportional change
    Confidence interval

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Serious adverse events <24 hours Adverse events
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    WHO-ART
    Dictionary version
    1
    Reporting groups
    Reporting group title
    Pasireotide treatment
    Reporting group description
    -

    Serious adverse events
    Pasireotide treatment
    Total subjects affected by serious adverse events
         subjects affected / exposed
    2 / 17 (11.76%)
         number of deaths (all causes)
    0
         number of deaths resulting from adverse events
    Respiratory, thoracic and mediastinal disorders
    Pneumoniae/pneumonitis
         subjects affected / exposed
    1 / 17 (5.88%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Renal and urinary disorders
    Urolithiasis
         subjects affected / exposed
    1 / 17 (5.88%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 1%
    Non-serious adverse events
    Pasireotide treatment
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    17 / 17 (100.00%)
    Endocrine disorders
    Hyperglycaemia
         subjects affected / exposed
    17 / 17 (100.00%)
         occurrences all number
    17

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? No

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported
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    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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