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    Clinical Trial Results:
    A PHASE II, SINGLE-CENTRE, PROSPECTIVE EXPLORATORY TRIAL TO ASSESS THE EFFICACY OF LANREOTIDE AUTOGEL 120 MG IN THE SYMPTOMATIC TREATMENT OF ACUTE RADIATION INDUCED DIARRHEA

    Summary
    EudraCT number
    2016-001790-33
    Trial protocol
    BE  
    Global end of trial date
    27 Jul 2018

    Results information
    Results version number
    v1(current)
    This version publication date
    11 Aug 2021
    First version publication date
    11 Aug 2021
    Other versions
    Summary report(s)
    Statement of discontinuation

    Trial information

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    Trial identification
    Sponsor protocol code
    AGO/2016/005
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    -
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Ghent University Hospital
    Sponsor organisation address
    Corneel Heymanslaan 10, Ghent, Belgium, 9000
    Public contact
    Hiruz CTU, University Hospital Ghent, 32 93320504, hiruz.ctu@uzgent.be
    Scientific contact
    Hiruz CTU, University Hospital Ghent, 32 93320504, hiruz.ctu@uzgent.be
    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
    27 Jul 2018
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    27 Jul 2018
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    To assess the response (complete and/or partial) of lanreotide autogel 120 mg as add-on to loperamide 16 mg on stool frequency and loperamide intake in patients with radiation induced diarrhea not enough responding to loperamide 16 mg monotherapy compared to baseline.
    Protection of trial subjects
    Ethics review and approval, informed consent, supportive care and routine monitoring.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    01 Jun 2016
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Belgium: 99999
    Worldwide total number of subjects
    99999
    EEA total number of subjects
    99999
    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)
    99999
    From 65 to 84 years
    0
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    99999 is "Not applicable" value or 0 participants.

    Pre-assignment
    Screening details
    Inclusion criteria: • Male or female with radiation induced diarrhoea requiring daily loperamide intake (≥16mg) for at least 3 consecutive days. • Administration of lanreotide 120mg at least 7 days before ending radiotherapy. • ≤ 3 stools per 24 h before radiotherapy • > 3 stools per 24 h in the screening period. • >= 18 years • mentally fit

    Period 1
    Period 1 title
    Overall Trial (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Not applicable
    Blinding used
    Not blinded
    Blinding implementation details
    N/A

    Arms
    Are arms mutually exclusive
    No

    Arm title
    Baseline arm
    Arm description
    Baseline data for the study, as the study only has 1 arm
    Arm type
    Baseline arm

    Investigational medicinal product name
    No investigational medicinal product assigned in this arm
    Arm title
    Treatment arm
    Arm description
    -
    Arm type
    Experimental

    Investigational medicinal product name
    Somatuline Autogel Injectable 60 / 90 / 120 mg
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for injection
    Routes of administration
    Subcutaneous use
    Dosage and administration details
    -Solution for injection in pre-filled syringe -120 mg milligram(s) -Maximum duration of treatment of a subject according to the protocol: 1 injection at inclusion

    Number of subjects in period 1
    Baseline arm Treatment arm
    Started
    99999
    99999
    Completed
    99999
    99999

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Overall Trial
    Reporting group description
    -

    Reporting group values
    Overall Trial Total
    Number of subjects
    99999 99999
    Age categorical
    99999 is "Not applicable" value or 0 participants.
    Units: Subjects
        In utero
    0 0
        Preterm newborn infants (gestational age < 37 wks)
    0 0
        Newborns (0-27 days)
    0 0
        Infants and toddlers (28 days-23 months)
    0 0
        Children (2-11 years)
    0 0
        Adolescents (12-17 years)
    0 0
        Adults (18-64 years)
    99999 99999
        From 65-84 years
    0 0
        85 years and over
    0 0
    Gender categorical
    99999 is "Not applicable" value or 0 participants.
    Units: Subjects
        Female
    99999 99999
        Male
    0 0

    End points

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    End points reporting groups
    Reporting group title
    Baseline arm
    Reporting group description
    Baseline data for the study, as the study only has 1 arm

    Reporting group title
    Treatment arm
    Reporting group description
    -

    Primary: Complete response: loperamide-intake reduction of 75% or more and ≤ 3 stools per 24 hours.

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    End point title
    Complete response: loperamide-intake reduction of 75% or more and ≤ 3 stools per 24 hours. [1]
    End point description
    End point type
    Primary
    End point timeframe
    Response is assessed at day 14 (d12-14), 28 (d26-28) and 42 (d40-42) ompared to baseline (d-3 to d-1).
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: No statistical analysis available.
    End point values
    Baseline arm Treatment arm
    Number of subjects analysed
    99999 [2]
    99999 [3]
    Units: complete response
        number (not applicable)
    0
    0
    Notes
    [2] - Baseline data for the study, as the study only has 1 arm.
    [3] - No patients were enrolled in the study.
    No statistical analyses for this end point

    Primary: Partial response: loperamide-intake reduction of 50% up to 75% and ≤ 3 stools per 24 hours

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    End point title
    Partial response: loperamide-intake reduction of 50% up to 75% and ≤ 3 stools per 24 hours [4]
    End point description
    End point type
    Primary
    End point timeframe
    Response is assessed at day 14 (d12-14), 28 (d26-28) and 42 (d40-42) compared to baseline (d-3 to d-1).
    Notes
    [4] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: No statistical analysis available.
    End point values
    Baseline arm Treatment arm
    Number of subjects analysed
    99999 [5]
    99999 [6]
    Units: partial response
        number (not applicable)
    0
    0
    Notes
    [5] - Baseline data for the study, as the study only has 1 arm.
    [6] - No patients were enrolled in the study.
    No statistical analyses for this end point

    Secondary: Incidence of all adverse events

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    End point title
    Incidence of all adverse events
    End point description
    End point type
    Secondary
    End point timeframe
    throughout the trial
    End point values
    Baseline arm Treatment arm
    Number of subjects analysed
    99999 [7]
    99999 [8]
    Units: adverse events
        number (not applicable)
    0
    0
    Notes
    [7] - Baseline data for the study, as the study only has 1 arm.
    [8] - No patients were enrolled in this study.
    No statistical analyses for this end point

    Secondary: Assessing any difference in primary or secondary (point 1 to 3) effect between patients receiving concomitant chemotherapy or not receiving chemotherapy.

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    End point title
    Assessing any difference in primary or secondary (point 1 to 3) effect between patients receiving concomitant chemotherapy or not receiving chemotherapy.
    End point description
    End point type
    Secondary
    End point timeframe
    Throughout the trial
    End point values
    Baseline arm Treatment arm
    Number of subjects analysed
    99999 [9]
    99999 [10]
    Units: difference in primary/secondary effect
        number (not applicable)
    0
    0
    Notes
    [9] - Baseline data for the study, as the study only has 1 arm.
    [10] - No patients were enrolled in this study.
    No statistical analyses for this end point

    Secondary: Timing of normalization of stools (no loperamide intake and <3/stools per 24 hours)

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    End point title
    Timing of normalization of stools (no loperamide intake and <3/stools per 24 hours)
    End point description
    End point type
    Secondary
    End point timeframe
    After ending of treatment if no complete response was reached during treatment
    End point values
    Baseline arm Treatment arm
    Number of subjects analysed
    99999 [11]
    99999 [12]
    Units: tiiming
        number (not applicable)
    0
    0
    Notes
    [11] - Baseline data for the study, as the study only has 1 arm.
    [12] - No patients were enrolled in this study.
    No statistical analyses for this end point

    Secondary: Timing of first partial and complete response

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    End point title
    Timing of first partial and complete response
    End point description
    End point type
    Secondary
    End point timeframe
    Response is assessed at day 14 (d12-14), 28 (d26-28) and 42 (d40-42) compared to baseline (d-3 to d-1).
    End point values
    Baseline arm Treatment arm
    Number of subjects analysed
    99999 [13]
    99999 [14]
    Units: time
        number (not applicable)
    0
    0
    Notes
    [13] - Baseline data for the study, as the study only has 1 arm.
    [14] - No patients were enrolled in this study.
    No statistical analyses for this end point

    Secondary: Change in QOL (assess using EQ-5D-5L, EORTC QLQ-C30)

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    End point title
    Change in QOL (assess using EQ-5D-5L, EORTC QLQ-C30)
    End point description
    End point type
    Secondary
    End point timeframe
    Day 14/28 compared to baseline
    End point values
    Baseline arm Treatment arm
    Number of subjects analysed
    99999 [15]
    99999 [16]
    Units: QOL
        number (not applicable)
    0
    0
    Notes
    [15] - Baseline data for the study, as the study only has 1 arm.
    [16] - No patients were enrolled in this study
    No statistical analyses for this end point

    Adverse events

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    Adverse events information [1]
    Timeframe for reporting adverse events
    Overall study
    Assessment type
    Non-systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    24
    Frequency threshold for reporting non-serious adverse events: 0%
    Notes
    [1] - There are no non-serious adverse events recorded for these results. It is expected that there will be at least one non-serious adverse event reported.
    Justification: No non-serious adverse events were recorded.

    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.
    No patients were included due to the fact that there has been a sharp decrease in radiotherapy-related bowel toxicity because of improving radiotherapy techniques.
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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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