E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
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E.1.1.1 | Medical condition in easily understood language |
Acromegaly is a chronic metabolic disorder in which there is too much growth hormone and the body tissues gradually enlarge |
l’Acromegalia è un disturbo metabolico cronico in cui si verifica troppo ormone della crescita e i tessuti del corpo si ingrandiscono gradualmente |
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E.1.1.2 | Therapeutic area | Diseases [C] - Hormonal diseases [C19] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 20.0 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10000599 |
E.1.2 | Term | Acromegaly |
E.1.2 | System Organ Class | 10014698 - Endocrine disorders |
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E.1.3 | Condition being studied is a rare disease | Yes |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
1.To determine the efficacy of CRN00808 in acromegaly subjects that are complete responders to parenteral octreotide LAR or lanreotide depot monotherapy; 2.To evaluate the safety and tolerability of CRN00808 in acromegaly subjects; 3.To evaluate the pharmacokinetics (PK) of CRN00808 in acromegaly subjects. |
1. Determinare l'efficacia del CRN00808 nei soggetti affetti da acromegalia che sono responder completi alla monoterapia a base di deposito di lanreotide o ocreotide LAR somministrata per via parenterale; 2. Valutare la sicurezza e la tollerabilità di CRN00808 nei soggetti affetti da acromegalia; 3. Valutare la farmacocinetica (PK) di CRN00808 nei soggetti affetti da acromegalia. |
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E.2.2 | Secondary objectives of the trial |
Not applicable |
Non pertinente |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1.Male and female subjects 18 to 70 years of age; 2.Confirmed diagnosis of acromegaly that is controlled on stable doses of octreotide LAR or lanreotide depot 3.Females must be non-pregnant and non-lactating, a;nd either surgically sterile, post-menopausal, or using effective method(s) of birth control; 4.Willing to provide signed informed consent. |
1.Soggetti maschili e femminili dai 18 ai 70 anni di età; 2.Diagnosi confermata di Acromegalia controllata con dose stabile di octreotide LAR o deposito di lanreotide 3.Le femmine non devono essere in gravidanza o in allattamento, e nemmeno sterilizzate chirurgicamente, in post menopausa o nel either surgically sterile, postmenopausal, o stiano utilizzando metodi effettivi di contraccezione; 4.Disponibilità a fornire un consenso informato firmato. |
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E.4 | Principal exclusion criteria |
1.Treatment naïve acromegaly subjects 2.Prior treatment with CRN00808 3.Pituitary surgery within 6 months prior to Screening or radiation therapy at any time prior to the study entry; 4.History or presence of malignancy except adequately treated basal cell and squamous cell carcinomas of the skin within the past 5 years. 5.Use of any investigational drug within the past 30 days or 5 half-lives, whichever is longer 6.Positive test at Screening for HIV, hepatitis B surface antigen (HBsAg) or hepatitis C antibody (HCV-Ab) or has a history of a positive result 7.History of alcohol or substance abuse in the past 12 months 8.Any condition that in the opinion of the investigator would jeopardize the subject's appropriate participation in this study 9.Cardiovascular conditions or mediations associated with prolonged QT or those which predispose subjects to heart rhythm abnormalities. 10.Subjects with symptomatic cholelithiasis 11.Subjects with clinically significant abnormal findings during the Screening Period, and any other medical condition(s) or laboratory findings that, in the opinion of the Investigator, might jeopardize the subject's safety or ability to complete the study 12.Subjects who have been taking the following prior medications: pegvisomant (within the last 3 months), dopamine agonists (within the last 3 months) and pasireotide LAR (within the last 6 months); 13.Subjects taking octreotide LAR at a dose higher than 40 mg or lanreotide depot at a dose higher than 120 mg; 14.Subjects who usually take octreotide LAR or lanreotide depot less frequently than every 4 weeks (e.g. every 6 weeks or 8 weeks); |
1.Soggetti naïve al trattamento per l’Acromegalia. 2.Trattamenti precedenti con CRN00808. 3.Intervento chirurgico alla ghiandola pituitaria entro i 6 mesi precedenti allo Screening o radioterapia effettuata in qualsiasi momento precedente all’entrata nello studio; 4.Presenza o trascorsi di tumore maligno eccetto carcinoma cutaneo basocellulare squamoso adeguatamente trattato entro gli ultimi 5 anni. 5.Uso di qualsiasi farmaco sperimentale entro gli ultimi 30 giorni o 5 emivite, a seconda del quale abbia avuto più durata. 6.Test allo Screening positivi ad HIV, antigeni di superficie di Epatite B (HBsAg) o anticorpi di epatite C (HCV-Ab) o trascorsi di risultati positivi 7. Trascorsi di abuso di alcool o sostanze negli ultimi 12 mesi 8. Qualsiasi condizione che secondo lo sperimentatore potrebbe mettere a repentaglio l’appropriata partecipazione del soggetto in questo studio 9.Condizioni cardiovascolari o mediazioni associate a QT prolungato o soggetti predisposti ad aritmie cardiache. 10.Soggetti con colelitiasi sintomatica 11.Soggetti con significanti risultanze alterate durante il periodo di Screening e con qualsiasi altra condizione medica o di laboratorio che, secondo lo Sperimentatore, può compromettere la sicurezza del soggetto o l’abilità a completare lo studio. 12.Soggetti i quali hanno precedentemente assunto i seguenti medicinali: pegvisomant (entro gli ultimi 3 mesi), agonisti della dopamina (entro gli ultimi 3 mesi) e pasireotide LAR (entro gli ultimi 6 mesi); 13.Soggetti che assumono octreotide LAR con una dose superiore ai 40 mg o deposito di lanreotide con una dose superiore ai 120 mg; 14.Soggetti che solitamente assumono octreotide LAR o deposito di lanreotide meno frequentemente di ogni 4 settimane (ad esempio ogni 6 settimane o 8 settimane) |
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E.5 End points |
E.5.1 | Primary end point(s) |
Proportion of subjects who meet responder criteria (based on the mean of two consecutive IGF-1 measurements =ULN) |
L’endpoint primario è la proporzione dei soggetti che soddisfino i criteri di responder (in base alla media di due misurazioni consecutive della IGF-1 =ULN) alla S13. |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
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E.5.2 | Secondary end point(s) |
1.Proportion of subjects who achieve serum GH <5.0 ng/mL ; 2.Change in IGF-1 levels; 3.Change in GH levels; 4.Change in symptoms of acromegaly. |
1. Proporzione dei soggetti che raggiungono un livello di GH siero <5,0 ng/mL alla S13; 2. Variazione nei livelli della IGF-1 tra la S10 e la S13; 3. Variazioni dei livelli di GH tra la S8 e la S13; 4. Variazioni nei sintomi dell’acromegalia tra la S10 e la S13. |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | Yes |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | Yes |
E.6.7 | Pharmacodynamic | Yes |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | Yes |
E.6.10 | Pharmacogenetic | Yes |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | Yes |
E.8.1.5 | Parallel group | Yes |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | Yes |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 2 |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 2 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 22 |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
Russian Federation |
Serbia |
United States |
Germany |
Greece |
Hungary |
Italy |
Poland |
Romania |
Slovakia |
United Kingdom |
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E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 1 |
E.8.9.1 | In the Member State concerned months | 3 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 1 |
E.8.9.2 | In all countries concerned by the trial months | 3 |
E.8.9.2 | In all countries concerned by the trial days | 0 |