Safety, Tolerability, and Efficacy of IONIS-GHR-LRx in Participants With Acromegaly Being Treated With Long-acting Somatostatin Receptor Ligands
Acromegaly
About this trial
This is an interventional treatment trial for Acromegaly focused on measuring Acromegaly, IONIS-GHR-LRx
Eligibility Criteria
Inclusion Criteria:
- Males or females with documented diagnosis of acromegaly, aged 18-75 years old (inclusive) at the time of informed consent
- Participants must be on stable maximum or maximally tolerated dose of SRL (Lanreotide Autogel or Octreotide LAR, per treating physician judgment) every 28 days for a minimum of 3 months prior to screening and will be required to continue their stable dose of SRL throughout the study. Prior use of other medications for treating acromegaly is allowed but not within 6 weeks of screening.
- At Screening, serum insulin-like growth factor 1 (IGF-1) (performed at central lab) between 1.3 to 5 x upper limit of normal (ULN), inclusive, adjusted for age and sex
- Females must be non-pregnant and non-lactating, and either surgically sterile, post-menopausal, abstinent, or using 1 highly effective method of birth control
Exclusion Criteria:
- Participants who received surgery for pituitary adenoma within the last 6 months before the trial, or planning to receive surgery during the trial
- Participants who received radiotherapy for pituitary adenoma within the last 3 years before the trial, and/or planning to receive radiotherapy during the trial
- Participants with pituitary tumor that, per Investigator judgement, is worsening as assessed by pituitary/sellar magnetic resonance imaging (MRI) protocol at Screen or within 6 months of screening
- Evidence of decompensated cardiac function per medical judgement and/or New York Heart Association (NYHA) class 3 or 4
- Clinical evidence of symptomatic hyperprolactinemia that would necessitate treatment
- Participants may not have chronic systemic use of glucocorticoids, weight loss medications or participate in weight loss programs within 2 months before randomization and during study participation.
- Participants on anti-diabetes medication or estrogen containing medications must be on a stable dose and regimen for >= 3 months prior to screening and throughout the trial
- Participants taking glucagon-like peptide 1 (GLP-1) agonists or insulin can be allowed with prior consultation with the Sponsor Medical Monitor
Sites / Locations
- University of Alabama at Birmingham (UAB)
- St. Joseph's Hospital and Medical Center
- Northwestern University
- Palm Research Center, Inc.
- Palm Research Center, Inc.
- Memorial Sloan Kettering Cancer Center
- Oregon Health & Science University (OHSU)
- Magyar Honvedseg Allami Egeszsegugyi Kozpont, II. sz Belgyogyaszat Osztaly
- Debreceni Egyetem Klinikai Kozpont
- Szeged University - Szent-Gyorgyi Albert Clinical Center - I. Belgyógyászati Klinika (Internal Medicine)
- Hospital of Lithuanian University of Health Sciences (LSMU) Kauno klinikos - Hospital of Oncology
- Vaidoto Urbanaviciaus Individuali imone - Endokrinologijos klinika
- B_Serwis Popenda Sp. J. Specjalistyczna Przychodnia Lekarsk
- Uniwersyteckie Centrum Kliniczne im. Prof. K. Gibinskiego Slaskiego Uniwersytetu Medycznego w Katowicach
- Centrum Nowoczesnych Terapii Dobry Lekarz Sp. z o. o.
- Twoja Przychodnia - Centrum Medyczne Nowa Sol
- Mazowiecki Szpital Brodnowski - Zespol Oddzialow Chorob Wewnetrznych, Endokrynologii i Diabetologii
- Centrum Badan Klinicznych Piotr Napora Lekarze Sp. p.
- Centrul Medical Unirea - Bucuresti, Endocrinologie
- Spitalul Clinic Judetean de Urgenta Cluj - Napoca
- Spitalul Clinic Judetean Mures
- Spitalul Clinic Judetean de Urgenta Timisoara
- Multi-field Medical Clinic Anturium LLC
- Interregional Clinical Diagnostic Center
- Kuzbass Clinical Hospital n.a. S.V. Belyaev
- Federal State Budget Institution "National Medical Research Center of Endocrinology" of the Ministry of Healthcare of the Russian Federation
- I.M. Sechenov Moscow First State Medical University
- Novosibirsk State Regional Clinical Hospital
- Orenburg Regional Clinical Hospital, Endocrinology Department
- Rostov State Medical University
- Almazov National Medical Research Centre
- State Budget Healthcare Institution of the Tver Region
- Clinical Center of Serbia
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Placebo Comparator
Experimental
Experimental
Experimental
Experimental
Placebo
Cohort A: IONIS GHR-LRx, 60 mg
Cohort B: IONIS GHR-LRx, 80 mg
Cohort C: IONIS GHR-LRx, 120 mg
Cohort D: IONIS GHR-LRx, 160 mg
Participants received placebo by subcutaneous injection (SC) once every 4 weeks for 16 weeks.
Participants received IONIS GHR-LRx, 60 milligrams (mg), SC, once every 4 weeks for 16 weeks.
Participants received IONIS GHR-LRx, 80 mg, SC, once every 4 weeks for 16 weeks.
Participants received IONIS GHR-LRx, 120 mg, SC, once every 4 weeks for 16 weeks.
Participants received IONIS GHR-LRx, 160 mg, SC, once every 4 weeks for 16 weeks.