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A Study to Assess the Pharmacokinetics, Pharmacodynamics, Safety, and Tolerability of Debio 4126 in Participants With Acromegaly or Functioning Gastroenteropancreatic Neuroendocrine Tumors (GEP-NETs) (OXTEND-01)

Primary Purpose

Acromegaly, GEP-NET

Status
Recruiting
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
Debio 4126
Sandostatin LAR
Somatuline ATG
Sponsored by
Debiopharm International SA
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Acromegaly

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Main Inclusion Criteria:

For Participants with Acromegaly:

  • Treatment with a stable dose of octreotide LAR (≤30 mg dose once in 4 weeks [Q4W] IM) or lanreotide ATG (≤120 mg Q4W as deep SC injection) for at least 2 months as monotherapy for acromegaly treatment prior to entering Run-in (Day -28)
  • Diagnosis of acromegaly by historical evidence of (persistent or recurrent) acromegaly will be carried out
  • IGF-1 ≤1.3 x upper limit of normal (ULN) assessed centrally at screening

For Participants with GEP-NETs:

  • Treatment with a stable dose of octreotide LAR (≤ 30 mg dose Q4W IM) or lanreotide ATG (≤ 120 mg Q4W as deep SC injection) for at least 2 months prior to entering Run-in (Day -28)
  • Participants with functioning, well-differentiated (Grade 1 or Grade 2) GEP-NET with symptoms of carcinoid syndrome which are controlled by Sandostatin LAR, Somatuline ATG, or equivalent medications; sporadic use of rescue medication for symptom control, e.g., bowel movements and/or flushing, is allowed

Main Exclusion Criteria:

For Participants with Acromegaly and GEP-NETs:

  • Known ongoing gallbladder or bile duct disease or acute or chronic pancreatitis
  • Hypothyroidism not adequately treated with thyroid hormone replacement therapy
  • Diabetic participants whose blood glucose is poorly controlled despite adequate therapy, as evidenced by glycated hemoglobin (HbA1c) >8.0% at screening
  • Cardiology:

    1. Left ventricular ejection fraction, left ventricular hypertrophy, ventricular arrhythmias, bradycardia, cardiomyopathy
    2. Heart failure
    3. Congenital long QT syndrome or
    4. Known family history of long QT syndrome or sudden cardiac death
    5. Pulmonary embolism
    6. QT interval corrected for heart rate according to Fridericia's formula (QTcF) at screening >450 milliseconds (msec) for males and >470 msec for females

For Participants with Acromegaly:

  • Participants who received pituitary irradiation <2 years prior to enrollment as stereotactic radiotherapy or <3 years prior to enrollment for conventional radiotherapy
  • Participants who received medical treatment with pasireotide (within 6 months prior to screening), pegvisomant (within 3 months prior to screening), dopamine agonists (within 3 months prior to screening), or other investigational agents (within 30 days or 5 half-lives prior to screening, whichever is longer)
  • Participants who have undergone pituitary surgery within 6 months prior to screening

For Participants with GEP-NETs:

  • Participants with short-bowel syndrome
  • Participants with poorly differentiated neuroendocrine carcinoma and/or high-grade neuroendocrine carcinoma
  • Participants who have received any previous therapy with interferons, targeted therapies (e.g., everolimus, sunitinib, bevacizumab), chemotherapy or other anti-neoplastic systemic therapies administered for more than 1 month and within 12 weeks prior to the start of the Run-in period
  • Participants having history of hepatic embolization, hepatic arterial chemoembolization, and/or selective internal radiation (SIR) therapy within less than 6 months prior to screening
  • Participants who have received Peptide receptor radionuclide therapy (PRRT) therapy during the last 12 months prior to screening

[Note: Other inclusion/exclusion criteria mentioned in the protocol may apply.]

Sites / Locations

  • Rigshospitalet, Endokrinologisk afdelingRecruiting
  • CHU AngersRecruiting
  • AP-HP Hopital BicetreRecruiting
  • AP-HM - Hôpital de la Conception, Service d'Endocrinologie et Centre de Référence des Maladies Rares de l'hypophyseRecruiting
  • CHU Bordeaux - Hôpital Haut-LévêqueRecruiting
  • Universitaetsklinikum Bonn, Medizinische Klinik und Poliklinik I,Recruiting
  • Medicover Praxis fur NeuroendokrinologieRecruiting
  • Hadassah Ein-Karem Medical CenterRecruiting
  • Rabin Medical Center, Beilinson Hospital, Clalit Health Services by Rabin Medical Center, Beilinson HospitaRecruiting
  • Sheba Medical Center, Endocrine instituteRecruiting
  • Tel Aviv Sourasky Medical Center, Institute of Endocrinology, metabolism and hypertensionRecruiting
  • Istituto Romagnolo per lo Studio dei Tumori Dino AmadoriRecruiting
  • Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico di MilanoRecruiting
  • Fondazione Policlinico Universitario A. Gemelli IRCCS - Universita Cattolica del Sacro CuoreRecruiting
  • Narodowy Instytut Onkologii im. Marii Sklodowskiej-Curie - Panstwowy Instytut Badawczy, Oddzial GliwiceRecruiting
  • Uniwersyteckie Centrum Kliniczne im. Prof. K. Gibinskiego Slaskiego Uniwersytetu Medycznego w KatowicachRecruiting
  • Mazowiecki Szpital Brodnowski - Zespol Oddzialow Chorob Wewnetrznych, Endokrynologii i DiabetologiiRecruiting
  • Instituto Português de Oncologia de Lisboa Francisco GentilRecruiting
  • Centro Hospitalar Universitário São JoãoRecruiting
  • Hospital de la Santa Creu i Sant Pau BarcelonRecruiting
  • Hospital Universitario 12 de OctubreRecruiting
  • Hospital Universitario Virgen del RocioRecruiting
  • University Hospital Coventry, WISDEM Centre, UHCW NHS TrustRecruiting
  • Royal Free London NHS Foundation TrustRecruiting
  • Cancer Research UK - Christie Hospital Foundation NHS Trust - Dept of Medical Oncology, Christie Hospital NHS Foundation TrustRecruiting
  • Cancer Research UK - Christie Hospital Foundation NHS Trust - Endocrinology Department, Endocrinology department, The ChristieRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Cohort A: Participants With Acromegaly

Cohort B: Participants With GEP-NET

Arm Description

Participants will receive Sandostatin Long-acting repeatable (LAR) or Somatuline Autogel (ATG) (or equivalent formulations of octreotide/lanreotide) in Run-in Period and further will receive Debio 4126 in this group.

Participants will receive Sandostatin LAR or Somatuline ATG (or equivalent formulations of octreotide/lanreotide) in Run-in Period and further will receive Debio 4126 in this group.

Outcomes

Primary Outcome Measures

Plasma Concentration of Debio 4126 in Acromegaly and GEP-NET Participants
The PK of Debio 4126 will be evaluated in plasma.

Secondary Outcome Measures

Assessment of Ratio of Accumulation (Rac) of Octreotide in Plasma After Repeated Administration of Debio 4126 in Acromegaly and GEP-NET Participants
Safety and Tolerability of Debio 4126 as Assessed by Number of Participants With At Least one Treatment Emergent Adverse Events (TEAE) in Acromegaly and GEP-NET Participants
Local Tolerability of Debio 4126 as Assessed by Pain at Injection Site Based on Pain Visual Analog Scale (VAS) Score in Acromegaly and GEP-NET Participants
Pain VAS scale score will be assessed on 4-point rating scale, where 0=absent and 3=severe.
Insulin-Like Growth Factor 1 (IGF-1) and Growth Hormone (GH) Levels in Acromegaly Participants
The blood samples will be collected to assess changes in the levels of IGF-1 (in µg/L) and GH (in µg/L).
Number of Participants With Carcinoid Syndrome Symptoms and use of Rescue Medication for Symptom Control in GEP-NET Participants

Full Information

First Posted
May 4, 2022
Last Updated
October 17, 2023
Sponsor
Debiopharm International SA
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1. Study Identification

Unique Protocol Identification Number
NCT05364944
Brief Title
A Study to Assess the Pharmacokinetics, Pharmacodynamics, Safety, and Tolerability of Debio 4126 in Participants With Acromegaly or Functioning Gastroenteropancreatic Neuroendocrine Tumors (GEP-NETs)
Acronym
OXTEND-01
Official Title
A Phase 1b Study in Patients With Acromegaly or Functioning Gastroenteropancreatic Neuroendocrine Tumors (GEP-NETs) to Characterize the Pharmacokinetics, Pharmacodynamics, Safety and Tolerability of Debio 4126, a 12-week Prolonged-release Octreotide Formulation
Study Type
Interventional

2. Study Status

Record Verification Date
October 2023
Overall Recruitment Status
Recruiting
Study Start Date
May 18, 2022 (Actual)
Primary Completion Date
May 2025 (Anticipated)
Study Completion Date
June 2025 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Debiopharm International SA

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
This is an open-label, single treatment arm, multicenter study to assess the pharmacokinetics (PK), pharmacodynamics (PD), safety, and tolerability of Debio 4126 in the treatment of participants with Acromegaly or Functioning Gastroenteropancreatic Neuroendocrine tumors (GEP-NETs).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Acromegaly, GEP-NET

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
30 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Cohort A: Participants With Acromegaly
Arm Type
Experimental
Arm Description
Participants will receive Sandostatin Long-acting repeatable (LAR) or Somatuline Autogel (ATG) (or equivalent formulations of octreotide/lanreotide) in Run-in Period and further will receive Debio 4126 in this group.
Arm Title
Cohort B: Participants With GEP-NET
Arm Type
Experimental
Arm Description
Participants will receive Sandostatin LAR or Somatuline ATG (or equivalent formulations of octreotide/lanreotide) in Run-in Period and further will receive Debio 4126 in this group.
Intervention Type
Drug
Intervention Name(s)
Debio 4126
Intervention Description
Intramuscular (IM) injection
Intervention Type
Drug
Intervention Name(s)
Sandostatin LAR
Other Intervention Name(s)
Octreotide acetate
Intervention Description
Sandostatin LAR will be administered as IM injection as pre-study treatment dose prior to Debio 4126 administration
Intervention Type
Drug
Intervention Name(s)
Somatuline ATG
Other Intervention Name(s)
Lanreotide acetate
Intervention Description
Somatulin ATG will be administered as deep subcutaneous (SC) injection as pre-study treatment dose prior to Debio 4126 administration
Primary Outcome Measure Information:
Title
Plasma Concentration of Debio 4126 in Acromegaly and GEP-NET Participants
Description
The PK of Debio 4126 will be evaluated in plasma.
Time Frame
Predose at Days -28 to -7; Postdose at multiple timepoints from Day 1 to Day 337
Secondary Outcome Measure Information:
Title
Assessment of Ratio of Accumulation (Rac) of Octreotide in Plasma After Repeated Administration of Debio 4126 in Acromegaly and GEP-NET Participants
Time Frame
Predose at Days -28 to -7; Postdose at multiple timepoints from Day 1 to Day 337
Title
Safety and Tolerability of Debio 4126 as Assessed by Number of Participants With At Least one Treatment Emergent Adverse Events (TEAE) in Acromegaly and GEP-NET Participants
Time Frame
Up to Week 65
Title
Local Tolerability of Debio 4126 as Assessed by Pain at Injection Site Based on Pain Visual Analog Scale (VAS) Score in Acromegaly and GEP-NET Participants
Description
Pain VAS scale score will be assessed on 4-point rating scale, where 0=absent and 3=severe.
Time Frame
Up to Week 65
Title
Insulin-Like Growth Factor 1 (IGF-1) and Growth Hormone (GH) Levels in Acromegaly Participants
Description
The blood samples will be collected to assess changes in the levels of IGF-1 (in µg/L) and GH (in µg/L).
Time Frame
Baseline up to Week 48
Title
Number of Participants With Carcinoid Syndrome Symptoms and use of Rescue Medication for Symptom Control in GEP-NET Participants
Time Frame
Baseline up to Week 48

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Main Inclusion Criteria: For Participants with Acromegaly: Treatment with octreotide LAR (≤30 mg dose once in 4 weeks [Q4W] IM) or lanreotide ATG (≤120 mg Q4W or 120 mg once in 6 weeks [Q6W] to once in 8 weeks [Q8W] as deep SC injection) for at least 6 months overall, and for at least 2 months at a stable dose as monotherapy for acromegaly treatment prior to entering Run-in (Day -28). Octreotide doses of 10, 20, and 30 mg are considered similar to lanreotide doses of 60, 90, and 120 mg. Thus, a switch between similar doses of the two products will be considered as the patient remaining on a stable dose, unless due to efficacy or safety Diagnosis of acromegaly by historical evidence of (persistent or recurrent) acromegaly will be carried out IGF-1 ≤1.3 x upper limit of normal (ULN) assessed centrally at screening For Participants with GEP-NETs: Treatment with octreotide LAR (≤ 30 mg dose Q4W IM) or lanreotide ATG (≤ 120 mg Q4W or 120 mg Q6W to Q8W as deep SC injection) for at least 6 months overall, and for at least 2 months at a stable dose as monotherapy for study disease treatment prior to entering Run-in (Day -28). Octreotide doses of 10, 20, and 30 mg are considered similar to lanreotide doses of 60, 90, and 120 mg. Thus, a switch between similar doses of the two products will be considered as the participant remaining on a stable dose, unless due to efficacy or safety Participants with functioning, well-differentiated (Grade 1 or Grade 2) GEP-NET with symptoms of carcinoid syndrome which are controlled by Sandostatin LAR, Somatuline ATG, or equivalent medications; sporadic use of rescue medication for symptom control, e.g., bowel movements and/or flushing, is allowed Main Exclusion Criteria: For Participants with Acromegaly and GEP-NETs: Known ongoing gallbladder or bile duct disease or acute or chronic pancreatitis Hypothyroidism not adequately treated with thyroid hormone replacement therapy Diabetic participants whose blood glucose is poorly controlled despite adequate therapy, as evidenced by glycated hemoglobin (HbA1c) >8.0% at screening Cardiology: Known left ventricular ejection fraction <50%, left ventricular hypertrophy, ventricular arrhythmias, bradycardia (heart rate <50 beats per minute [bpm]), cardiomyopathy New York Heart Association Class ≥3 heart failure Congenital long QT syndrome or Known family history of long QT syndrome or sudden cardiac death before the age of 50 Symptomatic Pulmonary embolism QT interval corrected for heart rate according to Fridericia's formula (QTcF) at screening >450 milliseconds (msec) for males and >470 msec for females, based on the average of a triplicate ECG For Participants with Acromegaly: Participants who received pituitary irradiation <2 years prior to enrollment as stereotactic radiotherapy or <3 years prior to enrollment for conventional radiotherapy Participants who received medical treatment with pasireotide (within 6 months prior to screening), pegvisomant (within 3 months prior to screening), dopamine agonists (within 3 months prior to screening) Participants who have undergone pituitary surgery within 6 months prior to screening For Participants with GEP-NETs: Participants with short-bowel syndrome Participants with poorly differentiated neuroendocrine carcinoma and/or high-grade neuroendocrine carcinoma Participants who have received any previous therapy with interferons, targeted therapies (e.g., everolimus, sunitinib, bevacizumab), chemotherapy or other anti-neoplastic systemic therapies administered for more than 1 month and within 12 weeks prior to the start of the Run-in period Participants having history of hepatic embolization, hepatic arterial chemoembolization, and/or selective internal radiation (SIR) therapy within less than 6 months prior to screening Participants who have received Peptide receptor radionuclide therapy (PRRT) therapy during the last 12 months prior to screening [Note: Other inclusion/exclusion criteria mentioned in the protocol may apply.]
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Debiopharm International S.A
Phone
+41 21 321 01 11
Email
clinicaltrials@debiopharm.com
Facility Information:
Facility Name
Rigshospitalet, Endokrinologisk afdeling
City
Copenaghen
ZIP/Postal Code
2200
Country
Denmark
Individual Site Status
Recruiting
Facility Name
CHU Angers
City
Angers
ZIP/Postal Code
49933
Country
France
Individual Site Status
Recruiting
Facility Name
AP-HP Hopital Bicetre
City
Le Kremlin-bicetre
ZIP/Postal Code
94270
Country
France
Individual Site Status
Recruiting
Facility Name
AP-HM - Hôpital de la Conception, Service d'Endocrinologie et Centre de Référence des Maladies Rares de l'hypophyse
City
Marseille
ZIP/Postal Code
13385
Country
France
Individual Site Status
Recruiting
Facility Name
CHU Bordeaux - Hôpital Haut-Lévêque
City
Pessac
ZIP/Postal Code
33604
Country
France
Individual Site Status
Recruiting
Facility Name
Universitaetsklinikum Bonn, Medizinische Klinik und Poliklinik I,
City
Bonn
ZIP/Postal Code
53127
Country
Germany
Individual Site Status
Recruiting
Facility Name
Medicover Praxis fur Neuroendokrinologie
City
Munich
ZIP/Postal Code
81667
Country
Germany
Individual Site Status
Recruiting
Facility Name
Hadassah Ein-Karem Medical Center
City
Jerusalem
ZIP/Postal Code
9112001
Country
Israel
Individual Site Status
Recruiting
Facility Name
Rabin Medical Center, Beilinson Hospital, Clalit Health Services by Rabin Medical Center, Beilinson Hospita
City
Petach Tikva
ZIP/Postal Code
49100
Country
Israel
Individual Site Status
Recruiting
Facility Name
Sheba Medical Center, Endocrine institute
City
Ramat Gan
ZIP/Postal Code
5265601
Country
Israel
Individual Site Status
Recruiting
Facility Name
Tel Aviv Sourasky Medical Center, Institute of Endocrinology, metabolism and hypertension
City
Tel Aviv
ZIP/Postal Code
6423906
Country
Israel
Individual Site Status
Recruiting
Facility Name
Istituto Romagnolo per lo Studio dei Tumori Dino Amadori
City
Meldola
ZIP/Postal Code
47014
Country
Italy
Individual Site Status
Recruiting
Facility Name
Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico di Milano
City
Milano
ZIP/Postal Code
20122
Country
Italy
Individual Site Status
Recruiting
Facility Name
Fondazione Policlinico Universitario A. Gemelli IRCCS - Universita Cattolica del Sacro Cuore
City
Rome
ZIP/Postal Code
00168
Country
Italy
Individual Site Status
Recruiting
Facility Name
Narodowy Instytut Onkologii im. Marii Sklodowskiej-Curie - Panstwowy Instytut Badawczy, Oddzial Gliwice
City
Gliwice
ZIP/Postal Code
41-101
Country
Poland
Individual Site Status
Recruiting
Facility Name
Uniwersyteckie Centrum Kliniczne im. Prof. K. Gibinskiego Slaskiego Uniwersytetu Medycznego w Katowicach
City
Katowice
ZIP/Postal Code
40-514
Country
Poland
Individual Site Status
Recruiting
Facility Name
Mazowiecki Szpital Brodnowski - Zespol Oddzialow Chorob Wewnetrznych, Endokrynologii i Diabetologii
City
Warszawa
ZIP/Postal Code
03-242
Country
Poland
Individual Site Status
Recruiting
Facility Name
Instituto Português de Oncologia de Lisboa Francisco Gentil
City
Lisboa
ZIP/Postal Code
1099-023
Country
Portugal
Individual Site Status
Recruiting
Facility Name
Centro Hospitalar Universitário São João
City
Porto
ZIP/Postal Code
4200-319
Country
Portugal
Individual Site Status
Recruiting
Facility Name
Hospital de la Santa Creu i Sant Pau Barcelon
City
Barcelona
ZIP/Postal Code
08041
Country
Spain
Individual Site Status
Recruiting
Facility Name
Hospital Universitario 12 de Octubre
City
Madrid
ZIP/Postal Code
28041
Country
Spain
Individual Site Status
Recruiting
Facility Name
Hospital Universitario Virgen del Rocio
City
Sevilla
ZIP/Postal Code
41013
Country
Spain
Individual Site Status
Recruiting
Facility Name
University Hospital Coventry, WISDEM Centre, UHCW NHS Trust
City
Coventry
ZIP/Postal Code
CV2 2DX
Country
United Kingdom
Individual Site Status
Recruiting
Facility Name
Royal Free London NHS Foundation Trust
City
London
ZIP/Postal Code
NW3 2QG
Country
United Kingdom
Individual Site Status
Recruiting
Facility Name
Cancer Research UK - Christie Hospital Foundation NHS Trust - Dept of Medical Oncology, Christie Hospital NHS Foundation Trust
City
Manchester
ZIP/Postal Code
M20 4BX
Country
United Kingdom
Individual Site Status
Recruiting
Facility Name
Cancer Research UK - Christie Hospital Foundation NHS Trust - Endocrinology Department, Endocrinology department, The Christie
City
Manchester
ZIP/Postal Code
M20 4BX
Country
United Kingdom
Individual Site Status
Recruiting

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

A Study to Assess the Pharmacokinetics, Pharmacodynamics, Safety, and Tolerability of Debio 4126 in Participants With Acromegaly or Functioning Gastroenteropancreatic Neuroendocrine Tumors (GEP-NETs)

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