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Roll-over Study in Patients With Endogenous Cushing's Syndrome for LCI699

Primary Purpose

Cushing's Syndrome

Status
Active
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
osilodrostat
Sponsored by
RECORDATI GROUP
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Cushing's Syndrome focused on measuring Cushing's syndrome, osilodrostat, LCI699, endogenous Cushing's syndrome

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Patient is currently participating in a Global Novartis-sponsored study receiving osilodrostat for any type of endogenous CS and has fulfilled all their requirements in the parent study.
  • Patient is currently benefiting from treatment with osilodrostat, as determined by the Investigator.
  • Patient has demonstrated compliance, as assessed by the Investigator, with the parent study protocol requirements.
  • Willingness and ability to comply with scheduled visits and treatment plans.
  • Written informed consent obtained prior to enrolling into the roll-over study before evaluating the applicability of the subject's participating in the study. -- If consent cannot be expressed in writing, it must be formally documented and witnessed, ideally via an independent trusted witness.

Exclusion Criteria:

  • Patient has been permanently discontinued from osilodrostat study treatment in a parent Novartis-sponsor study.
  • Patients who are receiving osilodrostat in combination with unapproved or experimental treatments for any type of endogenous CS.
  • Pregnant or nursing (lactating) women, where pregnancy is defined as the state of a female after conception and until the termination of gestation, confirmed by a positive hCG laboratory test. Pregnant or nursing (lactating) women
  • Women of child-bearing potential, defined as all women physiologically capable of becoming pregnant, unless they are using highly effective methods of contraception during dosing and for 1 week of study after stopping medication. Highly effective contraception methods include:

    • Total abstinence (when this is in line with the preferred and usual lifestyle of the subject. Periodic abstinence (e.g., calendar, ovulation, symptothermal, post-ovulation methods) and withdrawal are not acceptable methods of contraception
    • Female sterilization (have had surgical bilateral oophorectomy with or without hysterectomy), total hysterectomy, or tubal ligation. at least six weeks before taking study treatment. In case of oophorectomy alone, only when the reproductive status of the woman has been confirmed by follow up hormone level assessment
    • Male sterilization (at least 6 months prior to baseline). The vasectomized male partner should be the sole partner for that subject
    • Use of oral, (estrogen and progesterone), injected or implanted hormonal methods of contraception or placement of an intrauterine device (IUD) or intrauterine system (IUS), or other forms of hormonal contraception that have comparable efficacy (failure rate <1%), for example hormone vaginal ring or transdermal hormone contraception.

Sites / Locations

  • University of Colorado
  • Emory University School of Medicine G2304 - C2301
  • Northwestern University SC - LCI699C2301
  • University of Michigan Comprehensive Cancer Center
  • Columbia University Medical Center New York Presbyterian Neuroendocrine Unit
  • Memorial Sloan Kettering Cancer Center
  • Cleveland Clinic Foundation
  • Oregon Health and Science University
  • University of Pennsylvania Medical Center Univ Penn
  • Medical College of Wisconsin MCW 2
  • Recordati Investigative Site
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Arms of the Study

Arm 1

Arm Type

Other

Arm Label

osilodrostat

Arm Description

open label, with patients receiving same dose as provided in the parent study

Outcomes

Primary Outcome Measures

Number of participants with adverse/serious adverse events
To evaluate long term safety

Secondary Outcome Measures

Percentage of patients with clinical benefit
clinical benefit as assessed by the investigator

Full Information

First Posted
July 20, 2018
Last Updated
May 2, 2022
Sponsor
RECORDATI GROUP
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1. Study Identification

Unique Protocol Identification Number
NCT03606408
Brief Title
Roll-over Study in Patients With Endogenous Cushing's Syndrome for LCI699
Official Title
An Open-label, Multi-center, Roll-over Study to Assess Long Term Safety in Patients With Endogenous Cushing's Syndrome Who Have Completed a Prior Novartis-sponsored Osilodrostat (LCI699) Study and Are Judged by the Investigator to Benefit From Continued Treatment With Osilodrostat
Study Type
Interventional

2. Study Status

Record Verification Date
May 2022
Overall Recruitment Status
Active, not recruiting
Study Start Date
October 5, 2018 (Actual)
Primary Completion Date
February 28, 2023 (Anticipated)
Study Completion Date
September 27, 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
RECORDATI GROUP

4. Oversight

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

5. Study Description

Brief Summary
The purpose of this study is the evaluation of long-term safety of osilodrostat in patients who have already received osilodrostat treatment in a previous Global Novartis-sponsored trial and who, based on investigators' judgement, will continue benefiting with its administration.
Detailed Description
There will be no screening period for this study. Eligible subjects can start their treatment with osilodrostat as soon as they are enrolled in the study. The first study visit will be scheduled at the time of the last study visit for the parent study. Subjects must return to the study center at least on a quarterly basis (every 12 weeks ± 2 weeks) for safety and clinical benefit assessments, and resupply of study medication. Drug dispensing and administration information and adverse events will be collected. The subject may return to the clinic at any given time as per standard of care or treating physician recommendation; however, only the quarterly study visits will be recorded in the Case Report Form (CRF). Study medication dispensed will be recorded in the CRF dose administration page. All adverse events and serious adverse events, including pregnancy, will be collected throughout the study. Subjects will continue to be treated in this roll-over study until they are no longer benefiting from their osilodrostat treatment as judged by the Investigator or until osilodrostat is commercially available or until one of other discontinuation criteria is met.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Cushing's Syndrome
Keywords
Cushing's syndrome, osilodrostat, LCI699, endogenous Cushing's syndrome

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
180 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
osilodrostat
Arm Type
Other
Arm Description
open label, with patients receiving same dose as provided in the parent study
Intervention Type
Drug
Intervention Name(s)
osilodrostat
Other Intervention Name(s)
LCI699
Intervention Description
osilodrostat, in the form of film coated tablets for oral administration, in the following tablet strengths: 1mg, 5mg, 10mg. Each strength has unique tablet size, colour and imprint.
Primary Outcome Measure Information:
Title
Number of participants with adverse/serious adverse events
Description
To evaluate long term safety
Time Frame
up to 5 years
Secondary Outcome Measure Information:
Title
Percentage of patients with clinical benefit
Description
clinical benefit as assessed by the investigator
Time Frame
up to of 5 years

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patient is currently participating in a Global Novartis-sponsored study receiving osilodrostat for any type of endogenous CS and has fulfilled all their requirements in the parent study. Patient is currently benefiting from treatment with osilodrostat, as determined by the Investigator. Patient has demonstrated compliance, as assessed by the Investigator, with the parent study protocol requirements. Willingness and ability to comply with scheduled visits and treatment plans. Written informed consent obtained prior to enrolling into the roll-over study before evaluating the applicability of the subject's participating in the study. -- If consent cannot be expressed in writing, it must be formally documented and witnessed, ideally via an independent trusted witness. Exclusion Criteria: Patient has been permanently discontinued from osilodrostat study treatment in a parent Novartis-sponsor study. Patients who are receiving osilodrostat in combination with unapproved or experimental treatments for any type of endogenous CS. Pregnant or nursing (lactating) women, where pregnancy is defined as the state of a female after conception and until the termination of gestation, confirmed by a positive hCG laboratory test. Pregnant or nursing (lactating) women Women of child-bearing potential, defined as all women physiologically capable of becoming pregnant, unless they are using highly effective methods of contraception during dosing and for 1 week of study after stopping medication. Highly effective contraception methods include: Total abstinence (when this is in line with the preferred and usual lifestyle of the subject. Periodic abstinence (e.g., calendar, ovulation, symptothermal, post-ovulation methods) and withdrawal are not acceptable methods of contraception Female sterilization (have had surgical bilateral oophorectomy with or without hysterectomy), total hysterectomy, or tubal ligation. at least six weeks before taking study treatment. In case of oophorectomy alone, only when the reproductive status of the woman has been confirmed by follow up hormone level assessment Male sterilization (at least 6 months prior to baseline). The vasectomized male partner should be the sole partner for that subject Use of oral, (estrogen and progesterone), injected or implanted hormonal methods of contraception or placement of an intrauterine device (IUD) or intrauterine system (IUS), or other forms of hormonal contraception that have comparable efficacy (failure rate <1%), for example hormone vaginal ring or transdermal hormone contraception.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Recordati
Organizational Affiliation
Recordati AG
Official's Role
Study Director
Facility Information:
Facility Name
University of Colorado
City
Aurora
State/Province
Colorado
ZIP/Postal Code
80045
Country
United States
Facility Name
Emory University School of Medicine G2304 - C2301
City
Atlanta
State/Province
Georgia
ZIP/Postal Code
30322
Country
United States
Facility Name
Northwestern University SC - LCI699C2301
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60611
Country
United States
Facility Name
University of Michigan Comprehensive Cancer Center
City
Ann Arbor
State/Province
Michigan
ZIP/Postal Code
48109
Country
United States
Facility Name
Columbia University Medical Center New York Presbyterian Neuroendocrine Unit
City
New York
State/Province
New York
ZIP/Postal Code
10032
Country
United States
Facility Name
Memorial Sloan Kettering Cancer Center
City
New York
State/Province
New York
ZIP/Postal Code
10065
Country
United States
Facility Name
Cleveland Clinic Foundation
City
Cleveland
State/Province
Ohio
ZIP/Postal Code
44195
Country
United States
Facility Name
Oregon Health and Science University
City
Portland
State/Province
Oregon
ZIP/Postal Code
97239
Country
United States
Facility Name
University of Pennsylvania Medical Center Univ Penn
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19104
Country
United States
Facility Name
Medical College of Wisconsin MCW 2
City
Milwaukee
State/Province
Wisconsin
ZIP/Postal Code
53226
Country
United States
Facility Name
Recordati Investigative Site
City
Caba
State/Province
Buenos Aires
ZIP/Postal Code
C1180AAX
Country
Argentina
Facility Name
Recordati Investigative Site
City
Vienna
ZIP/Postal Code
A-1090
Country
Austria
Facility Name
Recordati Investigative Site
City
Leuven
ZIP/Postal Code
3000
Country
Belgium
Facility Name
Recordati Investigative Site
City
Fortaleza
State/Province
CE
ZIP/Postal Code
60020-181
Country
Brazil
Facility Name
Recordati Investigative Site
City
Rio de Janeiro
State/Province
RJ
ZIP/Postal Code
21941-913
Country
Brazil
Facility Name
Recordati Investigative Site
City
Sao Paulo
State/Province
SP
ZIP/Postal Code
04039 004
Country
Brazil
Facility Name
Recordati Investigative Site
City
Sao Paulo
State/Province
SP
ZIP/Postal Code
05403 000
Country
Brazil
Facility Name
Recordati Investigative Site
City
Sofia
ZIP/Postal Code
1431
Country
Bulgaria
Facility Name
Recordati Investigative Site
City
Edmonton
State/Province
Alberta
ZIP/Postal Code
T6G 2B7
Country
Canada
Facility Name
Recordati Investigative Site
City
Halifax
State/Province
Nova Scotia
ZIP/Postal Code
B3H 1V7
Country
Canada
Facility Name
Recordati Investigative Site
City
Montreal
State/Province
Quebec
ZIP/Postal Code
H2W 1T8
Country
Canada
Facility Name
Recordati Investigative Site
City
Sherbrooke
State/Province
Quebec
ZIP/Postal Code
J1H 5N4
Country
Canada
Facility Name
Recordati Investigative Site
City
Chengdu
State/Province
Sichuan
ZIP/Postal Code
610041
Country
China
Facility Name
Recordati Investigative Site
City
Beijing
ZIP/Postal Code
100034
Country
China
Facility Name
Recordati Investigative Site
City
Beijing
ZIP/Postal Code
100730
Country
China
Facility Name
Recordati Investigative Site
City
San Pedro
State/Province
San Jose, Costa Rica
ZIP/Postal Code
1406 1200
Country
Costa Rica
Facility Name
Recordati Investigative Site
City
Pessac
State/Province
Cedex
ZIP/Postal Code
33604
Country
France
Facility Name
Recordati Investigative Site
City
Le Kremlin Bicetre
ZIP/Postal Code
94275
Country
France
Facility Name
Recordati Investigative Site
City
Lille Cedex
ZIP/Postal Code
59037
Country
France
Facility Name
Recordati Investigative Site
City
Paris
ZIP/Postal Code
75014
Country
France
Facility Name
Recordati Investigative Site
City
Erlangen
ZIP/Postal Code
91054
Country
Germany
Facility Name
Recordati Investigative Site
City
Muenchen
ZIP/Postal Code
81377
Country
Germany
Facility Name
Recordati Investigative Site
City
New Delhi
ZIP/Postal Code
110029
Country
India
Facility Name
Recordati Investigative Site
City
Ancona
State/Province
AN
ZIP/Postal Code
60126
Country
Italy
Facility Name
Recordati Investigative Site
City
Padova
State/Province
PD
ZIP/Postal Code
35128
Country
Italy
Facility Name
Recordati Investigative Site
City
Pisa
State/Province
PI
ZIP/Postal Code
56124
Country
Italy
Facility Name
Recordati Investigative Site
City
Napoli
ZIP/Postal Code
80131
Country
Italy
Facility Name
Recordati Investigative Site
City
Nagoya
State/Province
Aichi
ZIP/Postal Code
460-0001
Country
Japan
Facility Name
Recordati Investigative Site
City
Nishinomiya
State/Province
Hyogo
ZIP/Postal Code
663 8501
Country
Japan
Facility Name
Recordati Investigative Site
City
Seoul
ZIP/Postal Code
03080
Country
Korea, Republic of
Facility Name
Recordati Investigative Site
City
Seoul
ZIP/Postal Code
03722
Country
Korea, Republic of
Facility Name
Recordati Investigative Site
City
Krakow
ZIP/Postal Code
31-501
Country
Poland
Facility Name
Recordati Investigative Site
City
Warszawa
ZIP/Postal Code
03 242
Country
Poland
Facility Name
Recordati Investigative Site
City
Moscow
ZIP/Postal Code
117036
Country
Russian Federation
Facility Name
Recordati Investigative Site
City
Sevilla
State/Province
Andalucia
ZIP/Postal Code
41013
Country
Spain
Facility Name
Recordati Investigative Site
City
La Coruna
State/Province
Galicia
ZIP/Postal Code
15006
Country
Spain
Facility Name
Recordati Investigative Site
City
Madrid
ZIP/Postal Code
28009
Country
Spain
Facility Name
Recordati Investigative Site
City
Valencia
ZIP/Postal Code
46026
Country
Spain
Facility Name
Recordati Investigative Site
City
Bangkok
ZIP/Postal Code
10330
Country
Thailand
Facility Name
Recordati Investigative Site
City
Bangkok
ZIP/Postal Code
10700
Country
Thailand
Facility Name
Recordati Investigative Site
City
Songkla
ZIP/Postal Code
90110
Country
Thailand
Facility Name
Recordati Investigative Site
City
Istanbul
State/Province
TUR
ZIP/Postal Code
34098
Country
Turkey
Facility Name
Recordati Investigative Site
City
Altunizade
ZIP/Postal Code
34662
Country
Turkey
Facility Name
Recordati Investigative Site
City
Kocaeli
ZIP/Postal Code
41380
Country
Turkey

12. IPD Sharing Statement

Plan to Share IPD
No

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Roll-over Study in Patients With Endogenous Cushing's Syndrome for LCI699

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