Clinical trial NCT03045302: Assessment of BIM23B065, Given as Repeated Subcutaneous Injection in Subjects With Acromegaly
Official title: A Phase IIa, Open-label, Single-arm, Two Stage, Multi-centre Study to Investigate the Pharmacodynamics, Pharmacokinetics, Safety and Tolerability of Repeated Subcutaneous Administration of BIM23B065 in Subjects With Acromegaly
Study type: INTERVENTIONAL
Overall status: TERMINATED
Phase: PHASE2
Conditions: Acromegaly
Lead sponsor: Ipsen
Sponsor class: INDUSTRY
First posted: 2017-02-07
Enrollment: 4
Sex: ALL
Minimum age (years): 18
Maximum age (years): 75
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: TREATMENT

Brief summary: The purpose of the protocol is evaluate the safety, the pharmacodynamics and the pharmacokinetic of repeated administration of BIM23B065 in subjects with acromegaly.


Eligibility criteria: Inclusion Criteria:

* Provided written informed consent prior to any study related procedures.
* Subjects will have a documented diagnosis of acromegaly.
* Subjects will have active acromegaly confirmed by a mean serum concentration of GH over 2 hours \> 2.5 µg/L at screening analysed by central laboratory.
* Subjects who have had pituitary surgery must be \>8 weeks post-surgery.
* 18 to 75 years of age.
* Negative pregnancy test (female subjects).
* Female who is either of non-childbearing potential or who is not pregnant at screening and agrees to use highly effective contraception during whole duration of the study. Non-childbearing potential is defined as being postmenopausal for at least 1 year, or women with documented infertility (natural or acquired).
* Male subjects must agree that, if their partner is at risk of becoming pregnant, they will use a medically accepted, effective method of contraception (i.e. condom) for the duration of the treatment period of the study.

Exclusion Criteria:

* The subject has received long-acting Somatostatin Analogues (SSA) within 12 weeks prior screening (e.g.octreotide long acting release (LAR), lanreotide Autogel, pasireotide LAR).
* The subject has received short-acting SSA within 1 week (e.g. octreotide SC) prior to screening.
* The subject has received a dopamine agonist within 6 weeks (e.g., bromocriptine or cabergoline) prior to screening.
* The subject has received GH antagonist within 12 weeks prior to screening (e.g., pegvisomant).
* The subject had undergone radiotherapy to the pituitary gland at any time prior to study entry.
* It is anticipated that the subject will undergo pituitary surgery or radiation to the pituitary gland during the study, or will require additional medical therapy for acromegaly (including SSA, pegvisomant, or dopamine agonists) during the study.
* The subject has unsubstituted/untreated adrenal insufficiency.
* If the subject has any history of postural hypotension or evidence of postural hypotension at screening (\>= 20 mm Hg decrease in Systolic blood pressure (SBP), \>= 10 mm Hg decrease in diastolic blood pressure, or \>=30 bpm increases in pulse rate, after standing for 2 minutes from resting supine position of at least 10 min).
* Subject with poorly controlled diabetes mellitus (presence of ketoacidosis or a glycosylated hemoglobin level \>10%).
* Subject with diabetes treated with insulin for less than 6 weeks prior to study entry, or with an unstable insulin dose in the 6 weeks prior to study entry or HbA1c\>10%.
* Subject is taking beta-blockers (which can inhibit compensatory increases in HR during hypotensive episodes).
* Subject is being treated for hypertension and in the opinion of the investigator their antihypertensive medication puts them at increased risk of postural hypotension.
* Subject is hypotensive at screening as defined as systolic \< 90 mmHg and/or diastolic \<60 mmHg.
* Subject has clinically significant hepatic abnormalities and/or alanine aminotransferase (ALT) and/or aspartate aminotransferase (AST) ≥2 x ULN and/or alkaline phosphatase (AP) ≥2 x ULN and/or total bilirubin ≥1.5 x ULN and gamma-glutamyl transferase (GGT) ≥2.5 x ULN during the Screening period (local laboratory results).
* Subject has a compression of the optic chiasm causing visual-field defects.
* Subject is receiving any oestrogen-containing Hormone Replacement Therapy (HRT).
* Subject has clinically significant pancreatic abnormalities and/or amylase and/or lipase ≥2 x ULN during the Screening period (local laboratory results).
* Any significant renal abnormalities, including confirmed proteinuria and/or creatinine ≥1.5x ULN during screening assessed by the local laboratory.

Primary outcomes:
measure: The Number of Subjects Who Were Growth Hormone (GH) Responders at Day 14 of the Treatment Period
timeFrame: From baseline (Day -1) to Day 14.
Secondary outcomes:
Other outcomes:
Locations:
city: Liège
country: Belgium
facility: CHU de Liège, University of Liège, Domaine Universitaire du Sart-Tilman
city: Pecs
country: Hungary
facility: Medical Centre, University of Pecs, I Department of Internal Medicine
city: Belgrade
country: Serbia
facility: Clinical Center of Serbia, Clinic for Endocrinology, Diabetes and Metabolic Diseases
city: Kharkiv
country: Ukraine
facility: "Institute of Endocrinological Pathology named after Danilevskij V.Ya., AMS of Ukraine", Department of General Endocrinology
city: Kiev
country: Ukraine
facility: "Institute of Endocrinology and Metabolism named after V.P.Komisarenko, AMS Ukraine", Department of General Endocrinology
city: Vinnitsa
country: Ukraine
facility: Vinnitsa Regional Endocrinology Dispensary, Vinnitsa National Medical University named after M.I Pirogov, Therapeutic Department № 2
Study officials:
affiliation: Ipsen
name: Ipsen Study Director
role: STUDY_DIRECTOR
References: