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NCT01137682 · OUTCOME

Percentage of Participants With a Reduction of Mean GH Levels to < 2.5 µg/L and Normalization of Sex- and Age-adjusted IGF-1.

Efficacy and Safety of Pasireotide Long Acting Release (LAR) Versus Octreotide LAR or Lanreotide Autogel (ATG) in Patients With Inadequately Controlled Acromegaly · Source last updated 2018-04-05

Results reported by the registry submitting party. Population, time horizon, units and missing values must be read together.

Measure
NUMBER
Unit
percentage of participants
Interval / dispersion
95% Confidence Interval
Time frame
At 24 weeks

What was measured

The primary objective of this study was to compare the percentage of patients achieving biochemical control (defined as mean GH levels \<2.5 µg/L and normalization of sex- and age- adjusted IGF-1) at 24 weeks with pasireotide LAR 40 mg and pasireotide LAR 60 mg separately versus continued treatment with octreotide LAR 30 mg or lanreotide autogel (ATG) 120 mg. The primary efficacy variable is the proportion of patients with a reduction of mean GH levels to \< 2.5 µg/L and normalization of sex- and age-adjusted IGF-1 at 24 weeks.

Groups in this outcome

Pasireotide LAR 40 mg

Supplied in blinded fashion as 20 and 40 mg powder in vials and 2 mL vehicle in ampoule (for reconstitution) for intramuscular administration every 28 days

Pasireotide LAR 60 mg

Supplied in blinded fashion as 20 and 40 mg powder in vials and 2 mL vehicle in ampoule (for reconstitution) for intramuscular administration every 28 days

Control Arm (Octreotide or Lanreotide)

Open label octreotide LAR 30 mg or lanreotide ATG 120 mg supplied either locally or from designated depot. Administered intramuscular every 28 days

Group identifiers and denominators belong to this outcome only. They may differ in another outcome or in safety reporting.

Analysis denominator · Participants

GroupSource count
Pasireotide LAR 40 mg65
Pasireotide LAR 60 mg65
Control Arm (Octreotide or Lanreotide)68

Reported measurements

Source class 1
Values in percentage of participants · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Pasireotide LAR 40 mg15.4Not reported7.6326.48Not reported
Pasireotide LAR 60 mg20.0Not reported11.1031.77Not reported
Control Arm (Octreotide or Lanreotide)0Not reported05.28Not reported

Source statistical analyses

Group order, estimate direction, methods and comments are retained. No treatment ranking is inferred.

  1. ci Lower Limit
    3.32
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit Comment
    infinity
    group Ids
    1. OG000
    2. OG002
    non Inferiority Type
    SUPERIORITY
    p Value
    0.0006
    param Type
    Odds Ratio (OR)
    param Value
    16.63
    statistical Comment
    An exact logistic regression model that adjusts for the randomization stratification factors was used to test the null hypothesis.
    statistical Method
    Regression, Logistic
  2. ci Lower Limit
    4.72
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit Comment
    infinity
    group Ids
    1. OG001
    2. OG002
    non Inferiority Type
    SUPERIORITY
    p Value
    <0.0001
    param Type
    Odds Ratio (OR)
    param Value
    23.03
    statistical Comment
    An exact logistic regression model that adjusts for the randomization stratification factors was used to test the null hypothesis.
    statistical Method
    Regression, Logistic
Complete source fields
analyses
  1. ci Lower Limit
    3.32
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit Comment
    infinity
    group Ids
    1. OG000
    2. OG002
    non Inferiority Type
    SUPERIORITY
    p Value
    0.0006
    param Type
    Odds Ratio (OR)
    param Value
    16.63
    statistical Comment
    An exact logistic regression model that adjusts for the randomization stratification factors was used to test the null hypothesis.
    statistical Method
    Regression, Logistic
  2. ci Lower Limit
    4.72
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit Comment
    infinity
    group Ids
    1. OG001
    2. OG002
    non Inferiority Type
    SUPERIORITY
    p Value
    <0.0001
    param Type
    Odds Ratio (OR)
    param Value
    23.03
    statistical Comment
    An exact logistic regression model that adjusts for the randomization stratification factors was used to test the null hypothesis.
    statistical Method
    Regression, Logistic
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        7.63
        upper Limit
        26.48
        value
        15.4
      2. group Id
        OG001
        lower Limit
        11.10
        upper Limit
        31.77
        value
        20.0
      3. group Id
        OG002
        lower Limit
        0
        upper Limit
        5.28
        value
        0
denoms
  1. counts
    1. group Id
      OG000
      value
      65
    2. group Id
      OG001
      value
      65
    3. group Id
      OG002
      value
      68
    units
    Participants
description
The primary objective of this study was to compare the percentage of patients achieving biochemical control (defined as mean GH levels \<2.5 µg/L and normalization of sex- and age- adjusted IGF-1) at 24 weeks with pasireotide LAR 40 mg and pasireotide LAR 60 mg separately versus continued treatment with octreotide LAR 30 mg or lanreotide autogel (ATG) 120 mg. The primary efficacy variable is the proportion of patients with a reduction of mean GH levels to \< 2.5 µg/L and normalization of sex- and age-adjusted IGF-1 at 24 weeks.
dispersion Type
95% Confidence Interval
groups
  1. description
    Supplied in blinded fashion as 20 and 40 mg powder in vials and 2 mL vehicle in ampoule (for reconstitution) for intramuscular administration every 28 days
    id
    OG000
    title
    Pasireotide LAR 40 mg
  2. description
    Supplied in blinded fashion as 20 and 40 mg powder in vials and 2 mL vehicle in ampoule (for reconstitution) for intramuscular administration every 28 days
    id
    OG001
    title
    Pasireotide LAR 60 mg
  3. description
    Open label octreotide LAR 30 mg or lanreotide ATG 120 mg supplied either locally or from designated depot. Administered intramuscular every 28 days
    id
    OG002
    title
    Control Arm (Octreotide or Lanreotide)
param Type
NUMBER
reporting Status
POSTED
time Frame
At 24 weeks
title
Percentage of Participants With a Reduction of Mean GH Levels to < 2.5 µg/L and Normalization of Sex- and Age-adjusted IGF-1.
type
PRIMARY
unit Of Measure
percentage of participants

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Preserved source evidence · Not medical advice