Percentage of Patients With Mean GH < 2.5 μg/L Treated With Pasireotide LAR Alone or With Concomitant Medications Used to Treat Acromegaly (Extension Full Analysis Set)
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
Extension baseline up to approximately week 268
What was measured
The percentage of patients achieving mean growth hormone (GH) levels \< 2.5 μg/L was calculated with two sided 95% confidence interval. All GH assessments were based on a 5-point mean growth hormone (GH) assessed from a 2-hour profile. Scheduled time points for blood sampling were pre-dose at 0, 30, 60, 90 and 120 minutes. Concomitant medication known to affect GH levels were allowed in patients who were not biochemically controlled after at least one year treatment with pasireotide LAR monotherapy: dopamine agonists and growth hormone receptor antagonists (Extension full analysis set)
Analysis population: Full analysis set (FAS): comprised all patients who were randomized. Following the intent-to-treat principle, patients were analyzed according to the study drug they were assigned to at randomization and actual stratum.
Groups in this outcome
Pasireotide LAR 40 mg Extension
If controlled on 40 mg in CORE, remain on blinded 40 mg in extension. If patient became uncontrolled, switch to open label 60 mg
Pasireotide LAR 60 mg Extension
If controlled on 60 mg in CORE, remain on blinded 60 mg in extension. If patient became uncontrolled, switch to open label 60 mg
Control Arm (Octreotide or Lanreotide) Extension
Open - label 60 mg pasireotide. Control group from CORE discontinued study if controlled in CORE. If uncontrolled in CORE, switched to open label 60 mg pasireotide. Extension blinded 40 and 60 mg switched to open label if became uncontrolled
Group identifiers and denominators belong to this outcome only. They may differ in another outcome or in safety reporting.
Analysis denominator · Participants
Group
Source count
Pasireotide LAR 40 mg Extension
57
Pasireotide LAR 60 mg Extension
54
Control Arm (Octreotide or Lanreotide) Extension
62
Reported measurements
Week 16
Values in percentage of participants · Interval/dispersion: 95% Confidence Interval
Group
Value
Spread
Lower
Upper
Comment
Pasireotide LAR 40 mg Extension
38.6
Not reported
26.00
52.43
Not reported
Pasireotide LAR 60 mg Extension
55.6
Not reported
41.40
69.08
Not reported
Control Arm (Octreotide or Lanreotide) Extension
33.9
Not reported
22.33
47.01
Not reported
Week 28
Values in percentage of participants · Interval/dispersion: 95% Confidence Interval
Group
Value
Spread
Lower
Upper
Comment
Pasireotide LAR 40 mg Extension
40.4
Not reported
27.56
54.18
Not reported
Pasireotide LAR 60 mg Extension
44.4
Not reported
30.92
58.60
Not reported
Control Arm (Octreotide or Lanreotide) Extension
43.5
Not reported
30.99
56.74
Not reported
Week 40
Values in percentage of participants · Interval/dispersion: 95% Confidence Interval
Group
Value
Spread
Lower
Upper
Comment
Pasireotide LAR 40 mg Extension
38.6
Not reported
26.00
52.43
Not reported
Pasireotide LAR 60 mg Extension
42.6
Not reported
29.23
56.79
Not reported
Control Arm (Octreotide or Lanreotide) Extension
40.3
Not reported
28.05
53.55
Not reported
Week 52
Values in percentage of participants · Interval/dispersion: 95% Confidence Interval
Group
Value
Spread
Lower
Upper
Comment
Pasireotide LAR 40 mg Extension
38.6
Not reported
26.00
52.43
Not reported
Pasireotide LAR 60 mg Extension
46.3
Not reported
32.62
60.39
Not reported
Control Arm (Octreotide or Lanreotide) Extension
41.9
Not reported
29.51
55.15
Not reported
Week 64
Values in percentage of participants · Interval/dispersion: 95% Confidence Interval
Group
Value
Spread
Lower
Upper
Comment
Pasireotide LAR 40 mg Extension
40.4
Not reported
27.56
54.18
Not reported
Pasireotide LAR 60 mg Extension
37.0
Not reported
24.29
51.26
Not reported
Control Arm (Octreotide or Lanreotide) Extension
41.9
Not reported
29.51
55.15
Not reported
Week 76
Values in percentage of participants · Interval/dispersion: 95% Confidence Interval
Group
Value
Spread
Lower
Upper
Comment
Pasireotide LAR 40 mg Extension
33.3
Not reported
21.40
47.06
Not reported
Pasireotide LAR 60 mg Extension
44.4
Not reported
30.92
58.60
Not reported
Control Arm (Octreotide or Lanreotide) Extension
45.2
Not reported
32.48
58.32
Not reported
Week 88
Values in percentage of participants · Interval/dispersion: 95% Confidence Interval
Group
Value
Spread
Lower
Upper
Comment
Pasireotide LAR 40 mg Extension
40.4
Not reported
27.56
54.18
Not reported
Pasireotide LAR 60 mg Extension
42.6
Not reported
29.23
56.79
Not reported
Control Arm (Octreotide or Lanreotide) Extension
45.2
Not reported
32.48
58.32
Not reported
Week 100
Values in percentage of participants · Interval/dispersion: 95% Confidence Interval
Group
Value
Spread
Lower
Upper
Comment
Pasireotide LAR 40 mg Extension
40.4
Not reported
27.56
54.18
Not reported
Pasireotide LAR 60 mg Extension
40.7
Not reported
27.57
54.97
Not reported
Control Arm (Octreotide or Lanreotide) Extension
46.8
Not reported
33.98
59.88
Not reported
Week 112
Values in percentage of participants · Interval/dispersion: 95% Confidence Interval
Group
Value
Spread
Lower
Upper
Comment
Pasireotide LAR 40 mg Extension
36.8
Not reported
24.45
50.66
Not reported
Pasireotide LAR 60 mg Extension
44.4
Not reported
30.92
58.60
Not reported
Control Arm (Octreotide or Lanreotide) Extension
40.3
Not reported
28.05
53.55
Not reported
Week 124
Values in percentage of participants · Interval/dispersion: 95% Confidence Interval
Group
Value
Spread
Lower
Upper
Comment
Pasireotide LAR 40 mg Extension
40.4
Not reported
27.56
54.18
Not reported
Pasireotide LAR 60 mg Extension
31.5
Not reported
19.52
45.55
Not reported
Control Arm (Octreotide or Lanreotide) Extension
41.9
Not reported
29.51
55.15
Not reported
Week 136
Values in percentage of participants · Interval/dispersion: 95% Confidence Interval
Group
Value
Spread
Lower
Upper
Comment
Pasireotide LAR 40 mg Extension
36.8
Not reported
24.45
50.66
Not reported
Pasireotide LAR 60 mg Extension
35.2
Not reported
22.68
49.38
Not reported
Control Arm (Octreotide or Lanreotide) Extension
43.5
Not reported
30.99
56.74
Not reported
Week 148
Values in percentage of participants · Interval/dispersion: 95% Confidence Interval
Group
Value
Spread
Lower
Upper
Comment
Pasireotide LAR 40 mg Extension
40.4
Not reported
27.56
54.18
Not reported
Pasireotide LAR 60 mg Extension
33.3
Not reported
21.09
47.47
Not reported
Control Arm (Octreotide or Lanreotide) Extension
43.5
Not reported
30.99
56.74
Not reported
Week 160
Values in percentage of participants · Interval/dispersion: 95% Confidence Interval
Group
Value
Spread
Lower
Upper
Comment
Pasireotide LAR 40 mg Extension
38.6
Not reported
26.00
52.43
Not reported
Pasireotide LAR 60 mg Extension
33.3
Not reported
21.09
47.47
Not reported
Control Arm (Octreotide or Lanreotide) Extension
40.3
Not reported
28.05
53.55
Not reported
Week 172
Values in percentage of participants · Interval/dispersion: 95% Confidence Interval
Group
Value
Spread
Lower
Upper
Comment
Pasireotide LAR 40 mg Extension
40.4
Not reported
27.56
54.18
Not reported
Pasireotide LAR 60 mg Extension
37.0
Not reported
24.29
51.26
Not reported
Control Arm (Octreotide or Lanreotide) Extension
38.7
Not reported
26.60
51.93
Not reported
Week 184
Values in percentage of participants · Interval/dispersion: 95% Confidence Interval
Group
Value
Spread
Lower
Upper
Comment
Pasireotide LAR 40 mg Extension
33.3
Not reported
21.40
47.06
Not reported
Pasireotide LAR 60 mg Extension
31.5
Not reported
19.52
45.55
Not reported
Control Arm (Octreotide or Lanreotide) Extension
33.9
Not reported
22.33
47.01
Not reported
Week 196
Values in percentage of participants · Interval/dispersion: 95% Confidence Interval
Group
Value
Spread
Lower
Upper
Comment
Pasireotide LAR 40 mg Extension
29.8
Not reported
18.43
43.40
Not reported
Pasireotide LAR 60 mg Extension
29.6
Not reported
17.98
43.61
Not reported
Control Arm (Octreotide or Lanreotide) Extension
35.5
Not reported
23.74
48.66
Not reported
Week 208
Values in percentage of participants · Interval/dispersion: 95% Confidence Interval
Group
Value
Spread
Lower
Upper
Comment
Pasireotide LAR 40 mg Extension
31.6
Not reported
19.91
45.24
Not reported
Pasireotide LAR 60 mg Extension
24.1
Not reported
13.49
37.64
Not reported
Control Arm (Octreotide or Lanreotide) Extension
25.8
Not reported
15.53
38.50
Not reported
Week 220
Values in percentage of participants · Interval/dispersion: 95% Confidence Interval
Group
Value
Spread
Lower
Upper
Comment
Pasireotide LAR 40 mg Extension
29.8
Not reported
18.43
43.40
Not reported
Pasireotide LAR 60 mg Extension
18.5
Not reported
9.25
31.43
Not reported
Control Arm (Octreotide or Lanreotide) Extension
22.6
Not reported
12.93
34.97
Not reported
Week 232
Values in percentage of participants · Interval/dispersion: 95% Confidence Interval
Group
Value
Spread
Lower
Upper
Comment
Pasireotide LAR 40 mg Extension
24.6
Not reported
14.3
37.76
Not reported
Pasireotide LAR 60 mg Extension
18.5
Not reported
9.25
31.43
Not reported
Control Arm (Octreotide or Lanreotide) Extension
21.0
Not reported
11.66
33.18
Not reported
Week 244
Values in percentage of participants · Interval/dispersion: 95% Confidence Interval
Group
Value
Spread
Lower
Upper
Comment
Pasireotide LAR 40 mg Extension
19.3
Not reported
10.05
31.91
Not reported
Pasireotide LAR 60 mg Extension
11.1
Not reported
4.19
22.63
Not reported
Control Arm (Octreotide or Lanreotide) Extension
12.9
Not reported
5.74
23.85
Not reported
Week 256
Values in percentage of participants · Interval/dispersion: 95% Confidence Interval
Group
Value
Spread
Lower
Upper
Comment
Pasireotide LAR 40 mg Extension
15.8
Not reported
7.48
27.87
Not reported
Pasireotide LAR 60 mg Extension
9.3
Not reported
3.08
20.30
Not reported
Control Arm (Octreotide or Lanreotide) Extension
6.5
Not reported
1.79
15.70
Not reported
Week 268
Values in percentage of participants · Interval/dispersion: 95% Confidence Interval
Group
Value
Spread
Lower
Upper
Comment
Pasireotide LAR 40 mg Extension
7.0
Not reported
1.95
17.00
Not reported
Pasireotide LAR 60 mg Extension
5.6
Not reported
1.16
15.39
Not reported
Control Arm (Octreotide or Lanreotide) Extension
3.2
Not reported
0.39
11.17
Not reported
Complete source fields
classes
categories
measurements
group Id
OG000
lower Limit
26.00
upper Limit
52.43
value
38.6
group Id
OG001
lower Limit
41.40
upper Limit
69.08
value
55.6
group Id
OG002
lower Limit
22.33
upper Limit
47.01
value
33.9
title
Week 16
categories
measurements
group Id
OG000
lower Limit
27.56
upper Limit
54.18
value
40.4
group Id
OG001
lower Limit
30.92
upper Limit
58.60
value
44.4
group Id
OG002
lower Limit
30.99
upper Limit
56.74
value
43.5
title
Week 28
categories
measurements
group Id
OG000
lower Limit
26.00
upper Limit
52.43
value
38.6
group Id
OG001
lower Limit
29.23
upper Limit
56.79
value
42.6
group Id
OG002
lower Limit
28.05
upper Limit
53.55
value
40.3
title
Week 40
categories
measurements
group Id
OG000
lower Limit
26.00
upper Limit
52.43
value
38.6
group Id
OG001
lower Limit
32.62
upper Limit
60.39
value
46.3
group Id
OG002
lower Limit
29.51
upper Limit
55.15
value
41.9
title
Week 52
categories
measurements
group Id
OG000
lower Limit
27.56
upper Limit
54.18
value
40.4
group Id
OG001
lower Limit
24.29
upper Limit
51.26
value
37.0
group Id
OG002
lower Limit
29.51
upper Limit
55.15
value
41.9
title
Week 64
categories
measurements
group Id
OG000
lower Limit
21.40
upper Limit
47.06
value
33.3
group Id
OG001
lower Limit
30.92
upper Limit
58.60
value
44.4
group Id
OG002
lower Limit
32.48
upper Limit
58.32
value
45.2
title
Week 76
categories
measurements
group Id
OG000
lower Limit
27.56
upper Limit
54.18
value
40.4
group Id
OG001
lower Limit
29.23
upper Limit
56.79
value
42.6
group Id
OG002
lower Limit
32.48
upper Limit
58.32
value
45.2
title
Week 88
categories
measurements
group Id
OG000
lower Limit
27.56
upper Limit
54.18
value
40.4
group Id
OG001
lower Limit
27.57
upper Limit
54.97
value
40.7
group Id
OG002
lower Limit
33.98
upper Limit
59.88
value
46.8
title
Week 100
categories
measurements
group Id
OG000
lower Limit
24.45
upper Limit
50.66
value
36.8
group Id
OG001
lower Limit
30.92
upper Limit
58.60
value
44.4
group Id
OG002
lower Limit
28.05
upper Limit
53.55
value
40.3
title
Week 112
categories
measurements
group Id
OG000
lower Limit
27.56
upper Limit
54.18
value
40.4
group Id
OG001
lower Limit
19.52
upper Limit
45.55
value
31.5
group Id
OG002
lower Limit
29.51
upper Limit
55.15
value
41.9
title
Week 124
categories
measurements
group Id
OG000
lower Limit
24.45
upper Limit
50.66
value
36.8
group Id
OG001
lower Limit
22.68
upper Limit
49.38
value
35.2
group Id
OG002
lower Limit
30.99
upper Limit
56.74
value
43.5
title
Week 136
categories
measurements
group Id
OG000
lower Limit
27.56
upper Limit
54.18
value
40.4
group Id
OG001
lower Limit
21.09
upper Limit
47.47
value
33.3
group Id
OG002
lower Limit
30.99
upper Limit
56.74
value
43.5
title
Week 148
denoms
counts
group Id
OG000
value
57
group Id
OG001
value
54
group Id
OG002
value
62
units
Participants
description
The percentage of patients achieving mean growth hormone (GH) levels \< 2.5 μg/L was calculated with two sided 95% confidence interval. All GH assessments were based on a 5-point mean growth hormone (GH) assessed from a 2-hour profile. Scheduled time points for blood sampling were pre-dose at 0, 30, 60, 90 and 120 minutes. Concomitant medication known to affect GH levels were allowed in patients who were not biochemically controlled after at least one year treatment with pasireotide LAR monotherapy: dopamine agonists and growth hormone receptor antagonists (Extension full analysis set)
dispersion Type
95% Confidence Interval
groups
description
If controlled on 40 mg in CORE, remain on blinded 40 mg in extension. If patient became uncontrolled, switch to open label 60 mg
id
OG000
title
Pasireotide LAR 40 mg Extension
description
If controlled on 60 mg in CORE, remain on blinded 60 mg in extension. If patient became uncontrolled, switch to open label 60 mg
id
OG001
title
Pasireotide LAR 60 mg Extension
description
Open - label 60 mg pasireotide. Control group from CORE discontinued study if controlled in CORE. If uncontrolled in CORE, switched to open label 60 mg pasireotide. Extension blinded 40 and 60 mg switched to open label if became uncontrolled
id
OG002
title
Control Arm (Octreotide or Lanreotide) Extension
param Type
NUMBER
population Description
Full analysis set (FAS): comprised all patients who were randomized. Following the intent-to-treat principle, patients were analyzed according to the study drug they were assigned to at randomization and actual stratum.
reporting Status
POSTED
time Frame
Extension baseline up to approximately week 268
title
Percentage of Patients With Mean GH < 2.5 μg/L Treated With Pasireotide LAR Alone or With Concomitant Medications Used to Treat Acromegaly (Extension Full Analysis Set)