Clinically non-functioning pituitary macroadenoma MedDRA version: 20.0 Level: PT Classification code 10029556 Term: Non-secretory adenoma of pituitary System Organ Class: 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: • NFMA with suprasellar extension (in previously operated patients: residual adenoma or recurrence > 10 mm) Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 44 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 22
Exclusion criteria
Exclusion criteria: • Hypersensitivity for somatostatin or similar peptides • Optic chiasm compression with visual field defects (this is an operation indication) • Obstructive neuroendocrine gut tumor • Previous radiation therapy in the pituitary region • Symptomatic and proven cholelithiasis • Use of dopamine agonists in the past 6 months • Use of somatostatin analogues in the past 6 months • Pregnancy (plans) • Any contraindication to perform MRI with gadolinium-based contrast agent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To investigate the efficacy of lanreotide autosolution during 18 months, as compared to placebo, to reduce and/or stabilize adenoma size in patients with NFMA and positive pituitary somatostatin receptor imaging using Gallium-68 DOTATATE PET/CT.;Secondary Objective: 1. To assess the safety of lanreotide use in NFMA based on the number of (serious) adverse events. 2. To compare the change in quality of life between the lanreotide autosolution 120 mg and placebo group. 3. To compare the change in NFMA volume over 18 months between the lanreotide autosolution 120 mg and placebo group. 4. To compare time to tumor progression (i.e. tumor growth) between the lanreotide autosolution 120 mg and placebo group.;Primary end point(s): The change in cranio-caudal NFMA size over 18 months of lanreotide or placebo as measured on MRI (expressed in millimetes);Timepoint(s) of evaluation of this end point: MRI: baseline, 6 months/week 24 and at end of study after 18 months/week 72 | — |
Secondary
| Measure | Time frame |
|---|---|
| Timepoint(s) of evaluation of this end point: 1. Adverse events can be reported throughout the study and will be specifically asked about at the visits at week 24, week 48 and week 72 (end of study) 2. Baseline, week 24, week 48, week 72 (end of study) 3. Same as primary endpoint: baseline, 6 months/week 24 and at end of study after 18 months/week 72 4. Throughout the study including the predefined time points where MRI is performed;Secondary end point(s): 1. Number of adverse effects 2. Change in quality of life 3. Change in NFMA volume over 18 months as measured with 3DT1 MRI 4. Time to tumor progression (i.e. tumor growth) | — |
Countries
Netherlands
Contacts
Academic Medical Center