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Note: This record shows only 22 elements of the WHO Trial Registration Data Set. To view changes that have been made to the source record, or for additional information about this trial, click on the URL below to go to the source record in the primary register.
Register: EUCTR
Last refreshed on: 19 March 2012
Main ID:  EUCTR2006-004080-55-NL
Date of registration: 19/01/2007
Prospective Registration: Yes
Primary sponsor: Erasmus MC
Public title: Stepwise Medical Treatment of Cushing’s Disease: a prospective open label multi-center trial with SOM230 mono- and combination therapy with dopamine agonists and ketoconazole - Stepwise Medical Treatment of Cushing's Disease
Scientific title: Stepwise Medical Treatment of Cushing’s Disease: a prospective open label multi-center trial with SOM230 mono- and combination therapy with dopamine agonists and ketoconazole - Stepwise Medical Treatment of Cushing's Disease
Date of first enrolment: 26/04/2007
Target sample size:
Recruitment status: Authorised-recruitment may be ongoing or finished
URL:  https://www.clinicaltrialsregister.eu/ctr-search/search?query=eudract_number:2006-004080-55
Study type:  Interventional clinical trial of medicinal product
Study design:  Controlled: no Randomised: Open: Single blind: Double blind: Parallel group: Cross over: Other: If controlled, specify comparator, Other Medicinial Product: Placebo: Other:  
Phase: 
Countries of recruitment
Netherlands
Contacts
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Key inclusion & exclusion criteria
Inclusion criteria:
Sixteen patients will be included with newly diagnosed Cushing’s disease or with residual hypercortisolism after recent transsphenoidal adenomectomy. Patients with recurrent Cushing’s disease can also be included.
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
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range

Exclusion criteria:
- Patients with poorly controlled diabetes mellitus indicated by a HbA1c % > 8.5 %.
- Patients with a disturbed liver function indicated by serum bilirubin, ALAT, ASAT or alkaline phosphatase levels > 2.5 x ULN.
- Patients with renal insufficiency indicated by serum creatinine levels > 2.0 x ULN
- Patients who are already treated with cortisol lowering therapy can only be included after a wash-out period of 4 weeks followed by re-assessment for hypercortisolism.
- Patients with a history of pituitary irradiation
- Pregnant patients or patients who desire to become pregnant during the study period.



Age minimum:
Age maximum:
Gender:
Female: yes
Male: yes
Health Condition(s) or Problem(s) studied
The medical condition to be investigated is Cushing's disease which is caused by an ACTH producing pituitary adenoma
MedDRA version: 8.1 Level: LLT Classification code 10011651 Term: Cushing's disease
Intervention(s)

Product Name: SOM230
Product Code: SOM230B
Pharmaceutical Form: Solution for injection
INN or Proposed INN: pasireotide
Concentration unit: µg microgram(s)
Concentration type: equal

Trade Name: Dostinex
Product Name: Dostinex
Pharmaceutical Form: Tablet
INN or Proposed INN: CABERGOLINE
CAS Number: 81409907
Concentration unit: mg milligram(s)
Concentration type: equal
Concentration number: 0.5-

Trade Name: Nizoral
Product Name: Ketoconazole
Pharmaceutical Form: Tablet
INN or Proposed INN: KETOCONAZOLE
CAS Number: 65277421
Concentration unit: mg milligram(s)
Concentration type: equal
Concentration number: 200-

Primary Outcome(s)
Main Objective: The main objective of the trial is to maximize the number of patients with Cushing's disease in whom normalization of cortisol production can be achieved by medical therapy with SOM230 monotherapy or SOM230 combination therapy with dopamine agonists and ketoconazole
Primary end point(s): Normalization of cortisol production as measured by cortisol day profiles (in plasma and saliva) and urinary cortisol excretion
Secondary Objective: To examine whether this cortisol lowering therapy has benificial effects on quality of life, blood pressure, glucose tolerance and clotting system in patients with Cushing's disease
Secondary Outcome(s)
Secondary ID(s)
N/A
CSOM230B2402
Source(s) of Monetary Support
Secondary Sponsor(s)
Ethics review
Results
Results available:
Date Posted:
Date Completed:
URL:
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