Dopamine agonist treatment of non-functioning pituitary adenomas (NFPAs) – a randomized controlled trial

2023-510039-12-00 Therapeutic use (Phase IV) Ongoing, recruitment ended

Start 1 Sep 2014 · Status Ongoing, recruitment ended · 1 EU/EEA countries · 2 sites

Overview

Sponsor-declared trial summary

Phase Therapeutic use (Phase IV)
Status Ongoing, recruitment ended
Participants planned 60
Countries 1
Sites 2

Non-functioning pituitary adenoma

The main objective of the study is to evaluate the effect of medical treatment with cabergoline in non-functioning pituitary adenomas.

Key facts

Sponsor
St. Olavs Hospital HF
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Neoplasms [C04]
Trial duration
1 Sep 2014 → ongoing
Decision date (initial)
2024-11-18
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No

External identifiers

EU CT number
2023-510039-12-00
EudraCT number
2012-001338-32
ClinicalTrials.gov
NCT02288962

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Therapy, Efficacy

The main objective of the study is to evaluate the effect of medical treatment with cabergoline in non-functioning pituitary adenomas.

Conditions and MedDRA coding

Non-functioning pituitary adenoma

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 1

  1. A previously untreated non-functioning pituitary macroadenoma (largest diameter ≥ 10 mm) with either demonstrated growth on repeated MRI scans or ≤ 2 mm distance to chiasma opticum OR a residual non-functioning pituitary adenoma after surgery (largest diameter ≥ 5 mm) that is either extrasellar and/or with documented growth after surgical treatment of a non-functioning pituitary macroadenoma

Exclusion criteria 1

  1. 1. Clear indication for surgery at the time of inclusion 2. Previous radiation therapy 3. Pituitary surgery the last 6 months 4. Previous apoplexy/bleeding in the adenoma 5. Pregnancy or lactation 6. Contraindications for cabergoline treatment • Known cardiac valvular disease • Known pulmonal, pericardial or retroperitoneal fibrosis • Clinical significant liver insufficiency • Use of medications that interact with cabergoline 7. Unfit to participate due to any other reason

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. • The change in tumour volume during the main study of two years. This includes the percentage and absolute change in tumour volume, but also the number of patients with significant tumour shrinkage or tumour growth (defined by ≥ 10 % or ≥ 2 mm shrinkage/growth in at least one dimension).

Secondary endpoints 1

  1. • The need for surgical and/or radiation treatment during the study period • The development of new pituitary failure or changed pituitary function during the study, or new or changed visual field defects or other cranial nerve affections • The change in tumour’s distance to chiasma opticum (mm) • The response on gonadotropins (FSH, LH) and/or their subunits, particularly the α-subunit. A possible correlation between the tumour size response and the hormone levels and change during treatment

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

Dostinex 0,5 mg tabletter

PRD422335 · Product

Active substance
Cabergoline
Pharmaceutical form
TABLET
Route of administration
ORAL
Max daily dose
0.29 mg milligram(s)
Max total dose
208 mg milligram(s)
Max treatment duration
24 Month(s)
Authorisation status
Authorised
ATC code
G02CB03 — CABERGOLINE
Marketing authorisation
7843
MA holder
PFIZER AS
MA country
Norway
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

St. Olavs Hospital HF

Sponsor organisation
St. Olavs Hospital HF
Address
Prinsesse Kristinas G. 3
City
Trondheim
Postcode
7030
Country
Norway

Scientific contact point

Organisation
St. Olavs Hospital HF
Contact name
Stine Lyngvi Fougner

Public contact point

Organisation
St. Olavs Hospital HF
Contact name
Stine Lyngvi Fougner

Locations

1 EU/EEA country · 2 investigational sites

By country

CountryMS statusPlanned subjectsSites
Norway Ongoing, recruitment ended 60 2
Rest of world 0

Investigational sites

Norway

2 sites · Ongoing, recruitment ended
Akershus University Hospital
Department of Endocrinology, Sykehusveien 27, 1478, Lorenskog
St. Olavs Hospital HF
Department of Endocrinology, Prinsesse Kristinas G. 3, 7030, Trondheim

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Norway 2014-09-01 2014-09-10 2024-12-31

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 5 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_PROTOCOL EU CT 2023-510039-12-00 public 5
Protocol (for publication) D1_PROTOCOL EU CT 2023-510039-12-00 with track changes 5
Recruitment arrangements (for publication) K1_Recruitment CTIS 1
Subject information and informed consent form (for publication) L1_SIS and ICF 3
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC cabergoline pr 2020 1

Application history

1 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-10-28 Norway Acceptable
2024-11-15
2024-11-18