Pituitary & hypothalamus

Octreotide Subcutaneous Depot for Acromegaly: A Randomized, Double-blind, Placebo-controlled Phase 3 Trial, ACROINNOVA 1

J Clin Endocrinol MetabPublished Randomised controlled trial

Primary result · IGF-1 ≤ULN responseResult — go to the resultRisk difference 34.6 95% CI 11.3–57.9

Authors' conclusion

CAM2029 provides a convenient and effective treatment option for acromegaly, with superior biochemical control vs placebo. Symptom control, QoL, and satisfaction were improved from baseline SoC.

Study context

Population
Patients with acromegaly on standard of care (SoC) (octreotide LAR or lanreotide autogel) with biochemical control at screening (IGF-1 ≤upper limit of normal (ULN); mean GH <2.5 μg/L); 45 sites, 10 countriesrandomized 2:1
Participants
72 patients
Comparison
Once-monthly CAM2029 vs placebo
  • CAM2029n = 48
  • Placebon = 24reference
Primary endpoint
Proportion of patients with IGF-1 ≤ULN, with dose-reduced patients classified as nonresponders
Follow-up
Week 22/24 mean
Methodological detailsmultinational, double-blind, placebo-controlled, phase 3
  • Multinational
  • Double-blind
  • Placebo-controlled
  • Phase 3

Primary result

IGF-1 ≤ULN response · week 22/24

Risk difference

34.6

95% CI 11.3–57.9

P = 0.0018

By group

CAM2029vs Placebo
risk difference 34.6 (95% CI 11.3–57.9); P = 0.0018

As reported in the abstract

Secondary outcomes

Second key secondary endpoint: IGF-1 ≤ULN (week 22/24) and mean GH <2.5 μg/L (week 24) · intention-to-treat analysis

P = 0.0035

Symptoms, quality of life (QoL) and treatment satisfaction

Well-controlled symptoms, improved QoL and treatment satisfaction with CAM2029 vs placebo and baseline

Safety

CAM2029 was well tolerated; safety was consistent with SoC

Original publication

Octreotide Subcutaneous Depot for Acromegaly: A Randomized, Double-blind, Placebo-controlled Phase 3 Trial, ACROINNOVA 1. J Clin Endocrinol Metab. Published 8 October 2024. doi:10.1210/clinem/dgae707

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