Clinical trial • Phase IV • Oncology

Cabergoline for Non-functioning pituitary adenoma

Phase IV trial of Cabergoline for Non-functioning pituitary adenoma. Randomised. 60 participants.

Overview

Trial Therapeutic Area
Oncology
Trial Disease
Non-functioning pituitary adenoma
Trial Stage
Phase IV
Drug Modality
Small molecule

Key dates

Initial CTIS Submission Date
28-10-2024
First CTIS Authorization Date
18-11-2024

Trial design

Randomised Phase IV trial in Norway.

Randomised
Yes
Target Sample Size
60
Trial Duration For Participant
730

Eligibility

Recruits 60 The CTIS record indicates isVulnerablePopulationSelected: false; no specific vulnerable population considerations or assent handling are described in the record..

Pregnancy Exclusion
Pregnancy or lactation
Vulnerable Population
The CTIS record indicates isVulnerablePopulationSelected: false; no specific vulnerable population considerations or assent handling are described in the record.

Inclusion criteria

  • {"criterion_text":"- 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

  • {"criterion_text":"- 1.\tClear indication for surgery at the time of inclusion\n- 2.\tPrevious radiation therapy\n- 3.\tPituitary surgery the last 6 months\n- 4.\tPrevious apoplexy/bleeding in the adenoma\n- 5.\tPregnancy or lactation\n- 6.\tContraindications for cabergoline treatment •\tKnown cardiac valvular disease • \tKnown pulmonal, pericardial or retroperitoneal fibrosis •\tClinical significant liver insufficiency •\tUse of medications that interact with cabergoline\n- 7.\tUnfit to participate due to any other reason"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- \tThe 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).","definition_or_measurement_approach":"Change in tumour volume over two years, including percentage and absolute change; number of patients with significant tumour shrinkage or growth defined by ≥10% or ≥2 mm shrinkage/growth in at least one dimension."}

Secondary endpoints

  • {"endpoint_text":"- The need for surgical and/or radiation treatment during the study period\n- 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\n- The change in tumour’s distance to chiasma opticum (mm)\n- 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","definition_or_measurement_approach":"Assessment of requirement for surgery/radiation; monitoring of pituitary function and visual/cranial nerve status; measurement of tumour distance to chiasma opticum in mm; measurement of gonadotropins (FSH, LH) and subunits (particularly α-subunit) and analysis of correlation between hormone changes and tumour size response."}

Recruitment

Planned Sample Size
60
Recruitment Window Months
123

Geography

Total Number Of Sites
2
Total Number Of Participants
60

Norway

Earliest CTIS Part Ii Submission Date
08-11-2024
Latest Decision Or Authorization Date
18-11-2024
Processing Time Days
10
Number Of Sites
2
Number Of Participants
60

Sites

Site Name
Akershus University Hospital
Department Name
Department of Endocrinology
Principal Investigator Name
Ingrid Nermoen
Principal Investigator Email
ingrid.nermoen@ahus.no
Contact Person Name
Ingrid Nermoen
Contact Person Email
ingrid.nermoen@ahus.no
Site Name
St. Olavs Hospital HF
Department Name
Department of Endocrinology
Principal Investigator Name
Stine Lyngvi Fougner
Principal Investigator Email
stine.fougner@ntnu.no
Contact Person Name
Stine Lyngvi Fougner
Contact Person Email
stine.fougner@ntnu.no

Sponsor

Primary sponsor

Full Name
St. Olavs Hospital HF
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
Norway

Investigational products

Investigational Product Name
Dostinex 0,5 mg tabletter
Active Substance
Cabergoline
Modality
Small molecule
Routes Of Administration
ORAL
Route
ORAL
Authorisation Status
Marketing authorisation present (marketingAuthNumber: 7843, authorisationCountryCode: NO)
Maximum Dose
0.29 mg per day

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