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IGF-1

Insulin-like Growth Factor 1, Somatomedin C

Quick Stats
Studies 92
Trials 100
Unknown PHASE3 INTERVENTIONAL NCT03252353

Efficacy and Safety of Octreotide Capsules (MYCAPSSA) in Acromegaly

View on ClinicalTrials.gov Updated Dec 15, 2025

Brief Summary

Octreotide capsule is a novel, orally-administered formulation of the commercially-available injectable drug octreotide. In a recent phase 3 trial, oral octreotide capsules demonstrated maintenance of biochemical response up to 13 months in the majority of patients with acromegaly previously managed with somatostatin analog injections (reference below).

Detailed Description

This is a double blind, randomized study that assesses the efficacy and safety of octreotide capsules vs. placebo. Eligible acromegaly patients, treated with injectable somatostatin analogs, who are biochemically controlled and have prior evidence of active disease, will be randomized to receive either octreotide capsules or placebo for up to 36 weeks. At the end of this double blind, placebo controlled period, eligible patients will receive octreotide capsules in an open-labeled extension for at least one year. Patients failing to respond (per protocol), to oral treatment, (either placebo or octreotide capsules), will be rescued with the standard of care and upon meeting the eligibility criteria could also enroll into the long term extension with octreotide capsules. This study received agreement from the FDA, under a special protocol assessment.

Interventions

Name: octreotide capsules
Type: DRUG
Description: octreotide capsules 40 mg/day, 60 mg/day, 80 mg/day (individual dose titration)
Name: Matching placebo
Type: DRUG
Description: Matching placebo capsules

Primary Outcomes

Measure: Number of Patients Who Maintain Their Biochemical Response at the End of the Double Blind Placebo Controlled (DPC) Period.
TimeFrame: Week 36
Description: Maintenance of response was defined by using the average IGF-1 level of the last 2 available assessments in the DPC period. If the average IGF-1 is ≤ 1×ULN, a patient was classified as a responder (i.e., maintained their biochemical response). If the average IGF-1 is \> 1×ULN, a patient was classified as a non-responder. Patients who discontinue study medication during the DPC period for any reason was classified as non-responders for the primary analysis, regardless of their IGF-1 values.

Trial Information

NCT ID

NCT03252353

Status

Unknown

Study Type

INTERVENTIONAL

Phases

PHASE3

Sponsor

Chiasma, Inc.

Last Updated

December 15, 2025