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CompletedNCT01895296CSOM230BBE01TUpdated Jul 10, 2013

Study to Assess Safety and Efficacy of sc Pasireotide in Patients With Dumping Syndrome

A Phase 2 interventional study of Pasireotide and Placebo in Postoperative Dumping Syndrome, sponsored by Universitaire Ziekenhuizen KU Leuven. Completed at 1 site in Belgium. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2013-07-10.

Sponsored by Universitaire Ziekenhuizen KU Leuven · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
9
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
All
01

Study summary

Dumping Syndrome consists of (1) a too rapid gastric emptying, (2) an inappropriate release of GI hormones (as a reaction to the hyperosmolar contents in the duodenum) and (3) an hyperinsulinemic response to a too rapid absorption of glucose. Because it is not well known which somatostatin receptor(s) (sst1-5) influence(s) Dumping Syndrome most, the goal of this trial is to evaluate :

  • the effect of pasireotide (sst1, 2, 3, 5 agonist) on the control of gastric emptying.
  • the effect of pasireotide (sst1, 2, 3, 5 agonist) on the release of GI hormones (during OGTT).
  • the effect of pasireotide (sst1, 2, 3, 5 agonist) on the hyperinsulimic response (during OGTT).
  • the efficacy of pasireotide (sst1, 2, 3, 5 agonist) for control of objective parameters of Dumping Syndrome (hematocrit (Hct), pulse rate and occurrence of hypoglycemia after an Oral Glucose Tolerance Test (OGTT) with 75g of glucose)
  • the efficacy of pasireotide (sst1, 2, 3, 5 agonist) for control of overall symptoms as measured by the combined Dumping Syndrome score
  • the efficacy of pasireotide (sst1, 2, 3, 5 agonist) for control of symptoms as measured by (a) early and (b) late phase dumping symptom score separately
  • the efficacy of pasireotide (sst1, 2, 3, 5 agonist) for control of quality of life (QoL SF-36)
Read the detailed description

This will be a single centre, randomized, double-blind, controlled cross-over study during 35 days.

After a 4 weeks screening period, patients who fulfill the entrance criteria will be randomly assigned on a 1:1 basis to either the pasireotide treatment arm or to the placebo treatment arm. They will be treated with pasireotide sc or placebo sc for 2 weeks. After 2 weeks, patients will be switched to the other treatment arm after a 7 days wash out period. This phase is double-blind: both the patient and investigator will be blinded to treatment assignment.

02

Conditions studied

  • Postoperative Dumping Syndrome

Keywords

  • dumping syndrome
  • OGTT
  • hypoglycemia
03

In context

Dumping Syndrome

20 studies on the registry are indexed under Dumping Syndrome; 3 are open to participants now.

This study's enrollment of 9 is below the median of 30 across 17 interventional studies indexed under Dumping Syndrome.

Browse Dumping Syndrome studies →

Lead sponsor

Universitaire Ziekenhuizen KU Leuven is the lead sponsor of 963 studies on the registry; 267 are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Male or female patients aged between 18 and 80 years.
  • Patients with diagnosis of Dumping Syndrome:
  • Having symptoms of Dumping Syndrome (sum of combined Dumping Syndrome score ≥10) AND

    • either (a) having had a documented episode of postprandial hypoglycemia in the medical history
    • or either (b) demonstrating a hypoglycemia (\<60mg/dl) or hematocrite increase of > 3% or a pulse increase of 10 bpm after an oral glucose tolerance test with 75 g of glucose.
  • Patients for whom written to participate in the study has been obtained. Patients will need to provide their informed consent prior to starting any medication

Exclusion criteria

Exclusion Criteria:

  • Patients who have undergone major surgery/surgical therapy for any cause within 1 month
  • Patients with symptomatic cholecystolithiasis in the medical history unless a cholecystectomy is performed (ultrasound abdomen maximum 6 months old).
  • Patients who have failed treatment with somatostatin analogues in the past (specifically patients who have been treated with octreotide s.c. for more than 2 days or with a long acting somatostatin analogue for more than 8 weeks).
  • Patients who have been treated with somatostatin analogues during the last 12 weeks before inclusion.
  • Patients who have a known to somatostatin analogues.
  • Patients with the diagnosis of Diabetes Mellitus
  • Patients with important co-morbidity (cardiac, pulmonary, renal , hepatic diseases)
  • Patients with abnormal coagulation (PT and elevated by 30% above normal limits)
  • Patients receiving anticoagulants that affect PT or PTT
  • Female patients who are pregnant or lactating, or are of and not practicing a medically acceptable method of . Female patients must use barrier contraception in addition to condoms. If oral contraception is used, the patient must have been practicing this method for at least three months prior to the enrollment and must agree to continue the oral contraceptive throughout the course of the study, and for three months after the study has ended. Male patients who are sexually active are required to use condoms during the study and for 3 months afterwards.
  • History of immunocompromise, including a positive test result (ELISA and Western blot). A HIV test will not be required; however, previous medical history will be reviewed
  • Patients who have participated in any clinical investigation with an drug within 1 month prior to dosing
  • Patients with additional active malignant disease within the last five years (with the exception of basal cell carcinoma or carcinoma in situ of the cervix)
  • Patients with the presence of active or suspected acute or chronic uncontrolled infection
  • Patients with a history of non-compliance to medical regimens or who are considered potentially unreliable or will be unable to complete the entire study
Terms in these criteria, in plain language(8)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Washout period

A planned gap after a treatment, so that its effects can lessen before the study treatment or a study assessment. Ask the study team and the doctor who prescribed it before changing any medicine.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
9 participants (actual)

Study arms

  • Experimental
    Pasireotide

    pasireotide 300 microgram s.c. t.i.d.

    Drug: Pasireotide

  • Placebo comparator
    Placebo

    saline s.c. t.i.d.

    Drug: Placebo

Interventions

  • somatostatin analogue pasireotide

    Also known as: SOM230

  • DrugPlacebo

    placebo s.c.

06

What researchers measure

Primary outcomes

  1. Primary efficacy endpoint: symptoms related to Dumping Syndrome Severity Score

    The dumping score is the sum of the early and late dumping symptoms. Early dumping starts immediately after a meal, within 1 hour (\< 1 hour). Late dumping starts later than 1 hour after a meal (≥ 1 hour). In case a symptom starts immediately after a meal and lasts longer than 1 hour, the score for early AND late dumping should be ticked. Dumping Score None Mild Moderate Severe Early Dumping 0 1 2 3 Sweating 0 1 2 3 Flushes 0 1 2 3 Dizziness 0 1 2 3 Palpitations 0 1 2 3 Abdominal pain 0 1 2 3 Diarrhea 0 1 2 3 Bloating 0 1 2 3 Nausea 0 1 2 3 None Mild Moderate Severe Late Dumping 0 1 2 3 Sweating 0 1 2 3 Palpitations 0 1 2 3 Hunger 0 1 2 3 Drowsiness to unconsciousness 0 1 2 3 Trembling 0 1 2 3 Irritability 0 1 2 3

    Time frame: 2 weeks

Secondary outcomes

  1. Effect on hypoglycemia

    • The secondary efficacy variables include the proportion of patients with reduced hypoglycemic events

    Time frame: 2 weeks

Other outcomes

  1. Control of Hct rise

    Proportion of patients with hematocrit rise during OGTT

    Time frame: 2 weeks

  2. Control of pulse rate rise

    Proportion of patients with pulse rate rise during OGTT

    Time frame: 2 weeks

07

Study locations

1 site
  • University Hospitals Leuven
    Leuven, Vlaams-Brabant 3000, Belgium
08

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Sep 2008, a primary completion of Jan 2010 and a completion of Jan 2010. It does not say whether these dates are actual or estimated.

How these figures are worked out, and which studies are left out of them.

Registered
Jul 1, 2013
First posted
Jul 10, 2013
Start
Sep 2008
Primary completionActual
Jan 2010
CompletionActual
Jan 2010
Last update
Jul 10, 2013
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jul 10, 2013, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT01895296
Responsible party
Prof Dr Jan Tack (Professor of Medicine, Universitaire Ziekenhuizen KU Leuven) — Principal investigator
First posted
Jul 10, 2013
Start date
Sep 2008
Primary completion
Jan 2010
Completion
Jan 2010
Last update
Jul 10, 2013

Study contacts

Jan Tack, M.D., Ph.D.
principal investigator · Universitaire Ziekenhuizen KU Leuven

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jul 2013. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Pasireotide

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