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Last Updated: March 25, 2025

CLINICAL TRIALS PROFILE FOR PEGVISOMANT


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All Clinical Trials for Pegvisomant

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00017927 ↗ A Study of the Effects of Pegvisomant on Growth Hormone Excess in McCune-Albright Syndrome Completed National Institute of Dental and Craniofacial Research (NIDCR) Phase 3 2001-06-01 This study will examine the effect of pegvisomant on growth hormone excess in patients with McCune-Albright syndrome (MAS). Patients with this disease have polyostotic fibrous dysplasia-a condition in which areas of normal bone are replaced with fibrous growth similar to scar tissue, abnormal skin pigmentation (birth marks) and precocious (early) puberty. About 10 percent of patients have excess growth hormone (GH). GH stimulates the production of another hormone called insulin-like growth factor 1 (IGF-1). Together, GH and IGF-1 affect bone growth. The excess of these hormones in MAS can cause overgrowth of the bones of the face, hands and feet, excess sweating, or increased height. Pegvisomant is a synthetic drug that binds to cell receptors where GH would normally bind, thus preventing the naturally occurring hormone from stimulating IGF-1 and bone growth as it normally would. This study will see if pegvisomant will reduce blood levels of IGF-1 and mitigate the effects of growth hormone excess, including bone pain, bone turnover, hand and foot swelling and sweating, and abnormal levels of related hormones. Patients who were screened for polyostotic fibrous dysplasia and MAS under NIH protocol 98-D-0145 and were found to have MAS with excess growth hormone are eligible for this 36-week study. The screening protocol includes a history and physical examination, blood and urine tests, hearing, eye and dental examinations, pain and physical function evaluations, endocrine and bone screening tests, various bone imaging studies, including magnetic resonance imaging (MRI) and computed tomography (CT) scans and bone biopsy in patients over 6 years old. Participants in the current study will receive daily injections of either pegvisomant or placebo (an inactive substance) for 12 weeks, followed by a 6-week "washout" period with no drug. Then, patients who received placebo will be switched, or "crossed over," to receive pegvisomant for another 12 weeks, and those who received pegvisomant will receive placebo. This will be followed by another 6-week washout period. The drug and placebo will be injected under the skin, similar to insulin injections. Blood and urine tests will be done at the beginning of the study and repeated every 6 weeks until the study ends.
NCT00068029 ↗ Pegvisomant And Sandostatin LAR Combination Study Completed Pfizer Phase 4 2003-10-01 The purpose of this study is to compare the safety and tolerability of combination therapy with Sandostatin LAR plus Pegvisomant to that of Sandostatin LAR alone or Pegvisomant alone.
NCT00068042 ↗ A Study To Compare The Efficacy And Safety Of Pegvisomant To That Of Sandostatin Lar Depot In Patients With Acromegaly Completed Pfizer Phase 4 2003-04-01 The purpose of the study is to determine if Pegvisomant is more efficacious than Sandostatin LAR Depot in normalizing IGF-I levels in treatment naive patients with acromegaly.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for Pegvisomant

Condition Name

Condition Name for Pegvisomant
Intervention Trials
Acromegaly 16
Insulin Resistance 2
Heart Failure 1
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Condition MeSH

Condition MeSH for Pegvisomant
Intervention Trials
Acromegaly 18
Insulin Resistance 4
Endocrine System Diseases 2
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Clinical Trial Locations for Pegvisomant

Trials by Country

Trials by Country for Pegvisomant
Location Trials
United States 24
Canada 13
United Kingdom 6
Spain 6
Germany 6
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Trials by US State

Trials by US State for Pegvisomant
Location Trials
California 5
Maryland 3
Oregon 2
Virginia 2
North Carolina 2
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Clinical Trial Progress for Pegvisomant

Clinical Trial Phase

Clinical Trial Phase for Pegvisomant
Clinical Trial Phase Trials
Phase 4 9
Phase 3 5
Phase 2 3
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Clinical Trial Status

Clinical Trial Status for Pegvisomant
Clinical Trial Phase Trials
Completed 19
Unknown status 4
Recruiting 2
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Clinical Trial Sponsors for Pegvisomant

Sponsor Name

Sponsor Name for Pegvisomant
Sponsor Trials
Pfizer 9
University of Aarhus 3
Erasmus Medical Center 2
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Sponsor Type

Sponsor Type for Pegvisomant
Sponsor Trials
Other 22
Industry 13
NIH 5
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Pegvisomant: Clinical Trials, Market Analysis, and Projections

Introduction to Pegvisomant

Pegvisomant, marketed as SOMAVERT by Pfizer, is a growth hormone (GH) receptor antagonist used in the treatment of acromegaly, a condition characterized by excessive growth hormone production. Here, we will delve into the clinical trials, market analysis, and future projections for this drug.

Clinical Trials and Safety Studies

ACROSTUDY: A Global Safety Surveillance

The ACROSTUDY is a pivotal global, non-interventional, postmarketing surveillance study initiated by Pfizer to monitor the long-term safety and efficacy of pegvisomant in patients with acromegaly. This study has enrolled over 1288 patients and has provided valuable insights into the safety profile of pegvisomant.

  • Adverse Events: The study reported that 37% of the patients experienced adverse events, with 9.6% of these events being related to pegvisomant. Serious adverse events were recorded in 12.3% of the patients, but only 2% were attributed to pegvisomant[1][4].
  • Pituitary Tumor Size: The incidence of increased pituitary tumor size was found to be 3.2% in the subset of patients with available MRI data[1].
  • Liver Enzymes and Injection Site Reactions: Elevations in liver enzymes (ALT and AST) were reported in 2.5% of the patients, and injection-site reactions occurred in 2.2% of the cases[1].

Efficacy Outcomes

The ACROSTUDY also highlighted the efficacy of pegvisomant in normalizing IGF-I levels, a key marker for acromegaly. After 5 years of treatment, 63.2% of the patients achieved normal IGF-I levels at a mean dose of 18 mg/day[1].

Market Analysis

Current Market Size and Forecast

The global market for pegvisomant drugs was valued at US$ 268 million in 2023 and is projected to grow to US$ 331.5 million by 2030, with a Compound Annual Growth Rate (CAGR) of 3.1% during the forecast period of 2024-2030[2][5].

Market Segmentation

The market is segmented by type (prefilled and non-prefilled) and application (hospital and pharmacy settings). Pfizer is one of the main players in this market, dominating the landscape with SOMAVERT[2][5].

Emerging Trends and Pipeline Drugs

New Therapies in Development

In addition to pegvisomant, several new therapies are in various stages of development for the treatment of acromegaly:

  • Paltusotine: Crinetics Pharmaceuticals reported positive topline findings from the PATHFNDR-2 Phase 3 study for paltusotine, an oral, once-daily experimental therapy for acromegaly[3].
  • Octreotide Subcutaneous Depot: Camurus announced positive results from the ACROINNOVA 1 Phase 3 trial for its octreotide subcutaneous depot (CAM2029), designed for convenient once-monthly administration[3].

These emerging therapies could potentially impact the market dynamics and patient treatment options in the future.

Patient Convenience and Support

Packaging and Administration

Pfizer has introduced a 30-day packaging configuration for SOMAVERT, enhancing patient convenience by reducing the frequency of injections. This packaging includes two vials, each containing a 30-day supply[4].

Community Support

Pfizer also supports the acromegaly community through various platforms, including social media, where patients can discuss treatment, symptoms, and other relevant topics[4].

Key Takeaways

  • Clinical Safety and Efficacy: Pegvisomant has been shown to be safe and effective in long-term treatment of acromegaly, with a favorable safety profile and significant efficacy in normalizing IGF-I levels.
  • Market Growth: The global pegvisomant market is expected to grow from US$ 268 million in 2023 to US$ 331.5 million by 2030, driven by a CAGR of 3.1%.
  • Emerging Therapies: New drugs like paltusotine and octreotide subcutaneous depot are in advanced stages of clinical trials, which could expand treatment options for acromegaly patients.
  • Patient Convenience: Innovations in packaging and administration, along with community support initiatives, are enhancing patient care and compliance.

FAQs

What is pegvisomant used for?

Pegvisomant is used for the treatment of acromegaly in patients who have had an inadequate response to surgery or radiation therapy.

What are the common adverse events associated with pegvisomant?

Common adverse events include injection-site reactions, elevations in liver enzymes, and in some cases, an increase in pituitary tumor size.

What is the current market size of pegvisomant drugs?

The global market for pegvisomant drugs was valued at US$ 268 million in 2023.

What is the projected market size of pegvisomant drugs by 2030?

The market is forecast to reach US$ 331.5 million by 2030.

Are there any new therapies in development for acromegaly?

Yes, therapies such as paltusotine and octreotide subcutaneous depot are in advanced stages of clinical trials.

Sources

  1. Long-Term Safety of Pegvisomant in Patients with Acromegaly - Journal of Clinical Endocrinology and Metabolism[1]
  2. Pegvisomant Drugs - Market, Report Size, Worth, Revenue, Growth - Valuates Reports[2]
  3. Acromegaly Major Markets: Drugs, Epidemiology, Trends, Opportunities, Forecast 2024-2034 - GlobeNewswire[3]
  4. Decades of Results - SOMAVERT - Pfizer Pro[4]
  5. Global Pegvisomant Market 2024 by Manufacturers, Regions, Type and Application, Forecast to 2030 - Market Research Reports[5]

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