Drugs / Pasireotide
last change Apr 2026 re-read 2 minutes ago

Pasireotide

Other / unclassified targets IGF1, IGF1R, SSTR1, SSTR2, SSTR3, SSTR5 via inhibition / activation

Developed for
acromegaly · Cushing disease due to pituitary adenoma · neuroendocrine neoplasm · carcinoid tumor · Cushing syndrome · ectopic ACTH secretion syndrome · castration-resistant prostate carcinoma · congenital isolated hyperinsulinism
+45 more · dumping syndrome · hypoglycemia · Nelson syndrome · pancreatic neuroendocrine tumor · plasma cell myeloma · postgastrectomy syndrome · ACTH-producing pituitary gland neoplasm · adult hepatocellular carcinoma · atypical lobular breast hyperplasia · breast intraductal proliferative lesion · cancer · cluster headache syndrome · desmoplastic small round cell tumor · digestive system neoplasm · digestive system neuroendocrine neoplasm · ductal breast carcinoma in situ · hepatocellular carcinoma · hormone-resistant prostate carcinoma · hyperinsulinemic hypoglycemia · lobular breast carcinoma in situ · malignant exocrine pancreas neoplasm · medullary thyroid gland carcinoma · meningioma · metastatic melanoma · neuroendocrine carcinoma · non-functioning pituitary adenoma · pancreatic insulinoma · pancreatic neoplasm · peritoneal carcinomatosis · pituitary gigantism · pituitary gland adenoma · post-surgical hypoinsulinemia · prolactin producing pituitary tumor · prostate adenocarcinoma · small cell lung carcinoma · synovial sarcoma · thymoma · thyroid cancer · uveal melanoma · angiodysplasia of intestine · autosomal dominant polycystic kidney disease · autosomal dominant polycystic liver disease · carcinoid syndrome · pancreas disorder · prolactin-producing pituitary gland adenoma
Investigated by
Novartis Pharmaceuticals · Novartis · Memorial Sloan Kettering Cancer Center · RECORDATI GROUP · H. Lee Moffitt Cancer Center and Research Institute · Massachusetts General Hospital
+45 more · Beth Israel Deaconess Medical Center · Brigham and Women's Hospital · Cedars-Sinai Medical Center · Emory University · Montefiore Medical Center · NYU Langone Health · Zealand University Hospital · Alliance Pour La Recherche en Cancerologie · Anthony Sung, MD · Barbara Ann Karmanos Cancer Institute · Barts & The London NHS Trust · Columbia University · Crolll Gmbh · Dana-Farber Cancer Institute · Duke University · Erasmus Medical Center · Federico II University · Gustave Roussy, Cancer Campus, Grand Paris · Hospices Civils de Lyon · Lynn Feun · Milton S. Hershey Medical Center · National Cancer Institute (NCI) · Northwestern University · Nxera Pharma UK Limited · Oxford University Hospitals NHS Trust · Patrick Y. Wen, MD · Prof. Dr. Berthold Schalke · Radboud University Medical Center · Robert R. Henry, MD · Sheffield Teaching Hospitals NHS Foundation Trust · Sidney Kimmel Comprehensive Cancer Center at Thomas Jefferson University · South Florida Veterans Affairs Foundation for Research and Education · The Christie NHS Foundation Trust · UNC Lineberger Comprehensive Cancer Center · United States Department of Defense · Universitaire Ziekenhuizen KU Leuven · University Hospital Heidelberg · University of Colorado, Denver · University of Maryland, Baltimore · University of Palermo · University of Pennsylvania · University of Pittsburgh · University of Utah · Veterans Medical Research Foundation · Wake Forest University Health Sciences

Regulatory milestones approvals, filings & regulatory actions · 1 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Approved EU (EMA) Signifor 2012-04-24 europa.eu

Trials 73 · started per year

today
EU approved 2012
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200420052006200720082009201020112012201320142015201620172018201920202021202220232024202520262027
PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 115 trials
Phase 1 NCT03847207 Jan 2019 → Mar 2020 Nxera Pharma UK Limited Completed No outcome recorded
Phase 1 NCT03103009 Mar → Dec 2017 hyperinsulinemic hypoglycemia, post-surgical hypoinsulinemia University of Colorado, Denver Completed No outcome recorded
Phase 1 NCT01646684 Mar 2013 → Nov 2018 castration-resistant prostate carcinoma Novartis Pharmaceuticals Completed No outcome recorded
Phase 1 NCT01652547 Nov 2012 → Apr 2015 metastatic melanoma Novartis Pharmaceuticals Completed No outcome recorded
Phase 1 NCT01590199 May 2012 → Sep 2018 neuroendocrine neoplasm Novartis Pharmaceuticals Completed No outcome recorded
Phase 1 NCT01578928 May 2012 → May 2014 impaired renal function disease Novartis Pharmaceuticals Completed No outcome recorded
Phase 1 NCT01469572 Dec 2011 → Oct 2018 neuroendocrine neoplasm Emory University Completed No outcome recorded
Phase 1 NCT01434069 Sep 2011 → Dec 2015 digestive system neoplasm H. Lee Moffitt Cancer Center and Research Institute Completed No outcome recorded
Phase 1 NCT01364415 Aug 2011 → Apr 2016 neuroendocrine neoplasm Novartis Pharmaceuticals Completed No outcome recorded
Phase 1 NCT01385956 Jun 2011 → May 2014 malignant exocrine pancreas neoplasm H. Lee Moffitt Cancer Center and Research Institute Completed No outcome recorded
Phase 1/22 trials
Phase 1/2 NCT01468532 Oct 2011 → Jul 2017 hormone-resistant prostate carcinoma, prostate adenocarcinoma Barbara Ann Karmanos Cancer Institute Completed No outcome recorded
Phase 1/2 NCT01372618 Jun 2011 → Oct 2015 ductal breast carcinoma in situ NYU Langone Health Terminated No outcome recorded
Phase 240 trials
Phase 2 NCT06456359 Dec 2024 → Oct 2027 expected desmoplastic small round cell tumor, synovial sarcoma University Hospital Heidelberg Recruiting No outcome recorded
Phase 2 NCT06295952 Feb 2024 → Feb 2027 expected prolactin producing pituitary tumor Memorial Sloan Kettering Cancer Center Recruiting No outcome recorded
Phase 2 NCT05928390 Jan 2024 → Apr 2026 overdue postgastrectomy syndrome RECORDATI GROUP Active not recruiting No outcome recorded
Phase 2 NCT04826432 Sep 2020 → Feb 2024 peritoneal carcinomatosis Gustave Roussy, Cancer Campus, Grand Paris Terminated No outcome recorded
Phase 2 NCT02749227 Jul 2017 → Mar 2020 ACTH-producing pituitary gland neoplasm Columbia University Terminated No outcome recorded
Phase 2 NCT03053284 Apr 2017 → Jan 2018 congenital isolated hyperinsulinism, pancreatic insulinoma Montefiore Medical Center Withdrawn No outcome recorded
Phase 2 NCT02713776 Dec 2016 → Jan 2021 Hospices Civils de Lyon Completed No outcome recorded
Phase 2 NCT02619617 Oct 2016 → Sep 2018 cluster headache syndrome Novartis Pharmaceuticals Terminated No outcome recorded
Phase 2 NCT02780882 Dec 2015 → Dec 2018 ectopic ACTH secretion syndrome Cedars-Sinai Medical Center Withdrawn No outcome recorded
Phase 2 NCT02215070 Jan 2015 → Feb 2019 hematopoietic and lymphoid cell neoplasm Anthony Sung, MD Completed No outcome recorded
Phase 38 trials
Phase 3 NCT02354508 Mar 2015 → Jan 2018 acromegaly Novartis Pharmaceuticals Completed No outcome recorded
Phase 3 NCT02048319 Dec 2013 → Nov 2015 Radboud University Medical Center Completed No outcome recorded
Phase 3 NCT01374906 Nov 2011 → Dec 2016 Cushing disease due to pituitary adenoma Novartis Pharmaceuticals Completed No outcome recorded
Phase 3 NCT01582061 Aug 2011 → Jan 2017 Cushing syndrome Novartis Pharmaceuticals Completed No outcome recorded
Phase 3 NCT01137682 Jul 2010 → Jan 2013 acromegaly Novartis Pharmaceuticals Completed No outcome recorded
Phase 3 NCT00994110 Oct 2009 → Sep 2014 malignant pancreatic neoplasm Memorial Sloan Kettering Cancer Center Completed No outcome recorded
Phase 3 NCT00600886 Feb 2008 → Mar 2016 acromegaly Novartis Pharmaceuticals Completed No outcome recorded
Phase 3 NCT00434148 Dec 2006 → Mar 2010 Cushing disease due to pituitary adenoma Novartis Pharmaceuticals Completed No outcome recorded
Phase 46 trials
Phase 4 NCT03514576 Jun → Aug 2018 hypoglycemia Zealand University Hospital Unknown No outcome recorded
Phase 4 NCT02779257 Apr → Jun 2016 digestive system neuroendocrine neoplasm University of Maryland, Baltimore Withdrawn No outcome recorded
Phase 4 NCT02527993 Oct 2015 → Apr 2017 hypoglycemia, obesity disorder Zealand University Hospital Completed No outcome recorded
Phase 4 NCT02668172 Aug 2015 → Mar 2017 acromegaly Erasmus Medical Center Unknown No outcome recorded
Phase 4 NCT01794793 Jun 2013 → Jul 2023 Cushing disease due to pituitary adenoma, acromegaly, dumping syndrome, ectopic ACTH secretion syndrome +3 RECORDATI GROUP Completed No outcome recorded
Phase 4 NCT03080181 May 2013 → Dec 2016 Cushing disease due to pituitary adenoma University of Palermo Completed No outcome recorded
Phase not stated2 trials
NCT01995734 acromegaly Novartis Pharmaceuticals Approved for marketing No outcome recorded
NCT02835131 congenital isolated hyperinsulinism Montefiore Medical Center No longer available No outcome recorded
Also used as a comparator or background therapy in 7 trials
PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 11 trial
Phase 1 NCT07312643 Comparator Dec 2025 → Feb 2026 RECORDATI GROUP Completed No outcome recorded
Phase 22 trials
Phase 2 NCT01670110 Comparator Aug 2012 → Sep 2018 autosomal dominant polycystic kidney disease, autosomal dominant polycystic liver disease Mayo Clinic Completed No outcome recorded
Phase 2 NCT02622906 Comparator Mar 2012 angiodysplasia of intestine Robert Benamouzig Completed No outcome recorded
Phase 2/31 trial
Phase 2/3 NCT01620138 Comparator Mar 2010 → Jun 2012 non-functioning pituitary adenoma, prolactin-producing pituitary gland adenoma Federal University of Rio de Janeiro Completed No outcome recorded
Phase 31 trial
Phase 3 NCT00690430 Comparator Apr 2008 → Apr 2012 carcinoid syndrome Novartis Pharmaceuticals Completed No outcome recorded
Phase 42 trials
Phase 4 NCT02775227 Comparator May 2016 → Jan 2019 overdue pancreatic neoplasm Helsinki University Central Hospital Active not recruiting No outcome recorded
Phase 4 NCT02060383 Background May 2014 → Feb 2018 Cushing disease due to pituitary adenoma, acromegaly Novartis Pharmaceuticals Completed No outcome recorded

Evidence & citations 24 cited values

Every value below carries the sentence it was read from. 88 sources stand behind the page.

FieldValueCited text
Known as pasireotide “Since the importance of the IGF-signaling in PC is not only indicated by preclinical results but also by clinical efficacy of somatostatin analogs, further clinical research...” NCT01646684
69

“Our objective was to evaluate the short-term efficacy of the novel multireceptor ligand somatostatin analog pasireotide in patients with de novo, persistent, or recurrent...” PMID 18957506 Oct 2008

“Subcutaneous (s.c.) Pasireotide in Subjects With Varying Degrees of Renal Impairment Compared to a Matched Control Group of Healthy Volunteers” NCT01578928

“Signifor 40 mg: each vial contains 40 mg pasireotide (as pasireotide pamoate).” NCT06456359

“SOM230 (pasireotide) 60 mg i.m. injection once every 28 days, +/- 2 days.” NCT01625520

Pasireotide LAR (SOM230 LAR) is a cyclohexapeptide engineered to bind” PMID 26126727 Jul 2015

NCT00929669

NCT01234974

NCT01128192

NCT03080181

NCT01469572

NCT02668172

NCT05928390

NCT02713776

NCT00958841

NCT01263353

NCT01620138

NCT03514576

NCT01364415

NCT00446082

NCT00600886

NCT01563354

NCT01374906

NCT01895296

NCT01915303

NCT00171730

NCT02048319

NCT02779257

NCT01252251

NCT01253161

NCT03053284

NCT02749227

NCT01794793

NCT02835131

NCT03847207

NCT02780882

NCT06295952

NCT00698464

NCT00088595

NCT00690430

NCT00088582

NCT01283542

NCT01270321

NCT03103009

NCT01417806

NCT07312643

NCT01670110

NCT00434148

NCT02060383

NCT01673646

NCT02215070

NCT01313559

NCT01488487

NCT01582061

NCT01652547

NCT00171951

NCT01137682

NCT01374451

NCT01617733

NCT02775227

NCT04826432

NCT02354508

NCT00994110

NCT02622906

NCT01995734

NCT01468532

NCT01372618

NCT01356862

NCT01372644

NCT02527993

Known as PAS-LAR “To assess the efficacy and safety of pasireotide long-acting release (PAS-LAR) alone or in combination with pegvisomant” PMID 29155991 Feb 2018
Known as Pasireotida ChEMBL registry synonym — accepted as the source's own label CHEMBL3349607
Known as Pasireotide (as diaspartate) ChEMBL registry synonym — accepted as the source's own label CHEMBL3349607
Known as Pasireotide Diaspartate “Drug: Pasireotide DiaspartateNCT05928390
Known as Pasireotide embonate ChEMBL registry synonym — accepted as the source's own label CHEMBL3349607
Known as Pasireotide LAR Pasireotide LAR (SIGNIFOR® LAR) is a somatostatin analog indicated for the treatment of patients with acromegaly who have had an inadequate response to surgery and/or for whom...” NCT02749227
5

Pasireotide LAR intra-muscular depot injections were supplied as a powder in vials containing 20 mg and 40 mg with ampoules containing 2 mL of vehicle (for reconstitution).” NCT01374451

“Investigational drug pasireotide LAR was supplied in vials with 20 mg or 40 mg powder and 2 mL vehicle was supplied in ampoules for reconstitution.” NCT00958841

Pasireotide LAR (SOM230 LAR) is a cyclohexapeptide engineered to bind” PMID 26126727 Jul 2015

Pasireotide LAR (SOM230)” NCT01670110

“Drug: Pasireotide LARNCT01283542

Known as Pasireotide long-acting release Pasireotide long-acting release, with its broader binding profile and higher affinity to known somatostatin receptors, has potential for greater efficacy.” PMID 32843370 Aug 2020
Known as pasireotide pamoate “Signifor 40 mg: each vial contains 40 mg pasireotide (as pasireotide pamoate).” NCT06456359
Known as Signifor Signifor 40 mg: each vial contains 40 mg pasireotide (as pasireotide pamoate).” NCT06456359
Known as Signifor lar ChEMBL registry synonym — accepted as the source's own label CHEMBL3349607
Known as Signifor lar kit ChEMBL registry synonym — accepted as the source's own label CHEMBL3349607
Known as SOM-230 “The purpose of this study is to help us learn more about how to lower the patient's risk of the most common complications after their pancreas operation. After tumors are...” NCT00994110
21

“A Randomized, Double-blind Study to Assess the Safety and Efficacy of Different Dose Levels of Pasireotide (SOM230) Subcutaneous (sc) Over a 6 Month Treatment Period in...” NCT00434148

“An Open Label, Longitudinal Study of the Effects of Subcutaneous Acute and Chronic Pasireotide (som230) Therapy on Adrenocorticotrophic Hormone and Tumour Volume in Patients...” NCT01617733

“Pasireotide (SOM230, SIGNIFOR®) is currently indicated for the treatment of patients with Cushing's disease for whom surgery is not an option or for whom surgery has failed.” NCT02713776

“Pasireotide (SOM230), a multireceptor-targeted somatostatin analogue, has exhibited favorable safety/tolerability in several clinical studies.” PMID 24800725 May 2014

“Pasireotide (SOM230) is a novel multireceptor ligand somatostatin analog with affinity for somatostatin receptor subtypes sst(1-3) and sst(5).” PMID 20410233 Apr 2010

“Effect of hepatic impairment on the pharmacokinetics of pasireotide (SOM230): results from a multicenter phase I study.” PMID 22282526 Jan 2012

“A Phase II Trial of SOM230(PasireotideLAR) and Topotecan in Patients With Relapsed or Refractory Small Cell Lung Cancer” NCT01417806

“Pasireotide (SOM230) s.c.Followed by Pasireotide LAR” NCT01652547

“The study evaluated SOM230 vs Placebo” NCT02619617

“Pasireotide is also called SOM-230.” NCT01252251

“Pasireotide LAR (SOM230)” NCT01670110

“SOM 230 / Pasireotide” NCT01372644

“SOM 230 / Pasireotide” NCT01372618

NCT01637272

NCT00813592

NCT01639352

NCT00804336

NCT00088608

NCT01329289

NCT01625520

NCT01590199

Known as SOM-230 PAMOATE ChEMBL registry synonym — accepted as the source's own label CHEMBL3349607
Known as SOM230 LAR SOM230 LAR With Bortezomib and Dexamethasone for Refractory or Relapsed Multiple Myeloma” NCT01329289
2

“Pasireotide LAR (SOM230 LAR) is a cyclohexapeptide engineered to bind” PMID 26126727 Jul 2015

NCT02021942

Known as SOM230C ClinicalTrials.gov intervention name — accepted as the source's own label NCT00859040
1

NCT01434069

Action Activate “Somatostatin receptor 3 agonist” CHEMBL3349607
1

“Somatostatin receptor 2 agonist” CHEMBL3349607

Action Inhibit “Serum cortisol levels and plasma ACTH levels were also reduced.” PMID 18957506 Oct 2008
Modality Other / unclassified “Pasireotide (SOM230) is a novel multireceptor ligand somatostatin analog” PMID 20410233 Apr 2010
Route Subcutaneous “each patient received pasireotide 200, 400, and 600 microg s.c. twice daily” PMID 20410233 Apr 2010
Target SSTR1 “Pasireotide long-acting repeatable (LAR) is a novel somatostatin analog (SSA) with avid binding affinity to somatostatin receptor subtypes 1, 2, 3 (SSTR1,2,3) and 5 (SSTR5).” PMID 25376618 Nov 2014
Target SSTR2 “Somatostatin receptor 2 agonist” CHEMBL3349607
Target SSTR3 “Somatostatin receptor 3 agonist” CHEMBL3349607
Target SSTR5 “Pasireotide long-acting repeatable (LAR) is a novel somatostatin analog (SSA) with avid binding affinity to somatostatin receptor subtypes 1, 2, 3 (SSTR1,2,3) and 5 (SSTR5).” PMID 25376618 Nov 2014