Efficacy of Octreotide Acetate and Cabergoline in Patients With Acromegaly
Efficacy of Octreotide Acetate and Cabergoline in Patients With Acromegaly
This study will investigate the efficacy of a combination treatment with octreotide acetate
 and cabergoline in acromegalic patients that are only partially responsive to a somatostatin
 analog monotherapy
Inclusion criteria:

 -  Male and female patients (> 18 years) with prior surgery of micro- or macroadenoma of
 the pituitary.

 -  At least 6 months chronic treatment with 30mg octreotide (long acting release).

 -  Partial responsiveness, which is defined as follows: at any one point within the 6
 months monotherapy with 30mg/month octreotide (long acting release) the patient must
 have experienced a decrease in GH and IGF-1 of at least 25% as compared to
 pre-monotherapy values (= baseline). Note: For efficacy analysis GH- and IGF-1-values
 measured in the central laboratory at visit 1 (=study baseline) will be used.

 -  Lack of suppression of GH nadir to < 1.0 µg/L, after oral administration of 75 g of
 glucose (OGTT) and IGF-I levels at least 10% above the normal value ± 2 SD (adjusted
 for age and gender; Brabant 2003) must be proven within 4 weeks prior to visit 1.
 However, if acromegaly symptoms are inadequately controlled as defined in the
 acromegaly comorbidities and symptom evaluation (as judged by the investigator), an
 abnormal GH or IGF-1-value as defined above is sufficient.

 -  Patient's written informed consent.

 Exclusion criteria:

 -  Requires surgery for recent significant deterioration in visual fields or other
 neurological signs, which are related to the pituitary tumor mass.

 -  Radiotherapy planned or radiotherapy for acromegaly within the last 2 years.

 -  Symptomatic cholelithiasis that is clinically relevant.

 -  Receiving treatment with dopamine agonists within the last 6 months or prior treatment
 with GH-receptor-antagonists.

 -  Patients with renal insufficiency, Raynaud-Syndrome or gastrointestinal ulcer/
 bleeding cannot be included in the study or psychose in anamnesis.

 Other protocol-defined inclusion/exclusion criteria may apply