- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01603004
Potential Molecular Predictors of Response to Novel Therapies in Metastatic Pancreatic Neuroendocrine Tumors
June 24, 2019 updated by: Memorial Sloan Kettering Cancer Center
A Pilot Study to Identify Potential Molecular Predictors of Response to Novel Therapies in Metastatic Pancreatic Neuroendocrine Tumors
Sunitinib and everolimus are two new treatments approved in 2011 for patients with pancreatic neuroendocrine tumors (NETs).
In addition, some traditional chemotherapies are often used to treat pancreatic NETs.
Traditional chemotherapy is also known as "cytotoxic therapy" and works by killing cells that are actively dividing.
There have been no studies to compare the different types of treatment.
Since the patient is eligible for treatment with either sunitinib, everolimus or traditional chemotherapy it can help us identify factors that may help future patients benefit from these therapies.
Study Overview
Study Type
Observational
Enrollment (Actual)
25
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
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New York
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New York, New York, United States, 10065
- Memorial Sloan Kettering Cancer Center
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Sampling Method
Non-Probability Sample
Study Population
Potential research patients will be identified by doctors from the Gastrointestinal Oncology Service in the Department of Medicine.
Description
Inclusion Criteria:
- Histopathologic evidence of well differentiated pancreatic NET
- Evidence of measurable disease by RECIST 1.1. Both patients with synchronous disease and those with prior resected primary cancers will be eligible.
- Patient ≥18 years of age on the day of signing informed consent.
- Planned initiation of active therapy with everolimus ,sunitinib or traditional cytotoxic chemotherapy.
Patients can be included in this study, regardless of prior therapy, but cannot undergo concurrent therapy, such as hepatic artery embolization
- Available archival tissue with adequate FFPE tissue for analysis verified by a pathologist (in cases of biopsies less than 2 cm and/or less than 70% tumor content 10 slides will be required for adequate DNA preparation. For larger biopsies and any resections, 5 slides are sufficient for DNA extraction).
Exclusion Criteria:
- Patient has a history of a second active malignancy with evidence of metastases. Patients with a history of resected prior malignancy are allowed.
- Patient has known psychiatric or substance abuse disorders that would, in the opinion of the treating investigator, interfere with cooperation with the requirements of the trial.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Observational Models: Cohort
- Time Perspectives: Prospective
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
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everolimus, sunitinib or traditional chemotherapy
A total of 30 patients with well differentiated pancreatic NETs who have known liver metastases and who are planned to initiate therapy with either targeted (everolimus or sunitinib) or traditional cytotoxic chemotherapy will be recruited for this study.
We plan to recruit approximately 10 patients for each therapy (everolimus, sunitinib, cytotoxic chemotherapy).
Evidence of metastatic disease will be determined at the discretion of the oncologist based on available imaging, surgical and pathologic evidence.
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Patients will be treated with either sunitinib, everolimus, or traditional chemotherapy according to standard of care.
Follow-up with imaging (either MRI or CT) will be performed approximately every 3 months.
Unidimensional tumor measurement on standard CT and MRI sequences will be performed, according to guidelines from RECIST v1.1, which will be used to assess for progression of disease.
Patients will be followed for up to 5 years.
Upon evidence of disease progression, patients will be asked to undergo a post-treatment biopsy.
If medically possible and safe, they will stay on the drug until the time of biopsy.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Progression free survival
Time Frame: 2 years
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standard MRI sequences will be performed, according to guidelines from RECIST 1.1.
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2 years
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Overall survival
Time Frame: 5 years
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standard MRI sequences will be performed, according to guidelines from RECIST 1.1.
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5 years
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best response
Time Frame: 5 years
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standard MRI sequences will be performed, according to guidelines from RECIST 1.1.
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5 years
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Investigators
- Principal Investigator: Nitya Raj, M.D, Memorial Sloan Kettering Cancer Center
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
Helpful Links
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
May 14, 2012
Primary Completion (Actual)
June 24, 2019
Study Completion (Actual)
June 24, 2019
Study Registration Dates
First Submitted
May 16, 2012
First Submitted That Met QC Criteria
May 17, 2012
First Posted (Estimate)
May 21, 2012
Study Record Updates
Last Update Posted (Actual)
June 25, 2019
Last Update Submitted That Met QC Criteria
June 24, 2019
Last Verified
June 1, 2019
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Digestive System Diseases
- Neoplasms by Histologic Type
- Neoplasms
- Neoplasms by Site
- Adenocarcinoma
- Carcinoma
- Neoplasms, Glandular and Epithelial
- Endocrine System Diseases
- Digestive System Neoplasms
- Endocrine Gland Neoplasms
- Neuroectodermal Tumors
- Neoplasms, Germ Cell and Embryonal
- Neoplasms, Nerve Tissue
- Pancreatic Diseases
- Pancreatic Neoplasms
- Carcinoma, Neuroendocrine
- Neuroendocrine Tumors
- Carcinoma, Islet Cell
Other Study ID Numbers
- 12-058
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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