Systemic Therapy With or Without Upfront Transarterial Embolization for Inoperable Liver Metastasis of Neuroendocrine Tumors

NCT ID: NCT01755182

Last Updated: 2016-05-06

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE3

Total Enrollment

1 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-07-31

Study Completion Date

2016-03-31

Brief Summary

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The purpose of this study is to verify if adding a locoregional treatment of liver metastasis (with trans-arterial embolization-TAE) to medical treatments of proven efficacy can prolong the progression free survival of patients affected by neuroendocrine tumors (NET) with inoperable liver metastases

Detailed Description

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Conditions

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Neuroendocrine Tumors

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Pharmacologic therapy

Patients in this arm receive systemic pharmacologic therapy alone

Group Type ACTIVE_COMPARATOR

approved pharmacologic therapy

Intervention Type DRUG

TAE and pharmacologic therapy

Patients in this arm receive systemic pharmacologic therapy and TAE

Group Type EXPERIMENTAL

approved pharmacologic therapy

Intervention Type DRUG

TAE

Intervention Type PROCEDURE

after randomization, and after 3 months

Interventions

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approved pharmacologic therapy

Intervention Type DRUG

TAE

after randomization, and after 3 months

Intervention Type PROCEDURE

Other Intervention Names

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somatostatin analog or other medicine with proven efficacy transarterial embolization

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of NET of gastroenteropancreatic (GEP), pulmonary or unknown primary site origin
* Unresectable liver metastases, according the judgment of surgeon, (the reasons for the opinion of surgeon should be made explicit)
* Hepatic involvement ≤50% volume of the organ
* Radiological evidence of hepatic lesions (contemporaneous progression or appearance of extrahepatic lesions are allowed if not critical sites) that require change or initiation of systemic pharmacotherapy
* Patients undergoing , previously treated , or never treated with systemic medical therapy are eligible
* Patients with or without carcinoid syndrome are eligible
* Well (G1) or medium (G2) differentiated histology (according to WHO 2010 classification)
* Ki67 ≤ 20% (G1-G2)
* Life expectancy \> 6 months
* Age ≥ 18 and \< 80 years

Exclusion Criteria

* Previous loco-regional post-surgical treatment
* Poorly differentiated histology
* Severe concomitant morbidities such as: severe coagulopathy, severe liver failure (to be detailed), renal failure (creatinine \> 2.0 mg/dl) and heart failure (NYHA 3-4 or unstable ischemic heart disease), contraindicating the interventional procedure or influencing the general prognosis (Investigator to provide details of exclusion)
* Extrahepatic metastasis in critical locations as: brain, spinal cord, lung with respiratory impairment, symptomatic vertebral lesions
* Patients with only extra-hepatic lesions
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Federico II University

OTHER

Sponsor Role collaborator

University of Campania Luigi Vanvitelli

OTHER

Sponsor Role collaborator

National Cancer Institute, Naples

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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A Colao, M.D.

Role: PRINCIPAL_INVESTIGATOR

Federico II University

A Faggiano, M.D.

Role: PRINCIPAL_INVESTIGATOR

Federico II University

R D'Angelo, M.D.

Role: PRINCIPAL_INVESTIGATOR

NCI Naples

F Fiore, MD

Role: PRINCIPAL_INVESTIGATOR

NCI Naples

F Perrone, MD

Role: PRINCIPAL_INVESTIGATOR

NCI Naples

C Gallo, MD

Role: PRINCIPAL_INVESTIGATOR

University of Campania Luigi Vanvitelli

MC Piccirillo, MD

Role: PRINCIPAL_INVESTIGATOR

NCI Naples

Locations

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Albano Laziale Ospedale "Regina Apoltolorum"

Albano Laziale, , Italy

Site Status

Università di Ferrara

Ferrara, , Italy

Site Status

Università di Genova

Genova, , Italy

Site Status

Istituto Europeo di Oncologia

Milan, , Italy

Site Status

Istituto Nazionale Tumori

Milan, , Italy

Site Status

Ospedale San Raffaele

Milan, , Italy

Site Status

Istituto Nazionale dei Tumori

Napoli, , Italy

Site Status

Ospedale Cardarelli

Napoli, , Italy

Site Status

Presidio Monaldi - AORN Ospedale dei Colli

Napoli, , Italy

Site Status

Istituto Regina Elena

Roma, , Italy

Site Status

Azienda Ospedaliero-Universitaria S.M. della Misericordia di Udine

Udine, , Italy

Site Status

Università di Verona Policlinico GB Rossi

Verona, , Italy

Site Status

Countries

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Italy

Other Identifiers

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2011-006097-76

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

LOTUS

Identifier Type: -

Identifier Source: org_study_id

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