Efficacy and Safety of 177Lu-edotreotide PRRT in GEP-NET Patients

NCT ID: NCT03049189

Last Updated: 2025-05-30

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

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE3

Total Enrollment

309 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-02-02

Study Completion Date

2029-11-30

Brief Summary

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The purpose of the study is to evaluate efficacy and safety of Peptide Receptor Radionuclide Therapy (PRRT) with 177Lu-Edotreotide compared to targeted molecular therapy with Everolimus in patients with inoperable, progressive, somatostatin receptor-positive (SSTR+), neuroendocrine tumours of gastroenteric or pancreatic origin (GEP-NET).

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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177Lu-edotreotide PRRT

177Lu-edotreotide (177Lu-DOTATOC)

A maximum of four cycles of 7.5 ± 0.7 GBq (gigabequerel) 177Lu-edotreotide, each.

Route of administration: Slow intravenous infusion/injection (i.v.) Duration of treatment: 4 cycles, 90 days apart (total duration: 270 days/9 months)

Group Type EXPERIMENTAL

177Lu-edotreotide PRRT

Intervention Type DRUG

PRRT using 177Lu-edotreotide will be performed 3-monthly. A maximum of four cycles will be administered.

Amino-Acid Solution

Intervention Type OTHER

The Amino-Acid Solution (AAS) to be used in this study will contain a mixture of 25 g lysine and 25 g arginine diluted in 2000 mL of electrolyte solution, infused over 4 - 6 h, starting 30 - 60 min before PRRT

Everolimus

Everolimus (Afinitor ®)

Doses: 10 mg/d Route of administration: Oral Duration of treatment: Continuous daily treatment until diagnosis of progression or End of Study (EOS)

Group Type ACTIVE_COMPARATOR

Everolimus

Intervention Type DRUG

Everolimus will be administered as a standard dosis of 10 mg daily which may be reduced where required for acceptable tolerability.

Interventions

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177Lu-edotreotide PRRT

PRRT using 177Lu-edotreotide will be performed 3-monthly. A maximum of four cycles will be administered.

Intervention Type DRUG

Everolimus

Everolimus will be administered as a standard dosis of 10 mg daily which may be reduced where required for acceptable tolerability.

Intervention Type DRUG

Amino-Acid Solution

The Amino-Acid Solution (AAS) to be used in this study will contain a mixture of 25 g lysine and 25 g arginine diluted in 2000 mL of electrolyte solution, infused over 4 - 6 h, starting 30 - 60 min before PRRT

Intervention Type OTHER

Other Intervention Names

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177Lu-DOTATOC 177Lu-Edo Afinitor Arginine-Lysine Solution

Eligibility Criteria

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Inclusion Criteria

* Histologically confirmed diagnosis of well-differentiated neuro-endocrine tumour of non-functional gastroenteric origin (GE-NET) or both functional or non-functional pancreatic origin (P-NET)
* Measurable disease per RECIST 1.1
* Somatostatin receptor positive (SSTR+) disease
* Progressive disease based on RECIST 1.1. criteria as evidenced by two morphological imaging examinations made with the same imaging method (either CT or MRI)

Exclusion Criteria

* Known hypersensitivity to edotreotide or everolimus
* Known hypersensitivity to DOTA, lutetium-177, or any excipient of edotreotide or everolimus or any other Rapamycin derivative
* Prior exposure to any peptide receptor radionuclide therapy (PRRT)
* Prior therapy with mTor inhibitors
* Prior EFR (external field radiation) to GEP-NET lesions within 90 days before randomisation or radioembolisation therapy
* Therapy with an investigational compound and/or medical device within 30 days prior to randomisation
* Indication for surgical lesion removal with curative potential
* Planned alternative therapy (for the period of study participation)
* Serious non-malignant disease
* Clinically relevant renal, hepatic, cardiovascular, or haematological organ dysfunction, potentially interfering with the safety of the study treatments
* Pregnant or breast-feeding women
* Subjects not able to declare meaningful informed consent on their own (e.g. with legal guardian for mental disorders) or any other vulnerable population to that sense (e.g. persons institutionalised, incarcerated etc.).
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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ABX CRO

OTHER

Sponsor Role collaborator

PSI CRO

INDUSTRY

Sponsor Role collaborator

ITM Solucin GmbH

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Banner Health d.b.a. Banner MD Anderson Cancer Center

Gilbert, Arizona, United States

Site Status

Stanford University

Stanford, California, United States

Site Status

Moffitt Cancer Center & Research Institute

Tampa, Florida, United States

Site Status

Northwestern Memorial Hospital

Chicago, Illinois, United States

Site Status

University of Michigan Comprehensive Cancer Center

Ann Arbor, Michigan, United States

Site Status

Excel Diagnostics & Nuclear Oncology Center

Houston, Texas, United States

Site Status

Royal North Shore Hospital

Saint Leonards, New South Wales, Australia

Site Status

Olivia Newton-John Cancer & Wellness Centre, Austin Hospital

Heidelberg, Victoria, Australia

Site Status

Peter MacCallum Cancer Centre

Melbourne, Victoria, Australia

Site Status

Fiona Stanley Hospital

Murdoch, Western Australia, Australia

Site Status

Allgemeines Krankenhaus Wien

Vienna, , Austria

Site Status

Institut Jules Bordet

Brussels, , Belgium

Site Status

Universitaire Ziekenhuizen Leuven

Leuven, , Belgium

Site Status

University Hospital Olomouc

Olomouc, , Czechia

Site Status

University Hospital Motol

Prague, , Czechia

Site Status

Hospices civils de Lyon

Bron, , France

Site Status

Centre Jean Perrin

Clermont-Ferrand, , France

Site Status

HP Hôpital Beaujon

Clichy, , France

Site Status

Institut de Recherche en Cancérologie de Montpellier (IRCM)

Montpellier, , France

Site Status

CHU de Nantes - Hôtel Dieu

Nantes, , France

Site Status

IUCT-Oncopole

Toulouse, , France

Site Status

Zentralklinik Bad Berka GmbH

Bad Berka, , Germany

Site Status

Charité - Universitätsmedizin Berlin

Berlin, , Germany

Site Status

Universitätsklinikum Bonn

Bonn, , Germany

Site Status

Universitätsklinikum Erlangen

Erlangen, , Germany

Site Status

Universitätsklinikum Essen

Essen, , Germany

Site Status

University Medical Center, Abteilung für Nuklearmedizin

Hamburg, , Germany

Site Status

Universitätsklinikum Magdeburg A.ö.R., Otto-von-Guericke Universität

Magdeburg, , Germany

Site Status

Philipps Universität Marburg

Marburg, , Germany

Site Status

Klinikum rechts der Isar Technische Universität München

Munich, , Germany

Site Status

Universitätsklinikum Ulm

Ulm, , Germany

Site Status

Universitätsklinikum Würzburg

Würzburg, , Germany

Site Status

Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST) Srl

Meldola, , Italy

Site Status

Fondazione IRCCS Istituto Nazionale dei Tumori

Milan, , Italy

Site Status

European Institute of Oncology (EIO)

Milan, , Italy

Site Status

Academic Medical Center, University of Amsterdam

Amsterdam, , Netherlands

Site Status

MSC Memorial Cancer Centre

Gliwice, , Poland

Site Status

"Gammed" Izabela Chuchrowksa

Warsaw, , Poland

Site Status

University Cape Town (UCT), Groote Schuur Hospital

Cape Town, , South Africa

Site Status

University of Pretoria & Steve Biko Academic Hospital

Pretoria, , South Africa

Site Status

Vall d'Hebron University Hospital

Barcelona, , Spain

Site Status

ICO Hospitalet, Granvia de l'Hospitalet

Barcelona, , Spain

Site Status

MD Anderson Cancer Center Madrid

Madrid, , Spain

Site Status

University Hospital 12 de Octubre

Madrid, , Spain

Site Status

Central University Hospital de Asturias (HUCA)

Oviedo, , Spain

Site Status

University and Polytechnic Hospital La Fe

Valencia, , Spain

Site Status

Universitätsspital Basel

Basel, , Switzerland

Site Status

Inselspital, Universitätsspital Bern

Bern, , Switzerland

Site Status

UniversitätsSpital Zürich

Zurich, , Switzerland

Site Status

Royal Free NHS Foundation Trust

London, , United Kingdom

Site Status

Kings College Hospital

London, , United Kingdom

Site Status

The Christie NHS Foundation Trust

Manchester, , United Kingdom

Site Status

Countries

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United States Australia Austria Belgium Czechia France Germany Italy Netherlands Poland South Africa Spain Switzerland United Kingdom

Other Identifiers

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ITM-LET-01

Identifier Type: -

Identifier Source: org_study_id

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