Status:
COMPLETED
Sequentiality of Everolimus and STZ-5FU in Advanced Pancreatic Neuroendocrine Tumor
Lead Sponsor:
Grupo Espanol de Tumores Neuroendocrinos
Collaborating Sponsors:
European Neuroendocrine Tumor Society
Kantar Health
Conditions:
Neuroendocrine Tumors
Eligibility:
All Genders
18-94 years
Phase:
PHASE3
Brief Summary
The purpose of this study is to compare streptozotocin (STZ) vs everolimus as first line treatment for advanced pNET and to elucidate which sequence of STZ based chemotherapy and the mammalian Target ...
Detailed Description
STZ plus 5-Fuorouracil (5FU) is the actual standard of care for advanced pancreatic Neuroendocrine tumours (pNETS) in the European Union. Everolimus has been recently approved for its use in advanced ...
Eligibility Criteria
Inclusion
- Histologically proven diagnosis of unresectable or metastatic, advanced pancreatic NET.
- Documented confirmation of pancreatic NET G1 or G2 as per European Neuroendocrine Society (ENETS) classification system.
- Patients from whom a paraffin-embedded primary tumour or metastasis block is available and to be sent by Courier.
- Before study inclusion, patients must show progressive disease documented by radiology 12 months prior to study inclusion. Treatment naive patients can be also included if the patient needs active treatment with either chemotherapy or everolimus.
- Presence of measurable disease as per Response Evaluation Criteria in Solid Tumors (RECIST) criteria 1.0, documented by a Triphasic Computed Tomography (CT) scan or multiphase MRI radiological assessment.
- Previous treatment with somatostatin (SS) analogues is allowed. Only those patients with active functioning syndrome at entry can continue with SS analogues during the study.
- Adequate bone marrow and renal functions, and serum fasting cholesterol
- Women with child-bearing potential must have a negative serum pregnancy test.
- Written Informed Consent obtained according to local regulations
Exclusion
- Previous treatment with chemotherapy and/or mTOR inhibitors or tyrosine kinase inhibitors.
- Immune therapy or radiation therapy within 4 weeks prior to the patient entering the study.
- Hepatic artery embolization within the last 6 months (1 month if there are other sites of measurable disease), or cryoablation/radiofrequency ablation of hepatic metastasis within 2 months of enrolment.
- Previous treatment with Peptide-Receptor Radionuclide Therapy (PRRT) within the last 6 months and/or without progression following PRRT.
- Uncontrolled diabetes mellitus.
- Any severe and/or uncontrolled medical conditions.
- Treatment with potent inhibitors or inducers of Cytochrome P450 3A4 (CYP3A) isoenzyme within 5 days immediately before the start of treatment.
- Patients on chronic treatment with corticosteroids or any other immunosuppressive agent.
- Patients known to be HIV seropositive.
- Known intolerance or hypersensitivity to everolimus or its excipients or other rapamycin analogues. Patients with rare hereditary problems of galactose intolerance, Lapp lactase deficiency or glucose-galactose malabsorption should not take this medicinal product.
- Known intolerance or hypersensitivity to 5FU or STZ or its excipients (notice that this criterion includes patients with known deficit of dihydropyrimidine dehydrogenase deficiency -DPD).
- Pregnant, lactating women or fertile adults not using effective birth control methods.
- For administrative matters (insurance) patients ≥ 95 are not allowed during the trial.
- Only those patients coming from the hospital pool will be included in SEQTOR trial (e.g. persons detained in an institution as a result of an official or court order are excluded).
Key Trial Info
Start Date :
October 27 2014
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
July 12 2021
Estimated Enrollment :
141 Patients enrolled
Trial Details
Trial ID
NCT02246127
Start Date
October 27 2014
End Date
July 12 2021
Last Update
May 11 2025
Active Locations (37)
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1
Aarhus Aarhus University Hospital NET Centre (AUH-NET)
Aarhus, Denmark, 8000
2
Rigshospitalet NET CoE, University of Copenhagen
Copenhagen, Denmark, 2100
3
Odense University Hospital
Odense, Denmark, 5000
4
Brest Hopital Augustin Morvan, Institut de Cancero-Hemato
Brest, Brest Cedex, France, 29609