Current partner codePEPTIDESDE
NCT01374451·Phase 2·INTERVENTIONAL

Efficacy of Everolimus Alone or in Combination With Pasireotide LAR in Advanced PNET

Status

Terminated

Phase

Phase 2

Enrollment

160

Locations

47

Results

Posted

Publications

0

Study summary

What the protocol is testing.

This study will estimate the treatment effect of everolimus in combination with pasireotide LAR relative to everolimus alone on progression-free survival (PFS) in patients with advanced progressive PNET. A planned primary analysis was completed with data cut of 02-Apr-2014. The study did not meet its primary objective, which was based on progression-free survival (PFS) as per local radiology assessment and was prematurely terminated with the last patient last visit on 19-Feb-2015. However, it is important to note that the data did not reveal any new safety concerns. It was decided to stop the study and this decision was shared with the study sites on 31-Jul-2014.

Interventions

Treatment arms and agents.

DRUG

Everolimus

Everolimus was supplied as tablets of 5 mg strength, blister-packed under aluminum foil in units of 10 tablets

DRUG

Pasireotide LAR

Pasireotide LAR intra-muscular depot injections were supplied as a powder in vials containing 20 mg and 40 mg with ampoules containing 2 mL of vehicle (for reconstitution).

Timeline

From registration to results.

  1. First posted

    Jun 16, 2011

  2. Study start

    Jun 2011

  3. Primary completion

    Feb 2015

  4. Study completion

    Feb 2015

  5. Results posted

    Dec 20, 2016

  6. Registry updated

    Dec 20, 2016

Outcomes

What the study measures.

Primary outcomes

Progression-free Survival (PFS) Per Local Radiological Review

Time frame · Once 80 PFS events had occurred aproximately after 24 months

PFS per RECIST 1.0. (Response Evaluation Criteria in Solid Tumors). PFS was defined as the time from the date of randomization to the date of the first radiologically documented disease progression or death due to any cause.

Secondary outcomes

Safety and Tolerability Profile of Everolimus Alone or in Combination With Pasireotide LAR

Time frame · Once 80 PFS events had occurred

Consisted of monitoring and recording the rate, type, severity, and causal relationship of adverse events (AEs) and serious AEs (SAEs) to treatment. The safety analysis was based mainly on the frequency of AEs or SAEs and on the number of laboratory values that fell outside of pre-determined range.

Objective Response Rate (ORR) as Per Radiology Review

Time frame · Once 80 PFS events had occurred

Objective response was determined by the local radiologist according to the RECIST Version 1.0. ORR is the percentage of patients with a best overall response of complete response (CR) or partial response (PR). This is also referred to as Overall response rate. CR: Disappearance of all nontarget lesions. PR: At least a 30% decrease in the sum of the longest diameter of all target lesions, taking as reference the smallest sum of the longest diameter of all target lesions recorded at or after baseline.

Duration of Response (DoR)

Time frame · Once 80 PFS events had occurred

80 PFS are expected after approximately 24 months. Kaplan Meier was initially planned to be used to depict duration of response by treatment group and by stratum. Later based on the mode of action of everolimus and pasireotide and based on study experience, only a low number of objective responses per RECIST were expected. Therefore, protocol was amended to only list duration of response, and confirmed responses were flagged in the listing. Hence, statistical analyses were not planned and such data are not available for the following table.

Overall Survival (OS) Using Kaplan Meier Method

Time frame · Once 80 PFS events had occurred

Overall survival was defined as the time from date of randomization/start of treatment to date of death due to any cause. If a patient is not known to have died, survival was to be censored at the date of last contact.

PFS and the Predictive Probability of Success in Phase III

Time frame · Once 105 PFS events had occurred occurred

105 PFS events expected after approximately 36 months

Disease Control Rate (DCR) as Per Radiology Review

Time frame · Once 80 PFS events had occurred

Disease control rate is the percentage of patients with a best overall response of CR or PR or stable disease (SD) determined by the local radiologist according to the Response Evaluation Criteria In Solid Tumors Criteria (RECIST) Version 1.0. CR: Disappearance of all nontarget lesions. PR: At least a 30% decrease in the sum of the longest diameter of all target lesions, taking as reference the smallest sum of the longest diameter of all target lesions recorded at or after baseline. SD: Neither sufficient shrinkage to qualify for PR or CR nor an increase in lesions which would qualify for progressive disease (PD). PD: Any progression ≤ 18 weeks after randomization (and not qualifying for CR, PR or stable disease SD.

Summary of Pharmacokinetics (PK) for Everolimus for AUClast

Time frame · Cycle 2 Day 1

Summary of Pharmacokinetics (PK) for Everolimus for CL/F

Time frame · Cycle 2 Day 1

Summary of Pharmacokinetics (PK) for Everolimus for Cmax and Cmin

Time frame · Cycle 2 Day 1

Summary of Pharmacokinetics (PK) for Everolimus for Tmax

Time frame · Cycle 2 Day 1

Eligibility

Who can take part.

Minimum age
18 Years
Maximum age
Not reported
Sex
ALL
Healthy volunteers
No

Inclusion Criteria: * Advanced histologically confirmed well differentiated pancreatic neuroendocrine tumor * Progressive disease within the last 12 months * Measurable disease per RECIST Version 1.0 determined by multiphase MRI or triphasic CT Exclusion Criteria: * Patients currently requiring somatostatin analog treatment * Prior therapy with mTOR inhibitors or pasireotide * Patients with more than 2 prior systemic treatment regimens * Previous cytotoxic chemotherapy, targeted therapy, somatostatin analogs, or biotherapy within the last 4 weeks Other protocol-defined inclusion/exclusion criteria may apply

Study locations

47 registered sites.

Argentina · Australia · Belgium · Brazil · Canada · Denmark · France · Germany · Hungary · Italy · Japan · Netherlands · New Zealand · Spain · Sweden · Thailand · Turkey (Türkiye) · United Kingdom · United States. Showing up to 24 locations stored in the fast local snapshot.

Dana Farber Cancer Institute SC-2

Boston, Massachusetts, United States

Montefiore Medical Center MMC

The Bronx, New York, United States

Oregon Health & Science University Knight Cancer Institute

Portland, Oregon, United States

University of Texas/MD Anderson Cancer Center UT MD Anderson Cancer Ctr

Houston, Texas, United States

Novartis Investigative Site

Buenos Aires, Buenos Aires, Argentina

Novartis Investigative Site

Caba, Buenos Aires, Argentina

Novartis Investigative Site

St Leonards, New South Wales, Australia

Novartis Investigative Site

Herston, Queensland, Australia

Novartis Investigative Site

Brussels, Belgium

Novartis Investigative Site

Brussels, Belgium

Novartis Investigative Site

Ghent, Belgium

Novartis Investigative Site

Haine-Saint-Paul, Belgium

Novartis Investigative Site

Leuven, Belgium

Novartis Investigative Site

Rio de Janeiro, Rio de Janeiro, Brazil

Novartis Investigative Site

São Paulo, São Paulo, Brazil

Novartis Investigative Site

Toronto, Ontario, Canada

Novartis Investigative Site

Montreal, Quebec, Canada

Novartis Investigative Site

Aarhus, Denmark

Novartis Investigative Site

Copenhagen N, Denmark

Novartis Investigative Site

Bordeaux, France

Novartis Investigative Site

Clichy, France

Novartis Investigative Site

Lyon, France

Novartis Investigative Site

Marseille, France

Novartis Investigative Site

Villejuif, France

Publications

Results and literature.

No PMID-linked publications were present in this registry snapshot.

Primary links

Continue at the source.

Related trials

More studies on Pasireotide.

Related PeptideStat pages

Put the record in context.

Research pages describe evidence. Vendor pages, where available, describe independently tracked research-product listings and are not clinical recommendations.