DRUG
Everolimus
Everolimus was supplied as tablets of 5 mg strength, blister-packed under aluminum foil in units of 10 tablets
Status
Terminated
Phase
Phase 2
Enrollment
160
Locations
47
Results
Posted
Publications
0
Study summary
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
DRUG
Everolimus was supplied as tablets of 5 mg strength, blister-packed under aluminum foil in units of 10 tablets
DRUG
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
First posted
Jun 16, 2011
Study start
Jun 2011
Primary completion
Feb 2015
Study completion
Feb 2015
Results posted
Dec 20, 2016
Registry updated
Dec 20, 2016
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.
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
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
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
No PMID-linked publications were present in this registry snapshot.
Related trials
Novartis · Somatostatin Receptor Positive (SSTR+) · Gastroenteropancreatic Neuroendocrine Tumor (GEP-NET)
Phase 3
Recruiting
240
2026-04
Memorial Sloan Kettering Cancer Center · Prolactin-Producing Pituitary Tumor
Phase 2
Recruiting
10
2026-03
RECORDATI GROUP · Pharmacokinetics · Safety
Phase 1
Completed
40
2026-02
Advanced Accelerator Applications · Gastro-enteropancreatic Neuroendocrine Tumor
Phase 3
Active, not recruiting
226
2026-01
Hospices Civils de Lyon · Enterostomy
Phase 2
Completed
57
2025-12
RECORDATI GROUP · Post-Bariatric Hypoglycemia
Phase 2
Active, not recruiting
93
2025-09
Fondazione Policlinico Universitario Agostino Gemelli IRCCS · Acromegaly Due to Pituitary Adenoma · Acromegaly
Not applicable
Recruiting
120
2025-09
Sidney Kimmel Comprehensive Cancer Center at Thomas Jefferson University · Castrate Resistant Prostate Cancer · Chemotherapy Naive Prostate Cancer
Phase 2
Terminated
6
2025-04
Related PeptideStat pages
Research pages describe evidence. Vendor pages, where available, describe independently tracked research-product listings and are not clinical recommendations.