Current partner codePEPTIDESDE
NCT01563354·Phase 2·INTERVENTIONAL

3-arm Trial to Evaluate Pasireotide LAR/Everolimus Alone/in Combination in Patients With Lung/Thymus NET - LUNA Trial

Status

Completed

Phase

Phase 2

Enrollment

124

Locations

36

Results

Posted

Publications

1

Study summary

What the protocol is testing.

This was a multicenter, randomized, phase II study evaluating Everolimus or Pasireotide LAR alone or in combination in adult patients with advanced (unresectable or metastatic) neuroendocrine carcinoma of the lung and thymus

Full detailed description

This was a prospective, multicenter, randomized, open-label, 3-arm, phase II study with a single-stage design in each arm. The purpose of this study was to test the effectiveness and safety of Everolimus or Pasireotide LAR alone or in combination in adult patients with advanced (unresectable or metastatic) neuroendocrine carcinoma (typical and atypical) of the lung and thymus. It was expected that a total of 120 patients with 40 patients in each arm were to be enrolled into this study. Patients were seen weekly for one month and monthly thereafter. Radiological and biochemical response assessments were performed every 3 months. Patients with disease control (stable disease or better) in the combination arm or monotherapy with pasireotide LAR and everolimus who had not experienced unacceptable toxicity were permitted to continue treatment in the extension phase of the study and were seen every 3 months. Patients could remain in the extension phase as long as they continued to have clinical benefit and had not fulfilled any of the study discontinuation criteria. All patients had a safety follow-up visit 56 days after last treatment dose.

Interventions

Treatment arms and agents.

DRUG

Pasireotide LAR

60 mg was administered as an intra muscular depot injection once every 28 days starting at Day 1

DRUG

Everolimus

10 mg tables administered orally once a day

DRUG

Pasireotide LAR and Everolimus Combination

Pasireotide LAR 60 mg i.m. injected once every 28 days + Everolimus 10 mg p.o. daily

Timeline

From registration to results.

  1. First posted

    Mar 27, 2012

  2. Study start

    Aug 16, 2013

  3. Primary completion

    Feb 10, 2020

  4. Study completion

    Feb 10, 2020

  5. Results posted

    Apr 2, 2021

  6. Registry updated

    Apr 2, 2021

Outcomes

What the study measures.

Primary outcomes

Percentage of Participants Progression-free at 9 Months Based on Response Evaluation Criteria In Solid Tumors v1.1 (RECIST v1.1)

Time frame · Baseline up to 9 months

Patients with Complete Response (CR), Partial Response (PR), or Stable Disease (SD) at Month 9 were to be considered as "progression-free" based on RECIST v1.1. Patients with missing tumor assessment, or with overall lesion response "unknown" at Month 9 were considered as "non progression-free", unless any of the following assessments at Week 48 or Week 52 indicate CR, PR, or SD, in which case the patient was to be considered as progression-free at Month 9. Patients discontinuing the study for any reason prior to the 9 month assessment were to be considered as "non progression-free".

Secondary outcomes

Summary of Progression-free Survival (PFS) Based on RECIST v1.1

Time frame · Baseline, every 3 months up to 69 months

Time from first study drug administration to objective tumor progression or death from any cause according to RECIST v1.1

Kaplan-Meier Estimates of Progression-free Survival (PFS)

Time frame · Baseline, every 3 months up to 69 months

Percent (%) event-free probability estimate is the estimated probability that a patient will remain event-free up to the specified time point. Percent event-free probability estimates are obtained from the Kaplan-Meier survival estimates. Events are time from first study drug administration to objective tumor progression or death from any cause according to RECIST v1.1.

Summary of Time to Response (Months)

Time frame · Every 3 months up to Year 1

Time from start of treatment to the first observed objective tumor response (partial response or complete response) observed according to RECIST v1.1.

Summary of Duration of Response (Months)

Time frame · Every 3 months up to Year 1

Date of first objective tumor response to date of tumor progression or death due to any cause.

12-month Disease Control Rate (DCR) and Objective Response Rate (ORR)

Time frame · Baseline up to Month 12

Objective response rate (ORR) was defined as the percentage of patients showing a best overall response (BOR) of CR or PR during the core study according to RECIST v1.1 criteria. The best overall response is interpreted as the best response recorded from the start of the treatment until disease progression/recurrence, death from any cause or until the patient withdraws consent, whichever is earliest. DCR was was defined as the percentage of participants with a best overall response of complete response, partial response or stable disease during 12 months of treatment according to RECIST v1.1.

Biochemical Response Rate (BRR) for Chromogranin A (CgA) Levels

Time frame · Baseline up to Week 52

Percentage of patients showing normalization or a decrease of ≥ 30% of serum CgA concentrations compared to baseline.

Duration of Biochemical Response (DBR), by Treatment (Full Analysis Set)

Time frame · Baseline up to Month 18

Time from the first documentation of biochemical response to the first documentation of biochemical progression or to death due to any cause, whichever occurred first. Biochemical progression is defined as an increase of serum CgA levels ≥ 25% compared to baseline.

Kaplan-Meier Event-free Probability Estimate Based on CgA Levels

Time frame · Baseline, every 3 months up to Month 18

Kaplan Meier estimates are for Duration of biochemical response (DBR) outcome measure. Events are biochemical progressions i.e. an increase of CgA levels \>= 25% compared to baseline or deaths due to any cause. Percent (%) Event-free probability estimate is the estimated probability that a patient will remain event-free up to the specified time point.

Summary of Biochemical Progression-free Survival Based on CgA Levels by Treatment

Time frame · Baseline up Month 24

Time from the first documentation of biochemical response to the first documentation of biochemical progression or to death due to any cause, whichever occurred first. Biochemical progression is defined as an increase of serum CgA levels ≥ 25% compared to baseline.

Kaplan-Meier Event-free Probability Estimate for Biochemical Progression-free Survival Based on CgA Levels

Time frame · Baseline, every 3 months up to Month 24

Percent (%) Event-free probability estimate is the estimated probability that a patient will remain event-free up to the specified time point. Percent event-free probability estimates are obtained from the Kaplan-Meier survival estimates. Events are biochemical progressions, i.e., an increase of CgA levels \>= 25% compared to baseline or deaths due to any cause.

Eligibility

Who can take part.

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

Inclusion Criteria: * Histological confirmed advanced well differentiated typical and atypical carcinoid tumors of the lung or thymus * Patients of all treatment lines including naive patients could have been enrolled * At least one measurable lesion of disease on CT scan or MRI * Radiological documentation of disease progression within 12 months prior to randomization * Adequate liver, renal and bone marrow function * WHO Performance Status 0-2 Exclusion Criteria: * Poorly differentiated neuroendocrine carcinoma * Non-neuroendocrine thymoma * Patients with severe functional disease who required symptomatic treatment with somatostatin analogs * Prior therapy with mTOR inhibitors * History of liver disease * Baseline QTcF\> 470 msec * Uncontrolled diabetes mellitus despite adequate therapy

Study locations

36 registered sites.

Denmark · France · Germany · Greece · Italy · Netherlands · Spain · Sweden · United Kingdom. Showing up to 24 locations stored in the fast local snapshot.

Novartis Investigative Site

Aarhus, Denmark

Novartis Investigative Site

Copenhagen N, Denmark

Novartis Investigative Site

Toulouse, Cedex 9, France

Novartis Investigative Site

Créteil, France

Novartis Investigative Site

Lille, France

Novartis Investigative Site

Lyon, France

Novartis Investigative Site

Rennes, France

Novartis Investigative Site

Strasbourg, France

Novartis Investigative Site

Villejuif, France

Novartis Investigative Site

Bad Berka, Germany

Novartis Investigative Site

Berlin, Germany

Novartis Investigative Site

Mainz, Germany

Novartis Investigative Site

Athens, GR, Greece

Novartis Investigative Site

Ancona, AN, Italy

Novartis Investigative Site

Brescia, BS, Italy

Novartis Investigative Site

Viagrande, CT, Italy

Novartis Investigative Site

Milan, MI, Italy

Novartis Investigative Site

Padova, PD, Italy

Novartis Investigative Site

Perugia, PG, Italy

Novartis Investigative Site

Parma, PR, Italy

Novartis Investigative Site

Roma, RM, Italy

Novartis Investigative Site

Orbassano, TO, Italy

Novartis Investigative Site

Naples, Italy

Novartis Investigative Site

Amsterdam, Netherlands

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.