AIM-NETs: Asian Investigation of Lanreotide Autogel® in the Management of GEP-NETs
Study Details
Study Description
Brief Summary
Lanreotide Autogel® has been established as a standard of care for patients with locally advanced or metastatic GEP-NETs based on the success of CLARINET trial. However, only few patients with Asian ethnicity were included in the trial.
According to the nationwide comprehensive study of patients with GEP-NET in Korea, hindgut primary NETs(Rectal) occured more frequently than western countries. However, small intestine or lung primary NET is relatively rare compared with western countries.1) Considering the clinical characteristics of GEP-NETs are distinct between the patients in Asian and Western countries, further evaluation on the efficacy and safety of Lanreotide Autogel® in Asian patients with GEP-NETs is needed.
Condition or Disease | Intervention/Treatment | Phase |
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Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Lanreotide Patients treated with lanreotide |
Drug: Lanreotide autogel
Lanreotide autogel 90-120 mcg, every 4 weeks
|
Outcome Measures
Primary Outcome Measures
- Progression-free survival rate at 2 years [2 years]
Proportion of patients without tumor progression defined by RECIST version 1.1 at 2 years
Secondary Outcome Measures
- Progression-free survival [2 years]
Time between lanreotide treatment initiation and disease progression or death
- Response rates [2 years]
Proportion of patients with tumor response by RECIST version 1.1
- Disease control rates [2 years]
Proportion of patients with tumor response and stable disease by RECIST version 1.1
- Overall survival [2 years]
Time between lanreotide treatment initiation and death due to any cause
- Chromogranin A response [2 years]
Change of serum chromogranin A levels during lanreotide treatment
Eligibility Criteria
Criteria
Inclusion Criteria:
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Written informed consent
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Male or female subject aged ≥18 years and legally capable to provide informed consent
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Functioning or non-functioning gastroenteropancreatic (GEP)-neuroendocrine tumor (NET) or unknown primary-NET
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Well differentiated tumor
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Grade (G) 1, G2 according to the 2017 World Health Organization (WHO) criteria
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Subject already treated with Lanreotide Autogel® for the period up to 5 months, according to local standard of care, prior to documentation into this study
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Use of Lanreotide autogel® monotherapy by local label (SmPC).
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Concomitant locoregional therapy such as surgery, RFA or TAE is allowed.
Exclusion Criteria:
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Parallel participation in an interventional study
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Lanreotide treatment for more than 5 months prior inclusion into the study
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Prior anti-proliferative medication with somatostatin analogue (e.g. Octreotide LAR).
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Concomitant anti-proliferative systemic medication/therapies for GEP-NET are not allowed.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Changhoon Yoo | Seoul | Korea, Republic of | 138-736 |
Sponsors and Collaborators
- Asan Medical Center
- Samsung Medical Center
- Seoul St. Mary's Hospital
- Severance Hospital
- Seoul National University Bundang Hospital
Investigators
- Principal Investigator: Changhoon Yoo, Asan Medical Center
Study Documents (Full-Text)
None provided.More Information
Publications
- Caplin ME, Pavel M, Ćwikła JB, Phan AT, Raderer M, Sedláčková E, Cadiot G, Wolin EM, Capdevila J, Wall L, Rindi G, Langley A, Martinez S, Blumberg J, Ruszniewski P; CLARINET Investigators. Lanreotide in metastatic enteropancreatic neuroendocrine tumors. N Engl J Med. 2014 Jul 17;371(3):224-33. doi: 10.1056/NEJMoa1316158.
- Gastrointestinal Pathology Study Group of Korean Society of Pathologists, Cho MY, Kim JM, Sohn JH, Kim MJ, Kim KM, Kim WH, Kim H, Kook MC, Park DY, Lee JH, Chang H, Jung ES, Kim HK, Jin SY, Choi JH, Gu MJ, Kim S, Kang MS, Cho CH, Park MI, Kang YK, Kim YW, Yoon SO, Bae HI, Joo M, Moon WS, Kang DY, Chang SJ. Current Trends of the Incidence and Pathological Diagnosis of Gastroenteropancreatic Neuroendocrine Tumors (GEP-NETs) in Korea 2000-2009: Multicenter Study. Cancer Res Treat. 2012 Sep;44(3):157-65. doi: 10.4143/crt.2012.44.3.157. Epub 2012 Sep 30.
- Kang J, Yoo C, Hwang HS, Hong SM, Kim KP, Kim SY, Hong YS, Kim TW, Ryoo BY. Efficacy and safety of lanreotide in Korean patients with metastatic, well-differentiated gastroenteropancreatic-neuroendocrine tumors: a retrospective analysis. Invest New Drugs. 2019 Aug;37(4):763-770. doi: 10.1007/s10637-018-0710-x. Epub 2018 Dec 10.
- Kim SJ, Kim JW, Oh DY, Han SW, Lee SH, Kim DW, Im SA, Kim TY, Heo DS, Bang YJ. Clinical course of neuroendocrine tumors with different origins (the pancreas, gastrointestinal tract, and lung). Am J Clin Oncol. 2012 Dec;35(6):549-56. doi: 10.1097/COC.0b013e31821dee0f.
- Pavel M, O'Toole D, Costa F, Capdevila J, Gross D, Kianmanesh R, Krenning E, Knigge U, Salazar R, Pape UF, Öberg K; Vienna Consensus Conference participants. ENETS Consensus Guidelines Update for the Management of Distant Metastatic Disease of Intestinal, Pancreatic, Bronchial Neuroendocrine Neoplasms (NEN) and NEN of Unknown Primary Site. Neuroendocrinology. 2016;103(2):172-85. doi: 10.1159/000443167. Epub 2016 Jan 5.
- AIM-NETs