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Patients With High-grade Pancreatic Neuroendocrine Tumors


2025-07-15


2027-03-01


2029-12-31


46

Study Overview

Patients With High-grade Pancreatic Neuroendocrine Tumors

* Pancreatic neuroendocrine tumor (pNET) is a rare form of cancer. Treatment options such as hormonal therapy (octreotide) and targeted therapy (everolimus and sunitinib) may be considered for grade 1 or 2 pNETs; however, cytotoxic chemotherapy is essential in cases with grade 3 pNETs or pNECs. * Cisplatin/etoposide remains the treatment of choice for high-grade pNET/pNEC. Other irinotecan-based therapies, such as FOLFIRI (cisplatin/irinotecan), FOLFOX, and temozolomide ± capecitabine, have been employed; however, a standard of care remains to be established.

* Lurbinectedin, a selective inhibitor of oncogenic transcription, recently received accelerated FDA approval for lung cancer (small cell type) after demonstrating efficacy in an open-label, phase II basket study (ORR 35%, mOS 9.3 months, mPFS 3.5 months). * A previous study that involved patients with grade 2 or higher NET/NEC who had undergone treatment with lurbinectedin revealed that the ORR, mOS, and mPFS of the six patients with pNET was 6.5%, 7.4 months, and 1.4 months, respectively.

  • Neuroendocrine Tumor of Pancreas
  • Pancreatic Neuroendocrine Tumors
  • DRUG: Lurbinectedin 4 MG Injection [Zepzelca]
  • NCC2024-0187

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates Results Reporting Dates Study Record Updates

2025-06-15  

N/A  

2025-08-06  

2025-08-06  

N/A  

2025-08-13  

2025-08-13  

N/A  

2025-07  

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

Design Details

Primary Purpose:
Treatment


Allocation:
Na


Interventional Model:
Single Group


Masking:
None


Arms and Interventions

Participant Group/ArmIntervention/Treatment
EXPERIMENTAL: single arm

Lurbinectedin shall be administered intravenously at a dose of 3.2 mg/m2 over 60 minutes every 21 days. The administration of the study drug shall be continued until disease progression or the occurrence of unacceptable toxicity.

DRUG: Lurbinectedin 4 MG Injection [Zepzelca]

  • Lurbinectedin shall be administered intravenously at a dose of 3.2 mg/m2 over 60 minutes every 21 days. The administration of the study drug shall be continued until disease progression or the occurrence of unacceptable toxicity.
Primary Outcome MeasuresMeasure DescriptionTime Frame
The overall response rateThe proportion of participants who achieve a complete response (CR) or partial response (PR) as determined by the investigators according to the Response Evaluation Criteria in Solid TumorsFrom date of first administration of drug until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 24months"
Secondary Outcome MeasuresMeasure DescriptionTime Frame
Disease control rate1. Disease control is defined as the proportion of participants achieving complete response (CR), partial response (PR), or stable disease (SD) as assessed by investigators per RECIST v1.1 criteria.From date of the first administration of drug until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 24 months
Duration of responsefrom date of first response to the date of disease progression, relapse, or deathFrom date of first documented response until the date of disease progression, relapse, or death from any cause, whichever occurs first, assessed up to 24 months.
Progression-free survivaltime from the date of first infusion to disease progression or death from any causeFrom the date of first infusion until the date of first documented disease progression or death from any cause, whichever occurs first, assessed up to 24 months.
Overall survivalfrom the date of first infusion to death or loss to follow-upfrom the date of first infusion until death from any cause or loss to follow-up, whichever occurs first, assessed up to 24 months.
Evaluate the safety and tolerability of LurbinectedinNumber of participants with treatment-related adverse events as assessed by CTCAE v5.0From the date of first infusion until disease progression or death from any cause, whichever occurs first, assessed up to 24 months.

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person’s general health condition or prior treatments.

Ages Eligible for Study:
ALL

Sexes Eligible for Study:
19 Years

Accepts Healthy Volunteers:

    Inclusion Criteria:

  • Clinical diagnosis of Pancreatic neuroendocrine tumor or neuroendocrine carcinoma
  • Documented failure of prior standard anti-cancer treatment
  • Absolute neutrophil count (ANC) ≥ 1,500 cells/mm³
  • Platelet count ≥ 100,000 cells/mm³
  • Ability to understand study content, willingness to comply with study procedures, and commitment to complete the study

  • Exclusion Criteria:

  • Currently receiving treatment for other cancers (except those who completed treatment and have been disease-free for at least 2 years prior to enrollment)
  • Pregnant or breastfeeding women
  • Deemed unsuitable for participation by the investigator due to clinical or medical reasons

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

  • Seoul National University Bundang Hospital
  • Samsung Medical Center
  • Seoul National Hospital
  • Gangnam Severance Hospital

  • PRINCIPAL_INVESTIGATOR: Sang Myung Woo(Principal), MD, National Cancer Center

Publications

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

  • Zhang MY, He D, Zhang S. Pancreatic neuroendocrine tumors G3 and pancreatic neuroendocrine carcinomas: Differences in basic biology and treatment. World J Gastrointest Oncol. 2020 Jul 15;12(7):705-718. doi: 10.4251/wjgo.v12.i7.705.
  • Trigo J, Subbiah V, Besse B, Moreno V, Lopez R, Sala MA, Peters S, Ponce S, Fernandez C, Alfaro V, Gomez J, Kahatt C, Zeaiter A, Zaman K, Boni V, Arrondeau J, Martinez M, Delord JP, Awada A, Kristeleit R, Olmedo ME, Wannesson L, Valdivia J, Rubio MJ, Anton A, Sarantopoulos J, Chawla SP, Mosquera-Martinez J, D'Arcangelo M, Santoro A, Villalobos VM, Sands J, Paz-Ares L. Lurbinectedin as second-line treatment for patients with small-cell lung cancer: a single-arm, open-label, phase 2 basket trial. Lancet Oncol. 2020 May;21(5):645-654. doi: 10.1016/S1470-2045(20)30068-1. Epub 2020 Mar 27. Erratum In: Lancet Oncol. 2020 Dec;21(12):e553. doi: 10.1016/S1470-2045(20)30676-8.
  • Longo-Munoz F, Castellano D, Alexandre J, Chawla SP, Fernandez C, Kahatt C, Alfaro V, Siguero M, Zeaiter A, Moreno V, Sanz-Garcia E, Awada A, Santaballa A, Subbiah V. Lurbinectedin in patients with pretreated neuroendocrine tumours: Results from a phase II basket study. Eur J Cancer. 2022 Sep;172:340-348. doi: 10.1016/j.ejca.2022.06.024. Epub 2022 Jul 10.