PRIME study: precision radiotherapy using MR-linac for pancreatic neuroendocrine tumours in MEN1 patients
NCT ID NCT05037461
First seen Sep 09, 2026 ยท Last updated Sep 09, 2026
Summary
Patients with the Multiple Endocrine Neoplasia type 1 (MEN1) syndrome are genetically predisposed for developping multiple pancreatic neuro-endocrine tumours (pNET). The management of small (pNET) in both MEN1 and sporadic cases, pose a major clinical challenge. At present, pancreatic surgery is the only curative treatment but it is associated with high morbidity. To reduce the morbidity ascosiated with surgery and thereby potentially improve quality of life for MEN1 patients introduction of less invasive techniques for treatment of pNET is important. High-dose-high precision MR-guided radiotherapy (MRgRT) holds promise as a new less invasive treatment option for pNET. The aim of this study is to assess efficiacy and safety of MRgRT for treatment of pNET in MEN1 patients.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 20 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jun 2022
- Expected to finish
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Jul 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
All patients meeting the following criteria will be assessed for in the tumour board: * lesions measuring between 2cm and 3cm. * pNET lesions with a size between 1.0 and 2.0 cm and moderate growth of the lesion (2-4 mm/ year) on sequential follow-up scans. * pNET lesions with a size between 1.0 and 2.0 cm and minimal growth of the lesion (1 mm/ year) reconfirmed on 3 or more sequential follow-up scans. * Patients with in situ remaining 1.0 - 2.0 cm lesions after previous resection of a larger lesion. All patients with such lesion and an indication for surgery are considered eligible for participation in the PRIME study. Exclusion Criteria: * Suspected malignant pNET as per the tumour board assessment, including the criteria: * pNET lesions of more than 3 cm in size * rapid growth of pNET lesions with more than 4mm per year * Symptomatic pNET because of hormone production, with the exception of gastrinomas which are located in the submucosa of the duodenum * concurrent treatment with a somatostatin analog * concurrent treatment with chemotherapy * peptide receptor radionuclide therapy in the past 12 months * history of radiotherapy in the upper abdominal region * MRI contraindications as per usual clinical care, such as claustrophobia and metal or electronic implants not compatible with MRI. * Pregnancy * (Other) metastatic disease * WHO performance score 3-4
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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UMC Utrecht
Utrecht, Utrecht, 3584 CX, Netherlands
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Other studies related to the condition(s) this trial covers.
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