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Gene-Guided cancer drug dosing: a smarter way to treat neuroendocrine tumors?

NCT ID NCT06406465

First seen Nov 01, 2025 · Last updated Jun 22, 2026 · Updated 39 times

Summary

This phase 2 trial tests whether adjusting the dose of the cancer drug belinostat based on a person's genetic makeup can improve treatment for high-grade neuroendocrine carcinomas. Researchers will give 60 participants different doses of belinostat along with standard chemotherapy (cisplatin and etoposide) based on their UGT1A1 gene variant. The goal is to see if this personalized approach leads to more consistent drug levels in the body and better tumor shrinkage.

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This is a summary of the original study . Summaries may miss details or leave out important information. Before applying or accepting participation, make sure you have read and understood the full study. Curemydisease.com takes no responsibility whatsoever for anything missed, misunderstood, or acted upon as a result of our summary — we know it does not capture everything.

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Contacts and locations

Study contacts

  • Contact

    Phone: •••-•••-•••• Email: •••••@•••••

  • Contact

    Phone: •••-•••-•••• Email: •••••@•••••

Locations

  • National Institutes of Health Clinical Center

    RECRUITING

    Bethesda, Maryland, 20892, United States

    Contact Phone: •••-•••-•••• Email: •••••@•••••

    Contact Phone: •••-•••-•••• Email: •••••@•••••

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance

Belinostat (a cancer drug) combined with cisplatin and etoposide

What this could lead to

If successful, this could show that adjusting belinostat doses based on a person's genes makes the treatment safer and more effective for neuroendocrine cancer.

What could go wrong

This is a small, early-phase trial (60 people) focused on drug levels, not a proven cure. The genetic approach may not improve outcomes, and side effects from the chemotherapy combination are possible.

Conditions

The condition(s) this trial relates to.

neuroendocrine carcinoma neuroendocrine neoplasm

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.