Can more lutathera stop tumor progression? new study seeks answers
NCT ID NCT04954820
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study is for people with intestinal neuroendocrine tumors that have started growing again after initial treatment with Lutathera. It compares giving two more cycles of Lutathera versus simply monitoring the tumor over six months. The goal is to see if extra treatment can better control the disease. About 146 adults will take part.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 146 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Oct 2021
- Expected to finish
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Oct 2033
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.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age ≥ 18 years, * Histologically proven intestinal G1 or G2 neuroendocrine tumors (NET), * Patient previously treated with 4 cycles of Lutathera® (defined as "First PRRT"), * Disease control after "First PRRT" ≥ 12 months, * Patient presenting a progression of disease (clinic, biologic and/or radiologic) after a first PRRT, * Decision of retreatment with Lutathera® (defined as "Second PRRT") validated by RENATEN and/or multidisciplinary tumor board and in the scope of the French reimbursement process, * ECOG performance status 0-2, * Life expectancy ≥ 6 months as prognosticated by the physician, * Somatostatin receptor imaging positive imaging (SSTRi+) disease within 4 months prior to inclusion : (may be PET imaging (68Ga-based SSTR analogues) or scintigraphy imaging: 111In-pentetreotide or 99mTc-octreotide. At least 90% of lesions must be positive for SSTRi with a significant uptake (\>= liver of surrounding tissue), * Measurable disease per RECIST 1.1 (Appendix 1), on CT/MRI scans, defined as at least 1 lesion with ≥ 1 cm in longest diameter, and ≥ 2 radiological tumors lesions in total, * Adequate bone marrow reserve (Hb \> 8 g/dl, neutrophils ≥ 1500/mm³ and platelets ≥ 80 000/mm³), * Negative pregnancy test in women of childbearing potential (the β-HCG dosage must be ≤ 4 days before inclusion). Women who have no reproductive potential are postmenopausal women or women who have had permanent sterilization, eg. tubal occlusion, hysterectomy, bilateral salpingectomy), * Effective contraception in men or women of childbearing or pre-menopausal age and up to a minimum of 6 months following the end of treatment, * Patient´s signed written informed consent, * Willingness and ability to comply with scheduled visits, treatment plan, laboratory tests and other study procedures, * Affiliation to the French Social Security System Exclusion Criteria: * Patient who did not respond (no CR, PR or SD) to "first PRRT". * Radiological progression after two cycles of "Second PRRT" according to RECIST version 1.1, * Grade 4 hematotoxicity and/or nephrotoxicity during the initial PRRT, or unresolved AEs categorized as Grade 2 or higher (as per Common Terminology Criteria for Adverse Events (CTCAE v5.0) from previous PRRT cycles or any other therapy for NET, excluding alopecia and peripheral neuropathy, * Pancreatic NET, * NeuroEndocrine Carcinoma, * Prior external beam radiation therapy to more than 25% of the bone marrow, * Severe renal (estimated Glomerular Filtration Rate (GFR) according to Modification of Diet in Renal Disease (MDRD) \< 40 mL/min or nephrotic syndrome) or hepatic insufficiency (Alanine aminotransferase (ALT)/ aspartate aminotransferase (AST) \> 2.5 x ULN or ALT/AST \> 5 x ULN if liver function abnormalities are due to the underlying malignancy and/or total serum bilirubin \> 2.5 x ULN), * Serum albumin \< 3.0 g/dL unless prothrombin time is within the normal range, * Uncontrolled diabetes mellitus as defined by a fasting blood glucose above 2 ULN, * Uncontrolled decompensated heart failure, myocardial infarction uncontrolled, stroke, pulmonary embolism or revascularization procedure, unstable angina pectoris, uncontrolled cardiac arrhythmia, and clinically significant bradycardia during the last 12 months, * Hypertension that cannot be controlled despite medications (≥ 160/95 mmHg despite optimal medical therapy) * Brain metastases (unless these metastases have been treated and stabilized for at least 24 weeks, prior to enrolment in the study. Patients with a history of brain metastases must have a head CT scan with contrast or MRI to document stable disease prior to enrolment in the study), * Pregnancy or breast feeding, * Substance abuse, medical, psychological, or social conditions that may interfere with the patient's participation in the study or evaluation of the study results, * Known hypersensitivity to any of the study drugs, study drug classes, or any constituent of the products, * Concomitant participation or participation within the last 30 days in another clinical trial, * History of other solid tumor in 5 years before the inclusion excepted of cancer in situ of the cervix and skin cancer (basal or squamous cell) treated and controlled. * Legal incapacity or physical, psychological or mental status interfering with the patient's ability to sign the informed consent or to terminate the study.
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
28 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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CH Métropole de Savoie
RECRUITINGChambéry, 73011, France
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CHRU Lille
RECRUITINGLille, 59000, France
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CHRU Morvan
RECRUITINGBrest, 29200, France
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CHRU Nancy Brabois
RECRUITINGVandœuvre-lès-Nancy, 54511, France
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CHU Grenoble Alpes (CHUGA)
RECRUITINGLa Tronche, 38700, France
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CHU Nantes
RECRUITINGNantes, 44093, France
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CHU ST Etienne
RECRUITINGSaint-Etienne, 42055, France
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CHU de DIJON
RECRUITINGDijon, 21079, France
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CHU de Rouen
NOT_YET_RECRUITINGRouen, 76031, France
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Centre Antoine Lacassagne
RECRUITINGNice, 06189, France
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Centre François Baclesse
RECRUITINGCaen, 14076, France
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Centre Henri Becquerel
RECRUITINGRouen, 76000, France
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Centre Jean Perrin
RECRUITINGClermont-Ferrand, 63011, France
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Centre léon bérard
RECRUITINGLyon, 69008, France
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Hopital Beaujon
RECRUITINGClichy, 92110, France
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Hospices civils de LYON - GHE
RECRUITINGBron, 69677, France
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Hôpital Cochin
RECRUITINGParis, 75014, France
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Hôpital Haut-Lévêque
RECRUITINGPessac, 33604, France
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Hôpital Pitié Salpétrière
RECRUITINGParis, 75013, France
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Hôpital de la Timone
RECRUITINGMarseille, 13385, France
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Hôpitaux Universitaires de Strasbourg
RECRUITINGStrasbourg, 67091, France
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ICM Val d'Aurelle
RECRUITINGMontpellier, 34298, France
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IUCT Oncopole
RECRUITINGToulouse, 31100, France
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Institut Bergonié
RECRUITINGBordeaux, 33000, France
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Institut Gustave Roussy
RECRUITINGVillejuif, 94805, France
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Institut Paoli Calmettes
RECRUITINGMarseille, 13009, France
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Institut de Cancérologie de l'Ouest
RECRUITINGSaint-Herblain, 44805, France
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Institut de Cancérologie de l'Ouest Site d'Angers
RECRUITINGAngers, 49055, France
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Swiss registry aims to map rare neuroendocrine tumors
- Can patients drop monthly injections after targeted radiotherapy for neuroendocrine tumors?
- Can a vast image library unlock better pancreatic diagnoses?
- Can tracking symptoms improve care for children with advanced cancer?
- Can a sharper PET tracer light up hidden neuroendocrine tumors?
- Can patient records reveal who will respond to neuroendocrine tumor treatments?