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Radioactive drug aims to shrink Hard-to-Treat gut tumors
NCT ID NCT04919226
First seen Jun 26, 2026 · Last updated Jun 26, 2026
Summary
This Phase 3 trial tests a radioactive drug called 177Lu-Edotreotide against standard chemotherapy for people with aggressive neuroendocrine tumors of the gut or pancreas. The drug targets tumor cells and delivers radiation directly. About 259 participants will be followed to see if the treatment slows tumor growth and improves survival.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- 177Lu-Edotreotide (a radioactive drug that targets tumor cells)
- What this could lead to
- If successful, this treatment could slow tumor growth and extend survival for people with aggressive neuroendocrine tumors that are hard to treat.
- What could go wrong
- This is a Phase 3 trial, but results are not yet final. The treatment involves radiation, which can cause side effects like kidney damage or low blood counts. It may not work for everyone.
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 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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259 people
The number who actually took part.
- Started
-
Dec 2021
- Expected to finish
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Sep 2027
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
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: * Patients aged ≥ 18 years. * Histologically confirmed diagnosis of unresectable, well-differentiated GastroEnteroPancreatic NeuroEndocrine Tumors (GEP-NETs). measurable site of disease per RECIST v1.1 (Response evaluation criteria in solid tumors) using contrast computed tomography (CT) / magnetic resonance imaging (MRI). * Somatostatin receptor-positive (SSTR+) disease. Exclusion Criteria: * Known hypersensitivity to Lutetium 177Lu, edotreotide, DOTA (dodecane tetraacetic acid), any of the comparators, or any excipient or derivative (e.g. rapamycin). * Prior (Peptide Receptor Radionuclide Therapy) PRRT. * Any major surgery within 4 weeks prior to randomization in the trial. * Therapy with an investigational compound and/or medical device within 30 days or 7 half-life periods (whichever is longer) prior to randomization. * Other known malignancies. * Serious non-malignant disease. * Renal, hepatic, cardiovascular, or hematological organ dysfunction, potentially interfering with the safety of the trial treatments. * Pregnant or breastfeeding women. * Patients not able to declare meaningful informed consent on their own or any other vulnerable population to that.
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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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Affiliated Hospital of Jiangnan University
Wuxi, 214122, China
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All India Institute Of Medical Sciences, Nuclear Medicine
New Delhi, National Capital Territory of Delhi, 110029, India
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Central University Hospital de Asturias (HUCA), IUOPA - Universitary Institute of Oncology
Oviedo, 33011, Spain
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Charite - University Hospital Berlin
Berlin, 13353, Germany
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Dana Farber Cancer Institute
Boston, Massachusetts, 02215, United States
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Duke University School of Medicine, Duke Cancer Institute
Durham, North Carolina, 27710, United States
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Edouard Herriot Hospital, Medical Oncology Unit
Lyon, 69003, France
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Erasmus University Medical Center Rotterdam
Rotterdam, 3015 GD, Netherlands
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European Institute of Oncology (IEO), IRCCS
Milan, 20141, Italy
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Fox Chase Cancer Center
Philadelphia, Pennsylvania, 19111-2497, United States
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Fudan University Shanghai Cancer Center
Shanghai, 200000, China
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H. Lee Moffitt Cancer Center & Research Institute
Tampa, Florida, 33612, United States
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HCG Cancer Centre, Medical Oncology
Bangalore, Karnataka, 560027, India
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Haut-Leveque Hospital, Department of Hepatogastroenterology and Digestive Tract Oncology
Pessac, Bordeaux, 33604, France
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ICAHN School of Medicine at Mount Sinai, Tish Cancer Institute
New York, New York, 10128, United States
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ICO Hospitalet, Catalan Institute of Oncology
Barcelona, 199-203, Spain
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IUCT Oncopole - Institut Universitaire du Cancer de Toulouse
Toulouse, 31059, France
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King's College Hospital
London, SE5 9RS, United Kingdom
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Mayo Clinic - Rochester, Department of Oncology
Rochester, Minnesota, 55905, United States
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Memorial Sloan-Kettering Cancer Center
New York, New York, 10065, United States
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Nantes University Hospital Center - Hotel Dieu Hospital
Nantes, Cedex, 44093, France
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Oregon Health and Science University
Portland, Oregon, 97239-3098, United States
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Peter MacCallum Cancer Centre
Melbourne, Victoria, VIC 3000, Australia
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Royal North Shore Hospital
St Leonards, New South Wales, 2065, Australia
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Stanford Cancer Center
Palo Alto, California, 94305, United States
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Tata Memorial Hospital, Nuclear Medicine & Molecular Imaging
Mumbai, 400012, India
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Texas Oncology
Dallas, Texas, 75246, United States
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University Duisburg-Essen, University Hospital Essen, Clinic for Nuclear Medicine
Essen, 45147, Germany
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University General Hospital Gregorio Maranon
Madrid, 28007, Spain
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University Hospital 12 de Octubre, Department of Gastroenterology
Madrid, 28041, Spain
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University Hospital Bonn, Department of Nuclear Medicine
Bonn, 53127, Germany
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University Hospital Complex of Santiago (CHUS)
Santiago de Compostela, 15706, Spain
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University Hospital Erlangen, Department of Internal Medicine I - Endocrinology
Erlangen, 91054, Germany
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University Hospital Vall d'Hebron, Department of Medical Oncology
Barcelona, 08035, Spain
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University Polyclinic Foundation "Agostino Gemelli" - IRCCS, Complex Operative Unit of Medical Oncology
Rome, 00168, Italy
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University Polyclinic Hospital "G. Martino", Department of Biomedical Sciences, Dentistry and Morphological and Functional Imaging, Complex Operational Unit of Nuclear Medicine
Messina, 98125, Italy
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University and Polytechnic Hospital La Fe, Endocrinology
Valencia, 46026, Spain
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University of Colorado Hospital, Nuclear Medicine
Aurora, Colorado, 80045, United States
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University of Texas MD Anderson Cancer Center
Houston, Texas, 77030, United States
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University of Utah, Huntsman Cancer Institute
Salt Lake City, Utah, 84112, United States
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VU Medical Center (VUMC), Department of Medical Oncology
Amsterdam, 1081-HV, Netherlands
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Washington University Alvin J. Siteman Cancer Center
St Louis, Missouri, 63110, United States
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 a sharper PET tracer light up hidden neuroendocrine tumors?
- Can patient records reveal who will respond to neuroendocrine tumor treatments?
- Can a new drug formulation shrink Hard-to-Treat neuroendocrine tumors?