MedPath

Dose Escalation Study of Pasireotide (SOM230) in Patients With Advanced Neuroendocrine Tumors (NETs)

Phase 1
Completed
Conditions
Neuroendocrine Tumors
Interventions
Registration Number
NCT01364415
Lead Sponsor
Novartis Pharmaceuticals
Brief Summary

This study designed to determine the Maximum Tolerated Dose (MTD) for patients with advanced Neuroendocrine Tumors (NETs) and to characterize the safety, tolerability, Pharmacokinetics and preliminary efficacy of pasireotide LAR administered i.m. once every 28 days.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
29
Inclusion Criteria
  • ≥18 yrs old, histologically confirmed advanced well or moderately differentiated neuroendocrine tumor/carcinoma
  • unresectable metastatic NET tumor with measurable disease
  • life expectancy ≥ 12 weeks
Exclusion Criteria
  • Patients with CNS metastases who are neurologically unstable or requiring increasing doses of steroids to control their CNS disease
  • patients with known hypersensitivity to somatostatin analogs
  • patients with symptomatic cholelithiasis in the past 2 months
  • patients with history of another known primary malignancy with exception of non-melanoma skin cancer or carcinoma in situ of uterine cervix
  • patients with known history of hepatitis C or chronic active hepatitis B
  • patients with diagnosis of HIV.

Other protocol-defined inclusion/exclusion criteria may apply

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Pasireotide LARPasireotide LAR-
Primary Outcome Measures
NameTimeMethod
Determine the MTD/RP2D of pasireotide LAR when administered i.m. q28 days to patients with advanced NETsSequentiona 56 day cohorts until the MTD is determined

Frequency of dose-limiting toxicities (DLTs) at each dose level associated with q28 days administration of pasireotide LAR during the first 2 treatment cycles.

Secondary Outcome Measures
NameTimeMethod
assess the pharmacodynamics (PD) of pasireotide LARminimum of twelve 28 day cycles to approximately eighteen 28 day cycles

Changes from baseline values in IGF-1, chromogranin A and neuron-specific enolase

assess the preliminary efficacy (anti-tumor activity) of pasireotide LAR.minimum of twelve 28 day cycles to approximately eighteen 28 day cycles

Disease control rate (CR+PR+SD as assessed by RECIST 1.0). Also measure progression free survival (PFS).

assess the safety and tolerability of pasireotide LARminimum of twelve 28 day cycles to approximately eighteen 28 day cycles

Incidence of adverse drug events, overall and by severity and incidence of serious adverse events and laboratory abnormalities. Also, changes in laboratory assessments, electrocardiograms, Holter monitor, imaging for gallstones, and assessment of physical examinations such as vital signs

assess the pharmacokinetics (PK) of pasireotide LARminimum of twelve 28 day cycles to approximately eighteen 28 day cycles

Pasireotide Cmax and Ctrough

Trial Locations

Locations (4)

H. Lee Moffitt Cancer Center & Research Institute SC-1

🇺🇸

Tampa, Florida, United States

Dana Farber Cancer Institute SC-6

🇺🇸

Boston, Massachusetts, United States

Cedars Sinai Medical Center Cedars Sinai 4

🇺🇸

Los Angeles, California, United States

University of Texas/MD Anderson Cancer Center UT MD Anderson Cancer Ctr

🇺🇸

Houston, Texas, United States

© Copyright 2025. All Rights Reserved by MedPath