10 Participants Needed

Lutathera for Neuroendocrine Tumors

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Overseen ByLisa Bodei, MD, PhD
Age: 18+
Sex: Any
Trial Phase: Phase < 1
Sponsor: Memorial Sloan Kettering Cancer Center
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This study will look at whether it is practical and safe to give Lutathera directly into an artery of the liver (hepatic intraarterial infusion). The researchers will compare the effects of hepatic intraarterial infusion in the liver with the effects of the standard approach (intravenous infusion in the arm). The researchers will also determine whether Lutathera is effective against participants' cancer.

Will I have to stop taking my current medications?

The trial protocol does not specify if you must stop taking your current medications. However, previous oral chemotherapy or biotherapy must be completed more than 4 weeks before joining the study, and there are specific requirements for Octreotide use.

Is Lutathera (177Lu-DOTATATE) safe for treating neuroendocrine tumors?

Lutathera (177Lu-DOTATATE) is generally well tolerated in patients with neuroendocrine tumors, but it can have side effects like potential damage to the kidneys, liver, and blood cells, and there is a risk of developing another type of cancer. Most side effects reported in studies were mild, but more research is needed to understand long-term safety.12345

What makes the drug Lutathera unique for treating neuroendocrine tumors?

Lutathera (177Lu-DOTATATE) is unique because it is a targeted therapy that uses a radioactive substance to specifically bind to and attack neuroendocrine tumor cells with somatostatin receptors. It is administered intravenously and allows for imaging to monitor how the drug is distributed in the body, which helps in optimizing individual dosages.36789

What data supports the effectiveness of the treatment Lutathera for neuroendocrine tumors?

Lutathera (177Lu-DOTATATE) has been shown to be effective in treating neuroendocrine tumors, with studies indicating that it can lead to partial responses or stabilize the disease in many patients. For example, in a study of patients with gastroenteropancreatic neuroendocrine tumors, 22% showed partial response and 44% had stable disease after treatment.135810

Who Is on the Research Team?

Lisa Bodei, MD, PhD - MSK Nuclear ...

Lisa Bodei

Principal Investigator

Memorial Sloan Kettering Cancer Center

Are You a Good Fit for This Trial?

This trial is for adults with certain types of neuroendocrine tumors that have spread to the liver and are not suitable for surgery. Participants must have a positive somatostatin-receptor, measurable disease progression, and be in relatively good health with an ECOG performance status of 0 or 1. They should agree to use contraception and can't join if they've had certain prior treatments like radiolabeled somatostatin analogs or extensive chemotherapy.

Inclusion Criteria

I cannot undergo surgery to cure my condition, but past surgeries are okay if they were over 6 weeks ago.
A disease that can be measured using the RECIST 1.1 guidelines, with at least one dimension measuring 1.0 cm or more.
Any new skin lesion that appears should be evaluated by a healthcare professional.
See 13 more

Exclusion Criteria

My kidney function is poor, with high creatinine or low filtration rate.
I have severe urinary incontinence that makes certain cancer treatments unsafe.
My liver is mostly affected by cancer, as confirmed by a radiologist.
See 18 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive four administrations of 177Lu-DOTATATE, two intra-arterial followed by two intravenous, two months apart with renal protective amino acid solution co-administration

4-6 months

Follow-up

Participants are monitored for safety and effectiveness after treatment

1 year

What Are the Treatments Tested in This Trial?

Interventions

  • 177Lu-DOTATATE
Trial Overview The study tests Lutathera (177Lu-DOTATATE) delivered directly into the liver's artery versus standard intravenous infusion. It aims to determine which method is safer, more practical, and effective against cancer by comparing their effects on tumor growth.
How Is the Trial Designed?
1Treatment groups
Experimental Treatment
Group I: PRRT with 177Lu-DOTATATEExperimental Treatment1 Intervention
Patients will undergo a routine 68Ga-DOTATATE PET/CT. Patients with sufficient tumor uptake will be offered therapy with 177Lu-DOTATATE. The treatment regimen will consist of four administrations of 177Lu-DOTATATE-two intra-arterial followed by two intravenous, two months apart (+/- 2 weeks), with renal protective amino acid solution co-administration.

Find a Clinic Near You

Who Is Running the Clinical Trial?

Memorial Sloan Kettering Cancer Center

Lead Sponsor

Trials
1,998
Recruited
602,000+

Published Research Related to This Trial

Lutetium-177-dotatate (177 Lu-dotatate) is an FDA-approved treatment for advanced somatostatin receptor-positive gastroenteropancreatic neuroendocrine tumors (NETs), based on positive results from the NETTER-1 trial.
A case study presented shows that a patient with a grade 3 pancreatic neuroendocrine tumor and a BRCA1 germline mutation experienced a significant response to 177 Lu-dotatate, suggesting its potential efficacy even in more aggressive tumor types.
Homologous Recombination Repair Defect May Predict Treatment Response to Peptide Receptor Radionuclide Therapy for Neuroendocrine Tumors.Zhu, M., Bassam Sonbol, M., Halfdanarson, T., et al.[2022]
In a study involving 35 patients with gastroenteropancreatic neuroendocrine tumors (GEP-NETs) treated with Lutathera (177Lu-DOTATATE), the treatment was well tolerated, with most adverse events being low grade.
Among patients who completed all 4 cycles of Lutathera, 22% showed a partial response, 44% had stable disease, and 13% experienced disease progression, indicating Lutathera's potential efficacy in managing GEP-NETs.
Peptide receptor radionuclide therapy implementation and results in a predominantly gastrointestinal neuroendocrine tumor population: A two-year experience in a nonuniversity setting.Mejia, A., Vivian, E., Nwogu, C., et al.[2023]
In a phase 1/2 study involving 15 Japanese patients with advanced neuroendocrine tumors, 177 Lu-DOTATATE treatment resulted in a 53% objective response rate, indicating significant tumor shrinkage.
The treatment was well-tolerated, with absorbed radiation doses to the kidneys and bone marrow remaining within safe limits, although some patients experienced Grade 3 adverse events like lymphopenia.
Safety and response after peptide receptor radionuclide therapy with 177 Lu-DOTATATE for neuroendocrine tumors in phase 1/2 prospective Japanese trial.Kudo, A., Tateishi, U., Yoshimura, R., et al.[2022]

Citations

Homologous Recombination Repair Defect May Predict Treatment Response to Peptide Receptor Radionuclide Therapy for Neuroendocrine Tumors. [2022]
Peptide receptor radionuclide therapy implementation and results in a predominantly gastrointestinal neuroendocrine tumor population: A two-year experience in a nonuniversity setting. [2023]
Safety and response after peptide receptor radionuclide therapy with 177 Lu-DOTATATE for neuroendocrine tumors in phase 1/2 prospective Japanese trial. [2022]
Safety and Efficacy of 177 Lu-DOTATATE in Neuroendocrine Tumor Patients With Extensive Bone Disease. [2023]
177Lu-DOTATATE in older patients with metastatic neuroendocrine tumours: safety, efficacy and health-related quality of life. [2021]
Phase 3 Trial of 177Lu-Dotatate for Midgut Neuroendocrine Tumors. [2022]
Lutetium Lu-177 Dotatate Flare Reaction. [2022]
Targeted Therapy: New Radiolabeled Somatostatin Analogs to Treat Gastroenteropancreatic Neuroendocrine Tumors. [2019]
Clinical Pharmacokinetics of Radiopharmaceuticals from SPECT/CT Image Acquisition by Contouring in Patients with Gastroenteropancreatic Neuroendocrine Tumors: Lu-177 DOTATATE (Lutathera&#174;) Case. [2023]
Early efficacy of and toxicity from lutetium-177-DOTATATE treatment in patients with progressive metastatic NET. [2019]
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