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Carcinoid TumorPhase 3RADIANT-2NCT00412061

Everolimus and Octreotide in Patients With Advanced Carcinoid Tumor

A Phase 3 study testing Octreotide and Everolimus in people with Carcinoid Tumor and Malignant Carcinoid Syndrome, run by Novartis Pharmaceuticals at 70 sites in 15 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The purpose of this study was to evaluate whether everolimus 10 mg / day added to treatment with depot octreotide prolongs progression free survival compared to treatment with octreotide alone in patients with advanced carcinoid tumor. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Carcinoid Tumor, Malignant Carcinoid Syndrome
What is being tested?
Octreotide and Everolimus
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
429 participants
Where
70 sitesin 15 countries
Study dates
Dec 2006to Jun 2013
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Advanced (unresectable or metastatic) carcinoid tumor
  • Confirmed low-grade or intermediate-grade neuroendocrine carcinoma
  • Documented progression of disease within 12 months prior to randomization.
  • Measurable disease determined by triphasic computer tomography (CT) scan or magnetic resonance imaging (MRI).

Who cannot join

  • Poorly differentiated neuroendocrine carcinoma, high-grade neuroendocrine carcinoma, adenocarcinoid, goblet cell carcinoma, or small cell carcinoma.
  • Hepatic artery embolization within the last 6 months or cryoablation of hepatic metastasis within 2 months of enrollment.
  • Previous treatment with mammalian target of rapamycin (mTOR) inhibitors (sirolimus, temsirolimus, everolimus)
  • Intolerance or hypersensitivity to octreotide, everolimus, or other rapamycins.
  • Severe or uncontrolled medical conditions
  • Chronic treatment with corticosteroids or other immunosuppressive agent.
  • Other primary cancer within 3 years.
  • Other protocol-defined inclusion/exclusion criteria applied

Trial locations and contacts

70 sites in 15 countries.

70 sites in 15 countries

United States38 sites
  • New York Oncology Hematology, P.C. Dept. of New York Oncology. PC

    Albany, New York, 12206

  • Pacific Cancer Medical Center, Inc.

    Anaheim, California, 92801

  • University of Colorado Dept. of Univ. of Colorado

    Aurora, Colorado, 80045

  • Texas Oncology, P.A. Central Austin Cancer Center

    Austin, Texas, 78731

  • South Texas Institute of Cancer S. Tex Inst.- Corpus Christi

    Corpus Christi, Texas, 78405

  • Sammons Cancer Center - Texas Oncology Sammons Cancer Center (SC)

    Dallas, Texas, 75246

  • Rocky Mountain Cancer Centers Dept of Rocky Mountain (2)

    Denver, Colorado, 80218

  • Duke University Medical Center Dept. of Duke Cancer Center

    Durham, North Carolina, 27710

  • Highlands Oncology Group The Center for Chest Care

    Fayetteville, Arkansas, 72703

  • Texas Oncology, P.A. Forth Worth -- 12th Avenue

    Fort Worth, Texas, 76104

  • Cancer Centers of the Carolinas CC of C -Eastside

    Greenville, South Carolina, 29615

  • University of Texas/MD Anderson Cancer Center Gastrointestinal Med. Oncology

    Houston, Texas, 77030

  • Indiana University Dept.of IndianaUniv.CancerCtr

    Indianapolis, Indiana, 46202

  • Central Indiana Cancer Centers CICC - South

    Indianapolis, Indiana, 46227

  • University of Iowa Medical Center Internal Medicine

    Iowa City, Iowa, 52242

  • University of Kansas Cancer Center Deptof Uof Kansas CancerCenter

    Kansas City, Kansas, 66160

  • Dartmouth Hitchcock Medical Center Medical Oncology

    Lebanon, New Hampshire, 03756

  • Hematology Oncology Services of Arkansas

    Little Rock, Arkansas, 72205

  • Cedars Sinai Medical Center SC-2

    Los Angeles, California, 90048

  • University of California at Los Angeles UCLA New SC Address

    Los Angeles, California, 90095

  • Norton Cancer Institute Clinical Research Program

    Louisville, Kentucky, 40202

  • University of Wisconsin / Paul P. Carbone Comp Cancer Center GI Oncology Research Center

    Madison, Wisconsin, 53792

  • LSU HEALTH SCIENCES CENTER/ LSU SCHOOL OF MEDICINE Deptof LSU Health Sciences (2)

    New Orleans, Louisiana, 70112

  • New York University Medical Center NYU Medical Center (2)

    New York, New York, 10016

  • Cancer Care and Hematology Specialists of Chicagoland Niles

    Niles, Illinois, 60714

  • Virginia Oncology Associates VOA - Lake Wright

    Norfolk, Virginia, 23502

  • Eastern Connecticut Hematology & Oncology Associates Dept. of ECHO

    Norwich, Connecticut, 06360

  • Ocala Oncology Center Dept. of Ocala Oncology Center

    Ocala, Florida, 34471

  • Kansas City Cancer Center KCCC Business Office

    Overland Park, Kansas, 66210

  • Fox Chase Cancer Center

    Philadelphia, Pennsylvania, 19111-2497

  • Mayo Clinic - Rochester Division of Hematology

    Rochester, Minnesota, 55905

  • Cancer Centers of Connecticut Southington Location

    Southington, Connecticut, 06489

  • Washington University School Of Medicine-Siteman Cancer Ctr Division of Oncology

    St Louis, Missouri, 63110

  • The Center for Cancer Care and Research

    St Louis, Missouri, 63141

  • Hematology Oncology PC Dept.of Hematology Oncology(2)

    Stamford, Connecticut, 06902

  • University of Arizona / Arizona Cancer Center Deptof Uof A/Arizona Cancer(2)

    Tucson, Arizona, 85719

  • Tyler Cancer Center

    Tyler, Texas, 75702

  • Northwest Cancer Specialists Compass Oncology -BKM

    Vancouver, Washington, 98684

Other trials in United States

France7 sites
  • Novartis Investigative Site

    Clichy Cédex, 92118

  • Novartis Investigative Site

    Lille, 59020

  • Novartis Investigative Site

    Montpellier, 34298

  • Novartis Investigative Site

    Paris, 75908

  • Novartis Investigative Site

    Strasbourg, France, 67098

  • Novartis Investigative Site

    Toulouse, 31059

  • Novartis Investigative Site

    Villejuif, 94805

Other trials in France

Italy5 sites
  • Novartis Investigative Site

    Bologna, BO, 40138

  • Novartis Investigative Site

    Milan, MI, 20100

  • Novartis Investigative Site

    Milan, MI, 20141

  • Novartis Investigative Site

    Perugia, PG, 06132

  • Novartis Investigative Site

    Pisa, PI, 56126

Other trials in Italy

Canada4 sites
  • Novartis Investigative Site

    London, Ontario, N6A 4L6

  • Novartis Investigative Site

    Montreal, Quebec, H1T 2M4

  • Novartis Investigative Site

    Montreal, Quebec, H2X 1P1

  • Novartis Investigative Site

    Toronto, Ontario, M5G 2M9

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Australia3 sites
  • Novartis Investigative Site

    Herston, Queensland, 4029

  • Novartis Investigative Site

    Kogarah, New South Wales, 2217

  • Novartis Investigative Site

    South Brisbane, Queensland, 4101

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Czechia2 sites
  • Novartis Investigative Site

    Prague, Czech Republic, 128 08

  • Novartis Investigative Site

    Příbram, 261 95

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Germany2 sites
  • Novartis Investigative Site

    Berlin, 13353

  • Novartis Investigative Site

    Hamburg, 20246

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Netherlands2 sites
  • Novartis Investigative Site

    Groningen, 9713 GZ

  • Novartis Investigative Site

    Rotterdam, 3015 CE

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Belgium1 site
  • Novartis Investigative Site

    Brussels, 1070

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Finland1 site
  • Novartis Investigative Site

    Helsinki, FIN-00290

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Greece1 site
  • Novartis Investigative Site

    Athens, Greece, GR 11527

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Slovakia1 site
  • Novartis Investigative Site

    Bratislava, Slovak Republic, 813 69

Other trials in Slovakia

Spain1 site
  • Novartis Investigative Site

    Madrid, Madrid, 28041

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Sweden1 site
  • Novartis Investigative Site

    Uppsala, SE-751 85

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United Kingdom1 site
  • Novartis Investigative Site

    Basingstoke, RG24 9NA

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About this study

Official title: A Randomized, Double-blind Placebo-controlled, Multicenter Phase III Study in Patients With Advanced Carcinoid Tumor Receiving Octreotide Depot and Everolimus 10 mg/Day or Octreotide Depot and Placebo

The purpose of this study was to evaluate whether everolimus 10 mg / day added to treatment with depot octreotide prolongs progression free survival compared to treatment with octreotide alone in patients with advanced carcinoid tumor.

Being tested
Octreotide, Placebo, Everolimus
Keywords
Cancer, Carcinoid, Tumor, Neuroendocrine, Carcinoma, Everolimus, Octreotide
Medical subject headings
Carcinoid Tumor, Malignant Carcinoid Syndrome, Neoplasms, Carcinoma

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • OctreotideDrug

    Also called Sandostatin LAR® Depot

    Octreotide 30 mg intramuscularly (i.m.) every 28 days.

  • PlaceboDrug

    A 10-mg oral daily dosing regimen (two 5-mg tablets) of matching placebo.

  • EverolimusDrug

    Also called RAD001

    A 10-mg oral daily dosing regimen (two 5-mg tablets) of everolimus.

Study groups in NCT00412061
Study groupRoleWhat they receive
Octreotide+ EverolimusExperimentalEverolimus was administered in accordance with a 10-mg daily dosing regimen (two 5-mg tablets) in conjunction with octreotide 30 mg intramuscularly (i.m.) every 28 days. Patients were treated until progression or unacceptable toxicity. Each treatment cycle lasted 28 days. Patients received their first dose of everolimus at Cycle 1, Day 1. Administration of octreotide was performed every 28 days (± 4 days) starting on Cycle 1, Day 1.
Receives: Drug: Octreotide; Drug: Everolimus
Octreotide+ PlaceboPlacebo comparatorMatching placebo was administered in accordance with a 10-mg daily dosing regimen (two 5-mg tablets) in conjunction with octreotide 30 mg intramuscularly (i.m.) every 28 days. Patients were treated until progression or unacceptable toxicity; Each treatment cycle lasted 28 days. Patients received their first dose of matching placebo at Cycle 1, Day 1. Administration of octreotide was performed every 28 days (± 4 days) starting on Cycle 1 Day 1.
Receives: Drug: Octreotide; Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Progression Free Survival (PFS) as Per Adjudicated Central Radiology Review

    Progression free survival (PFS) is defined as the time from randomization to the date of first documented disease progression or death from any cause. The primary analysis of PFS was based on the independent central adjudicated assessment using Kaplan-Meier method.

    Measured: Time from randomisation to dates of disease progression, death from any cause or last tumor assessment, reported between day of first patient randomised, 10 January 2007, until cut-off date 02 April 2010

Secondary outcomes (6)
  1. Best Overall Response Rate as Per Adjudicated Central Radiology Review Based on Response Evaluation Criteria in Solid Tumors (RECIST)

    The best overall response rate is defined as the percentage of patients having achieved confirmed Complete Response + Partial Response. Complete Response (CR) = at least two determinations of CR at least 4 weeks apart before progression. • Partial response (PR) = at least two determinations of PR or better at least 4 weeks apart before progression.

    Measured: Time from randomisation to dates of disease progression, death from any cause or last tumor assessment, reported between day of first patient randomised, 10 January 2007, until cut-off date 02 April 2010

  2. Progression Free Survival (PFS) as Per Adjudicated Central Review by Baseline 5-hydroxyindoleacetic Acid (5-HIAA) Level

    5-HIAA levels in urine are frequently elevated in patients with advanced carcinoid tumors. Baseline levels of 5-HIAA in urine were defined as 'High' if they exceeded the median value, and 'Low' if they were lower than or equal to the median.

    Measured: If elevated at baseline, evaluated every cycle visit (28 days/cycle) reported between day of first patient randomised, 10 January 2007, until cut-off date 02 April 2010

  3. Overall Survival Using Kaplan-Meier Methodology

    Overall survival was defined as the time from the date of randomization to the date of death from any cause. If a patient was not known to have died, survival was censored at the date of last contact. Kaplan-Meier methodology was used to estimate the median overall survival for each treatment group.

    Measured: Months 12, 24, 36, 48

  4. Number of Patients With Adverse Events (AEs), Clinically Notable AE, Death, Serious Adverse Events (SAEs) (Double-Blind Phase)

    AEs are defined as any unfavorable and unintended diagnosis, symptom, sign (including an abnormal laboratory finding), syndrome or disease which either occurs during study, having been absent at baseline, or, if present at baseline, appears to worsen. SAEs are any untoward medical occurrences that result in death, are life threatening, require (or prolong) hospitalization, cause persistent or significant disability/incapacity, result in congenital anomalies or birth defects, or are other conditions which in judgment of investigators represent significant hazards.

    Measured: From first day of treatment up to 28 days after last day of treatment in double blind

  5. Number of Patients With Adverse Events (AEs), Clinically Notable AE, Death, Serious Adverse Events (SAEs) (Open Label Phase)

    AEs are defined as any unfavorable and unintended diagnosis, symptom, sign (including an abnormal laboratory finding), syndrome or disease which either occurs during study, having been absent at baseline, or, if present at baseline, appears to worsen. SAEs are any untoward medical occurrences that result in death, are life threatening, require (or prolong) hospitalization, cause persistent or significant disability/incapacity, result in congenital anomalies or birth defects, or are other conditions which in judgment of investigators represent significant hazards.

    Measured: From first day of treatment up to 28 days after last day of treatment in double blind

  6. Progression Free Survival (PFS) as Per Adjudicated Central Review by Baseline Chromogranin A (CgA)

    Serum CgA levels in urine are frequently elevated in patients with advanced carcinoid tumors. Baseline levels of serum CgA were characterized relative to the upper limited of normal (ULN). CgA levels exceeding 2 x ULN were considered to be 'Elevated'; otherwise considered as "Non-elevated".

    Measured: If elevated at baseline, evaluated every cycle visit (28 days/cycle) reported between day of first patient randomised, 10 January 2007, until cut-off date 02 April 2010

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted15 Dec 2006 (estimated)
  2. Study startDec 2006
  3. Primary completionApr 2010
  4. Study completionJun 2013

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
429 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00412061
Sponsor's protocol ID
CRAD001C2325
Other IDs
2006-004507-18
Acronym
RADIANT-2
Status last verified
Nov 2014
First submitted
13 Dec 2006
Last updated
21 Nov 2014

Publications

  • Pavel ME, Baudin E, Oberg KE, Hainsworth JD, Voi M, Rouyrre N, Peeters M, Gross DJ, Yao JC. Efficacy of everolimus plus octreotide LAR in patients with advanced neuroendocrine tumor and carcinoid syndrome: final overall survival from the randomized, placebo-controlled phase 3 RADIANT-2 study. Ann Oncol. 2017 Jul 1;28(7):1569-1575. doi: 10.1093/annonc/mdx193.

    PubMed 28444114
  • Fazio N, Granberg D, Grossman A, Saletan S, Klimovsky J, Panneerselvam A, Wolin EM. Everolimus plus octreotide long-acting repeatable in patients with advanced lung neuroendocrine tumors: analysis of the phase 3, randomized, placebo-controlled RADIANT-2 study. Chest. 2013 Apr;143(4):955-962. doi: 10.1378/chest.12-1108.

    PubMed 23187897
  • Pavel ME, Hainsworth JD, Baudin E, Peeters M, Horsch D, Winkler RE, Klimovsky J, Lebwohl D, Jehl V, Wolin EM, Oberg K, Van Cutsem E, Yao JC; RADIANT-2 Study Group. Everolimus plus octreotide long-acting repeatable for the treatment of advanced neuroendocrine tumours associated with carcinoid syndrome (RADIANT-2): a randomised, placebo-controlled, phase 3 study. Lancet. 2011 Dec 10;378(9808):2005-2012. doi: 10.1016/S0140-6736(11)61742-X. Epub 2011 Nov 25.

    PubMed 22119496

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Octreotide and Everolimus in people with Carcinoid Tumor and Malignant Carcinoid Syndrome, run by Novartis Pharmaceuticals at 70 sites in 15 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 21 Nov 2014. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 70 sites in United States, France, Italy, Canada, Australia and 10 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 12 Mar 2012). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Progression Free Survival (PFS) as Per Adjudicated Central Radiology Review (time frame: Time from randomisation to dates of disease progression, death from any cause or last tumor assessment, reported between day of first patient randomised, 10 January 2007, until cut-off date 02 April 2010). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00412061, which also lists 3 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 21 Nov 2014.

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