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Neuroendocrine TumorsNET-PRONCT05064150

Neuroendocrine Tumors - Patient Reported Outcomes

An observational study of Neuroendocrine Tumors and Gastroenteropancreatic Neuroendocrine Tumor, run by University of Iowa at 14 sites in United States.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

With so many therapeutic options available (i.e.: biologic therapy, liver directed therapy, radiotherapy and chemotherapy), the purpose of this project is to partner with patients on comparative effectiveness research (CER) to achieve the goal of alleviating undue toxicity, and optimizing effectiveness and sequencing… Read more about this study

Who is it for?
Ages 18 years and older
How many people
2,539 participants
Where
14 sitesUnited States
Study dates
10 May 2022to Nov 2026
Phase
Observational
Are there results?
Not yet: the study is under way

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

Study population: Inclusion/exclusion criteria will be assessed by a combination of a computable phenotype (computer code or algorithm) that is run against participating site electronic medical record and/or tumor registry data holdings, and/or manual review of patient EMR; and patient self-report.

Who may be able to join

  • (1) Adults age 18 years or older at time of NET diagnosis
  • (2) Diagnosis of GEP-NET or lung NET between 1/1/2018 and 09/30/2024, as evidenced by
  • (a) medical record information on diagnoses and/or medications and/or treatments and/or test results and/or clinical notes and/or procedures and/or encounters and/or tumor characteristics, and
  • (b) patient self-attestation of their diagnosis.

Who cannot join

  • Any GEP-NET/Lung NET prior to 1/1/18, as evidenced by medical record information on diagnoses and/or medications and/or treatments and/or test results and/or clinical notes and/or procedures and/or encounters and/or tumor characteristics

Trial locations and contacts

14 sites in 1 country.

14 sites in 1 country

United States14 sites
  • Regents of the University of Michigan

    Ann Arbor, Michigan, 48109-1340

  • The University of North Carolina at Chapel Hill

    Chapel Hill, North Carolina, 27599-1350

  • The Medical University of South Carolina

    Charleston, South Carolina, 29407-4636

  • The Ohio State University

    Columbus, Ohio, 43210

  • UT Southwestern Medical Center

    Dallas, Texas, 75390-9020

  • University of Florida

    Gainesville, Florida, 32611-5500

  • University of Iowa

    Iowa City, Iowa, 52242

  • University of Kansas Medical Center Research Institute, Inc

    Kansas City, Kansas, 66103-2937

  • Medical College of Wisconsin, Inc

    Milwaukee, Wisconsin, 53226

  • Allina Health System

    Minneapolis, Minnesota, 55407

  • Vanderbilt University Medical Center

    Nashville, Tennessee, 37203

  • University of Pittsburgh

    Pittsburgh, Pennsylvania, 15260-3203

  • Mayo Clinic Rochester

    Rochester, Minnesota, 55905

  • University of Utah

    Salt Lake City, Utah, 84112

Other trials in United States

About this study

Official title: A Cohort Study of Symptom Burden and Therapeutic Selection in Neuroendocrine Tumors (NETs)

With so many therapeutic options available (i.e.: biologic therapy, liver directed therapy, radiotherapy and chemotherapy), the purpose of this project is to partner with patients on comparative effectiveness research (CER) to achieve the goal of alleviating undue toxicity, and optimizing effectiveness and sequencing of therapy for neuroendocrine tumors (NET) patients. We will conduct a study of all newly occurring GEP-NET and lung NET cases aged 18 years and older diagnosed between 01/01/2018 through 09/30/2024 across 14 sites participating in the National Patient-Centered Clinical Research Network (PCORnet), enrolling an average of 215 patients per site over the 3 year study period (2515 patients total), allowing up to 60 months of follow-up for medical record outcomes. Participants will complete four online or paper surveys over 18 months; these surveys will focus on patient-reported outcomes, including questions on quality of life, treatment decisions, and experiences with cancer care. Survey data will be linked to participant medical record data to achieve study aims.

Read the detailed description

NETs are a group of neoplasms that occur most frequently in the gastrointestinal tract, pancreas and the lungs, collectively referred to as gastroenteropancreatic (GEP-NETs) and lung-NETs. There are currently fewer than 180,000 patients living with this condition in the United States, meeting the criteria for rare disease status. NETs are typically slow growing, with vague signs and a myriad of symptoms (carcinoid syndrome) leading to diagnostic delays. Thus, NET patients typically experience a prolonged clinical course with active disease, and many have significant symptom burdens. However, assessment of quality of life outside of therapy trials remains scarce and of poor quality. What's more, over half of GEP-NETs are diagnosed with spread of their disease at diagnosis and are not candidates for curative surgery. Fortunately, many of these tumors are amenable to long-term medical treatment with somatostatin analogues (SSAs)- which slow down the production of hormones, especially serotonin, which helps to control the symptoms of carcinoid syndrome. However, living with distant spread of the disease increases the probability for the disease to progress. Following failure of first-line SSA therapy there are no clear consensus guidelines as to the optimum sequencing of other therapeutic options. NET patients are left wondering not only 'what therapy would be best to try next?', but 'if I were to take this option now, what treatment options will be closed off to me in the future?' and clinicians are unsure as to how best to tailor treatment selection on the characteristics of the patient and their tumor.

There is currently no large nationally recruiting prospective (forward in time) observational study of NET patients. Our large study will robustly generate real-world evidence on the frequency and sequence of commonly used treatments for GEP and lung NET patients in relation to Patient Reported Outcomes (PROs) and survival/progression, endpoints that matter most to NET patients, their caregivers, and clinicians involved in their care. Given the lack of consensus guidelines as to the optimum sequencing of treatments, evidence generated in this study will aid patient (and clinician) navigation and selection of the next most appropriate therapy, accounting for the preferences and needs of the individual patient, whilst respecting the underlying profile of their tumor. Moreover, the infrastructure this study will generate (i.e.: electronic identification of NET patients, entry and completion of tumor table data in PCORnet, and a unique NET patient health record portal), will foster future CER studies in NETs and other rare diseases.

The four specific aims of this project are:

  1. To describe the frequency of treatment regimens received by line of therapy, and examine their association with symptom burden and changes in 6, 12 and 18 month health-related quality of life (HRQoL) outcomes. The influence of patient preferences, beliefs, attitudes, and experience of care on choice of these treatment regimens will also be examined.
  2. To examine the association of patient, clinical, and tumor characteristics on the selection of first-line and beyond treatment regimens and compare the effects of common treatment sequences on frequency of subsequent treatments received and outcomes of overall survival and disease progression.
  3. To compare the effectiveness of peptide receptor radionuclide therapy (PRRT) regimens on outcomes of renal toxicity, disease progression, and patient-reported symptoms and HRQoL.
  4. To disseminate lessons learned and expand enrollment of the prospective cohort to patient advocate organizations, and to use the infrastructure developed to aid in the study of other rare diseases.
Keywords
Patient-reported outcomes, Neuroendocrine, Quality of Life, Survival, Treatment sequencing, Symptom burden
Medical subject headings
Neuroendocrine Tumors, Gastro-enteropancreatic neuroendocrine tumor, Carcinoma, Neuroendocrine

What participants receive

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

Study groups in NCT05064150
Study groupRoleWhat they receive
NET patient observational cohortPatients diagnosed with lung or gastrointestinal neuroendocrine tumors

What is being measured

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

  1. European Organisation for Research and Treatment of Cancer - Quality of Life Questionnaire (EORTC QLQ-C30)

    Incorporates five functional scales (physical, role, cognitive, emotional, and social), three symptom scales (fatigue, pain, and nausea and vomiting), a global health status / QoL scale, and a number of single items assessing additional symptoms commonly reported by cancer patients (dyspnea, loss of appetite, insomnia, constipation and diarrhea) and perceived financial impact of the disease. Responses to the QLQ-C30 will be linearly transformed to a 0-100 scale using EORTC guidelines, a higher score represents a higher ("better") level of functioning, or a higher ("worse") level of symptoms.

    Measured: Change in score across baseline, 6, 12, and 18 month time points.

  2. European Organisation for Research and Treatment of Cancer - Quality of Life Questionnaire - Neuroendocrine Carcinoid Module (EORTC QLQ-GI.NET21)

    The QLQ-GINET21 contains a total of 21 items: four single-item assessments relating to muscle and/or bone pain (MBP), body image (BI), information (INF) and sexual functioning (SX), together with 17 items organized into five proposed scales: endocrine symptoms (ED; three items), GI symptoms (GI; five items), treatment-related symptoms (TR; three items), social functioning (SF) of the new module (SF21; three items) and disease-related worries (DRW; three items). Responses to the QLQ-GINET21 will be linearly transformed to a 0-100 scale using EORTC guidelines, with higher scores reflecting more severe symptoms.

    Measured: Change in score across baseline, 6, 12, and 18 month time points.

  3. Sequencing of treatment regimens from electronic medical records (% of patients using modality)

    Ordering of treatment receipt i.e.: first-line, 2nd line 3rd line therapies

    Measured: Up to 5 years

  4. Renal function

    Creatinine clearance loss (per/Yr)

    Measured: Change in score across baseline, 6, 12, and 18 month time points.

Secondary outcomes (10)
  1. Norfolk Carcinoid Symptom Score

    Patient-reported symptoms

    Measured: Change in score across baseline, 6, 12, and 18 month time points.

  2. Experiences with cancer care (from CANCORS)

    13 items to assess cancer care as described at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2953972/

    Measured: Change in score across baseline, 6, 12, and 18 month time points.

  3. Progression-free survival

    Time to event

    Measured: 1-, 3-, and 5-year

  4. Overall survival

    Time to event

    Measured: Up to 5 years

  5. Adverse toxicities

    Incident acute renal failure, dialysis and liver failure during follow-up

    Measured: Up to 5 years

  6. Presence of Acute Renal Failure Diagnosis

    Common Data Model (CDM) diagnosis codes for acute renal failure and dialysis

    Measured: Up to 5 years

  7. Health related Quality of Life (HRQoL) by PRRT regimen

    Changes in HRQOL

    Measured: Change in score across baseline, 6, 12, and 18 month time points.

  8. Symptom scores by PRRT regimen

    Changes in symptom scores

    Measured: Change in score across baseline, 6, 12, and 18 month time points.

  9. Renal toxicity (creatinine clearance) by PRRT isotope

    Creatinine clearance loss (per/Yr) 177Lu vs 90Y

    Measured: Up to 5 years

  10. Renal toxicity of PRRT by primary tumor location & grade 3 disease

    Creatinine clearance loss (per/Yr) GEP-NETs vs lung NETs and G3

    Measured: Up to 5 years

Timeline

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

  1. First posted1 Oct 2021
  2. Study start10 May 2022
  3. Primary completionOct 2026 (estimated)
  4. Study completionNov 2026 (estimated)

Resources

More details

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

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
2,539 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05064150
Sponsor's protocol ID
202104599
Acronym
NET-PRO
Status last verified
Aug 2026
First submitted
27 Aug 2021
Last updated
20 Aug 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: De-identified individual participant data (IPD) will be made available to researchers and details will be provided.

Publications

  • O'Rorke MA, McDowell BD, Xu T, DeCook RR, Gryzlak BM, Rudzianski NJ, Serrano KC, Wehrheim AM, Grewal US, Chandrasekharan C, Dillon JS, Halfdanarson TR, Schnell MJ, Witter CL, Gamblin TC, Kazmi S, Cowell LG, Else T, Soares HP, Sukrithan V, Chandaka S, Sanoff HK, He FC, Geller DA, Ramirez RA, Liu M, Lancaster W, Mailman JA, Moran H, Wahmann M, Gellerman E, Chrischilles EA. Assessing Patient Characteristics in Neuroendocrine Tumor Research: A Comparison of the NET-PRO Study to SEER Population-Based Data. Endocrine. 2026 Apr 27;91(1):141. doi: 10.1007/s12020-026-04611-w.

    PubMed 42043735

Questions about this trial

What is this clinical trial studying?

An observational study of Neuroendocrine Tumors and Gastroenteropancreatic Neuroendocrine Tumor, run by University of Iowa at 14 sites in United States.

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 1 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: under way, not looking for participants, as of the sponsor's last update on 20 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 14 sites in United States. 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. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

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?

European Organisation for Research and Treatment of Cancer - Quality of Life Questionnaire (EORTC QLQ-C30) (time frame: Change in score across baseline, 6, 12, and 18 month time points.). The study lists 4 primary outcomes in all. 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 NCT05064150, which also lists 1 linked publication.

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 20 Aug 2026.

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