Neuroendocrine TumorNCT05816720
Retrospective Analysis of Patients Re-treated With Lutetium-177 DOTATATE (Lutathera®)
An observational study of Neuroendocrine Tumor, run by Novartis Pharmaceuticals at 1 site in United States.
Trial summary
This was a retrospective non-interventional study evaluating the medical records of patients with neuroendocrine tumor (NET) re-treated with lutetium-177 DOTATATE at a single United States institution - the Excel Diagnostics \& Nuclear Oncology Center in Houston, Texas. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Neuroendocrine Tumor
- What is being tested?
- Lutetium-177 DOTATATE
- Type of treatment
- Injection or infusion
- How many people
- 31 participants
- Where
- 1 siteUnited States
- Study dates
- 1 Sep 2021to 31 Jan 2022
- Phase
- Observational
- Are there results?
- None posted in the registry
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: This was a retrospective, noninterventional cohort study
Who may be able to join
- Diagnosis of any NET
- Evidence of re-treatment with lutetium-177 DOTATATE
- Documentation of initial treatment with a regimen of up to 4 doses of lutetium-177 DOTATATE, followed by evidence of progression, and then ≥1 subsequent dose of lutetium-177 DOTATATE
- Minimum of 6 months between the end of the initial treatment doses and the first re-treatment dose
Who cannot join
- <18 years of age
Trial locations and contacts
1 site in 1 country.
United States1 site
Excel Diagnostics & Nuclear Oncology Center
Houston, Texas, 77042
About this study
This was a retrospective non-interventional study evaluating the medical records of patients with neuroendocrine tumor (NET) re-treated with lutetium-177 DOTATATE at a single United States institution - the Excel Diagnostics \& Nuclear Oncology Center in Houston, Texas. Initial treatment was defined as the initial regimen of up to 4 doses of Lutetium-177 DOTATATE received by each patient; re-treatment was defined as any additional dose(s) of lutetium-177 DOTATATE given after the patient progressed following the initial treatment, with a minimum time interval of 6 months between the initial treatment and re-treatment.
The study period was from 01 January 2010 to 30 June 2021. The index date was the date of the first ever treatment with lutetium-177 DOTATATE, and the index re-treatment date was the date of the first re-treatment dose of lutetium-177 DOTATATE received. The index (identification) period was from 01 July 2010 to 31 December 2020 to account for minimum 6-month baseline and follow-up periods. Patients were followed from the index date to the occurrence of one of the following events (whichever came first):
- Date of death - the date at which a patient was reported in the database as having died
- Last month active - the last recorded mention of the patient in the dataset
- End of data window - end of the dataset Patient characteristics were assessed at both the index date and the index re-treatment date. Real-world effectiveness and safety outcomes were also assessed from the index date and from the index re-treatment date.
- Conditions
- Neuroendocrine Tumor
- Being tested
- Lutetium-177 DOTATATE
- Medical subject headings
- Neuroendocrine Tumors
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Lutetium-177 DOTATATEDrug
Also called Lutathera®
Intravenous administration
| Study group | Role | What they receive |
|---|---|---|
| Initial treatment | Patients who received initial treatment with lutetium-177 DOTATATE Receives: Drug: Lutetium-177 DOTATATE | |
| Re-treatment | Patients who received re-treatment with lutetium-177 DOTATATE Receives: Drug: Lutetium-177 DOTATATE | |
| Additional re-treatment | Patients who received additional re-treatment with lutetium-177 DOTATATE Receives: Drug: Lutetium-177 DOTATATE |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression-free survival
Time from the index date of treatment or re-treatment with lutetium-177 DOTATATE until the date of progression or death
Measured: Up to approximately 11 years
Overall survival
Time from the index date of treatment or re-treatment with lutetium-177 DOTATATE until the date of death
Measured: Up to approximately 11 years
Percentage of patients with treatment response
Best overall response was defined per Response Evaluation Criteria In Solid Tumors (RECIST), 1.1. Overall response: complete response (CR) + partial response (PR); CR; PR; stable disease (SD); and progressive disease (PD)
Measured: Up to approximately 11 years
Secondary outcomes (20)
Number of patients with adverse events (AEs)
Measured: Up to approximately 11 years
Mean change from baseline in white blood cell (WBC) count
Measured: Up to approximately 11 years
Mean change from baseline in hemoglobin
Measured: Up to approximately 11 years
Mean change from baseline in absolute neutrophil count (ANC)
Measured: Up to approximately 11 years
Mean change from baseline in lymphocyte count
Measured: Up to approximately 11 years
Mean change from baseline in platelet count
Measured: Up to approximately 11 years
Mean change from baseline in alkaline phosphatase (ALP)
Measured: Up to approximately 11 years
Mean change from baseline in alanine aminotransferase (ALT)
Measured: Up to approximately 11 years
Mean change from baseline in aspartate aminotransferase (AST)
Measured: Up to approximately 11 years
Mean change from baseline in albumin
Measured: Up to approximately 11 years
Mean change from baseline in bilirubin
Measured: Up to approximately 11 years
Mean change from baseline in creatinine
Measured: Up to approximately 11 years
Mean change from baseline in estimated glomerular filtration rate (eGFR)
Measured: Up to approximately 11 years
Mean change from baseline in cromogranin A
Measured: Up to approximately 11 years
Mean change from baseline in pancreatic polypeptide
Measured: Up to approximately 11 years
Mean change from baseline in pancreastatin
Measured: Up to approximately 11 years
Number of patients who received other treatments prior to initial treatment with lutetium-177 DOTATATE
Measured: Prior to initial treatment with lutetium-177 DOTATATE
Number of patients who received lutetium-177 DOTATATE, categorized by number of doses
Measured: Up to approximately 11 years
Number of patients who received lutetium-177 DOTATATE, categorized by treatment stage
Measured: Up to approximately 11 years
Quantity of lutetium-177 DOTATATE administered, categorized by treatment stage
Measured: Up to approximately 11 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted18 Apr 2023
- Study start1 Sep 2021
- Primary completion31 Jan 2022
- Study completion31 Jan 2022
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Neuroendocrine TumorStudies of the same condition, open and under way.
- More trials run by Novartis PharmaceuticalsThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Retrospective
- Enrolment
- 31 participants (actual)
Sponsor and investigators
- Lead sponsor
- Novartis Pharmaceuticals
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Novartis Pharmaceuticals, Study director, Novartis Pharmaceuticals
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05816720
- Sponsor's protocol ID
- CAAA601A1US08
- Status last verified
- Apr 2023
- First submitted
- 30 Jan 2023
- Last updated
- 18 Apr 2023
- Results posted
- No
Study at a glance
From the registry record, last updated by the sponsor on 18 Apr 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Retrospective Analysis of Patients Re-treated With Lutetium-177 DOTATATE (Lutathera®)
- ClinicalTrials.gov ID
- NCT05816720
- Acronym / sponsor ID
- CAAA601A1US08
- Conditions
- Neuroendocrine Tumor
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 31 participants (actual)
- Lead sponsor
- Novartis PharmaceuticalsIndustry (pharma, biotech, devices)
- Study start
- 1 Sep 2021 (actual)
- Primary completion
- 31 Jan 2022 (actual)
- Study completion
- 31 Jan 2022 (actual)
- First posted
- 18 Apr 2023 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This was a retrospective non-interventional study evaluating the medical records of patients with neuroendocrine tumor (NET) re-treated with lutetium-177 DOTATATE at a single United States institution - the Excel Diagnostics \& Nuclear Oncology Center in Houston, Texas. Initial treatment was defined as the initial regimen of up to 4 doses of Lutetium-177 DOTATATE received by each patient; re-treatment was defined as any additional dose(s) of lutetium-177 DOTATATE given after the patient progressed following the initial treatment, with a minimum time interval of 6 months between the initial treatment and re-treatment.
The study period was from 01 January 2010 to 30 June 2021. The index date was the date of the first ever treatment with lutetium-177 DOTATATE, and the index re-treatment date was the date of the first re-treatment dose of lutetium-177 DOTATATE received. The index (identification) period was from 01 July 2010 to 31 December 2020 to account for minimum 6-month baseline and follow-up periods. Patients were followed from the index date to the occurrence of one of the following events (whichever came first):
- Date of death - the date at which a patient was reported in the database as having died
- Last month active - the last recorded mention of the patient in the dataset
- End of data window - end of the dataset Patient characteristics were assessed at both the index date and the index re-treatment date. Real-world effectiveness and safety outcomes were also assessed from the index date and from the index re-treatment date.
Study design
- Observational model
- Cohort
- Time perspective
- Retrospective
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Initial treatment | – | Drug: Lutetium-177 DOTATATEPatients who received initial treatment with lutetium-177 DOTATATE |
| Re-treatment | – | Drug: Lutetium-177 DOTATATEPatients who received re-treatment with lutetium-177 DOTATATE |
| Additional re-treatment | – | Drug: Lutetium-177 DOTATATEPatients who received additional re-treatment with lutetium-177 DOTATATE |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- This was a retrospective, noninterventional cohort study
Key inclusion criteria (4 listed)
- Diagnosis of any NET
- Evidence of re-treatment with lutetium-177 DOTATATE
Key exclusion criteria (1 listed)
- <18 years of age
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Lutetium-177 DOTATATEAlso: Lutathera®Intravenous administration | Drug | Additional re-treatment, Initial treatment, Re-treatment |
Primary outcome
Progression-free survival
Time frame: Up to approximately 11 years
Time from the index date of treatment or re-treatment with lutetium-177 DOTATATE until the date of progression or death
Overall survival
Time frame: Up to approximately 11 years
Time from the index date of treatment or re-treatment with lutetium-177 DOTATATE until the date of death
Percentage of patients with treatment response
Time frame: Up to approximately 11 years
Best overall response was defined per Response Evaluation Criteria In Solid Tumors (RECIST), 1.1. Overall response: complete response (CR) + partial response (PR); CR; PR; stable disease (SD); and progressive disease (PD)
20 secondary outcomes
Number of patients with adverse events (AEs)
Time frame: Up to approximately 11 years
Mean change from baseline in white blood cell (WBC) count
Time frame: Up to approximately 11 years
Mean change from baseline in hemoglobin
Time frame: Up to approximately 11 years
Mean change from baseline in absolute neutrophil count (ANC)
Time frame: Up to approximately 11 years
Mean change from baseline in lymphocyte count
Time frame: Up to approximately 11 years
Mean change from baseline in platelet count
Time frame: Up to approximately 11 years
Mean change from baseline in alkaline phosphatase (ALP)
Time frame: Up to approximately 11 years
Mean change from baseline in alanine aminotransferase (ALT)
Time frame: Up to approximately 11 years
Mean change from baseline in aspartate aminotransferase (AST)
Time frame: Up to approximately 11 years
Mean change from baseline in albumin
Time frame: Up to approximately 11 years
Mean change from baseline in bilirubin
Time frame: Up to approximately 11 years
Mean change from baseline in creatinine
Time frame: Up to approximately 11 years
Mean change from baseline in estimated glomerular filtration rate (eGFR)
Time frame: Up to approximately 11 years
Mean change from baseline in cromogranin A
Time frame: Up to approximately 11 years
Mean change from baseline in pancreatic polypeptide
Time frame: Up to approximately 11 years
Mean change from baseline in pancreastatin
Time frame: Up to approximately 11 years
Number of patients who received other treatments prior to initial treatment with lutetium-177 DOTATATE
Time frame: Prior to initial treatment with lutetium-177 DOTATATE
Number of patients who received lutetium-177 DOTATATE, categorized by number of doses
Time frame: Up to approximately 11 years
Number of patients who received lutetium-177 DOTATATE, categorized by treatment stage
Time frame: Up to approximately 11 years
Quantity of lutetium-177 DOTATATE administered, categorized by treatment stage
Time frame: Up to approximately 11 years
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 18 Apr 2023.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Novartis Pharmaceuticals study director
Novartis Pharmaceuticals
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Neuroendocrine Tumor, run by Novartis Pharmaceuticals at 1 site 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: finished, as of the sponsor's last update on 18 Apr 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site 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?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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 (time frame: Up to approximately 11 years). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 18 Apr 2023.