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Gastric Neuroendocrine CarcinomaNCT06102746

Clinical Study of Surufatinib Plus Sintilimab Combined With Chemotherapy in the Treatment of Advanced Gastric Neuroendocrine Carcinoma

An observational study of Gastric Neuroendocrine Carcinoma, run by Tianjin Medical University Cancer Institute and Hospital at 1 site in China.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

This study aims to explore whether the combination of surufatinib (anti-angiogenic therapy) and sintilimab (PD-1 inhibitor) on the basis of EP regimen can further improve the effective rate and survival time of first-line treatment for patients with advanced gastric neuroendocrine carcinoma, and explore the safety and… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Gastric Neuroendocrine Carcinoma
What is being tested?
Sintilimab，Surufatinib
How many people
20 participants
Where
1 siteChina
Study dates
10 Apr 2023to 10 Apr 2026
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: First-line treatment for advanced gastric neuroendocrine carcinoma

Who may be able to join

  • To be enrolled in this trial, patients must meet all of the following inclusion criteria:
  • Locally advanced or metastatic gastric neuroendocrine carcinoma (NEC), hyperproliferative neuroendocrine tumor (NET G3) or mixed neuroendocrino-non-neuroendocrine tumor (MiNEN), as demonstrated by pathology (WHO classification criteria 2019), may also be included;
  • Have not received systematic anti-tumor therapy before;
  • Have received radical treatment in the past and have no treatment interval from the end of chemotherapy, radiotherapy, or chemoradiotherapy to relapse for at least 6 months (the end time of the last chemotherapy cycle/the end time of the last radiotherapy);
  • There are measurable lesions defined by the RECIST 1.1 standard;
  • At least 18 years old;
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  • ECOG physical condition: 0-1 score;
  • Expected survival of more than 3 months;
  • If the major organs function normally, the following criteria are met:
  • Blood routine examination: hemoglobin (Hb) ≥90g/L; Absolute neutrophil count (ANC) ≥1.5×10^9/L; Platelet (PLT) ≥100×10^9/L; White blood cell count (WBC) ≥3.0×10^9/L;
  • Biochemical examination: alanine aminotransferase (ALT) and aspartate aminotransferase (AST) ≤2.5×ULN (tumor liver metastasis, ≤5×ULN); Serum total bilirubin (TBIL) ≤1.5×ULN (Gilbert syndrome subjects, ≤3×ULN); Serum creatinine (Cr) ≤1.5×ULN or creatinine clearance ≥50ml/min;
  • Coagulation function: activated partial thromboplastin time (APTT), International Standardized ratio (INR), prothrombin time (PT) ≤1.5×ULN;
  • The subjects voluntarily joined the study, signed the informed consent, and the compliance was good.

Who cannot join

  • Patients with any of the following conditions were excluded from the study:
  • The presence of a serious illness or medical condition, including but not limited to the following:
  • Known recurrence in situ or metastasis at any other site;
  • systemic active infection (i.e. infection resulting in body temperature ≥38 ° C);
  • Clinically significant intestinal obstruction, pulmonary fibrosis, renal failure, liver failure, or symptomatic cerebrovascular disease;
  • Severe/unstable angina, New York Heart Association (NYHA) Class III or IV symptomatic congestive heart failure;
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  • Clinically significant gastrointestinal bleeding;
  • Known presence of human immunodeficiency virus (HIV) or acquired conventional immunodeficiency syndrome (AIDS) - associated disease, or active hepatitis B or C;
  • Pregnant or lactating women;
  • The researcher considers it inappropriate to enter this study.

Trial locations and contacts

1 site in 1 country.

Ting Deng, MD contact

022-23340123-1051

xymcdengting@126.com

Jiayu Zhang, MD contact

15201752860

zhangjiayu152@163.com

China1 site, 1 recruiting

  • Tianjin Medical University Cancer Institute and Hospital

    Tianjin, Tianjin Municipality, 300060

    Ting Deng, MD, 022-23340123-1051, xymcdengting@126.com

    Recruiting

Other trials in China

About this study

Official title: A Single-center, Open Phase II Clinical Study of Surufatinib Plus Sintilimab Combined With Chemotherapy in the Treatment of Advanced Gastric Neuroendocrine Carcinoma

This study aims to explore whether the combination of surufatinib (anti-angiogenic therapy) and sintilimab (PD-1 inhibitor) on the basis of EP regimen can further improve the effective rate and survival time of first-line treatment for patients with advanced gastric neuroendocrine carcinoma, and explore the safety and tolerability of this regimen.

Read the detailed description

In this study, patients with advanced gastric neuroendocrine carcinoma were selected as the research object. Based on the standard EP regimen, the combination of surufatinib (anti-angiogenic therapy) and sintilimab (PD-1 inhibitor) could further improve the effective rate and survival time of patients, and explore the safety and tolerability of this treatment regimen.

Patients with advanced gastric neuroendocrine carcinoma who have not received systematic treatment will be treated with the following protocols:

Sintilimab: 200mg intravenously administered on day 1; Surufatinib: 200mg/ day orally, taken continuously; Etoposide: 1, 2, 3 days of continuous administration, 100mg/m2, intravenous infusion; Cisplatin: 75mg/m2 on day 1, or 25mg/m2 on day 1, 2, and 3, intravenous infusion; One treatment cycle every 21 days; Etoposide and cisplatin were used for a maximum of 4 cycles, after which maintenance therapy of solantinib and sindellizumab was administered, and the longest treatment cycle was 13 cycles (a total of 1 year). Patients received regular and periodic reviews, and imaging assessments were performed every 6 weeks after enrollment in the study. Safety will be evaluated by AE and laboratory tests. After disease progression, all patients were followed up with their secondary survival status every 3 months until death.

Being tested
Sintilimab，Surufatinib
Keywords
gastric neuroendocrine carcinoma, Sintilimab, Surufatinib

What participants receive

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

  • Sintilimab，SurufatinibDrug

    Based on the standard EP regimen, the combination of surufatinib (anti-angiogenic therapy) and sintilimab (PD-1 inhibitor) were used among patients with advanced gastric neuroendocrine carcinoma.

Study groups in NCT06102746
Study groupRoleWhat they receive
Sintilimab + Surufatinib + EPSintilimab: 200mg intravenously administered on day 1; Surufatinib: 200mg/ day orally, taken continuously; Etoposide: 1, 2, 3 days of continuous administration, 100mg/m2, intravenous infusion; Cisplatin: 75mg/m2 on day 1, or 25mg/m2 on day 1, 2, and 3, intravenous infusion;
Receives: Drug: Sintilimab，Surufatinib

What is being measured

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

  1. ORR

    It refers to the proportion of patients whose tumors have shrunk to a certain amount and maintained for a certain period of time, including CR and PR cases. Solid tumor response assessment criteria (RECIST 1.1 criteria) were used to evaluate objective tumor response. Participants had to have a measurable tumor lesion at baseline, and response criteria were classified as complete response (CR), partial response (PR), stable disease (SD), and disease progression (PD) according to RECIST 1.1 criteria.

    Measured: 3 years

Secondary outcomes (1)

  1. PFS

    From the date of enrollment to the date of the first onset of disease progression or death from any cause, whichever comes first. If the subject does not develop disease progression during the trial period, PFS is defined as the last date until the subject's last confirmed progression-free survival. Participants who discontinue the trial for reasons other than disease progression (no follow-up imaging) and those who receive post-trial treatment will be subject to data deletion based on the time of discontinuation or the time of initiation of post-trial treatment. When subjects do not use the time of discontinuation of the trial or the time of initiation of post-trial treatment as data deletion, pre-planned sensitivity statistical analyses will further confirm PFS based only on the time of the event at which image-confirmed progression occurs. New occurrence of other tumors is not considered a disease progression event and is not considered for data deletion. If the imaging examination

    Measured: 3 years

Timeline

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

  1. First posted26 Oct 2023
  2. Study start10 Apr 2023
  3. Primary completion10 Apr 2026 (estimated)
  4. Study completion10 Apr 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
20 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06102746
Sponsor's protocol ID
TJMUCH-GI-GC03
Status last verified
Oct 2023
First submitted
18 Oct 2023
Last updated
26 Oct 2023
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • 1.Dasari A, Shen C, Halperin D, Zhao B, Zhou S, Xu Y, et al. Trends in the Incidence, Prevalence,and Survival Outcomes in Patients With Neuroendocrine Tumors in the United States. JAMAOncol 2017;3:1335-1342 2.Leoncini E, Boffetta P, Shafir M, Aleksovska K, Boccia S, Rindi G. Increased incidence trendof low-grade and high-grade neuroendocrine neoplasms. Endocrine 2017;58:368-379 3.Nagtegaal ID, Odze RD, Klimstra D, Paradis V, Rugge M, Schirmacher P, et al. The 2019 WHOclassification of tumours of the digestive system. Histopathology 2020;76:182-188 4.Rindi G, Klimstra DS, Abedi-Ardekani B, Asa SL, Bosman FT, Brambilla E, et al. A commonclassification framework for neuroendocrine neoplasms: an International Agency for Research onCancer (IARC) and World Health Organization (WHO) expert consensus proposal. Mod Pathol2018;31:1770-1786 5.中国临床肿瘤学会神经内分泌肿瘤专家委员会. 中国胃肠胰神经内分泌肿瘤专家共识(2016年版). 临床肿瘤学杂志 2016;21:927-946 6.谭煌英, 娄彦妮, 罗杰, 刘继喜, 贾立群. 胃神经内分泌肿瘤的分型诊断和治疗. 中国医学前沿杂志：电子版 2014:5 7.Moertel CG, Kvols LK, O'Connell MJ, Rubin J. Treatment of neuroendocrine carcinomas withcombined etoposide and cisplatin. Evidence of major therapeutic activity in the anaplastic variantsof these neoplasms. Cancer 1991;68:227-232 8.Mitry E, Baudin E, Ducreux M, Sabourin JC, Rufié P, Aparicio T, et al. Treatment of poorlydifferentiated neuroendocrine tumours with etoposide and cisplatin. Br J Cancer 1999;81:1351-1355 9.Thomas KEH, Voros BA, Boudreaux JP, Thiagarajan R, Woltering EA, Ramirez RA. CurrentTreatment Options in Gastroenteropancreatic Neuroendocrine Carcinoma. Oncologist2019;24:1076-1088 10. Zhang P, Li J, Li J, Zhang X, Zhou J, Wang X, et al. Etoposide and cisplatin versusirinotecan and cisplatin as the first-line therapy for patients with advanced, poorly differentiatedgastroenteropancreatic neuroendocrine carcinoma: A randomized phase 2 study. Cancer 2020;126Suppl 9:2086-2092 11. Voron T, Colussi O, Marcheteau E, Pernot S, Nizard M, Pointet AL, et al. VEGF-A modulates expression of inhibitory checkpoints on CD8+ T cells in tumors. J Exp Med2015;212:139-148 12. Katoh M. FGFR inhibitors: Effects on cancer cells, tumor microenvironment and wholebody homeostasis (Review). Int J Mol Med2016;38:3-15 13. Xu J, Shen L, Bai C, Wang W, Li J, Yu X, et al. Surufatinib in advanced pancreaticneuroendocrine tumours (SANET-p): a randomised, double-blind, placebo-controlled, phase 3study. The Lancet Oncology 2020;21:1489-1499 14. Xu J, Shen L, Zhou Z, Li J, Bai C, Chi Y, et al. Surufatinib in advanced extrapancreaticneuroendocrine tumours (SANET-ep): a randomised, double-blind, placebo-controlled, phase 3study. The Lancet Oncology 2020;21:1500-1512

Questions about this trial

What is this clinical trial studying?

An observational study of Gastric Neuroendocrine Carcinoma, run by Tianjin Medical University Cancer Institute and Hospital at 1 site in China.

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 13 inclusion and 10 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: status not confirmed, as of the sponsor's last update on 26 Oct 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 China. 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?

Results are not available in the source record.

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

Contact Ting Deng, MD (022-23340123-1051, xymcdengting@126.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

ORR (time frame: 3 years). 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 NCT06102746, 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 26 Oct 2023.

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