Trial Outcomes & Findings for Study of Pasireotide Long Acting Release (LAR) in Patients With Metastatic Neuroendocrine Tumors (NETs) (NCT NCT01253161)

NCT ID: NCT01253161

Last Updated: 2023-03-06

Results Overview

PFS: Defined as the time from the date of first study treatment to the date of the first documented disease progression, by Response Evaluation Criteria in Solid Tumors (RECIST 1.0) guidelines, or death due to any cause. Progressive Disease (PD): at least a 20% increase in the sum of the longest diameter of target lesions, taking as reference the smallest sum longest diameter recorded since the treatment started or the appearance of one or more new lesions.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

29 participants

Primary outcome timeframe

12 months

Results posted on

2023-03-06

Participant Flow

Participant milestones

Participant milestones
Measure
Pasireotide LAR Treatment
The investigational drug used in this study is pasireotide long acting release (LAR) 60 mg. Pasireotide Long Acting Release (LAR): Pasireotide will be administered as an intramuscular injection at the beginning of every cycle which is defined as 28 days (+/- 3 days). Study treatment should begin within 14 days following enrollment into the study and continue until disease progression, unacceptable toxicity, or withdrawal of consent.
Overall Study
STARTED
29
Overall Study
COMPLETED
28
Overall Study
NOT COMPLETED
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Pasireotide LAR Treatment
The investigational drug used in this study is pasireotide long acting release (LAR) 60 mg. Pasireotide Long Acting Release (LAR): Pasireotide will be administered as an intramuscular injection at the beginning of every cycle which is defined as 28 days (+/- 3 days). Study treatment should begin within 14 days following enrollment into the study and continue until disease progression, unacceptable toxicity, or withdrawal of consent.
Overall Study
Adverse Event
1

Baseline Characteristics

Study of Pasireotide Long Acting Release (LAR) in Patients With Metastatic Neuroendocrine Tumors (NETs)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Pasireotide LAR Treatment
n=29 Participants
The investigational drug used in this study is pasireotide long acting release (LAR) 60 mg. Pasireotide Long Acting Release (LAR): Pasireotide will be administered as an intramuscular injection at the beginning of every cycle which is defined as 28 days (+/- 3 days). Study treatment should begin within 14 days following enrollment into the study and continue until disease progression, unacceptable toxicity, or withdrawal of consent.
Age, Categorical
<=18 years
0 Participants
n=99 Participants
Age, Categorical
Between 18 and 65 years
22 Participants
n=99 Participants
Age, Categorical
>=65 years
7 Participants
n=99 Participants
Sex: Female, Male
Female
10 Participants
n=99 Participants
Sex: Female, Male
Male
19 Participants
n=99 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
3 Participants
n=99 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
25 Participants
n=99 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
1 Participants
n=99 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
Race (NIH/OMB)
Asian
1 Participants
n=99 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
Race (NIH/OMB)
Black or African American
3 Participants
n=99 Participants
Race (NIH/OMB)
White
23 Participants
n=99 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
Race (NIH/OMB)
Unknown or Not Reported
2 Participants
n=99 Participants
Region of Enrollment
United States
29 participants
n=99 Participants

PRIMARY outcome

Timeframe: 12 months

Population: Evaluable participants

PFS: Defined as the time from the date of first study treatment to the date of the first documented disease progression, by Response Evaluation Criteria in Solid Tumors (RECIST 1.0) guidelines, or death due to any cause. Progressive Disease (PD): at least a 20% increase in the sum of the longest diameter of target lesions, taking as reference the smallest sum longest diameter recorded since the treatment started or the appearance of one or more new lesions.

Outcome measures

Outcome measures
Measure
Pasireotide LAR Treatment
n=28 Participants
The investigational drug used in this study is pasireotide long acting release (LAR) 60 mg. Pasireotide Long Acting Release (LAR): Pasireotide will be administered as an intramuscular injection at the beginning of every cycle which is defined as 28 days (+/- 3 days). Study treatment should begin within 14 days following enrollment into the study and continue until disease progression, unacceptable toxicity, or withdrawal of consent.
Progression-free Survival (PFS) at One Year
11 months
Interval 7.6 to 16.0

SECONDARY outcome

Timeframe: Up to 48 months

Population: evaluable participants

Complete response (CR): complete disappearance of all target lesions, confirmed by repeat assessments at no less than 4 weeks after the criteria for response are first met. Partial response (PR): at least a 30% decrease in the sum of the longest diameter of target lesions, taking as reference the baseline sum longest diameter. This must be confirmed by repeat assessment at no less than 4 weeks after the criteria for response are first met. Stable Disease (SD): neither sufficient decrease to qualify for partial response nor sufficient increase to qualify for progressive disease, taking as reference the smallest sum longest diameter since the treatment started.

Outcome measures

Outcome measures
Measure
Pasireotide LAR Treatment
n=28 Participants
The investigational drug used in this study is pasireotide long acting release (LAR) 60 mg. Pasireotide Long Acting Release (LAR): Pasireotide will be administered as an intramuscular injection at the beginning of every cycle which is defined as 28 days (+/- 3 days). Study treatment should begin within 14 days following enrollment into the study and continue until disease progression, unacceptable toxicity, or withdrawal of consent.
Overall Radiographic Response Rate (ORR)
Partial Response
4 percentage of participants
Overall Radiographic Response Rate (ORR)
Stable Disease
60 percentage of participants
Overall Radiographic Response Rate (ORR)
Progressive Disease
36 percentage of participants

SECONDARY outcome

Timeframe: Up to 48 months

Population: All participants who received at least one dose of study drug

Adverse Events (AEs) and Serious Adverse Events (SAEs) will be evaluated continuously throughout the study. Safety and tolerability will be assessed according to the NIH/NCI Common Terminology Criteria for Adverse Events version 4.0 (CTCAE v4.0).

Outcome measures

Outcome measures
Measure
Pasireotide LAR Treatment
n=29 Participants
The investigational drug used in this study is pasireotide long acting release (LAR) 60 mg. Pasireotide Long Acting Release (LAR): Pasireotide will be administered as an intramuscular injection at the beginning of every cycle which is defined as 28 days (+/- 3 days). Study treatment should begin within 14 days following enrollment into the study and continue until disease progression, unacceptable toxicity, or withdrawal of consent.
Adverse Events Possibly Related to Study Treatment
42 events

Adverse Events

Pasireotide LAR Treatment

Serious events: 12 serious events
Other events: 28 other events
Deaths: 6 deaths

Serious adverse events

Serious adverse events
Measure
Pasireotide LAR Treatment
n=29 participants at risk
The investigational drug used in this study is pasireotide long acting release (LAR) 60 mg. Pasireotide Long Acting Release (LAR): Pasireotide will be administered as an intramuscular injection at the beginning of every cycle which is defined as 28 days (+/- 3 days). Study treatment should begin within 14 days following enrollment into the study and continue until disease progression, unacceptable toxicity, or withdrawal of consent.
Investigations
Platelet count decreased
3.4%
1/29 • Number of events 1 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Infections and infestations
Kidney infection
3.4%
1/29 • Number of events 1 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Infections and infestations
Skin infection
3.4%
1/29 • Number of events 1 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Cardiac disorders
Cardiac Disorders - Other
3.4%
1/29 • Number of events 1 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Gastrointestinal disorders
Dueodenal obstruction
3.4%
1/29 • Number of events 1 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Infections and infestations
Lung infection
3.4%
1/29 • Number of events 1 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Cardiac disorders
Sinus tachycardia
3.4%
1/29 • Number of events 1 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Gastrointestinal disorders
Gastrointestinal disorders - Other
3.4%
1/29 • Number of events 1 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Gastrointestinal disorders
Nausea
6.9%
2/29 • Number of events 2 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Gastrointestinal disorders
Anorexia
3.4%
1/29 • Number of events 1 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Gastrointestinal disorders
Abdominal pain
6.9%
2/29 • Number of events 2 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Gastrointestinal disorders
Colonic perforation
3.4%
1/29 • Number of events 1 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Gastrointestinal disorders
Vomiting
3.4%
1/29 • Number of events 1 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Infections and infestations
Bladder infection
3.4%
1/29 • Number of events 1 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Investigations
Creatinine increased
3.4%
1/29 • Number of events 1 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Musculoskeletal and connective tissue disorders
Pain in extremity
3.4%
1/29 • Number of events 1 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Gastrointestinal disorders
Ileal obstruction
3.4%
1/29 • Number of events 2 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.

Other adverse events

Other adverse events
Measure
Pasireotide LAR Treatment
n=29 participants at risk
The investigational drug used in this study is pasireotide long acting release (LAR) 60 mg. Pasireotide Long Acting Release (LAR): Pasireotide will be administered as an intramuscular injection at the beginning of every cycle which is defined as 28 days (+/- 3 days). Study treatment should begin within 14 days following enrollment into the study and continue until disease progression, unacceptable toxicity, or withdrawal of consent.
Metabolism and nutrition disorders
Hyperglycemia
82.8%
24/29 • Number of events 147 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Metabolism and nutrition disorders
Anorexia
13.8%
4/29 • Number of events 5 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Metabolism and nutrition disorders
Hyperkalemia
6.9%
2/29 • Number of events 14 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Metabolism and nutrition disorders
Hyponatremia
6.9%
2/29 • Number of events 12 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Metabolism and nutrition disorders
Dehydration
3.4%
1/29 • Number of events 1 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Metabolism and nutrition disorders
Glucose intolerance
3.4%
1/29 • Number of events 1 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Metabolism and nutrition disorders
Hypercalcemia
3.4%
1/29 • Number of events 5 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Metabolism and nutrition disorders
Hypermagnesemia
3.4%
1/29 • Number of events 1 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Metabolism and nutrition disorders
Hypokalemia
3.4%
1/29 • Number of events 1 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Gastrointestinal disorders
Diarrhea
37.9%
11/29 • Number of events 13 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Gastrointestinal disorders
Abdominal pain
31.0%
9/29 • Number of events 17 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Gastrointestinal disorders
Constipation
20.7%
6/29 • Number of events 7 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Gastrointestinal disorders
Nausea
17.2%
5/29 • Number of events 6 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Gastrointestinal disorders
Vomiting
17.2%
5/29 • Number of events 6 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Gastrointestinal disorders
Gastrointestinal disorders - Other
13.8%
4/29 • Number of events 4 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Gastrointestinal disorders
Bloating
6.9%
2/29 • Number of events 5 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Gastrointestinal disorders
Dyspepsia
3.4%
1/29 • Number of events 1 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Gastrointestinal disorders
Flatulence
3.4%
1/29 • Number of events 2 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Gastrointestinal disorders
Gastritis
3.4%
1/29 • Number of events 1 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Gastrointestinal disorders
Malabsorption
3.4%
1/29 • Number of events 1 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Gastrointestinal disorders
Mucositis oral
3.4%
1/29 • Number of events 1 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Gastrointestinal disorders
Small intestinal obstruction
3.4%
1/29 • Number of events 1 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
General disorders
Fatigue
41.4%
12/29 • Number of events 19 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
General disorders
Edema limbs
13.8%
4/29 • Number of events 4 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
General disorders
Pain
10.3%
3/29 • Number of events 3 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
General disorders
Chills
6.9%
2/29 • Number of events 2 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
General disorders
Fever
6.9%
2/29 • Number of events 2 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
General disorders
Non-cardiac chest pain
3.4%
1/29 • Number of events 1 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Musculoskeletal and connective tissue disorders
Back pain
13.8%
4/29 • Number of events 6 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Musculoskeletal and connective tissue disorders
Myalgia
10.3%
3/29 • Number of events 3 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Musculoskeletal and connective tissue disorders
Bone pain
6.9%
2/29 • Number of events 2 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
General disorders
Pain in extremity
6.9%
2/29 • Number of events 2 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Musculoskeletal and connective tissue disorders
Arthralgia
3.4%
1/29 • Number of events 1 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Musculoskeletal and connective tissue disorders
Musculoskeletal and connective tissue disorder - Other
3.4%
1/29 • Number of events 1 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Musculoskeletal and connective tissue disorders
Neck pain
3.4%
1/29 • Number of events 1 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Investigations
Alkaline phosphatase increased
10.3%
3/29 • Number of events 4 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Investigations
Alanine aminotransferase increased
6.9%
2/29 • Number of events 8 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Investigations
Aspartate aminotransferase increased
6.9%
2/29 • Number of events 2 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Investigations
Creatinine increased
6.9%
2/29 • Number of events 5 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Investigations
Weight loss
6.9%
2/29 • Number of events 3 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Investigations
Blood bilirubin increased
3.4%
1/29 • Number of events 1 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Investigations
Investigations - Other
3.4%
1/29 • Number of events 1 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Investigations
Pancreatic enzymes decreased
3.4%
1/29 • Number of events 1 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Investigations
Platelet count decreased
3.4%
1/29 • Number of events 3 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Investigations
Weight gain
3.4%
1/29 • Number of events 2 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Vascular disorders
Hypertension
27.6%
8/29 • Number of events 30 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Vascular disorders
Flushing
3.4%
1/29 • Number of events 1 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Vascular disorders
Hot flashes
3.4%
1/29 • Number of events 1 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Nervous system disorders
Headache
17.2%
5/29 • Number of events 7 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Nervous system disorders
Dizziness
13.8%
4/29 • Number of events 4 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Nervous system disorders
Dysgeusia
3.4%
1/29 • Number of events 1 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Nervous system disorders
Nervous system disorders - Other
3.4%
1/29 • Number of events 1 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Nervous system disorders
Peripheral sensory neuropathy
3.4%
1/29 • Number of events 1 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Respiratory, thoracic and mediastinal disorders
Dyspnea
17.2%
5/29 • Number of events 5 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Respiratory, thoracic and mediastinal disorders
Cough
6.9%
2/29 • Number of events 2 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Respiratory, thoracic and mediastinal disorders
Respiratory, thoracic and mediastinal disorders - Other
6.9%
2/29 • Number of events 2 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Respiratory, thoracic and mediastinal disorders
Hoarseness
3.4%
1/29 • Number of events 1 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Respiratory, thoracic and mediastinal disorders
Productive cough
3.4%
1/29 • Number of events 1 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Respiratory, thoracic and mediastinal disorders
Sneezing
3.4%
1/29 • Number of events 1 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Respiratory, thoracic and mediastinal disorders
Wheezing
3.4%
1/29 • Number of events 1 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Infections and infestations
Bladder infection
3.4%
1/29 • Number of events 1 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Infections and infestations
Bronchial infection
3.4%
1/29 • Number of events 1 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Infections and infestations
Infections and infestations - Other
3.4%
1/29 • Number of events 1 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Infections and infestations
Skin infection
3.4%
1/29 • Number of events 1 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Infections and infestations
Urinary tract infection
3.4%
1/29 • Number of events 1 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Skin and subcutaneous tissue disorders
Rash maculo-papular
10.3%
3/29 • Number of events 3 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Skin and subcutaneous tissue disorders
Skin and subcutaneous tissue disorders - Other
6.9%
2/29 • Number of events 2 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Skin and subcutaneous tissue disorders
Dry skin
3.4%
1/29 • Number of events 1 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Skin and subcutaneous tissue disorders
Pruritus
3.4%
1/29 • Number of events 1 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Eye disorders
Blurred vision
6.9%
2/29 • Number of events 2 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Eye disorders
Eye disorders - Other
3.4%
1/29 • Number of events 1 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Psychiatric disorders
Depression
6.9%
2/29 • Number of events 3 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Psychiatric disorders
Anxiety
3.4%
1/29 • Number of events 1 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Psychiatric disorders
Insomnia
3.4%
1/29 • Number of events 1 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Blood and lymphatic system disorders
Anemia
6.9%
2/29 • Number of events 6 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Cardiac disorders
Cardiac disorders - Other
6.9%
2/29 • Number of events 3 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Renal and urinary disorders
Renal and urinary disorders - Other
3.4%
1/29 • Number of events 2 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Renal and urinary disorders
Urinary frequency
3.4%
1/29 • Number of events 1 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Reproductive system and breast disorders
Breast pain
3.4%
1/29 • Number of events 1 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Reproductive system and breast disorders
Vaginal discharge
3.4%
1/29 • Number of events 1 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Hepatobiliary disorders
Cholecystitis
3.4%
1/29 • Number of events 1 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.
Injury, poisoning and procedural complications
Bruising
3.4%
1/29 • Number of events 1 • Adverse events collected for 28 days after last dose of study drug, up to 60 months.

Additional Information

Jonathan Strosberg, MD

Moffitt Cancer Center

Phone: 813-745-6585

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place