Pancreatic Neuroendocrine Cancer
Conditions
Keywords
MRI, CT, 12-058
Brief summary
Sunitinib and everolimus are two new treatments approved in 2011 for patients with pancreatic neuroendocrine tumors (NETs). In addition, some traditional chemotherapies are often used to treat pancreatic NETs. Traditional chemotherapy is also known as cytotoxic therapy and works by killing cells that are actively dividing. There have been no studies to compare the different types of treatment. Since the patient is eligible for treatment with either sunitinib, everolimus or traditional chemotherapy it can help us identify factors that may help future patients benefit from these therapies.
Interventions
OTHERMRI
Patients will be treated with either sunitinib, everolimus, or traditional chemotherapy according to standard of care. Follow-up with imaging (either MRI or CT) will be performed approximately every 3 months. Unidimensional tumor measurement on standard CT and MRI sequences will be performed, according to guidelines from RECIST v1.1, which will be used to assess for progression of disease. Patients will be followed for up to 5 years. Upon evidence of disease progression, patients will be asked to undergo a post-treatment biopsy. If medically possible and safe, they will stay on the drug until the time of biopsy.
Sponsors
Memorial Sloan Kettering Cancer Center
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Histopathologic evidence of well differentiated pancreatic NET * Evidence of measurable disease by RECIST 1.1. Both patients with synchronous disease and those with prior resected primary cancers will be eligible. * Patient ≥18 years of age on the day of signing informed consent. * Planned initiation of active therapy with everolimus ,sunitinib or traditional cytotoxic chemotherapy. Patients can be included in this study, regardless of prior therapy, but cannot undergo concurrent therapy, such as hepatic artery embolization * Available archival tissue with adequate FFPE tissue for analysis verified by a pathologist (in cases of biopsies less than 2 cm and/or less than 70% tumor content 10 slides will be required for adequate DNA preparation. For larger biopsies and any resections, 5 slides are sufficient for DNA extraction).
Exclusion criteria
* Patient has a history of a second active malignancy with evidence of metastases. Patients with a history of resected prior malignancy are allowed. * Patient has known psychiatric or substance abuse disorders that would, in the opinion of the treating investigator, interfere with cooperation with the requirements of the trial.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Progression free survival | 2 years | standard MRI sequences will be performed, according to guidelines from RECIST 1.1. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Overall survival | 5 years | standard MRI sequences will be performed, according to guidelines from RECIST 1.1. |
| best response | 5 years | standard MRI sequences will be performed, according to guidelines from RECIST 1.1. |
Countries
United States
Outcome results
None listed