3-arm Trial to Evaluate Pasireotide LAR/Everolimus Alone/in Combination in Patients With Lung/Thymus NET - LUNA Trial

This study is not yet open for participant recruitment.
Verified April 2013 by Novartis
Sponsor:
Information provided by (Responsible Party):
Novartis ( Novartis Pharmaceuticals )
ClinicalTrials.gov Identifier:
NCT01563354
First received: March 20, 2012
Last updated: April 10, 2013
Last verified: April 2013
  Purpose

The purpose of this study is to test the effectiveness and safety of everolimus or pasireotide LAR alone or in combination in patients with your disease.

More specifically, this study aims to find out if the study drugs everolimus or pasireotide LAR alone or in combination (LAR stands for long-acting release) are safe and have beneficial effects in patients who have a neuroendocrine carcinoma of the lung and thymus. The studied treatment aims to shrink tumor size or stop the progression of your disease. The assessment will be based on measuring changes in the size of the tumor.


Condition Intervention Phase
Neuroendocrine Carcinoma of the Lung and Thymus
Drug: Pasireotide LAR
Drug: Everolimus
Drug: Pasireotide LAR + Everolimus
Phase 2

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: Multicenter 3-arm Trial to Evaluate the Efficacy and Safety of Pasireotide LAR or Everolimus Alone or in Combination in Patients With Well Differentiated Neuroendocrine Carcinoma of the Lung and Thymus - LUNA Trial

Resource links provided by NLM:


Further study details as provided by Novartis:

Primary Outcome Measures:
  • Proportion of patients progression-free at 12 months [ Time Frame: 12 months ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Progression-free survival [ Time Frame: Every 3 months up to Year 1 ] [ Designated as safety issue: No ]
    Time from first study drug administration to objective tumor progression or death from any cause

  • Disease control rate [ Time Frame: Every 3 months up to Year 1 ] [ Designated as safety issue: No ]
    Proportion of patients showing a best overall response of complete response, partial response or stable disease during 12 months of treatment

  • Time to response [ Time Frame: Every 3 months up to Year 1 ] [ Designated as safety issue: No ]
    Time from start of treatment to the first observed objective tumor response (partial response or complete response)

  • Duration of response [ Time Frame: Every 3 months up to Year 1 ] [ Designated as safety issue: No ]
    Time from onset of the first objective tumor response (partial response or complete response) to objective tumor progression or death from any cause

  • Time to progression [ Time Frame: Every 3 months up to Year 1 ] [ Designated as safety issue: No ]
    Time from date of start of treatment to date of event defined as the first documented progression or death due to underling disease.

  • Biochemical response rate [ Time Frame: Every 3 months up to Year 1 ] [ Designated as safety issue: No ]
    Percentage of patients showing normalization or a decrease > or = 50% of serum CgA, urinary 5HIAA

  • Rate and severity of adverse events [ Time Frame: Week 2, 3 and 4; every month up to Year 3 ] [ Designated as safety issue: Yes ]

Estimated Enrollment: 112
Study Start Date: June 2013
Estimated Study Completion Date: December 2016
Estimated Primary Completion Date: January 2015 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Pasireotide LAR
60 mg i.m. injected once every 28 days
Drug: Pasireotide LAR
60 mg i.m. injected once every 28 days
Experimental: Everolimus
10 mg p.o. daily
Drug: Everolimus
10 mg p.o. daily
Experimental: Pasireotide LAR + Everolimus
Pasireotide LAR 60 mg i.m. injected once every 28 days + Everolimus 10 mg p.o. daily
Drug: Pasireotide LAR + Everolimus
Pasireotide LAR 60 mg i.m. injected once every 28 days + Everolimus 10 mg p.o. daily

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Histological confirmed advanced well differentiated carcinoma of the lung and thymus
  • Patients of all treatment lines can be included
  • At least one measurable lesion of disease on CT scan or MRI
  • Radiological documentation of disease progression within 12 months prior to randomization
  • Adequate liver, renal and bone marrow function
  • WHO Performance Status 0-2

Exclusion Criteria:

  • Poorly differentiated neuroendocrine carcinoma
  • Non-neuroendocrine thymoma
  • Patients with severe functional disease requiring symptomatic treatment with somatostatin analogs
  • Prior therapy with mTOR inhibitors
  • History of liver disease
  • Baseline QTcF> 470 msec
  • Uncontrolled diabetes mellitus despite adequate therapy

Other protocol-defined inclusion/exclusion criteria may apply.

  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01563354

Contacts
Contact: Novartis Pharmaceuticals +41613241111
Contact: Novartis Pharmaceuticals

Locations
Denmark
Novartis Investigative Site Not yet recruiting
Aarhus, Denmark, 8000 C
Novartis Investigative Site Not yet recruiting
Copenhagen, Denmark, DK-2100
France
Novartis Investigative Site Not yet recruiting
LILLE Cedex, France, 59037
Novartis Investigative Site Not yet recruiting
Lyon, France, 69437
Novartis Investigative Site Not yet recruiting
Marseille cedex 20, France, 13915
Novartis Investigative Site Not yet recruiting
Rennes, France, F-35043
Novartis Investigative Site Not yet recruiting
Strasbourg Cedex, France, 67091
Novartis Investigative Site Not yet recruiting
Toulouse Cedex 9, France, 31059
Novartis Investigative Site Not yet recruiting
Villejuif Cedex, France, 94805
Italy
Novartis Investigative Site Not yet recruiting
Ancona, AN, Italy, 60126
Novartis Investigative Site Not yet recruiting
Avellino, AV, Italy, 83100
Novartis Investigative Site Not yet recruiting
Viagrande, CT, Italy, 95029
Novartis Investigative Site Not yet recruiting
Milano, MI, Italy, 20141
Novartis Investigative Site Not yet recruiting
Padova, PD, Italy, 35100
Novartis Investigative Site Not yet recruiting
Perugia, PG, Italy, 06129
Novartis Investigative Site Not yet recruiting
Parma, PR, Italy, 43100
Novartis Investigative Site Not yet recruiting
Roma, RM, Italy, 00128
Novartis Investigative Site Not yet recruiting
Orbassano, TO, Italy, 10043
Novartis Investigative Site Not yet recruiting
Napoli, Italy, 80131
Spain
Novartis Investigative Site Not yet recruiting
Cordoba, Andalucia, Spain, 14004
Novartis Investigative Site Not yet recruiting
Granada, Andalucía, Spain, 18014
Novartis Investigative Site Not yet recruiting
Sevilla, Andalucía, Spain, 41013
Novartis Investigative Site Not yet recruiting
Barcelona, Cataluna, Spain, 08025
Novartis Investigative Site Not yet recruiting
Valencia, Comunidad Valenciana, Spain, 46014
Novartis Investigative Site Not yet recruiting
Madrid, Spain, 28046
Sweden
Novartis Investigative Site Not yet recruiting
Lund, Sweden, SE-221 85
Novartis Investigative Site Not yet recruiting
Uppsala, Sweden, SE-751 85
Switzerland
Novartis Investigative Site Not yet recruiting
St. Gallen, Switzerland, 9007
Sponsors and Collaborators
Novartis Pharmaceuticals
Investigators
Study Director: Novartis Pharmaceuticals Novartis Pharmaceuticals
  More Information

No publications provided

Responsible Party: Novartis ( Novartis Pharmaceuticals )
ClinicalTrials.gov Identifier: NCT01563354     History of Changes
Other Study ID Numbers: CSOM230DIC03, 2011-002872-17
Study First Received: March 20, 2012
Last Updated: April 10, 2013
Health Authority: United States: Food and Drug Administration

Keywords provided by Novartis:
neuroendocrine carcinoma; lung; thymus; pasireotide LAR; everolimus

Additional relevant MeSH terms:
Carcinoma
Lung Neoplasms
Carcinoma, Neuroendocrine
Neoplasms, Glandular and Epithelial
Neoplasms by Histologic Type
Neoplasms
Respiratory Tract Neoplasms
Thoracic Neoplasms
Neoplasms by Site
Lung Diseases
Respiratory Tract Diseases
Neuroendocrine Tumors
Neuroectodermal Tumors
Neoplasms, Germ Cell and Embryonal
Adenocarcinoma
Neoplasms, Nerve Tissue
Everolimus
Sirolimus
Immunosuppressive Agents
Immunologic Factors
Physiological Effects of Drugs
Pharmacologic Actions
Antibiotics, Antineoplastic
Antineoplastic Agents
Therapeutic Uses
Antifungal Agents
Anti-Infective Agents
Anti-Bacterial Agents

ClinicalTrials.gov processed this record on June 17, 2013