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Study of Panitumumab in the Treatment of Carcinoid Syndrome

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT01172717
Recruitment Status : Withdrawn (Study never began)
First Posted : July 30, 2010
Last Update Posted : July 26, 2013
Information provided by (Responsible Party):
Boston Medical Center

Brief Summary:
The primary hypothesis of this study is that panitumumab, an inhibitor of the epidermal growth factor receptor (EGFR), is an effective treatment for carcinoid syndrome in people who fail or do not adequately respond to octreotide or other supportive therapies.

Condition or disease Intervention/treatment Phase
Carcinoid Syndrome Drug: Panitumumab Phase 2

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 0 participants
Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Phase II Study of Panitumumab in the Treatment of Carcinoid Syndrome
Study Start Date : July 2013
Actual Primary Completion Date : July 2013
Actual Study Completion Date : July 2013

Arm Intervention/treatment
Experimental: Panitumumab
Single arm study
Drug: Panitumumab
Panitumumab will be given by intravenous infusion at a dose of 9 mg/kg on day 1 of study and then every 3 weeks until progression of disease
Other Names:
  • Vectibix

Primary Outcome Measures :
  1. Radiographic measures [ Time Frame: Every 4 cycles ]
  2. Tumor Marker Evaluations [ Time Frame: Every 2 cycles ]

Secondary Outcome Measures :
  1. Quality of LIfe [ Time Frame: Day 1 each cycle and 1 month follow-up ]

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Histologically or cytologically confirmed diagnosis of metastatic carcinoid tumor and carcinoid syndrome
  • Measurable disease as defined by RECIST criteria or evaluable disease

    1. Measurable disease is the presence of at least one measurable lesion. If the measurable disease is restricted to a solitary lesion, its neoplastic nature should be confirmed by cytology/histology. Measurable lesions are lesions that can be accurately measured in at least one dimension with longest diameter greater than or equal to 20 mm using conventional techniques or greater than or equal to 10 mm with spiral CT scan.
    2. Evaluable disease is disease that cannot be measured directly by the size of the tumor but can be evaluated by a validated biomarker assay including 24 hr urine 5-hydroxyindoleacetic acid, serum serotonin, and/or serum chromogranin A.
    3. All sites of disease must be evaluated less than or equal to 28 days prior to enrollment.
  • All subjects must be 18 years of age or older.
  • ECOG performance status of 0 to 2.
  • Subjects may have had past or may be receiving current treatment with octreotide.
  • Adequate laboratory parameters with all tests to be performed within 72 hours prior to the first dose.

    1. Absolute neutrophil count greater than or equal to 1.5 x 109/L
    2. Hemoglobin greater than or equal to 9.0 g/dL
    3. Platelet count greater than or equal to 100 x 109/L
    4. Serum creatinine less than 1.5 mg/dL
    5. Aspartate aminotransferase (AST) less than or equal to 3 times the upper limit of normal, unless with radiographic evidence of liver metastases. If with liver metastases, AST less than 5 times the upper limit of normal.
    6. Alanine aminotransferase (ALT) less than or equal to 3 times the upper limit of normal, unless with radiographic evidence of liver metastases. If with liver metastases, AST less than 5 times the upper limit of normal.
    7. Total Bilirubin less than or equal to 1.5 times the upper limit of normal.
    8. Magnesium level greater than lower limit of normal
  • Women of childbearing potential must have a negative serum pregnancy test performed within 7 days prior to the start of treatment
  • Women of childbearing potential and men must agree to use adequate contraception (barrier method of birth control) prior to study entry and for the duration of study participation. Woman and men should use adequate birth control for at least 6 months after the last administration of panitumumab.
  • Ability to understand and the willingness to sign a written informed consent. A signed informed consent must be obtained prior to any study specific procedures.

Exclusion Criteria:

  • Evidence of localized carcinoid tumor amenable to surgical resection or chemoembolization.
  • People who are asymptomatic from their carcinoid tumors.
  • Past treatment with EGFR inhibitors including cetuximab and panitumumab.
  • History of active malignancies requiring treatment in the past 5 years with the exception of resected basal cell carcinoma of the skin.
  • History of interstitial pneumonitis or pulmonary fibrosis.
  • History of cardiac arrhythmia or Q-T prolongation on electrocardiogram.
  • Women who are pregnant or breast feeding.
  • Known infection with human immunodeficiency virus (HIV).
  • Treatment with chemotherapy, biologics, immunotherapy, vaccines or cytokine therapy within 4 weeks prior to study entry. The use of octreotide is not exclusionary.
  • Major surgery, open biopsy or significant traumatic injury within 4 weeks of enrollment.
  • A negative octreotide scan does not exclude study enrollment.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT01172717

United States, Massachusetts
Boston Medical Center
Boston, Massachusetts, United States, 02118
Lahey Clinic
Burlington, Massachusetts, United States, 01805
Sponsors and Collaborators
Boston Medical Center
Principal Investigator: Kevan Hartshorn, MD Boston Medical Center

Responsible Party: Boston Medical Center Identifier: NCT01172717     History of Changes
Other Study ID Numbers: H-31701
First Posted: July 30, 2010    Key Record Dates
Last Update Posted: July 26, 2013
Last Verified: July 2013

Keywords provided by Boston Medical Center:
Carcinoid syndrome

Additional relevant MeSH terms:
Carcinoid Tumor
Malignant Carcinoid Syndrome
Serotonin Syndrome
Pathologic Processes
Neuroendocrine Tumors
Neuroectodermal Tumors
Neoplasms, Germ Cell and Embryonal
Neoplasms by Histologic Type
Neoplasms, Glandular and Epithelial
Neoplasms, Nerve Tissue
Drug-Related Side Effects and Adverse Reactions
Chemically-Induced Disorders
Antibodies, Monoclonal
Immunologic Factors
Physiological Effects of Drugs