CClinicalTrials.gg
CompletedNCT00353496CLARINETUpdated Mar 5, 2025Results posted

Study of Lanreotide Autogel in Non-functioning Entero-pancreatic Endocrine Tumours

A Phase 3 interventional study of lanreotide (Autogel formulation) and Placebo in Endocrine Tumors, sponsored by Ipsen. Completed at 71 sites in 15 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-03-05.

Sponsored by Ipsen · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
264
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The study will compare the difference between lanreotide Autogel and placebo on progression free survival in patients who have an endocrine tumour in the pancreas or intestines.

02

Conditions studied

  • Endocrine Tumors

Keywords

  • Non functioning entero-pancreatic tumours
03

In context

Endocrine Gland Neoplasms

89 studies on the registry are indexed under Endocrine Gland Neoplasms; 24 are open to participants now.

This study's enrollment of 264 is above the median of 45 across 51 interventional studies indexed under Endocrine Gland Neoplasms.

Browse Endocrine Gland Neoplasms studies →

Lead sponsor

Ipsen is the lead sponsor of 282 studies on the registry; 16 are open to participants now.

Of its 24 completed or terminated interventional studies of FDA-regulated products, 19 (79%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Endocrine tumour in the intestine or pancreas and with locally advanced or metastatic disease
  • No hormone related symptoms
  • Well or moderately differentiated tumour confirmed by histology
  • Tumour lesions which are measurable by a CT or MRI scan

Exclusion criteria

Exclusion Criteria:

  • Previously treated with a somatostatin analogue unless more than 6 months ago and given for no more than 15 days
  • Treated within the last 6 months with interferon, chemoembolisation or chemotherapy or at any time with a radionuclide
  • Had a previous cancer except basal cell carcinoma and/or in situ carcinoma of the cervix/uterus and/or patients treated with curative intent and free from disease for 5 years
  • Pregnant or lactating
  • Females must use adequate contraception during the study
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
264 participants (actual)

Study arms

  • Experimental
    lanreotide (Autogel formulation)

    Drug: lanreotide (Autogel formulation)

  • Placebo comparator
    Placebo

    Drug: Placebo

Interventions

  • Druglanreotide (Autogel formulation)

    120mg administered via deep subcutaneous injection every 28 days for a maximum period of 96 weeks.

  • DrugPlacebo

    Saline solution 0.9% administered via deep subcutaneous injection every 28 days for a maximum period of 96 weeks.

06

What researchers measure

Primary outcomes

  1. Progression-Free Survival (PFS)

    Time from randomization to first documentation of disease progression, or death. Disease progression centrally assessed using Response Evaluation Criteria in Solid Tumours (RECIST) v1.0

    Time frame: From randomisation up to the last tumour assessment (scheduled at 96 weeks). Radiological scans were performed every 12 weeks during the first year and every 24 weeks during the second year

Secondary outcomes

  1. Percentage of Patients Alive & Without Disease Progression

    Percentage of patients still ongoing (or completing at Week 96) without centrally assessed disease progression or death at Weeks 48 and 96.

    Time frame: Week 48 & 96

  2. Pharmacokinetic Profile of Lanreotide

    Pharmacokinetic Profile of Lanreotide assessed by mean serum concentration at specified timepoints

    Time frame: Week 4, 12, 24, 36, 48, 72, 96

  3. Change in the Global Health Status Quality of Life Assessment

    Transformed scores from European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire responses (QLQ)-C30. Questionnaire response scores range from 0 to 100. Higher scores indicate best possible Quality of Life.

    Time frame: Week 12 to Week 96 (last visit)

  4. Percentage of Patients With a Greater Than or Equal to 50% Decrease in Plasma Chromogranin A (CgA) Levels

    Time frame: Week 12 to Week 96 (last visit)

  5. Percentage of Patients Still Alive Based on Available Overall Survival Data

    Overall survival defined as the time from randomisation to death due to any cause. Subjects were followed for overall survival beyond study completion/withdrawal via annual telephone contact until the last subject completed the study.

    Time frame: Randomisation to death or last visit, up to 321 weeks

07

Results

Posted Feb 18, 2015

Participant flow

264 subjects were screened at 48 investigational sites in 14 countries (Austria, Belgium, Czech Republic, Denmark, France, Germany, India, Italy, Poland, Slovakia, Spain, Sweden, United Kingdom and the United States of America). 204 subjects were randomised to receive study treatment in the Intent to treat (ITT) population.

Participant flow — Overall Study
MilestoneLanreotide (Autogel Formulation)Placebo
Started101103
Completed8586
Not completed1617
Withdrew: Adverse event10
Withdrew: Protocol violation22
Withdrew: Withdrawal by subject34
Withdrew: Physician decision69
Withdrew: Not otherwise specified42

Outcome measures

PrimaryProgression-Free Survival (PFS)

Time from randomization to first documentation of disease progression, or death. Disease progression centrally assessed using Response Evaluation Criteria in Solid Tumours (RECIST) v1.0

Time frame:
From randomisation up to the last tumour assessment (scheduled at 96 weeks). Radiological scans were performed every 12 weeks during the first year and every 24 weeks during the second year
Reported as:
Median · Weeks
Progression-Free Survival (PFS)
WeeksLanreotide (Autogel Formulation)Placebo
Progression-Free Survival (PFS)NA (NA to NA)72 (48.6 to 96.0)
Statistical analysis
  • Lanreotide (Autogel Formulation) vs Placebo · Log Rank · p = <0.001 (No p-value adjustment for multiple comparisons.) · Hazard ratio (hr): 0.47 · 95% CI 0.30 to 0.73The log rank test was stratified according to progression status at baseline and prior therapy.
SecondaryPercentage of Patients Alive & Without Disease Progression

Percentage of patients still ongoing (or completing at Week 96) without centrally assessed disease progression or death at Weeks 48 and 96.

Time frame:
Week 48 & 96
Reported as:
Number · Percentage of participants
Percentage of Patients Alive & Without Disease Progression
Percentage of participantsLanreotide (Autogel Formulation)Placebo
Week 486649
Week 965325
SecondaryPharmacokinetic Profile of Lanreotide

Pharmacokinetic Profile of Lanreotide assessed by mean serum concentration at specified timepoints

Time frame:
Week 4, 12, 24, 36, 48, 72, 96
Reported as:
Mean · ng/mL
Pharmacokinetic Profile of Lanreotide
ng/mLLanreotide (Autogel Formulation)
At Week 4 predose (n=81)2.5 ± 0.46
At Week 12 predose (n=87)5.0 ± 0.42
At Week 24 predose (n=74)6.1 ± 0.44
At Week 36 predose (n=67)6.2 ± 0.39
At Week 48 predose (n=62)6.6 ± 0.45
At Week 72 predose (n=52)6.8 ± 0.44
At Week 96 predose (n=48)6.6 ± 0.39
SecondaryChange in the Global Health Status Quality of Life Assessment

Transformed scores from European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire responses (QLQ)-C30. Questionnaire response scores range from 0 to 100. Higher scores indicate best possible Quality of Life.

Time frame:
Week 12 to Week 96 (last visit)
Reported as:
Least squares mean · score on a scale
Change in the Global Health Status Quality of Life Assessment
score on a scaleLanreotide (Autogel Formulation)Placebo
Change in the Global Health Status Quality of Life Assessment-5.2 ± 3.7-4.9 ± 3.7
SecondaryPercentage of Patients With a Greater Than or Equal to 50% Decrease in Plasma Chromogranin A (CgA) Levels
Time frame:
Week 12 to Week 96 (last visit)
Reported as:
Number · percentage of participants
Percentage of Patients With a Greater Than or Equal to 50% Decrease in Plasma Chromogranin A (CgA) Levels
percentage of participantsLanreotide (Autogel Formulation)Placebo
Percentage of Patients With a Greater Than or Equal to 50% Decrease in Plasma Chromogranin A (CgA) Levels42.24.7
SecondaryPercentage of Patients Still Alive Based on Available Overall Survival Data

Overall survival defined as the time from randomisation to death due to any cause. Subjects were followed for overall survival beyond study completion/withdrawal via annual telephone contact until the last subject completed the study.

Time frame:
Randomisation to death or last visit, up to 321 weeks
Reported as:
Number · percentage of participants
Percentage of Patients Still Alive Based on Available Overall Survival Data
percentage of participantsLanreotide (Autogel Formulation)Placebo
Percentage of Patients Still Alive Based on Available Overall Survival Data8477

Adverse events

Collected over Total exposure to treatment was 138.0 subject years for lanreotide vs 123.6 subject years for placebo.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Lanreotide (Autogel Formulation)—25/101 (24.8%)88/101 (87.1%)
Placebo—32/103 (31.1%)92/103 (89.3%)
Most frequent serious events
Showing 10 of 76
Most frequent serious events
EventLanreotide (Autogel Formulation)Placebo
VomitingGastrointestinal disorders4/1012/103
AnaemiaBlood and lymphatic system disorders3/1010/103
Urinary tract infectionInfections and infestations3/1011/103
Confusional statePsychiatric disorders0/1013/103
Abdominal pain upperGastrointestinal disorders2/1010/103
Hepatic failureHepatobiliary disorders2/1010/103
HyperglycaemiaMetabolism and nutrition disorders2/1010/103
Intestinal obstructionGastrointestinal disorders2/1011/103
Liver abscessInfections and infestations2/1010/103
PneumoniaInfections and infestations2/1010/103
Most frequent other events
Showing 10 of 37
Most frequent other events
EventLanreotide (Autogel Formulation)Placebo
DiarrhoeaGastrointestinal disorders35/10137/103
Abdominal painGastrointestinal disorders23/10118/103
VomitingGastrointestinal disorders17/10110/103
NasopharyngitisInfections and infestations9/10117/103
HeadacheNervous system disorders16/10111/103
FatigueGeneral disorders11/10116/103
CholelithiasisHepatobiliary disorders15/1017/103
NauseaGastrointestinal disorders15/10113/103
ConstipationGastrointestinal disorders11/10114/103
HypertensionVascular disorders13/1015/103

Baseline characteristics

Analysis based on intent-to-treat (ITT) population comprised of 204 subjects.

Age, Continuous
Age, Continuous(years)Lanreotide (Autogel Formulation)PlaceboTotal
Mean63 ± 1062 ± 1163 ± 11
Sex: Female, Male
Sex: Female, Male(Participants)Lanreotide (Autogel Formulation)PlaceboTotal
Female484997
Male5354107
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Lanreotide (Autogel Formulation)PlaceboTotal
American Indian or Alaska Native000
Asian257
Native Hawaiian or Other Pacific Islander000
Black or African American224
White9796193
More than one race000
Unknown or Not Reported000
Time since diagnosis
Time since diagnosis(months)Lanreotide (Autogel Formulation)PlaceboTotal
Mean32.6 ± 46.134.4 ± 41.433.5 ± 43.7
Neuroendocrine tumour (NET) origin
Neuroendocrine tumour (NET) origin(participants)Lanreotide (Autogel Formulation)PlaceboTotal
Pancreas424991
Midgut334073
Hindgut11314
Unknown/Other151126
Chromogranin A
Chromogranin A(participants)Lanreotide (Autogel Formulation)PlaceboTotal
≤1 × ULN333467
1-2 × ULN251843
>2 × ULN414889
Unknown235
08

Study locations

71 sites
  • Cedars-Sinai Outpatient Cancer Center
    Los Angeles, California 90048, United States
  • University of Iowa
    Iowa City, Iowa 52242, United States
  • The John Hopkins Hospital
    Baltimore, Maryland 21287-4606, United States
  • Dana Farber Cancer Institute
    Boston, Massachusetts 02115, United States
  • Memorial Sloan-Kettering Cancer Center
    New York, New York 10065, United States
  • Providence Portland Medical Center
    Portland, Oregon 97213, United States
  • MD Anderson Cancer Center
    Houston, Texas 77030-4009, United States
  • University of Wisconsin School of Medicine and Public Health
    Madison, Wisconsin 53792-5666, United States
  • University Hospital
    Vienna, Austria
  • UZ Antwerpen
    Antwerpen, Belgium
  • UCL Saint Luc
    Bruxelles, Belgium
  • UZ Gent
    Gent, Belgium
  • Fakultni nemocnice Na
    Bulovce, Prague, Czechia
  • Fekultni nemocnice Olomouc
    Olomouc, Czechia
  • General faculty
    Praha, Czechia
  • Sygehus Hospital
    Aarhus, Denmark
  • Rigshospitalet
    Copenhagen, Denmark
  • Hôpital A. Paré
    Boulogne Billancourt, 92100, France
  • Hôpital Beaujon
    Clichy, 92118, France
  • CAC Oscar Lambret
    Lille, 59020, France
  • Hôpital Edouard Herriot
    Lyon, 69437, France
  • CHU la Timone
    Marseille, 13385, France
  • Hôpital R. Debré
    Reims, 51092, France
  • CHI Frejus St Raphael
    St Raphael, 83300, France
  • Hôpital Rangueil
    Toulouse, 31059, France
  • Unité de gastro enterologie IGR
    Villejuif, 94805, France
  • Charite Hospital
    Berlin, Germany
  • University Hospital
    Erlangen, Germany
  • University Hospital
    Lubeck, Germany
  • Gutenberg University Hospital
    Mainz, Germany
  • University Hospital
    Munchen, Germany
  • Lukas Hospital
    Neuss, Germany
  • Global Hospital
    Hyderabad, India
  • Tata Memorial Hospital
    Mumbai, India
  • Centro di Refierimiento Oncologica
    Aviano, Italy
  • Azienda Malpighi
    Bologna, Italy
  • INSCT
    Milano, Italy
  • University of Naples
    Naples, Italy
  • Hospital S. Chiara
    Pisa, Italy
  • Azienda San Giovanni Battista
    Torino, Italy
  • UMC Gronigen
    Gronigen, Netherlands
  • Erasmu MC
    Rotterdam, Netherlands
  • UMC Utrecht
    Utrecht, Netherlands
  • Centrum Onkologii-Instytut im. Marii Sklodowskiej - Curie, oddzial w Gliwicach, Zaklad Medycyny Nuklearnej i Endokrynologii Onkologicznej ul.
    Gliwice, Poland
  • Katedra i Klinika Endokrynologii Przemiany Materii i Chorob Wewnetrznych Uniwersytetu Medycznego w Poznaniu
    Poznan, Poland
  • Samodzielny Publiczny Centralny Szpital Kliniczny, Katedra i Klinika Chorob Wewnetrznych I Endokrynologii ul. Banacha 1 a
    Warszawa, Poland
  • Szpital Bielanski im. Ks. Jerzego Popieluszki, Samodzielny Publiczny Zaklad Opieki Zdrowotnej, Klinika Endokrynologii Centrum Medycznego Ksztalcenia Podyplomowego
    Warszawa, Poland
  • Zaklad Diagnosttyki Radiologicznej, Centralny Szpital Klincny, Ministrerstwa Spraw Wewnetrznych i Administratracji w Warzawie
    Warszawa, Poland
  • Silesian Medical University
    Zabrze, Poland
  • Narodny onkologicky ustav, Bratislava
    Slovakia, Slovakia
  • Vychodoslovensky onkologicky ustav, Rastislavova
    Slovakia, Slovakia
  • Hospital Vall d'Hebron
    Barcelona, Spain
  • Institut Catala Oncologia
    Barcelona, Spain
  • Hospital G. Maranon
    Madrid, Spain
  • Hospital La Paz
    Madrid, Spain
  • Hospital Nuestra Senora de la Candelaria
    Tenerife, Spain
  • Sahlgrenska Hospital
    Goteborg, Sweden
  • Karolinska University Hospital
    Stockholm, Sweden
  • University Hospital
    Uppsala, Sweden
  • Basingstoke and North Hampshire Hospital
    Basingstoke, United Kingdom
  • Royal Victoria Hospital
    Belfast, United Kingdom
  • University Hospital Wales
    Cardiff, United Kingdom
  • Western General Hospital
    Edinburgh, United Kingdom
  • Beatson West of Scotland Cancer Centre
    Glasgow, United Kingdom
  • St James Hospital
    Leeds, United Kingdom
  • Leicester Royal Infirmary
    Leicester, United Kingdom
  • Royal Free Hospital
    London, United Kingdom
  • St Bartholomew's Hospital
    London, United Kingdom
  • QMC
    Nottingham, United Kingdom
  • Churchill Hospital
    Oxford, United Kingdom
  • Royal Hallamshire Hospital
    Sheffield, United Kingdom
09

References and documents

Publications

  • Caplin ME, Pavel M, Cwikla JB, Phan AT, Raderer M, Sedlackova E, Cadiot G, Wolin EM, Capdevila J, Wall L, Rindi G, Langley A, Martinez S, Blumberg J, Ruszniewski P; CLARINET Investigators. Lanreotide in metastatic enteropancreatic neuroendocrine tumors. N Engl J Med. 2014 Jul 17;371(3):224-33. doi: 10.1056/NEJMoa1316158. PubMed 25014687 ↗
  • Caplin ME, Pavel M, Phan AT, Cwikla JB, Sedlackova E, Thanh XT, Wolin EM, Ruszniewski P; CLARINET Investigators. Lanreotide autogel/depot in advanced enteropancreatic neuroendocrine tumours: final results of the CLARINET open-label extension study. Endocrine. 2021 Feb;71(2):502-513. doi: 10.1007/s12020-020-02475-2. Epub 2020 Oct 14. PubMed 33052555 ↗
  • Lybaert W, Van Hul E, Woestenborghs H. Long-term disease control of a pancreatic neuroendocrine tumor with lanreotide autogel((R)): a case report. Case Rep Oncol. 2014 Sep 26;7(3):673-80. doi: 10.1159/000368207. eCollection 2014 Sep. PubMed 25408662 ↗

Individual participant data

Plan to share: Yes — Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, annotated case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized, and study documents will be redacted to protect the privacy of study participants. Any requests should be submitted to www.vivli.org for assessment by an independent scientific review board.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 5, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT00353496
Lead sponsor
Ipsen
Responsible party
Sponsor
First posted
Jul 18, 2006
Start date
Jun 2006
Primary completion
Apr 2013
Completion
Apr 2013
Results posted
Feb 18, 2015
Last update
Mar 5, 2025

Study contacts

Medical Director, Endocrinology
study director · Ipsen

Oversight

FDA-regulated drug
Yes
View the source record on ClinicalTrials.gov ↗

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