ClinicalTrials.gg
Active, not recruitingNCT03351296BETTER2Updated May 8, 2024

Two Chemotherapy Regimens Plus or Minus Bevacizumab

A Phase 2 interventional study of LV5FU2 and Streptozocin in Pancreatic Cancer, sponsored by Gustave Roussy, Cancer Campus, Grand Paris. Active, not recruiting at 20 sites in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-05-08.

Sponsored by Gustave Roussy, Cancer Campus, Grand Paris · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
140
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Compare the effect of capecitabine (cape) + temozolomide (temo) and of 5FU + streptozotocin (strepto) given with a new schedule (LV5FU2 + strepto), two of the most used chemotherapy regimens in the treatment of well differentiated pancreatic neuroendocrine tumors alone or in combination with bevacizumab (beva) on progression-free survival (PFS) and compare the chemotherapy regimens alone or with beva (two by two design) on the same criteria.

02

Conditions studied

  • Pancreatic Cancer
03

In context

Pancreatic Neoplasms

3,896 studies on the registry are indexed under Pancreatic Neoplasms; 1,007 are open to participants now.

This study's enrollment of 140 is above the median of 47 across 2,932 interventional studies indexed under Pancreatic Neoplasms.

Browse Pancreatic Neoplasms studies →

Lead sponsor

Gustave Roussy, Cancer Campus, Grand Paris is the lead sponsor of 245 studies on the registry; 66 are open to participants now.

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

Eligibility criteria

  1. Well differentiated pancreatic neuroendocrine tumor grade 1 (NET G1), grade 2 (NET G2) or grade 3 (NET G3)*

    *Grade 3 tumor must be confirmed by a pathologist of the TENpath network.

  2. Indication for chemotherapy for locally advanced or disease with proven progression (at least 20% increase of tumor size on a maximum of 12 months period of follow-up) or other indication of chemotherapy following the National Thesaurus of GI Cancerology (Appendix 6) (liver involvement > 50%, symptoms related to the tumour or its metastases, Ki67>10%)
  3. Patient with at least one measurable target tumor by 1.1 and that has never been irradiated
  4. Patient with a greater than 3 months
  5. Men or women with performance status () ≤ 2 (Appendix 3)
  6. Age ≥ 18 years
  7. Adequate hematological function: (ANC) ≥ 1.5x109/L, greater than 75x109/L, greater than 10g/dl (blood transfusions are accepted to reach this level).
  8. Adequate liver function: serum lower than 3 x (ULN); aminotransferases and alkaline phosphatase levels lower than 2.5 ULN (lower than 5 ULN if liver metastases), TP greater than 50 %
  9. Proteinuria lower than 1g/24h, blood creatinine less than 120 μmol/L and creatinin clearance ≥ 60 ml/min as calculated by Cockroft-Gault formula Note: a negative dipstick urine analysis is sufficient.
  10. Absence of active bleeding, coagulopathy or pathologic condition that would confer a high risk of bleeding
  11. Prior treatment with somatostatin analogues, everolimus or sunitinib is allowed
  12. Negative serum pregnancy test ≤ 72 hours before randomization (for women of only). Sexually active women of childbearing potential must agree to use a highly effective method of or to abstain from sexual activity during the study and for at least 6 months after the last study treatment administration. Sexually active males patients must agree to use condom during the study and for at least 6 months after the last study treatment administration. Also, it is recommended their women of childbearing potential partner use a highly effective method of contraception.
  13. Patient should understand, sign, and date the written form prior to any protocol-specific procedures performed. Patient should be able and willing to comply with study visits and procedures as per protocol.
  14. Patient affiliated to a social security regimen or beneficiary of such regimen

Non inclusion criteria :

  1. Disease accessible to resection or percutaneous method of destruction
  2. Any known allergy or to the treatments used in the trial
  3. Patients with a complete DPD deficiency; defined as an uracil concentration ≥150ng/ml Note: patients with a suspicion of partial DPD deficiency, defined as a uracil concentration ≥ 16 ng/ml and \< 150 ng/ml, will receive an adapted 1st cycle dose, according to a clinic-biological discussion. The dose can be then readapted for the second cycle according to the tolerability of the treatment during the 1st cycle.
  4. Patient previously treated with chemotherapy for the neuroendocrine tumour
  5. Patient have received any other antitumor therapy: chemotherapy, immunotherapy
  6. Other serious diseases such as respiratory failure or congestive heart failure, angina pectoris not medically controlled; history of myocardial infarction within 6 months prior to study entry, uncontrolled hypertension and arrhythmias, concomitant severe infection or uncontrolled diabetes mellitus
  7. Subjects with a history of chronic or acute or B infection.
  8. Surgery during the 5 weeks preceding the randomization
  9. History of cancer (except basal cell skin or carcinoma in situ carcinoma of the cervix) within 5 years prior to entry into the trial. But patients with cancers that have been treated more than 5 years ago and are considered as cured are eligible.
  10. Neurological or psychiatric pathology that may interfere with adherence to treatment
  11. Patients have received yellow fever vaccine within 30 days prior to the first dose of trial treatment.
  12. Patient with pernicious anaemia and other megaloblastic anaemias secondary to the lack of Vitamin B12
  13. to Chinese Hamster Ovary (CHO) cell products or other recombinant human or humanised antibodies
  14. Hypersensitivity to study drugs or any of its
  15. Patient under guardianship or deprived of his liberty by a judicial or administrative decision or incapable of giving its consent
  16. Pregnant or breast feeding women
Terms in these criteria, in plain language(16)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

RECIST

The standard rules for measuring tumours on CT or MRI scans, to tell whether a cancer is shrinking, stable or growing during treatment.

“Measurable disease per RECIST 1.1” usually means at least one tumour 10 mm or more at its longest on a CT scan, or a lymph node 15 mm or more across its short axis.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
140 participants (actual)

Study arms

  • Experimental
    LV5FU2 + streptozotocin

    Drug: LV5FU2 · Drug: Streptozocin

  • Experimental
    Capecitabine + temozolomide

    Drug: Capecitabine · Drug: Temozolomide

  • Experimental
    LV5FU2 + streptozotocin + Bevacizumab

    Drug: LV5FU2 · Drug: Streptozocin · Drug: Bevacizumab

  • Experimental
    Capecitabine + temozolomide + Bevacizumab

    Drug: Capecitabine · Drug: Temozolomide · Drug: Bevacizumab

Interventions

  • DrugLV5FU2

    LV5FU2 (Folinic Acid D, L 400 mg/m² day 1, 5FU 400 mg/m² IV bolus, 5FU 2400 mg/m² 48 hours continuous infusion)

  • streptozotocin 800 mg/m² day 1 every 14 days

  • Capecitabine 750 mg/m² twice daily, days 1-14

  • temozolomide 200 mg/m² once daily, days 10-14, every 28 days

  • bevacizumab 5 mg/kg every 14 days

06

What researchers measure

Primary outcomes

  1. Progression Free Survival (PFS) rate

    Time frame: Until disease progression or unacceptable toxicity (median 24 months)

Secondary outcomes

  1. Toxicity (NCI-CTCAE 4.0)

    Time frame: Until disease progression or unacceptable toxicity

07

Study locations

20 sites
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 8, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03351296
Collaborators
National Cancer Institute, France
Responsible party
Sponsor
First posted
Nov 22, 2017
Start date
Jun 26, 2018
Primary completion
Dec 2028 (estimated)
Completion
Dec 2028 (estimated)
Last update
May 8, 2024

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in May 2024. You cannot join it, but the record below documents what was studied.

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Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

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Studies of the drugs tested here: Streptozocin · Capecitabine · Temozolomide · Bevacizumab

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