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RecruitingNCT04074135Updated Oct 16, 2026

Natural History and Management of Von Hippel-Lindau (VHL) Associated Pancreatic Neuroendocrine Tumors

A Phase 2 interventional study of 68-Gallium DOTATATE in VHL Pancreatic Neuroendocrine Tumors, Von Hippel-Lindau Disease and Neuroendocrine Tumors, sponsored by National Cancer Institute (NCI). Recruiting at 1 site in United States. Open to participants aged 12 Years and older. Per ClinicalTrials.gov, last updated 2026-10-16.

Sponsored by National Cancer Institute (NCI) · Phase 2, Interventional, and Diagnostic

From the registry’s dates

  • Started Jun 2020; still recruiting 6 years 5 months later.
Phase
Phase 2
Study type
Interventional
Enrollment
740
Allocation
Non-randomized
Ages
12 Years and older
Sex
All
01

Study summary

Background:

People with von Hippel-Lindau (VHL) can have problems with a variety of organs, such as the pancreas. The disease can cause tumors of the pancreas. This can result in life-threatening complications. Researchers want to learn more about these pancreatic tumors and how to better detect them. This may help them design better future treatment and care for people with VHL disease.

Objective:

To better understand VHL disease that affects the pancreas and to test whether adding a certain type of scan (68-Gallium DOTATATE PET/CT) can further detect tumors.

Eligibility:

People ages 12 and older with VHL that causes tumors and cysts to grow in the pancreas

Design:

Participants will be screened with their medical records and imaging studies.

Participants will have an initial evaluation:

Participants will have their body examined by different doctors. This will depend on what types of symptoms they have.

Participants will have blood and urine tests

Participants will have images made of their body using one or more machines: They made have a CT or PET/CT scan in which they lie on a table that moves through a big ring. They may have an MRI in which they lie on a table that moves into a big tube. They may have an ultrasound that uses a small stick that produces sound waves to look at the body.

After the first visit, participants will be asked to return to the NIH. Some of the tests performed at the first visit will be repeated. Depending on their disease status, visits will be once a year or every 2 years for life.

Read the detailed description

Background:

  • Patients with the von Hippel-Lindau (VHL) familial cancer syndrome demonstrate manifestations in a variety of organs, including the pancreas. Pancreatic manifestations can range from benign cysts and micro cystic adenomas to neuroendocrine tumors of the pancreas which are capable of regional and distant metastases. These neuroendocrine tumors can result in life-threatening complications.
  • This protocol is designed to identify VHL patients with pancreatic manifestations and to follow these patients with serial imaging studies, germ line genetic analysis, discovery of serum biomarkers, and novel imaging modalities such as 68-Gallium DOTATATE PET/CT scan.

Objective:

- To comprehensively and longitudinally evaluate the natural history of participants with VHL pancreatic neuroendocrine tumors and cystic lesions, estimating and defining their clinical spectrum.

Eligibility:

- Participants greater than or equal to 12 years of age diagnosed with VHL.

Design:

  • Demographic data will be collected from the medical record and patient interview for each participant. Data will be securely stored in a computerized database.
  • Participants will be evaluated by the urology, neurosurgery, brain oncology and/or ophthalmology personnel as indicated to rule out or manage other manifestations of VHL such as hemangioblastoma, renal cell cancer, and pheochromocytoma.
  • Anatomical and functional clinical imaging studies, research blood and urine sample collection will be performed at each scheduled visit. Research 68-Gallium DOTATATE PET/CT imaging studies in adult participants will be performed, no more than once per year.
  • Surgical resection of solid lesions of the pancreas will be recommended based on previously published criteria.
  • Based on our analysis of likelihood of tumor growth or risk of metastasis, data will be analyzed every two years and appropriate revisions will be made to the surgical management guidelines, if indicated by data analysis.
  • Up to 700 participants may receive the research 68-Gallium DOTATATE PET/CT imaging on this protocol.
02

Conditions studied

  • VHL Pancreatic Neuroendocrine Tumors
  • Von Hippel-Lindau Disease
  • Neuroendocrine Tumors

Keywords

  • Pancreatic tumors
  • 68-Gallium DOTATATE
  • MEN1 syndrome
  • NETest
  • PNET
03

In context

von Hippel-Lindau Disease

55 studies on the registry are indexed under von Hippel-Lindau Disease; 23 are open to participants now.

This study's planned enrollment of 740 is above the median of 28 across 31 interventional studies indexed under von Hippel-Lindau Disease.

Browse von Hippel-Lindau Disease studies →

Lead sponsor

National Cancer Institute (NCI) is the lead sponsor of 3,556 studies on the registry; 336 are open to participants now.

Of its 411 completed or terminated interventional studies of FDA-regulated products, 373 (91%) have results posted.

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

04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Participants who have been diagnosed with VHL using the following criteria:

    -- Identification of a heterozygous germline pathogenic variant in VHL by molecular genetic testing.

    or

    -- Clinical criteria

    1. Participants with at least 1 pancreatic manifestation of VHL as documented on any non-invasive imaging study. These manifestations may include:

      • Pancreatic cyst(s)
      • Solid lesions suspicious for microcystic adenoma(s)
      • Solid enhancing lesions suspicious for PNET(s)
      • Any other solid lesion(s) of the pancreas
    2. Age greater than or equal to 12 years.
    3. Ability of participant to understand and the willingness to sign a written document.

Exclusion criteria

EXCLUSION CRITERIA:

1. Inability of participant to undergo serial non-invasive imaging.

Terms in these criteria, in plain language(1)

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.

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.

05

Study design

Phase
Phase 2
Primary purpose
Diagnostic
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
740 participants (estimated)

Study arms

  • Experimental
    1/ Arm 1

    Study natural history of VHL pancreatic neuroendocrine tumors with yearly 68-Gallium DOTATATE PET/CT research scans.

    Drug: 68-Gallium DOTATATE

  • No intervention
    2/ Arm 2

    Study natural history of VHL pancreatic neuroendocrine tumors without research scans.

Interventions

  • Drug68-Gallium DOTATATE

    68-Gallium DOTATATE, to be used in yearly PET/CT research scans

06

What researchers measure

Primary outcomes

  1. Characterization of the natural and clinical histories of VHL pancreatic neuroendocrine tumors and cystic lesions

    Characterization of the natural and clinical histories of VHL pancreatic neuroendocrine tumors and cystic lesions

    Time frame: 15 years

Secondary outcomes

  1. predictive value of 68-Gallium DOTATATE PET/CT imaging in patient population

    mean uptake between these two groups of adult patients in which per patient uptake is defined as the average uptake of multiple lesions detected in each patient

    Time frame: at each scheduled visit

  2. growth rate in solid pancreatic tumors

    graded tumor biopsy

    Time frame: at each scheduled visit

  3. distribution of time from initial presentation with pancreatic tumors to the time that surgery is recommended

    median amount of time from initial presentation with pancreatic tumors to the time that surgery is recommended

    Time frame: at each scheduled visit, until surgery is recommended

07

Study locations

1 of 1 sites recruiting
  • National Institutes of Health Clinical Center
    Bethesda, Maryland 20892, United States
    Recruiting
    • For more information at the NIH Clinical Center contact National Cancer Institute Referral Office · Contact888-624-1937
08

References and documents

Individual participant data

Plan to share: Yes — All IPD recorded in the medical record will be shared with intramural investigators upon request. @@@@@@In addition, all large scale genomic sequencing data will be shared with subscribers to dbGaP.

Supporting information: Study protocol, Statistical analysis plan, Informed consent form

Time frame: Clinical data available during the study and indefinitely.@@@@@@Genomic data are available once genomic data are uploaded per protocol GDS plan for as long as database is active.

Access criteria: Clinical data will be made available via subscription to BTRIS and with the permission of the study PI.@@@@@@Genomic data are made available via dbGaP through requests to the data custodians.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Jun 2020 (actual). Primary completion is estimated for Jan 2036, 187 months after the start.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 28, 2019
First posted
Aug 29, 2019
StartActual
Jun 2, 2020
Primary completionEst.
Jan 30, 2036
CompletionEst.
Jul 1, 2036
Last update
Oct 16, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Minor edits
Nothing that changes what the study is or who can join. Edited: verification date
1 update, last Oct 16, 2026
Show all 1 update
  1. Oct 16, 2026
    Minor edits only
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT04074135
Responsible party
Sponsor
First posted
Aug 29, 2019
Start date
Jun 2, 2020
Primary completion
Jan 30, 2036 (estimated)
Completion
Jul 1, 2036 (estimated)
Last update
Oct 16, 2026

Study contacts

Kristine J Villaruel
Contact
kristinejoy.villaruel@nih.gov
(240) 858-7033
Naris Nilubol, M.D.
Contact
niluboln@mail.nih.gov
(240) 760-6154
Naris Nilubol, M.D.
principal investigator · National Cancer Institute (NCI)

Oversight

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

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