ClinicalTrials.gg
RecruitingNCT07842172REMAINUpdated Nov 6, 2026

Somatostatin Analogues vs. Observation After Peptide Receptor Radionuclide Therapy (PRRT) in Nonfunctional Neuroendocrine Neoplasms

A Phase 3 interventional study of Somatostatin Analogue(s) in Neuroendocrine Neoplasm and Gastroenteropancreatic Neuroendocrine Neoplasm, sponsored by Washington University School of Medicine. Recruiting at 2 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-11-06.

Sponsored by Washington University School of Medicine · Phase 3, Interventional, and Treatment

Updated Nov 6, 2026Now RecruitingSite recruiting status changed+2 moreGo to Updates ↓
Phase
Phase 3
Study type
Interventional
Enrollment
240
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This is a multicenter, randomized, open-label, phase III study comparing standard of care use of somatostatin analogues (SSAs) to standard of care observation in patients with neuroendocrine neoplasms following treatment with Peptide Receptor Radionuclide Therapy (PRRT) (ethanol-stabilized Lu-177 dotatate).

02

Conditions studied

  • Neuroendocrine Neoplasm
  • Gastroenteropancreatic Neuroendocrine Neoplasm

Keywords

  • neuroendocrine neoplasm
  • peptide receptor
  • radionuclide therapy
  • carcinoid tumor
  • octreotide
  • lanreotide
  • somatostatin analogues
03

In context

Neuroendocrine Tumors

542 studies on the registry are indexed under Neuroendocrine Tumors; 135 are open to participants now.

This study's planned enrollment of 240 is above the median of 41 across 387 interventional studies indexed under Neuroendocrine Tumors.

Browse Neuroendocrine Tumors studies →

Lead sponsor

Washington University School of Medicine is the lead sponsor of 1,803 studies on the registry; 271 are open to participants now.

Of its 329 completed or terminated interventional studies of FDA-regulated products, 216 (66%) 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

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

  • or cytologically confirmed , unresectable, well- or moderately-differentiated, nonfunctional gastrointestinal neuroendocrine tumor (GI-NETs). This includes pancreatic neuroendocrine neoplasms. Any grade (grade 1, grade 2, or grade 3) is permitted.
  • per 1.1.
  • Appropriate for ethanol-stabilized Lu-177 dotatate treatment, as determined by positive screening with SSTR PET/CT and/or currently having received up to 3 fractions of PRRT. (Patients will be randomized prior to the start of PRRT or during PRRT, depending on the timing of enrollment.)
  • Eligible for somatostatin analogue treatment per the treating physician.
  • At least 18 years of age.
  • performance status ≤ 2 or ≥ 60%
  • Patients with treated are eligible if follow-up brain imaging after central nervous system (CNS)-directed therapy shows no evidence of progression, as determined by a repeat imaging study at least 4 weeks following the completion of treatment. Patients with treated brain metastases must also be off for at least 1 month and stable.
  • The effects of ethanol-stabilized Lu-177 dotatate and SSAs on the developing human fetus at the recommended therapeutic dose are unknown. For this reason and because radionucleotides and anti-angiogenic agents are known to be teratogenic, people of and people able to father a child must agree to use adequate prior to study entry, for the duration of study participation, and for 4 months following last administration of PRRT for males and 7 months after last administration of PRRT for females, or 4 months after last day of SSA, whichever is later.
  • Ability to understand and willingness to sign an IRB approved written document. Legally authorized representatives may sign and give informed consent on behalf of study participants.

Exclusion criteria

Exclusion Criteria:

  • Completed prior treatment with PRRT for non-GI-NET diagnosis (i.e. in need of salvage PRRT treatment).
  • Major surgery within 4 weeks from randomization to the trial.
  • Prior or concurrent whose natural history has the potential to interfere with the safety or efficacy assessment of the regimen. Patients with prior or concurrent malignancy that does NOT meet that definition are eligible for this trial
  • Currently receiving any investigational agents.
  • A history of allergic reactions attributed to compounds of similar chemical or biologic composition to SSAs.
  • Evidence of to ethanol containing compounds.
  • Uncontrolled intercurrent illness including, but not limited to: ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, or cardiac arrhythmia.
  • Pregnant and/or breastfeeding. Women of must have a negative pregnancy test within 15 days of study entry.
Terms in these criteria, in plain language(14)

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.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

Metastases

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

Measurable disease

The amount of disease can be tracked with a defined measurement, so the study can see whether it shrinks or grows. It might be a tumour measured on a scan or, in some blood cancers such as myeloma, a marker measured in blood or urine.

The criteria or the study team say which measurement counts — having no tumour visible on a scan does not by itself rule you out.

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.

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.

Karnofsky performance status (KPS)

A 0–100 scale of how well someone can carry out everyday activities. 100 is no complaints and no signs of illness; 70 is able to look after yourself but not to work or keep up normal activity; 50 is needing considerable help and frequent medical care.

Studies often ask for 60 or 70 and above. Your doctor gives the score.

Brain metastases

Cancer deposits in the brain from a cancer that started elsewhere in the body (CNS metastases include the spinal cord).

Studies differ: some leave out any brain metastases, some accept ones treated and stable for some weeks. Check what this study allows.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

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.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

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.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
240 participants (estimated)

Study arms

  • Experimental
    Arm 1: Somatostatin Analogue (SSA)

    Patients will receive SSA as per standard of care, starting within 3 months after PRRT. SSA administration (route of administration, dosing, and adjustments) is not dictated by this protocol, and SSAs may be given indefinitely.

    Drug: Somatostatin Analogue(s)

  • No intervention
    Arm 2: Observation

    Patients will be treated according to current standard of care guidelines.

Interventions

  • DrugSomatostatin Analogue(s)

    SSA will be administered according to standard of care guidelines.

    Also known as: SSA

06

What researchers measure

Primary outcomes

  1. Progression-free survival (PFS)

    PFS is defined as the time from date of study enrollment to disease progression or death from any cause, whichever occurs first. The alive patients without progression or the dropouts, are censored at the last follow-up.

    Time frame: Date of enrollment until disease progression or death from any cause (total estimated time to be 48 months)

Secondary outcomes

  1. Overall Response Rate (ORR)

    ORR is defined as the proportion of patients with Complete Response (CR) or Partial Response (PR). Complete Response (CR): Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \<10 mm. Disappearance of all non-target lesions and normalization of tumor marker level. Partial Response (PR): At least a 30% decrease in the sum of the diameters of target lesions, taking as reference the baseline sum diameters.

    Time frame: Start of treatment until completion of follow up (total estimated time 48 months)

  2. Overall Survival (OS)

    OS is defined as the time from the date of treatment to the date of death. The alive patients or the dropouts will be censored at the last follow-up otherwise.

    Time frame: Start of treatment until death (total estimated time 48 months)

  3. Incidence of adverse events (AEs) as assessed by CTCAE v6.0

    This subset of events consists of all grade 3 or greater events as well as any events (even if \< grade 3) that result in discontinuation of SSAs.

    Time frame: Start of treatment until completion of follow up (total estimated time 48 months)

07

Study locations

1 of 2 sites recruiting
  • University of California - San Francisco
    San Francisco, California 94143, United States
    Not yet recruiting
    • Thomas Hope, MD · Contact415-476-1000
    • Thomas Hope, MD · Principal investigator
  • Washington University School of Medicine
    St Louis, Missouri 63110, United States
    Recruiting
    • Nikolaos Trikalinos, MD, MS · Contactntrikalinos@wustl.edu · 314-273-4959
    • Nikolaos Trikalinos, MD, MS · Principal investigator
    • Vikas Prasad, MD · Sub investigator
    • Michael Waters, MD, PhD · Sub investigator
    • Esther Lu, PhD · Sub investigator
08

References and documents

09

Updates

3 registry updates since Sep 25, 2026
Status
Not yet recruiting→Recruiting
changed Nov 6, 2026
Sites
2 sites changed recruiting status (1 now not yet recruiting, 1 now recruiting)
Show 2 sites
  • University of California - San Francisco · San Francisco, United Statesno status→Not yet recruiting
  • Washington University School of Medicine · St Louis, United Statesno status→Recruiting
Nov 6, 2026
Start date
Nov 30, 2026→Nov 2, 2026 (actual)
Nov 6, 2026
Registered
First appeared on the registry
Sep 25, 2026
Show all 3 updates
  1. Nov 6, 2026
    Not yet recruiting→Recruiting
    2 sites changed recruiting status (1 now not yet recruiting, 1 now recruiting)
    Show 2 sites
    • University of California - San Francisco · San Francisco, United Statesno status→Not yet recruiting
    • Washington University School of Medicine · St Louis, United Statesno status→Recruiting
    Start date Nov 30, 2026→Nov 2, 2026 (now actual)
    + 1 other change: verification date
  2. Oct 19, 2026
    Minor edits only
    + 1 other change: verification date
  3. Sep 25, 2026
    First appeared on the registry

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
NCT07842172
Collaborators
Curium US LLC
Responsible party
Sponsor
First posted
Sep 25, 2026
Start date
Nov 2, 2026
Primary completion
Nov 30, 2034 (estimated)
Completion
Nov 30, 2034 (estimated)
Last update
Nov 6, 2026

Study contacts

Nikolaos Trikalinos, MD, MS
Contact
ntrikalinos@wustl.edu
314-273-4959
Nikolaos Trikalinos, MD, MS
principal investigator · Washington University School of Medicine

Oversight

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

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