Actively Recruiting

Phase 1
Phase 2
Age: 20Years +
All Genders
NCT05048901

Cabozantinib and Lanreotide as Treatment for Gastroenteropancreatic Neuroendocrine Tumors

Led by National Health Research Institutes, Taiwan · Updated on 2026-04-09

49

Participants Needed

11

Research Sites

328 weeks

Total Duration

On this page

Sponsors

N

National Health Research Institutes, Taiwan

Lead Sponsor

N

National Taiwan University Hospital

Collaborating Sponsor

AI-Summary

What this Trial Is About

This is an Open-Label Phase I/II Study of daily cabozantinib plus lanreotide every 4 w eeks to treat advanced G1-2 gastroentero-pancreatic neuroendocrine tumor (GEP-NET) patients who failed to one line or more than one line of small molecule kinase inhibitor or well-differentiated (W-D) G3 GEP-NET who failed to one line of small molecule kinase inhibitor or chemotherapy.

CONDITIONS

Official Title

Cabozantinib and Lanreotide as Treatment for Gastroenteropancreatic Neuroendocrine Tumors

Who Can Participate

Age: 20Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Pathologically confirmed G1 or G2 gastroenteropancreatic neuroendocrine tumor (GEP-NET) with advanced or metastatic disease who failed one or more lines of small molecule kinase inhibitor treatment, or well-differentiated G3 GEP-NET who failed one or more lines of chemotherapy or kinase inhibitors.
  • Radiologic progression within 12 months before enrollment.
  • Recovery to baseline or Grade 1 or less toxicity from previous treatments, unless stable and clinically non-significant.
  • Age 20 years or older with ECOG Performance Status of 0 or 1.
  • Adequate organ and marrow function based on specific laboratory tests within 14 days before first treatment.
  • At least one measurable lesion by RECIST 1.1 outside locally treated sites.
  • Life expectancy greater than 12 weeks.
  • Ability to understand and comply with study requirements and provide informed consent.
  • Female participants of childbearing potential and their partners must agree to use effective contraception during and for 4 months after treatment.
  • Female participants must not be pregnant at screening and must meet specific criteria to confirm non-childbearing potential.
Not Eligible

You will not qualify if you...

  • Previous use of cabozantinib (prior lanreotide use is allowed).
  • Use of any small molecule kinase inhibitor within 2 weeks or five half-lives before treatment.
  • Use of anticancer antibodies or systemic chemotherapy within 4 weeks before treatment.
  • Radiation therapy within 2 to 6 weeks before treatment, depending on type and site.
  • Known brain metastases or cranial epidural disease unless treated and stable for at least 4 weeks without symptoms or corticosteroids.
  • Use of certain anticoagulants, except specified allowed agents.
  • Significant uncontrolled illnesses including severe heart failure, unstable angina, serious arrhythmias, uncontrolled hypertension, recent heart attack or stroke within 6 months.
  • Gastrointestinal disorders with high risk of perforation or fistula, recent abdominal complications within 6 months.
  • Major surgery within 4 weeks or incomplete wound healing.
  • Significant bleeding events within 12 weeks before treatment.
  • Cavitating pulmonary lesions or major blood vessel invasion by tumor.
  • Other serious disorders preventing safe participation, including serious non-healing wounds, symptomatic hypothyroidism, moderate to severe liver impairment.
  • QTc interval over 500 ms on ECG within 14 days before treatment.
  • Pregnant or breastfeeding females.
  • Inability to swallow tablets.
  • Known allergy to study treatment components.
  • Any other active cancer requiring treatment, except certain cured local cancers.
  • Mental status unsuitable for clinical trial participation.

AI-Screening

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Trial Site Locations

Total: 11 locations

1

Changhua Christian Hospital

Changhua, Taiwan

Actively Recruiting

2

Chang Gung Medical Foundation

Kaohsiung City, Taiwan

Actively Recruiting

3

Kaohsiung Medical University Chung-Ho Memorial Hospital

Kaohsiung City, Taiwan

Actively Recruiting

4

China Medical University Hospital

Taichung, Taiwan

Actively Recruiting

5

Taichung Veterans General Hospital

Taichung, Taiwan

Actively Recruiting

6

National Cheng Kung University Hospita

Tainan, Taiwan

Actively Recruiting

7

Mackay Memorial Hospital

Taipei, Taiwan

Actively Recruiting

8

National Taiwan University Hospital

Taipei, Taiwan

Actively Recruiting

9

Taipei Veterans General Hospital

Taipei, Taiwan

Actively Recruiting

10

Tri-Service General Hospital

Taipei, Taiwan

Actively Recruiting

11

Chang Gung Medical Foundation

Taoyuan, Taiwan

Actively Recruiting

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Research Team

Y

Ya-Ling Wu, BS

CONTACT

H

Hui-Jen Tsai, PhD

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

1

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