Actively Recruiting

Phase 1
Phase 2
Age: 18Years - 100Years
All Genders
NCT04086485

Lu-177-DOTATATE (Lutathera) in Combination With Olaparib in Inoperable Gastroenteropancreatico Neuroendocrine Tumors (GEP-NET)

Led by National Cancer Institute (NCI) · Updated on 2026-04-07

56

Participants Needed

1

Research Sites

273 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Background: A neuroendocrine tumor is a rare type of tumor. It comes from body cells called neuroendocrine cells. Sometimes, these tumors develop in the gastrointestinal tract and pancreas. Researchers want to find out if a combination of drugs can shrink these tumors. Objective: To learn if people with certain neuroendocrine tumors can take a combination of 2 drugs, Lutathera and Olaparib, without having severe side effects, and if this treatment makes the tumors shrink. Eligibility: Adults 18 and older who have a neuroendocrine tumor in the pancreas or intestine that cannot be cured by surgery and has somatostatin receptors on the cells. Design: Eligible participants will get Lutathera through an intravenous (IV) infusion every 8 weeks for 4 cycles. One cycle is 8 weeks. Each cycle includes a follow-up visit at week 4. For the IV, a small plastic tube is put into an arm vein. Participants will also take Olaparib by mouth twice a day for 4 weeks of each cycle. They will use a medicine diary to track the doses. During the study, participants will have physical exams. They will have blood and urine tests. They will fill out questionnaires about their general well-being and function. Their heart function will be tested. They will have scans of their chest, abdomen, and pelvis. One type of scan will use an IV infusion of a radioactive tracer. Participants will have a follow-up visit about 4 weeks after treatment ends. Then they will have follow-up visits every 12 weeks for 3 years. Then they will have yearly phone calls.

CONDITIONS

Official Title

Lu-177-DOTATATE (Lutathera) in Combination With Olaparib in Inoperable Gastroenteropancreatico Neuroendocrine Tumors (GEP-NET)

Who Can Participate

Age: 18Years - 100Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Clinical diagnosis of gastroenteropancreatic neuroendocrine tumor confirmed by tissue analysis
  • Disease that cannot be cured by surgery due to spread or involvement of critical structures
  • Adults aged 18 years or older
  • Positive somatostatin receptor status confirmed by Ga-68-DOTATATE PET scan within 12 weeks
  • ECOG Performance Status of 0 or 1 indicating good physical functioning
  • Stable dose of somatostatin analogue therapy for at least 3 months if applicable
  • Normal organ and bone marrow function within 28 days prior to enrollment
  • Willingness and ability to sign informed consent
  • For individuals who can bear children: negative pregnancy test within 28 days and agreement to use effective contraception or remain abstinent during and after treatment
  • Ability to have a medical specialist follow-up after treatment
Not Eligible

You will not qualify if you...

  • Tumors that are negative on Ga-68-DOTATATE PET but positive on FDG-PET unless prior progression on treatment
  • Breastfeeding mothers
  • Other active cancers except certain skin cancers or fully treated cervical cancer within 5 years
  • Use of other investigational drugs
  • Recent systemic chemotherapy or radiotherapy within 4 weeks except palliative care
  • Persistent moderate or severe side effects from prior cancer therapies that interfere with treatment
  • Weight exceeding 400 pounds (PET table limit)
  • Uncontrolled illnesses such as infections, heart failure, unstable angina, high blood pressure, arrhythmias, or psychiatric conditions
  • Symptomatic or untreated brain metastases
  • Spinal cord compression without stable disease after treatment
  • Use of strong/moderate CYP3A inhibitors or inducers shortly before enrollment
  • Major surgery within 4 weeks not fully recovered
  • Inability to swallow oral medication or gastrointestinal issues affecting absorption
  • Previous allogeneic stem cell or bone marrow transplant
  • Known allergy to study drugs or their ingredients
  • Uncontrolled heart conditions or prolonged QT interval
  • Blood disorders like myelodysplastic syndrome or leukemia
  • Immunocompromised status such as HIV infection
  • Active hepatitis B or C infection
  • Prior treatment with PARP inhibitors or Lu-177-DOTATATE
  • Involvement in the planning or conduct of this study

AI-Screening

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Trial Site Locations

Total: 1 location

1

National Institutes of Health Clinical Center

Bethesda, Maryland, United States, 20892

Actively Recruiting

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Research Team

J

Joy H Zou, R.N.

CONTACT

F

Frank I Lin, M.D.

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NON_RANDOMIZED

Model

SEQUENTIAL

Primary Purpose

TREATMENT

Number of Arms

2

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