NCT04464122

Brief Summary

This is a multicentre, controlled, observational prospective study on new biomarkers, as immune profiling, angiogenetic markers and circRNA from TEPs in the diagnosis and in the evaluation of treatment response in pulmonary and gastro-entero-pancreatic NENs.

Trial Health

57
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
60

participants targeted

Target at P25-P50 for all trials

Timeline
Completed

Started Sep 2020

Longer than P75 for all trials

Geographic Reach
1 country

1 active site

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

July 3, 2020

Completed
6 days until next milestone

First Posted

Study publicly available on registry

July 9, 2020

Completed
2 months until next milestone

Study Start

First participant enrolled

September 14, 2020

Completed
5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 14, 2025

Completed
4 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2025

Completed
Last Updated

April 3, 2025

Status Verified

March 1, 2025

Enrollment Period

5 years

First QC Date

July 3, 2020

Last Update Submit

March 31, 2025

Conditions

Keywords

Neuroendocrine TumoursPrognostic markersTumour educated plateletsangiogenesisimmune function

Outcome Measures

Primary Outcomes (1)

  • To evaluate the modification of the angiogenetic mediator sTie2 after treatment.

    Modification of sTie (soluble Tie2) after treatment

    baseline - + 1 month - +3 months

Secondary Outcomes (12)

  • To evaluate the difference in the angiogenetic mediator sTie2 between patients and controls

    baseline

  • To validate the use of circular RNAs from TEPs in NEN diagnosis

    baseline

  • To evaluate the changing in circular RNAs from TEPs in NEN patients after somatostatin analogs treatment

    baseline - + 1 month - +3 months

  • To compare circular and cellular angiogenesis mediators between patients and controls

    baseline

  • To evaluate the changing in circular and cellular angiogenesis mediators after treatment.

    baseline - + 1 month - +3 months

  • +7 more secondary outcomes

Study Arms (2)

Neuroendocrine toumor group

30 patients (18-80 years, males and females) affected by histologically-proven neuroendocrine neoplasms, locally advanced or metastatic, originating from pulmonary or gastro-entero-pancreatic (GEP) tract, candidate to medical therapy.

Drug: Somatostatin analog; chemotherapy

Control group

Patients affected by other non-malignant endocrine disease, e.g. benign thyroid disfunction (18-80 years, males and females)

Interventions

According to current ENETS guidelines, patients will be treated by somatostatin analogs or chemotherapy, recommended respectively as first line therapy in neuroendocrine tumours or neuroendocrine neoplasms.

Neuroendocrine toumor group

Eligibility Criteria

Age18 Years - 80 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Patients with histologically-proven NENs, locally advanced or metastatic, originating from pulmonary or gastro-entero-pancreatic tract

You may qualify if:

  • Histologically-proven NENs, locally advanced or metastatic, originating from pulmonary or gastro-entero-pancreatic (GEP) tract, candidate to first line medical therapy (study group);
  • Patients affected by other non-malignant endocrine disease, e.g. benign thyroid disfunction (control group).

You may not qualify if:

  • Severe chronic kidney disease (stage 4-5);
  • Clinical or laboratory signs of significant respiratory, cardiological and hepatobiliary disease;
  • Other non-neuroendocrine malignancies.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Andrea M Isidori

Rome, Italy, 00161, Italy

RECRUITING

Related Publications (6)

  • Sol N, Wurdinger T. Platelet RNA signatures for the detection of cancer. Cancer Metastasis Rev. 2017 Jun;36(2):263-272. doi: 10.1007/s10555-017-9674-0.

    PMID: 28681241BACKGROUND
  • Joosse SA, Pantel K. Tumor-Educated Platelets as Liquid Biopsy in Cancer Patients. Cancer Cell. 2015 Nov 9;28(5):552-554. doi: 10.1016/j.ccell.2015.10.007.

    PMID: 26555171BACKGROUND
  • Fiedler U, Augustin HG. Angiopoietins: a link between angiogenesis and inflammation. Trends Immunol. 2006 Dec;27(12):552-8. doi: 10.1016/j.it.2006.10.004. Epub 2006 Oct 12.

    PMID: 17045842BACKGROUND
  • Monnier J, Samson M. Prokineticins in angiogenesis and cancer. Cancer Lett. 2010 Oct 28;296(2):144-9. doi: 10.1016/j.canlet.2010.06.011. Epub 2010 Jul 14.

    PMID: 20633984BACKGROUND
  • Best MG, Sol N, Kooi I, Tannous J, Westerman BA, Rustenburg F, Schellen P, Verschueren H, Post E, Koster J, Ylstra B, Ameziane N, Dorsman J, Smit EF, Verheul HM, Noske DP, Reijneveld JC, Nilsson RJA, Tannous BA, Wesseling P, Wurdinger T. RNA-Seq of Tumor-Educated Platelets Enables Blood-Based Pan-Cancer, Multiclass, and Molecular Pathway Cancer Diagnostics. Cancer Cell. 2015 Nov 9;28(5):666-676. doi: 10.1016/j.ccell.2015.09.018. Epub 2015 Oct 29.

    PMID: 26525104BACKGROUND
  • Harris AL, Reusch P, Barleon B, Hang C, Dobbs N, Marme D. Soluble Tie2 and Flt1 extracellular domains in serum of patients with renal cancer and response to antiangiogenic therapy. Clin Cancer Res. 2001 Jul;7(7):1992-7.

    PMID: 11448916BACKGROUND

MeSH Terms

Conditions

Neuroendocrine TumorsCarcinoma, Neuroendocrine

Interventions

SomatostatinDrug Therapy

Condition Hierarchy (Ancestors)

Neuroectodermal TumorsNeoplasms, Germ Cell and EmbryonalNeoplasms by Histologic TypeNeoplasmsNeoplasms, Nerve TissueAdenocarcinomaCarcinomaNeoplasms, Glandular and Epithelial

Intervention Hierarchy (Ancestors)

Pituitary Hormone Release Inhibiting HormonesHypothalamic HormonesPeptide HormonesHormonesHormones, Hormone Substitutes, and Hormone AntagonistsPancreatic HormonesNeuropeptidesPeptidesAmino Acids, Peptides, and ProteinsNerve Tissue ProteinsProteinsTherapeutics

Study Officials

  • Andrea M Isidori, MD, PhD

    Department of Experimental Medicine, Sapienza University of Rome

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Andrea M Isidori, MD, PhD

CONTACT

Elisa M Giannetta, MD, PhD

CONTACT

Study Design

Study Type
observational
Observational Model
CASE CONTROL
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Full Professor

Study Record Dates

First Submitted

July 3, 2020

First Posted

July 9, 2020

Study Start

September 14, 2020

Primary Completion

September 14, 2025

Study Completion

December 31, 2025

Last Updated

April 3, 2025

Record last verified: 2025-03

Locations