Pancreatic Cancer Research

Clinical trialPhase 2Enrolling by invitation

Patients With High-grade Pancreatic Neuroendocrine Tumors

Lurbinectedin as a Second-line Treatment for High-grade Pancreatic Neuroendocrine Tumors

Outcome
Ongoing
Phase
Phase 2
Status
Enrolling by invitation
Study type
Interventional
Start
23 September 2025
Expected end
31 December 2029
Enrollment
46 participants
Sites
1
Primary outcomes
The overall response rate
Sponsor type
Other government
Results posted
No
Last update
1 October 2025

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Brief summary public domain (ClinicalTrials.gov)

* Pancreatic neuroendocrine tumor (pNET) is a rare form of cancer. Treatment options such as hormonal therapy (octreotide) and targeted therapy (everolimus and sunitinib) may be considered for grade 1 or 2 pNETs; however, cytotoxic chemotherapy is essential in cases with grade 3 pNETs or pNECs. * Cisplatin/etoposide remains the treatment of choice for high-grade pNET/pNEC. Other irinotecan-based therapies, such as FOLFIRI (cisplatin/irinotecan), FOLFOX, and temozolomide ± capecitabine, have been employed; however, a standard of care remains to be established.

Detailed description public domain (ClinicalTrials.gov)

* Lurbinectedin, a selective inhibitor of oncogenic transcription, recently received accelerated FDA approval for lung cancer (small cell type) after demonstrating efficacy in an open-label, phase II basket study (ORR 35%, mOS 9.3 months, mPFS 3.5 months). * A previous study that involved patients with grade 2 or higher NET/NEC who had undergone treatment with lurbinectedin revealed that the ORR, mOS, and mPFS of the six patients with pNET was 6.5%, 7.4 months, and 1.4 months, respectively.