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Tyrosine Kinase Inhibitor
Cabozantinib for Neuroendocrine Cancer
Phase 2
Recruiting
Led By Nikolaos Trikalinos, M.D.
Research Sponsored by Washington University School of Medicine
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Histologically or cytologically confirmed high-grade neuroendocrine tumor that has progressed after at least one line of therapy, excluding small cell lung cancer (SCLC)
At least 18 years of age
Must not have
Concomitant anticoagulation with specified agents
Inability to swallow tablets
Timeline
Screening 3 weeks
Treatment Varies
Follow Up through completion of follow-up (estimated to be 1 year)
Awards & highlights
No Placebo-Only Group
Summary
This trial is testing a new chemotherapy regimen for neuroendocrine neoplasm patients who have relapsed after first-line treatment.
Who is the study for?
Adults with high-grade neuroendocrine tumors that have worsened after first-line therapy can join this trial. They must not have small cell lung cancer, be in good physical condition, and agree to use contraception. Pregnant or breastfeeding women, those who've had cabozantinib before, recent major surgery or other cancer treatments are excluded.
What is being tested?
The trial tests Cabozantinib's effectiveness on neuroendocrine tumors. Participants will also undergo tissue biopsies and blood tests for biomarkers. The goal is to find better treatment options since current second- and third-line therapies lack consensus.
What are the potential side effects?
Cabozantinib may cause side effects like fatigue, high blood pressure, hand-foot skin reactions (redness and peeling), gastrointestinal symptoms (diarrhea, nausea), abnormal liver enzyme levels, decreased appetite and weight loss.
Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
My high-grade neuroendocrine tumor has worsened after treatment, but it's not small cell lung cancer.
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I am 18 years old or older.
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I am not pregnant and can become pregnant.
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My blood, liver, and kidneys are functioning well.
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I am fully active and can carry on all my pre-disease activities without restriction.
Exclusion Criteria
You may be eligible for the trial if you check “No” for criteria below:Select...
I am currently taking blood thinners.
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I cannot swallow pills.
Select...
I do not have any recent serious illnesses.
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My liver is not working well.
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I have been treated with cabozantinib before.
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My brain metastases or cranial epidural disease has been treated.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ through completion of follow-up (estimated to be 1 year)
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~through completion of follow-up (estimated to be 1 year)
Treatment Details
Study Objectives
Study objectives can provide a clearer picture of what you can expect from a treatment.Primary study objectives
Objective response rate (ORR)
Secondary study objectives
Overall survival (OS)
Progression-free survival (PFS)
Awards & Highlights
No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.
Trial Design
1Treatment groups
Experimental Treatment
Group I: CabozantinibExperimental Treatment3 Interventions
-Cabozantinib 60 mg by mouth daily on days 1-21
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Tissue biopsy
2017
N/A
~10
Cabozantinib
2020
Completed Phase 2
~2360
Find a Location
Who is running the clinical trial?
Washington University School of MedicineLead Sponsor
2,000 Previous Clinical Trials
2,344,230 Total Patients Enrolled
ExelixisIndustry Sponsor
121 Previous Clinical Trials
20,126 Total Patients Enrolled
Nikolaos Trikalinos, M.D.Principal InvestigatorWashington University School of Medicine
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- I have not had major surgery recently.My high-grade neuroendocrine tumor has worsened after treatment, but it's not small cell lung cancer.I have recovered from side effects of previous treatments.I am currently taking blood thinners.I cannot swallow pills.I am willing to have 3 biopsies if it's safe and possible.I do not have any recent serious illnesses.I am 18 years old or older.I am not pregnant and can become pregnant.I am currently on or have had somatostatin analogue therapy for a high-grade tumor.My blood, liver, and kidneys are functioning well.My liver is not working well.I have taken certain medications recently.I have been treated with cabozantinib before.I haven't had radiation for bone metastasis in the last 2 weeks or any other radiation in the last 4 weeks.I have had cancer before, but it fits the exceptions listed.I am fully active and can carry on all my pre-disease activities without restriction.My brain metastases or cranial epidural disease has been treated.
Research Study Groups:
This trial has the following groups:- Group 1: Cabozantinib
Awards:
This trial has 1 awards, including:- No Placebo-Only Group - All patients enrolled in this study will receive some form of active treatment.
Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.