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Pancreatic Neuroendocrine Tumor, Well Differentiated and ProgressiveOPALINENCT02264665

OPALINE : A Study Of Morbidity And Mortality At 2 Years

An observational study of Pancreatic Neuroendocrine Tumor, Well Differentiated and Progressive, run by Pfizer at 35 sites in France.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

A descriptive, prospective (partly retrospective), multisite, observational study conducted in France in adult patients treated for a well differentiated, unresectable or metastatic, pancreatic neuroendocrine tumor with disease progression. Read more about this study

Who is it for?
Ages 18 to 99 years
What is being tested?
sunitinib, everolimus and chemotherapies recommended in france
How many people
144 participants
Where
35 sitesFrance
Study dates
12 May 2015to 18 Nov 2019
Phase
Observational
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 99 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Patients with progressive, metastatic or unresectable, and well differentiated pancreatic neuroendocrine tumors

Who may be able to join

  • Patients over 18 years of age;
  • Patients treated with a targeted therapy (sunitinib, everolimus) or with other treatments (interferon, or metabolic radiotherapy, or chemotherapy or somatostatin analog)* for:
  • Patients whose treatment line (targeted therapy or other treatment) is initiated as a 1st, 2nd, 3rd or 4th line of therapy at the time of inclusion (incident patients) or patients receiving their 1st, 2nd, 3rd or 4th line of therapy provided that treatment was initiated in the site in which the patient is enrolled in the study (prevalent patients); a change of line is defined as a change in molecule or combination.
  • A histologically confirmed unresectable or metastatic pancreatic neuroendocrine tumor;
  • Well-differentiated;
  • Progressive prior to initiation of treatment in the investigator's judgment (clinical or radiological progression);
  • Patients who have been informed of the conditions of the study and who have signed the informed consent.

Who cannot join

  • Patients with a diagnosis of poorly differentiated neuroendocrine carcinoma or an adenoneuroendocrine carcinoma.
  • Patients receiving targeted therapy (everolimus or sunitinib) already received in a previous line of treatment (rechallenged patient).
  • Patients refusing to give consent.
  • Patients receiving a fifth line or subsequent line of systemic treatment.
  • Patients participating in a clinical trial in a treatment arm not validated by the MA and the TNCD according to the version dated December 2013.
  • Patients randomized to the placebo arm of a placebo-controlled trial or to a double-blind trial.

Trial locations and contacts

35 sites in 1 country.

35 sites in 1 country

France35 sites
  • CHU d'Amiens

    Amiens, 80054

  • CHU d'Angers

    Angers, 49100

  • Hopital Saint-Andre

    Bordeaux, 33000

  • CHU de Caen

    Caen, 14000

  • Cabinet Medical

    Challes-les-Eaux, 73190

  • CHRU de Tours - Hôpital TROUSSEAU

    Chambray-lès-Tours, 37170

  • Hopital d'Estaing

    Clermont-Ferrand, 63003

  • Hopital du Bocage

    Dijon, 21079

  • Unite d'Oncologie Digestive, Departement d'HGE

    Grenoble, 38043

  • Centre Oscar Lambret

    Lille, 59020

  • Chu Dupuytren Service Oncologie

    Limoges, 87000

  • CH Bretagne Sud

    Lorient, 56100

  • Hopital Edouard Herriot - Pavillon H - Service d'oncologie digestive

    Lyon, 69437

  • Hopital Edouard Herriot - Service d'Oncologie Digestive, Pavillon H

    Lyon, 69437

  • Hopital Edouard Herriot, Pavillion O, Oncologie Medicale

    Lyon, 69437

  • Hopital La Timone Service de Gastroenterologie et Oncologie Digestive

    Marseille, 13005

  • CHR d'Annecy

    Metz-Tessy, 74370

  • Centre Val D'Aurelle-Paul Lamarque

    Montpellier, 34298

  • CRLC Val d'Aurelle

    Montpellier, 34298

  • Hopital de LA Source, Centre Hospitalier Regional

    Orléans, 45067

  • CH Pitie Salpetriere

    Paris, 75013

  • Hopital Cochin

    Paris, 75014

  • Groupe Hospitalier Cochin

    Paris, 75679

  • Hopital Saint Jean

    Perpignan, 66046

  • Hôpital Haut Lévèque

    Pessac, 33600

  • Hopital de Cornouaille

    Quimper, 29107

  • C.H.U. de Reims - Hôpital Robert Debré

    Reims, 51092

  • Hopital Robert Debre, Service D'Hepato-gastro-enterolo

    Reims, 51092

  • Clinique Armoricaine

    Saint-Brieuc

  • Pôle Hospitalier Mutualiste

    Saint-Nazaire, 44600

  • Clinique Mutualiste de l'estuaire

    Saint-Nazaire, 44606

  • CHU de Strasbourg - Hopital de Hautepierre / Service de Medecine Interne et Nutrition

    Strasbourg, 67098

  • Hopital Foch, Onco Hermatologie

    Suresnes, 92151

  • Cabinet Medical

    Vannes, 56000

  • Institut Gustave Roussy

    Villejuif, 94805

Other trials in France

About this study

Official title: AN OBSERVATIONAL REAL-WORLD STUDY OF THE SYSTEMIC TREATMENT OF WELL-DIFFERENTIATED, UNRESECTABLE OR METASTATIC, PROGRESSIVE PANCREATIC NEUROENDOCRINE TUMOURS (PNET): A STUDY OF MORBIDITY AND MORTALITY AT 2 YEARS

A descriptive, prospective (partly retrospective), multisite, observational study conducted in France in adult patients treated for a well differentiated, unresectable or metastatic, pancreatic neuroendocrine tumor with disease progression.

Read the detailed description

prospective and retrospective Analyses will be performed using SAS® software

Being tested
sunitinib, everolimus, chemotherapies recommended in france
Medical subject headings
Adenoma, Islet Cell

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • sunitinibDrug

    sunitinib 37.5mg/d orally

  • everolimusDrug

    everolimus 10mg/d orally

  • chemotherapies recommended in franceDrug

    depends on the chemotherapy prescribed (IV)

Study groups in NCT02264665
Study groupRoleWhat they receive
SunitinibNot described
Receives: Drug: sunitinib
AfinitorNot described
Receives: Drug: everolimus
other treatment (chémotherapy, SSA..)Not described
Receives: Drug: chemotherapies recommended in france

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Progression-Free Survival (PFS) at 2 Years Assessed by Investigator Per Response Evaluation Criteria in Solid Tumors (RECIST) Version (v) 1.1 - Based on Type of Treatment at Inclusion

    PFS was defined as time (in months) from date of start of treatment (the treatment line ongoing at the time of inclusion in the study) to first documentation of disease progression (PD) or date of death due to any cause, when receiving the main treatment at the time of inclusion. RECIST v1.1, PD: at least a 20% increase in sum of diameters of target lesions, taking as reference smallest sum on study treatment (this included baseline sum if that is smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 millimeters (mm). Unequivocal progression of existing non-target lesions. Appearance of 1 or more new target or non-target lesions. If a participant did not have an event, data censoring was done at the last recorded time to PD or the last tumor assessment, last disease assessment. Analysis was performed using Kaplan-Meier method.

    Measured: At 2 years of prospective follow-up

  2. PFS at 2 Years Assessed by Investigator Per RECIST v1.1 - Based on Targeted Therapy Group and Other Treatments Group at Inclusion

    PFS was defined as time (in months) from date of start of treatment (the treatment line ongoing at the time of inclusion in the study) to first documentation of PD or date of death due to any cause, when receiving the main treatment at the time of inclusion. RECIST v1.1, PD: at least a 20% increase in sum of diameters of target lesions, taking as reference smallest sum on study treatment (this included baseline sum if that is smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. Unequivocal progression of existing non-target lesions. Appearance of 1 or more new target or non-target lesions. If a participant did not have an event, data censoring was done at the last recorded time to PD or the last tumor assessment, last disease assessment. Analysis was performed using Kaplan-Meier method.

    Measured: At 2 years of prospective follow-up

  3. Overall Survival (OS) Rate at 2 Years - Based on Type of Treatment at Inclusion

    OS was the percentage of participants who were alive at 2 years of prospective follow-up. OS was defined as the time (in months) from the date of start of treatment (of the treatment line ongoing at the time of inclusion in the study) to the date of death due to any cause. Participants with no event or lost to follow-up or alive at the end of the study were censored at their last follow-up date (last follow-up date or last news). Analysis was performed using Kaplan-Meier method.

    Measured: At 2 years of prospective follow-up

  4. OS Rate at 2 Years- Based on Targeted Therapy Group and Other Treatments Group at Inclusion

    OS was the percentage of participants who were alive at 2 years of prospective follow-up. OS was defined as the time (in months) from the date of start of treatment (of the treatment line ongoing at the time of inclusion in the study) to the date of death due to any cause. Participants with no event or lost to follow-up or alive at the end of the study were censored at their last follow-up date (last follow-up date or last news). Analysis was performed using Kaplan-Meier method.

    Measured: At 2 years of prospective follow-up

  5. Number of Participants With Reasons for Temporary and Permanent Treatment Discontinuation - Based on Targeted Therapy Group and Other Treatment Group at Inclusion

    Measured: During 2 years of prospective follow-up

  6. Number of Participants With Adverse Events (AEs), Serious Adverse Events (SAEs), Treatment Related AEs, SAEs and SAEs With Common Terminology Criteria For Adverse Events (CTCAE) 3, 4 and 5, v4.0-Based on Treatment Received At-least Once During Study

    AE: any untoward medical occurrence in participant who received study drug without regard to possibility of causal relationship. SAE: any AE, regardless of dose, that: led to death; was life-threatening; required hospitalization or prolonged hospitalization; led to persistent or significant incapacity or led to congenital anomaly or birth defect. Treatment-related AE was any untoward medical occurrence attributed to study drug in participant who received study drug. Relatedness to treatment was assessed by investigator. Per CTCAE 4.0, Grade 3 (Severe) events=unacceptable or intolerable events, significantly interrupting usual daily activity, require systemic drug therapy/other treatment. Grade 4=Life-threatening events Grade 5 (Death) events=death related to an AE. Participants in this outcome measure were grouped according to type of treatment received at least once during study irrespective of treatment they initiated or were receiving at time of inclusion.

    Measured: During 2 years of prospective follow-up

  7. Number of Participants With Adverse Events Leading to Discontinuation of Treatment - Based on Treatment Received At-least Once During the Study

    An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. Participants in this outcome measure were grouped according to type of treatment received at least once during study irrespective of treatment they initiated or were receiving at time of inclusion.

    Measured: During 2 years of prospective follow-up

  8. Number of Participants With Adverse Events Leading to Death - Based on Treatment Received At-least Once During the Study

    An AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. Adverse events leading to death are reported in this outcome measure. Participants in this outcome measure were grouped according to type of treatment received at least once during study irrespective of treatment they initiated or were receiving at time of inclusion.

    Measured: During 2 years of prospective follow-up

Secondary outcomes (9)
  1. Mean of Number of Tumor Assessment Visits - Based on Targeted Therapy Group and Other Treatments Group at Inclusion

    Measured: During 2 years of prospective follow-up

  2. Number of Participants According to Frequency of Tumor Assessment Visits - Based on Targeted Therapy Group and Other Treatments Group at Inclusion

    Frequency = number of tumor assessment visits /([last visit date - baseline date]/365.25).

    Measured: During 2 years of prospective follow-up

  3. Number of Participants With Different Types of Investigation Used for Tumor Assessment - Based on Targeted Therapy Group and Other Treatments Group at Inclusion

    The different types of investigations were performed for assessment of tumor regardless of treatment received. Investigations performed were Computed Tomography (CT) scan, Magnetic Resonance Imaging (MRI), Positron Emission Tomography (PET) scan, Octreoscan, Ultrasound. All the investigations were used at least once during the study for all treatments.

    Measured: During 2 years of prospective follow-up

  4. Number of Participants Who Had a Change in Their Treatment - Based on Targeted Therapy Group and Other Treatments Group at Inclusion

    In this outcome measure, number of participants with a change in treatment compared to treatment at inclusion is reported.

    Measured: During 2 years of prospective follow-up

  5. Number of Participants According to Number of Changes in Doses of Treatment - Based on Type of Treatment (Everolimus, Sunitinib, Chemotherapy and Somatostatin Analogues) at Inclusion

    Number of participants according to number of changes in doses of treatment is reported for this outcome measure.

    Measured: During 2 years of prospective follow-up

  6. Number of Participants According to Course of Changes in Doses of Treatment - Based on Type of Treatment (Metabolic Radiotherapy) at Inclusion

    Number of participants according to course of changes in doses of treatment is reported for this outcome measure.

    Measured: During 2 years of prospective follow-up

  7. Number of Combined Main Lines of Treatments Received - Based on Targeted Therapy Group and Other Treatments Group at Inclusion

    The number of lines of combined main treatment administered during the study were assessed.

    Measured: During 2 years of prospective follow-up

  8. Number of Main Lines of Treatment Received During the Study - Based on Targeted Therapy Group and Other Treatments Group at Inclusion

    The number of main lines of treatment received during the study treatment are reported in this outcome measure.

    Measured: During 2 years of prospective follow-up

  9. Number of Participants With Types of Main Lines of Treatment Received During the Follow-up - Based on Targeted Therapy Group and Other Treatments Group at Inclusion

    The types of main lines of treatment included 1st line, 2nd line, 3rd line, 4th line, 5th line, 6th line, 7th line and 8th line.

    Measured: During 2 years of prospective follow-up

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted15 Oct 2014 (estimated)
  2. Study start12 May 2015
  3. Primary completion18 Nov 2019
  4. Study completion18 Nov 2019

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Other
Enrolment
144 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02264665
Sponsor's protocol ID
A6181214
Other IDs
OPALINE
Acronym
OPALINE
Status last verified
Oct 2023
First submitted
2 Sep 2014
Last updated
13 Nov 2023
Data monitoring committee
No
Individual data sharing
No: Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical\_trials/trial\_data\_and\_results/data\_requests.

Publications

  • Smith D, Lepage C, Vicaut E, Dominguez S, Coriat R, Dubreuil O, Lecomte T, Baudin E, Venat Bouvet L, Samalin E, Santos A, Borie O, Bisot-Locard S, Goichot B, Lombard-Bohas C. Observational Study in a Real-World Setting of Targeted Therapy in the Systemic Treatment of Progressive Unresectable or Metastatic Well-Differentiated Pancreatic Neuroendocrine Tumors (pNETs) in France: OPALINE Study. Adv Ther. 2022 Jun;39(6):2731-2748. doi: 10.1007/s12325-022-02103-7. Epub 2022 Apr 13.

    PubMed 35419649

Questions about this trial

What is this clinical trial studying?

An observational study of Pancreatic Neuroendocrine Tumor, Well Differentiated and Progressive, run by Pfizer at 35 sites in France.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 13 Nov 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 35 sites in France. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Yes. Results are posted in the registry (first posted 13 Nov 2023). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Progression-Free Survival (PFS) at 2 Years Assessed by Investigator Per Response Evaluation Criteria in Solid Tumors (RECIST) Version (v) 1.1 - Based on Type of Treatment at Inclusion (time frame: At 2 years of prospective follow-up). The study lists 8 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02264665, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 13 Nov 2023.

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