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Neuroendocrine TumorPhase 2LUTARTERIALNCT04837885

Intra-arterial Hepatic (IAH) Infusion of Radiolabelled Somatostatin Analogs in GEP-NET Patients With Dominant Liver Metastases

A Phase 2 study testing Positron emission tomography computed tomography (PET/CT) with Intra-hepatic (IAH) injection, Positron emission tomography computed tomography (PET/CT) with Intravenous (IV) injection and LUTATHERA® by intra-arterial hepatic (IAH) injection in people with Neuroendocrine Tumor and Liver Metastases, run by University Hospital, Bordeaux at 4 sites in France.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

The management of liver metastases in neuroendocrine neoplasms is challenging. Peptide receptor radionuclide therapy with radiolabeled somatostatin analogs (SSA) is one of the most promising therapeutic options. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Positron emission tomography computed tomography (PET/CT) with Intra-hepatic (IAH) injection, Positron emission tomography computed tomography (PET/CT) with Intravenous (IV) injection and LUTATHERA® by intra-arterial hepatic (IAH) injection
Could I receive a placebo?
No, everyone receives an active treatment
How many people
23 participants
Where
4 sitesFrance
Study dates
24 Sep 2021to 24 Mar 2027
Phase
Phase 2
Are there results?
Not yet: the study is under way

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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Histologically proven well differentiated neuroendocrine tumor (NET) of gastrointestinal or pancreatic origin (GEP).
  • Patients are progressive after treatment with cold somatostatin analog (within 12 months according to RECIST), or as soon as the diagnosis is made in case of hepatic invasion > 50% without waiting for tumour progression
  • Patient has received 4 standard of care LUTATHERA® cycles
  • Liver Metastatic disease dominant or exclusive and assessable by RECIST 1.1, and not amenable to surgical resection after the last cycle
  • ECOG performance status 0-2
  • Adequate kidney and liver function: creatinine clearance ≥ 50 mL/min, ALT/AST ≤ 2,5x the upper limit of normal
Show all 11Show fewer
  • With no evidence of hematologic alteration after 4 LUTATHERA® cycles: hemoglobin ≥ 8 g/dL, neutrophils ≥ 1500/ mm3, platelets ≥ 75.000/mm3
  • Age ≥ 18 years, no superior limit
  • Contraception required in pre-menopausal female (Intrauterine device, Progestin Pills, Combined Oral Contraceptives, Monthly Injectables, Progestin Injectables, Combined Patch, Combined Vaginal Ring, Female Sterilization, Vasectomy, Implants) and men for at least 6 months after the last LUTATHERA ® injection.
  • Patient´s signed written informed consent
  • Patient affiliated to a social security system

Who cannot join

  • Patients with complete response defined by the absence of lesion according to RECIST 1.1 realized during morphological imaging at inclusion (chest-abdomen-pelvis CT scan and hepatic MRI)
  • No residual uptake according to standard 177-Lu scintigraphy performed in the clinical routine 24 hours after each LUTATHERA IV treatment
  • Carcinoid heart disease (LVEF < 40%)
  • Dominant or threatening extrahepatic metastases or that may affect vital prognosis
  • Contraindications to intra-hepatic arterial infusion (coagulation disorders, portal thrombosis, intra-hepatic biliary tract dilatation, digestive or biliary anastomosis or fistula, cirrhosis (Child Pugh B8 or C…)
  • Serum albumin <30 g/L unless prothrombin time is within the normal range.
Show all 13Show fewer
  • Heart failure, myocardial infarction, stroke, uncontrolled arterial hypertension under optimal treatment (≥ 160/95 mmHg), pulmonary embolism or revascularization procedure, unstable angina pectoris, uncontrolled cardiac arrhythmia, and clinically significant bradycardia during the last 12 months.
  • Individuals under legal protection or unable of giving their informed consent
  • Pregnancy or breast feeding
  • Currently participating to another clinical research protocol
  • Individuals under legal protection or unable of giving their informed consent
  • MRI scan contraindicated
  • LUTATHERA® contraindicated or toxicity during one of the IV administrations leading to a reduction or cancellation of the following dose

Trial locations and contacts

4 sites in 1 country. Contact the study team or a site near you to ask about taking part.

France4 sites, 4 recruiting
  • Institut Bergonié

    Bordeaux, 33000

    Yann GODBERT, Dr, y.godbert@bordeaux.unicancer.fr

    Not yet recruiting
  • Institut de cancérologie du Gard (ICG) - CHU de Nîmes

    Nîmes, 30029

    Vincent BOUDOUSQ, Dr, vincent.boudousq@chu-nimes.fr

    Not yet recruiting
  • CHU Bordeaux - Hôpital Haut Lévêque

    Pessac, 33604

    Ghoufrane TLILI, Dr, 05 57 65 64 08, ghoufrane.tlili@chu-bordeaux.fr

    Guillaume Macary, 05 57 62 32 52, guillaume.macary@chu-bordeaux.fr

    Recruiting
  • Institut universitaire du cancer de Toulouse (IUCT) Oncopole

    Toulouse, 31100

    Frederic Courbon, Pr, courbon.frederic@iuct-oncopole.fr

    Not yet recruiting

Other trials in France

About this study

Official title: "Imaging With 68Ga-DOTA-peptides and Peptide Receptor Radionuclide Therapy With 177Lu-DOTA-peptides of Gastroenteropancreatic Neuroendocrine Tumors: Interest of Intra-arterial Hepatic Infusion in Patients With Dominant Liver Metastases"

The management of liver metastases in neuroendocrine neoplasms is challenging. Peptide receptor radionuclide therapy with radiolabeled somatostatin analogs (SSA) is one of the most promising therapeutic options. As liver is the most frequent site of metastatic disease, our project proposes to compare administration of radiolabeled SSA by arterial intrahepatic infusion (experimental approach) vs intravenous administration (conventional). Evaluation will be made by (i) comparing 68Ga-DOTA-peptides uptake after intra-hepatic versus intravenous route (imaging), (ii) by evaluating the safety of an additional intra-hepatic administration of therapeutic radiolabeled SSA (therapy).

Read the detailed description

Liver metastases of neuroendocrine tumors of gastro-entero-pancreatic origin are one of the most limiting factors of patient survival. Peptide receptor radionuclide therapy with radiolabeled somatostatin analogs (SSA) such as LUTATHERA® represents now a major therapeutic option. As far as these metastases are mainly perfused by the hepatic artery, it could be relevant to deliver the treatment by intra-hepatic route, in order to achieve a maximized dose to the tumour when compared with a systemic conventional administration, while also reducing kidney and bone marrow toxicity. By using radiolabeled SSA for imaging and therapy, the present project aims to compare the uptake of 68Ga-DOTA-peptides after intra-hepatic versus intravenous injections for targeted liver metastases, as well as for dose limiting organs (kidney, spleen, healthy liver, bone marrow) and extra-hepatic lesions if present. The investigators will also evaluate whether the intra-hepatic infusion of one treatment dose of LUTATHERA® after conventional treatment by 4 intravenous administrations, is safe.

Following 4 intravenous administrations of LUTATHERA® in GEP-NET with dominant liver metastases, patients who gave informed consent will be enrolled for 2 PET-scans, the first one after intra-hepatic injection of 68Ga-DOTA-peptides and the second one after intravenous injection for purpose of uptake comparison by 5 liver metastases chosen by radiologists on MRI.

In 10 patients who meet a predefined enhancement ratio of 3, a 5th dose of LUTATHERA® will be administered by intra-arterial hepatic injection. An average enhancement ratio of 3.75 is expected from intra-arterial injection compared to intravenous results. Those 10 patients will be evaluated for 177Lu-DOTA-peptide activity and residence time by SPECT/CT imaging.

Follow-up through 18 months will include clinical examination, MRI and CT scan, as usually performed in these clinical settings and progression

Being tested
Positron emission tomography computed tomography (PET/CT) with Intra-hepatic (IAH) injection, Positron emission tomography computed tomography (PET/CT) with Intravenous (IV) injection, LUTATHERA® by intra-arterial hepatic (IAH) injection, Scan
Keywords
Neuroendocrine tumour, Neuroendocrine gastroenteropancreatic (GEP) tumour, Liver Metastases, 68Ga- DOTA-peptides PET CT, 177Lutetium-Octreotate, Peptide Receptor Radionuclide Therapy
Medical subject headings
Neuroendocrine Tumors, Neoplasms

What participants receive

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

  • Positron emission tomography computed tomography (PET/CT) with Intra-hepatic (IAH) injectionProcedure or surgery

    Intra-hepatic injection of 68Ga-DOTA-peptides for targeted liver metastases in Positron emission tomography-computed tomography (PET/CT)

  • Positron emission tomography computed tomography (PET/CT) with Intravenous (IV) injectionProcedure or surgery

    intravenous injection of 68Ga-DOTA-peptides for targeted liver metastases in Positron emission tomography-computed tomography (PET/CT)

  • LUTATHERA® by intra-arterial hepatic (IAH) injectionDrug

    One treatment dose of LUTATHERA® by IAH injection. The LUTATHERA® by intra-arterial hepatic injection treatment is realised after the conventional treatment by 4 intravenous administrations

  • ScanProcedure or surgery

    Scans after completion of LUTATHERA® treatment injection

Study groups in NCT04837885
Study groupRoleWhat they receive
68Ga-DOTA-peptides PET/CTExperimental68Ga-DOTA-peptides injections for targeted liver metastases in Positron emission tomography-computed tomography (PET/CT) One treatment dose of LUTATHERA® by intra-arterial hepatic injection (IAH) after conventional treatment by 4 intravenous administrations
Receives: Procedure: Positron emission tomography computed tomography (PET/CT) with Intra-hepatic (IAH) injection; Procedure: Positron emission tomography computed tomography (PET/CT) with Intravenous (IV) injection; Drug: LUTATHERA® by intra-arterial hepatic (IAH) injection; Procedure: Scan

What is being measured

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

  1. Standardized uptake value (SUVmax) on liver metastases

    Standardized uptake value (SUVmax) on liver metastase obtained on PET/CT imaging after injection of 68Ga-DOTA-peptides

    Measured: Day 0 (First PET/CT)

  2. Standardized uptake value (SUVmax) on liver metastases

    Standardized uptake value (SUVmax) on liver metastase obtained on PET/CT imaging after injection of 68Ga-DOTA-peptides

    Measured: Day 3 (second PET/CT)

Secondary outcomes (11)
  1. Standardized uptake value (SUVmax) on healthy liver

    Standardized uptake value (SUVmax) on healthy liver obtained on PET/CT imaging after injection of 68Ga-DOTA-peptides

    Measured: Day 0 (First PET/CT)

  2. Standardized uptake value (SUVmax) on healthy liver

    Standardized uptake value (SUVmax) on healthy liver obtained on PET/CT imaging after injection of 68Ga-DOTA-peptides

    Measured: Day 3 (second PET/CT)

  3. Standardized uptake value (SUVmax) on kidneys

    Standardized uptake value (SUVmax) on kidneys obtained on PET/CT imaging after injection of 68Ga-DOTA-peptides

    Measured: Day 0 (First PET/CT)

  4. Standardized uptake value (SUVmax) on kidneys

    Standardized uptake value (SUVmax) on kidneys obtained on PET/CT imaging after injection of 68Ga-DOTA-peptides

    Measured: Day 3 (second PET/CT)

  5. Standardized uptake value (SUVmax) on bone marrow

    Standardized uptake value (SUVmax) on bone marrow obtained on PET/CT imaging after injection of 68Ga-DOTA-peptides

    Measured: Day 0 (First PET/CT)

  6. Standardized uptake value (SUVmax) on bone marrow

    Standardized uptake value (SUVmax) on bone marrow obtained on PET/CT imaging after injection of 68Ga-DOTA-peptides

    Measured: Day 3 (second PET/CT)

  7. Standardized uptake value (SUVmax) on spleen

    Standardized uptake value (SUVmax) on spleen obtained on PET/CT imaging after injection of 68Ga-DOTA-peptides

    Measured: Day 0 (First PET/CT)

  8. Standardized uptake value (SUVmax) on spleen

    Standardized uptake value (SUVmax) on spleen obtained on PET/CT imaging after injection of 68Ga-DOTA-peptides

    Measured: Day 3 (second PET/CT)

  9. Standardized uptake value (SUVmax) on associated extra-hepatic metastases

    Standardized uptake value (SUVmax) on associated extra-hepatic metastases obtained on PET/CT imaging after injection of 68Ga-DOTA-peptides

    Measured: Day 0 (First PET/CT)

  10. Standardized uptake value (SUVmax) on associated extra-hepatic metastases

    Standardized uptake value (SUVmax) on associated extra-hepatic metastases obtained on PET/CT imaging after injection of 68Ga-DOTA-peptides

    Measured: Day 3 (second PET/CT)

  11. 177Lu-DOTA-peptide dosimetry

    Absorbed dose in different tissue of the 5 hepatic targets, possible extra-hepatic lesions and healthy organs (healthy liver, kidney, bone marrow, spleen)

    Measured: Day 18

Timeline

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

  1. First posted8 Apr 2021
  2. Study start24 Sep 2021
  3. Primary completion24 Sep 2025 (estimated)
  4. Study completion24 Mar 2027 (estimated)

Resources

More details

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

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
23 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04837885
Sponsor's protocol ID
CHUBX 2017/47
Acronym
LUTARTERIAL
Status last verified
Jul 2025
First submitted
6 Apr 2021
Last updated
23 Jul 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Positron emission tomography computed tomography (PET/CT) with Intra-hepatic (IAH) injection, Positron emission tomography computed tomography (PET/CT) with Intravenous (IV) injection and LUTATHERA® by intra-arterial hepatic (IAH) injection in people with Neuroendocrine Tumor and Liver Metastases, run by University Hospital, Bordeaux at 4 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 11 inclusion and 13 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: looking for participants now, as of the sponsor's last update on 23 Jul 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 4 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.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

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

Contact Ghoufrane TLILI, Dr (05 57 65 64 08, ghoufrane.tlili@chu-bordeaux.fr), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Standardized uptake value (SUVmax) on liver metastases (time frame: Day 0 (First PET/CT)). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 23 Jul 2025.

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