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Trial · NCT03736720

Liposomal Irinotecan, Fluorouracil and Leucovorin in Treating Patients With Refractory Advanced High Grade Neuroendocrine Cancer of Gastrointestinal, Unknown, or Pancreatic Origin

NCT03736720, Phase 2, Terminated, Roswell Park Cancer Institute; results first posted 2023-12-19

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Liposomal Irinotecan, Fluorouracil and Leucovorin in Treating Patients With Refractory Advanced High Grade Neuroendocrine Cancer of Gastrointestinal, Unknown, or Pancreatic Origin. Trials, record NCT03736720. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03736720

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Liposomal Irinotecan, Fluorouracil and Leucovorin in Treating Patients With Refractory Advanced High Grade Neuroendocrine Cancer of Gastrointestinal, Unknown, or Pancreatic Origin
NCT number
NCT03736720
Status
Terminated
Phases
Phase 2
Enrollment
11 participants, actual
Lead sponsor
Roswell Park Cancer Institute
Conditions
Locally Advanced Digestive System Neuroendocrine Carcinoma, Locally Advanced Pancreatic Neuroendocrine Carcinoma, Metastatic Digestive System Neuroendocrine Carcinoma, Metastatic Pancreatic Neuroendocrine Carcinoma, Refractory Digestive System Neuroendocrine Carcinoma, Refractory Pancreatic Neuroendocrine Carcinoma, Unresectable Digestive System Neuroendocrine Carcinoma, Unresectable Pancreatic Neuroendocrine Carcinoma
Interventions
Fluorouracil, Leucovorin, Liposomal Irinotecan, Quality-of-Life Assessment
First posted
2018-11-09
Last updated
2025-01-30
Results first posted
2023-12-19

Source ClinicalTrials.gov

Registered outcomes8

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryObjective Response Rate (ORR) as Assessed by Response Evaluation Criteria in Solid Tumors (RECIST) 1.1Within 6 months of treatment initiation
Will be summarized using frequencies and relative frequencies; with the ORR (= CR+PR / N) estimated using an 80% confidence interval obtained using Jeffrey's prior method. Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions.
SecondaryOverall SurvivalFrom first dosing of study treatment combination to time of death or imitation of a new therapy, assessed up to 3 yearsWill be summarized using standard Kaplan-Meier methods; where estimates of the median time will be obtained with 95% confidence intervals.
SecondaryProgression-free Survival Assessed by RECIST 1.1From first dosing of study treatment combination to disease progression, assessed up to 3 years
Will be summarized using standard Kaplan-Meier methods; where estimates of the median time will be obtained with 95% confidence intervals. Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions.
SecondaryTime-to Treatment FailureFrom enrollment to discontinuation of treatment, assessed up to 3 yearsWill be summarized using standard Kaplan-Meier methods; where estimates of the median time will be obtained with 90% confidence intervals.
SecondaryProportion of Patients Achieving an Objective Response Based on Prior Response to Platinum EtoposideUp to 3 yearsThe objective response rate (ORR) is as described in the primary analysis. Here it is reported in the subset of patients that received prior platinum etoposide therapy.
SecondaryClinical Benefit ResponseUp to 3 years
Defined as either achievement of pronounced and sustained (\>=4 weeks contiguous) improvement in pain intensity, analgesic consumption, or performance status, or a combination of these, without any worsening in any of the other factors, or stability in pain intensity, analgesic consumption, and performance status with pronounced and sustained (\>= 4 weeks contiguous) weight gain. Will be treated as binary data and summarized using frequencies and relative frequencies. The clinical benefit response rate will be estimated using a 90% confidence interval obtained by Jeffrey?s prior method.
SecondaryQuality of Life (QOL) as Assessed by European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-C30)From treatment initiation until treatment completion/progression (up to 3 years).
Will be treated as quantitative data and summarized by time-point using the mean and standard deviation. The QOL scores at each follow-up time may be compared with base-line levels using the paired t-test or sign test. The overall QoL rating ranges from 0 (poor) to 10 (good).
SecondaryIncidence of Grade 3+ Treatment Related Adverse Events (TRAE)Up to 3 years
Toxicities and adverse events will be summarized by attribution and grade using frequencies and relative frequencies. High grade (3+) toxicity and adverse event rates may be estimated using 90% confidence intervals obtained by Jeffrey's prior method. Data Safety Monitoring Board (DSMB) monitoring will also occur periodically to ensure safety of study subjects.

Outcomes8

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYObjective Response Rate (ORR) as Assessed by Response Evaluation Criteria in Solid Tumors (RECIST) 1.1Within 6 months of treatment initiation2 patients were not evaluable for response.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYOverall SurvivalFrom first dosing of study treatment combination to time of death or imitation of a new therapy, assessed up to 3 yearsmonthsMEDIAN
SECONDARYProgression-free Survival Assessed by RECIST 1.1From first dosing of study treatment combination to disease progression, assessed up to 3 yearsmonthsMEDIAN
SECONDARYTime-to Treatment FailureFrom enrollment to discontinuation of treatment, assessed up to 3 yearsmonthsMEDIAN
SECONDARYProportion of Patients Achieving an Objective Response Based on Prior Response to Platinum EtoposideUp to 3 yearsOnly 4 patients received prior platinum etoposide.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYClinical Benefit ResponseUp to 3 yearsThe appropriate data to identify patient clinical benefit status (as defined above) was not adequately obtained (no available data) and analysis can not be conducted for this outcome measure.
SECONDARYQuality of Life (QOL) as Assessed by European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-C30)From treatment initiation until treatment completion/progression (up to 3 years).There are 11 patients that have QoL data at baseline (pre-treatment). There are only 8 patients with end of treatment QoL assessment.units on a scaleMEAN
SECONDARYIncidence of Grade 3+ Treatment Related Adverse Events (TRAE)Up to 3 yearsParticipantsCOUNT_OF_PARTICIPANTS

Results by group11

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Objective Response Rate (ORR) as Assessed by Response Evaluation Criteria in Solid Tumors (RECIST) 1.1Treatment (Liposomal Irinotecan, Leucovorin, Fluorouracil)Objective Response (CR+PR)1Participants
Objective Response Rate (ORR) as Assessed by Response Evaluation Criteria in Solid Tumors (RECIST) 1.1Treatment (Liposomal Irinotecan, Leucovorin, Fluorouracil)No Objective Response (SD+PD)8Participants
Overall SurvivalTreatment (Liposomal Irinotecan, Leucovorin, Fluorouracil)8.395% Confidence Interval 2.3 to 18.2months
Progression-free Survival Assessed by RECIST 1.1Treatment (Liposomal Irinotecan, Leucovorin, Fluorouracil)3.995% Confidence Interval 0.5 to 5.1months
Time-to Treatment FailureTreatment (Liposomal Irinotecan, Leucovorin, Fluorouracil)3.990% Confidence Interval 1.7 to 4.4months
Proportion of Patients Achieving an Objective Response Based on Prior Response to Platinum EtoposideTreatment (Liposomal Irinotecan, Leucovorin, Fluorouracil)No Objective Response3Participants
Proportion of Patients Achieving an Objective Response Based on Prior Response to Platinum EtoposideTreatment (Liposomal Irinotecan, Leucovorin, Fluorouracil)Objective Response1Participants
Quality of Life (QOL) as Assessed by European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-C30)Treatment (Liposomal Irinotecan, Leucovorin, Fluorouracil)Pre Treatment QoL5.9Standard Deviation 1.4units on a scale
Quality of Life (QOL) as Assessed by European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-C30)Treatment (Liposomal Irinotecan, Leucovorin, Fluorouracil)End of Treatment QoL5.5Standard Deviation 1.7units on a scale
Incidence of Grade 3+ Treatment Related Adverse Events (TRAE)Treatment (Liposomal Irinotecan, Leucovorin, Fluorouracil)No Grade 3+ TRAE4Participants

Participant flow3

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDTreatment (Liposomal Irinotecan, Leucovorin, Fluorouracil)11
Overall StudyCOMPLETEDTreatment (Liposomal Irinotecan, Leucovorin, Fluorouracil)11
Overall StudyNOT COMPLETEDTreatment (Liposomal Irinotecan, Leucovorin, Fluorouracil)0

Adverse events26

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAnemiaBlood and lymphatic system disordersTreatment (Liposomal Irinotecan, Leucovorin, Fluorouracil)1111
otherAbdominal painGastrointestinal disordersTreatment (Liposomal Irinotecan, Leucovorin, Fluorouracil)1111
otherConstipationGastrointestinal disordersTreatment (Liposomal Irinotecan, Leucovorin, Fluorouracil)2112
otherDiarrheaGastrointestinal disordersTreatment (Liposomal Irinotecan, Leucovorin, Fluorouracil)5115
otherGastrointestinal painGastrointestinal disordersTreatment (Liposomal Irinotecan, Leucovorin, Fluorouracil)1111
otherNauseaGastrointestinal disordersTreatment (Liposomal Irinotecan, Leucovorin, Fluorouracil)5115
otherSmall intestinal obstructionGastrointestinal disordersTreatment (Liposomal Irinotecan, Leucovorin, Fluorouracil)1111
otherVomitingGastrointestinal disordersTreatment (Liposomal Irinotecan, Leucovorin, Fluorouracil)5115
otherFatigueGeneral disordersTreatment (Liposomal Irinotecan, Leucovorin, Fluorouracil)5115
otherSepsisInfections and infestationsTreatment (Liposomal Irinotecan, Leucovorin, Fluorouracil)2112

Adverse event totals3

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityTreatment (Liposomal Irinotecan, Leucovorin, Fluorouracil)111
Total, other adverse eventsTreatment (Liposomal Irinotecan, Leucovorin, Fluorouracil)1111
Total, serious adverse eventsTreatment (Liposomal Irinotecan, Leucovorin, Fluorouracil)611

Papers1

The papers the trial lists on ClinicalTrials.gov.

PMIDListed as
33835977DERIVED

Source PubMed

Grants1

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

ProjectTitlePrincipal investigatorsOrganizationFunderFiscal years
P30CA016056Roswell Park Cancer Center Support GrantJOHNSON, CANDACE SROSWELL PARK CANCER INSTITUTE CORPNATIONAL CANCER INSTITUTE1985 to 2025

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT03736720

GET https://conductscience.org/api/trials/v1/NCT03736720/events?page=2