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OncoMatch/Clinical Trials/NCT05178693

Lutathera and ASTX727 in Neuroendocrine Tumours

Is NCT05178693 recruiting? Yes, currently enrolling (May 2026). This Phase 1 trial studies ASTX727 for neuroendocrine tumors.

Phase 1RecruitingImperial College LondonNCT05178693Data as of May 2026

Treatment: ASTX727Patients entered into the study will receive ASTX727 orally for 5 days, prior to receiving Lutathera treatment on Day 8, to determine whether pre-treatment with ASTX727 results in re-expression of somatostatin receptor-2 in patients with metastatic neuroendocrine tumours. The study will use \[68Ga\]-DOTA-TATE PET to image epigenetic modification of the receptor locus.

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Extracted eligibility criteria

Cancer type

Neuroendocrine Tumor

Biomarker criteria

Required: MKI67 Ki67 < 55% (< 55%)

Ki67 < 55%

Performance status

ECOG 0–2(Ambulatory, capable of self-care)

Prior therapy

Min 1 prior line

Must have received: somatostatin analogue — first line

Progression or intolerance to first line therapy including somatostatin analogues

Cannot have received: Lutathera or ASTX727

Previous treatment with either study medication

Cannot have received: radiation therapy

Exception: palliative radiation (≤2 weeks of radiotherapy) to non-CNS disease and stereotactic radiotherapy to the CNS allowed with 1-week washout

Has received prior radiotherapy within 2 weeks of start of study treatment. Participants must have recovered from all radiation-related toxicities, not require corticosteroids, and not have had radiation pneumonitis. A 1-week washout is permitted for palliative radiation (≤2 weeks of radiotherapy) to non-CNS disease and stereotactic radiotherapy to the CNS

Structured fields extracted by AI. May contain errors — verify against the official protocol.

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