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OncoMatch/Clinical Trials/NCT05178693

Lutathera and ASTX727 in Neuroendocrine Tumours

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

Phase 1RecruitingImperial College LondonNCT05178693Data as of Jun 2026Location: United Kingdom

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

Treatments studied

Other

ASTX727

Cancer type

Neuroendocrine Tumor

Biomarker criteria

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

Ki67 < 55%

Performance status

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

Demographics

Ages ≤ 99

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.

Frequently asked questions

Is NCT05178693 currently recruiting?

Yes, this trial is currently recruiting patients.

Are there prior therapy exclusions?

Yes. Prior Lutathera or ASTX727, radiation therapy disqualifies patients from enrollment.

Does this trial require MKI67?

Yes, MKI67 Ki67 < 55% is a required biomarker for enrollment.

Is there an age limit?

Yes. Patients must be 99 years or younger.

Could you qualify for this trial?

Enter your biomarker results to see how this trial's eligibility criteria match your specific cancer profile.

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