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OncoMatch/Clinical Trials/NCT05687123

Testing the Addition of Sunitinib Malate to Lutetium Lu 177 Dotatate (Lutathera) in Pancreatic Neuroendocrine Tumors

Is NCT05687123 recruiting? Yes, currently enrolling (May 2026). This Phase 1 trial studies multiple treatments including Lutetium Lu 177 Dotatate and Sunitinib Malate for metastatic pancreatic neuroendocrine tumor.

Phase 1RecruitingNational Cancer Institute (NCI)NCT05687123Data as of May 2026

Treatment: Lutetium Lu 177 Dotatate · Sunitinib MalateThis phase I trial tests the safety, side effects, and best dose of sunitinib malate in combination with lutetium Lu 177 dotatate in treating patients with pancreatic neuroendocrine tumors. Sunitinib malate is in a class of medications called kinase inhibitors and a form of targeted therapy that blocks the action of abnormal proteins called VEGFRs that signal tumor cells to multiply. This helps stop or slow the spread of tumor cells. Radioactive drugs, such as lutetium Lu 177 dotatate, may carry radiation directly to tumor cells and not harm normal cells. It is also a form of targeted therapy because it works by attaching itself to specific molecules (receptors) on the surface of tumor cells, known as somatostatin receptors, so that radiation can be delivered directly to the tumor cells and kill them. Giving sunitinib malate and lutetium Lu 177 dotatate in combination may be safer and more effective in treating pancreatic neuroendocrine tumors than giving either drug alone.

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Extracted eligibility criteria

Cancer type

Neuroendocrine Tumor

Pancreatic Cancer

Disease stage

Required: Stage III, IV (AJCC v8)

Metastatic disease required

metastatic, unresectable well- or moderately-differentiated pancreatic neuroendocrine tumors (PNETs) of any grade

Performance status

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

Prior therapy

Max 1 prior line

Cannot have received: sunitinib (sunitinib malate)

Patients who have had prior treatment with sunitinib malate

Cannot have received: peptide receptor radionuclide therapy (lutetium Lu 177 dotatate)

Patients who have had prior treatment with lutetium Lu 177 dotatate therapy

Cannot have received: radiopharmaceutical (metaiodobenzylguanidine, yttrium-90, radioactive iodide)

other radiopharmaceuticals (including, but not limited to, metaiodobenzylguanidine [MIBG], yttrium-90 [Y-90], radioactive iodide [RAI])

Lab requirements

Blood counts

Absolute neutrophil count >= 1,000/mcL; Platelets >= 75,000/mcL; Hemoglobin > 8.0 g/dL; White blood cell count > 2000/mL

Kidney function

Creatinine clearance > 50 ml/min OR GFR >= 60 mL/min/1.73 m^2

Liver function

Total bilirubin <= 1.5 institutional ULN; AST/ALT <= 3 × institutional ULN

Cardiac function

NYHA class 2B or better; BP <= 140/90 mmHg; left ventricular ejection fraction > 50%

Absolute neutrophil count >= 1,000/mcL; Platelets >= 75,000/mcL; Total bilirubin <= 1.5 institutional ULN; AST/ALT <= 3 × institutional ULN; Creatinine clearance > 50 ml/min OR GFR >= 60 mL/min/1.73 m^2; Hemoglobin > 8.0 g/dL; White blood cell count > 2000/mL; Serum calcium <= 12.0 mg/dL; NYHA class 2B or better; BP <= 140/90 mmHg; left ventricular ejection fraction > 50%

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

US trial sites

  • City of Hope Comprehensive Cancer Center · Duarte, California
  • UCI Health - Chao Family Comprehensive Cancer Center and Ambulatory Care · Irvine, California
  • UC Irvine Health/Chao Family Comprehensive Cancer Center · Orange, California
  • Memorial Hospital East · Shiloh, Illinois
  • Siteman Cancer Center at Saint Peters Hospital · City of Saint Peters, Missouri

Showing up to 5 US sites. See all sites on ClinicalTrials.gov →

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