Randomised phase II trial of CAPTEM or FOLFIRI as SEcond-line therapy in NEuroendocrine CArcinomas and exploratory analysis of predictive role of PET/CT imaging and biological markers (SENECA trial): a study protocol
Introduction Patients with metastatic or locally advanced, non-resectable, grade 3 poorly differentiated gastroenteropancreatic (GEP) and lung neuroendocrine carcinomas (NECs) are usually treated with in first-line platinum compounds. There is no standard second-line treatment on progression. Accura...
Ausführliche Beschreibung
Autor*in: |
Ivan Lolli [verfasserIn] Daniele Santini [verfasserIn] Rossana Berardi [verfasserIn] Giuseppe Badalamenti [verfasserIn] Toni Ibrahim [verfasserIn] Alfredo Berruti [verfasserIn] Alberto Bongiovanni [verfasserIn] Chiara Liverani [verfasserIn] Sara Pusceddu [verfasserIn] Silvana Leo [verfasserIn] Giovanni Di Meglio [verfasserIn] Stefano Tamberi [verfasserIn] Fabio Gelsomino [verfasserIn] Francesca Pucci [verfasserIn] Francesca Bergamo [verfasserIn] Sergio Ricci [verfasserIn] Flavia Foca [verfasserIn] Stefano Severi [verfasserIn] Mauro Cives [verfasserIn] Davide Campana [verfasserIn] Nicola Silvestris [verfasserIn] Angela Buonadonna [verfasserIn] Maria Pia Brizzi [verfasserIn] Francesca Spada [verfasserIn] Sara Cingarlini [verfasserIn] Lorenzo Antonuzzo [verfasserIn] Davide Pastorelli [verfasserIn] |
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E-Artikel |
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Sprache: |
Englisch |
Erschienen: |
2020 |
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Übergeordnetes Werk: |
In: BMJ Open - BMJ Publishing Group, 2011, 10(2020), 7 |
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Übergeordnetes Werk: |
volume:10 ; year:2020 ; number:7 |
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DOI / URN: |
10.1136/bmjopen-2019-034393 |
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Katalog-ID: |
DOAJ078455618 |
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520 | |a Introduction Patients with metastatic or locally advanced, non-resectable, grade 3 poorly differentiated gastroenteropancreatic (GEP) and lung neuroendocrine carcinomas (NECs) are usually treated with in first-line platinum compounds. There is no standard second-line treatment on progression. Accurate biomarkers are needed to facilitate diagnosis and prognostic assessment of patients with NEC.Methods and analysis The SEcond-line therapy in NEuroendocrine CArcinomas (SENECA) study is a randomised, non-comparative, multicentre phase II trial designed to evaluate the efficacy and safety of folinic acid, 5-fluorouracil and irinotecan (FOLFIRI) or capecitabine plus temozolomide (CAPTEM) regimens after failure of first-line chemotherapy in patients with lung NEC and GEP-NEC. Secondary aims are to correlate the serum miRNA profile and primary mutational status of MEN1, DAXX, ATRX and RB-1 with prognosis and outcome and to investigate the prognostic and predictive role of the Ki-67 score and 18-fluorodeoxyglucose positron emission tomography/computed tomography (18F-FDG PET/CT) or 68Ga-PET/CT. The main eligibility criteria are age ≥18 years; metastatic or locally advanced, non-resectable, grade 3 lung or GEP-NECs; progression to first-line platinum-based chemotherapy. A Bryant and Day design taking into account treatment activity and toxicity was used to estimate the sample size. All analyses will be performed separately for each treatment group in the intention-to-treat population. A total of 112 patients (56/arm) will be randomly assigned (1:1) to receive FOLFIRI every 14 days or CAPTEM every 28 days until disease progression or unacceptable toxicity or for a maximum of 6 months. Patients undergo testing for specific biomarkers in primary tumour tissue and for miRNA in blood samples. MiRNA profiling will be performed in the first 20 patients who agree to participate in the biological substudy.Ethics and dissemination The SENECA trial, supported by Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST), was authorised by the locals Ethics Committee and the Italian Medicines Agency (AIFA). Results will be widely disseminated via peer-reviewed manuscripts, conference presentations and reports to relevant authorities.The study is currently open in Italy.Trail registration number NCT03387592; Pre-results. EudraCT-2016-000767-17.Protocol version Clinical Study Protocol Version 1, 7 November 2016. | ||
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10.1136/bmjopen-2019-034393 doi (DE-627)DOAJ078455618 (DE-599)DOAJ1bee21f43655476bb6cd7b2b5d64ca29 DE-627 ger DE-627 rakwb eng Ivan Lolli verfasserin aut Randomised phase II trial of CAPTEM or FOLFIRI as SEcond-line therapy in NEuroendocrine CArcinomas and exploratory analysis of predictive role of PET/CT imaging and biological markers (SENECA trial): a study protocol 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction Patients with metastatic or locally advanced, non-resectable, grade 3 poorly differentiated gastroenteropancreatic (GEP) and lung neuroendocrine carcinomas (NECs) are usually treated with in first-line platinum compounds. There is no standard second-line treatment on progression. Accurate biomarkers are needed to facilitate diagnosis and prognostic assessment of patients with NEC.Methods and analysis The SEcond-line therapy in NEuroendocrine CArcinomas (SENECA) study is a randomised, non-comparative, multicentre phase II trial designed to evaluate the efficacy and safety of folinic acid, 5-fluorouracil and irinotecan (FOLFIRI) or capecitabine plus temozolomide (CAPTEM) regimens after failure of first-line chemotherapy in patients with lung NEC and GEP-NEC. Secondary aims are to correlate the serum miRNA profile and primary mutational status of MEN1, DAXX, ATRX and RB-1 with prognosis and outcome and to investigate the prognostic and predictive role of the Ki-67 score and 18-fluorodeoxyglucose positron emission tomography/computed tomography (18F-FDG PET/CT) or 68Ga-PET/CT. The main eligibility criteria are age ≥18 years; metastatic or locally advanced, non-resectable, grade 3 lung or GEP-NECs; progression to first-line platinum-based chemotherapy. A Bryant and Day design taking into account treatment activity and toxicity was used to estimate the sample size. All analyses will be performed separately for each treatment group in the intention-to-treat population. A total of 112 patients (56/arm) will be randomly assigned (1:1) to receive FOLFIRI every 14 days or CAPTEM every 28 days until disease progression or unacceptable toxicity or for a maximum of 6 months. Patients undergo testing for specific biomarkers in primary tumour tissue and for miRNA in blood samples. MiRNA profiling will be performed in the first 20 patients who agree to participate in the biological substudy.Ethics and dissemination The SENECA trial, supported by Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST), was authorised by the locals Ethics Committee and the Italian Medicines Agency (AIFA). Results will be widely disseminated via peer-reviewed manuscripts, conference presentations and reports to relevant authorities.The study is currently open in Italy.Trail registration number NCT03387592; Pre-results. EudraCT-2016-000767-17.Protocol version Clinical Study Protocol Version 1, 7 November 2016. Medicine R Daniele Santini verfasserin aut Rossana Berardi verfasserin aut Giuseppe Badalamenti verfasserin aut Toni Ibrahim verfasserin aut Alfredo Berruti verfasserin aut Alberto Bongiovanni verfasserin aut Chiara Liverani verfasserin aut Sara Pusceddu verfasserin aut Silvana Leo verfasserin aut Giovanni Di Meglio verfasserin aut Stefano Tamberi verfasserin aut Fabio Gelsomino verfasserin aut Francesca Pucci verfasserin aut Francesca Bergamo verfasserin aut Sergio Ricci verfasserin aut Flavia Foca verfasserin aut Stefano Severi verfasserin aut Mauro Cives verfasserin aut Davide Campana verfasserin aut Nicola Silvestris verfasserin aut Angela Buonadonna verfasserin aut Maria Pia Brizzi verfasserin aut Francesca Spada verfasserin aut Sara Cingarlini verfasserin aut Lorenzo Antonuzzo verfasserin aut Davide Pastorelli verfasserin aut In BMJ Open BMJ Publishing Group, 2011 10(2020), 7 (DE-627)654747075 (DE-600)2599832-8 20446055 nnns volume:10 year:2020 number:7 https://doi.org/10.1136/bmjopen-2019-034393 kostenfrei https://doaj.org/article/1bee21f43655476bb6cd7b2b5d64ca29 kostenfrei https://bmjopen.bmj.com/content/10/7/e034393.full kostenfrei https://doaj.org/toc/2044-6055 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_375 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2020 7 |
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10.1136/bmjopen-2019-034393 doi (DE-627)DOAJ078455618 (DE-599)DOAJ1bee21f43655476bb6cd7b2b5d64ca29 DE-627 ger DE-627 rakwb eng Ivan Lolli verfasserin aut Randomised phase II trial of CAPTEM or FOLFIRI as SEcond-line therapy in NEuroendocrine CArcinomas and exploratory analysis of predictive role of PET/CT imaging and biological markers (SENECA trial): a study protocol 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction Patients with metastatic or locally advanced, non-resectable, grade 3 poorly differentiated gastroenteropancreatic (GEP) and lung neuroendocrine carcinomas (NECs) are usually treated with in first-line platinum compounds. There is no standard second-line treatment on progression. Accurate biomarkers are needed to facilitate diagnosis and prognostic assessment of patients with NEC.Methods and analysis The SEcond-line therapy in NEuroendocrine CArcinomas (SENECA) study is a randomised, non-comparative, multicentre phase II trial designed to evaluate the efficacy and safety of folinic acid, 5-fluorouracil and irinotecan (FOLFIRI) or capecitabine plus temozolomide (CAPTEM) regimens after failure of first-line chemotherapy in patients with lung NEC and GEP-NEC. Secondary aims are to correlate the serum miRNA profile and primary mutational status of MEN1, DAXX, ATRX and RB-1 with prognosis and outcome and to investigate the prognostic and predictive role of the Ki-67 score and 18-fluorodeoxyglucose positron emission tomography/computed tomography (18F-FDG PET/CT) or 68Ga-PET/CT. The main eligibility criteria are age ≥18 years; metastatic or locally advanced, non-resectable, grade 3 lung or GEP-NECs; progression to first-line platinum-based chemotherapy. A Bryant and Day design taking into account treatment activity and toxicity was used to estimate the sample size. All analyses will be performed separately for each treatment group in the intention-to-treat population. A total of 112 patients (56/arm) will be randomly assigned (1:1) to receive FOLFIRI every 14 days or CAPTEM every 28 days until disease progression or unacceptable toxicity or for a maximum of 6 months. Patients undergo testing for specific biomarkers in primary tumour tissue and for miRNA in blood samples. MiRNA profiling will be performed in the first 20 patients who agree to participate in the biological substudy.Ethics and dissemination The SENECA trial, supported by Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST), was authorised by the locals Ethics Committee and the Italian Medicines Agency (AIFA). Results will be widely disseminated via peer-reviewed manuscripts, conference presentations and reports to relevant authorities.The study is currently open in Italy.Trail registration number NCT03387592; Pre-results. EudraCT-2016-000767-17.Protocol version Clinical Study Protocol Version 1, 7 November 2016. Medicine R Daniele Santini verfasserin aut Rossana Berardi verfasserin aut Giuseppe Badalamenti verfasserin aut Toni Ibrahim verfasserin aut Alfredo Berruti verfasserin aut Alberto Bongiovanni verfasserin aut Chiara Liverani verfasserin aut Sara Pusceddu verfasserin aut Silvana Leo verfasserin aut Giovanni Di Meglio verfasserin aut Stefano Tamberi verfasserin aut Fabio Gelsomino verfasserin aut Francesca Pucci verfasserin aut Francesca Bergamo verfasserin aut Sergio Ricci verfasserin aut Flavia Foca verfasserin aut Stefano Severi verfasserin aut Mauro Cives verfasserin aut Davide Campana verfasserin aut Nicola Silvestris verfasserin aut Angela Buonadonna verfasserin aut Maria Pia Brizzi verfasserin aut Francesca Spada verfasserin aut Sara Cingarlini verfasserin aut Lorenzo Antonuzzo verfasserin aut Davide Pastorelli verfasserin aut In BMJ Open BMJ Publishing Group, 2011 10(2020), 7 (DE-627)654747075 (DE-600)2599832-8 20446055 nnns volume:10 year:2020 number:7 https://doi.org/10.1136/bmjopen-2019-034393 kostenfrei https://doaj.org/article/1bee21f43655476bb6cd7b2b5d64ca29 kostenfrei https://bmjopen.bmj.com/content/10/7/e034393.full kostenfrei https://doaj.org/toc/2044-6055 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_375 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2020 7 |
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10.1136/bmjopen-2019-034393 doi (DE-627)DOAJ078455618 (DE-599)DOAJ1bee21f43655476bb6cd7b2b5d64ca29 DE-627 ger DE-627 rakwb eng Ivan Lolli verfasserin aut Randomised phase II trial of CAPTEM or FOLFIRI as SEcond-line therapy in NEuroendocrine CArcinomas and exploratory analysis of predictive role of PET/CT imaging and biological markers (SENECA trial): a study protocol 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction Patients with metastatic or locally advanced, non-resectable, grade 3 poorly differentiated gastroenteropancreatic (GEP) and lung neuroendocrine carcinomas (NECs) are usually treated with in first-line platinum compounds. There is no standard second-line treatment on progression. Accurate biomarkers are needed to facilitate diagnosis and prognostic assessment of patients with NEC.Methods and analysis The SEcond-line therapy in NEuroendocrine CArcinomas (SENECA) study is a randomised, non-comparative, multicentre phase II trial designed to evaluate the efficacy and safety of folinic acid, 5-fluorouracil and irinotecan (FOLFIRI) or capecitabine plus temozolomide (CAPTEM) regimens after failure of first-line chemotherapy in patients with lung NEC and GEP-NEC. Secondary aims are to correlate the serum miRNA profile and primary mutational status of MEN1, DAXX, ATRX and RB-1 with prognosis and outcome and to investigate the prognostic and predictive role of the Ki-67 score and 18-fluorodeoxyglucose positron emission tomography/computed tomography (18F-FDG PET/CT) or 68Ga-PET/CT. The main eligibility criteria are age ≥18 years; metastatic or locally advanced, non-resectable, grade 3 lung or GEP-NECs; progression to first-line platinum-based chemotherapy. A Bryant and Day design taking into account treatment activity and toxicity was used to estimate the sample size. All analyses will be performed separately for each treatment group in the intention-to-treat population. A total of 112 patients (56/arm) will be randomly assigned (1:1) to receive FOLFIRI every 14 days or CAPTEM every 28 days until disease progression or unacceptable toxicity or for a maximum of 6 months. Patients undergo testing for specific biomarkers in primary tumour tissue and for miRNA in blood samples. MiRNA profiling will be performed in the first 20 patients who agree to participate in the biological substudy.Ethics and dissemination The SENECA trial, supported by Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST), was authorised by the locals Ethics Committee and the Italian Medicines Agency (AIFA). Results will be widely disseminated via peer-reviewed manuscripts, conference presentations and reports to relevant authorities.The study is currently open in Italy.Trail registration number NCT03387592; Pre-results. EudraCT-2016-000767-17.Protocol version Clinical Study Protocol Version 1, 7 November 2016. Medicine R Daniele Santini verfasserin aut Rossana Berardi verfasserin aut Giuseppe Badalamenti verfasserin aut Toni Ibrahim verfasserin aut Alfredo Berruti verfasserin aut Alberto Bongiovanni verfasserin aut Chiara Liverani verfasserin aut Sara Pusceddu verfasserin aut Silvana Leo verfasserin aut Giovanni Di Meglio verfasserin aut Stefano Tamberi verfasserin aut Fabio Gelsomino verfasserin aut Francesca Pucci verfasserin aut Francesca Bergamo verfasserin aut Sergio Ricci verfasserin aut Flavia Foca verfasserin aut Stefano Severi verfasserin aut Mauro Cives verfasserin aut Davide Campana verfasserin aut Nicola Silvestris verfasserin aut Angela Buonadonna verfasserin aut Maria Pia Brizzi verfasserin aut Francesca Spada verfasserin aut Sara Cingarlini verfasserin aut Lorenzo Antonuzzo verfasserin aut Davide Pastorelli verfasserin aut In BMJ Open BMJ Publishing Group, 2011 10(2020), 7 (DE-627)654747075 (DE-600)2599832-8 20446055 nnns volume:10 year:2020 number:7 https://doi.org/10.1136/bmjopen-2019-034393 kostenfrei https://doaj.org/article/1bee21f43655476bb6cd7b2b5d64ca29 kostenfrei https://bmjopen.bmj.com/content/10/7/e034393.full kostenfrei https://doaj.org/toc/2044-6055 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_375 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2020 7 |
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10.1136/bmjopen-2019-034393 doi (DE-627)DOAJ078455618 (DE-599)DOAJ1bee21f43655476bb6cd7b2b5d64ca29 DE-627 ger DE-627 rakwb eng Ivan Lolli verfasserin aut Randomised phase II trial of CAPTEM or FOLFIRI as SEcond-line therapy in NEuroendocrine CArcinomas and exploratory analysis of predictive role of PET/CT imaging and biological markers (SENECA trial): a study protocol 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction Patients with metastatic or locally advanced, non-resectable, grade 3 poorly differentiated gastroenteropancreatic (GEP) and lung neuroendocrine carcinomas (NECs) are usually treated with in first-line platinum compounds. There is no standard second-line treatment on progression. Accurate biomarkers are needed to facilitate diagnosis and prognostic assessment of patients with NEC.Methods and analysis The SEcond-line therapy in NEuroendocrine CArcinomas (SENECA) study is a randomised, non-comparative, multicentre phase II trial designed to evaluate the efficacy and safety of folinic acid, 5-fluorouracil and irinotecan (FOLFIRI) or capecitabine plus temozolomide (CAPTEM) regimens after failure of first-line chemotherapy in patients with lung NEC and GEP-NEC. Secondary aims are to correlate the serum miRNA profile and primary mutational status of MEN1, DAXX, ATRX and RB-1 with prognosis and outcome and to investigate the prognostic and predictive role of the Ki-67 score and 18-fluorodeoxyglucose positron emission tomography/computed tomography (18F-FDG PET/CT) or 68Ga-PET/CT. The main eligibility criteria are age ≥18 years; metastatic or locally advanced, non-resectable, grade 3 lung or GEP-NECs; progression to first-line platinum-based chemotherapy. A Bryant and Day design taking into account treatment activity and toxicity was used to estimate the sample size. All analyses will be performed separately for each treatment group in the intention-to-treat population. A total of 112 patients (56/arm) will be randomly assigned (1:1) to receive FOLFIRI every 14 days or CAPTEM every 28 days until disease progression or unacceptable toxicity or for a maximum of 6 months. Patients undergo testing for specific biomarkers in primary tumour tissue and for miRNA in blood samples. MiRNA profiling will be performed in the first 20 patients who agree to participate in the biological substudy.Ethics and dissemination The SENECA trial, supported by Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST), was authorised by the locals Ethics Committee and the Italian Medicines Agency (AIFA). Results will be widely disseminated via peer-reviewed manuscripts, conference presentations and reports to relevant authorities.The study is currently open in Italy.Trail registration number NCT03387592; Pre-results. EudraCT-2016-000767-17.Protocol version Clinical Study Protocol Version 1, 7 November 2016. Medicine R Daniele Santini verfasserin aut Rossana Berardi verfasserin aut Giuseppe Badalamenti verfasserin aut Toni Ibrahim verfasserin aut Alfredo Berruti verfasserin aut Alberto Bongiovanni verfasserin aut Chiara Liverani verfasserin aut Sara Pusceddu verfasserin aut Silvana Leo verfasserin aut Giovanni Di Meglio verfasserin aut Stefano Tamberi verfasserin aut Fabio Gelsomino verfasserin aut Francesca Pucci verfasserin aut Francesca Bergamo verfasserin aut Sergio Ricci verfasserin aut Flavia Foca verfasserin aut Stefano Severi verfasserin aut Mauro Cives verfasserin aut Davide Campana verfasserin aut Nicola Silvestris verfasserin aut Angela Buonadonna verfasserin aut Maria Pia Brizzi verfasserin aut Francesca Spada verfasserin aut Sara Cingarlini verfasserin aut Lorenzo Antonuzzo verfasserin aut Davide Pastorelli verfasserin aut In BMJ Open BMJ Publishing Group, 2011 10(2020), 7 (DE-627)654747075 (DE-600)2599832-8 20446055 nnns volume:10 year:2020 number:7 https://doi.org/10.1136/bmjopen-2019-034393 kostenfrei https://doaj.org/article/1bee21f43655476bb6cd7b2b5d64ca29 kostenfrei https://bmjopen.bmj.com/content/10/7/e034393.full kostenfrei https://doaj.org/toc/2044-6055 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_375 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2020 7 |
allfieldsSound |
10.1136/bmjopen-2019-034393 doi (DE-627)DOAJ078455618 (DE-599)DOAJ1bee21f43655476bb6cd7b2b5d64ca29 DE-627 ger DE-627 rakwb eng Ivan Lolli verfasserin aut Randomised phase II trial of CAPTEM or FOLFIRI as SEcond-line therapy in NEuroendocrine CArcinomas and exploratory analysis of predictive role of PET/CT imaging and biological markers (SENECA trial): a study protocol 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction Patients with metastatic or locally advanced, non-resectable, grade 3 poorly differentiated gastroenteropancreatic (GEP) and lung neuroendocrine carcinomas (NECs) are usually treated with in first-line platinum compounds. There is no standard second-line treatment on progression. Accurate biomarkers are needed to facilitate diagnosis and prognostic assessment of patients with NEC.Methods and analysis The SEcond-line therapy in NEuroendocrine CArcinomas (SENECA) study is a randomised, non-comparative, multicentre phase II trial designed to evaluate the efficacy and safety of folinic acid, 5-fluorouracil and irinotecan (FOLFIRI) or capecitabine plus temozolomide (CAPTEM) regimens after failure of first-line chemotherapy in patients with lung NEC and GEP-NEC. Secondary aims are to correlate the serum miRNA profile and primary mutational status of MEN1, DAXX, ATRX and RB-1 with prognosis and outcome and to investigate the prognostic and predictive role of the Ki-67 score and 18-fluorodeoxyglucose positron emission tomography/computed tomography (18F-FDG PET/CT) or 68Ga-PET/CT. The main eligibility criteria are age ≥18 years; metastatic or locally advanced, non-resectable, grade 3 lung or GEP-NECs; progression to first-line platinum-based chemotherapy. A Bryant and Day design taking into account treatment activity and toxicity was used to estimate the sample size. All analyses will be performed separately for each treatment group in the intention-to-treat population. A total of 112 patients (56/arm) will be randomly assigned (1:1) to receive FOLFIRI every 14 days or CAPTEM every 28 days until disease progression or unacceptable toxicity or for a maximum of 6 months. Patients undergo testing for specific biomarkers in primary tumour tissue and for miRNA in blood samples. MiRNA profiling will be performed in the first 20 patients who agree to participate in the biological substudy.Ethics and dissemination The SENECA trial, supported by Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST), was authorised by the locals Ethics Committee and the Italian Medicines Agency (AIFA). Results will be widely disseminated via peer-reviewed manuscripts, conference presentations and reports to relevant authorities.The study is currently open in Italy.Trail registration number NCT03387592; Pre-results. EudraCT-2016-000767-17.Protocol version Clinical Study Protocol Version 1, 7 November 2016. Medicine R Daniele Santini verfasserin aut Rossana Berardi verfasserin aut Giuseppe Badalamenti verfasserin aut Toni Ibrahim verfasserin aut Alfredo Berruti verfasserin aut Alberto Bongiovanni verfasserin aut Chiara Liverani verfasserin aut Sara Pusceddu verfasserin aut Silvana Leo verfasserin aut Giovanni Di Meglio verfasserin aut Stefano Tamberi verfasserin aut Fabio Gelsomino verfasserin aut Francesca Pucci verfasserin aut Francesca Bergamo verfasserin aut Sergio Ricci verfasserin aut Flavia Foca verfasserin aut Stefano Severi verfasserin aut Mauro Cives verfasserin aut Davide Campana verfasserin aut Nicola Silvestris verfasserin aut Angela Buonadonna verfasserin aut Maria Pia Brizzi verfasserin aut Francesca Spada verfasserin aut Sara Cingarlini verfasserin aut Lorenzo Antonuzzo verfasserin aut Davide Pastorelli verfasserin aut In BMJ Open BMJ Publishing Group, 2011 10(2020), 7 (DE-627)654747075 (DE-600)2599832-8 20446055 nnns volume:10 year:2020 number:7 https://doi.org/10.1136/bmjopen-2019-034393 kostenfrei https://doaj.org/article/1bee21f43655476bb6cd7b2b5d64ca29 kostenfrei https://bmjopen.bmj.com/content/10/7/e034393.full kostenfrei https://doaj.org/toc/2044-6055 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_375 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2020 7 |
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Ivan Lolli @@aut@@ Daniele Santini @@aut@@ Rossana Berardi @@aut@@ Giuseppe Badalamenti @@aut@@ Toni Ibrahim @@aut@@ Alfredo Berruti @@aut@@ Alberto Bongiovanni @@aut@@ Chiara Liverani @@aut@@ Sara Pusceddu @@aut@@ Silvana Leo @@aut@@ Giovanni Di Meglio @@aut@@ Stefano Tamberi @@aut@@ Fabio Gelsomino @@aut@@ Francesca Pucci @@aut@@ Francesca Bergamo @@aut@@ Sergio Ricci @@aut@@ Flavia Foca @@aut@@ Stefano Severi @@aut@@ Mauro Cives @@aut@@ Davide Campana @@aut@@ Nicola Silvestris @@aut@@ Angela Buonadonna @@aut@@ Maria Pia Brizzi @@aut@@ Francesca Spada @@aut@@ Sara Cingarlini @@aut@@ Lorenzo Antonuzzo @@aut@@ Davide Pastorelli @@aut@@ |
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Ivan Lolli misc Medicine misc R Randomised phase II trial of CAPTEM or FOLFIRI as SEcond-line therapy in NEuroendocrine CArcinomas and exploratory analysis of predictive role of PET/CT imaging and biological markers (SENECA trial): a study protocol |
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Randomised phase II trial of CAPTEM or FOLFIRI as SEcond-line therapy in NEuroendocrine CArcinomas and exploratory analysis of predictive role of PET/CT imaging and biological markers (SENECA trial): a study protocol |
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Randomised phase II trial of CAPTEM or FOLFIRI as SEcond-line therapy in NEuroendocrine CArcinomas and exploratory analysis of predictive role of PET/CT imaging and biological markers (SENECA trial): a study protocol |
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Ivan Lolli Daniele Santini Rossana Berardi Giuseppe Badalamenti Toni Ibrahim Alfredo Berruti Alberto Bongiovanni Chiara Liverani Sara Pusceddu Silvana Leo Giovanni Di Meglio Stefano Tamberi Fabio Gelsomino Francesca Pucci Francesca Bergamo Sergio Ricci Flavia Foca Stefano Severi Mauro Cives Davide Campana Nicola Silvestris Angela Buonadonna Maria Pia Brizzi Francesca Spada Sara Cingarlini Lorenzo Antonuzzo Davide Pastorelli |
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randomised phase ii trial of captem or folfiri as second-line therapy in neuroendocrine carcinomas and exploratory analysis of predictive role of pet/ct imaging and biological markers (seneca trial): a study protocol |
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Randomised phase II trial of CAPTEM or FOLFIRI as SEcond-line therapy in NEuroendocrine CArcinomas and exploratory analysis of predictive role of PET/CT imaging and biological markers (SENECA trial): a study protocol |
abstract |
Introduction Patients with metastatic or locally advanced, non-resectable, grade 3 poorly differentiated gastroenteropancreatic (GEP) and lung neuroendocrine carcinomas (NECs) are usually treated with in first-line platinum compounds. There is no standard second-line treatment on progression. Accurate biomarkers are needed to facilitate diagnosis and prognostic assessment of patients with NEC.Methods and analysis The SEcond-line therapy in NEuroendocrine CArcinomas (SENECA) study is a randomised, non-comparative, multicentre phase II trial designed to evaluate the efficacy and safety of folinic acid, 5-fluorouracil and irinotecan (FOLFIRI) or capecitabine plus temozolomide (CAPTEM) regimens after failure of first-line chemotherapy in patients with lung NEC and GEP-NEC. Secondary aims are to correlate the serum miRNA profile and primary mutational status of MEN1, DAXX, ATRX and RB-1 with prognosis and outcome and to investigate the prognostic and predictive role of the Ki-67 score and 18-fluorodeoxyglucose positron emission tomography/computed tomography (18F-FDG PET/CT) or 68Ga-PET/CT. The main eligibility criteria are age ≥18 years; metastatic or locally advanced, non-resectable, grade 3 lung or GEP-NECs; progression to first-line platinum-based chemotherapy. A Bryant and Day design taking into account treatment activity and toxicity was used to estimate the sample size. All analyses will be performed separately for each treatment group in the intention-to-treat population. A total of 112 patients (56/arm) will be randomly assigned (1:1) to receive FOLFIRI every 14 days or CAPTEM every 28 days until disease progression or unacceptable toxicity or for a maximum of 6 months. Patients undergo testing for specific biomarkers in primary tumour tissue and for miRNA in blood samples. MiRNA profiling will be performed in the first 20 patients who agree to participate in the biological substudy.Ethics and dissemination The SENECA trial, supported by Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST), was authorised by the locals Ethics Committee and the Italian Medicines Agency (AIFA). Results will be widely disseminated via peer-reviewed manuscripts, conference presentations and reports to relevant authorities.The study is currently open in Italy.Trail registration number NCT03387592; Pre-results. EudraCT-2016-000767-17.Protocol version Clinical Study Protocol Version 1, 7 November 2016. |
abstractGer |
Introduction Patients with metastatic or locally advanced, non-resectable, grade 3 poorly differentiated gastroenteropancreatic (GEP) and lung neuroendocrine carcinomas (NECs) are usually treated with in first-line platinum compounds. There is no standard second-line treatment on progression. Accurate biomarkers are needed to facilitate diagnosis and prognostic assessment of patients with NEC.Methods and analysis The SEcond-line therapy in NEuroendocrine CArcinomas (SENECA) study is a randomised, non-comparative, multicentre phase II trial designed to evaluate the efficacy and safety of folinic acid, 5-fluorouracil and irinotecan (FOLFIRI) or capecitabine plus temozolomide (CAPTEM) regimens after failure of first-line chemotherapy in patients with lung NEC and GEP-NEC. Secondary aims are to correlate the serum miRNA profile and primary mutational status of MEN1, DAXX, ATRX and RB-1 with prognosis and outcome and to investigate the prognostic and predictive role of the Ki-67 score and 18-fluorodeoxyglucose positron emission tomography/computed tomography (18F-FDG PET/CT) or 68Ga-PET/CT. The main eligibility criteria are age ≥18 years; metastatic or locally advanced, non-resectable, grade 3 lung or GEP-NECs; progression to first-line platinum-based chemotherapy. A Bryant and Day design taking into account treatment activity and toxicity was used to estimate the sample size. All analyses will be performed separately for each treatment group in the intention-to-treat population. A total of 112 patients (56/arm) will be randomly assigned (1:1) to receive FOLFIRI every 14 days or CAPTEM every 28 days until disease progression or unacceptable toxicity or for a maximum of 6 months. Patients undergo testing for specific biomarkers in primary tumour tissue and for miRNA in blood samples. MiRNA profiling will be performed in the first 20 patients who agree to participate in the biological substudy.Ethics and dissemination The SENECA trial, supported by Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST), was authorised by the locals Ethics Committee and the Italian Medicines Agency (AIFA). Results will be widely disseminated via peer-reviewed manuscripts, conference presentations and reports to relevant authorities.The study is currently open in Italy.Trail registration number NCT03387592; Pre-results. EudraCT-2016-000767-17.Protocol version Clinical Study Protocol Version 1, 7 November 2016. |
abstract_unstemmed |
Introduction Patients with metastatic or locally advanced, non-resectable, grade 3 poorly differentiated gastroenteropancreatic (GEP) and lung neuroendocrine carcinomas (NECs) are usually treated with in first-line platinum compounds. There is no standard second-line treatment on progression. Accurate biomarkers are needed to facilitate diagnosis and prognostic assessment of patients with NEC.Methods and analysis The SEcond-line therapy in NEuroendocrine CArcinomas (SENECA) study is a randomised, non-comparative, multicentre phase II trial designed to evaluate the efficacy and safety of folinic acid, 5-fluorouracil and irinotecan (FOLFIRI) or capecitabine plus temozolomide (CAPTEM) regimens after failure of first-line chemotherapy in patients with lung NEC and GEP-NEC. Secondary aims are to correlate the serum miRNA profile and primary mutational status of MEN1, DAXX, ATRX and RB-1 with prognosis and outcome and to investigate the prognostic and predictive role of the Ki-67 score and 18-fluorodeoxyglucose positron emission tomography/computed tomography (18F-FDG PET/CT) or 68Ga-PET/CT. The main eligibility criteria are age ≥18 years; metastatic or locally advanced, non-resectable, grade 3 lung or GEP-NECs; progression to first-line platinum-based chemotherapy. A Bryant and Day design taking into account treatment activity and toxicity was used to estimate the sample size. All analyses will be performed separately for each treatment group in the intention-to-treat population. A total of 112 patients (56/arm) will be randomly assigned (1:1) to receive FOLFIRI every 14 days or CAPTEM every 28 days until disease progression or unacceptable toxicity or for a maximum of 6 months. Patients undergo testing for specific biomarkers in primary tumour tissue and for miRNA in blood samples. MiRNA profiling will be performed in the first 20 patients who agree to participate in the biological substudy.Ethics and dissemination The SENECA trial, supported by Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST), was authorised by the locals Ethics Committee and the Italian Medicines Agency (AIFA). Results will be widely disseminated via peer-reviewed manuscripts, conference presentations and reports to relevant authorities.The study is currently open in Italy.Trail registration number NCT03387592; Pre-results. EudraCT-2016-000767-17.Protocol version Clinical Study Protocol Version 1, 7 November 2016. |
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Randomised phase II trial of CAPTEM or FOLFIRI as SEcond-line therapy in NEuroendocrine CArcinomas and exploratory analysis of predictive role of PET/CT imaging and biological markers (SENECA trial): a study protocol |
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https://doi.org/10.1136/bmjopen-2019-034393 https://doaj.org/article/1bee21f43655476bb6cd7b2b5d64ca29 https://bmjopen.bmj.com/content/10/7/e034393.full https://doaj.org/toc/2044-6055 |
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