At a glance
ClinicalIndex Comparison Record- ✓Histologically confirmed well- or moderately-differentiated neuroendocrine tumor (or low/intermediate-grade NET or carcinoid) of pancreatic, gastrointestinal, lung, thymus, or unknown primary site
- ✓Locally advanced/unresectable or metastatic disease with evidence of progression by RECIST 1.1 within 12 months prior to registration
- ✓Measurable disease per RECIST 1.1 with lesions ≥1 cm by CT/MRI (or ≥1.5 cm for lymph nodes)
- ✓Prior progression or intolerance to at least one FDA-approved line of therapy; specific prior therapy required depends on tumor type (pancreatic: everolimus, sunitinib, or lutetium Lu 177 dotatate; lung: everolimus; gastrointestinal: everolimus or lutetium Lu 177 dotatate)
- ✕Poorly differentiated neuroendocrine carcinoma, high-grade neuroendocrine carcinoma, adenocarcinoid, or goblet cell carcinoid (except well-differentiated grade 3 NETs which are eligible)
- ✕Prior treatment with cabozantinib
- ✕Class III or IV congestive heart failure within 6 months
- ✕Clinically significant cardiac arrhythmia within 6 months
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
Randomized, Double-Blinded Phase III Study of CABozantinib Versus Placebo IN Patients With Advanced NEuroendocrine Tumors After Progression on Prior Therapy (CABINET)
In Brief
A Phase 3 clinical trial evaluating Biospecimen Collection, Cabozantinib S-malate, and 5 other interventions for Functioning Pancreatic Neuroendocrine Tumor and 27 related conditions. Active but no longer recruiting, targeting 298 participants across 433 sites.
Signals
Detailed Summary
This phase III trial studies cabozantinib to see how well it works compared with placebo in treating patients with neuroendocrine or carcinoid tumors that may have spread from where it first started to nearby tissue, lymph nodes, or distant parts of the body (advanced). Cabozantinib is a chemotherapy drug known as a tyrosine kinase inhibitor, and it targets specific tyrosine kinase receptors, that when blocked, may slow tumor growth.
Study Details
Timeline
Arms & Interventions
Patients receive cabozantinib S-malate PO QD on days 1-28 of each cycle. Cycles repeat every 28 days in the absence of disease progression or unacceptable toxicity. Patients also undergo blood and urine sample collection, and CT, MRI, and/or x-ray imaging during screening and on study.
Patients receive placebo PO QD on days 1-28 of each cycle. Cycles repeat every 28 days in the absence of disease progression or unacceptable toxicity. Patients also undergo blood and urine sample collection, and CT, MRI, and/or x-ray imaging during screening and on study. Patients may crossover to receive cabozantinib S-malate at the time of disease progression.
Interventions
Undergo blood and urine sample collection
Given PO
Undergo CT
Undergo MRI
Given PO
Ancillary studies
Undergo x-ray