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Efficacy

Efficacy Across Clinical Trials


Start strong with LUTATHERA

Statistically significant improvement in PFS demonstrated across a range of patients with SSTR+ GEP-NETs1-4:
72% reduction in risk of disease progression or death with LUTATHERA arm vs 60 mg octreotide LAR in newly diagnosed grade 2 or 3 SSTR+ GEP-NETs.
Purple checkmark
Newly diagnosed (within last 6 months), well-differentiated SSTR+ GEP-NET
Purple checkmark
Karnofsky PS: 90 to 100
Purple checkmark
Ki-67 index: ≥10% to ≤55% (tumor grade 2/3)
Purple checkmark
Disease burden: moderate to extensive
79% reduction in risk of disease progression or death with LUTATHERA arm vs 60 mg octreotide LAR in grade 1 or 2 SSTR+ GEP-NETs after SSA progression.
Green checkmark
Well-differentiated SSTR+ GEP-NET and progression on SSA
Green checkmark
Karnofsky PS: 75 to 95
Green checkmark
Ki-67 index: <10% (tumor grade 1/2)

This is a representation of the typical patient in the NETTER-1 and NETTER-2 trials. This list is NOT intended to be exhaustive of all inclusion/exclusion criteria.

LUTATHERA has a well-established safety profile across NETTER-1 and NETTER-21-4

NETTER-2 is a phase 3, randomized, open-label, active comparator, multicenter study of the efficacy of LUTATHERA with 30 mg octreotide LAR (n=151) vs 60 mg octreotide LAR (n=75) in patients with newly diagnosed, well-differentiated, grade 2/3 advanced SSTR+ GEP-NETs. SSA-naive patients were eligible, as well as patients previously treated with SSAs in the absence of progression. The primary end point of the study was centrally assessed PFS. The median PFS in the LUTATHERA arm was 22.8 months (95% CI, 19.4-NE) vs 8.5 months (95% CI, 7.7-13.8) in the control arm.1,4,*

NETTER-1 was a pivotal, phase 3, randomized, multicenter, open-label study of LUTATHERA with 30 mg octreotide LAR (n=116) vs 60 mg octreotide LAR (n=113) in patients with locally advanced, inoperable, or metastatic grade 1/2 SSTR+ GEP-NETs after progression on an SSA. The primary end point of the study was centrally assessed PFS. The median PFS in the LUTATHERA arm was not reached at primary analysis (95% CI, 18.4-NE) vs 8.5 months (95% CI, 6.0-9.1) in the control arm.2,3,7,*

*Defined as the time from randomization to first documented disease progression (centrally assessed according to RECIST v1.1) or death due to any cause.1
 
GEP-NETs, gastroenteropancreatic neuroendocrine tumors; HR, hazard ratio; LAR, long-acting release; NE, not evaluable; PFS, progression-free survival; PS, performance score; RECIST, Response Evaluation Criteria in Solid Tumors; SSA, somatostatin analogue; SSTR+, somatostatin receptor-positive.
References: 1. Data on file. Novartis Pharmaceuticals Corp; 2021. 2. Lutathera. Prescribing information. Novartis Pharmaceuticals Corp. 3. Strosberg J, El-Haddad G, Wolin E, et al; for the NETTER-1 trial investigators. Phase 3 trial of 177Lu-dotatate for midgut neuroendocrine tumors. N Engl J Med. 2017;376(2):125-135. 4. Singh S, Halperin D, Myrehaug S, et al. [177Lu]Lu-DOTA-TATE plus long-acting octreotide versus high-dose long-acting octreotide for the treatment of newly diagnosed, advanced grade 2-3, well-differentiated, gastroenteropancreatic neuroendocrine tumours (NETTER-2): an open-label, randomised, phase 3 study. Lancet. 2024;403(10446):2807-2817. 5. Data on file. CAAA601A22301 Clinical Study Report. Novartis Pharmaceuticals Corp; 2024. 6. Strosberg J, El-Haddad G, Wolin E, et al; for the NETTER-1 trial investigators. Phase 3 trial of 177Lu-dotatate for midgut neuroendocrine tumors. N Engl J Med. 2017;376(2)(suppl):125-135. 7. US Food and Drug Administration. FDA approves new treatment for certain digestive tract cancers [press release]. Updated January 26, 2018. Accessed November 30, 2023. https://www.fda.gov/news-events/press-announcements/fda-approves-new-treatment-certain-digestive-tract-cancers