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NCT03375320 · OUTCOME

Overall Survival (OS)

Testing Cabozantinib in Patients With Advanced Pancreatic Neuroendocrine and Carcinoid Tumors · Source last updated 2026-08-04

Results reported by the registry submitting party. Population, time horizon, units and missing values must be read together.

Measure
MEDIAN
Unit
months
Interval / dispersion
95% Confidence Interval
Time frame
60 months

What was measured

The analyses for OS will follow intent-to-treat (ITT) principle and will be conducted separately within each cohort (pancreatic neuroendocrine tumor \[NET\] and carcinoid tumor). The distribution of OS will be estimated using the method of Kaplan-Meier. The median OS, along with the 95% CI, will be estimated by the two treatment groups. Overall survival will be compared between treatment arms using the stratified log-rank test at a one-sided cumulative 2.5% level of significance. The stratified Cox regression will be used to estimate the HR of OS, along with the 95% CI. A hierarchical approach will be used to control for family-wise type-I error rate, therefore OS will be formally statistically tested only if the primary efficacy endpoint, PFS, is statistically significantly different between the two treatment groups.

Groups in this outcome

Arm Ia (Cabozantinib S-malate, Extra-pancreatic NET Cohort [epNET])

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 CT, MRI, and/or x-ray imaging during screening and on study. \> \> Cabozantinib S-malate: Given PO \> \> Computed Tomography: Undergo CT \> \> Magnetic Resonance Imaging: Undergo MRI \> \> Quality-of-Life Assessment: Ancillary studies \> \> X-Ray Imaging: Undergo x-ray

Arm IIa (Placebo, Extra-pancreatic NET Cohort [epNET])

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 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. \> \> Computed Tomography: Undergo CT \> \> Magnetic Resonance Imaging: Undergo MRI \> \> Placebo Administration: Given PO \> \> Quality-of-Life Assessment: Ancillary studies \> \> X-Ray Imaging: Undergo x-ray

Arm Ib (Cabozantinib S-malate, Pancreatic NET Cohort [pNET])

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 CT, MRI, and/or x-ray imaging during screening and on study. \> \> Cabozantinib S-malate: Given PO \> \> Computed Tomography: Undergo CT \> \> Magnetic Resonance Imaging: Undergo MRI \> \> Quality-of-Life Assessment: Ancillary studies \> \> X-Ray Imaging: Undergo x-ray

Arm IIb (Placebo, Pancreatic NET Cohort [pNET])

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 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. \> \> Computed Tomography: Undergo CT \> \> Magnetic Resonance Imaging: Undergo MRI \> \> Placebo Administration: Given PO \> \> Quality-of-Life Assessment: Ancillary studies \> \> X-Ray Imaging: Undergo x-ray

Group identifiers and denominators belong to this outcome only. They may differ in another outcome or in safety reporting.

Analysis denominator · Participants

GroupSource count
Arm Ia (Cabozantinib S-malate, Extra-pancreatic NET Cohort [epNET])134
Arm IIa (Placebo, Extra-pancreatic NET Cohort [epNET])69
Arm Ib (Cabozantinib S-malate, Pancreatic NET Cohort [pNET])64
Arm IIb (Placebo, Pancreatic NET Cohort [pNET])31

Reported measurements

Source class 1
Values in months · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
Arm Ia (Cabozantinib S-malate, Extra-pancreatic NET Cohort [epNET])21.9Not reported18.830.4Not reported
Arm IIa (Placebo, Extra-pancreatic NET Cohort [epNET])19.7Not reported14.230.0Not reported
Arm Ib (Cabozantinib S-malate, Pancreatic NET Cohort [pNET])40.0Not reported31.3NAUpper end of the confidence interval is not able to be estimated due to a low number of events
Arm IIb (Placebo, Pancreatic NET Cohort [pNET])31.1Not reported23.4NAUpper end of the confidence interval is not able to be estimated due to a low number of events

Source statistical analyses

Group order, estimate direction, methods and comments are retained. No treatment ranking is inferred.

  1. group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY
    p Value
    0.2438
    statistical Method
    One-sided stratified log-rank
  2. group Ids
    1. OG002
    2. OG003
    non Inferiority Type
    SUPERIORITY
    p Value
    0.4426
    statistical Method
    One-sided stratified log-rank
Complete source fields
analyses
  1. group Ids
    1. OG000
    2. OG001
    non Inferiority Type
    SUPERIORITY
    p Value
    0.2438
    statistical Method
    One-sided stratified log-rank
  2. group Ids
    1. OG002
    2. OG003
    non Inferiority Type
    SUPERIORITY
    p Value
    0.4426
    statistical Method
    One-sided stratified log-rank
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        18.8
        upper Limit
        30.4
        value
        21.9
      2. group Id
        OG001
        lower Limit
        14.2
        upper Limit
        30.0
        value
        19.7
      3. comment
        Upper end of the confidence interval is not able to be estimated due to a low number of events
        group Id
        OG002
        lower Limit
        31.3
        upper Limit
        NA
        value
        40.0
      4. comment
        Upper end of the confidence interval is not able to be estimated due to a low number of events
        group Id
        OG003
        lower Limit
        23.4
        upper Limit
        NA
        value
        31.1
denoms
  1. counts
    1. group Id
      OG000
      value
      134
    2. group Id
      OG001
      value
      69
    3. group Id
      OG002
      value
      64
    4. group Id
      OG003
      value
      31
    units
    Participants
description
The analyses for OS will follow intent-to-treat (ITT) principle and will be conducted separately within each cohort (pancreatic neuroendocrine tumor \[NET\] and carcinoid tumor). The distribution of OS will be estimated using the method of Kaplan-Meier. The median OS, along with the 95% CI, will be estimated by the two treatment groups. Overall survival will be compared between treatment arms using the stratified log-rank test at a one-sided cumulative 2.5% level of significance. The stratified Cox regression will be used to estimate the HR of OS, along with the 95% CI. A hierarchical approach will be used to control for family-wise type-I error rate, therefore OS will be formally statistically tested only if the primary efficacy endpoint, PFS, is statistically significantly different between the two treatment groups.
dispersion Type
95% Confidence Interval
groups
  1. description
    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 CT, MRI, and/or x-ray imaging during screening and on study. \> \> Cabozantinib S-malate: Given PO \> \> Computed Tomography: Undergo CT \> \> Magnetic Resonance Imaging: Undergo MRI \> \> Quality-of-Life Assessment: Ancillary studies \> \> X-Ray Imaging: Undergo x-ray
    id
    OG000
    title
    Arm Ia (Cabozantinib S-malate, Extra-pancreatic NET Cohort [epNET])
  2. description
    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 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. \> \> Computed Tomography: Undergo CT \> \> Magnetic Resonance Imaging: Undergo MRI \> \> Placebo Administration: Given PO \> \> Quality-of-Life Assessment: Ancillary studies \> \> X-Ray Imaging: Undergo x-ray
    id
    OG001
    title
    Arm IIa (Placebo, Extra-pancreatic NET Cohort [epNET])
  3. description
    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 CT, MRI, and/or x-ray imaging during screening and on study. \> \> Cabozantinib S-malate: Given PO \> \> Computed Tomography: Undergo CT \> \> Magnetic Resonance Imaging: Undergo MRI \> \> Quality-of-Life Assessment: Ancillary studies \> \> X-Ray Imaging: Undergo x-ray
    id
    OG002
    title
    Arm Ib (Cabozantinib S-malate, Pancreatic NET Cohort [pNET])
  4. description
    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 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. \> \> Computed Tomography: Undergo CT \> \> Magnetic Resonance Imaging: Undergo MRI \> \> Placebo Administration: Given PO \> \> Quality-of-Life Assessment: Ancillary studies \> \> X-Ray Imaging: Undergo x-ray
    id
    OG003
    title
    Arm IIb (Placebo, Pancreatic NET Cohort [pNET])
param Type
MEDIAN
reporting Status
POSTED
time Frame
60 months
title
Overall Survival (OS)
type
SECONDARY
unit Of Measure
months

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