Optimizing Somatostatin Analog Use in Well or Moderately Differentiated Gastroenteropancreatic Neuroendocrine Tumors

Author:

Carmona-Bayonas Alberto, ,Jiménez-Fonseca Paula,Custodio Ana,Grande Enrique,Capdevila Jaume,López Carlos,Teule Alex,Garcia-Carbonero Rocío

Publisher

Springer Science and Business Media LLC

Subject

Oncology

Reference95 articles.

1. Öberg K, Knigge U, Kwekkeboom D, Perren A, ESMO Guidelines Working Group, Oberg K, et al. Neuroendocrine gastro-entero-pancreatic tumors: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up. Ann Oncol: Off J Eur Soc Med Oncol, ESMO [Internet]. 2012;23(Suppl 7):vii124–30. Available from: http://www.ncbi.nlm.nih.gov/pubmed/22997445

2. Hallet J, Law CHL, Cukier M, Saskin R, Liu N, Singh S. Exploring the rising incidence of neuroendocrine tumors: a population-based analysis of epidemiology, metastatic presentation, and outcomes. Cancer. 2015;121:589–97. Available from: http://www.ncbi.nlm.nih.gov/pubmed/25312765

3. • Caplin ME, Pavel M, Cwikła JB, Phan AT, Raderer M, Sedláčková E, et al. Lanreotide in metastatic enteropancreatic neuroendocrine tumors. N Engl J Med. 2014;371:224–33. Available from: http://www.ncbi.nlm.nih.gov/pubmed/25014687 . The CLARINET phase III trial enrolled patients with advanced, Ki-67 <10%, non-functional, octreotide scan positive GEP-NETs. Subjects were randomly assigned to receive lanreotide 120 mg once every four weeks or placebo. Treatment with lanreotide significantly prolonged PFS over placebo (median not reached versus 18 months, respectively, HR=0.47, p=0.0002).

4. Raymond E, Dahan L, Raoul JL, Bang YJ, Borbath I, Lombard-Bohas C, et al. Sunitinib malate for the treatment of pancreatic neuroendocrine tumors. N Engl J Med. 2011a;364:501–13.

5. • Yao JC, Fazio N, Singh S, Buzzoni R, Carnaghi C, Wolin E, et al. Everolimus for the treatment of advanced, non-functional neuroendocrine tumours of the lung or gastrointestinal tract (RADIANT-4): a randomised, placebo-controlled, phase 3 study. Lancet. 2016;387:968–77. This phase III trial (RADIANT-4) enrolled 302 patients with lung/gastrointestinal NETs. The participants were randomized 2:1 to everolimus 10 mg/day plus best supportive care versus placebo plus best supportive care. At follow-up, there was an increase in progression-free survival in the everolimus group, with HR 0.48 (95% CI 0.28-0.64, p<0.001).

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