Cited by 37Neuroendocrine Tumor Research AdvancesThyroid Cancer Diagnosis and TreatmentNeuroblastoma Research and Treatments

Therapeutic strategies for patients with neuroendocrine neoplasms: current perspectives

Modica, Roberta, Liccardi, Alessia, Minotta, Roberto, Cannavale, Giuseppe, Benevento, Elio, Colao, Annamaria·2022·Expert Review of Endocrinology & Metabolism

Abstract

INTRODUCTION: Neuroendocrine neoplasms (NENs) are a heterogeneous group of malignancies mainly arising in the gastroenteropancreatic (GEP) and bronchopulmonary systems, with steadily increasing incidence. The therapeutic landscape has widened and the therapeutic strategy should be based on new sequences and combinations, still debated. AREAS COVERED: Herein, we provide an overview of current approved pharmacological treatments in patients with NENs, with the aim to summarize evidence of efficacy of the main different options in GEP and pulmonary NENs, principally focusing on somatostatin analogs (SSAs), targeted therapy with everolimus and sunitinib, peptide receptor radionuclide therapy (PRRT) and chemotherapy. We discuss biological rationale and toxicities, including current indications according to differentiation and placement in the therapeutic algorithm, clinical trials, and combinations. Furthermore, we recommend areas for further research. EXPERT OPINION: Therapeutic management of patients with NENs represents a challenge for clinicians and the identification of effective sequences and combinations is of utmost importance. Major efforts should be directed to early identify and overcome resistance and to limit toxicity. The progress in the therapeutic management of NENs grows faster and the choice of the best approach should be based on randomized clinical trials, as well as on long-term, real-world data.

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Crossref · 10.1080/17446651.2022.2099840

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  • 177Lu-DOTATATE is efficacious in halting tumor progression and inducing regression in NETs.

    “Radiopharmaceutical case studies demonstrate the efficacy of 177Lu-DOTATATE in halting tumor progression and inducing regression, providing evidence for its inclusion in therapeutic protocols [93].”

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Authors
Modica, R., Liccardi, A., Minotta, R., Cannavale, G., Benevento, E., & Colao, A.
Affiliations
Federico II University Hospital (IT)
Corresponding author
Modica, Roberta
Venue
Expert Review of Endocrinology & Metabolism
Published
2022-07-13
Volume
17
Issue
5
Pages
389-403
ISSN
  • 1744-6651 (ISSN-L)
  • 1744-8417
OpenAlex
W4285024223
Cited by
37
References
114
Citations by year
2026: 3 · 2025: 13 · 2024: 13 · 2023: 6 · 2022: 2
FWCI
1.35
Type
journal article
Language
en
Open access
closed
Locations
  • Expert Review of Endocrinology & Metabolism (publishedVersion)
  • PubMed (publishedVersion)
Funders
funding
Topics
  • Health Sciences › Medicine › Epidemiology › Neuroendocrine Tumor Research Advances
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Thyroid Cancer Diagnosis and Treatment
  • Health Sciences › Medicine › Neurology › Neuroblastoma Research and Treatments
Keywords
neuroendocrine neoplasms, gastroenteropancreatic neuroendocrine tumors, lung neuroendocrine tumors, somatostatin analogues, everolimus, sunitinib, peptide receptor radionuclide therapy, chemotherapy, targeted therapy, treatment sequencing, drug toxicity, treatment resistance, treatment algorithm
MeSH terms
Everolimus, Humans, Pancreatic Neoplasms, Somatostatin, Neuroendocrine Tumors

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