Condition
Neuroendocrine Tumors
Neuroendocrine tumors are growths that arise from hormone-producing cells, most often in the gut, pancreas, or lungs, and many grow slowly. Octreotide, lanreotide, and lutetium-177 dotatate have the strongest evidence, and large trials found tumors took longer to progress, with the risk of progression or death falling by 79% in one lutetium study. Much of this work involved advanced midgut tumors, so results may not apply to every type.
Sources: PMID 34793718; PMID 19704057
- Updated
- How we grade
- 100 studies cited
- Supplements studied
- 0
- Medicines and peptides
- 3
- Graded outcomes
- 12
No supplement studies yetWe haven’t found supplement studies for Neuroendocrine Tumors. The medicines and peptides studied for it are listed below.
Prescription medicines and peptides studied, for context
Octreotide (Sandostatin)
- Tumor Progression (NETs): improves
- Carcinoid Syndrome Symptoms: improves
- VIPoma Diarrhea: improves
Key findings
- Tumor Stabilization (NETs)Improves (the measure goes up)
- Progression-Free Survival (NETs)Improves (the measure goes up)
- Carcinoid Syndrome SymptomsImproves (the measure goes down)
Safety notes in the studies
- CLARINET trial: 53% reduction in disease progression risk (HR 0.47, P<0.001).
- 79% reduction in progression/death risk.
Studies cited
100 studies from PubMed
- Lanreotide protects against LPS-induced inflammation in endothelial cells and mouse lungs.
- Comparative analysis of adverse event profiles of lanreotide and octreotide in somatostatin-responsive endocrine and neoplastic diseases.
- Safety profile of lanreotide: a retrospective post-marketing pharmacovigilance study based on the real-world data from FAERS database.
- Dosimetry of [177Lu]Lu-DOTATATE in Patients with Advanced Midgut Neuroendocrine Tumors: Results from a Substudy of the Phase III NETTER-1 Trial
- Relationship Between Best Tumor Shrinkage and Progression-Free Survival and Overall Survival in Patients With Progressive Midgut Neuroendocrine Tumors Treated With [177Lu]Lu-DOTA-TATE: Ad Hoc Analysis of the Phase III NETTER-1 Trial
- Evaluation of the Real-Life Efficacy and Safety of the Treatment with Lutetium-177 Dotatate for Metastatic Neuroendocrine Tumors.
- Efficacy and Safety of Radioligand Therapy with Actinium-225 DOTATATE in Patients with Advanced, Metastatic or Inoperable Neuroendocrine Neoplasms: A Systematic Review and Meta-Analysis.
- Evolving Immunotherapy Strategies in Gastrointestinal Neuroendocrine Neoplasms.
- Variations in Octreotide Dosing in Published Reports of Sulfonylurea Toxicity: A Systematic Review, 1988-Present.
- The use of octreotide in pediatric patients: Practical applications for gastrointestinal disorders and beyond: A narrative review.
- Combined Lanreotide Autogel and Temozolomide Treatment of Progressive Pancreatic and Intestinal Neuroendocrine Tumors: The Phase II SONNET Study.
- An update on the safety of lanreotide autogel for the treatment of patients with neuroendocrine tumors.
- 177Lu-DOTATATE in Peptide Receptor Radionuclide Therapy: A Decade of Experience and Evolution
- Efficacy and Safety of Lu-177 DOTATATE Peptide Receptor Radionuclide Therapy in Patients with Unresectable or Metastatic Neuroendocrine Tumors in Korea.
- Comparison of the tolerability of (161)Tb- and (177)Lu-labeled somatostatin analogues in the preclinical setting.
- Time toxicity of lutetium 177 in gastroenteropancreatic neuroendocrine tumours.
- 177Lu-labeled somatostatin receptor targeted radionuclide therapy dosimetry in meningioma: a systematic review.
- Pheochromocytoma: an updated scoping review from clinical presentation to management and treatment.
- Octreotide Subcutaneous Depot for Acromegaly: A Randomized, Double-blind, Placebo-controlled Phase 3 Trial, ACROINNOVA 1
- Octreotide efficacy and safety in children with hyperinsulinism: evidence from two Chinese centers.
- Somatostatin Versus Octreotide for Prevention of Postoperative Pancreatic Fistula: The PREFIPS Randomized Clinical Trial: A FRENCH 007-ACHBT Study.
- Safety and antitumor activity of metformin plus lanreotide in patients with advanced gastro-intestinal or lung neuroendocrine tumors: the phase Ib trial MetNET2.
- Efficacy and Safety of Lanreotide Autogel and Temozolomide Combination Therapy in Progressive Thoracic Neuroendocrine Tumors (Carcinoid): Results from the Phase 2 ATLANT Study.
- Safety and Therapeutic Optimization of Lutetium-177 Based Radiopharmaceuticals.
- Safety and Efficacy of 177 Lu-DOTATATE in Neuroendocrine Tumor Patients With Extensive Bone Disease.
- Survival and Response Outcomes for Gastrointestinal Neuroendocrine Tumor (GEP-NETs) Patients Treated with Lutetium-177-DOTATATE in a Brazilian Reference Center: A Six-Year Follow-Up Experience.
- A Review of Theranostics: Perspectives on Emerging Approaches and Clinical Advancements.
- The Use of Lanreotide in the Treatment of Congenital Hyperinsulinism.
- An Analysis for Therapeutic Doses of Patients with Neuroendocrine Tumor Treated with Lutetium 177 ((177)Lu)-DOTATATE.
- Lutetium-177 DOTATATE: A Practical Review.
- Comprehensive Assessment of Somatostatin Receptors in Various Neoplasms: A Systematic Review.
- Oral Octreotide: A Review of Recent Clinical Trials and Practical Recommendations for Its Use in the Treatment of Patients With Acromegaly
- IVIVC of Octreotide in PLGA-Glucose Microsphere Formulation, Sandostatin® LAR.
- Pharmacological and safety profile of a prolonged-release lanreotide formulation in acromegaly.
- 177Lu-Dotatate plus long-acting octreotide versus high-dose long-acting octreotide in patients with midgut neuroendocrine tumours (NETTER-1): final overall survival and long-term safety results from an open-label, randomised, controlled, phase 3 trial
- NETTER-2 trial protocol: a prospective, international, open-label, randomized phase 3 study of 177Lu-DOTATATE compared with octreotide LAR in somatostatin receptor-positive, grade 2-3, midgut neuroendocrine tumors
- Initial experience and lessons learned with implementing Lutetium-177-dotatate radiopharmaceutical therapy in a radiation oncology-based program.
- A clinical score for neuroendocrine tumor patients under consideration for Lu-177-DOTATATE therapy.
- Symptom Diaries of Patients with Midgut Neuroendocrine Tumors Treated with (177)Lu-DOTATATE.
- The use of high dose octreotide in management of neonatal chylothorax: Review.
- Efficacy and safety of lanreotide autogel compared with lanreotide 40 mg prolonged release in Chinese patients with active acromegaly: results from a phase 3, prospective, randomized, and open-label study (LANTERN).
- Cost-effectiveness of lutetium ((177)Lu) oxodotreotide vs everolimus in gastroenteropancreatic neuroendocrine tumors in Norway and Sweden.
- Intra-arterial versus standard intravenous administration of lutetium-177-DOTA-octreotate in patients with NET liver metastases: study protocol for a multicenter, randomized controlled trial (LUTIA trial).
- Additional holmium-166 radioembolisation after lutetium-177-dotatate in patients with neuroendocrine tumour liver metastases (HEPAR PLuS): a single-centre, single-arm, open-label, phase 2 study.
- Maintenance with lanreotide in small-cell lung cancer expressing somatostatine receptors: A multicenter, randomized, phase 3 trial.
- Lanreotide Reduces Liver Growth In Patients With Autosomal Dominant Polycystic Liver and Kidney Disease.
- Further Evidence That Lanreotide Reduces Liver Growth in Patients With Polycystic Liver Disease, But Not the End of the Story.
- Efficacy and safety of lanreotide in Korean patients with metastatic, well-differentiated gastroenteropancreatic-neuroendocrine tumors: a retrospective analysis.
- The safety of lanreotide for neuroendocrine tumor.
- Lutathera®: The First FDA- and EMA-Approved Radiopharmaceutical for Peptide Receptor Radionuclide Therapy
- 177Lu-DOTATATE for the treatment of gastroenteropancreatic neuroendocrine tumors
- Neuroendocrine Tumor Therapy with Lutetium-177: A Literature Review.
- Therapy With (177)Lu-DOTATATE: Clinical Implementation and Impact on Care of Patients With Neuroendocrine Tumors.
- Protection of Kidney Function with Human Antioxidation Protein α(1)-Microglobulin in a Mouse (177)Lu-DOTATATE Radiation Therapy Model.
- Octreotide SC depot in patients with acromegaly and functioning neuroendocrine tumors: a phase 2, multicenter study
- Health-Related Quality of Life for Long-Acting Octreotide versus Placebo in Patients with Metastatic Midgut Neuroendocrine Tumors in the Phase 3 PROMID Trial
- Entering the third decade of experience with octreotide LAR in neuroendocrine tumors: A review of current knowledge.
- Long-acting octreotide treatment has no impact on tumor uptake of 99mTc-HYNIC-TOC in patients with neuroendocrine tumors.
- ANNIVERSARY REVIEW: Octreotide, 40 years later.
- Biochemical efficacy of long-acting lanreotide depot/Autogel in patients with acromegaly naïve to somatostatin-receptor ligands: analysis of three multicenter clinical trials
- LANREOTIDE THERAPY IN CARCINOID SYNDROME: PROSPECTIVE ANALYSIS OF PATIENT-REPORTED SYMPTOMS IN PATIENTS RESPONSIVE TO PRIOR OCTREOTIDE THERAPY AND PATIENTS NAÏVE TO SOMATOSTATIN ANALOGUE THERAPY IN THE ELECT PHASE 3 STUDY.
- Cost-effectiveness of acromegaly treatments: a systematic review.
- Health-Related Quality of Life in Patients With Progressive Midgut Neuroendocrine Tumors Treated With 177Lu-Dotatate in the Phase III NETTER-1 Trial
- Gastroenteropancreatic Neuroendocrine Tumors.
- The effect of kidney volume estimation on dosimetry in lutetium-177 DOTATATE therapy.
- Everolimus, lutetium-177 DOTATATE and sunitinib for advanced, unresectable or metastatic neuroendocrine tumours with disease progression: a systematic review and cost-effectiveness analysis.
- The Antiproliferative Role of Lanreotide in Controlling Growth of Neuroendocrine Tumors: A Systematic Review.
- Phase 3 Trial of 177Lu-Dotatate for Midgut Neuroendocrine Tumors
- Long-Term Efficacy, Survival, and Safety of [(177)Lu-DOTA(0),Tyr(3)]octreotate in Patients with Gastroenteropancreatic and Bronchial Neuroendocrine Tumors.
- Medical Therapy of Gastrointestinal Neuroendocrine Tumors.
- Early efficacy of and toxicity from lutetium-177-DOTATATE treatment in patients with progressive metastatic NET.
- Octreotide use and safety in infants with hyperinsulinism.
- Octreotide Is Ineffective in Treating Tumor-Induced Osteomalacia: Results of a Short-Term Therapy.
- Lanreotide for the treatment of gastroenteropancreatic neuroendocrine tumors.
- Octreotide and Lanreotide in Gastroenteropancreatic Neuroendocrine Tumors.
- Tumor Growth Rate (TGR) as an Indicator of Antitumor Activity With Lanreotide Autogel/Depot (LAN) Versus Placebo (Pbo) in Intestinal/Pancreatic NET: Post Hoc Analysis of CLARINET Data.
- Anti-tumour effects of lanreotide for pancreatic and intestinal neuroendocrine tumours: the CLARINET open-label extension study.
- Octreotide - A Review of its Use in Treating Neuroendocrine Tumours
- Lanreotide-conjugated PEG-DSPE micelles: an efficient nanocarrier targeting to somatostatin receptor positive tumors.
- Lanreotide Reduces Liver Volume, But Might Not Improve Muscle Wasting or Weight Loss, in Patients With Symptomatic Polycystic Liver Disease.
- Lanreotide and its Potential Applications in Polycystic Kidney and Liver Diseases.
- Pasireotide in Acromegaly: A Review.
- Safety and efficacy of oral octreotide in acromegaly: results of a multicenter phase III trial
- Octreotide s.c. depot provides sustained octreotide bioavailability and similar IGF-1 suppression to octreotide LAR in healthy volunteers.
- Lanreotide in metastatic enteropancreatic neuroendocrine tumors
- Tumor shrinkage with lanreotide Autogel 120 mg as primary therapy in acromegaly: results of a prospective multicenter clinical trial
- Lanreotide autogel(®): a review of its use in the treatment of patients with acromegaly.
- Pasireotide versus continued treatment with octreotide or lanreotide in patients with inadequately controlled acromegaly (PAOLA): a randomised, phase 3 trial.
- Acromegaly clinical trial methodology impact on reported biochemical efficacy rates of somatostatin receptor ligand treatments: a meta-analysis
- From somatostatin to octreotide LAR: evolution of a somatostatin analogue
- Octreotide acetate-steroid combination therapy for malignant gastrointestinal obstruction.
- Octreotide for primary moderate to severe acute pancreatitis: a meta-analysis.
- Long acting somatostatin analogues in combination to antineoplastic agents in the treatment of small cell lung cancer patients.
- Successful treatment of congenital hyperinsulinism with long-acting release octreotide.
- Treatment of congenital hyperinsulinism with lanreotide acetate (Somatuline Autogel).
- Efficacy of adding high-dose In-111 octreotide therapy during Sandostatin treatment in patients with disseminated neuroendocrine tumors: clinical results of 14 patients.
- Sustained-release delivery of octreotide from biodegradable polymeric microspheres.
- Rapid and sustained reduction of serum growth hormone and insulin-like growth factor-1 in patients with acromegaly receiving lanreotide Autogel therapy: a randomized, placebo-controlled, multicenter study with a 52 week open extension
- Effects of lanreotide SR and Autogel on tumor mass in patients with acromegaly: a systematic review.
- Antitumor effects of somatostatin analogs in neuroendocrine tumors