Targeted therapy in advanced well-differentiated neuroendocrine tumors
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Published on: July 25, 2020
Chandrajit P Raut1, Matthew H Kulke
1Department of Surgery, Brigham and Women's Hospital, Boston, MA 02115, USA. craut@partners.org
Abstract:
Treatments for advanced neuroendocrine tumors were, until recently, rather limited. Salvage surgery and liver-directed therapy both have relatively limited impact, and systemic cytotoxic chemotherapy has minimal efficacy. In the absence of other effective treatments, somatostatin analogs have been used for years to control disease and neuroendocrine symptoms, without cytotoxic intent. Advances in targeted therapy for neuroendocrine tumors have opened several potentially new treatment paradigms in the management of these otherwise relatively drug-resistant neoplasms. Promising results have emerged from studies evaluating radiolabeled somatostatin analogs and inhibitors of the vascular endothelial growth factor and mammalian target of rapamycin pathways. This article reviews several of the more encouraging developments in this field.
Insights
New targeted therapies offer hope for advanced neuroendocrine tumors, a cancer type with limited treatment options. Research shows promising results with radiolabeled somatostatin analogs and pathway inhibitors.
Area of Science:
- Oncology
- Medical Science
Background:
- Advanced neuroendocrine tumors (NETs) historically had limited effective treatment options.
- Salvage surgery, liver-directed therapy, and cytotoxic chemotherapy show minimal impact in managing advanced NETs.
- Somatostatin analogs are used for symptom control but lack cytotoxic intent.
Purpose of the Study:
- To review recent advancements in targeted therapy for neuroendocrine tumors.
- To highlight promising new treatment paradigms for drug-resistant NETs.
Main Methods:
- Review of studies on novel therapeutic agents for advanced neuroendocrine tumors.
- Evaluation of radiolabeled somatostatin analogs.
- Assessment of inhibitors targeting vascular endothelial growth factor (VEGF) and mammalian target of rapamycin (mTOR) pathways.
Main Results:
- Targeted therapies are emerging as new treatment paradigms for NETs.
- Radiolabeled somatostatin analogs show promising efficacy.
- Inhibitors of VEGF and mTOR pathways demonstrate encouraging results in NET management.
Conclusions:
- Advances in targeted therapy are expanding treatment options for advanced neuroendocrine tumors.
- Novel agents like radiolabeled somatostatin analogs and pathway inhibitors represent significant progress.
- These developments offer new hope for patients with drug-resistant NETs.
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