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Published on: September 19, 2018
Tyrosine Kinase Inhibitors and Immunotherapy Updates in Neuroendocrine Neoplasms
Osama Mosalem1, Mohamad Bassam Sonbol2, Thorvardur R Halfdanarson3
1Division of Hematology and Oncology, Mayo Clinic Cancer Center, Jacksonville, FL, USA.
Abstract:
Neuroendocrine tumors (NETs) represent a heterogeneous group of malignancies that arise from neuroendocrine cells dispersed throughout the organs/tissues of the body. Treatment of advanced/metastatic disease varies depending on tumor origin and grade. Somatostatin analogs (SSA) have been the mainstay first-line treatment in the advanced/metastatic setting for tumor control and managing hormonal syndromes. Treatments beyond SSAs have expanded to include everolimus (mTOR inhibitor), tyrosine kinase inhibitors (TKI) (e.g., sunitinib), and peptide receptor radionuclide therapy (PRRT) with the choice of therapy to some extent dictated by the anatomic origin of the NETs. This review will focus on emerging systemic treatments for advanced/metastatic NETs, particularly TKIs, and immunotherapy.
Insights
Emerging treatments for advanced neuroendocrine tumors (NETs) include tyrosine kinase inhibitors (TKIs) and immunotherapy, expanding options beyond somatostatin analogs (SSAs). These novel therapies offer new hope for managing metastatic NETs.
Area of Science:
- Oncology
- Medical Science
Background:
- Neuroendocrine tumors (NETs) are a diverse group of cancers originating from neuroendocrine cells.
- Treatment for advanced or metastatic NETs depends on tumor origin and grade.
Purpose of the Study:
- To review emerging systemic treatments for advanced/metastatic NETs.
- Focus on tyrosine kinase inhibitors (TKIs) and immunotherapy.
Main Methods:
- Literature review of current and emerging therapies for NETs.
- Analysis of treatment strategies beyond established somatostatin analogs (SSAs).
Main Results:
- Somatostatin analogs (SSAs) remain a primary treatment for tumor control and hormonal syndromes.
- Expanded treatment options include everolimus, tyrosine kinase inhibitors (TKIs), and peptide receptor radionuclide therapy (PRRT).
Conclusions:
- The choice of therapy for advanced NETs is influenced by tumor origin.
- Emerging systemic treatments, particularly TKIs and immunotherapy, represent significant advancements in NET management.
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