Octreotide long-acting repeatable in the treatment of neuroendocrine tumors: patient selection and perspectives

Hanford Yau,1 Mustafa Kinaan,2 Suzanne L Quinn,3 Andreas G Moraitis3 1Division of Endocrinology, Diabetes, and Metabolism, University of California, San Francisco (Fresno Division), Fresno, CA, USA; 2Division of Internal Medicine, University of Central Florida College of Medicine, Orlando, FL, USA;...

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Autores principales: Yau H, Kinaan M, Quinn SL, Moraitis AG
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Publicado: Dove Medical Press 2017
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spelling oai:doaj.org-article:1d3c8f6693434240b731c334222274432021-12-02T04:06:27ZOctreotide long-acting repeatable in the treatment of neuroendocrine tumors: patient selection and perspectives1177-5491https://doaj.org/article/1d3c8f6693434240b731c334222274432017-12-01T00:00:00Zhttps://www.dovepress.com/octreotide-long-acting-repeatable-in-the-treatment-of-neuroendocrine-t-peer-reviewed-article-BTThttps://doaj.org/toc/1177-5491Hanford Yau,1 Mustafa Kinaan,2 Suzanne L Quinn,3 Andreas G Moraitis3 1Division of Endocrinology, Diabetes, and Metabolism, University of California, San Francisco (Fresno Division), Fresno, CA, USA; 2Division of Internal Medicine, University of Central Florida College of Medicine, Orlando, FL, USA; 3Division of Endocrinology, Diabetes, and Metabolism, Orlando VA Medical Center, Orlando, FL, USA Abstract: Over the past three decades, the incidence and prevalence of neuroendocrine tumors have gradually increased. Due to the slow-growing nature of these tumors, most cases are diagnosed at advanced stages. Prognosis and survival are associated with location of primary lesion, biochemical functional status, differentiation, initial staging, and response to therapy. Octreotide, the first synthetic somatostatin analog, was initially used for the management of gastrointestinal symptoms associated with functional carcinoid tumors. Its commercial development over time led to long-acting repeatable octreotide acetate, a long-acting version that provided greater administration convenience. Recent research demonstrates that octreotide’s efficacy has evolved beyond symptomatic management to targeted therapy with antitumoral effects. This review examines the history and development of octreotide, provides a synopsis on the classification, grading, and staging of neuroendocrine tumors, and reviews the evidence of long-acting repeatable octreotide acetate as monotherapy and in combination with other treatment modalities in the management of non-pituitary neuroendocrine tumors with special attention to recent high-quality Phase III trials. Keywords: carcinoid, everolimus, neuroendocrine tumor, octreotide LAR, somatostatin analog, ITMO, NETTER-1, PROMID, RADIANT-2Yau HKinaan MQuinn SLMoraitis AGDove Medical Pressarticleoctreotideoctreotide LARneuroendocrine tumorsomatostatin analogueNETTER-1PROMIDRADIANT-2Medicine (General)R5-920ENBiologics: Targets & Therapy, Vol Volume 11, Pp 115-122 (2017)
institution DOAJ
collection DOAJ
language EN
topic octreotide
octreotide LAR
neuroendocrine tumor
somatostatin analogue
NETTER-1
PROMID
RADIANT-2
Medicine (General)
R5-920
spellingShingle octreotide
octreotide LAR
neuroendocrine tumor
somatostatin analogue
NETTER-1
PROMID
RADIANT-2
Medicine (General)
R5-920
Yau H
Kinaan M
Quinn SL
Moraitis AG
Octreotide long-acting repeatable in the treatment of neuroendocrine tumors: patient selection and perspectives
description Hanford Yau,1 Mustafa Kinaan,2 Suzanne L Quinn,3 Andreas G Moraitis3 1Division of Endocrinology, Diabetes, and Metabolism, University of California, San Francisco (Fresno Division), Fresno, CA, USA; 2Division of Internal Medicine, University of Central Florida College of Medicine, Orlando, FL, USA; 3Division of Endocrinology, Diabetes, and Metabolism, Orlando VA Medical Center, Orlando, FL, USA Abstract: Over the past three decades, the incidence and prevalence of neuroendocrine tumors have gradually increased. Due to the slow-growing nature of these tumors, most cases are diagnosed at advanced stages. Prognosis and survival are associated with location of primary lesion, biochemical functional status, differentiation, initial staging, and response to therapy. Octreotide, the first synthetic somatostatin analog, was initially used for the management of gastrointestinal symptoms associated with functional carcinoid tumors. Its commercial development over time led to long-acting repeatable octreotide acetate, a long-acting version that provided greater administration convenience. Recent research demonstrates that octreotide’s efficacy has evolved beyond symptomatic management to targeted therapy with antitumoral effects. This review examines the history and development of octreotide, provides a synopsis on the classification, grading, and staging of neuroendocrine tumors, and reviews the evidence of long-acting repeatable octreotide acetate as monotherapy and in combination with other treatment modalities in the management of non-pituitary neuroendocrine tumors with special attention to recent high-quality Phase III trials. Keywords: carcinoid, everolimus, neuroendocrine tumor, octreotide LAR, somatostatin analog, ITMO, NETTER-1, PROMID, RADIANT-2
format article
author Yau H
Kinaan M
Quinn SL
Moraitis AG
author_facet Yau H
Kinaan M
Quinn SL
Moraitis AG
author_sort Yau H
title Octreotide long-acting repeatable in the treatment of neuroendocrine tumors: patient selection and perspectives
title_short Octreotide long-acting repeatable in the treatment of neuroendocrine tumors: patient selection and perspectives
title_full Octreotide long-acting repeatable in the treatment of neuroendocrine tumors: patient selection and perspectives
title_fullStr Octreotide long-acting repeatable in the treatment of neuroendocrine tumors: patient selection and perspectives
title_full_unstemmed Octreotide long-acting repeatable in the treatment of neuroendocrine tumors: patient selection and perspectives
title_sort octreotide long-acting repeatable in the treatment of neuroendocrine tumors: patient selection and perspectives
publisher Dove Medical Press
publishDate 2017
url https://doaj.org/article/1d3c8f6693434240b731c33422227443
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AT kinaanm octreotidelongactingrepeatableinthetreatmentofneuroendocrinetumorspatientselectionandperspectives
AT quinnsl octreotidelongactingrepeatableinthetreatmentofneuroendocrinetumorspatientselectionandperspectives
AT moraitisag octreotidelongactingrepeatableinthetreatmentofneuroendocrinetumorspatientselectionandperspectives
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