Document Detail


Pancreatic neuroendocrine tumors: role of novel agents. Highlights from the "2011 ASCO Gastrointestinal Cancers Symposium". San Francisco, CA, USA. January 20-22, 2011.
MedLine Citation:
PMID:  21386634     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Neuroendocrine tumors of pancreas (PNET) are very rare, consisting of heterogeneous histological subtypes with a variable natural history and different clinical manifestations. Although the vast majority of these neoplasms are sporadic, it is possible to be part of a genetic syndrome such as multiple endocrine neoplasia 1 (MEN-1) or tuberous sclerosis (TSC). When systemic treatment is required the options are limited and management strategy is generally based on experts' consensus or clinical experience. The prognosis is usually better than in pancreatic adenocarcinoma, though poorly differentiated PNET behave aggressively and survival is shortened. Since last year, there has been a significant advance in the management of PNET, after reported data confirmed the efficacy of everolimus, an mTOR inhibitor, in patients with advanced disease. At the 2011 American Society of Clinical Oncology (ASCO) Gastrointestinal Symposium, updated results of the phase III trial (RADIANT-3) regarding the efficacy of everolimus in PNET (Abstract #158) were reported, along with the results of a subgroup analysis of the Japanese patients enrolled in this study (Abstract #289). Another agent with promising activity in PNET which will be discussed in this review is sunitinib, a biological agent with multikinase inhibitor properties (Abstract #244).
Authors:
Alexios S Strimpakos; Konstantinos N Syrigos; Muhammad Wasif Saif
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Publication Detail:
Type:  Congresses     Date:  2011-03-09
Journal Detail:
Title:  JOP : Journal of the pancreas     Volume:  12     ISSN:  1590-8577     ISO Abbreviation:  JOP     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-03-09     Completed Date:  2011-08-09     Revised Date:  2011-10-18    
Medline Journal Info:
Nlm Unique ID:  101091810     Medline TA:  JOP     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  117-9     Citation Subset:  IM    
Affiliation:
Oncology Unit, Third Department of Medicine, University of Athens, Sotiria General Hospital. Athens, Greece.
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MeSH Terms
Descriptor/Qualifier:
Antineoplastic Agents / therapeutic use
Clinical Trials, Phase III as Topic
Humans
Immunosuppressive Agents / therapeutic use
Indoles / therapeutic use
Neuroendocrine Tumors / drug therapy*,  pathology
Pancreatic Neoplasms / drug therapy*,  pathology
Pyrroles / therapeutic use
Sirolimus / analogs & derivatives*,  therapeutic use
Treatment Outcome
Chemical
Reg. No./Substance:
0/Antineoplastic Agents; 0/Immunosuppressive Agents; 0/Indoles; 0/Pyrroles; 0/sunitinib; 159351-69-6/everolimus; 53123-88-9/Sirolimus

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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