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Safety and efficacy of radionuclide therapy with high-activity In-111 pentetreotide in patients with progressive neuroendocrine tumors.

Abstract
The intent of this study was to evaluate the safety and efficacy of high-activity 111In-pentetreotide in patients with neuroendocrine tumors. Thirty-two patients with pentetreotide-avid neuroendocrine tumors received therapy from August 2005 to November 2006. Fourteen (14) patients received 1 treatment and 18 patients received 2 treatments. Patients were followed an average of 12.73 months (range 1.2-24.5). Seventeen (17) patients (53%) had grade I or II hematologic toxicities, and 1 patient had grade III thrombocytopenia. One patient had grade II liver toxicity, which appeared 4 weeks after therapy and resolved on week 5. No patient had renal toxicity. Of the patients who completed 2 treatment cycles, 2 of 18 patients had partial disease regression, and 16 of 18 patients with previously progressive disseminated neuroendocrine disease achieved stable disease by imaging criteria. A decrease in serum tumor markers was observed in 14 of 18 patients given 2 therapies. A clinical response was achieved in 84% of the patients. Upon interim analysis, median survival was approximately 13 months (range 1.2-24.5). These results show that high-activity 111In-pentetreotide therapy is effective in patients with progressive disseminated neuroendocrine tumors.
AuthorsEbrahim S Delpassand, Jennifer Sims-Mourtada, Hitomi Saso, Ali Azhdarinia, Faramarz Ashoori, Farzad Torabi, Gregory Espenan, Warren H Moore, Eugene Woltering, Lowell Anthony
JournalCancer biotherapy & radiopharmaceuticals (Cancer Biother Radiopharm) Vol. 23 Issue 3 Pg. 292-300 (Jun 2008) ISSN: 1557-8852 [Electronic] United States
PMID18593362 (Publication Type: Clinical Trial, Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Indium Radioisotopes
  • Somatostatin
  • pentetreotide
Topics
  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Female
  • Humans
  • Indium Radioisotopes (therapeutic use)
  • Male
  • Maximum Tolerated Dose
  • Middle Aged
  • Neuroendocrine Tumors (radiotherapy)
  • Regression Analysis
  • Somatostatin (analogs & derivatives, therapeutic use)
  • Time Factors
  • Treatment Outcome

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