Treatment of metastatic carcinoid tumors with radiolabeled biologic molecules

J Natl Compr Canc Netw. 2009 Jul;7(7):760-4. doi: 10.6004/jnccn.2009.0052.

Abstract

Treatment options in advanced-stage neuroendocrine tumors are limited. A promising new category of therapy was recently introduced for these tumors in which radioactive atoms are attached to molecules that target and bind to neuroendocrine cancer cells. 90Yttrium-DOTA-Phe1-Tyr3-octreotide and radioactive drugs which targets cells by binding to somatostatin receptors. 131Iodine-metaiodobenzylguanidine also targets neuroendocrine tumors using the amine transporter system. Both agents, along with the somatostatin analogue 177Lutetium-DOTATATE, have shown objective response rates in approximately 30% of patients with progressive metastatic disease. Symptomatic improvement is observed in most patients receiving these drugs and evidence of survival benefit is also mounting. Serious side effects are uncommon.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • 3-Iodobenzylguanidine / therapeutic use
  • Antineoplastic Agents / therapeutic use
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use
  • Carcinoid Tumor / drug therapy*
  • Carcinoid Tumor / pathology
  • Humans
  • Octreotide / analogs & derivatives
  • Octreotide / therapeutic use
  • Organometallic Compounds / therapeutic use

Substances

  • Antineoplastic Agents
  • Organometallic Compounds
  • 3-Iodobenzylguanidine
  • 90Y-octreotide, DOTA-Tyr(3)-
  • lutetium Lu 177 dotatate
  • Octreotide