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Published in: Endocrine 2/2011

01-10-2011 | Mini Review

Role of biological targeted therapies in gastroenteropancreatic neuroendocrine tumours

Author: Kein-Leong Yim

Published in: Endocrine | Issue 2/2011

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Abstract

Approximately two-thirds of neuroendocrine tumours (NET) occur in the gastrointestinal tract and over 60% present with metastases. With greater insight into molecular pathways involved in tumour progression, opportunities are presented for the use of targeted therapies in NET. Although a wide array of targeted agents has been investigated, only a handful has emerged as forerunners from recent clinical trials. This literature review focuses on the use of anti-angiogenic monoclonal antibody bevacizumab, as well as small molecule inhibitors sunitinib and everolimus.
Literature
1.
go back to reference S. La Rosa, S. Uccella, G. Finzi, L. Albarello, F. Sessa, C. Capella, Localization of vascular endothelial growth factor and its receptors in digestive endocrine tumors: correlation with microvessel density and clinicopathologic features. Hum. Pathol. 34, 2–18 (2003)CrossRef S. La Rosa, S. Uccella, G. Finzi, L. Albarello, F. Sessa, C. Capella, Localization of vascular endothelial growth factor and its receptors in digestive endocrine tumors: correlation with microvessel density and clinicopathologic features. Hum. Pathol. 34, 2–18 (2003)CrossRef
2.
go back to reference B. Terris, J.Y. Scoazec, L. Rubbia, L. Bregeaud, M.S. Pepper, P. Ruszniewski, J. Belghiti, J. Flejou, C. Degott, Expression of vascular endothelial growth factor in digestive neuroendocrine tumours. Histopathology 32, 133–138 (1998)PubMedCrossRef B. Terris, J.Y. Scoazec, L. Rubbia, L. Bregeaud, M.S. Pepper, P. Ruszniewski, J. Belghiti, J. Flejou, C. Degott, Expression of vascular endothelial growth factor in digestive neuroendocrine tumours. Histopathology 32, 133–138 (1998)PubMedCrossRef
3.
go back to reference J. Zhang, Z. Jia, Q. Li, L. Wang, A. Rashid, Z. Zhu, D.B. Evans, J.N. Vauthey, K. Xie, J.C. Yao, Elevated expression of vascular endothelial growth factor correlates with increased angiogenesis and decreased progression-free survival among patients with low-grade neuroendocrine tumors. Cancer 109, 1478–1486 (2007)PubMedCrossRef J. Zhang, Z. Jia, Q. Li, L. Wang, A. Rashid, Z. Zhu, D.B. Evans, J.N. Vauthey, K. Xie, J.C. Yao, Elevated expression of vascular endothelial growth factor correlates with increased angiogenesis and decreased progression-free survival among patients with low-grade neuroendocrine tumors. Cancer 109, 1478–1486 (2007)PubMedCrossRef
4.
go back to reference S.R. Silva, K.A. Bowen, P.G. Rychahou, L.N. Jackson, H.L. Weiss, E.Y. Lee, C.M. Townsend Jr, B.M. Evers, VEGFR-2 expression in carcinoid cancer cells and its role in tumor growth and metastasis. Int. J. Cancer 128, 1045–1056 (2011) S.R. Silva, K.A. Bowen, P.G. Rychahou, L.N. Jackson, H.L. Weiss, E.Y. Lee, C.M. Townsend Jr, B.M. Evers, VEGFR-2 expression in carcinoid cancer cells and its role in tumor growth and metastasis. Int. J. Cancer 128, 1045–1056 (2011)
5.
go back to reference T. Shah, D. Hochhauser, R. Frow, A. Quaglia, A.P. Dhillon, Caplin, M.E.: Epidermal growth factor receptor expression and activation in neuroendocrine tumours. J. Neuroendocrinol. 18, 355–360 (2006)PubMedCrossRef T. Shah, D. Hochhauser, R. Frow, A. Quaglia, A.P. Dhillon, Caplin, M.E.: Epidermal growth factor receptor expression and activation in neuroendocrine tumours. J. Neuroendocrinol. 18, 355–360 (2006)PubMedCrossRef
6.
go back to reference J.C. Yao, A. Phan, P.M. Hoff, H.X. Chen, C. Charnsangavej, S.C. Yeung, K. Hess, C. Ng, J.L. Abbruzzese, J.A. Ajani, Targeting vascular endothelial growth factor in advanced carcinoid tumor: a random assignment phase II study of depot octreotide with bevacizumab and pegylated interferon alpha-2b. J. Clin. Oncol. 26, 1316–1323 (2008)PubMedCrossRef J.C. Yao, A. Phan, P.M. Hoff, H.X. Chen, C. Charnsangavej, S.C. Yeung, K. Hess, C. Ng, J.L. Abbruzzese, J.A. Ajani, Targeting vascular endothelial growth factor in advanced carcinoid tumor: a random assignment phase II study of depot octreotide with bevacizumab and pegylated interferon alpha-2b. J. Clin. Oncol. 26, 1316–1323 (2008)PubMedCrossRef
7.
go back to reference M.H. Kulke, H.J. Lenz, N.J. Meropol, J. Posey, D.P. Ryan, J. Picus, E. Bergsland, K. Stuart, L. Tye, X. Huang, Activity of sunitinib in patients with advanced neuroendocrine tumors. J. Clin. Oncol. 26, 3403–3410 (2008)PubMedCrossRef M.H. Kulke, H.J. Lenz, N.J. Meropol, J. Posey, D.P. Ryan, J. Picus, E. Bergsland, K. Stuart, L. Tye, X. Huang, Activity of sunitinib in patients with advanced neuroendocrine tumors. J. Clin. Oncol. 26, 3403–3410 (2008)PubMedCrossRef
8.
go back to reference E. Raymond, L. Dahan, J.L. Raoul, Y.J. Bang, I. Borbath, C. Lombard-Bohas, J. Valle, P. Metrakos, D. Smith, A. Vinik, Sunitinib malate for the treatment of pancreatic neuroendocrine tumors. NEJM 364, 501–513 (2011)PubMedCrossRef E. Raymond, L. Dahan, J.L. Raoul, Y.J. Bang, I. Borbath, C. Lombard-Bohas, J. Valle, P. Metrakos, D. Smith, A. Vinik, Sunitinib malate for the treatment of pancreatic neuroendocrine tumors. NEJM 364, 501–513 (2011)PubMedCrossRef
9.
go back to reference T.J. Hobday, J. Rubin, K. Holen, J. Picus, R. Donehower, R. Marschke, W. Maples, R. Lloyd, M. Mahoney, C. Erlichman, MC044h, a phase II trial of sorafenib in patients (pts) with metastatic neuroendocrine tumors (NET): A phase II Consortium (P2C) study. J. Clin. Oncol. 25, abstract 4504 (2007) T.J. Hobday, J. Rubin, K. Holen, J. Picus, R. Donehower, R. Marschke, W. Maples, R. Lloyd, M. Mahoney, C. Erlichman, MC044h, a phase II trial of sorafenib in patients (pts) with metastatic neuroendocrine tumors (NET): A phase II Consortium (P2C) study. J. Clin. Oncol. 25, abstract 4504 (2007)
10.
go back to reference I. Duran, J. Kortmansky, D. Singh, H. Hirte, W. Kocha, G. Goss, L. Le, A. Oza, T. Nicklee, J. Ho, A phase II clinical and pharmacodynamic study of temsirolimus in advanced neuroendocrine carcinomas. Br. J. Cancer 95, 1148–1154 (2006)PubMedCrossRef I. Duran, J. Kortmansky, D. Singh, H. Hirte, W. Kocha, G. Goss, L. Le, A. Oza, T. Nicklee, J. Ho, A phase II clinical and pharmacodynamic study of temsirolimus in advanced neuroendocrine carcinomas. Br. J. Cancer 95, 1148–1154 (2006)PubMedCrossRef
11.
go back to reference J.C. Yao, A.T. Phan, D.Z. Chang, R.A. Wolff, K. Hess, S. Gupta, C. Jacobs, J.E. Mares, A.N. Landgraf, A. Rashid, Efficacy of RAD001 (everolimus) and octreotide LAR in advanced low- to intermediate-grade neuroendocrine tumors: Results of a phase II study. J. Clin. Oncol. 26, 4311–4318 (2008)PubMedCrossRef J.C. Yao, A.T. Phan, D.Z. Chang, R.A. Wolff, K. Hess, S. Gupta, C. Jacobs, J.E. Mares, A.N. Landgraf, A. Rashid, Efficacy of RAD001 (everolimus) and octreotide LAR in advanced low- to intermediate-grade neuroendocrine tumors: Results of a phase II study. J. Clin. Oncol. 26, 4311–4318 (2008)PubMedCrossRef
12.
go back to reference J.C. Yao, C. Lombard-Bohas, E. Baudin, L.K. Kvols, P. Rougier, P. Ruszniewski, S. Hoosen, J. St.Peter, T. Haas, D. Lebwohl, Daily oral everolimus activity in patients with metastatic pancreatic neuroendocrine tumors after failure of cytotoxic chemotherapy: A phase II trial. J. Clin. Oncol. 28, 69–76 (2010)PubMedCrossRef J.C. Yao, C. Lombard-Bohas, E. Baudin, L.K. Kvols, P. Rougier, P. Ruszniewski, S. Hoosen, J. St.Peter, T. Haas, D. Lebwohl, Daily oral everolimus activity in patients with metastatic pancreatic neuroendocrine tumors after failure of cytotoxic chemotherapy: A phase II trial. J. Clin. Oncol. 28, 69–76 (2010)PubMedCrossRef
13.
go back to reference J.C. Yao, M.H. Shah, T. Ito, C.L. Bohas, E.M. Wolin, E. Van Cutsem, T.J. Hobday, T. Okusaka, J. Capdevila, E.G. de Vries, Everolimus for advanced pancreatic neuroendocrine tumors. NEJM 354, 514–523 (2011)CrossRef J.C. Yao, M.H. Shah, T. Ito, C.L. Bohas, E.M. Wolin, E. Van Cutsem, T.J. Hobday, T. Okusaka, J. Capdevila, E.G. de Vries, Everolimus for advanced pancreatic neuroendocrine tumors. NEJM 354, 514–523 (2011)CrossRef
14.
go back to reference M.H. Shah, T. Ito, C. Lombard-Bohas, E.M. Wolin, E. Van Cutsem, C. Sachs, R.E. Winkler, J. Lincy, T.J. Hobday, J.C. Yao, Everolimus in patients with advanced pancreatic neuroendocrine tumors (pNET): Updated results of a randomized, double-blind, placebo-controlled, multicenter phase III trial (RADIANT-3). J. Clin. Oncol. 29, 158 (2011)CrossRef M.H. Shah, T. Ito, C. Lombard-Bohas, E.M. Wolin, E. Van Cutsem, C. Sachs, R.E. Winkler, J. Lincy, T.J. Hobday, J.C. Yao, Everolimus in patients with advanced pancreatic neuroendocrine tumors (pNET): Updated results of a randomized, double-blind, placebo-controlled, multicenter phase III trial (RADIANT-3). J. Clin. Oncol. 29, 158 (2011)CrossRef
15.
go back to reference J.C. Yao, J.D. Hainsworth, E. Baudin, M. Peeters, D. Hoersch, L.B. Anthony, J. Klimovsky, K. Grouss, V. Jehl, M. Pavel, Everolimus plus octreotide LAR (E + O) versus placebo plus octreotide LAR (P + O) in patients with advanced neuroendocrine tumors (NET): Updated results of a randomized, double-blind, placebo-controlled, multicenter phase III trial (RADIANT-2). J Clin Oncol 29, 159 (2011)CrossRef J.C. Yao, J.D. Hainsworth, E. Baudin, M. Peeters, D. Hoersch, L.B. Anthony, J. Klimovsky, K. Grouss, V. Jehl, M. Pavel, Everolimus plus octreotide LAR (E + O) versus placebo plus octreotide LAR (P + O) in patients with advanced neuroendocrine tumors (NET): Updated results of a randomized, double-blind, placebo-controlled, multicenter phase III trial (RADIANT-2). J Clin Oncol 29, 159 (2011)CrossRef
16.
go back to reference J.C. Yao, A.T. Phan, D. Fogleman, C.S. Ng, C.B. Jacobs, C.D. Dagohoy, C. Leary, K.R. Hess, Randomized run-in study of bevacizumab (B) and everolimus (E) in low- to intermediate-grade neuroendocrine tumors (LGNETs) using perfusion CT as functional biomarker. J. Clin. Oncol. 28, abstract 4002 (2010) J.C. Yao, A.T. Phan, D. Fogleman, C.S. Ng, C.B. Jacobs, C.D. Dagohoy, C. Leary, K.R. Hess, Randomized run-in study of bevacizumab (B) and everolimus (E) in low- to intermediate-grade neuroendocrine tumors (LGNETs) using perfusion CT as functional biomarker. J. Clin. Oncol. 28, abstract 4002 (2010)
17.
go back to reference G. Vitale, W.W. de Herder, P.M. van Koetsveld, M. Waaijers, W. Schoordjk, E. Croze, A. Colao, S.W.J. Lamberts, L.J. Hofland, IFN-β is a highly potent inhibitor of gastroenteropancreatic neuroendocrine tumor cell growth in vitro. Cancer Res. 66(1), 554–562 (2006)PubMedCrossRef G. Vitale, W.W. de Herder, P.M. van Koetsveld, M. Waaijers, W. Schoordjk, E. Croze, A. Colao, S.W.J. Lamberts, L.J. Hofland, IFN-β is a highly potent inhibitor of gastroenteropancreatic neuroendocrine tumor cell growth in vitro. Cancer Res. 66(1), 554–562 (2006)PubMedCrossRef
18.
go back to reference G. Vitale, P.M. van Koetsveld, W.W. de Herder, K. van der Wansem, J.A. Janssen, A. Colao, G. Lombardi, S.W. Lamberts, L.J. Hofland, Effects of type I interferons on IGF-mediated autocrine/paracrine growth of human neuroendocrine tumor cells. Am. J. Physiol. Endocrinol. Metab. 296(3), E559–E566 (2009)PubMedCrossRef G. Vitale, P.M. van Koetsveld, W.W. de Herder, K. van der Wansem, J.A. Janssen, A. Colao, G. Lombardi, S.W. Lamberts, L.J. Hofland, Effects of type I interferons on IGF-mediated autocrine/paracrine growth of human neuroendocrine tumor cells. Am. J. Physiol. Endocrinol. Metab. 296(3), E559–E566 (2009)PubMedCrossRef
19.
go back to reference A.W. Tolcher, M.L. Rothenberg, J. Rodon, D. Delbeke, A. Patnaik, L. Nguyen, F. Young, Y. Hwang, C. Haqq, I. Puzanov, Phase I, pharmacokinetic, and pharmacodynamic study of AMG 479, a fully human monoclonal antibody to insulin-like growth factor receptor 1. J. Clin. Oncol. 27, 5800–5807 (2009)PubMedCrossRef A.W. Tolcher, M.L. Rothenberg, J. Rodon, D. Delbeke, A. Patnaik, L. Nguyen, F. Young, Y. Hwang, C. Haqq, I. Puzanov, Phase I, pharmacokinetic, and pharmacodynamic study of AMG 479, a fully human monoclonal antibody to insulin-like growth factor receptor 1. J. Clin. Oncol. 27, 5800–5807 (2009)PubMedCrossRef
20.
go back to reference D.L. Reidy, E. Hollywood, M. Segal, L. Saltz, A phase II clinical trial of MK-0646, an insulin-like growth factor-1 receptor inhibitor (IGF-1R), in patients with metastatic well-differentiated neuroendocrine tumors (NETs). ASCO Meeting Abstracts, vol. 28 (2010), p. 4163 D.L. Reidy, E. Hollywood, M. Segal, L. Saltz, A phase II clinical trial of MK-0646, an insulin-like growth factor-1 receptor inhibitor (IGF-1R), in patients with metastatic well-differentiated neuroendocrine tumors (NETs). ASCO Meeting Abstracts, vol. 28 (2010), p. 4163
21.
go back to reference L. Kvols, B. Wiedenmann, K. Oberg, J. Glusman, T. O’Dorisio, W. de Herder, B. Gao, R. Arnold, L. Anthony, SOM230 Carcinoid Study Group, Safety and efficacy of pasireotide (SOM230) in patients with metastatic carcinoid tumors refractory or resistant to octreotide LAR: Results of a phase II study. ASCO Gastrointestinal Cancers Symposium, Abstract 171, 2006 L. Kvols, B. Wiedenmann, K. Oberg, J. Glusman, T. O’Dorisio, W. de Herder, B. Gao, R. Arnold, L. Anthony, SOM230 Carcinoid Study Group, Safety and efficacy of pasireotide (SOM230) in patients with metastatic carcinoid tumors refractory or resistant to octreotide LAR: Results of a phase II study. ASCO Gastrointestinal Cancers Symposium, Abstract 171, 2006
22.
go back to reference K.E. Oberg, J.C. Reubi, D.J. Kwekkeboom, E.P. Krenning, Role of somatostatins in gastroenteropancreatic neuroendocrine tumor development and therapy. Gastroenterology 139(3), 742–753, 753.e1 (2010) K.E. Oberg, J.C. Reubi, D.J. Kwekkeboom, E.P. Krenning, Role of somatostatins in gastroenteropancreatic neuroendocrine tumor development and therapy. Gastroenterology 139(3), 742–753, 753.e1 (2010)
23.
go back to reference M. Caraglia, M. Marra, P. Tagliaferri, S.W. Lamberts, S. Zappavigna, G. Misso, F. Cavagnini, G. Facchini, A. Abbruzzese, L.J. Hofland, G. Vitale, Emerging strategies to strengthen the anti-tumour activity of type I interferons: overcoming survival pathways. Curr. Cancer Drug Targets 9(5), 690–704 (2009)PubMedCrossRef M. Caraglia, M. Marra, P. Tagliaferri, S.W. Lamberts, S. Zappavigna, G. Misso, F. Cavagnini, G. Facchini, A. Abbruzzese, L.J. Hofland, G. Vitale, Emerging strategies to strengthen the anti-tumour activity of type I interferons: overcoming survival pathways. Curr. Cancer Drug Targets 9(5), 690–704 (2009)PubMedCrossRef
24.
go back to reference E. Allen, I.B. Walters, D. Hanahan, Brivanib, a dual FGF/VEGF inhibitor, is active both first and second line against mouse pancreatic neuroendocrine tumors developing adaptive/evasive resistance to VEGF inhibition. Clin. Cancer Res. 17(16), 5299–5310 (2011) E. Allen, I.B. Walters, D. Hanahan, Brivanib, a dual FGF/VEGF inhibitor, is active both first and second line against mouse pancreatic neuroendocrine tumors developing adaptive/evasive resistance to VEGF inhibition. Clin. Cancer Res. 17(16), 5299–5310 (2011)
25.
go back to reference E.A. Eisenhauer, P. Therasse, J. Bogaerts, L.H. Schwartz, D. Sargent, R. Ford, J. Dancey, S. Arbuck, S. Gwyther, M. Mooney, L. Rubinstein, L. Shankar, L. Dodd, R. Kaplan, D. Lacombe, J. Verweij, New response evaluation criteria in solid tumours: Revised RECIST guideline (version 1.1). Eur. J. Cancer 45, 228–247 (2009)PubMedCrossRef E.A. Eisenhauer, P. Therasse, J. Bogaerts, L.H. Schwartz, D. Sargent, R. Ford, J. Dancey, S. Arbuck, S. Gwyther, M. Mooney, L. Rubinstein, L. Shankar, L. Dodd, R. Kaplan, D. Lacombe, J. Verweij, New response evaluation criteria in solid tumours: Revised RECIST guideline (version 1.1). Eur. J. Cancer 45, 228–247 (2009)PubMedCrossRef
26.
go back to reference P. Therasse, S.G. Arbuck, E.A. Eisenhauer, New guidelines to evaluate the response to treatment in solid tumors (RECIST Guidelines). J. Natl. Cancer Inst. 92, 205–216 (2000)PubMedCrossRef P. Therasse, S.G. Arbuck, E.A. Eisenhauer, New guidelines to evaluate the response to treatment in solid tumors (RECIST Guidelines). J. Natl. Cancer Inst. 92, 205–216 (2000)PubMedCrossRef
Metadata
Title
Role of biological targeted therapies in gastroenteropancreatic neuroendocrine tumours
Author
Kein-Leong Yim
Publication date
01-10-2011
Publisher
Springer US
Published in
Endocrine / Issue 2/2011
Print ISSN: 1355-008X
Electronic ISSN: 1559-0100
DOI
https://doi.org/10.1007/s12020-011-9513-y

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