New England Journal of Medicine · 2017 · 3.2K citations · 25 references
MedicineOncologyPharmacologyEndocrine Nuclear MedicineEndocrine OncologyGastrointestinal OncologyCancer ImmunotherapyHormonal Cancer TherapyHormonal TherapyNeuroendocrine Tumor TherapyNeuroendocrine TumorsSomatostatin Receptor Imaging68Ga-dotatate ImagingGastrointestinal Neuroendocrine TumorsNeuroendocrine Tumor PharmacologyNeuroendocrine Tumor PharmacotherapySomatostatin Analog TherapySomatostatin AnaloguesSomatostatin Receptor TargetingSomatostatin Receptor Therapy
BACKGROUND: Lu)-Dotatate in patients with advanced, progressive, somatostatin-receptor-positive midgut neuroendocrine tumors. METHODS: Lu-Dotatate group) or octreotide LAR alone (113 patients) administered intramuscularly at a dose of 60 mg every 4 weeks (control group). The primary end point was progression-free survival. Secondary end points included the objective response rate, overall survival, safety, and the side-effect profile. The final analysis of overall survival will be conducted in the future as specified in the protocol; a prespecified interim analysis of overall survival was conducted and is reported here. RESULTS: Lu-Dotatate group as compared with no patients in the control group, with no evidence of renal toxic effects during the observed time frame. CONCLUSIONS: Lu-Dotatate group. (Funded by Advanced Accelerator Applications; NETTER-1 ClinicalTrials.gov number, NCT01578239 ; EudraCT number 2011-005049-11 .).
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