1st Department of Propaupaedic Internal Medicine, Endocrine Unit, Laiko Hospital, National and Kapodistrian University of Athens, Athens, Greece
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Department of Biological Chemistry, Medical School, National and Kapodistrian University of Athens, Athens, Greece
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Clinical Sciences Research Laboratories, Warwick Medical School, University of Warwick, University Hospital, Coventry, UK
Centre of Applied Biological & Exercise Sciences, Faculty of Health & Life Sciences, Coventry University, Coventry, UK
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). MTTs with the MTOR inhibitor everolimus and the receptor tyrosine kinase (RTK) inhibitor sunitinib have been approved in clinical practice for locally advanced and metastatic pancreatic NENs (PanNENs) ( 2 , 3 ). In addition, everolimus has been shown
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( 1 , 15 ). Everolimus and sunitinib are two targeted agents approved by the Food and Drugs Administration (FDA) for the treatment of different types of NENs ( 16 ). Everolimus is an mTOR inhibitor capable to slow down the tumour growth and arrest
Research Center for Translational Medicine, Cancer Stem Cell Institute, East Hospital, Tongji University School of Medicine, Shanghai, People’s Republic of China
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), particularly in liver metastasis ( 10 ). For this reason, sunitinib, a multi-targeted tyrosine kinase receptor inhibitor of VEGFR1-3, platelet-derived growth factor receptor, mast/stem cell growth factor receptor kit, proto-oncogene tyrosine-protein kinase
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disease of NETs of the GEP system ( 2 , 3 , 4 , 5 , 6 , 7 , 8 ), including molecular targeted therapy with the mammalian target of rapamycin (mTOR) inhibitor everolimus and the multi-tyrosinkinase inhibitor sunitinib, has significantly progressed
Institut Cochin, INSERM U1016, CNRS UMR8104, Université Paris Descartes, Sorbonne Paris Cité, Paris, France
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Department of Endocrinology, Center for Rare Adrenal Diseases, Hôpital Cochin, Assistance Publique Hôpitaux de Paris, Paris, France
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Pharmacokinetics and Pharmacochemistry Unit, Cochin Hospital, Paris Descartes University, AP-HP, Paris, France
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Department of Endocrinology, Center for Rare Adrenal Diseases, Hôpital Cochin, Assistance Publique Hôpitaux de Paris, Paris, France
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UMR8638 CNRS, Pharmacy UFR, University of Paris Descartes, PRES sorbonne Paris Cité, Paris, France
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, in a phase II trial, efficacy and toxicity of sunitinib (0% of response and 26% of grade 3–4 adverse events) were lower than expected in ACC patients. Most of these patients received mitotane and were underexposed to sunitinib compared to the target
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.0–1.5 pmol/L or 0–14 ng/L). Tumor embolization failed, and funded sunitinib therapy was unavailable. Three weekly infusions of zolendronate and normal saline failed to control calcium and its symptoms, therefore cinacalcet was initiated and titrated. The
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) or sunitinib ( n = 5) ( 11 ). In addition, a median progression-free survival (PFS) of 4 months for peptide receptor radionuclide therapy (PRRT) has also been reported ( 12 ). Consequently, it has been hypothesized that panNET-G3 should be treated
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patients had received hepatic arterial chemoembolization (HACE), four patients had received radiofrequency ablation (RFA), five patients had received Octreotide LAR, three patients had received sunitinib, one patient had received everolimus, seven patients
European Institute for Molecular Imaging (EIMI), University of Münster, Münster, Germany
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Retrospective, Spanish o_-label-sorafenib-use program DTC PR: 19% MTC PR: 47% ATC PR: 33% Hand–foot skin reaction, diarrhea, alopecia, skin rash or desquamation Sunitinib Ravaud et al. (26) VEGFR, PDGFR, RET, KIT, FLT DTC: 41 (RAI resistant
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surgery. Adjuvant chemotherapy (including etoposide and cisplatin (EP) and capecitabine) and target therapy (including everolimus and sunitinib) were administered when recommended by oncologists. Follow-up Survival status was determined from