PMID- 21386634 OWN - NLM STAT- MEDLINE DCOM- 20110809 LR - 20181201 IS - 1590-8577 (Electronic) IS - 1590-8577 (Linking) VI - 12 IP - 2 DP - 2011 Mar 9 TI - Pancreatic neuroendocrine tumors: role of novel agents. Highlights from the "2011 ASCO Gastrointestinal Cancers Symposium". San Francisco, CA, USA. January 20-22, 2011. PG - 117-9 AB - Neuroendocrine tumors of pancreas (PNET) are very rare, consisting of heterogeneous histological subtypes with a variable natural history and different clinical manifestations. Although the vast majority of these neoplasms are sporadic, it is possible to be part of a genetic syndrome such as multiple endocrine neoplasia 1 (MEN-1) or tuberous sclerosis (TSC). When systemic treatment is required the options are limited and management strategy is generally based on experts' consensus or clinical experience. The prognosis is usually better than in pancreatic adenocarcinoma, though poorly differentiated PNET behave aggressively and survival is shortened. Since last year, there has been a significant advance in the management of PNET, after reported data confirmed the efficacy of everolimus, an mTOR inhibitor, in patients with advanced disease. At the 2011 American Society of Clinical Oncology (ASCO) Gastrointestinal Symposium, updated results of the phase III trial (RADIANT-3) regarding the efficacy of everolimus in PNET (Abstract #158) were reported, along with the results of a subgroup analysis of the Japanese patients enrolled in this study (Abstract #289). Another agent with promising activity in PNET which will be discussed in this review is sunitinib, a biological agent with multikinase inhibitor properties (Abstract #244). FAU - Strimpakos, Alexios S AU - Strimpakos AS AD - Oncology Unit, Third Department of Medicine, University of Athens, Sotiria General Hospital. Athens, Greece. FAU - Syrigos, Konstantinos N AU - Syrigos KN FAU - Saif, Muhammad Wasif AU - Saif MW LA - eng PT - Congress DEP - 20110309 PL - England TA - JOP JT - JOP : Journal of the pancreas JID - 101091810 RN - 0 (Antineoplastic Agents) RN - 0 (Immunosuppressive Agents) RN - 0 (Indoles) RN - 0 (Pyrroles) RN - 9HW64Q8G6G (Everolimus) RN - V99T50803M (Sunitinib) RN - W36ZG6FT64 (Sirolimus) SB - IM MH - Antineoplastic Agents/therapeutic use MH - Clinical Trials, Phase III as Topic MH - Everolimus MH - Humans MH - Immunosuppressive Agents/therapeutic use MH - Indoles/therapeutic use MH - Neuroendocrine Tumors/*drug therapy/pathology MH - Pancreatic Neoplasms/*drug therapy/pathology MH - Pyrroles/therapeutic use MH - Sirolimus/*analogs & derivatives/therapeutic use MH - Sunitinib MH - Treatment Outcome EDAT- 2011/03/10 06:00 MHDA- 2011/08/10 06:00 CRDT- 2011/03/10 06:00 PHST- 2011/03/10 06:00 [entrez] PHST- 2011/03/10 06:00 [pubmed] PHST- 2011/08/10 06:00 [medline] AID - v12i02a10 [pii] PST - epublish SO - JOP. 2011 Mar 9;12(2):117-9.