PMID- 29263719 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20231112 IS - 1724-8914 (Print) IS - 1971-3266 (Electronic) IS - 1724-8914 (Linking) VI - 14 IP - 2 DP - 2017 May-Aug TI - The LARO-MEN1 study: a longitudinal clinical experience with octreotide Long-Acting Release in patients with Multiple Endocrine Neoplasia type 1 Syndrome. PG - 123-130 LID - 10.11138/ccmbm/2017.14.1.123 [doi] AB - Multiple endocrine neoplasia type 1 (MEN1) is a rare hereditary tumoral syndrome, featured by a combination of neoplasms of various endocrine and nonendocrine tissues. Approximately 33% of MEN1-related deaths are due to the malignant behaviour of well-differentiated neuroendocrine tumors (NETs), for which a preventive surgical treatment is not feasible. Somatostatin analogues (SSA) have been employed in the treatment of NETs in the stage of advanced or metastatic disease, in order to control the growth and secretion of tumor lesions. A longitudinal, open label study named "LARO-MEN1" was undertaken in order to assess whether early medical treatment with long-acting SSA could act as a preventive approach in small MEN1-related gastroenteropancreatic (GEP) NETs. Thirty consecutive patients affected by MEN1 were screened and 8 patients with small (<2 cm) NETs and abnormal laboratory values of at least one of the GEP hormones were administered octreotide acetate slow-release formulation (LAR) (10 mg i.m. every 28 days). Octreotide LAR was effective in decreasing GEP hormones and overall safe in the majority of patients up to six years of treatment, maintaining the disease stable also in terms of tumor size. The positive outcomes of this study in MEN1 patients reinforce the results obtained in advanced NETs on the use of SSA, opening to the opportunity for preventive use of octreotide LAR, aimed to delay or even avoid surgery in these patients. FAU - Cioppi, Federica AU - Cioppi F AD - Bone and Mineral Metabolism Unit, Department of Surgery and Translational Medicine, University of Florence, Florence, Italy. FAU - Cianferotti, Luisella AU - Cianferotti L AD - Bone and Mineral Metabolism Unit, Department of Surgery and Translational Medicine, University of Florence, Florence, Italy. FAU - Masi, Laura AU - Masi L AD - Bone and Mineral Metabolism Unit, Department of Surgery and Translational Medicine, University of Florence, Florence, Italy. FAU - Giusti, Francesca AU - Giusti F AD - Bone and Mineral Metabolism Unit, Department of Surgery and Translational Medicine, University of Florence, Florence, Italy. FAU - Brandi, Maria Luisa AU - Brandi ML AD - Bone and Mineral Metabolism Unit, Department of Surgery and Translational Medicine, University of Florence, Florence, Italy. LA - eng PT - Journal Article DEP - 20171025 PL - Italy TA - Clin Cases Miner Bone Metab JT - Clinical cases in mineral and bone metabolism : the official journal of the Italian Society of Osteoporosis, Mineral Metabolism, and Skeletal Diseases JID - 101250935 PMC - PMC5726195 OTO - NOTNLM OT - MEN1 OT - neuroendocrine tumors OT - somatostatin analogs OT - somatostatin receptors COIS- Conflict of interest C.F., C.L., M.L., and G.F. declare that have no conflict of interest to disclose in general and regarding this paper. B.M.L. declares that has received grants and consulting fees from Alexion, Abiogen Pharma, Amgen, Bruno Farmaceutici, Eli Lilly, MSD, NPS, Shire, SPA, Servier. EDAT- 2017/12/22 06:00 MHDA- 2017/12/22 06:01 PMCR- 2017/05/01 CRDT- 2017/12/22 06:00 PHST- 2017/12/22 06:00 [entrez] PHST- 2017/12/22 06:00 [pubmed] PHST- 2017/12/22 06:01 [medline] PHST- 2017/05/01 00:00 [pmc-release] AID - 123-130 [pii] AID - 10.11138/ccmbm/2017.14.1.123 [doi] PST - ppublish SO - Clin Cases Miner Bone Metab. 2017 May-Aug;14(2):123-130. doi: 10.11138/ccmbm/2017.14.1.123. Epub 2017 Oct 25.