PMID- 34142932 OWN - NLM STAT- MEDLINE DCOM- 20220303 LR - 20220303 IS - 1744-8328 (Electronic) IS - 1473-7140 (Linking) VI - 21 IP - 9 DP - 2021 Sep TI - Surufatinib for the treatment of advanced extrapancreatic neuroendocrine tumors. PG - 917-926 LID - 10.1080/14737140.2021.1944110 [doi] AB - Introduction: Surufatinib (also known as HMPL-012, sulfatinib) is a novel oral tyrosine kinase inhibitor (TKI), which has the dual activity of anti-angiogenesis and immune regulation. In December 2020, surufatinib was approved as a monotherapy for unresectable locally advanced or metastatic, progressive nonfunctioning, well differentiated (grade 1 or 2) extrapancreatic neuroendocrine tumors (epNETs) in China.Areas covered: In this paper, the chemical properties, mechanism of action, pharmacokinetics, clinical efficacy, safety, and tolerability of surufatinib for treatment of advanced extrapancreatic NETs are introduced in detail. We performed a systematic review of the literature in PubMed and the following keywords were used: 'surufatinib,' 'sulfatinib' and 'HMPL-012.'Expert opinion: Surufatinib is a potent, selective, and small-molecule TKI that targets vascular endothelial growth factor receptor (VEGFR), fibroblast growth factor receptor 1 (FGFR1) and colony stimulating factor 1 receptor (CSF1R). Surufatinib showed an acceptable safety profile and encouraging antitumor activity in patients with advanced epNETs. The most frequently observed adverse events (AEs) were hypertension and proteinuria. Surufatinib provides a new treatment option for patients with advanced epNETs. More clinical trials of surufatinib are ongoing to develop a combination of therapy strategies and new indications for malignancies. FAU - Lu, Xiuhua AU - Lu X AUID- ORCID: 0000-0001-9181-3899 AD - Department of Clinical Pharmacy, Linyi Central Hospital, Linyi, Shandong, China. FAU - Yan, Shibin AU - Yan S AUID- ORCID: 0000-0001-6799-2575 AD - Department of Hematology, Linyi Central Hospital, Linyi, Shandong, China. FAU - Koral, Kelly Ann AU - Koral KA AUID- ORCID: 0000-0003-3979-391X AD - Department of Pathology, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA. FAU - Chen, Zhongguang AU - Chen Z AUID- ORCID: 0000-0002-7378-4753 AD - Department of Clinical Pharmacy, Linyi Central Hospital, Linyi, Shandong, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Systematic Review DEP - 20210629 PL - England TA - Expert Rev Anticancer Ther JT - Expert review of anticancer therapy JID - 101123358 RN - 0 (Indoles) RN - 0 (Protein Kinase Inhibitors) RN - 0 (Pyrimidines) RN - 0 (Sulfonamides) RN - 0 (Vascular Endothelial Growth Factor A) RN - B2K5L1L8S9 (surufatinib) SB - IM MH - Humans MH - Indoles MH - *Neuroendocrine Tumors/drug therapy/pathology MH - Protein Kinase Inhibitors/adverse effects MH - Pyrimidines/therapeutic use MH - Sulfonamides MH - Vascular Endothelial Growth Factor A OTO - NOTNLM OT - Extrapancreatic neuroendocrine tumors OT - HMPL-012 OT - sulfatinib OT - surufatinib OT - targeted therapy EDAT- 2021/06/19 06:00 MHDA- 2022/03/04 06:00 CRDT- 2021/06/18 12:16 PHST- 2021/06/19 06:00 [pubmed] PHST- 2022/03/04 06:00 [medline] PHST- 2021/06/18 12:16 [entrez] AID - 10.1080/14737140.2021.1944110 [doi] PST - ppublish SO - Expert Rev Anticancer Ther. 2021 Sep;21(9):917-926. doi: 10.1080/14737140.2021.1944110. Epub 2021 Jun 29.