PMID- 34681263 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20211026 IS - 1424-8247 (Print) IS - 1424-8247 (Electronic) IS - 1424-8247 (Linking) VI - 14 IP - 10 DP - 2021 Oct 12 TI - Somatostatin Analogue Therapy in MEN1-Related Pancreatic Neuroendocrine Tumors from Evidence to Clinical Practice: A Systematic Review. LID - 10.3390/ph14101039 [doi] LID - 1039 AB - Neuroendocrine neoplasms (NENs) are relatively rare and complex tumors that can be sporadic or hereditary, as in the context of multiple endocrine neoplasia type 1 (MEN1) where patients display a 70% lifelong risk of developing a pancreatic NENs (pNENs). To date, specific personalized treatment for pNENs in patients with MEN1 are lacking. The aim of this study was to systematically analyze the efficacy and safety of somatostatin analogue (SSA) treatment in patients affected by MEN1-related pNENs. We performed a systematic review of the literature, searching for peer-reviewed articles on SSA (octreotide or lanreotide) treatment in MEN1 associated with pNENs. We selected 20 studies with a pooled population of 105 MEN1 patients with pNENs. Females were 58.5%, median age was 44 years (18-73). TNM stage at diagnosis was stage I-II in 84.8% and stage IV in 15.2%. The overall response rate (SD+PR+CR) was achieved in 88.3% of cases, with stable disease in 75.6% and objective response in 12.7% of patients. The safety profile was favorable with both SSA agents. SSAs appear to be an effective and safe treatment option for MEN1-related pNEN, either at localized or advanced stages. FAU - La Salvia, Anna AU - La Salvia A AUID- ORCID: 0000-0002-5020-8657 AD - Department of Oncology, 12 de Octubre University Hospital, 28045 Madrid, Spain. FAU - Sesti, Franz AU - Sesti F AUID- ORCID: 0000-0003-3850-627X AD - Department of Experimental Medicine, Sapienza University of Rome, 00161 Rome, Italy. FAU - Grinzato, Chiara AU - Grinzato C AD - Department of Experimental Medicine, Sapienza University of Rome, 00161 Rome, Italy. FAU - Mazzilli, Rossella AU - Mazzilli R AD - Department of Clinical and Molecular Medicine, Sant'Andrea Hospital, Sapienza University of Rome, 00189 Rome, Italy. FAU - Tarsitano, Maria Grazia AU - Tarsitano MG AD - Department of Experimental Medicine, Sapienza University of Rome, 00161 Rome, Italy. FAU - Giannetta, Elisa AU - Giannetta E AD - Department of Experimental Medicine, Sapienza University of Rome, 00161 Rome, Italy. FAU - Faggiano, Antongiulio AU - Faggiano A AUID- ORCID: 0000-0002-9324-3946 AD - Department of Experimental Medicine, Sapienza University of Rome, 00161 Rome, Italy. AD - Department of Clinical and Molecular Medicine, Sant'Andrea Hospital, Sapienza University of Rome, 00189 Rome, Italy. LA - eng GR - PRIN2017Z3N3YC/PRIN/ PT - Journal Article PT - Review DEP - 20211012 PL - Switzerland TA - Pharmaceuticals (Basel) JT - Pharmaceuticals (Basel, Switzerland) JID - 101238453 PMC - PMC8538402 OTO - NOTNLM OT - MEN-1 OT - efficacy OT - pancreatic neuroendocrine tumors OT - personalized treatment OT - safety OT - somatostatin analogues COIS- The authors declare no conflict of interest. EDAT- 2021/10/24 06:00 MHDA- 2021/10/24 06:01 PMCR- 2021/10/12 CRDT- 2021/10/23 01:06 PHST- 2021/08/31 00:00 [received] PHST- 2021/10/06 00:00 [revised] PHST- 2021/10/08 00:00 [accepted] PHST- 2021/10/23 01:06 [entrez] PHST- 2021/10/24 06:00 [pubmed] PHST- 2021/10/24 06:01 [medline] PHST- 2021/10/12 00:00 [pmc-release] AID - ph14101039 [pii] AID - pharmaceuticals-14-01039 [pii] AID - 10.3390/ph14101039 [doi] PST - epublish SO - Pharmaceuticals (Basel). 2021 Oct 12;14(10):1039. doi: 10.3390/ph14101039.