Table 2.
Molecular-targeted agents.
| Number of patients | Agent used | Dosage | Tolerability | Response | Median time to progression | |
|---|---|---|---|---|---|---|
| Davids et al. [28] |
n = 1 metastatic disease |
Pazopanib | 800 mg daily | Minimal adverse effects; dose reduction after gallstone pancreatitis to 400mg daily | After 2 months: CR of primary lesion, PR of metastatic lesions | 4 months |
|
| ||||||
| Samlowski et al. [29] |
n = 23 metastatic or unresectable disease |
Imatinib | 400 mg daily | Mainly Grade 1-2 toxicities; 3 episodes of Grade 4 toxicities; Grade 3 toxicities in 3 patients |
no CR; PR: 4% |
1-2 months |
|
| ||||||
| Di Bartolomeo et al. [30] |
n = 58 metastatic disease (neuroendocrine tumors) |
Octreotide | 500 or 1000 micrograms 3 times a day | Carcinoid syndrome and abnormal urinary 5-hydroxy-indoloacetic acid excretion were reported | Median survival time of 22 months (range, 1–32+ months); PR: 3% |
Disease stabilized for at least 6 months (range, 1–32+ months) |
|
| ||||||
| Meier et al. [31] |
n = 1 locoregional disease |
90Y-DOTATOC; targeted radiotherapy |
85 mCi | Fatigue was main side effect | PR after 1 week; CR after 4 weeks |
10 weeks until locoregional relapse |
|
| ||||||
| Fakiha et al. [32] |
n = 1 clinically locoregional disease |
Lanreotide | 15 mg i.m. injection every two weeks | No side effects reported | Clinically CR after 2 months | 7 months until relapse |
|
| ||||||
| Shah et al. [33] |
n = 12 metastatic or regionally recurrent disease |
Oblimersen sodium | 7 mg per kilogram daily | Including Grade 3 and Grade 4 events, for example, lymphopenia, renal failure, cytopenia, and hyperkalemia | No responses; stable disease in 3 patients | PD in 9 patients |
CR: complete response; PR: partial response; PD: progressive disease.