Ланреотид в лечении больных c диссеминированными высокодифференцированными нейроэндокринными опухолями: опыт применения при неудовлетворительной переносимости октреотида
Ланреотид в лечении больных c диссеминированными высокодифференцированными нейроэндокринными опухолями: опыт применения при неудовлетворительной переносимости октреотида
Емельянова Г.С., Кузьминов А.Е., Орел Н.Ф. Ланреотид в лечении больных c диссеминированными высокодифференцированными нейроэндокринными опухолями: опыт применения при неудовлетворительной переносимости октреотида. Современная Онкология. 2016; 18 (1): 80–83.
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Emelyanova G.S., Kuzminov A.E., Orel N.F. et al. Lanreotide for the treatment of patients with disseminated high-grade neuroendocrine tumors: the experience of Lanreotide application in case of unsatisfactory tolerability of octreotideJournal of Modern
Oncology. 2016; 18 (1): 80–83.
Ланреотид в лечении больных c диссеминированными высокодифференцированными нейроэндокринными опухолями: опыт применения при неудовлетворительной переносимости октреотида
Емельянова Г.С., Кузьминов А.Е., Орел Н.Ф. Ланреотид в лечении больных c диссеминированными высокодифференцированными нейроэндокринными опухолями: опыт применения при неудовлетворительной переносимости октреотида. Современная Онкология. 2016; 18 (1): 80–83.
________________________________________________
Emelyanova G.S., Kuzminov A.E., Orel N.F. et al. Lanreotide for the treatment of patients with disseminated high-grade neuroendocrine tumors: the experience of Lanreotide application in case of unsatisfactory tolerability of octreotideJournal of Modern
Oncology. 2016; 18 (1): 80–83.
Аналоги соматостатина играют ключевую роль в лечении диссеминированных высокодифференцированных нейроэндокринных опухолей (НЭО), как функционирующих, так и нефункционирующих. Воздействуя на рецепторы соматостатина, они ингибируют гормональную активность НЭО и оказывают прямой антипролиферативный эффект, увеличивая медиану времени до прогрессирования. Примерно у 10% больных имеются выраженные побочные эффекты при применении октреотида. Октреотид и ланреотид различаются по структуре и аналогами не являются. Так, при непереносимости одного препарата он может быть заменен на другой.
Somatostatin analogs plays a key role in the treatment of disseminated well-differentiated functioning and nonfunctioning neuroendocrine tumors (NET). Its ingibit hormonal activity of NET by binding to somatostatin receptors, have antiproliferative effect, increase the median time to progression. Approximately 10% of patients have significant side-effects when used octreotide. Octreotide and lanreotide differ in structure. Intolerance to one drug, it may be assigned to another.
1. Patel YC, Murthy KK, Escher EE et al. Mechanism of action of somatostatin: an overview of receptor function and studies of the molecular characterization and purification of somatostatin receptor proteins. Metabolism 1990; 39 (9 Suppl. 2): 63–9.
2. Lahlou H, Guillermet J, Hortala M et al. Molecular signaling of somatostatin receptors. Ann N Y Acad Sci 2004; 1014: 121–31.
3. Rorstad O. Prognostic indicators for carcinoid neuroendocrine tumors of the gastrointestinal tract. J Surg Oncol 2005; 89: 151–60.
4. Bajetta E, Carnagi С, Ferrari L et al. The role of somatostatin analogues in the treatment of gastroenteropancreatic endocrine tumors. Digest 1996; 57 (Suppl. 1): 72–7.
5. Battershill PE, Clissold SP. Octreotide: a review of its pharmacodynamic and pharmacokinetic properties, and therapeutic potential in conditions associated with excessive peptide secretion. Drugs 1989; 38: 658–702.
6. Kvols LK, Moertel CG, O'Connell MJ et al. Treatment of the malignant carcinoid syndrome. Evaluation of a long-acting somatostatin analogue. N Engl J Med 1986; 315 (11): 663–6.
7. Lightman S. Somatuline autogel: An eхtended release lanreotide formularion. Hosp 2002; 315: 246–54.
8. Oberg K, Kvols LK, Caplin M et al. Consensus report on the se of somatostatin analogs for the management of neuroendocrine tumors of the gastroenteropancreatic system. Ann Oncol 2004; 15 (6): 966–73.
9. Ricci S, Antonuzzo A, Galli L et al. Long-acting depot lanreotide in the treatment of patients with advanced neuroendocrine tumors. Am J Clin Oncol 2000; 23 (4): 412–5.
10. Kaltsas GA, Stefanidou Z, Papadogias D, Grossman AB. Treatmentof advanced neuroendocrine tumors with the radiolabelled somatostatin analogue octreotide. Hormones (Athens). 2002; 1 (3): 149–56.
11. Grozinssky-Glasberg S, Shimov I, Korbonits M, Grossvan AB. Somatostatin analogues in control of the control of neuroendocrine tumors: efficacy and mechanisms. Endocr Relat Cancer 2008; 15 (3): 701–20.
12. Rinke A, Muller H, Schade-Brittinger C et al. R Placebo-controlled, double-blind, prospective, randomized study on the effect of octreotide LAR in the control of tumor growth in patients with metastatic neuroendocrine midgut tumors: a report from the PROMID Study Group. J Clin Oncol 2009; 27: 4656–63.
13. Ruszniewski P, Ish-Shalom S, Wymenga M et al. Rapid and sustained relief from the symptoms of carcinoid syndrome: results from an open 6-month study of the 28-day prolonged-release formulation of lanreotide. Neuroendocrinology 2004; 80 (4): 244–51.
14. Caplin ME, Pavel M, Ćwikła JB et al. N Lanreotide in metastatic enteropancreatic neuroendocrine tumors. CLARINET Investigators. Engl J Med 2014; 371 (3): 224–33.
15. 12th Annual Conferens for the Diagnosis and Treatment of Neuroendocrine Tumor Disease 11–13 March 2015, Barcelona, Spain, ENETS abstractbook.
________________________________________________
1. Patel YC, Murthy KK, Escher EE et al. Mechanism of action of somatostatin: an overview of receptor function and studies of the molecular characterization and purification of somatostatin receptor proteins. Metabolism 1990; 39 (9 Suppl. 2): 63–9.
2. Lahlou H, Guillermet J, Hortala M et al. Molecular signaling of somatostatin receptors. Ann N Y Acad Sci 2004; 1014: 121–31.
3. Rorstad O. Prognostic indicators for carcinoid neuroendocrine tumors of the gastrointestinal tract. J Surg Oncol 2005; 89: 151–60.
4. Bajetta E, Carnagi С, Ferrari L et al. The role of somatostatin analogues in the treatment of gastroenteropancreatic endocrine tumors. Digest 1996; 57 (Suppl. 1): 72–7.
5. Battershill PE, Clissold SP. Octreotide: a review of its pharmacodynamic and pharmacokinetic properties, and therapeutic potential in conditions associated with excessive peptide secretion. Drugs 1989; 38: 658–702.
6. Kvols LK, Moertel CG, O'Connell MJ et al. Treatment of the malignant carcinoid syndrome. Evaluation of a long-acting somatostatin analogue. N Engl J Med 1986; 315 (11): 663–6.
7. Lightman S. Somatuline autogel: An eхtended release lanreotide formularion. Hosp 2002; 315: 246–54.
8. Oberg K, Kvols LK, Caplin M et al. Consensus report on the se of somatostatin analogs for the management of neuroendocrine tumors of the gastroenteropancreatic system. Ann Oncol 2004; 15 (6): 966–73.
9. Ricci S, Antonuzzo A, Galli L et al. Long-acting depot lanreotide in the treatment of patients with advanced neuroendocrine tumors. Am J Clin Oncol 2000; 23 (4): 412–5.
10. Kaltsas GA, Stefanidou Z, Papadogias D, Grossman AB. Treatmentof advanced neuroendocrine tumors with the radiolabelled somatostatin analogue octreotide. Hormones (Athens). 2002; 1 (3): 149–56.
11. Grozinssky-Glasberg S, Shimov I, Korbonits M, Grossvan AB. Somatostatin analogues in control of the control of neuroendocrine tumors: efficacy and mechanisms. Endocr Relat Cancer 2008; 15 (3): 701–20.
12. Rinke A, Muller H, Schade-Brittinger C et al. R Placebo-controlled, double-blind, prospective, randomized study on the effect of octreotide LAR in the control of tumor growth in patients with metastatic neuroendocrine midgut tumors: a report from the PROMID Study Group. J Clin Oncol 2009; 27: 4656–63.
13. Ruszniewski P, Ish-Shalom S, Wymenga M et al. Rapid and sustained relief from the symptoms of carcinoid syndrome: results from an open 6-month study of the 28-day prolonged-release formulation of lanreotide. Neuroendocrinology 2004; 80 (4): 244–51.
14. Caplin ME, Pavel M, Ćwikła JB et al. N Lanreotide in metastatic enteropancreatic neuroendocrine tumors. CLARINET Investigators. Engl J Med 2014; 371 (3): 224–33.
15. 12th Annual Conferens for the Diagnosis and Treatment of Neuroendocrine Tumor Disease 11–13 March 2015, Barcelona, Spain, ENETS abstractbook.
1 ГБОУ ВПО Московский государственный медико-стоматологический университет им. А.И.Евдокимова Минздрава России. 127473, Россия, Москва, ул. Делегатская, д. 20, стр. 1;
2 ФГБУ Российский онкологический научный центр им. Н.Н.Блохина Минздрава России. 115478, Россия, Москва, Каширское ш., д. 23;
3 ГБОУ ДПО Российская медицинская академия последипломного образования Минздрава России. 123995, Россия, Москва, ул. Баррикадная, д. 2/1
*docgalina@mail.ru
1 A.I.Evdokimov Moscow State Medical and Dental University of the Ministry of Health of the Russian Federation.127473, Russian Federation, Moscow, ul. Delegatskaia, d. 20, str. 1;
2 N.N.Blokhin Russian Cancer of the Ministry of Health of the Russian Federation. 115478, Russian Federation, Moscow, Kashirskoe sh., d. 23
3 Russian Medical Academy of Postgraduate Education of the Ministry of Health of the Russian Federation. 125993, Russian Federation, Moscow, ul. Barrikadnaia, d. 2/1
*docgalina@mail.ru