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. Immunotherapy has been studied to a limited extend in NENs, demonstrating low objective response rates ( Mehnert et al. 2020 ). Spartalizumab (PDR001) is a high-affinity, ligand-blocking, humanized IgG4 antibody directed against PD-1 receptor, that blocks
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alone in ATC ( Capdevila et al. 2020 , De Leo et al. 2020 , Boudin et al. 2022 , Hatashima et al. 2022 ). The first, a phase II study evaluating spartalizumab, a monoclonal antibody against PD-1 receptor, in patients with locally advanced
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-institution experiences ( Table 3 ). A phase II multicenter trial for spartalizumab in patients with both GEP and thoracic NENs showed a low ORR (7.4% in well-differentiated G3 GEP NETs and 4.8% in GEP NECs) ( Yao et al. 2021 ). Although Ki-67 was > 20% in some of the
Endocrinology Unit, Department of Experimental and Clinical Biomedical Sciences ‘Mario Serio’, University of Florence, Florence, Italy
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II trial with spartalizumab showed promising and durable results in advanced ATC, with an overall response rate of 19% and also three cases of complete response, regardless of BRAF gene molecular status ( Capdevila et al. 2020 ). If early phase
Instituto de Investigación Sanitaria Puerta de Hierro Segovia de Arana (IDIPHISA), Majadahonda, Madrid, Spain
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Unit of Nutrition and Cancer-IDIBELL, L’Hospitalet de Llobregat, Barcelona, Spain
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Department of Medicine/Endocrinology, IIB-Sant Pau, Research Center for Pituitary Diseases, Barcelona, Spain
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Centro de Investigación Biomédica en Red de Enfermedades Raras (CIBERER, Unidad 747), ISCIII, Universitat Autònoma de Barcelona, Barcelona, Spain
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Instituto de Investigación Sanitaria Puerta de Hierro Segovia de Arana (IDIPHISA), Majadahonda, Madrid, Spain
Department of Medicine, Universidad Autónoma de Madrid, Madrid, Spain
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.7) Atezolizumab 1 (2.7) Tremelimumab 1 (2.7) Spartalizumab 1 (2.7) Others 3 (8.1) ICI regimen, n (%) Monotherapy 27 (73.0) Combined therapy 10 (27.0) Time to develop IAD after starting ICI (months
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, mediastinum, pleura, and psoas muscle; b Lanreotide/temozolomide, pembrolizumab, streptozotocin/doxorubicin, topotecan, ACO, EPICO, FOLFOX, spartalizumab, and investigational medicinal product. Treatment specifics The median number of TEMCAP
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DM Li D Tafuto S Raj N , et al. 2021 Spartalizumab in metastatic, well/poorly differentiated neuroendocrine neoplasms . Endocrine-Related Cancer 28 161 – 172 . ( https://doi.org/10.1530/ERC-20-0382 ) Ye L Ye H Zhou Q Li Z Lin Q Tan
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NECs (GEP-NECs) ( n = 21). The study analysed spartalizumab, a PD-1 inhibitor, and found that in the well-differentiated cohort, there were seven partial responses (7%) and 55% had stable disease, while 31% had progressive disease. The confirmed
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Université Paris Sud, Faculté de Médecine de Bicêtre, Le Kremlin-Bicêtre, France
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studies, thus far, have been conflicting. In preliminary analysis of a phase II study (NCT 02955069), the activity and safety of spartalizumab (PDR001), a high-affinity, humanised, anti-PD-1 IgG4 antibody that blocks PD-L1 and PD-L2 binding to PD-1, was
Department of Clinical Sciences, University of Bergen, Bergen, Norway
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Bergsland E , et al . 2018 Activity and safety of spartalizumab (PDR001) in patients with advanced neuroendocrine tumors (NET) of pancreatic (Pan), gastrointestinal (GI), or thoracic (T) origin, and gastroenteropancreatic neuroendocrine carcinoma (GEP