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OtherClinical Investigations

Evaluating the Clinical Effectiveness of 90Y-SMT 487 in Patients with Neuroendocrine Tumors

David Bushnell, Thomas O’Dorisio, Yusuf Menda, Thomas Carlisle, Pamela Zehr, Mary Connolly, Mark Karwal, Sara Miller, Stan Parker and Hakim Bouterfa
Journal of Nuclear Medicine October 2003, 44 (10) 1556-1560;
David Bushnell
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Thomas O’Dorisio
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Yusuf Menda
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Thomas Carlisle
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Pamela Zehr
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Mary Connolly
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Mark Karwal
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Sara Miller
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Stan Parker
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Hakim Bouterfa
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  • Article
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  • FIGURE 1.
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    FIGURE 1.

    Pretherapy (A) and posttherapy (B) CT images of liver of patient 7 show that multiple large, hypodense lesions seen at baseline were significantly smaller on posttherapy CT.

  • FIGURE 2.
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    FIGURE 2.

    Pretherapy (A) and posttherapy (B) CT images of liver of patient 10 show that multiple large, hypodense lesions seen at baseline did not change significantly after therapy.

Tables

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    TABLE 1

    Scoring System for Clinical Response Score

    Favorable response criteria*Unfavorable response criteria†
    •Improvement of at least 1 major symptom without worsening of others•Worsening of any symptom
    •Improvement of Karnofsky score by 10 points or more•Worsening of Karnofsky score by 10 points or more
    •Weight gain of 5% or more•Weight loss of more than 5%
    •Improvement of health state score by at least 10 points•Worsening of health state score by at least 10 points
    • ↵* Assigned +1 for each one present and 0 if absent.

    • ↵† Assigned −1 for each one present and 0 if absent.

    • View popup
    TABLE 2

    Clinical Response Indicators

    Patient no.Tumor typeWeight (kg)Health state scoreKarnofsky scoreFatigueAbdominal painDiarrheaN/VFlushingOverall clinical response
    BeforeAfterBeforeAfterBeforeAfter
    1Carcinoid56.354.680759090UnchangedImprovedN/AN/AN/A−1
    2Islet cell56.562.680908090ImprovedN/AN/AImprovedN/A4
    3Carcinoid7078.1808090100ImprovedN/AN/AN/AN/A3
    4Carcinoid6262.960858090ImprovedImprovedN/AImprovedUnchanged3
    5Islet cell64.55765508070WorsenedUnchangedN/AUnchangedN/A−4
    6Glucagonoma8893.580739090ImprovedImprovedUnchangedUnchangedN/A2
    7Neuroendo/ unknown origin87.897629080100ImprovedN/AImprovedImprovedN/A4
    8Carcinoid787970757080ImprovedUnchangedN/AUnchangedN/A2
    9Carcinoid11711380759090UnchangedImprovedImprovedN/AN/A1
    10Carcinoid6669.440909090ImprovedImprovedUnchangedN/AImproved3
    11Carcinoid104107808590100ImprovedN/AN/AN/AImproved2
    12Carcinoid646482709090UnchangedImprovedUnchangedN/AImproved0
    13Carcinoid7374.370809090UnchangedImprovedImprovedN/AImproved2
    14Carcinoid585470809090ImprovedImprovedUnchangedImprovedN/A1
    15Carcinoid848475809095ImprovedN/AN/AN/AImproved1
    16Carcinoid737350707080ImprovedN/AN/AN/AImproved3
    17Carcinoid11512050408070UnchangedN/AWorsenedN/AUnchanged−3
    18Carcinoid666870989090UnchangedN/AN/AN/AImproved2
    19Carcinoid666260758090UnchangedN/AImprovedN/A2
    20Carcinoid10610545608080N/AN/AImprovedN/AImproved2
    21Carcinoid595975768090ImprovedImprovedImprovedN/AImproved2
    • N/V = nausea/vomiting; N/A = not applicable; neuroendo = neuroendocrine tumor.

    • View popup
    TABLE 3

    Daily Octreotide Doses Before and After 90Y-SMT 487 Therapy

    Patient no.Octreotide dose (mg)Clinical response
    Before therapyAfter therapy
    11,200100S
    2300900I
    300I
    4300200I
    51000P
    6300150I
    7600600I
    81,2001,200I
    9600600S
    10600300I
    113000I
    126,0002,100S
    13600450I
    14600100I
    15600600S
    161,6001,350I
    171,5001,500P
    18600300I
    19400300I
    20600–900600I
    21800600I
    • S = stable; I = improved; P = progression.

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Journal of Nuclear Medicine
Vol. 44, Issue 10
October 1, 2003
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Evaluating the Clinical Effectiveness of 90Y-SMT 487 in Patients with Neuroendocrine Tumors
David Bushnell, Thomas O’Dorisio, Yusuf Menda, Thomas Carlisle, Pamela Zehr, Mary Connolly, Mark Karwal, Sara Miller, Stan Parker, Hakim Bouterfa
Journal of Nuclear Medicine Oct 2003, 44 (10) 1556-1560;

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Evaluating the Clinical Effectiveness of 90Y-SMT 487 in Patients with Neuroendocrine Tumors
David Bushnell, Thomas O’Dorisio, Yusuf Menda, Thomas Carlisle, Pamela Zehr, Mary Connolly, Mark Karwal, Sara Miller, Stan Parker, Hakim Bouterfa
Journal of Nuclear Medicine Oct 2003, 44 (10) 1556-1560;
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