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PRRT COMBINATIONS

1.- EJNMMI 2011

2.- Cancer Biother Radiopharm 2012

3.- Cancer Biother Radiopharm 2015

4.- EJNMMI 2015

Author

Treatment

N Response Rate

PFS

OS

Toxicity

Claringbold

1 177

Lu 7.8 GBq x 4

Capecitabine 1650 mg/m

2

/d x 14

33

PR 24%

SD 70%

NR

1 year 91%

2 years 88%

Thrombocytopenia G3

(1p)

Claringbold

2 177

Lu 7.8 GBq x 4

Capecitabine 1650 mg/m

2

/d x 14

TMZ 100-150-200 mg/m

2

x 5

35

CR 15%

PR 38%

SD 38%

31 months 2 years 94% Nausea G2 (18%) G3 (3%)

Thrombocytopenia G2

(24%)

Neutropenia G3 (6%)

Claringbold

3 177

Lu 7.8 GBq x 4

Everolimus 5mg/7.5 mg/10 mg

16

CR 15%

PR 38%

SD 38%

-------------- -------------

MTD 7.5 mg/day

Kashyap

4

177

Lu 6-10 GBq x 3-5 - Maintenance

5Fluorouracil 200 mg/m

2

CI x 3

weeks from 2

nd

cycle

52

PR 28%

SD 68%

48 months

Thrombocytopenia G3/4

(6%)

Hepatotoxicity G3 (1p)