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Table 1 Efficacy of peptide receptor radionuclide therapy (PRRT) in patients with advanced RR-DTCa

From: Efficacy and safety of peptide receptor radionuclide therapy in advanced radioiodine-refractory differentiated thyroid cancer and metastatic medullary thyroid cancer: a systematic review

Reference (Publish Year)

Country

N

Sex

Age (year)

Tumor Classification

Site of metastasis

Prior treatments (Iodine cumulative activity GBq (med))

Ligand (Radionuclide Chelator Peptide)

Cumulative activity (GBq)

Response criteria

TTP in SD (month)

Follow-Up duration median: (months)

Response

Czepczynski R et al. (2014) [15]

Poland

6

F/M: (9/2)

Median: 65 (47–81)

3FTC, 3HCTC

B/Lu/M

TT/ND/EBR/RIT (3.1)

90Y-DOTATOC

3.7_14.8

Biochemical

NA

21 (2_68)

4PD, 1PR, 1SD

RECIST

2PD, 2SD. 1PR

Versari A et al. (2014) [23]

Italy

11

F/M

Median: 59 (19–78)

5PTC, 1Oxiphilic, 3FTC, 2Insular

Li/B/Lu

TT/ND/RIT (5.55–33.3 (12.95))

90Y-DOTATOC

4.329_17.95

Biochemical

NA

7.75 (3.5_11.5)

11SD

RECIST

2PR, 4SD, 4PD, 1NA

EORTC

2PR, 5SD, 4PD

Iten F et al. (2009) [24]

Switzerland

24

F/M: (12/12)

Median: 58.8 (40.5–80.6)

17FTC, 5PTC, 2No specified

NA

TT/ND/RIT

90Y-DOTATOC

5.6–30.3

Biochemical

NA

16.8 (1.8_99.1)

7PR, 17PD

Gabriel M et al. (2004) [25]

Austria

5

F/M: (2/3)

Median:59 (51_72)

3FTC, 2PTC

B/Lu/M

TT/ND/RIT (9.25_29.91 (18.87))

90Y-DOTATOC

5.55_7.4

NA

5

NA

5SD

Gorges R et al. (2001) [26]

Germany

3

F/M: (2/1)

Median: 68 (51_72)

1papillary-oxyphilic, 1follicular-oxyphilic, 1Hürthle cell carcinoma

Li/B/Lu/M

TT/ND/EBR/RIT

90Y-DOTATOC

1.7_9.62

Biochemical

NA

20 (16_31)

2SD,1PD

RECIST

NA

1SD, 2PD

Waldherr C et al. (2001) [27]

Switzerland

7

F/M: (4/3)

Median:60 (44_74)

4PTC, 3FTC

NA

TT/ND/EBR/RIT/C/EN

90Y-DOTATOC

1.7_14.8

WHO

8

15 (1_31)

2SD, 5PD

Virgolini I et al. (2002) [28]

UK

25

NA

NA

NA

NA

NA

90Y-DOTA-Lanerotide

0 .925_7.06

WHO

NA

36

3PR, 11SD, 11PD

Traub-Weidinger T et al. (2011) [29]

Austria

4

NA

Median:66

1FTC, 1HCTC

B/Lu

TT/ND/EBR/RIT

90Y-DOTATOC

7.2_7.4

Imaging

NA

(22_27)

4PD

1FTC, 1PTC

Lu

90Y-DOTA-Lanerotide

1.85_3.7

Imaging

NA

(4_12)

PD

Basu. S et al. (2020) [30]

India

8

M/F: (5/3)

57_83

1FTC

B/Lu/M

TT/ND/RIT

177Lu-DOTATATE

5.5_25.4

Biochemical

NA

34(7_52)

5PD, 3PR

RECIST

6PD, 2SD

Cinkir, H. Y et al. (2020) [31]

Turkey

4

M/F: (3/1)

Median: 64 (49,67)

1FTC, 3PTC

Lu/B

TT/ND/RIT/C

177Lu-DOTATATE

14.8_30.8

EORTC

5.5 (1.7_9.4)

13.8 (4.0_23.7)

1PD, 2SD, 1PR

Roll. W et al. (2018) [32]

Germany

5

M/F: (4/1)

Median: 75 (62_89)

3FTC, 1PTC, 1HCTC

NA

TT/ND/EBR/RIT

177Lu-DOTATATE

Mean: 7.0 ± 0.7

Biochemical

NA

6 (3_9)

1FTC PR, 4PD

RECIST

2PD, 2SD, 1PR

EORTC

3PD, 2SD

Oliván-Sasot. P et al. (2017) [33]

Spain

1

F

69

FTC

B/Li

TT/ND/C/RIT (10.4)

177Lu-DOTATATE

2.6

Biochemical

NA

6

PR

ElboÄŸa, U et al. (2016) [34]

Turkey

1

M

64

PTC (tall cell variant)

B/ Lu/M

TT/ND/RIT (27.75)

177Lu-DOTATATE

7.4

Biochemical

NA

After second cycle

PR

Jois B et al. (2014) [35]

India

1

NA

NA

PTC

Lu

TT/ND/EBR/RIT (NA)

177Lu-DOTATATE

7.4

Biochemical

NA

3

PR

Imaging

SD

Teunissen JJ et al. (2005) [36]

Netherlands

5

F/M

Median: 52 (52_74)

3HCTC, 1FTC, 1PTC

B/Lu

TT/ND/EBR/C/RIT (1.9_16.7 (12.9))

177Lu-DOTATATE

22.4–30.1

Biochemical

Median: 22(4_43)

(4_48)

2PD, 3PR

WHO

2SD, 1PD, 1PR, 1MRe

Parihar AS et al. (2018) [37]

India

1

F

54

PTC

B/Lu

TT/ND/RIT (18.5)

177Lu-DOTA-RGD2

5.5

RECIST

NA

4

SD

Campenni A et al. (2015) [38]

Italy

1

M

70

PTC

Lu

TT/ND/RIT (3.7)

177Lu-DOTATOC

7.77

Biochemical

5

5

PR

RECIST

SD

Valkema R et al. (2002) [39]

Netherlands

5

NA

Median:70.8 (57.3_76.1)

4PTC, 1FTC

Lu

TT/ND/BT/RIT

1111n-Octerotide

29.51_83.2

Biochemical

NA

15.8 (15_16.6)

1SD, 1PD, 1PR, 2NA

SWOG

15.8 (13.2_28.2)

1SD, 4PD

Krenning E et al. (1999) [40]

Netherlands

1

NA

NA

PTC

NA

NA

1111n-Octerotide

20_75

imaging

NA

24

1SD

Stokkel MP et al. (2004) [41]

Netherlands

11

F/M: (7/4)

Median:67 (44–69)

6PTC, 5FTC

Li/B/Lu/M

TT/ND/EBR/C/Emb/RIT

111In-DTPA-Octreotide

14.3_33.1

Biochemical

NA

12 (1_12)

7SD, 3PD, 1NA

Imaging

4SD, 5PD, 2NA

Budiawan H et al. (2013) [6]

Germany

7

F/M: (5/2)

Median: 64.5 (26_77)

4FTC,3HCTC

A/Li/Lu/B

TT/ND/EBR/C/RIT/LITT/REDIFF

90Y-DOTATATE and 177Lu-DOTATATE

NA

EORTC

NA

50.4 (34.8–66)

1SD, 5PD, 1PR

Scalorbi F et al. (2017) [42]

Italy

21

F/M: (13/8)

NA

NA

NA

TT/ND/RIT

NA

NA

EORTC

NA

NA

2PR, 9PD, 10SD

  1. aAbbreviations: NA Not Available, FTC Follicular Thyroid Carcinoma, RR-DTC Radioiodine-Refractory Differentiated Thyroid Cancer, PTC Papillary Thyroid Carcinoma, HCTC Hurtle Cell Thyroid Carcinoma, TTP Time To Progression
  2. Metastatic Site: A Adrenal, Li Liver, Lu Lung, B Bone, M Mediastinum
  3. Prior treatments: TT Total Thyroidectomy, ND Node Dissection, EBR External Beam Radiation, C Chemotherapy, I Radioactive Iodine therapy, BT Biotherapy with octreotide, LITT Laser- induced thermotherapy, REDIFF Redifferentiation Using Roaccutane
  4. Response: CR Complete Response, PR Partial Remission, SD Stable Disease, PD Progressive Disease, MR Minor Remission