A Care Process Model to Deliver 177Lu-Dotatate Peptide Receptor Radionuclide Therapy for Patients With Neuroendocrine Tumors

Frontiers in Oncology

Debora L. Aloszka¹  Akash Sharma¹  Manoj K. Jain¹  Jessica M. Mcmillan²  Kabir Mody²  Catherine L. Maige²  Ashton Ritter²  Margaret L. Andrus²  Jessica M. Rodgers²  Pashtoon Murtaza Kasi²  Faisal Shahjehan² 

[1] Division of Nuclear Medicine, Department of Radiology, Mayo Clinic, Jacksonville, FL, United States;Division of Oncology, Department of Internal Medicine, Mayo Clinic, Jacksonville, FL, United States;

关键词: peptide receptor radionuclide therapy;    PRRT;    177Lu-Dotatate;    neuroendocrine tumor;    somatostatin receptor;    NET;   

DOI  :  10.3389/fonc.2018.00663

来源: DOAJ

【 摘 要 】

Purpose: To develop a care process model for the delivery of peptide receptor radionuclide therapy (PRRT) with lutetium-177 (177Lu)-Dotatate for the treatment of somatostatin receptor-positive gastroenteropancreatic neuroendocrine tumors (GEP-NETs).Methods: A multidisciplinary, structured PRRT process model was established. Over the last 9 months, meetings were held bi-weekly to discuss the logistics of clinical trials. Meetings are still held regularly at the Mayo Clinic Florida to discuss plans regarding commercially available PRRT treatments. The process model has evolved as we have treated patients on both clinical trials and commercial treatments.Results: An effective process model was formulated. We had 5 patients on our Expanded Access Program (EAP) clinical trial. Our ability to be a part of the EAP allowed us to understand the mechanics of how to treat these patients, and what was involved before it became commercially available. Since commercial availability of the 177Lu-Dotatate, more than 50 treatments (>20 patients) have already been completed, with several new patients getting started on treatment every week. Our nuclear medicine department receives continual requests to schedule new patients for PRRT. This can be attributed to our streamlined approach in delivering PRRT to our patients.Conclusion: A thorough procedural approach was formulated to provide patients with PRRT. Experiences and challenges led to refinement, which has allowed the process to advance. This development could lead to better patient outcomes, treatment efficiency, and a reference standard for other institutions trying to develop this at their location.

【 授权许可】

Unknown