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Systemic Therapy Strategies for Treating Neuroendocrine Tumors with Dr. Chih-Yi Liao, Dr. Robert Ramirez, Dr. Lingling Du on the BackTable Tumor Board Podcast
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BackTable Tumor Board

Episode # 74  •  28 Jul 2026

Systemic Therapy Strategies for Treating Neuroendocrine Tumors

What first-line therapies should be considered for patients with higher-grade, metastatic neuroendocrine tumors (NETs)? In this new episode of BackTable Tumor Board, Drs. Lingling Du, Chih-Yi Liao, and Robert Ramirez discuss the use of systemic or radioligand therapies for metastatic well-differentiated NETs.

This podcast is supported by

Novartis

Timestamps

00:00 - Introduction
02:31 - NGS Testing in NETs
05:45 - Starting with Somatostatin Analog (SSA)
08:01 - NETTER-2 Trial and Front-Line PRRT
11:58 - High Dose SSA After Progression
14:59 - Sequencing Systemic Therapy Options
18:56 - Picking the Right PRRT Candidate
21:28 - PRRT: Responses, Toxicities & Risks
31:58 - Lung NET Treatment Strategy
34:16 - Using Immunotherapy for Low-Grade NET
36:05 - First-Line Treatment for Poorly Differentiated Extrapulmonary Neuroendocrine Carcinoma
41:40 - What’s Next: Ongoing Clinical Trials

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More about this episode

The doctors cover the use of next generation sequencing for newly diagnosed patients, highlighting that although results rarely changes upfront management, it can occasionally reveal actionable findings such as high tumor mutation burden and mismatch repair deficiency. In addition to NGS, care should prioritize imaging, pathology review, and multidisciplinary collaboration and planning. They then review several clinical trials, including the NETTER-2 and CLARNET FORTE trials to evaluate the role of peptide receptor radionuclide therapy (PRRT) and somatostatin analog (SSA) therapy while considering sequencing of multimodal treatments. The episode wraps up with ongoing and future clinical trials investigating other potential therapies for NETs.

The Materials available on BackTable are provided for informational and educational purposes only and are not a substitute for the independent professional judgment of a qualified healthcare professional in diagnosing or treating patients. Any opinions, statements, or views expressed are those of the individual contributors and do not necessarily reflect those of the publisher, platform, or any affiliated organization.

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