Glycemic control in patients with insulinoma treated with everolimus

Matthew H. Kulke, Emily K. Bergsland, James C. Yao

Research output: Contribution to journalLetterpeer-review

184 Scopus citations

Abstract

Indications:For glycemic control in 4 patients with insulinoma.

AuthorsConclusions:In summary, the use of everolimus in four patients with insulinoma and refractory hypoglycemia was associated with improved glycemic control. The mechanisms underlying this observation would appear to warrant further investigation.

Patients:4 patients, a 57-year-old- female (case 1), a 40-year-old female (case 2), a 22-year-old female (case 3), and a 66-year-old male (case 4).

TypeofStudy:Case reports describing the substantial improvement in glycemic control and tumor regression after receiving Certican treatment in patients with insulinoma. Letters to the editor.

DosageDuration:Dosage and duration not stated.

Results:After receiving Certican treatment all 4 patients had remarkable improvement in glycemic control. 2 patients had tumor regression. In 2 remaining patients who did not have tumor regression, Certican may have a direct effect on glycemic control.

AdverseEffects:No adverse events were mentioned.

FreeText:Previous unsuccessful treatments: depot octreotide (case 1 and 4), radiofrequency ablation (case 1, 2, and 3), hepatic-artery chemoembolization (case 1 and 2), streptozocin plus doxorubicin (case 1 and 4), surgical debulking (case 2, 3, and 4), hepatic-artery embolization (case 2), 111-indium octreotide (case 1), resection of primary tumor, temozolomide plus bevacizumab (case 3), folinic acid/fluorouracil/oxaliplatin plus bevacizumab (case 4).

Original languageEnglish (US)
Pages (from-to)195-197
Number of pages3
JournalNew England Journal of Medicine
Volume360
Issue number2
DOIs
StatePublished - Jan 8 2009

ASJC Scopus subject areas

  • General Medicine

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