%0 Generic %A Capdevila, J. %A Landolfi, S. %A Hernando, J. %A Teule, A. %A Garcia-Carbonero, R. %A Custodio, A. %A Cubillo, A. %A Alonso-Gordoa, T. %A Carmona-Bayonas, A. %A Crespo, G. %A Blanco, M. %A Viudez, A. %A La Casta, A. %A Sevilla, I. %A Segura, A. %A Lopez, C. %A Benavent Vinuales, M. %A Nuciforo, P. %A Manzano, J. L. %T Durvalumab plus tremelimumab in patients with grade 3 neuroendocrine neoplasms of gastroenteropancreatic origin: Updated results from the multicenter phase II DUNE trial (GETNE 1601) %D 2021 %@ 0923-7534 %U https://hdl.handle.net/10668/27028 %X Background.Previously reported treatment efficacy with durvalumab (D) plus tremelimumab (T) showed limited activity in patients (pts) with well differentiated neuroendocrine tumors (NETs). However, primary endpoint was achieved in grade 3 (G3) neuroendocrine neoplasms (NENs) suggesting a promising overall survival rate in a pretreated population. Here we update the results of the G3 cohort with central pathological review.Methods.DUNE was a prospective open-label trial that recruited pts with advanced NENs after progression to standard therapies in four cohorts (C1-4): typical/atypical lung carcinoids (C1), G1/2 gastrointestinal (C2), G1/2 pancreatic (C3), and G3 NENs of gastroenteropancreatic origin after progression to first-line platinum-based chemotherapy (C4). Pts received 1500 mg durvalumab (D) (up to 13 cycles) plus 75 mg tremelimumab (T)(up to 4 cycles) once every 4 weeks. Primary objective for C4 was the 9 months (m) overall survival rate (OS) expected to be over 23%. %K Humans %K Neuroendocrine Tumors %K Survival Rate %K Carcinoid Tumor %K Gastrointestinal Neoplasms %K Treatment Outcome %K Lung %~