SUMMARY

During the ESMO Conference in Barcelona in 2024, two important phase 3 studies in the field of neuro-endocrine tumours (NET) that were presented earlier this year were updated and also published subsequently. The NETTER-2 trial is shifting [177Lu]Lu-DOTATATE Peptide Receptor Radionuclide Therapy (PRRT) to the first-line treatment setting of patients with advanced, well-differentiated grade 2 and grade 3 gastro-enteropancreatic (GEP) NET; the CABINET trial is adding cabozantinib as targeted systemic therapy for previously treated, progressive advanced extrapancreatic and pancreatic NET.

In this report, these two practice-changing NET trials will be discussed in depth, with comments on the clinical relevance and the outstanding questions.

(BELG J MED ONCOL 2025;19(2):78–82)