Evidence map›Paper›PMID 41518601›Full record

ArticleThe Journal of clinical endocrinology and metabolism2026

Personalized Drug Screening and Risk Assessment in Patient-Derived Gastroenteropancreatic Neuroendocrine Neoplasms.

Christoph J Auernhammer, Katharina Wang, Umberto Maccio, Thomas Knösel, Maximilian P Hungbauer, Katharina Schilbach, Julian Maurer, Lea Peischer, Astrid Reul, Elena Kuzmenko and 12 more

Abstract read
In one paragraph

Article in The Journal of clinical endocrinology and metabolism, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

22 authors.

Christoph J AuernhammerDepartment of Medicine IV, LMU University Hospital, LMU Munich, 80336 Munich, Germany.ORCID 0000-0001-8087-3722
Katharina WangDepartment of Medicine IV, LMU University Hospital, LMU Munich, 80336 Munich, Germany.ORCID 0000-0002-7795-1395
Umberto MaccioDepartment of Pathology and Molecular Pathology, University Hospital Zurich, Zurich CH-8091, Switzerland.
Thomas KnöselInterdisciplinary Center of Neuroendocrine Tumors of the GastroEnteroPancreatic System (GEPNET-KUM, ENETS Centre of Excellence), LMU University Hospital, 81377 Munich, Germany.
Maximilian P HungbauerInterdisciplinary Center of Neuroendocrine Tumors of the GastroEnteroPancreatic System (GEPNET-KUM, ENETS Centre of Excellence), LMU University Hospital, 81377 Munich, Germany.
Katharina SchilbachDepartment of Medicine IV, LMU University Hospital, LMU Munich, 80336 Munich, Germany.ORCID 0000-0002-8667-0296
Julian MaurerDepartment of Medicine IV, LMU University Hospital, LMU Munich, 80336 Munich, Germany.
Lea PeischerDepartment of Medicine IV, LMU University Hospital, LMU Munich, 80336 Munich, Germany.
Astrid ReulDepartment of Endocrinology, Diabetology and Clinical Nutrition, University Hospital Zurich, Zurich CH-8091, Switzerland.
Elena KuzmenkoDepartment of Endocrinology, Diabetology and Clinical Nutrition, University Hospital Zurich, Zurich CH-8091, Switzerland.
Edlira LucaDepartment of Endocrinology, Diabetology and Clinical Nutrition, University Hospital Zurich, Zurich CH-8091, Switzerland.
Julia HamatiDepartment of Medicine IV, LMU University Hospital, LMU Munich, 80336 Munich, Germany.
Diana VetterDepartment of Visceral and Transplantation Surgery, University Hospital Zurich, Zurich CH-8091, Switzerland.
Jose OberholzerDepartment of Visceral and Transplantation Surgery, University Hospital Zurich, Zurich CH-8091, Switzerland.
Ralph FritschDepartment of Medical Oncology and Hematology, University Hospital Zurich, Zurich CH-8091, Switzerland.ORCID 0000-0001-9639-3213
Karel PacakCenter for Adrenal Endocrine Tumors, AKESO, Prague 5, Czech Republic.
Ashley B GrossmanGreen Templeton College, University of Oxford, Oxford OX2 6HG, UK.
Felix BeuschleinDepartment of Medicine IV, LMU University Hospital, LMU Munich, 80336 Munich, Germany.ORCID 0000-0001-7826-3984
Martin ReinckeDepartment of Medicine IV, LMU University Hospital, LMU Munich, 80336 Munich, Germany.ORCID 0000-0002-9817-9875
Constanze HantelDepartment of Endocrinology, Diabetology and Clinical Nutrition, University Hospital Zurich, Zurich CH-8091, Switzerland.ORCID 0009-0000-8906-2563
Kathrin ZitzmannDepartment of Medicine IV, LMU University Hospital, LMU Munich, 80336 Munich, Germany.ORCID 0009-0001-2341-3161
Svenja NöltingDepartment of Medicine IV, LMU University Hospital, LMU Munich, 80336 Munich, Germany.ORCID 0000-0002-7064-590X

Funding

CRCDeutsche ForschungsgemeinschaftGerman Research FoundationWilhelm Sander-Stiftung
6 · The paper itself

Abstract

contextPrecision medicine has transformed many areas in oncology. However, it remains largely unexplored in metastatic gastroenteropancreatic neuroendocrine neoplasms (GEP-NENs), where there is a need for further innovative therapies.

objectiveTo evaluate individual tumor responses to different agents, we have established a standardized personalized drug screening and risk assessment platform using patient-derived GEP-NEN primary cultures (n = 23, 16/23 from metastatic tumors, n = 12 small intestinal neuroendocrine tumors [siNETs], n = 10 pancreatic NETs [pNETs], n = 1 neuroendocrine carcinoma [NEC]).

methodsWe assessed GEP-NEN primary culture cell viability, performed signaling pathway analysis by automated Western blotting and immunohistochemically evaluated tumor composition.

resultsSystematic drug testing of 27 agents including signaling inhibitors (i) (mechanistic target of rapamycin inhibitor [mTORi] everolimus, tyrosine kinase inhibitors cabozantinib/sunitinib, AKTi capivasertib, PI3Ki alpelisib, CDK4/6i ribociclib), DNA damage response inhibitors (PARPi niraparib, WEE1i adavosertib, ATRi berzosertib), chemotherapeutics (temozolomide, 5-fluorouracil, lurbinectedin), drug repurposed agents (zoledronic acid), and a personalized risk assessment (glucagon-like peptide [GLP]-2 analogue teduglutide, GLP-1 analogue semaglutide, sex hormones) was performed. We demonstrated statistically significant group effects and individualized responsiveness/resistance data. We identified differences in drug response between pNETs/siNETs and between GEP-NETs/GEP-NEC, respectively.

conclusionWe provide novel data on the efficacy of putative and established therapies in patient-derived GEP-NEN primary cultures. Our standardized platform for personalized drug screening and risk assessment in GEP-NEN primary cultures enables prediction of individual tumor treatment response in this orphan disease.

Indexed as

Antineoplastic AgentsIntestinal NeoplasmsNeuroendocrine TumorsPancreatic NeoplasmsPrecision MedicineStomach NeoplasmsAgedDrug Screening Assays, AntitumorFemaleHumansMaleMiddle AgedRisk AssessmentTumor Cells, CulturedAntineoplastic Agentsneuroendocrine tumorpersonalized drug testingprecision medicineprimary cultures

Identifiers

PMID41518601
PMCPMC13183451

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.