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ASCO 2026 | Cabozantinib expands treatment options in neuroendocrine tumors

Nikolaos Trikalinos, MD, Washington University, St. Louis, MO, discusses the use of cabozantinib in patients with neuroendocrine tumors (NETs), highlighting its approval by the FDA and inclusion in guidelines, and notes that the findings from the CABINET trial (NCT03375320) suggest it can be safely used as a second or third-line treatment regardless of functional status. Dr Trikalinos also comments on the side effect profile of cabozantinib, specifically diarrhea, which does not appear to differ significantly between patients with functional and non-functional tumors. This interview took place during the 2026 American Society of Clinical Oncology (ASCO) Meeting in Chicago, IL.

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Transcript

I would say that sequencing is a very big discussion. I would say that cabozantinib is already approved by the FDA and it’s part of the NCCN, ENETS and NANETS guidelines. Whether cabozantinib should be used as a second or third-line treatment in patients with functional endocrine tumors is a question that is probably answered by this trial. It can be. It can be safely used...

I would say that sequencing is a very big discussion. I would say that cabozantinib is already approved by the FDA and it’s part of the NCCN, ENETS and NANETS guidelines. Whether cabozantinib should be used as a second or third-line treatment in patients with functional endocrine tumors is a question that is probably answered by this trial. It can be. It can be safely used. When you look at the side effect profile of cabozantinib and specifically diarrhea, which is one of the main problems with patients with neuroendocrine tumors, that doesn’t seem to be much different when you compare patients with functional and non-functional tumors. So long story short, cabozantinib can be safely used, as suggested before, without determination of the functional status, without consideration of the functional status.

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