Lanreotide
Also known as: Somatuline Depot, Somatuline Autogel
Lanreotide binds with high affinity to somatostatin receptors 2 and 5, mimicking native somatostatin to suppress growth hormone, IGF-1 and various neuroendocrine and gut hormones.
- Drug class
- Long-acting somatostatin analog (cyclic octapeptide)
- Primary targets
- SSTR2, SSTR5
- Dose reference
- Per FDA label (not a recommendation): acromegaly 60-120 mg deep subcutaneously every 4 weeks (typically starting at 90 mg); GEP-NET and carcinoid syndrome 120 mg every 4 weeks.
- Half-life
- Depot-dominated: apparent terminal elimination of about 23-30 days due to slow release from the subcutaneous gel depot
- Developer / origin
- Ipsen
- Reference year
- 2007
- Evidence score
- 5/5 - Strong, FDA-approved with randomized evidence
Approved uses
- Long-term treatment of acromegaly in patients with inadequate response to or ineligibility for surgery and/or radiotherapy
- Unresectable, well- or moderately differentiated, locally advanced or metastatic gastroenteropancreatic neuroendocrine tumors (GEP-NETs) to improve progression-free survival
- Treatment of carcinoid syndrome (reduces need for short-acting somatostatin analog rescue therapy)
Strong, FDA-approved with randomized evidence
Lanreotide is an FDA-approved long-acting somatostatin analog with label-backed indications in acromegaly, GEP-NETs and carcinoid syndrome, supported by randomized trial evidence including the phase 3 CLARINET trial showing prolonged progression-free survival.
Approved medication with substantial human clinical evidence.
Evidence basis
- FDA prescribing information (Somatuline Depot) with three approved indications since 2007
- Phase 3 CLARINET randomized placebo-controlled trial (NEJM 2014, n=204) showing significantly prolonged progression-free survival in metastatic enteropancreatic NETs
- Placebo-controlled carcinoid syndrome data (ELECT) and acromegaly registry/dose-response evidence
- Well-characterized SSTR2/SSTR5 receptor pharmacology
Key references
- New England Journal of MedicineLanreotide in Metastatic Enteropancreatic Neuroendocrine Tumors (CLARINET), NEJM 2014
- DailyMed / FDASomatuline Depot (lanreotide) prescribing information
- PubMedCLARINET open-label extension final results
- ClinicalTrials.govEfficacy and Safety Study of Somatuline Depot to Treat Carcinoid Syndrome (ELECT)
How to read this entry
Dose references and half-life values are pulled from trial protocols, labels, reviews, or published summaries where available. They are context for research and comparison, not a personal dosing recommendation.
Status matters: approved drugs have regulated indications; investigational compounds are still being studied; research-only peptides do not have established human dosing, safety, or efficacy for consumer use.
Lanreotide guides
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