Overview
Lanreotide is a synthetic cyclic octapeptide analogue of somatostatin developed by the French company Ipsen. Like octreotide, it retains the critical Trp-Lys pharmacophore of native somatostatin within a stabilised disulfide-bridged ring, and it binds preferentially to somatostatin receptor subtypes 2 and 5.
Lanreotide is an approved prescription medicine in the United States and Europe for acromegaly, gastroenteropancreatic neuroendocrine tumours and carcinoid syndrome. Its extended-release formulation is notable in materials science: in aqueous solution lanreotide self-assembles into highly uniform nanotubes, and a concentrated gel of these nanotubes forms a depot that releases the peptide slowly without polymer excipients, a phenomenon characterised in a widely cited 2003 PNAS paper. The CLARINET trial, published in 2014, examined the antiproliferative effects of lanreotide in non-functioning enteropancreatic neuroendocrine tumours and is a landmark in neuroendocrine tumour research. Researchers use lanreotide to study SSTR2 pharmacology, growth hormone hypersecretion, tumour growth control and peptide self-assembly.
Mechanism studied
- Lanreotide
- SSTR2 / SSTR5
- Hormone secretion ↓
- Tumour growth endpoints
Lanreotide binds SSTR2 with high affinity and SSTR5 with lower affinity. Through inhibitory Gi/o proteins it reduces adenylyl cyclase activity and cAMP, inhibits calcium influx and opens potassium channels, suppressing exocytosis of growth hormone from pituitary somatotrophs and of serotonin and other secretory products from neuroendocrine tumour cells. Lower growth hormone output in turn reduces hepatic IGF-1 production. Antiproliferative activity in experimental systems is attributed to direct effects, including phosphatase activation and growth arrest, and indirect effects such as reduced growth factor signalling and angiogenesis. Lanreotide's self-assembling nanotube structure determines its release kinetics from the depot formulation.
Research highlights
- 01Developed by Ipsen; approved for acromegaly, gastroenteropancreatic neuroendocrine tumours and carcinoid syndrome.
- 02A 2003 PNAS study described lanreotide's self-assembly into monodisperse nanotubes, now a model system in peptide nanotechnology.
- 03The CLARINET trial is a reference study for antiproliferative research in enteropancreatic neuroendocrine tumours.
- 04Comparative research with octreotide examines receptor binding, internalisation and formulation-driven differences.
- 05Open questions include predictors of tumour response and how SSTR2 density relates to antiproliferative outcomes.
Latest published research
1,264 papers on PubMed →Lanreotide, a Somatostatin Analogue, in Advanced Merkel Cell Carcinoma: A Prospective Single-Arm Phase II Study
Charles J et al. · Cancer medicine · 2026 Oct · PMID 42791653
Somatostatin analogues for ADPKD: ending the confusing story of mGFR and eGFR
Gansevoort RT et al. · Kidney international · 2026 Oct · PMID 42760021
Comparative Efficacy and Safety of Octreotide, Lanreotide, and Pasireotide in Autosomal Dominant Polycystic Kidney Disease and Polycystic Liver Disease: A Network Meta-Analysis With Real-World Evidence From the FDA Adverse Event Reporting System Database
Mei Z et al. · Clinical and translational gastroenterology · 2026 Oct 1 · PMID 42476150
A case of small pancreatic neuroendocrine tumor of less than 10 mm showing metastasis to multiple organs
Ogata T et al. · Clinical journal of gastroenterology · 2026 Oct · PMID 42365543
A three-year randomized, double-blind, placebo-controlled study of lanreotide in stage 2/3 autosomal dominant polycystic kidney disease
Joly D et al. · Kidney international · 2026 Oct · PMID 42320793
Endoscopic transsphenoidal surgery for a somatotroph pituitary neuroendocrine tumor associated with an infraoptic course of the anterior cerebral artery: A case report
Numa K et al. · Surgical neurology international · 2026 · PMID 42829594
Lanreotide
· 2006 · PMID 31145576
Pregnancy in a patient with metastatic functioning midgut neuroendocrine tumor receiving lanreotide after peptide receptor radionuclide therapy
Silva BTD et al. · Archives of endocrinology and metabolism · 2026 Sep 10 · PMID 42721062
Live feed from PubMed (NCBI) for “Lanreotide”, updated 2026-10-30. Listing a paper is not an endorsement of its findings.
Registered studies
118 on ClinicalTrials.gov →- Not yet recruitingPhase 3
Somatostatin Analogues vs. Observation After Peptide Receptor Radionuclide Therapy (PRRT) in Nonfunctional Neuroendocrine Neoplasms
NCT07842172 · Washington University School of Medicine · 2026-11-30
- Active not recruitingPhase 3
Carcinoid Syndrome Efficacy Study Featuring an Oral Daily Paltusotine Regimen
NCT07087054 · Crinetics Pharmaceuticals Inc. · 2025-11-19
- Active not recruitingPhase 3
Study of RYZ101 Compared With SOC in Pts w Inoperable SSTR+ Well-differentiated GEP-NET That Has Progressed Following 177Lu-SSA Therapy
NCT05477576 · RayzeBio, Inc. · 2022-03-24
- RecruitingPhase 3
Randomized Interval Assessment Trial of Lu177-Dotatate in Slowly Progressive G1-2 Advanced Midgut Neuroendocrine Tumors
NCT06878664 · Grupo Espanol de Tumores Neuroendocrinos · 2025-06-12
- Active not recruitingPhase 3
A Trial to Assess Efficacy and Safety of Octreotide Subcutaneous Depot in Patients With GEP-NET
NCT05050942 · Camurus AB · 2021-10-22
- Active not recruiting
Analysis of Optimal Treatment Sequencing of Surufatinib and Somatostatin Analogs in Neuroendocrine Tumors: A Retrospective Cohort Study
NCT07534371 · West China Hospital · 2026-03-06
- RecruitingPhase 1Phase 2
Cabozantinib and Lanreotide as Treatment for Gastroenteropancreatic Neuroendocrine Tumors
NCT05048901 · National Health Research Institutes, Taiwan · 2021-09-17
- CompletedPhase 3
Lanreotide In Polycystic Kidney Disease Study
NCT02127437 · Assistance Publique - Hôpitaux de Paris · 2014-09-19
From the public ClinicalTrials.gov registry for “Lanreotide”, updated 2026-10-30. Shown for research context only; Purity Peptides products are not for human use.
Key references
- [1]Manufacturer's prescribing information — FDA / EMA / ANVISA
- [2]Caplin et al., 2014 — N Engl J Med 371:224–233
FAQ
Lanreotide spontaneously assembles into nanotubes with a remarkably uniform diameter when dissolved in water at high concentration. The resulting gel acts as a self-forming depot that releases peptide slowly, avoiding the polymer microspheres used by many other extended-release peptides.
Both are cyclic octapeptide somatostatin analogues with preferential SSTR2 and SSTR5 binding. They differ in amino acid sequence, formulation technology and specific approved indications. Researchers often use them comparatively in studies of SSTR2 signalling and tumour biology.
CLARINET was a randomised, placebo-controlled phase 3 trial of lanreotide in non-functioning, well-differentiated enteropancreatic neuroendocrine tumours. It assessed progression-free survival and is widely cited in research on the antiproliferative activity of somatostatin analogues.
FOR RESEARCH USE ONLY.Not for human or veterinary use. Not intended to diagnose, treat, cure, or prevent any disease.



