We performed an unicentric and retrospective analysis in patients (p) with advanced pNET undergoing treatment with CAPTEM....At the time of analysis, 41.6% of patients with Ki-67(3% and MGMT deficiency we observed a marked trend towards better PFS (88m [95%CI;19.5-156.4] vs 11.1m [95%CI;0.0-32.2]; p=0.02). Median OS was strongly lower in intact MGMT (35.8m [95%CI;0.1-71.4] vs 141.9m [95%CI; 0.0302.7]; p=0.03)....Our findings suggest that MGMT status tested by IHQ could be used as a predictive biomarker...