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Pharmacotherapy for acromegaly: future role for pasireotide?
1Pituitary Center, Endocrinology, Diabetes and Metabolism Division, Department of Medicine, Cedars Sinai Medical Center, 8700 Beverly Boulevard, Davis 3066, Los Angeles, CA 90048, USA.
Abstract:
Somatostatin receptor ligands (octreotide and lanreotide) are currently first-line pharmacotherapy for patients with acromegaly in whom surgery fails to control the disease or cannot be considered. The efficacy of a new pan somatostatin receptor ligand, pasireotide, has been investigated as a potential treatment of acromegaly. Several clinical trials showed disease-remission with pasireotide in one-third of patients and some octreotide-resistant patients were responsive to pasireotide. Pasireotide can likely be used for patients with suboptimal response or resistance to treatment with the approved maximal doses of octreotide long-acting release (LAR) or lanreotide Autogel; however, the development or exacerbation of diabetes mellitus is of concern.
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