Control of IGF-I levels with titrated dosing of lanreotide Autogel over 48 weeks in patients with acromegaly
2008

Control of IGF-I Levels with Lanreotide Autogel in Acromegaly Patients

Sample size: 63 publication 10 minutes Evidence: moderate

Author Information

Author(s): Philippe Chanson, Françoise Borson-Chazot, Jean-Marc Kuhn, Joëlle Blumberg, Pascal Maisonobe, Brigitte Delemer, the Lanreotide Acromegaly Study Group

Primary Institution: Université Paris-Sud 11 and Assistance Publique-Hôpitaux de Paris

Hypothesis

The study aims to assess the efficacy and safety of 48 weeks of titrated dosing of lanreotide Autogel in patients with acromegaly.

Conclusion

The treatment effectively controlled IGF-I and GH levels, reduced acromegaly symptoms, and was well tolerated.

Supporting Evidence

  • 43% of patients achieved normalized IGF-I levels by the end of the study.
  • 85% of patients had GH levels ≤ 2.5 µg/l at study end.
  • Acromegaly symptoms significantly reduced in most patients throughout the study.
  • The most common adverse events were gastrointestinal, as expected for somatostatin analogues.

Takeaway

This study shows that a medicine called lanreotide can help people with a condition called acromegaly feel better by lowering certain hormone levels.

Methodology

Patients received 12 injections of lanreotide Autogel at 28-day intervals, with dose adjustments based on GH and IGF-I levels.

Potential Biases

Potential bias due to the open-label design and lack of a control group.

Limitations

The study was open-label and conducted at multiple centers, which may introduce variability.

Participant Demographics

{"mean_age":55.3,"sex_distribution":{"male":60,"female":40},"previous_treatments":{"pituitary_surgery":59,"pituitary_radiotherapy":19,"medical_treatment":78}}

Statistical Information

P-Value

p<0.05

Confidence Interval

95% CI 31–55

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1111/j.1365-2265.2008.03208.x

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