Biologics. 2008 Sep;2(3):463-79. doi: 10.2147/btt.s3356.
Therapeutic options in the management of acromegaly: focus on lanreotide Autogel.
Biologics : targets & therapy
Ferdinand Roelfsema, Nienke R Biermasz, Alberto M Pereira, Johannes A Romijn
Affiliations
Affiliations
- Department of Endocrinology and Metabolism, Leiden University Medical Center, Leiden, The Netherlands.
PMID: 19707377
PMCID: PMC2721386 DOI: 10.2147/btt.s3356
Abstract
BACKGROUND: In acromegaly, expert surgery is curative in only about 60% of patients. Postoperative radiation therapy is associated with a high incidence of hypopituitarism and its effect on growth hormone (GH) production is slow, so that adjuvant medical treatment becomes of importance in the management of many patients.
OBJECTIVE: To delineate the role of lanreotide in the treatment of acromegaly.
METHODS: Search of Medline, Embase, and Web of Science databases for clinical studies of lanreotide in acromegaly.
RESULTS: Treatment with lanreotide slow release and lanreotide Autogel((R)) normalized GH and insulin-like growth factor-I (IGF-I) concentrations in about 50% of patients. The efficacy of 120 mg lanreotide Autogel((R)) on GH and IGF-I levels was comparable with that of 20 mg octreotide LAR. There were no differences in improvement of cardiac function, decrease in pancreatic beta-cell function, or occurrence of side effects, including cholelithiasis, between octreotide LAR and lanreotide Autogel(R). When postoperative treatment with somatostatin analogs does not result in normalization of serum IGF-I and GH levels after noncurative surgery, pegvisomant alone or in combination with somatostatin analogs can control these levels in a substantial number of patients.
Keywords: acromegaly; growth hormone; lanreotide; pegvisomant; somatostatin analog
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