Comparison of octreotide LAR and lanreotide autogel as post-operative medical treatment in acromegaly
dc.contributor.author | Tütüncü, Yasemin Ateş | |
dc.contributor.author | Berker, Dilek | |
dc.contributor.author | Işık, Serhat | |
dc.contributor.author | Özuğuz, Ufuk | |
dc.contributor.author | Akbaba, Gülhan | |
dc.contributor.author | Küçükler, Ferit Kerim | |
dc.contributor.author | Güler, Serdar | |
dc.date.accessioned | 2020-04-30T22:41:22Z | |
dc.date.available | 2020-04-30T22:41:22Z | |
dc.date.issued | 2012 | |
dc.department | DÜ, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü | en_US |
dc.description | WOS: 000308817000016 | en_US |
dc.description | PubMed: 21863263 | en_US |
dc.description.abstract | Long-acting somatostatin analogs are frequently used as adjuvant treatment of acromegaly patients after noncurative surgery. This sudy aims to compare the efficacy of octreotide long-acting release (OCT) and lanreotide Autogel (LAN) in acromegaly patients. Sixty-eight patients not cured by transsphenoidal endoscopic or microscopic pituitary surgery between 2003 and 2009 were retrospectively analyzed (25 men; 43 women; mean age 41.1 +/- A 10.9 years [range 18-65 years]). The patients were assigned randomly to OCT (n = 36) and LAN (n = 32) groups. Evaluations included insulin-like growth factor I (IGF-I) and growth hormone (GH) after oral glucose tolerance test (OGTT) 3, 6, 12 and 18 months after starting medical treatment; pituitary magnetic resonance imaging was performed before treatment and after 3 and 12 months. Patients achieving IGF-I levels within the age and gender normal range and GH level < 1 mu g/l following OGTT were considered a 'biochemical cure'. Mean IGF-I and GH values and tumor volumes (cm(3)) in the LAN and OCT groups were similar in the post-operative period before initiation of medical treatment. A statistically significant decrease in GH and IGF-I levels was obtained for both treatment groups at each follow-up visit compared to the previous value. Tumor shrinkage after 12 months of treatment was statistically significant in both groups but the percentage tumor shrinkage (28.5% vs. 34.9%, P = 0.166) and rate of patients achieving biochemical cure (63.9 and 78.1%, P = 0.454) were similar between OCT and LAN groups, respectively. OCT and LAN treatment options have similar efficacy for ensuring biochemical cure and tumor shrinkage in acromegaly patients who had noncurative surgery. | en_US |
dc.description.sponsorship | Ipsen (Paris, France) | en_US |
dc.description.sponsorship | Editorial assistance was provided by Martin Gilmour at ESP Bioscience (Crowthorne, UK) and funded by Ipsen (Paris, France). We have not received any funding support for the study. | en_US |
dc.identifier.doi | 10.1007/s11102-011-0335-y | en_US |
dc.identifier.endpage | 404 | en_US |
dc.identifier.issn | 1386-341X | |
dc.identifier.issn | 1573-7403 | |
dc.identifier.issue | 3 | en_US |
dc.identifier.scopusquality | Q2 | en_US |
dc.identifier.startpage | 398 | en_US |
dc.identifier.uri | https://doi.org/10.1007/s11102-011-0335-y | |
dc.identifier.uri | https://hdl.handle.net/20.500.12684/3174 | |
dc.identifier.volume | 15 | en_US |
dc.identifier.wos | WOS:000308817000016 | en_US |
dc.identifier.wosquality | Q2 | en_US |
dc.indekslendigikaynak | Web of Science | en_US |
dc.indekslendigikaynak | PubMed | en_US |
dc.indekslendigikaynak | Scopus | en_US |
dc.language.iso | en | en_US |
dc.publisher | Springer | en_US |
dc.relation.ispartof | Pituitary | en_US |
dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı | en_US |
dc.rights | info:eu-repo/semantics/openAccess | en_US |
dc.subject | Acromegaly | en_US |
dc.subject | Somatostatin analogs | en_US |
dc.subject | Octreotide | en_US |
dc.subject | Lanreotide | en_US |
dc.title | Comparison of octreotide LAR and lanreotide autogel as post-operative medical treatment in acromegaly | en_US |
dc.type | Article | en_US |
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