Octreotide for acromegaly
Authors: Cozzi, Renato; Attanasio, Roberto
Source: Expert Review of Endocrinology and Metabolism, Volume 2, Number 2, March 2007 , pp. 129-145(17)
Publisher: Expert Reviews
Abstract:
Octreotide has dramatically changed the results of medical treatment of acromegaly. It is the reference drug for the pharmacological treatment of acromegaly, owing to its impressive efficacy in suppressing growth hormome secretion, and excellent compliance. Safe growth hormone and normal insulin-like growth factor I values are reached in 50-60% of unselected patients. Octreotide arrests the growth of the tumor and shrinks tumor in over half of all patients (namely, up to 88% of naive patients and to complete disappearance in anecdotic cases). The safety profile of octreotide is excellent, but in some patients, glucose metabolism worsens and cholelythiasis occurs. This review will address the primary treatment and the relative roles of pharmacological and surgical treatment, as well as the predictivity of octreotide results.Keywords: acromegaly; growth hormone; insulin-like growth factor-I; octreotide; somatostatin analogue; tumor size
Document Type: Research article
DOI: http://dx.doi.org/10.1586/17446651.2.2.129
Publication date: 2007-03-01
- Expert Review of Endocrinology & Metabolism provides extensive coverage of state-of-the-art research and clinical advancements in the field of endocrine control and metabolism, with a focus on screening, prevention, diagnostics, existing and novel therapeutics, as well as related molecular genetics, pathophysiology and epidemiology
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