In acromegaly with invasive pituitary macroadenoma, cure was significantly more frequent with preoperative lanreotide: 11 of 24 versus five of 25 with direct surgery.
In plain wordsIn acromegaly, significantly more patients achieved surgical cure with preoperative lanreotide: 11 of 24 versus five of 25 with direct surgery.
- Peptide
- Lanreotide
- Outcome
- IncreaseSurgical cure
- Study
n = 49
- Comparator
- Direct surgery
- Outcome group
- Growth hormone and IGF-1 · Endocrine and hormones
- Studied dose
- 30 mg every 2 weeks, increased to 30 mg/week at week 8 if GH nadir >2.5 μg/l · intramuscular · 3 monthsAs given in this study (human).
Measurements
- Patients cured
- 11 patients
- preoperative lanreotide group, 24 patients
- Patients cured
- 5 patients
- direct surgery group, 25 patients
Source sentences
According to combined growth hormone and IGF-1 levels, significantly more patients were cured by trans-sphenoidal surgery in the pretreatment group compared with the direct surgery group (11 of 24 and five of 25 patients, respectively).
3 context sentences(design, population, supporting numbers)
To investigate whether 3 months' preoperative treatment with lanreotide improved outcome in newly diagnosed patients with acromegaly resulting from invasive pituitary macroadenoma.
After baseline evaluation, untreated patients were randomized to undergo direct transsphenoidal surgery or lanreotide treatment (30 mg via intramuscular injection every 2 weeks, increased to 30 mg/week at week 8 if growth hormone nadir > 2.5 μg/l), for 3 months prior to surgery.
Cure was evaluated at 3 months postsurgery by measuring growth hormone and insulinlike growth factor-1 (IGF-1) levels.