Faculté de Médecine Lyon Est, Université Lyon 1, Lyon, France
INSERM U1052; CNRS UMR5286; Cancer Research Centre of Lyon, Lyon, France
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UFR Sciences médicales, Université de Bordeaux, Bordeaux, France
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INSERM U1052; CNRS UMR5286; Cancer Research Centre of Lyon, Lyon, France
Centre de Pathologie et de Neuropathologie Est, Groupement Hospitalier Est, Hospices Civils de Lyon, Bron, France
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Service d’anatomo-pathologie, Hopital Pellegrin, CHU de Bordeaux, Bordeaux, France
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UFR Sciences médicales, Université de Bordeaux, Bordeaux, France
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. Pasireotide-LAR is a multireceptor-targeted somatostatin analog with superior clinical efficacy over octreotide-LAR ( 9 ) that can control GH and IGF-1 concentrations in patients resistant to 1gSRL ( 10 ). Consequently, it is approved for treatment of
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Department of Pathological Cytology and Anatomy, Foch Hospital, Paris, France
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and HbA1c levels are shown in response to octreotide/lanreotide depots and then with pasireotide LAR beginning in 2006, until withdrawn 18 months ago. The normal range for IGF-1 is outlined in grey in the lower part of the graph. The postoperative
Division of Endocrinology and Metabolism, Department of Internal Medicine III, Medical University of Vienna, Vienna, Austria
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randomized, open-label, phase IV study . Pituitary 2021 24 887 – 903 . ( https://doi.org/10.1007/s11102-021-01161-4 ) 30 Coopmans EC Muhammad A van der Lely AJ Janssen JAMJL Neggers SJCMM . How to position pasireotide LAR treatment in acromegaly
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to starting pasireotide, × ULN Completed clinical trial 1 38 M N Y N Octreotide LAR + cabergoline 1.9 CSOM230C2402 ( 7 ) 2 54 F N N N Octreotide LAR 3.0 CSOM230C2402 ( 7 ) 3 33 M Y N N
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levels and (B) mean HbA 1c after crossover in study C2305. Numbers below the horizontal axes refer to numbers of patients who crossed over to long-acting pasireotide/crossed over to long-acting octreotide. HbA 1c , glycated hemoglobin; LAR, long
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Neuroendocrinology Division – Instituto Estadual do Cérebro Paulo Niemeyer, Rio de Janeiro, Brazil
Endocrinology Division – Hospital Federal de Bonsucesso, Rio de Janeiro Brazil
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Neuroendocrinology Division – Instituto Estadual do Cérebro Paulo Niemeyer, Rio de Janeiro, Brazil
Neuropatology and Molecular Genetics Laboratory – Instituto Estadual do Cérebro Paulo Niemeyer, Rio de Janeiro, Brazil
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-acting release (OCT-LAR) and lanreotide autogel, that are considered first-line therapy; and second-generation SRL, represented by pasireotide (PAS) ( 13 ). Both fg-SRLs, in real-life, seem to be equally effective in controlling GH and IGF-I levels in
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Biopharmaceuticals Inc, Basking Ridge, NJ, USA), and pasireotide LAR are the currently available SSAs approved by the Food and Drug Administration for the treatment of patients with acromegaly (32, 33, 34, 35) . Approximately 50% of patients with acromegaly achieve
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Department of Medicine, Copenhagen University Hospital – Amager and Hvidovre, Hvidovre, Denmark
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Imperial College Healthcare NHS Trust, St Mary’s Hospital, London, UK
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-acting SC pasireotide or octreotide (given three times a day before meals) or long-acting IM pasireotide LAR. Moderate 3.3 Diazoxide may be considered as a third-line option if somatostatin analogues are not tolerated. Low 3.4 In people
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adenomas were significantly more frequent in the low AIP-IHC group. Sparsely granulated adenomas have previously been shown to be associated with lower responses to octreotide/lanreotide and better responses to pasireotide and they predominate in AIP mut
1st Department of Propaupaedic Internal Medicine, Endocrine Unit, Laiko Hospital, National and Kapodistrian University of Athens, Athens, Greece
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Department of Biological Chemistry, Medical School, National and Kapodistrian University of Athens, Athens, Greece
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Clinical Sciences Research Laboratories, Warwick Medical School, University of Warwick, University Hospital, Coventry, UK
Centre of Applied Biological & Exercise Sciences, Faculty of Health & Life Sciences, Coventry University, Coventry, UK
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or combined with SSAs) was similar to prior reports of everolimus monotherapy and a recent phase II trial on everolimus and octreotide LAR combination in gastroenteropancreatic NENs (EVERLAR trial), suggesting that prompt management of everolimus SE