Pituitary & hypothalamus

AIP expression and imaging findings in somatotroph adenomas after pre-operative lanreotide therapy for acromegaly

PituitaryPublished Prospective cohort study

Authors' conclusion

Higher expression of AIP after pre-operative SSA treatment was correlated with better hormone response to lanreotide.

Study context

Population
Patients with acromegaly (growth hormone (GH)-secreting macroadenomas) treated pre-operatively with lanreotide 120 mg Autogel monthly for 12 months16 with AIP-staining
Participants
20 patients
Exposure
AIP-staining score vs lanreotide response and imaging
Outcome
Correlation of AIP protein expression with lanreotide response (IGF-1) and imaging characteristics
Follow-up
12 months
Methodological detailssingle-arm lanreotide trial, immunohistochemical AIP-staining
  • Single-arm lanreotide trial
  • Immunohistochemical AIP-staining

Main finding

As reported in the abstract

AIP-staining score vs %-reduction in IGF-1

IGF-1 reduction at 12 months (mean 1.09 x upper limit of normal)

10 patients

Not biochemically controlled at 12 months (mean 2.51 x upper limit of normal)

6 patients

Required early surgery

3 patients

Observational data: associations, not effects.

Further findings

Tumour shrinkage · 12 months

Mean tumour shrinkage; non-significantly greater with high vs low AIP-staining
25%

Original publication

AIP expression and imaging findings in somatotroph adenomas after pre-operative lanreotide therapy for acromegaly. Pituitary. Published 25 March 2026. doi:10.1007/s11102-026-01664-y

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