Pituitary & hypothalamus

Long-term antitumour effects of pasireotide in acromegaly

Eur J EndocrinolPublished Retrospective cohort study

Authors' conclusion

Pasireotide appears to induce durable cystic degeneration in somatotroph tumours, with evidence suggesting sustained antitumor effects that may extend beyond treatment discontinuation. These findings support its potential for a broader therapeutic role, warranting validation in future prospective studies.

Study context

Population
Patients with acromegaly from the previously published PAPE study; 57% male; median age 52 years (IQR 15)
Participants
44 patients
Outcome
Long-term antitumour effects: T2-intensity ratio (grey matter reference) and tumour volume on magnetic resonance imaging (MRI)
Follow-up
8 years

Main finding

As reported in the abstract

baseline to 8-year follow-up

Median T2-IR, baseline to 8 years (P < .001); progressive cystic degeneration

1.03 to 1.56

Median tumour volume, baseline to 8 years (P = .005)

1239 to 603 mm³

Observational data: associations, not effects.

Further findings

Reduction in medical acromegaly treatment, without surgery or radiotherapy, due to decreasing IGF-1

Patients with reduced medical acromegaly treatment
12 (27.3%)

Duration of pasireotide treatment

Median duration of pasireotide treatment
31.0 months

Original publication

Long-term antitumour effects of pasireotide in acromegaly. Eur J Endocrinol. Published 20 September 2025. doi:10.1093/ejendo/lvaf194

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