Adrenal disease

Octreotide as adjunctive therapy for catecholamine-secreting pheochromocytoma and paraganglioma

J Clin Endocrinol MetabPublished Retrospective cohort study

Authors' conclusion

Octreotide treatment was associated with biochemical, hemodynamic, and metabolic improvement

Study context

Population
Patients with catecholamine-secreting pheochromocytomas and paragangliomas (PPGLs) (14 paraganglioma, 13 pheochromocytoma) treated with octreotide at two referral centers in Muscat, Oman, January 2012–March 2026; 70.4% female; mean age 50.3 ± 22.2 years
Participants
27 consecutive patients
Exposure
Octreotide treatment, before vs after
  • Octreotiden = 27
Outcome
Clinical, hemodynamic and biochemical responses
Methodological detailsconsecutive patients, two referral centers
  • Consecutive patients
  • Two referral centers

Main finding

As reported in the abstract

Median plasma norepinephrine decreased from 6,723 to 1,901 pmol/L
P < 0.0001
Mean blood pressure decreased from 154.8/93.5 to 123.0/75.3 mmHg (n = 16)
P = 0.0003 for systolic and P = 0.0006 for diastolic pressure

Observational data: associations, not effects.

Secondary outcomes

HbA1c among patients with DM (n = 11)

Mean HbA1c decreased from 8.6 ± 2.4% to 6.2 ± 0.8%
P = 0.005

Surgical resection

Underwent surgical resection
17 patients

Death during follow-up · median follow-up 3 years

Non-PPGL-related death
1

Original publication

Octreotide as adjunctive therapy for catecholamine-secreting pheochromocytoma and paraganglioma. J Clin Endocrinol Metab. Published 21 August 2026. doi:10.1210/clinem/dgag343

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