Pituitary & hypothalamus

Soluble alpha-klotho as an adjunct biomarker of disease activity in acromegaly: Added value beyond GH and IGF-1

PituitaryPublished Case-control study

Authors' conclusion

Soluble alpha-Klotho may serve as an adjunct marker of current biochemical activity in acromegaly, particularly for identifying uncontrolled treated or newly diagnosed active disease.

Study context

Population
Patients with acromegaly categorized as controlled, discordant, uncontrolled or active disease, and controls
Participants
80 vs 80
Comparison
Acromegaly vs controls; across disease-status categories
  • Acromegalyn = 80
  • Controlsn = 80reference
Outcome
Serum soluble alpha-Klotho as adjunct biomarker of biochemical disease activity

Main finding

As reported in the abstract

Serum alpha-Klotho

P < 0.001

Observational data: associations, not effects.

Further findings

Alpha-Klotho across disease-status categories

overall P < 0.001

Identification of active/uncontrolled disease

AUC of alpha-Klotho for active/uncontrolled disease
0.983
AUC of GH, IGF-1, age, sex and BMI without alpha-Klotho
0.947
AUC of GH, IGF-1, age, sex and BMI with alpha-Klotho added
0.986
Alpha-Klotho correlated with GH and IGF-1
Alpha-Klotho ≥ 1579.8 pg/mL independently associated with active/uncontrolled disease

Original publication

Soluble alpha-klotho as an adjunct biomarker of disease activity in acromegaly: Added value beyond GH and IGF-1. Pituitary. Published 20 August 2026. doi:10.1007/s11102-026-01748-9

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