Published in:
01-04-2016
Safety of long-term treatment with Pegvisomant: analysis of Spanish patients included in global ACROSTUDY
Published in: Pituitary | Issue 2/2016
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Purpose
To evaluate the long-term safety of Pegvisomant (PEG) in the Spanish cohort of ACROSTUDY.
Methods
As of July 2013, 199 Spanish patients were included in ACROSTUDY, a global non interventional safety PEG surveillance study.
Patients were observed for safety, biochemical outcome and magnetic resonance imaging evaluations.
Results
PEG was administered during an average period of 6.7 ± 2.1 years and a mean daily dose of 15.5 ± 7.5 mg. 48.2 % of patients received PEG monotherapy. 90.9 % of patients had received other medical treatment before PEG start. 195 adverse events (AEs) were reported in 88 patients (44.2 %), and serious AEs were described in 31 patients (15.6 %). There were no cases of liver tests >10 ULN, or permanent liver damage. Tumor size changes were locally reported in 61 cases (33.5 %), with increases observed in 11 patients (6 %). In acromegalic patients with diabetes mellitus a decrease in fasting serum glucose value was reported, reaching statistical significance after 1 and 4 years of treatment (−24.6 and −25.9 mg/dl, p = 0.04). After 60 months, normal or lower limit of normal (LLN) IGF-I levels were found in 67.9 % of patients. 85.5 % of patients showed an IGF-I normal or <LLN at any time after PEG start. Most patients with uncontrolled IGF-I levels were on submaximal PEG doses.
Conclusions
ACROSTUDY carried out with the Spanish cohort confirmed that PEG has a favorable safety and efficacy profile. The percentage of patients considered under control was similar to data reported globally and in other local ACROSTUDY results.