Evidence map›Paper›PMID 25150035›Full record

ArticleEndocrine2015

ACROSTUDY: the Italian experience.

S Grottoli, P Maffei, F Bogazzi, S Cannavò, A Colao, E Ghigo, R Gomez, E Graziano, M Monterubbianesi, P Jonsson and 1 more

Open access · greenAbstract read
PubMed Publisher
In one paragraph

Article in Endocrine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
4.7field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.

  1. Pooled it
  2. Can acromegaly be controlled in all cases?Journal of neuroendocrinology · 2026
    Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Octreotide-Resistant Acromegaly: Challenges and Solutions.Therapeutics and clinical risk management · 2020
    Review
  8. Review
  9. Pegvisomant in acromegaly: a multicenter real-life study in Argentina.Archives of endocrinology and metabolism · 2019
    Observational
  10. Observational
  11. Article
  12. Pegvisomant in acromegaly: an update.Journal of endocrinological investigation · 2017
    Review
  13. Review
  14. Observational
  15. Article
  16. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 9 institutions in 4 countries.

S GrottoliDivisione di Endocrinologia, Diabetologia e Metabolismo, Dipartimento di Scienze Mediche, AO Città della Salute e della Scienza di Torino, Università di Torino, C.so AM Dogliotti 14, 10126, Turin, Italy, ninagro@yahoo.it.
P Maffei
F Bogazzi
S Cannavò
A Colao
E Ghigo
R Gomez
E Graziano
M Monterubbianesi
P Jonsson
L De Marinis
Pfizer (Italy) · ITUniversity of Turin · ITAgostino Gemelli University Polyclinic · ITAzienda Ospedaliera di Padova · ITPfizer (Sweden) · SEPfizer (United States) · USUniversity of Messina · ITUniversity of Naples Federico II · ITUniversity of Pisa · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

ACROSTUDY is a world-wide non-interventional, post marketing surveillance study performed to monitor the safety and outcomes of pegvisomant (PEG) in clinical practice. We report data from acromegaly patients who have been included in the Italian ACROSTUDY registry. The data of 341 acromegaly patients (171 males) were available for analysis using data freeze (12/9/2012). Patients were enrolled in 25 Italian endocrine centres. Before and during PEG treatment IGF-I, liver enzymes, metabolic parameters, and pituitary MRI were assessed. Before PEG, 54.3% patients had been treated with medical therapy and surgery, 22.9% medical therapy only, and 15.8% medical plus radiation and surgical therapy. 199 adverse events were reported in 98 patients (28.7%). Serious adverse events were documented in 29 patients (8.5%). 71.1% of patients had no significant change in tumor volume. Central MRI reading was performed in 34 patients; in 7 patients, an increase in tumor volume was found. Hormonal efficacy progressively increased since the start of PEG. After 6 years, normal IGF-I levels were found in 70.9% of patients (mean daily dose 18.1 mg). 87.1% of patients were treated with daily PEG although in 8.8% of patients, it was administered 2-6 times per week and in 3.8% with weekly injections. 74.8% received a PEG dose 10-15 mg/daily. PEG is a drug with a favorable safety profile which is efficacious also considering that in Italy it is currently available as third-line therapy.

Indexed as

AcromegalyAdolescentAdultAgedChildCombined Modality TherapyDose-Response Relationship, DrugFemaleHormone AntagonistsHuman Growth HormoneHumansInsulin-Like Growth Factor IItalyLiverMagnetic Resonance ImagingMaleHormone AntagonistsHuman Growth HormoneInsulin-Like Growth Factor Ipegvisomant

Identifiers

PMID25150035
OpenAlexW1993567990

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.