Evidence map›Paper›PMID 25647330›Full record

ArticlePituitary2015

Medical combination therapies in Cushing's disease.

Lucio Vilar, Luciana A Naves, Márcio C Machado, Marcello D Bronstein

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in Pituitary, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07603466 (Combination Osilodrostat and Cabergoline Versus Osilodrostat Alone in Cushing's Disease in Iraq), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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.

NCT07603466 phase4enrolling by invitationnot on this mapstarted 2026, after this paper: background citation

Combination Osilodrostat and Cabergoline Versus Osilodrostat Alone in Cushing's Disease in Iraq: Assessment of Efficacy and Safety

TypeinterventionalSponsorUniversity of BasrahRan2026 to 2028Enrolled50ConditionsCushing Disease Due to Increased ACTH SecretionArmsosilodrostat, osilodrostat and cabergoline
3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Ketoconazole-induced transient hypoadrenocorticism in a dog.The Canadian veterinary journal = La revue veterinaire canadienne · 2020
    Article
  3. Cushing's Disease.Journal of clinical medicine · 2019
    Review
  4. Review
  5. Pituitary-Directed Therapies for Cushing's Disease.Frontiers in endocrinology · 2018
    Review
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Lucio VilarDivision of Endocrinology, Hospital das Clínicas, Federal University of Pernambuco, Rua Clovis Silveira Barros, 84/1202, Boa Vista, Recife, CEP 50.050-270, Brazil, lvilarf@gmail.com.
Luciana A Naves
Márcio C Machado
Marcello D Bronstein

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThere has been growing interest on medical therapy for the management of Cushing's disease (CD), particularly in cases of persistent or recurrent hypercortisolism. Ketoconazole, an inhibitor of adrenal steroidogenesis, is the most widely used drug, whereas cabergoline and pasireotide are the most promising centrally acting agents. The main purpose of this review article is to highlight the options of medical treatment for CD, with a special emphasis on combination therapies, a topic that has only been addressed by a limited number of studies.

conclusionsAccording to the results of these studies, combination therapies involving medications with additive or synergistic effects on ACTH and cortisol secretion seem quite attractive as they yield higher probability of longterm control of the hypercortisolism at lower doses, a lower incidence of side-effects, and possibly a lower rate of treatment escapes. Currently, ketoconazole, cabergoline, and pasireotide are the best drugs to be prescribed in combination.

Indexed as

ACTH-Secreting Pituitary AdenomaAdenomaAdrenal Cortex HormonesAdrenal GlandsAntineoplastic Agents, HormonalAntineoplastic Combined Chemotherapy ProtocolsCytochrome P-450 CYP3A InhibitorsHormone AntagonistsHumansPituitary ACTH HypersecretionReceptors, GlucocorticoidTreatment OutcomeAdrenal Cortex HormonesAntineoplastic Agents, HormonalCytochrome P-450 CYP3A InhibitorsHormone AntagonistsReceptors, Glucocorticoid

Identifiers

What OpenQuestion holds

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Registered trials

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.