Evidence map›Paper›PMID 26224528›Full record

ArticlePituitary2015

Prediction of therapy response in acromegalic patients under pegvisomant therapy within the German ACROSTUDY cohort.

Caroline Sievers, Dorothee M Baur, Anja Schwanke, Michael Buchfelder, Michael Droste, Klaus Mann, Günter K Stalla

Abstract 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. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 11% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Acromegaly: diagnostic challenges and individualized treatment.Expert review of endocrinology & metabolism · 2025
    Review
  4. Article
  5. Review
  6. Review
  7. Octreotide-Resistant Acromegaly: Challenges and Solutions.Therapeutics and clinical risk management · 2020
    Review
  8. Pegvisomant in acromegaly: a multicenter real-life study in Argentina.Archives of endocrinology and metabolism · 2019
    Observational
  9. Brazilian multicenter study on pegvisomant treatment in acromegaly.Archives of endocrinology and metabolism · 2019
    Article
  10. Review
  11. Observational
  12. Article
  13. Pegvisomant in acromegaly: an update.Journal of endocrinological investigation · 2017
    Review
  14. Review
  15. 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

7 authors at 6 institutions in 1 country.

Caroline SieversClinical Neuroendocrinology, Clinical Research Department, Max Planck Institute of Psychiatry, Kraepelinstr. 2-10, 80804, Munich, Germany. csievers@mpipsykl.mpg.de.
Dorothee M BaurII Medizinische Klinik und Poliklinik, Klinikum rechts der Isar, Ismaningerstrasse 22, 81675, Munich, Germany.
Anja SchwankeEndocrine Care, Pfizer Pharma GmbH, Berlin, Germany.
Michael BuchfelderDepartment of Neurosurgery, University of Erlangen-Nuremberg, Erlangen, Germany.
Michael DrosteEndokrinologische Praxis, Oldenburg, Germany.
Klaus MannDepartment of Endocrinology and Metabolism, University of Duisburg-Essen and Endokrinologiezentrum, Alter Hof, Munich, Germany.
Günter K StallaClinical Neuroendocrinology, Clinical Research Department, Max Planck Institute of Psychiatry, Kraepelinstr. 2-10, 80804, Munich, Germany.
Max Planck Institute of Psychiatry · DEEndokrinologikum · DEFriedrich-Alexander-Universität Erlangen-Nürnberg · DEKlinikum rechts der Isar · DEPfizer (Germany) · DEUniversity of Duisburg-Essen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aimed at investigating predicting factors for therapy response under growth hormone receptor antagonist therapy with a focus on subjective and patient-oriented measures.

methodsObservational, multicenter nested-cohort study including 271 selected patients with the diagnosis of acromegaly and a minimum of one-year follow-up period within the German ACROSTUDY cohort (total cohort: n = 514). Outcome measures were the change of the biomarker IGF-1 (IGF-1 change and IGF-1 normalisation) between baseline and after 1 year of pegvisomant therapy (12 ± 6 months). Main predictors were patient-assessed subjective measures according to the Patient-Assessed Acromegaly Symptom Questionnaire (PASQ) in conjugation with age, gender, BMI, max. dosage of pegvisomant at follow-up and IGF-1 before the start of pegvisomant therapy.

resultsThe mean age of the study population was 51.2 (13.9) years and the mean BMI was 29.5 (5.1) kg/m(2). In adjusted analyses, none of the individual perceived health (PASQ) scores, but age, BMI and IGF-1 at baseline were predictive for an IGF-1 decrease after 1 year of pegvisomant therapy and BMI and IGF-1, but equally none of the PASQ items, were predicting IGF-1 normalisation.

conclusionsAge, BMI and baseline IGF-1 but not subjective perceived health measures predict therapy response under second line medical therapy with pegvisomant.

Indexed as

AcromegalyAdultBlood GlucoseCohort StudiesFemaleHuman Growth HormoneHumansInsulin-Like Growth Factor IMaleMiddle AgedQuality of LifeBlood GlucoseHuman Growth HormoneInsulin-Like Growth Factor IpegvisomantAcromegalyGrowth hormoneHealth-related quality of lifeIGF-1Pegvisomant

Identifiers

PMID26224528
OpenAlexW944261498

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.