Evidence map›Paper›PMID 36792844›Full record

ArticleJournal of patient-reported outcomes2023

Development and evaluation of the Acromegaly Symptom Diary.

Susan Martin, Randall H Bender, Alan Krasner, Tonya Marmon, Michael Monahan, Lauren Nelson

2 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Journal of patient-reported outcomes, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.0field-weighted citation impact, top 13% 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.

NCT03789656 phase2completednot on this map

An Open Label Exploratory Study to Evaluate the Safety, Pharmacokinetics and Efficacy of CRN00808 in Patients With Acromegaly Treated With Somatostatin Analogue Based Treatment Regimens (ACROBAT Edge)

TypeinterventionalSponsorCrinetics Pharmaceuticals Inc.Ran2019 to 2020Enrolled47ConditionsAcromegalyArmsPaltusotine
NCT03792555 phase2completednot on this map

A Double-blind, Placebo-controlled, Randomized Withdrawal Study to Evaluate the Safety, Pharmacokinetics and Efficacy of CRN00808 in Patients With Acromegaly That Are Responders to Octreotide LAR or Lanreotide Depot (ACROBAT Evolve)

TypeinterventionalSponsorCrinetics Pharmaceuticals Inc.Ran2019 to 2020Enrolled13ConditionsAcromegalyArmsPaltusotine, Placebo
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 10 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Article
  5. The acromegaly patient experience: burden of treatment and quality of life.The Journal of clinical endocrinology and metabolism · 2026
    Review
  6. Current controversies in acromegaly care.The Journal of clinical endocrinology and metabolism · 2026
    Review
  7. Article
  8. Review
  9. Fatigue in acromegaly patients: a scoping review.Frontiers in endocrinology · 2025
    Article
  10. Article
  11. Review
  12. New Treatments for Acromegaly in Development.The Journal of clinical endocrinology and metabolism · 2024
    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

6 authors at 2 institutions in 1 country.

Susan MartinPatient-Centered Outcomes Assessment, RTI Health Solutions, Ann Arbor, MI, USA. smartin@rti.org.
Randall H BenderPatient-Centered Outcomes Assessment, RTI Health Solutions, 200 Park Offices Drive, Research Triangle Park, NC, 27709, USA.
Alan KrasnerCrinetics Pharmaceuticals, Inc., San Diego, CA, USA.
Tonya MarmonMarmon Biostatistics, Fair Oaks, CA, USA.
Michael MonahanCrinetics Pharmaceuticals, Inc., San Diego, CA, USA.
Lauren NelsonPatient-Centered Outcomes Assessment, RTI Health Solutions, 200 Park Offices Drive, Research Triangle Park, NC, 27709, USA.
RTI Health Solutions · USCrinetics Pharmaceuticals (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatient-reported outcome (PRO) measures are important to consider when evaluating treatments, yet there are no PRO measures for patients with acromegaly that have been developed in accordance with US Food and Drug Administration guidance. Acromegaly is a rare, chronic condition caused by hypersecretion of growth hormone. Disease activity is monitored by measurement in serum of growth hormone and insulin-like growth factor-I. The objectives of this research were to develop the Acromegaly Symptom Diary (ASD), establish a scoring algorithm, and evaluate the psychometric measurement properties of the ASD.

methodsSemistructured interviews consisting of concept elicitation and cognitive debriefing components were conducted with 16 adult participants with acromegaly. The concept elicitation component identified symptoms important to individuals with acromegaly. The cognitive debriefing component gathered information about the participants' experience with each proposed item of the ASD, their thought process for answering each question, and their interpretation of the items. The psychometric properties of the draft ASD were then evaluated using data from the ACROBAT Evolve (NCT03792555; n = 13) and ACROBAT Edge (NCT03789656; n = 47) clinical trials.

resultsThe 16 participants from the interviews described ongoing symptoms, with the most frequently reported being joint pain (n = 13) and fatigue (n = 12), followed by swelling (n = 8), headache (n = 7), and mood swings (n = 6), and were able to interpret and understand the ASD items and had no issues with the 24-hour recall period. From data collected in the clinical studies, the psychometric properties of internal consistency (0.91 - 0.80), test-retest reliability with item-level and total ASD scores (> 0.70), baseline construct validity (r ≥ |0.38|) across scales, and responsiveness to change (r = 0.52-0.56) were supported for the ASD. The proposed preliminary threshold range to characterize a meaningful change from the patients' perspective for the ASD total is a 4- to 6-point change for improvement or worsening out of a total score of 70.

conclusionThese findings provide qualitative and quantitative evidence to support the ASD as fit for the purpose of evaluating the symptom experience of patients with acromegaly in clinical trials.

Indexed as

AcromegalyAdultGrowth HormoneHumansMental RecallReproducibility of ResultsSurveys and QuestionnairesGrowth HormoneACROBATAcromegaly Symptom Diary (ASD)Growth hormone excessIGF-IPatient-reported outcomesPsychometric evaluationQualitative interviewsQuality of life

Identifiers

PMID36792844
PMCPMC9931976
OpenAlexW4320913075

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.