Effects of lanreotide Autogel primary therapy on symptoms and quality-of-life in acromegaly: data from the PRIMARYS study
Por:
Caron, PJ, Bevan, JS, Petersenn, S, Houchard, A, Sert, C, Webb, SM
Publicada:
1 abr 2016
Resumen:
To evaluate the effects of lanreotide Autogel on patient-reported outcomes and association with biochemical control, using PRIMARYS data.
PRIMARYS was a 1-year, open-label study of lanreotide Autogel (Depot in USA) 120 mg every 4 weeks in 90 treatment-na < ve patients with acromegaly. Symptoms were assessed using Patient-assessed Acromegaly Symptom Questionnaire (PASQ) and health-related quality of life (HRQoL) using the AcroQoL questionnaire. Correlations between PASQ and AcroQoL scores, and between PASQ/AcroQoL and growth hormone (GH)/insulin-like growth factor-1 (IGF-1) levels were also evaluated (post hoc).
Acromegaly symptoms and HRQoL significantly improved from week 12 to week 48, with modest correlations at week 48 between PASQ total score (R = -0.55, p < 0.0001) and AcroQoL global and physical scores (R = -0.67, p < 0.0001). Approximately 60 % of patients achieved a minimal important difference (MID; improvement > 50 % of baseline standard deviation) in PASQ total score and > 40 % achieved a MID in AcroQoL global score (post hoc). Changes in PASQ scores were similar in biochemically controlled (GH levels a parts per thousand currency sign2.5 mu g/L and normal IGF-1 levels) and uncontrolled groups, while changes in global and psychological AcroQoL scores were greater in the controlled group. There was no correlation between changes in PASQ or AcroQoL scores and changes in GH or IGF-1 levels.
Primary treatment with lanreotide Autogel over 1 year was associated with rapid and sustained improvements in clinical signs and symptoms and HRQoL in patients with acromegaly. Improvements in HRQoL, but not symptoms, were greater in those achieving biochemical control (ClinicalTrials.gov: NCT00690898; EudraCT: 2007-000155-34).
Filiaciones:
Caron, PJ:
Ctr Hosp Univ Larrey, Dept Endocrinol & Metab Dis, Toulouse, France
Bevan, JS:
Aberdeen Royal Infirm, Dept Endocrinol, Aberdeen, Scotland
Petersenn, S:
ENDOC Ctr Endocrine Tumors, Hamburg, Germany
Houchard, A:
Ipsen, Boulogne, France
Sert, C:
Ipsen, Boulogne, France
Webb, SM:
Univ Autonoma Barcelona, Dept Endocrinol, St Pau Biomed Res Inst, Hosp St Pau, E-08193 Barcelona, Spain
Univ Autonoma Barcelona, Dept Med, St Pau Biomed Res Inst, Hosp St Pau, E-08193 Barcelona, Spain
ISCIII, Ctr Biomed Network Res Rare Dis CIBERER Unit 747, Barcelona, Spain
Green Published, Hybrid Gold
|