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Efficacy and Safety of Pharmacologic Therapies in Acromegaly: A Systematic Literature Review and Network Meta-Analysis - PubMed

4 hours ago
  • #Pharmacological Treatments
  • #Acromegaly
  • #Network Meta-Analysis
  • Limited head-to-head trials comparing pharmacological treatments for acromegaly.
  • Systematic review and network meta-analysis (NMA) conducted to evaluate efficacy and safety.
  • 22 records covering 18 RCTs included in the analysis.
  • Biochemical control rates comparable among long-acting injectable somatostatin receptor ligands (SRLs).
  • Paltusotine showed significantly higher biochemical control versus O-OCT and SC-OCT-D.
  • Pasireotide demonstrated higher biochemical control versus OCT-LAR.
  • Paltusotine had lower discontinuations due to adverse events (AEs) compared to O-OCT and SC-OCT-D.
  • Treatment-emergent AEs (TEAEs) and serious TEAEs were comparable across treatments.
  • Paltusotine ranked highest in probability for effectiveness and tolerability.
  • Paltusotine emerges as a promising alternative to injectable SRLs with favorable efficacy and safety.