MANAGEMENT OF ENDOCRINE DISEASE: Personalized medicine in the treatment of acromegaly.

Abstract:

:Acromegaly is associated with high morbidity and elevated mortality when not adequately treated. Surgery is the first-line treatment for most patients as it is the only one that can lead to immediate cure. In patients who are not cured by surgery, treatment is currently based on a trial-and-error approach. First-generation somatostatin receptor ligands (fg-SRL) are initiated for most patients, although approximately 25% of patients present resistance to this drug class. Some biomarkers of treatment outcome are described in the literature, with the aim of categorizing patients into different groups to individualize their treatments using a personalized approach. In this review, we will discuss the current status of precision medicine for the treatment of acromegaly and future perspectives on the use of personalized medicine for this purpose.

journal_name

Eur J Endocrinol

authors

Kasuki L,Wildemberg LE,Gadelha MR

doi

10.1530/EJE-17-1006

subject

Has Abstract

pub_date

2018-03-01 00:00:00

pages

R89-R100

issue

3

eissn

0804-4643

issn

1479-683X

pii

EJE-17-1006

journal_volume

178

pub_type

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