Long-term Effects of Octreotide on Liver Volume in Patients With Polycystic Kidney and Liver Disease(539 views) Pisani A, Sabbatini M, Imbriaco M, Riccio E, Rubis N, Prinster A, Perna A, Liuzzi R, Spinelli L, Santangelo M, Remuzzi G, Ruggenenti P
Clin Gastroenterol H (ISSN: 1542-3565), 2016 Feb 1; N/D: N/D-N/D.
Nephrology Units, Department of Public Health, Federico II University, Naples, Italy., Department of Radiology, Federico II University, Naples, Italy., IRCCS - Istituto di Ricerche Farmacologiche "Mario Negri", Clinical Research Centre for Rare Diseases "Aldo e Cele Dacco", Bergamo, Italy., Institute of Biostructure and Bioimaging, National Research Council, Naples, Italy., Department of Advanced Biomedical Sciences, Federico II University, Naples, Italy., Department of Surgical Sciences and Nephrology, Federico II University, Naples, Italy., IRCCS - Istituto di Ricerche Farmacologiche "Mario Negri", Clinical Research Centre for Rare Diseases "Aldo e Cele Dacco", Bergamo, Italy; Nephrology and Dialysis Unit, Azienda Ospedaliera Papa Giovanni XXIII, Bergamo, Italy; Department of Biomedical and Clinical Sciences, University of Milan, Milan, Italy. Electronic address: Giuseppe.remuzzi@marionegri.it., IRCCS - Istituto di Ricerche Farmacologiche "Mario Negri", Clinical Research Centre for Rare Diseases "Aldo e Cele Dacco", Bergamo, Italy; Nephrology and Dialysis Unit, Azienda Ospedaliera Papa Giovanni XXIII, Bergamo, Italy.,
References: Not available.
Long-term Effects of Octreotide on Liver Volume in Patients With Polycystic Kidney and Liver Disease
BACKGROUND & AIMS: Short-term studies have shown that somatostatin analogues are effective in patients with polycystic kidney and liver disease. We evaluated the long-term effects of long-acting release octreotide (octreotide LAR), a somatostatin inhibitor, vs placebo in these patients. METHODS: We performed a prospective study of adults with polycystic kidney and liver disease (estimated glomerular filtration rate, 40 mL/min/1.73m2 or more) at a single center in Italy. We analyzed data from 27 patients randomly assigned to groups given octreotide LAR (40 mg, n = 14) or placebo (n = 13) each month for 3 years. The primary outcome was absolute and percentage change in total liver volume (TLV), which was measured by magnetic resonance imaging at baseline, after 3 years of treatment, and then 2 years after treatment ended. RESULTS: Baseline characteristics were similar between groups. After 3 years, TLV decreased by 130.2 +/- 133.2 mL in patients given octreotide LAR (7.8% +/- 7.4%) (P = .003) but increased by 144.3 +/- 316.8 mL (6.1% +/- 14.1%) in patients given placebo. Change vs baseline differed significantly between groups (P = .004). Two years after treatment ended, TLV had decreased 14.4 +/- 138.4 mL (0.8% +/- 9.7%) from baseline in patients given octreotide LAR but increased by 224.4 +/- 331.7 mL (11.0% +/- 14.4%) in patients given placebo. Changes vs baseline still differed significantly between groups (P = .046). Decreases in TLV were similar in each sex; the change in TLV was greatest among subjects with larger baseline TLV. No patient withdrew because of side effects. CONCLUSIONS: In a placebo-controlled study of patients with polycystic kidney and liver disease, 3 years of treatment with octreotide LAR significantly reduced liver volume; reductions were maintained for 2 years after treatment ended. Octreotide LAR was well-tolerated. ClinicalTrials.gov number: NCT02119052.
Long-term Effects of Octreotide on Liver Volume in Patients With Polycystic Kidney and Liver Disease
No results.
Long-term Effects of Octreotide on Liver Volume in Patients With Polycystic Kidney and Liver Disease