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. 2023 May 2;2023(2):22-0378. doi: 10.1530/EDM-22-0378

Table 5.

Hypercortisolism treatment.

Case number 1st line treatment 2nd line treatment 3rd line treatment Final state of CS
Drug Response Drug Response Drug Response
1 Metyrapone (250 mg TID)+ long-acting SST analogue (pasireotide 0,6 mg BID SC) P - - - - Uncontrolled
2 Ketoconazole (200 mg TID) CC - - - - Cured
3 Ketoconazole (200 mg TID) P until Qx Ketoconazole (200 mg TID) + long acting SST (octreotide 20 mg/28d SC) P until Qx Ketoconazole (200 mg TID) + long acting SST (octreotide 20 mg/28d SC) + metyrapone (500 mg BID) P until Qx Cured
4 Ketoconazole (200 mg BID) PC - - - Uncontrolled
5 Ketoconazole (NA) P until Qx - - - - Cured
6 Ketoconazole (400 mg BID) P Ketoconazole (400 mg BID) + metyrapone (250 mg TID) P - - Uncontrolled
7 Ketoconazole (200 mg TID) P - - - - Uncontrolled
8 Ketoconazole (200 mg TID) P Metyrapone (250 mg TID) PC - - Uncontrolled
9 Metyrapone (500 mg BID) PC until Qx - - - - Cured
10 Ketoconazole (200 mg BID) PC until Qx - - - - Cured
11 Ketoconazole (200 mg TID) P - - - - Uncontrolled
12 Metyrapone (500 mg QID) P - - - - Uncontrolled

SST, somatostatin; P, persistence; CC, complete control; PC, partial control; Qx, surgery; CS, Cushing’s syndrome.