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.