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. 2022 Oct 7;13:1017331. doi: 10.3389/fendo.2022.1017331

Table 2.

Individual data.

ID Sex Time(months) Prior TSS Prior RDT Dose variation (mg) a Daily doses Baseline ACTH Baseline X > ULNUFC Final X > ULNUFC Final therapeutic response Comorbidities Altered liver function Regular use Intolerance/adverse effects Outcome
1 F 42 Yes No 400–600 3 41 0.13 0.4b Complete SAH and DM No Yes No Continued use
2 F 7 Yes Yes 100–200 2 88 1 0.79b Complete SAH No Yes Yes, nausea Interrupted due to intolerance
3 F 5 No, pre-TSS use No 200–400 2 5.4 0.39 Partial SAH Yes—drug hepatitis Yes Yes, hepatitis Interrupted due to drug hepatitis
4 F 120 No No 200–800 4 76 2.92 0.8b Complete No Yes Yes Pseudotumor cerebri resolved with acetazolamide
5 F 126 Yes No 150–1,000 4 to 5 129 0.05 -0.36 Complete Dyslipidemia No Yes No Continued use
6 F 90 Yes No 300–1,000 4 to 5 26 3.9 -0.7 Complete SAH and DM No Yes No Underwent radiotherapy
7 F 63 Yes No 400–1,000 3 148 5.8 -0.46 Complete SAH No Yes No Underwent radiotherapy
8 F 26 No, pre-TSS use No 600–800 4 106 2.56 0.39b No response SAH and DM No Yes No Underwent TSS
9 F 81 Yes No 600–1,200 5 24 22.2 5.68b No response SAH No Yes Yes Underwent bilateral adrenalectomy
10 F 86 Yes No 400–1,200 4 to 5 65 0.72 -0.47 Complete Important and isolated elevation of GGT Yes No Underwent new TSS
11 F 51 Yes No 400–800 2 48 -0.68 b -0.8 Complete SAH and dyslipidemia Discrete and isolated elevation of GGT Yes No Continued use
12 F 14 days No No 600 3 121 4.3 3.5 No response SAH and DM No Yes No Underwent TSS
13 F 15 Yes No 600–800 4 50 0.1 -0.06 Complete SAH, DM and dyslipidemia Discrete and isolated elevation of GGT No No Continued use
14 F 85 Yes No 200–800 4 37 2.11 -0.38b No response SAH Elevation of TGO and GPT, discontinued medication Yes Yes Underwent radiotherapy
15 F 119 Yes No 600–1,200 4 to 5 40 2.31 1.3 Partial SAH, DM and dyslipidemia Discrete and isolated elevation of GGT Yes No Underwent radiotherapy
16 F 14 Yes Yes 600 3 300 0.27 -0.06b Partial SAH and dyslipidemia No Yes No Underwent bilateral adrenalectomy
17 M 29 Yes No 400–600 3 54 1.62 -0.6 Complete No Yes Yes, loss of appetite Ketoconazole suspended due to loss of appetite
18 F 5 Yes No 400 2 65 - 0.08 b -0.8 Complete SAH and DM Discrete and isolated GGT uptake Yes No Underwent radiosurgery
19 M 42 No, pre-TSS use No 400–1,200 2 to 6 51 3.67 2.8 No response SAH Discrete elevation of TGO and GGT No No Underwent TSS
20 F 6 Yes No 400 2 115 3.9 2b No response No Yes No Lost to follow-up
21 F 125 Yes Yes 400–1,000 3 to 5 84 1.34 -0.02 Complete SAH No Yes Yes, diarrhea Underwent bilateral adrenalectomy
22 M 34 Yes Yes 100 2 0.3 -0.8 Complete SAH, DM and dyslipidemia No Yes No Lost to follow-up
23 F 53 Yes No 200–600 2 to 4 61 1.19 -0.6 Complete SAH and DM No Yes Yes, dizziness Continued use
24 M 3 Yes No 600 3 1,696 34 0.8b Complete SAH No Yes No Underwent bilateral adrenalectomy
25 F 133 Yes No 400 2 89 0.4 -0.8 Complete SAH No Yes No Continued use
26 F 23 Yes No 200–800 2 to 4 57 0.53 -0.08 No response No Yes No Underwent radiosurgery
27 F 38 No, pre-TSS use No 400–600 2 to 3 102 4.1 -0.3 Complete SAH and DM No Yes Yes, dizziness and loss of appetite Continued use
28 M 111 Yes No 400—1,200 3 to 4 75 3.9 -0.8 Complete SAH Discrete elevation of TGO, GPT, and GGT Yes Yes, nausea Underwent radiotherapy
29 F 8 No, pre-TSS use No 300 3 92 2.2 0.8b No response SAH No Yes No Underwent TSS
30 F 132 Yes No 200–400 2 to 3 20 -0.2 b -0.5 Complete SAH, DM and dyslipidemia No Yes No Continued use
31 F 40 Yes No 400–800 2 to 3 21 0.7 -0.99 Complete SAH and DM No Yes No Continued use
32 F 64 Yes No 400–800 2 to 4 41 -0.7 b -0.6 Complete Discrete and isolated elevation of GGT Yes No Underwent radiotherapy
33 F 173 Yes Yes 400–800 2 to 4 40 0.05 -0.5 Complete SAH No No No Pregnancy continued using ketoconazole without complications

RDT, radiotherapy; DM, diabetes mellitus; GGT, gamma glutamyl transferase; SAH, systemic arterial hypertension; TGO, oxaloacetic transaminase; GPT, glutamate–pyruvate transaminase; TSS, transsphenoidal surgery; ULN, upper limit of normal.

a

The highest dose used was not necessarily the final dose used.

b

In these patients, the criterion used to consider active hypercortisolism was late night salivary cortisol and/or elevated 1 mg dexamethasone overnight.