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Review, Journal: New insights on diagnosis and treatment of AVP deficiency. (Pubmed Central) - Jun 8, 2024 In general, treatment of AVP-D focuses on desmopressin substitution, with oral formulations currently showing the best tolerance and safety profile. However, in addition to desmopressin substitution, recent data also showed that psychopathological factors play an important role in managing AVP-D patients.
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Enrollment closed, Trial completion date, Trial primary completion date: DETECT: A Research Study of How Well Macimorelin Works to Find Out if Children Have a Lack of Growth Hormone and How Safe it is (clinicaltrials.gov) - Apr 23, 2024 P3, N=100, Active, not recruiting, However, in addition to desmopressin substitution, recent data also showed that psychopathological factors play an important role in managing AVP-D patients. Recruiting --> Active, not recruiting | Trial completion date: Sep 2023 --> Jun 2024 | Trial primary completion date: Sep 2023 --> Jun 2024
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Review, Journal: Once upon a time: the glucagon stimulation test in diagnosing adult GH deficiency. (Pubmed Central) - Mar 10, 2024 Recruiting --> Active, not recruiting | Trial completion date: Sep 2023 --> Jun 2024 | Trial primary completion date: Sep 2023 --> Jun 2024 This document provides an update on the utility of GST, summarizes how to perform the test, shows which cut-points should be used in interpreting the results, and discusses its drawbacks and caveats referring to the most recent studies.
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Journal: Macimorelin Acetate for the Diagnosis of Childhood-onset Growth Hormone Deficiency. (Pubmed Central) - Jan 26, 2023 Despite the widespread use of these tests, various criticisms have been levelled against them, such as the labour-intensive nature of the tests, their potential for serious adverse effects and their questionable reproducibility. Macimorelin acetate, a ghrelin mimetic approved for the diagnosis of adult growth hormone deficiency, could serve an unmet need in the diagnosis of childhood-onset growth hormone deficiency based on its good tolerability and benign side effect profile.
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Clinical, Review, Journal: Current concepts of the diagnosis of adult growth hormone deficiency. (Pubmed Central) - Dec 16, 2021 Patients with a peak GH level that is below a predetermined cutpoint are classified as GH deficient. A systematic approach to the diagnosis of GH deficiency is essential in order to accurately identify adults who may benefit from GH replacement.
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Clinical, Journal: Effects of oral macimorelin on copeptin and anterior pituitary hormones in healthy volunteers. (Pubmed Central) - Dec 16, 2021 P=N/A However, macimorelin did not stimulate copeptin and therefore does not provide an oral test alternative for the diagnosis of diabetes insipidus. Additionally, a stimulatory effect was seen for prolactin and fT4, but not for ACTH and gonadotropic hormones.
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Clinical, Review, Journal: Growth hormone deficiency in adults with Cushing's disease. (Pubmed Central) - Sep 22, 2021 Growth hormone replacement may improve body composition, bone density, linear growth (in children), exercise capacity, dyslipidemia and quality of life. While generally safe, GH replacement requires careful monitoring to assure effectiveness and tolerance in treated patients.
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Clinical, Journal: Current aspects of diagnosis and treatment of adult GH-deficiency (Pubmed Central) - Aug 27, 2021 Moreover, in 2017 FDA approved the use of macimorelin (oral GH secretagogue) for the diagnosis of AGHD...Published data on GH receptor polymorphism associations with treatment efficacy remains controversial. Development of long-acting GH formulations is a currect perspective for the increase of treatment compliance.
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Clinical, Journal: Oxytocin levels in response to pituitary provocation tests in healthy volunteers. (Pubmed Central) - Aug 20, 2021 Neither the arginine infusion nor the oral macimorelin test stimulate plasma oxytocin levels, whereas there was an increase with high variance upon hypertonic saline infusion. As a predictable rise in most participants is required for a reliable pituitary provocation test, none of the investigated pituitary provocation tests can be recommended diagnostically to identify patients with an oxytocin deficiency.
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To further validate the reliability of the predictions, these molecules are reevaluated and screened by independent 2D fingerprint-based predictors to come up with a few hundreds of new drug candidates. As a demonstration, we apply our GNC to generate a large number of new BACE1 inhibitors, as well as thousands of novel alternative drug candidates for eight existing market drugs, including Ceritinib, Ribociclib, Acalabrutinib, Idelalisib, Dabrafenib, Macimorelin, Enzalutamide, and Panobinostat.
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Journal: Sensitivity and specificity of the macimorelin test for diagnosis of AGHD. (Pubmed Central) - Dec 17, 2020 Macimorelin performance was not meaningfully affected by age, BMI, or sex, indicating robustness for AGHD diagnosis. Of the 4 GH cutpoints evaluated, the cutpoint of 5.1 ng/mL provided maximal specificity (96%) and high sensitivity (92%) and was in good overall agreement with the ITT at the same cutpoint (87%).
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Clinical, Journal: Adult growth hormone deficiency: clinical advances and approaches to improve adherence. (Pubmed Central) - Jun 19, 2020 We reviewed the data of the oral macimorelin test compared to the GHRH plus arginine and the insulin tolerance tests that led to its approval by the United States FDA and European Medicines Agency for adult diagnostic testing...We identify that non-adherence and discontinuation rates are high and recommend strategies to support patients to improve adherence. We also provide an overview of several long-acting GH (LAGH) preparations currently under development and their potential role in improving treatment adherence.Expert opinion: This article summarizes recent clinical advances in rhGH replacement therapy, the biological and molecular aspects that may influence rhGH action, and offers practical strategies to enhance adherence in adults with GHD.
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Enrollment closed, Trial primary completion date: Pilot Clinical Trial of Repeated Doses of Macimorelin to Assess Safety and Efficacy in Patients With Cancer Cachexia (clinicaltrials.gov) - Jan 7, 2020 P2, N=8, Active, not recruiting, We also provide an overview of several long-acting GH (LAGH) preparations currently under development and their potential role in improving treatment adherence.Expert opinion: This article summarizes recent clinical advances in rhGH replacement therapy, the biological and molecular aspects that may influence rhGH action, and offers practical strategies to enhance adherence in adults with GHD. Recruiting --> Active, not recruiting | Trial primary completion date: Jul 2019 --> Jul 2020
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