Evidence mapPaperPMID 39863744Full record

ArticlePituitary2025

Osilodrostat improves blood pressure and glycemic control in patients with Cushing's disease: a pooled analysis of LINC 3 and LINC 4 studies.

Maria Fleseriu, Rosario Pivonello, John Newell-Price, Mônica R Gadelha, Beverly M K Biller, Richard J Auchus, Richard A Feelders, Akira Shimatsu, Przemysław Witek, Marie Bex and 3 more

Erratum issuedAbstract read
In one paragraph

Article in Pituitary, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Article
  2. Unmasking Hormonal Mechanisms of Hypertension in Obesity.JACC. Basic to translational science · 2026
    Article
  3. Article
  4. Article
  5. Article
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  8. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors.

Maria FleseriuPituitary Center, Departments of Medicine and Neurological Surgery, Oregon Health and Science University, Portland, OR, USA. fleseriu@ohsu.edu.
Rosario PivonelloDipartimento di Medicina Clinica e Chirurgia, Sezione di Endocrinologia, Università Federico II di Napoli, Naples, Italy.
John Newell-PriceSchool of Medicine and Population Health, University of Sheffield, Sheffield, UK.
Mônica R GadelhaNeuroendocrinology Research Center, Endocrinology Section, Medical School and Hospital Universitário Clementino Fraga Filho, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil.
Beverly M K BillerNeuroendocrine and Pituitary Tumor Clinical Center, Massachusetts General Hospital, Boston, MA, USA.
Richard J AuchusDepartment of Pharmacology, Division of Metabolism, Endocrinology and Diabetes, University of Michigan, Ann Arbor, MI, USA.
Richard A FeeldersDepartment of Internal Medicine, Endocrine Section, Erasmus Medical Center, Rotterdam, Netherlands.
Akira ShimatsuOmi Medical Center, Kusatsu, Japan.
Przemysław WitekDepartment of Internal Medicine, Endocrinology and Diabetes, Medical University of Warsaw, Warsaw, Poland.
Marie BexDepartment of Endocrinology, University Hospitals Leuven, Leuven, Belgium.
Andrea PiacentiniRecordati SpA, Milan, Italy.
Alberto M PedroncelliRecordati AG, Basel, Switzerland.
André LacroixCentre hospitalier de l'Université de Montréal, Montreal, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the effect of osilodrostat and hypercortisolism control on blood pressure (BP) and glycemic control in patients with Cushing's disease.

methodsPooled analysis of two Phase III osilodrostat studies (LINC 3 and LINC 4), both comprising a 48-week core phase and an optional open-label extension. Changes from baseline in systolic and diastolic BP (SBP and DBP), fasting plasma glucose (FPG), and glycated hemoglobin (HbA

resultsOf 210 patients, 82.9% met criteria for hypertension and 40.0% for diabetes at baseline. In patients with hypertension, reductions in mean SBP/DBP were observed from week (W)12 to W72, and 49.1%/58.5% of patients with high SBP/DBP (> 130/>90 mmHg) at baseline had normotensive levels at W72. Antihypertensive medication dose was reduced/stopped in 26.8% of patients, and the proportion taking antihypertensive medication decreased from 54.3% at baseline to 47.3% at W72. In patients with diabetes, mean FPG and HbA

conclusionsPatients with Cushing's disease and comorbid hypertension/diabetes receiving osilodrostat had rapid and sustained improvements in SBP/DBP and glycemic control, respectively.

Indexed as

Blood PressurePituitary ACTH HypersecretionAdultAgedBlood GlucoseFemaleGlycated HemoglobinGlycemic ControlHumansHypertensionImidazolesMaleMiddle AgedPyridinesBlood GlucoseGlycated HemoglobinImidazolesOsilodrostatPyridinesCortisol normalizationCushing’s diseaseDiabetesHypertensionLong-term treatmentOsilodrostat

Identifiers

PMID39863744
PMCPMC11762609

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.