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Table 2 Completed randomized controlled trials on pharmacotherapy regimens for polycystic liver disease

From: Clinical manifestation, epidemiology, genetic basis, potential molecular targets, and current treatment of polycystic liver disease

Author

(Trial Registry Code)

Study Design

Included Patients

Arms

Primary Outcome and Safety

(Arm 1 in comparison with Arm 2)

Keimpema et al. 2009 [96]

(NCT00565097)

Randomized

double-blind

parallel assignment

54 patients with PLD (ADPLD and ADPKD) from the Netherlands and Belgium

1) Lanreotide-LAR 120 mg SC every 28 days for 24 weeks

2) Placebo

Imaging modality: CT

TLV: -2.9% vs. + 1.6%, p-value < 0.01

No severe adverse events related to the intervention

Hogan et al. 2010 [97]

(NCT00426153)

Randomized

double-blind

parallel assignment

42 patients with PLD (ADPLD and ADPKD) from the USA

1) Octreotide-LAR 40 mg IM every 28 days for one year

2) Placebo

Imaging modality: MRI (CT in three patients)

TLV: -4.95% vs. + 0.92%, p-value < 0.05

No serious adverse events related to the intervention

Caroli et al. 2010 [98]

(Not registered)

(Post-hoc analysis)

Randomized

double-blind

cross-over assignment

12 patients with PLD (ADPKD) from Italy

1) Octreotide-LAR 40 mg IM every 28 days for six months

2) Placebo

Imaging modality: CT

TLV change: -71 ± 57 mL vs. + 14 ± 85 mL, p-value < 0.05

Pisani et al. 2016 [99]

(NCT02119052)

(Post-hoc analysis)

Randomized

single-blind

parallel assignment

27 patients with PLD (ADPKD) from Italy

1) Octreotide-LAR 40 mg IM every 28 days for three years

2) Placebo

Imaging modality: MRI

TLV change: -7.8% vs. + 6.1%, p-value < 0.01

Treatment-related serious adverse events: one asymptomatic cholelithiasis and one acute cholecystitis

van Aerts et al. 2019[100]

(NCT01616927)

(Post-hoc analysis)

Randomized

open-label

parallel assignment

175 patients with PLD (ADPKD) from the Netherlands

1) Lanreotide-LAR 120 mg SC every 28 days for 120 weeks

2) Standard care

Imaging modality: MRI

h-TLV: -1.99% vs. + 3.92%, p-value < 0.001

Serious adverse events: 30.1% vs. 12.2%

Hogan et al. 2020[101]

(NCT01670110)

Randomized

double-blind

parallel assignment

48 patients with PLD (ADPLD and ADPKD) from USA

1) Pasireotide-LAR 60 mg IM every 28 days for one year

2) Placebo

Imaging modality: MRI

TLV: -3% vs. + 6%, p-value < 0.001

Serious adverse events: 12% vs. 13%, p-value = 0.91

Wijnands et al. 2018 [102]

(NCT02048319)

Randomized

double-blind

parallel assignment

34 patients who underwent aspiration sclerotherapy of a symptomatic dominant liver cyst (23 patients had PLD) from the Netherlands

1) Pasireotide-LAR 60 mg IM two weeks before and two weeks after the aspiration sclerotherapy

2) Placebo

Imaging modality: ultrasonography

Median cyst diameter reduction: 23.6% vs 21.8%, p-value = 0.96

Serious adverse events: 12% vs. 12%

D'Agnolo et al. 2016 [103]

(NCT02021110)

Randomized

open-label

parallel assignment

34 patients with PLD (ADPLD and ADPKD) from the Netherlands and Spain

1) UDCA oral in a dose of 15–20 mg/kg/day for 24 weeks

2) Standard care

Imaging modality: CT

TLV change: + 4.6% vs. + 3.1%, p-value = 0.49

No serious adverse events related to the intervention

Chrispijn et al. 2013 [104]

(NCT01157858)

Randomized

open-label

parallel assignment

44 patients with PLD (ADPLD and ADPKD) from the Netherlands

1) Octreotide-LAR 40 mg IM every four weeks + everolimus 2.5 mg oral daily for 48 weeks

2) Octreotide-LAR 40 mg IM every four weeks for 48 weeks

Imaging modality: CT

TLV change: -3.8% vs. -3.5%, p-value = 0.73

Serious adverse events: 14% vs. 9%

  1. Abbreviations: PLD polycystic liver disease, ADPLD isolated autosomal dominant polycystic liver disease, ADPKD autosomal dominant polycystic kidney disease, h-TLV height-adjusted total liver volume, IM intramuscular, SC subcutaneous, LAR long-acting release, TLV total liver volume