Peptibase
Hormonal

Pasireotide

Also known as: Signifor, Signifor LAR

FDA Approved
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Key Facts: Pasireotide

Category
Hormonal
FDA Status
FDA Approved
Clinical Status
FDA Approved - Cushing's disease and acromegaly
Administration
Subcutaneous or intramuscular
Typical Dose
300-900 mcg twice daily
Frequency
Twice daily (SC) or monthly (LAR)
Evidence Level
FDA Approved
Duration
Long-term / chronic use
Also Known As
Signifor, Signifor LAR

What to Expect

A somatostatin analog with broader receptor binding than octreotide. Specifically effective for Cushing's disease due to SST5 activity.

Mechanism of Action

Pasireotide binds to somatostatin receptors 1, 2, 3, and 5 with high affinity. The SST5 binding is particularly important for suppressing ACTH secretion from corticotroph adenomas in Cushing's disease.

Research Summary

Only FDA-approved medical therapy for Cushing's disease. Studies show significant reduction in urinary free cortisol. Also approved for acromegaly when other somatostatin analogs fail.

Clinical Status:FDA Approved - Cushing's disease and acromegaly
Trial Progress:FDA Approved
Pre
I
II
III
IV
FDA

Dosing Information

FDA Approved·Human clinical trials completed, FDA approved

Typical Dosingⓘ

Community experience

Common Dose

300-900 mcg twice daily

Range

300-900 mcg per dose

Frequency

Twice daily (SC) or monthly (LAR)

Somatostatin analog for Cushing's disease. Higher hyperglycemia risk than other somatostatins.

Research Dosingⓘ

Scientific studies

FDA-approved dosing

Doses from Studies

Duration

Long-term / chronic use

Administration

Subcutaneous or intramuscular

Timing & Administration

Best Time to Take

Morning or as directed

Follow recommended protocol

Food Recommendation

With or without food

Why This Timing?

Timing may vary based on individual response and goals. Consistency is generally more important than specific timing.

Possible Side Effects

Not everyone experiences these effects. Individual responses vary based on dosage, duration, and personal factors.

  • ●Hyperglycemia and diabetes (very common)
  • ●Diarrhea
  • ●Nausea
  • ●Gallstones
  • ●QT prolongation (serious)
  • ●Liver enzyme elevations
  • ●Adrenal insufficiency
  • ●FDA approved (Signifor)

References

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Educational Information Only

This information is provided for educational purposes only and is not intended as medical advice. Always consult with qualified healthcare providers before making any decisions about peptides or other substances. The protocols listed reflect doses observed in research studies, not recommendations.

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