Endocrine

Acromegaly

Also known as Growth hormone excess, GH-secreting pituitary adenoma, somatotropinoma, IGF-1 excess

Acromegaly is caused by chronic hypersecretion of growth hormone, almost always from a GH-secreting pituitary adenoma (somatotropinoma), resulting in elevated IGF-1 levels and progressive somatic overgrowth of acral and soft tissues, organo

ORPHA:963 ↗Prevalence 40–70 per millionOnset Adults, typically in the fourth to sixth decadeSporadic (vast majority); rarely MEN1 or FIPA-associated

12

studies recruiting now

as of 7 Sept 2026

206

studies registered in total

as of 7 Sept 2026

21

countries with a recruiting site

as of 7 Sept 2026

11 Jun 2026

most recent study posted

among recruiting studies

Recruiting trials

Showing the 5 most recently updated recruiting studies, as recorded 7 Sept 2026. Live status on each study page.

See all 12 recruiting studies

Where recruiting studies are running

Countries with at least one recruiting site among the studies above, 7 Sept 2026. Tap a country to search trials there.

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About Acromegaly

Acromegaly is caused by chronic hypersecretion of growth hormone, almost always from a GH-secreting pituitary adenoma (somatotropinoma), resulting in elevated IGF-1 levels and progressive somatic overgrowth of acral and soft tissues, organomegaly, and metabolic disturbances. The diagnosis is typically delayed by seven to ten years due to the insidious onset of physical changes, during which time cumulative exposure to excess GH and IGF-1 drives substantial cardiovascular, respiratory, and metabolic comorbidities that are major determinants of mortality. Treatment aims to normalise GH and IGF-1 levels through surgery, somatostatin receptor ligands, dopamine agonists, GH receptor antagonism, or radiotherapy, with disease control defined as IGF-1 within the age-normalised reference range.

Common clinical features

Enlargement of hands and feet with ring and shoe size increaseCoarsening of facial features with frontal bossing and prognathismMacroglossia and dental spacingHyperhidrosis and oily skinArthropathy and joint painSleep apnoea (obstructive and central)Hypertension, cardiomegaly, and left ventricular hypertrophyHeadache and visual field defects from local tumour mass effect

From Orphanet’s phenotype annotations (CC BY 4.0). Not a complete list.

Treatments being studied

7 approved treatments and 10 in clinical development, from Open Targets (CC BY 4.0). Not medical advice.

Approved: Pasireotide Pamoate (Signifor lar)Approved: Lanreotide Acetate (Somatuline depot)Approved: Pasireotide (Signifor)Approved: Pegvisomant (Somavert)Approved: Bromocriptine Mesylate (Bromocriptine mesylate)Approved: Octreotide Acetate (Bynfezia pen)Approved: Octreotide
Phase 3Lanreotide (Somatuline autogel)
Phase 3Paltusotine
Phase 3Octreotide Hydrochloride
Phase 2Veldoreotide
Phase 2Clomiphene Citrate (Clomid)
Phase 2Onzigolide
Phase 2Edotreotide
Phase 2Cimderlirsen Sodium

+ 2 more in development

Before you apply

Things trial teams commonly ask about for Acromegaly. Not eligibility rules; those are set by each study.

  • Active acromegaly confirmed by failure to suppress GH below 1 ng/mL during oral glucose tolerance test plus elevated age-adjusted IGF-1 is required for most interventional trials; bring recent pituitary MRI and hormone results.
  • Prior treatment history (surgery, radiotherapy, and pharmacological agents including somatostatin analogues, pegvisomant, and cabergoline) affects eligibility for trials of novel agents; doses and duration should be well documented.
  • Comorbidity burden (sleep apnoea severity, cardiac function, glucose metabolism) is assessed at screening; a sleep study, echocardiography, and HbA1c within six months of enrolment are commonly required.

Related conditions

Information, not medical advice. Trial listings are shown as recorded on ClinicalTrials.gov; whether any study is right for you is a decision for you and your clinicians, and eligibility is decided by each research team. Disease information from Orphanet (CC BY 4.0).