Dyslipidemia causes overestimation of plasma mitotane measurements
Mitotane (o,p′-DDD) is the standard treatment for advanced adrenocortical carcinoma (ACC). Monitoring of plasma mitotane levels is recommended to look for a therapeutic window between 14 and 20mg/L, but its positive predictive value requires optimization.
Angelo Paci +13 more
doaj +2 more sources
Generation and characterization of a mitotane-resistant adrenocortical cell line [PDF]
Mitotane is the only drug approved for the therapy of adrenocortical carcinoma (ACC). Its clinical use is limited by the occurrence of relapse during therapy.
Eric Seidel +14 more
doaj +2 more sources
Involvement of 27-Hydroxycholesterol in Mitotane Action on Adrenocortical Carcinoma [PDF]
Adrenocortical carcinoma (ACC) is a rare cancer with poor prognosis. Mitotane, the standard treatment for ACC, impairs adrenocortical steroid biosynthesis and cholesterol metabolism.
Antonina Germano +10 more
doaj +2 more sources
Clinical results of the use of mitotane for adrenocortical carcinoma
Mitotane (o,p'-DDD) acts mainly as an inhibitor of intramitochondrial pregnenolone and cortisol synthesis. Its adrenolytic effect depends on metabolic activation due to conversion to o,p'-DDA and o,p'-DDE.
A.A. Kasperlik-Zaluska
doaj +2 more sources
Mitotane-Induced Hyperlipidemia: A Retrospective Cohort Study [PDF]
Limited data are available about mitotane-nduced hyperlipidemia. We retrospectively analyzed lipid data in 38 patients with adrenocortical carcinoma (ACC) who received mitotane therapy with emphasis on HDL cholesterol (HDL-c) and clinical predictors of ...
Hassan Shawa +6 more
doaj +2 more sources
Mitotane Treatment for Malignant Leydig Cell Tumor: A Case Report
Introduction Leydig cell tumors (LCTs), constituting 1%–3% of testicular tumors, are mostly benign, but malignant cases present treatment challenges. We report a malignant LCT case with a notable response to mitotane. Case Presentation A 43‐year‐old male
Daiki Katsura +7 more
doaj +2 more sources
The toxicity of mitotane limits its use in the treatment of adrenal cancer and Cushing's disease. Because of this limitation and because some patients are refractory to mitotane, our current research is directed towards the synthesis of mitotane analogs ...
Pineiro-Sanchez, Mayra Lyz
core +7 more sources
Mitigating subtherapeutic cabozantinib exposure after prior mitotane therapy in adrenocortical carcinoma: Pharmacological boosting with cobicistat. [PDF]
Mitotane is an adrenolytic drug with cytotoxic effects, registered for the treatment of advanced adrenocortical carcinoma (ACC), a rare but aggressive tumour type with a poor prognosis despite treatment. Recently, the oral multi‐kinase inhibitor cabozantinib has shown promising results as a potential second‐line treatment option.
van Ton AMP +4 more
europepmc +2 more sources
Mitotane Targets Lipid Droplets to Induce Lipolysis in Adrenocortical Carcinoma [PDF]
INTRODUCTION Adrenocortical carcinoma (ACC) is a rare aggressive cancer with low overall survival. Adjuvant mitotane improves survival but is limited by poor response rates and resistance. Mitotane's efficacy is attributed to the accumulation of toxic
Lim, Yi Jan +6 more
core +1 more source
Estrogen-Like Effect of Mitotane Explained by Its Agonist Activity on Estrogen Receptor-α
Mitotane is the cornerstone of medical treatment of adrenocortical carcinoma. Estrogenic-like side effects frequently occur in patients, and previous studies explored the chemical nature of the interaction between estrogen receptor-α (ER-α) and toxic ...
Elisa Rossini +9 more
doaj +1 more source

