Adrenocortical carcinoma - null regimens

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The purpose of this page is to provide references to "null therapy" such as placebo and observation. While not clinically relevant, these references provide further insight into the historical development of the treatment landscape. See the main adrenocortical carcinoma page for current regimens.

Recurrent, locally advanced, or metastatic disease



Study Years of enrollment Evidence Comparator Comparative Efficacy
Fassnacht et al. 2015 (GALACCTIC) 2009-2011 Phase 3 (C) Linsitinib Did not meet primary endpoint of OS
Median OS: 356 vs 323 days

No active antineoplastic treatment.


  1. GALACCTIC: Fassnacht M, Berruti A, Baudin E, Demeure MJ, Gilbert J, Haak H, Kroiss M, Quinn DI, Hesseltine E, Ronchi CL, Terzolo M, Choueiri TK, Poondru S, Fleege T, Rorig R, Chen J, Stephens AW, Worden F, Hammer GD. Linsitinib (OSI-906) versus placebo for patients with locally advanced or metastatic adrenocortical carcinoma: a double-blind, randomised, phase 3 study. Lancet Oncol. 2015 Apr;16(4):426-35. Epub 2015 Mar 18. link to original article PubMed NCT00924989