Signifor LAR Signifor

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SIGNIFOR LAR is the first and only long-acting, pituitary-targeted therapy clinically proven to treat Cushing’s disease.
It is also the only pituitary-targeted therapy approved to treat Cushing’s disease.


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SIGNIFOR® LAR (pasireotide) is similar to somatostatin, a hormone that occurs naturally in the body. It works by reducing the excess release of hormones.

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SIGNIFOR LAR is given as a monthly injection by a trained healthcare professional.

Cushing’s disease at a glance

Cushing’s disease is a rare hormonal condition caused when a noncancerous tumor on the pituitary gland produces too much of a natural hormone called adrenocorticotropic hormone (ACTH).

  • The extra ACTH then leads to overproduction of another natural hormone called cortisol
  • The overproduction of cortisol causes the symptoms of Cushing’s disease

SIGNIFOR LAR works in the pituitary gland to reduce the amount of ACTH released, which in turn helps stop the overproduction of cortisol.

Piuitary gland diagram

Dosing

SIGNIFOR LAR: 1 INJECTION EVERY
4 WEEKS (28 DAYS) by a trained healthcare provider.

LEARN MORE ABOUT INJECTION WITH SIGNIFOR LAR

What to expect on treatment

As with any medication, it is important to familiarize yourself with the benefits and risks so you know what to expect from your treatment and can work closely with your doctor to address any concerns.

Here is some important information for you to know about. Treatment with SIGNIFOR LAR may lead to:

High blood sugar, also known as hyperglycemia, which may cause excessive thirst, high urine output, increased appetite with weight loss, or tiredness

Slow heart rate, also known as bradycardia, or electrical system problem (QT prolongation), both of which may cause weakness, dizziness or fainting

Elevation in liver enzymes, which your doctor may want to test

Gallstones, also known as cholelithiasis, which may require an ultrasound

Low cortisol, also known as hypocortisolism, which may cause weakness, fatigue, loss of appetite, nausea, vomiting, low blood pressure, a low level of sodium in the blood or low blood sugar

While on treatment with SIGNIFOR LAR, you may experience improvements in your cortisol levels.

Your cortisol may begin to decrease after the first few months of starting SIGNIFOR LAR treatment.

Treatment with SIGNIFOR LAR may also lead to reductions in your:

  • Blood pressure
  • Body mass index
  • Weight
  • Waist circumference

You may also experience side effects, such as:

  • Nausea and vomiting
  • Diarrhea
  • Weight loss
  • Tiredness
  • Low blood sugar levels
  • Dizziness
  • Loss of appetite

If you experience any of these or other side effects, contact your doctor for guidance before discontinuing SIGNIFOR LAR.

What is SIGNIFOR LAR?

SIGNIFOR LAR is a prescription medicine used to treat people with Cushing’s disease for whom surgery has not worked well enough or who cannot have surgery. It is not known if SIGNIFOR LAR is safe and effective for use in children.


IMPORTANT SAFETY INFORMATION

Before starting SIGNIFOR LAR, tell your healthcare provider (HCP) about all your medical conditions, including if you:

INDICATION(S) AND IMPORTANT SAFETY INFORMATION


What is SIGNIFOR LAR?


SIGNIFOR LAR is a prescription medicine used to treat people with Cushing's disease for whom surgery has not worked well enough or who cannot have surgery.


It is not known if SIGNIFOR LAR is safe and effective for use in children.


IMPORTANT SAFETY INFORMATION


Before starting SIGNIFOR LAR, tell your healthcare provider (HCP) about all your medical conditions, including if you:


Females and Males of Reproductive Potential: Treatment with SIGNIFOR LAR may result in improved fertility and the possibility of unplanned pregnancy in females who have acromegaly or Cushing’s disease and have not gone through menopause. Talk to your healthcare provider about birth control methods that may be right for you during treatment.


Tell your healthcare provider about all the medicines you take, including any prescription and over-the-counter medicines, vitamins, or herbal supplements.


SIGNIFOR LAR and other medicines may affect each other, causing side effects. Your healthcare provider may need to change your dose of SIGNIFOR LAR or your other medicines. Especially tell your healthcare provider if you take medicines to control your heart beat (antiarrhythmics), your blood pressure (beta-blockers or calcium channel blockers), potassium and magnesium (electrolytes) levels in your body, medicines that may affect the way the electrical system of your heart works (QT prolongation), cyclosporine, and bromocriptine.


What are the possible side effects of SIGNIFOR LAR?


SIGNIFOR LAR may cause serious side effects including:


The most common side effects of SIGNIFOR LAR include diarrhea, headache, stomach-area pain, hair loss, stuffy nose and sore throat, low blood sugar, limb swelling, loss of appetite, nausea, increase in level of the creatine phosphokinase (CPK) enzyme in your blood, tiredness, stomach bloating, high blood pressure, back pain.


These are not all the possible side effects of SIGNIFOR LAR. Call your HCP for medical advice about side effects. You are encouraged to report side effects of prescription drugs to the FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.


SIGNIFOR LAR® (pasireotide) for injectable suspension, for intramuscular use, is available as 10 mg, 20 mg, 30 mg, 40 mg, and 60 mg powder in a vial to be reconstituted with the provided 2 mL diluent.


Please see full Prescribing Information and Patient Information.

Laura's story
Laura
MY JOURNEY TO DIAGNOSIS

I've been living with acromegaly for 7 years. Things like elevated prolactin, extremity growth, and intense headaches were the first signs. After finding an endocrinologist, I was finally diagnosed with acromegaly.

OVERCOMING CHALLENGES

Acromegaly has worn on me and my overall health. I tried many treatments before. SIGNIFOR® LAR (pasireotide) helps lower my IGF-1 levels. That's a big deal for me.

MY MESSAGE TO OTHERS

“It's not about the challenges you face, but the strength you find within yourself. After all, you are RARE—resilient, adaptable, remarkable, enduring.”

Laura found what works for her. Learn more about SIGNIFOR LAR and talk to a doctor to see if it may be right for you.