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targeted-therapy / targeted-therapyAdrenocortical Carcinoma

Martin Fassnacht

MD

🏢University Hospital Würzburg🌐Germany

Professor of Medicine; Head, Division of Endocrinology and Diabetes

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h-index
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Key Papers
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Awards
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Key Contributions

👥Biography 个人简介

Martin Fassnacht, MD is Professor of Medicine and Head of the Division of Endocrinology and Diabetes at University Hospital Würzburg, Germany, where he leads the largest clinical and research program in adrenocortical carcinoma (ACC) in Europe. He is widely regarded as the world's foremost clinical expert in ACC, with landmark contributions to the evidence base for mitotane-based therapy, systemic chemotherapy, and emerging immunotherapy strategies for this rare and aggressive malignancy. Professor Fassnacht was the principal investigator of FIRM-ACT, the first randomized phase III trial in ACC, which established etoposide, doxorubicin, cisplatin, and mitotane (EDP-M) as the standard first-line chemotherapy regimen for advanced ACC. Published in the New England Journal of Medicine in 2012, FIRM-ACT provided the first robust evidence base for systemic therapy in this disease. He has also led the ADIUVO and ADIUVO-2 trials investigating adjuvant mitotane and immunotherapy in resected ACC, and has contributed pivotal studies on the molecular pathogenesis and biomarker landscape of ACC including Wnt/β-catenin pathway alterations and steroid hormone profiles. Beyond ACC, Professor Fassnacht contributes to the management of pheochromocytoma and paraganglioma and leads the European Network for the Study of Adrenal Tumours (ENSAT). He chairs the European Society of Endocrinology Clinical Practice Guideline on ACC and has authored over 250 peer-reviewed publications in endocrine oncology.

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🧪Research Fields 研究领域

Adrenocortical Carcinoma
Mitotane Therapy
Pheochromocytoma
Paraganglioma
Endocrine Tumor Pharmacology
FIRM-ACT Trial

🎓Key Contributions 主要贡献

FIRM-ACT Trial: First Phase III Chemotherapy Standard in Adrenocortical Carcinoma

Principal investigator of FIRM-ACT, the landmark randomized phase III trial establishing EDP-mitotane (etoposide, doxorubicin, cisplatin plus mitotane) as the standard first-line chemotherapy for advanced ACC, providing the first phase III evidence base for systemic therapy in this rare malignancy.

Adjuvant Mitotane and Immunotherapy Trials in Resected ACC

Led ADIUVO (adjuvant mitotane vs. active surveillance) and ADIUVO-2 (adjuvant pembrolizumab vs. mitotane) trials to define optimal postoperative management of resected ACC, establishing the evidence framework for current international guidelines on adjuvant therapy.

Molecular Pathogenesis and ENSAT Tumor Registry

Founded and leads ENSAT (European Network for the Study of Adrenal Tumours), developing the largest ACC patient registry and biobank globally, enabling genomic, transcriptomic, and proteomic analyses that have identified Wnt/β-catenin pathway activation, IGF2 overexpression, and steroidogenic gene signatures as key molecular drivers of ACC.

Representative Works 代表性著作

[1]

Combination Chemotherapy in Advanced Adrenocortical Carcinoma

New England Journal of Medicine (2012)

Phase III FIRM-ACT trial establishing EDP-mitotane as the first chemotherapy regimen with phase III evidence in advanced adrenocortical carcinoma.

[2]

European Society of Endocrinology Clinical Practice Guidelines on the Management of Adrenocortical Carcinoma

European Journal of Endocrinology (2018)

Comprehensive clinical practice guidelines synthesizing evidence on ACC staging, surgery, adjuvant mitotane, systemic chemotherapy, and emerging targeted and immunotherapy strategies.

[3]

Linsitinib (OSI-906) versus Placebo for Patients with Locally Advanced or Metastatic Adrenocortical Carcinoma

The Lancet Oncology (2015)

Phase III trial evaluating IGF-1R inhibitor linsitinib in advanced ACC; while negative for the primary endpoint, it provided critical insights into IGF signaling pathway targeting and ACC biology.

🏆Awards & Recognition 奖项与荣誉

🏆European Society of Endocrinology Distinguished Clinician-Scientist Award
🏆German Society of Endocrinology Research Prize
🏆ENSAT Lifetime Achievement in Adrenal Research Award

📄Data Sources 数据来源

Last updated: 2026-04-06 | All information from publicly available academic sources

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