In a phase 3 trial of linsitinib (insulin-like growth factor receptor 1 and insulin receptor inhibitor) vs placebo in 139 patients with previously treated ACC, of whom 55% had received prior cisplatin, ORR was 3.3% vs 0%, disease control rate was 32.2% vs 34.7%, median PFS was 44 vs 46 days (P = .30), and median OS was 323 vs 356 days (P = .77) [28]. This evidence concerns the gene INSR and adrenal cortex carcinoma.