Pituitary adenoma is the most common tumor with a high recurrence rate due to a hormone-dependent JAK/signal transducer and activator of transcriptions (STAT) signaling. Atiprimod, a novel compound belonging to the azaspirane class of cationic amphiphilic drugs, has antiproliferative, anticarcinogenic effects in multiple myeloma, breast, and hepatocellular carcinoma by blocking STAT3 activation. Therapeutic agents' efficiency depends on endoplasmic reticulum (ER) stress-autophagy regulation during drug-mediated apoptotic cell death decision. However, the molecular machinery of dose-dependent atiprimod treatment regarding ER stress-autophagy has not been investigated yet. Thus, our aim is to investigate the ER stress-autophagy axis in atiprimodmediated apoptotic cell death in GH-secreting rat cell line (GH3) pituitary adenoma cells. Dose-dependent atiprimod treatment decreased GH3 cell viability, inhibited cell growth, and colony formation. Upregulation of Atg5, Atg12, Beclin-1 expressions, cleavage of LC-3II and formation of autophagy vacuoles were determined only after 1 µM atiprimod exposure. In addition, atiprimod-triggered ER stress was evaluated by BiP, C/EBP-homologous protein (CHOP), p-PERK upregulation, and Ca +2 release after 1 µM atiprimod exposure.Concomitantly, increasing concentration of atiprimod induced caspase-dependent apoptotic cell death via modulating Bcl 2 family members. Moreover, by Nacetyl cycteinc pretreatment, atiprimod triggered reactive oxygen species generation and prevented apoptotic induction. Concomitantly, dose-dependent atiprimod treatment decreased both GH and STAT3 expression in GH3 cells. In Abbreviations: AMPK, AMP-activated protein kinase; AO, acridine orange; ATF6, activating transcription factor 6; CHOP, C/EBP-homologous protein; DiOC6, 3,3′-dihexyloxacarbocyanine iodide; DMSO, dimethyl sulfoxide; EDTA, ethylenediaminetetraacetic acid; eIF-2 α, eukaryotic initiation factor 2; HRP, horseradish peroxidase; IRE-1α, inositol-requiring protein-1α; mTOR, mammalian target of rapamycin; MTT, 3-(4,5-