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Glucocorticoid withdrawal and glucocorticoid-induced adrenal insufficiency: a randomized controlled multicenter trial

Status
Recruiting
Phases
Phase 4
Study type
Interventional
Source
EU CTIS
Registry ID
CTIS2024-517334-18-00
Acronym
TOASST
Enrollment
25
Registered
2024-11-19
Start date
2022-04-06
Completion date
Unknown
Last updated
2026-01-14

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Inflammatory or autoimmune disorders

Brief summary

Time to first occurrence of hospitalization, death, initiation of unplanned systemic glucocorticoid therapy, or adrenal crisis (defined as glucocorticoid-responsive hypotension or shock with or without accompanying symptoms and signs such as weakness, apathy, nausea, vomiting, abdominal pain, hypothermia, hyponatremia [serum sodium < 135 millimole (mM)], hyperkalemia [serum potassium > 5 mM], hypoglycemia [plasma glucose < 3.5 mM]); whichever occurs first.

Detailed description

Time to first occurrence of individual components of the primary outcome, Cumulative overall systemic glucocorticoid dose, Cumulative systemic glucocorticoid dose administered to treat or prevent adrenal failure, Cumulative systemic glucocorticoid dose administered to treat relapse of disease, specified for each disease, General health status as self-assessed by the participant on a visual analog scale (VAS) from 0 to 100, Score of symptoms and signs of hypocortisolism: weakness, hypothermia, nausea, vomiting, abdominal pain, fatigue, dizziness, and blood pressure, Performance in 250 mcg ACTH (Synacthen®) test, In patients hospitalized at study entry: length of hospital stay

Interventions

DRUGPREDNISONE
DRUGMarketing authorisation number: 6866372.00.00
DRUGATC-Code: V03AX10.

Sponsors

Kantonsspital Baden AG
Lead SponsorOTHER

Eligibility

Sex/Gender
All
Age
18 Years to No maximum

Design outcomes

Primary

MeasureTime frame
Time to first occurrence of hospitalization, death, initiation of unplanned systemic glucocorticoid therapy, or adrenal crisis (defined as glucocorticoid-responsive hypotension or shock with or without accompanying symptoms and signs such as weakness, apathy, nausea, vomiting, abdominal pain, hypothermia, hyponatremia [serum sodium < 135 millimole (mM)], hyperkalemia [serum potassium > 5 mM], hypoglycemia [plasma glucose < 3.5 mM]); whichever occurs first.

Secondary

MeasureTime frame
Time to first occurrence of individual components of the primary outcome, Cumulative overall systemic glucocorticoid dose, Cumulative systemic glucocorticoid dose administered to treat or prevent adrenal failure, Cumulative systemic glucocorticoid dose administered to treat relapse of disease, specified for each disease, General health status as self-assessed by the participant on a visual analog scale (VAS) from 0 to 100, Score of symptoms and signs of hypocortisolism: weakness, hypothermia, nausea, vomiting, abdominal pain, fatigue, dizziness, and blood pressure, Performance in 250 mcg ACTH (Synacthen®) test, In patients hospitalized at study entry: length of hospital stay

Countries

Germany

Outcome results

None listed

Source: EU CTIS · Data processed: Feb 4, 2026