Central hypoadrenalism MedDRA version: 16.1 Level: LLT Classification code 10020936 Term: Hypoadrenalism System Organ Class: 100000004860
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: •Age > 18 years •Diagnosis of central hypoadrenalism •Other pituitary deficiencies in adequate replacement therapy •Therapy with cortisone acetate from at least six months •Symptoms of over- and under-treatment •Informed consent Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 20 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 5
Exclusion criteria
Exclusion criteria: •Pregnancy •Breast feeding •Estroprogestinic therapy •Steroids assumption
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To evaluate the medium-term effects of the therapy with modified-release hydrocortisone on glucose, bone metabolism, and quality of life, compared to the classical therapy;Secondary Objective: To compare cortisol absorption pattern through evaluation of salivary cortisol, between patients treated with cortisone acetate and Plenadren.;Primary end point(s): Evaluation of effects of Plenadren on: - glucose metabolism (modifications of fasting glucose and glycated haemoglobin) - bone metabolism (modification of bone mineral density, BMD) - blood pressure (modification of systolic and diastolic blood pressure) - quality of life (modification evaluated by specific questionnaires);Timepoint(s) of evaluation of this end point: 18 months | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): Cortisol absorption pattern through evaluation of salivary cortisol during therapy with Plenadren.;Timepoint(s) of evaluation of this end point: 3 months | — |
Countries
Italy
Contacts
U.O. Endocrinologia e Diabetologia Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico