Adrenal Insufficiency
Conditions
Keywords
Central Adrenal Insufficiency, DHEA, Pubes
Brief summary
30 adolescent girls and young women between 13 and 26 years with central adrenal insufficiency and a grand shortage of DHEA are recruit. The clinical trial is double-blind to show that the substitution of the hormone DHEA stimulates secondary hair growth, enhances well being and mood of the patients. It should also normalize the serum content of DHEA, aldosterone and testosterone.
Detailed description
30 adolescent girls and young women between 13 and 26 years with central adrenal insufficiency and a grand shortage of DHEA are recruit. After randomization they either get DHEA or placebo for 12 months daily. The clinical trial is double-blind to show that the substitution of the hormone DHEA stimulates secondary hair growth, enhances well being and mood of the patients. It should also normalize the serum content of DHEA, aldosterone and testosterone.
Interventions
25 mg DHEA, oral, once daily
placebo, oral, once daily
Sponsors
Study design
Eligibility
Inclusion criteria
* female gender * age between 13 and 26 Years * breast developement minimal Tanner stage 3 * serum content of DHEAS less than 400 ng/ml * central hypocortisolism * 2 additional pituitary hormon deficiencies (growth hormone, TSH, FSH, LH, prolactin, ADH) * no scheduled change of the auxilliary medication during the clinical trial
Exclusion criteria
* initial diagnosis of a cerebral tumor less than one year * constitution after cerebral exposure with over 30 gray * craniopharyngioma with hypothalamic defect syndrome or relapse * blindness * mental retardation or psychiatric disorder * systemic disorder, diabetes mellitus, cardiovascular disease, liver disease requiring treatment * elevated liver enzyme levels * pregnancy * in case of no hypogonadism: no secure contraception
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Increase of pubes as measured by tanner stage | one year |
Secondary
| Measure | Time frame |
|---|---|
| enhancement in well being and mood by psychometric tests | one year |
| normalization of the serum content of DHEA, androstanedione and testosterone | one year |
Countries
Germany