Cushing Syndrome, Metabolic Syndrome
Conditions
Brief summary
The main hypothesis of the HEPACORT study is that upon diagnosis of endogenous Cushing's syndrome, significant liver fibrosis may be present, particularly in the most severe forms of Cushing's syndrome. the HEPACORT study is the first exploratory study to assess the severity of liver fibrosis in patients with Cushing's syndrome or suspected of presenting by Magnetic Resonance Elastography (MRE).
Interventions
Magnetic Resonance Imaging (MRI) imaging with low-frequency vibrations to create a visual map (elastogram) that shows stiffness of body tissues
Sponsors
Central Hospital, Nancy, France
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
DIAGNOSTIC
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* age ≥ 18 years old; * Person affiliated to a social security scheme or beneficiary of such a scheme; * Person having received complete information on the organization of the research and having signed informed consent; * Person having carried out a preliminary clinical examination adapted to the research. * Patients with Cushing's syndrome (for the Cushing's Syndrome group) * Patients with possible Cushing's syndrome (for the suspected Cushing's Syndrome group) defined as response to the dexamethasone supression test with 1 mg of Dexamethasone, with a plasma cortisol assay at 8 am between 18 and 50 µg/L carried out in the 3 months preceding ; * Patients with metabolic syndrome (for the metabolic syndrome group)
Exclusion criteria
* Person having taken corticosteroid therapy for more than 3 months during the 2 years preceding inclusion; * Person having received corticosteroid therapy of shorter duration with discontinuation less than one month before inclusion; * Person having taken anticortisolic treatment for more than 3 months during the 2 years preceding inclusion; * Person with chronic liver disease; * Person with alcohol misuse, defined by a weekly consumption of more than 10 standard units; * Person with a morphotype that does not allow an MRI examination to be performed; * Woman of childbearing age who does not have an effective means of contraception; * Contraindication to performing an MRI examination. * Person referred to in Articles L. 1121-5, L. 1121-7 and L1121-8 of the French Public Health Code.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Estimation of the severity of hepatic fibrosis by MRE (kPa). | Baseline (day 0) | Estimation of the severity of hepatic fibrosis in kPa by a non-invasive elastography method : magnetic resonance elastography. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Evaluation of the association between hyperglycemia (blood glucose by g/L) with the presence of Fibrosis by MRE (kPa). | Baseline (day 0) | — |
| Evaluation of the association between high blood pressure (mmHg) with the presence of Fibrosis by MRE (kPa). | Baseline (day 0) | — |
| Evaluation of the association between overweight (kg) with the presence of Fibrosis by MRE (kPa). | Baseline (day 0) | — |
| Evaluation of the association between osteoporosis (g/cm²) with the presence of Fibrosis by MRE (kPa). | Baseline (day 0) | — |
| Evolution of transaminases (UI/L) between the diagnosis and the last visit. | 1 year | — |
| Evaluation of the presence of hepatic fibrosis by MRE (kPa). | Baseline (day 0) | Evaluation of the presence of hepatic fibrosis by ERM : ERM value ≥ 72.5 kPa. |
| Evolution of ALP (Alkaline Phosphatases) (UI/L) between the diagnosis and the last visit | 1 year | — |
| Evolution of Bilirubin (mg/L) between the diagnosis and the last visit. | 1 year | — |
| Evolution of Albumin (g/L) between the diagnosis and the last visit. | 1 year | — |
| Evolution of platelets (platelets/mm3) between the diagnosis and the last visit. | 1 year | — |
| Evolution of ferritin (ng/mL) between the diagnosis and the last visit. | 1 year | — |
| Evolution of GGT (gamma-glutamyl transferase) (UI/L) between the diagnosis and the last visit. | 1 year | — |
Countries
France
Contacts
Primary ContactNicolas SCHEYER, MD
Backup ContactGuillaume DROUOT, PhD
Outcome results
None listed