Cushing's disease Hypercortisolism
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: • Male and female patients with Cushing's syndrome caused by ACTH-producing pituitary adenoma or cortisol producing adrenal adenoma • Age between 18 and 65 years
Exclusion criteria
Exclusion criteria: • Cushing's syndrome caused by ectopic ACTH producing tumours • Cushing's syndrome caused by adrenocortical carcinoma • Pseudo Cushing • Subclinical Cushing's syndrome • Exogenous CS • Previous history of major psychiatric disorder (not related to Cushing's syndrome) • Neurological disorders affecting the central nervous system • High alcohol consumption (more than 14 alcohol units per week) • Active malignancy or any treatment for malignancy during the last 2 years • Heart failure (NYHC II-IV) • Severe respiratory insufficiency • Severely impaired hepatic function (ALT and/or AST concentrations two times above the upper limit of normal) • Severely impaired renal function (s-creatinine >150 µmol/L or GFR
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary study parameters of fMRI: 1. Total brain volume and volume of structures important for cognitive function 2. Structural connectivity and integrity of white matter 3. Brain functional connectivity during rest and during testing of cognitive and emotional functioning Other primary study parameters: 1. Genetic analysis of polymorfisms in the glucocorticoid receptor gene and genes involved in metabolism and transports of glucocorticoids 2. Brain injury biomarkers 3. Cognitive function 4. Quality of life, fatigue scores, depression and anxiety scores, apathy scores | — |
Countries
The Netherlands