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The etiology and extent of impaired quality of life, fatigue and cognitive, affective and emotional dysfunction in patients with Cushing*s syndrome ;- Prospective studies using structural and functional magnetic resonance imaging, positron emission tomography, genetic and cerebrospinal fluid analysis -

The etiology and extent of impaired quality of life, fatigue and cognitive, affective and emotional dysfunction in patients with Cushing*s syndrome ;- Prospective studies using structural and functional magnetic resonance imaging, positron emission tomography, genetic and cerebrospinal fluid analysis - - The etiology of impaired QoL and cognitive dysfunction in patients with CS

Status
Recruiting
Phases
Unknown
Study type
Observational
Source
NL-OMON
Registry ID
NL-OMON50171
Enrollment
24
Registered
2020-12-29
Start date
2018-10-26
Completion date
Unknown
Last updated
2024-02-28

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

Conditions

Cushing's disease Hypercortisolism

Interventions

Affective and emotional dysfunction
Cognitive impairment
Cushing's syndrome
Quality of life

Sponsors

Leids Universitair Medisch Centrum
Lead Sponsor

Eligibility

Age
18 Years to 64 Years

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

MeasureTime 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

Outcome results

None listed

Source: NL-OMON (via WHO ICTRP)