Status:

COMPLETED

Effects of Hormone Stimulation on Brain Scans for Cushing s Disease

Lead Sponsor:

National Institute of Neurological Disorders and Stroke (NINDS)

Conditions:

Pituitary Neoplasm

Eligibility:

All Genders

8+ years

Phase:

EARLY_PHASE1

Brief Summary

Background: * Cushing s disease can be caused by a tumor of the pituitary gland, a small gland about the size of a pea located at the base of the brain. These tumors produce high levels of hormones, ...

Detailed Description

Objective Preoperative imaging identification and localization of adrenocorticotropin hormone (ACTH)-secreting pituitary adenomas is critical for the accurate diagnosis and the successful surgical tr...

Eligibility Criteria

Inclusion

  • INCLUSION CRITERIA:
  • To be eligible for entry into the study, patients must meet all the following criteria:
  • Be 8 years of age or older and able to undergo PET-imaging without needing general anesthesia.
  • Able to provide informed consent (or guardian is able to provide consent in case of minor).
  • Clinical diagnosis of CD based on medical records.
  • Medically able to undergo resection of pituitary adenoma and planning to undergo surgical resection of adenoma within 12 weeks of PET-imaging.
  • Normal liver enzymes: tests should be completed within 14 days before injection of the radiopharmaceutical; SGOT, SGPT less than or equal to 5 times ULN; bilirubin less than or equal to 2 times ULN.
  • EXCLUSION CRITERIA:
  • Candidates will be excluded if they meet any of the following criteria:
  • Pregnant or nursing women.
  • Contraindication to MR-scanning, including pacemakers or other implanted electrical devices, brain stimulators, some types of dental implants, aneurysm clips (metal clips on the wall of a large artery), metallic prostheses (including metal pins and rods, heart valves, and cochlear implants), permanent eyeliner, implanted delivery pump, or shrapnel fragments
  • Severe chronic renal insufficiency (glomerular filtration rate \< 30 mL/min/1.73 m(2)), hepatorenal syndrome or post-liver transplantation.
  • Elevated blood glucose level above 200 mg/dL on the day of the scan prior to (18)F-FDG administration.
  • Known intolerance to CRH.

Exclusion

    Key Trial Info

    Start Date :

    October 11 2011

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ACTUAL

    End Date :

    June 12 2018

    Estimated Enrollment :

    30 Patients enrolled

    Trial Details

    Trial ID

    NCT01459237

    Start Date

    October 11 2011

    End Date

    June 12 2018

    Last Update

    June 14 2018

    Active Locations (1)

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    Page 1 of 1 (1 locations)

    1

    National Institutes of Health Clinical Center, 9000 Rockville Pike

    Bethesda, Maryland, United States, 20892