Cyclin E-Mediated Human Proopiomelanocortin Regulation as a Therapeutic Target for Cushing Disease.
Ning-Ai Liu, Takako Araki, Daniel Cuevas-Ramos...
https://pubmed.ncbi.nlm.nih.gov/25942479/Actively Recruiting
Led by Cedars-Sinai Medical Center · Updated on 2025-09-11
13
Participants Needed
1
Research Sites
N/A
Total Duration
Researchers are evaluating the safety and effects of oral seliciclib in people with newly diagnosed, persistent, or recurrent Cushing disease. This phase 2, open-label, multicenter trial aims to understand how seliciclib impacts quality of life and the clinical signs and symptoms of this condition. The study involves patients who have confirmed pituitary-related excess production of adrenocorticotropic hormone ACTH. Participants will receive 80 mg of oral seliciclib daily for 4 weeks. Up to 13 people will be treated in this trial. The study measures changes in hormone levels and other health indicators before and after treatment, including tumor size and quality of life. This trial does not include a placebo group and is open-label, meaning both participants and researchers know the treatment being given. During the study, participants will undergo assessments including blood and saliva tests for hormone levels, MRI scans to check tumor size, visual field exams, and quality of life questionnaires. Researchers will monitor urinary free cortisol levels to assess treatment effects. Safety will be tracked through recording adverse events. The total participation time is 4 weeks, with evaluations at the start and end of treatment.
CONDITIONS
Multicenter Study of Seliciclib (R-roscovitine) for Cushing Disease
D
Daniel Gomez
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Cedars-Sinai Medical Center
Lead Sponsor
This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
| Factors | Seliciclib (oral investigational therapy) | Current medical therapy (contextual standard) |
|---|---|---|
| What it is | An oral investigational cyclin‑dependent kinase inhibitor (seliciclib) given daily for 4 weeks to adults with recurrent or persistent pituitary Cushing disease | Established adrenal‑targeted medications (e.g., ketoconazole, metyrapone, osilodrostat) used when Cushing disease persists or recurs after surgery |
| Primary use | Studied to normalize or reduce cortisol production in persistent or recurrent Cushing disease | Used to reduce cortisol levels when surgery fails or is not possible |
| How it is given or performed | Given orally once daily for 4 weeks | Oral medications taken at institution‑dependent schedules (depending on drug) |
| Evidence status | Efficacy and safety are under investigation in this phase 2 study; outcomes not yet established | Established clinical experience and guideline‑supported effectiveness in reducing cortisol in recurrent or persistent cases |
| Important risks | Potential liver toxicity and other adverse effects are under evaluation; safety profile not yet fully characterized | Known side effects vary by medication (e.g., liver enzyme elevation with ketoconazole, hypertension with osilodrostat) |
| Important limitations | Single‑arm phase 2 design without comparator; small sample size (up to ~13 patients) limits generalizability | Therapeutic response rates vary across patients; up to 25% may not achieve cortisol control even in expert centers |
| Patient impact | Not yet known; trial assesses biochemical cortisol reduction and quality of life measures | Medical therapy can reduce symptoms by lowering cortisol, improving clinical control in many patients |
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
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Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - 4 weeks
Participants take oral seliciclib once daily to evaluate its safety and efficacy for Cushing disease.
Baseline visit and 1 follow-up visit at week 4
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NA
Model
SINGLE_GROUP
Primary Purpose
TREATMENT
Number of Arms
1
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Ning-Ai Liu, Takako Araki, Daniel Cuevas-Ramos...
https://pubmed.ncbi.nlm.nih.gov/25942479/Ning-Ai Liu, Hong Jiang, Anat Ben-Shlomo...
https://pubmed.ncbi.nlm.nih.gov/21536883/Cedars-Sinai Medical Center
Lead Sponsor