NCT01422707

Brief Summary

Short term hydrocortisone to test whether improves excess androgen production from adrenal gland and ovaries

Trial Health

30
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Timeline
Completed

Started Jan 2018

Shorter than P25 for early_phase_1

Geographic Reach
1 country

1 active site

Status
withdrawn

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

August 19, 2011

Completed
5 days until next milestone

First Posted

Study publicly available on registry

August 24, 2011

Completed
6.4 years until next milestone

Study Start

First participant enrolled

January 19, 2018

Completed
6 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 17, 2018

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

July 17, 2018

Completed
Last Updated

July 19, 2018

Status Verified

July 1, 2018

Enrollment Period

6 months

First QC Date

August 19, 2011

Last Update Submit

July 17, 2018

Conditions

Outcome Measures

Primary Outcomes (1)

  • Changes in free testosterone after ACTH administration before and after hydrocortisone administration for 4 weeks

    30 and 60 minutes after ACTH, baseline, and after 4 weeks of hydrocortisone administration

Secondary Outcomes (1)

  • Changes in adrenal steroid precursors after ACTH, baseline, and after 4 weeks of hydrocortisone administration

    30 and 60 minutes after ACTH, baseline, and after 4 weeks of hydrocortisone administration

Study Arms (1)

hydrocortisone

EXPERIMENTAL

4 weeks hydrocortisone with pre- and post-intervention Dexamethasone and Cosyntropin to perform standardized adrenal stimulation testing

Drug: Hydrocortisone

Interventions

10 mg/m2/per day PO at bedtime (X4 weeks)

Also known as: Cortef
hydrocortisone

Eligibility Criteria

Age7 Years - 18 Years
Sexfemale
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64)

You may qualify if:

  • Overweight(\>85th BMI%) females
  • Early to late puberty (expected age range 7-18)
  • Hyperandrogenemic (free testosterone greater than 2.5 standard deviations above the mean for normal control subjects of the same Tanner Stage)
  • Screening labs within age-appropriate normal range, with the exception of a mildly low hematocrit (see below) and the hormonal abnormalities inherent in obesity which could include mildly elevated luteinizing hormone (LH), lipids, testosterone, prolactin, DHEAS, E2, glucose, and insulin; and decreased follicle-stimulating hormone (FSH) and/or sex hormone-binding globulin (SHBG)

You may not qualify if:

  • Screening labs outside of age-appropriate normal range
  • Hemoglobin \<12 mg/dL and hematocrit\<36% (Subjects will be offered the opportunity to take iron supplementation for 60 days if their hematocrit is slightly low (33-36%) (suggestive of iron deficiency anemia) and will then return for retesting of their hemoglobin/hematocrit. If still \<36%, they will be excluded.)
  • Morning Cortisol \<5 g/dL
  • hydroxyprogesterone \>295 ng/dL
  • History of Cushing's syndrome or adrenal insufficiency
  • Pregnant

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of Virginia Center for Research in Reproduction

Charlottesville, Virginia, 22908, United States

Location

MeSH Terms

Conditions

ObesityPolycystic Ovary Syndrome

Interventions

Hydrocortisone

Condition Hierarchy (Ancestors)

OverweightOvernutritionNutrition DisordersNutritional and Metabolic DiseasesBody WeightSigns and SymptomsPathological Conditions, Signs and SymptomsOvarian CystsCystsNeoplasmsOvarian DiseasesAdnexal DiseasesGenital Diseases, FemaleFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesGenital DiseasesGonadal DisordersEndocrine System Diseases

Intervention Hierarchy (Ancestors)

PregnenedionesPregnenesPregnanesSteroidsFused-Ring CompoundsPolycyclic Compounds11-HydroxycorticosteroidsHydroxycorticosteroidsAdrenal Cortex HormonesHormonesHormones, Hormone Substitutes, and Hormone Antagonists17-Hydroxycorticosteroids

Study Officials

  • Christine M. Burt Solorzano, MD

    University of Virginia

    PRINCIPAL INVESTIGATOR
0

Study Design

Study Type
interventional
Phase
early phase 1
Allocation
NA
Masking
NONE
Purpose
BASIC SCIENCE
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Assistant Professor of Pediatrics

Study Record Dates

First Submitted

August 19, 2011

First Posted

August 24, 2011

Study Start

January 19, 2018

Primary Completion

July 17, 2018

Study Completion

July 17, 2018

Last Updated

July 19, 2018

Record last verified: 2018-07

Locations