Page last updated: 2024-11-05

hydrocortisone hemisuccinate

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Description

Hydrocortisone hemisuccinate is a synthetic corticosteroid that is a derivative of hydrocortisone. It is a prodrug that is rapidly converted to hydrocortisone in the body. Hydrocortisone hemisuccinate is used to treat a variety of inflammatory conditions, including allergic reactions, inflammatory bowel disease, and rheumatoid arthritis. It is also used to suppress the immune system in patients who have received organ transplants. Hydrocortisone hemisuccinate is typically administered intravenously or intramuscularly. It is a highly effective medication, but it can have serious side effects, including high blood pressure, weight gain, and osteoporosis. The synthesis of hydrocortisone hemisuccinate involves the reaction of hydrocortisone with succinic anhydride. This reaction produces a hemisuccinate ester that is more water-soluble than hydrocortisone itself. The increased water solubility allows for easier administration of the drug and faster absorption into the bloodstream. Hydrocortisone hemisuccinate is an important medication because it is effective in treating a wide range of inflammatory conditions. It is also used to suppress the immune system in patients who have received organ transplants. The study of hydrocortisone hemisuccinate is ongoing, and researchers are constantly looking for ways to improve its efficacy and safety. One area of research is the development of new formulations of the drug that have fewer side effects. Another area of research is the development of new uses for hydrocortisone hemisuccinate, such as in the treatment of cancer.'

hydrocortisone succinate : A derivative of succinic acid in which one of the carboxy groups is esterified by the C-21 hydroxy group of cortisol (hydrocortisone). [Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Cross-References

ID SourceID
PubMed CID16623
CHEMBL ID977
CHEBI ID31677
SCHEMBL ID7664
MeSH IDM0050132

Synonyms (80)

Synonym
MLS002207249
AC-6828
MLS001146928 ,
nsc-7576
LMST02030126
11beta,17alpha,21-trihydroxypregn-4-ene-3,20-dione 21-succinate
hydrocortisone succinate
11beta,17,21-trihydroxypregn-4-ene-3,20-dione 21-(hydrogensuccinate)
2203-97-6
cortisol succinate
LOPAC0_000623
aftasome
oralsome
saxizon
hydrocortisone roussel
hydrocortisone hydrogen succinate
hydrocortisone leurquin
cortisol 21-hemisuccinate
preg-4-ene-3,20-dione, 21-(3-carboxy-1-oxopropoxy)-11,17-dihydroxy-, (11-beta)-
cortisol, 21-(hydrogen succinate)
hydrocortisonum hemisuccinatum
hydrocortisone 21-hemisuccinate
(11-beta)-21-(3-carboxy-1-oxopropoxy)-11,17-dihydroxypreg-4-ene-3,20-dione
hydrocortisone 21-succinate
einecs 218-612-3
aacicortisol
cortisol, hydrogen succinate
hydrocortisone 21-(hydrogen succinate)
4-[2-[(8s,9s,10r,11s,13s,14s,17r)-11,17-dihydroxy-10,13-dimethyl-3-oxo-2,6,7,8,9,11,12,14,15,16-decahydro-1h-cyclopenta[a]phenanthren-17-yl]-2-oxo-ethoxy]-4-oxo-butanoic acid
cortisol hemisuccinate
4-((11,17-dihydroxy-3,20-dioxopregn-4-en-21-yl)oxy)-4-oxobutanoic acid
solucortef
pregn-4-ene-3,20-dione, 21-(3-carboxy-1-oxopropoxy)-11, 17-dihydroxy-
hydrocortisone succinate (jp17)
D01442
smr000058328
MLS000028530 ,
CHEMBL977
chebi:31677 ,
4-[2-[(8s,9s,10r,11s,13s,14s,17r)-11,17-dihydroxy-10,13-dimethyl-3-oxo-2,6,7,8,9,11,12,14,15,16-decahydro-1h-cyclopenta[a]phenanthren-17-yl]-2-oxoethoxy]-4-oxobutanoic acid
bdbm50016931
HMS3259A14
4-{2-[(1r,3as,3bs,9ar,9bs,10s,11as)-1,10-dihydroxy-9a,11a-dimethyl-7-oxo-1h,2h,3h,3ah,3bh,4h,5h,7h,8h,9h,9ah,9bh,10h,11h,11ah-cyclopenta[a]phenanthren-1-yl]-2-oxoethoxy}-4-oxobutanoic acid
EN300-55845
ihv1vp592v ,
hydrocortisone succinate [jan]
unii-ihv1vp592v
3-{[2-((1s,10s,11s,15s,17s,2r,14r)-14,17-dihydroxy-2,15-dimethyl-5-oxotetracyc lo[8.7.0.0<2,7>.0<11,15>]heptadec-6-en-14-yl)-2-oxoethyl]oxycarbonyl}propanoic acid
ST075193
A815861
4-[2-[(8s,9s,10r,11s,13s,14s,17r)-10,13-dimethyl-11,17-bis(oxidanyl)-3-oxidanylidene-2,6,7,8,9,11,12,14,15,16-decahydro-1h-cyclopenta[a]phenanthren-17-yl]-2-oxidanylidene-ethoxy]-4-oxidanylidene-butanoic acid
4-{2-[(1s,2r,10s,11s,14r,15s,17s)-14,17-dihydroxy-2,15-dimethyl-5-oxotetracyclo[8.7.0.0^{2,7}.0^{11,15}]heptadec-6-en-14-yl]-2-oxoethoxy}-4-oxobutanoic acid
HMS2235G13
AKOS015969742
hydrocortisone hydrogen succinate [who-dd]
hydrocortisone hydrogen succinate [ep monograph]
hydroxycortisone succinate [inci]
hydroxycortisone succinate
cortisol 21-(hydrogen succinate)
S5972
NC00567
hydrocortisone 21-hemisuccinate*free acid
SCHEMBL7664
W-107508
OPERA_ID_1732
DTXSID40872905
GS-6198
hydrocortisone hydrogen succinate, european pharmacopoeia (ep) reference standard
hydrocortisone 21-hemisuccinate, analytical standard
hydrocortisone hydrogen succinate, british pharmacopoeia (bp) reference standard
hydrokortison-21-hemisuccinat
DB14545
4-(2-((8s,9s,10r,11s,13s,14s,17r)-11,17-dihydroxy-10,13-dimethyl-3-oxo-2,3,6,7,8,9,10,11,12,13,14,15,16,17-tetradecahydro-1h-cyclopenta[a]phenanthren-17-yl)-2-oxoethoxy)-4-oxobutanoic acid
Q27104202
CS-0013125
hydrocortisone-hemisuccinate
hydrocortisone 21-he
pregn-4-ene-3,20-dione,21-(3-carboxy-1-oxopropoxy)-11,17-dihydroxy-, (11b)-
HY-B1402
(11beta)-21-(3-carboxy-1-oxopropoxy)-11,17-dihydroxypregn-4-ene-3,20-dione
[information is derived through text-mining from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Drug Classes (3)

ClassDescription
dicarboxylic acid monoesterA monoester of a dicarboxylic acid.
hemisuccinateA succinate ester in which only one of the carboxy groups of succinic acid has been esterified.
tertiary alpha-hydroxy ketoneAn alpha-hydroxy ketone in which the carbonyl group and the hydroxy group are linked by a carbon bearing two organyl groups.
[compound class information is derived from Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Protein Targets (7)

Potency Measurements

ProteinTaxonomyMeasurementAverage (µ)Min (ref.)Avg (ref.)Max (ref.)Bioassay(s)
Chain A, Beta-lactamaseEscherichia coli K-12Potency0.63100.044717.8581100.0000AID485294
Smad3Homo sapiens (human)Potency3.16230.00527.809829.0929AID588855
hypoxia-inducible factor 1, alpha subunit (basic helix-loop-helix transcription factor)Homo sapiens (human)Potency0.79430.00137.762544.6684AID914; AID915
nuclear factor erythroid 2-related factor 2 isoform 2Homo sapiens (human)Potency0.26620.00419.984825.9290AID504444; AID720524
survival motor neuron protein isoform dHomo sapiens (human)Potency1.25890.125912.234435.4813AID1458
[prepared from compound, protein, and bioassay information from National Library of Medicine (NLM), extracted Dec-2023]

Activation Measurements

ProteinTaxonomyMeasurementAverageMin (ref.)Avg (ref.)Max (ref.)Bioassay(s)
Glucocorticoid receptorMus musculus (house mouse)Kd0.19000.19000.19000.1900AID1150111
[prepared from compound, protein, and bioassay information from National Library of Medicine (NLM), extracted Dec-2023]

Other Measurements

ProteinTaxonomyMeasurementAverageMin (ref.)Avg (ref.)Max (ref.)Bioassay(s)
Protease Human immunodeficiency virus 1ID5027.00000.00140.85491.7000AID162539
[prepared from compound, protein, and bioassay information from National Library of Medicine (NLM), extracted Dec-2023]

Ceullar Components (1)

Processvia Protein(s)Taxonomy
nucleoplasmGlucocorticoid receptorMus musculus (house mouse)
[Information is prepared from geneontology information from the June-17-2024 release]

Bioassays (34)

Assay IDTitleYearJournalArticle
AID588461High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Lethal Factor Protease, Validation compound set2010Current protocols in cytometry, Oct, Volume: Chapter 13Microsphere-based flow cytometry protease assays for use in protease activity detection and high-throughput screening.
AID588461High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Lethal Factor Protease, Validation compound set2006Cytometry. Part A : the journal of the International Society for Analytical Cytology, May, Volume: 69, Issue:5
Microsphere-based protease assays and screening application for lethal factor and factor Xa.
AID588461High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Lethal Factor Protease, Validation compound set2010Assay and drug development technologies, Feb, Volume: 8, Issue:1
High-throughput multiplex flow cytometry screening for botulinum neurotoxin type a light chain protease inhibitors.
AID588460High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Botulinum neurotoxin light chain A protease, Validation Compound Set2010Current protocols in cytometry, Oct, Volume: Chapter 13Microsphere-based flow cytometry protease assays for use in protease activity detection and high-throughput screening.
AID588460High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Botulinum neurotoxin light chain A protease, Validation Compound Set2006Cytometry. Part A : the journal of the International Society for Analytical Cytology, May, Volume: 69, Issue:5
Microsphere-based protease assays and screening application for lethal factor and factor Xa.
AID588460High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Botulinum neurotoxin light chain A protease, Validation Compound Set2010Assay and drug development technologies, Feb, Volume: 8, Issue:1
High-throughput multiplex flow cytometry screening for botulinum neurotoxin type a light chain protease inhibitors.
AID588459High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Botulinum neurotoxin light chain F protease, Validation compound set2010Current protocols in cytometry, Oct, Volume: Chapter 13Microsphere-based flow cytometry protease assays for use in protease activity detection and high-throughput screening.
AID588459High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Botulinum neurotoxin light chain F protease, Validation compound set2006Cytometry. Part A : the journal of the International Society for Analytical Cytology, May, Volume: 69, Issue:5
Microsphere-based protease assays and screening application for lethal factor and factor Xa.
AID588459High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Botulinum neurotoxin light chain F protease, Validation compound set2010Assay and drug development technologies, Feb, Volume: 8, Issue:1
High-throughput multiplex flow cytometry screening for botulinum neurotoxin type a light chain protease inhibitors.
AID504810Antagonists of the Thyroid Stimulating Hormone Receptor: HTS campaign2010Endocrinology, Jul, Volume: 151, Issue:7
A small molecule inverse agonist for the human thyroid-stimulating hormone receptor.
AID504812Inverse Agonists of the Thyroid Stimulating Hormone Receptor: HTS campaign2010Endocrinology, Jul, Volume: 151, Issue:7
A small molecule inverse agonist for the human thyroid-stimulating hormone receptor.
AID1159607Screen for inhibitors of RMI FANCM (MM2) intereaction2016Journal of biomolecular screening, Jul, Volume: 21, Issue:6
A High-Throughput Screening Strategy to Identify Protein-Protein Interaction Inhibitors That Block the Fanconi Anemia DNA Repair Pathway.
AID588501High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Lethal Factor Protease, MLPCN compound set2010Current protocols in cytometry, Oct, Volume: Chapter 13Microsphere-based flow cytometry protease assays for use in protease activity detection and high-throughput screening.
AID588501High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Lethal Factor Protease, MLPCN compound set2006Cytometry. Part A : the journal of the International Society for Analytical Cytology, May, Volume: 69, Issue:5
Microsphere-based protease assays and screening application for lethal factor and factor Xa.
AID588501High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Lethal Factor Protease, MLPCN compound set2010Assay and drug development technologies, Feb, Volume: 8, Issue:1
High-throughput multiplex flow cytometry screening for botulinum neurotoxin type a light chain protease inhibitors.
AID588497High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Botulinum neurotoxin light chain F protease, MLPCN compound set2010Current protocols in cytometry, Oct, Volume: Chapter 13Microsphere-based flow cytometry protease assays for use in protease activity detection and high-throughput screening.
AID588497High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Botulinum neurotoxin light chain F protease, MLPCN compound set2006Cytometry. Part A : the journal of the International Society for Analytical Cytology, May, Volume: 69, Issue:5
Microsphere-based protease assays and screening application for lethal factor and factor Xa.
AID588497High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Botulinum neurotoxin light chain F protease, MLPCN compound set2010Assay and drug development technologies, Feb, Volume: 8, Issue:1
High-throughput multiplex flow cytometry screening for botulinum neurotoxin type a light chain protease inhibitors.
AID588499High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Botulinum neurotoxin light chain A protease, MLPCN compound set2010Current protocols in cytometry, Oct, Volume: Chapter 13Microsphere-based flow cytometry protease assays for use in protease activity detection and high-throughput screening.
AID588499High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Botulinum neurotoxin light chain A protease, MLPCN compound set2006Cytometry. Part A : the journal of the International Society for Analytical Cytology, May, Volume: 69, Issue:5
Microsphere-based protease assays and screening application for lethal factor and factor Xa.
AID588499High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Botulinum neurotoxin light chain A protease, MLPCN compound set2010Assay and drug development technologies, Feb, Volume: 8, Issue:1
High-throughput multiplex flow cytometry screening for botulinum neurotoxin type a light chain protease inhibitors.
AID1745845Primary qHTS for Inhibitors of ATXN expression
AID651635Viability Counterscreen for Primary qHTS for Inhibitors of ATXN expression
AID358767Inhibition of scrapie form PrP production in mouse GT1-7 cells infected with human transmissible spongiform encephalopathies agent Fukuoka1 by Western blot2007Proceedings of the National Academy of Sciences of the United States of America, Jul-17, Volume: 104, Issue:29
Hot spots in prion protein for pathogenic conversion.
AID1273986Inhibition of TNFalpha production in C57Bl/6 mouse BMDM cells at 1.6 to 6.4 uM pretreated prior to LPS-stimulation measured on day 7 by ELISA2015Journal of natural products, Dec-24, Volume: 78, Issue:12
Serrulatane Diterpenoid from Eremophila neglecta Exhibits Bacterial Biofilm Dispersion and Inhibits Release of Pro-inflammatory Cytokines from Activated Macrophages.
AID162539Evaluated for the inhibition of HIV-1 Protease.1996Journal of medicinal chemistry, May-10, Volume: 39, Issue:10
Discovery of novel, non-peptide HIV-1 protease inhibitors by pharmacophore searching.
AID1273988Inhibition of IL-1beta production in C57Bl/6 mouse BMDM cells at 1.6 to 6.4 uM pretreated for 1 hr prior to ATP-stimulation by ELISA2015Journal of natural products, Dec-24, Volume: 78, Issue:12
Serrulatane Diterpenoid from Eremophila neglecta Exhibits Bacterial Biofilm Dispersion and Inhibits Release of Pro-inflammatory Cytokines from Activated Macrophages.
AID1273987Inhibition of IL-6 production in C57Bl/6 mouse BMDM cells at 1.6 to 6.4 uM pretreated prior to LPS-stimulation measured on day 7 by ELISA2015Journal of natural products, Dec-24, Volume: 78, Issue:12
Serrulatane Diterpenoid from Eremophila neglecta Exhibits Bacterial Biofilm Dispersion and Inhibits Release of Pro-inflammatory Cytokines from Activated Macrophages.
AID358768Cytotoxicity against mouse GT1-7 cells at 1 uM2007Proceedings of the National Academy of Sciences of the United States of America, Jul-17, Volume: 104, Issue:29
Hot spots in prion protein for pathogenic conversion.
AID977599Inhibition of sodium fluorescein uptake in OATP1B1-transfected CHO cells at an equimolar substrate-inhibitor concentration of 10 uM2013Molecular pharmacology, Jun, Volume: 83, Issue:6
Structure-based identification of OATP1B1/3 inhibitors.
AID1150111Displacement of 1 x 10'-8 M of [1,2,3-3H]-triamcinolone acetonide from glucocorticoid receptor in soluble fraction of mouse L929 cells after 20 hrs1977Journal of medicinal chemistry, Sep, Volume: 20, Issue:9
Synthesis and biological action of two glucocorticoid alkylating agents.
AID977602Inhibition of sodium fluorescein uptake in OATP1B3-transfected CHO cells at an equimolar substrate-inhibitor concentration of 10 uM2013Molecular pharmacology, Jun, Volume: 83, Issue:6
Structure-based identification of OATP1B1/3 inhibitors.
AID1224864HCS microscopy assay (F508del-CFTR)2016PloS one, , Volume: 11, Issue:10
Increasing the Endoplasmic Reticulum Pool of the F508del Allele of the Cystic Fibrosis Transmembrane Conductance Regulator Leads to Greater Folding Correction by Small Molecule Therapeutics.
AID1159550Human Phosphogluconate dehydrogenase (6PGD) Inhibitor Screening2015Nature cell biology, Nov, Volume: 17, Issue:11
6-Phosphogluconate dehydrogenase links oxidative PPP, lipogenesis and tumour growth by inhibiting LKB1-AMPK signalling.
[information is prepared from bioassay data collected from National Library of Medicine (NLM), extracted Dec-2023]

Research

Studies (13)

TimeframeStudies, This Drug (%)All Drugs %
pre-19901 (7.69)18.7374
1990's1 (7.69)18.2507
2000's2 (15.38)29.6817
2010's8 (61.54)24.3611
2020's1 (7.69)2.80
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Market Indicators

Research Demand Index: 55.10

According to the monthly volume, diversity, and competition of internet searches for this compound, as well the volume and growth of publications, there is estimated to be very strong demand-to-supply ratio for research on this compound.

MetricThis Compound (vs All)
Research Demand Index55.10 (24.57)
Research Supply Index2.64 (2.92)
Research Growth Index5.03 (4.65)
Search Engine Demand Index81.95 (26.88)
Search Engine Supply Index2.00 (0.95)

This Compound (55.10)

All Compounds (24.57)

Study Types

Publication TypeThis drug (%)All Drugs (%)
Trials0 (0.00%)5.53%
Reviews1 (7.69%)6.00%
Case Studies0 (0.00%)4.05%
Observational0 (0.00%)0.25%
Other12 (92.31%)84.16%
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Clinical Trials (182)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Phase I/II Pilot Study of Ifosfamide, Carboplatin and Etoposide Therapy (ICE) and SGN-30 (NSC# 731636, IND#) in Children With CD30+ Recurrent Anaplastic Large Cell Lymphoma [NCT00354107]Phase 1/Phase 25 participants (Actual)Interventional2007-01-31Terminated
Single Centre, Subject and Observer Blinded, Placebo Controlled, Cross-over Study of the Effect of Oral Ibuprofen and Topical Hydrocortisone-21-acetate on Ultraviolet Radiation (UVR) Induced Pain and Inflammation in Healthy Volunteers [NCT01055249]Phase 124 participants (Anticipated)Interventional2010-01-31Completed
Monocentric, Double-blind Placebo-Controlled, Randomized Cross-Sectional Clinical Trial of Hydrocortisone (10 and 30 mg/d) in Outpatients With Posttraumatic-Stress-Disorder (PTSD) [NCT01108146]30 participants (Actual)Interventional2008-10-31Completed
Imaging Corticotrophin-releasing Factor (CRF) X Nociceptive Opioid Peptide (NOP) Interactions in Cocaine Use Disorders (Aim 1) [NCT05008146]Early Phase 180 participants (Anticipated)Interventional2020-12-31Recruiting
The Role of Stress Neuromodulators in Decision Making Under Risk [NCT04359147]167 participants (Actual)Interventional2019-11-01Completed
Outcomes of Metabolic Resuscitation Using Ascorbic Acid, Thiamine, and Glucocorticoids in the Early Treatment of Sepsis. [NCT03422159]Phase 2140 participants (Actual)Interventional2018-02-05Completed
A Feasibility Trial of MLN4924 (Pevonedistat, TAK 924) Given in Combination With Azacitidine, Fludarabine, and Cytarabine, in Children, Adolescents, and Young Adults With Relapsed or Refractory Acute Myeloid Leukemia or Myelodysplastic Syndrome [NCT03813147]Phase 112 participants (Actual)Interventional2019-05-17Active, not recruiting
Ultradian Subcutaneous Hydrocortisone Infusion in Addison Disease and Congenital Adrenal Hyperplasia [NCT02096510]Phase 1/Phase 210 participants (Anticipated)Interventional2014-08-31Recruiting
Combination Corticosteroids + 5-aminosalicylic Acids Compared to Corticosteroids Alone in the Treatment of Moderate-severe Active Ulcerative Colitis. [NCT01941589]Phase 4149 participants (Actual)Interventional2013-09-30Completed
A Phase 2 Study of Blinatumomab (NSC# 765986) in Combination With Nivolumab (NSC # 748726), a Checkpoint Inhibitor of PD-1, in B-ALL Patients Aged >/= 1 to < 31 Years Old With First Relapse [NCT04546399]Phase 2550 participants (Anticipated)Interventional2020-12-04Suspended(stopped due to Other - FDA Partial Clinical Hold)
Assessment of Application Order When Utilizing Locoid Lotion and Hylatopic Plus Cream in the Treatment of Atopic Dermatitis [NCT02153762]41 participants (Actual)Interventional2013-04-30Completed
A Phase II Study of Punctual, Cyclic, and Intensive Chemotherapy With Liposomal Cytarabine (Depocyt®) CNS Prophylaxis for Adults With Acute Lymphoblastic Leukemia and Lymphoblastic Lymphoma [NCT02043587]Phase 231 participants (Actual)Interventional2014-01-31Terminated(stopped due to Original investigator for the trial has left)
Treatment of Late Isolated Extramedullary Relapse From Acute Lymphoblastic Leukemia (ALL) (Initial CR1≥ 18 Months) [NCT00096135]168 participants (Actual)Interventional2004-11-30Completed
A Multi-center, Randomized, Placebo-controlled, Double-blind, Adaptive Clinical Trial of Vitamin C, Thiamine and Steroids as Combination Therapy in Patients With Sepsis. [NCT03509350]Phase 3501 participants (Actual)Interventional2018-08-22Completed
Phase IV Study to Evaluate the Neuropsychological Effects of Hydrocortisone Substitution in Patients With Partial Adrenal Insufficiency After Traumatic Brain Injury or Subarachnoidal Haemorrhage [NCT01089075]Phase 432 participants (Actual)Interventional2010-02-28Terminated(stopped due to Insufficient recruitment of suitable patients.)
The VitamIn C, HydrocorTisone and ThiAMINe in Patients With Septic Shock Trial (VITAMINS Trial) - A Prospective, Feasibility, Pilot, Multi-centre, Randomised, Open-label Controlled Trial [NCT03333278]Phase 2216 participants (Actual)Interventional2018-05-02Completed
A Phase 3 Randomized Trial for Patients With De Novo AML Comparing Standard Therapy Including Gemtuzumab Ozogamicin (GO) to CPX-351 With GO, and the Addition of the FLT3 Inhibitor Gilteritinib for Patients With FLT3 Mutations [NCT04293562]Phase 31,400 participants (Anticipated)Interventional2020-07-21Recruiting
Effectiveness Evaluation of Mixed Gel of Hydrocortisone and Aluminium Phosphate Preventing Endoscopic Submucosal Dissection Postoperative Stenosis for Patients With Early Esophageal Cancer Invading More Than 2/3 Esophageal Perimeter [NCT03165344]66 participants (Actual)Interventional2017-02-10Completed
A Phase I-II Trial of DA-EPOCH-R Plus Ixazomib as Frontline Therapy for Patients With MYC-aberrant Lymphoid Malignancies: The DACIPHOR Regimen [NCT02481310]Phase 1/Phase 238 participants (Actual)Interventional2015-10-28Active, not recruiting
Effect of Modified-release Compared to Conventional Hydrocortisone on Fatigue, Measured by Ecological Momentary Assessments; a Pilot Study. [NCT02282150]Phase 430 participants (Anticipated)Interventional2016-10-31Enrolling by invitation
Randomized Cross-over Trial in Patients Treated With Both Insulin & Hydrocortisone [NCT05716607]16 participants (Anticipated)Interventional2023-09-30Not yet recruiting
Effectivness of Topical Tacrolimus 0.03% Monotherapy in Patients With Vitiligo: Arandomized Controlled Trial [NCT03358082]Phase 1/Phase 2100 participants (Anticipated)Interventional2017-10-01Recruiting
Open-label Crossover Trial to Investigate the Efficacy of Treatments in Apomorphine-induced Skin Reactions [NCT02230930]Phase 220 participants (Anticipated)Interventional2015-06-30Recruiting
Hyperglycemia and Effects of Daily 100 Milligrams Versus 200 Milligrams of Hydrocortisone Therapy in Patients With Septic Shock: A Double-Blind Randomized Controlled Trial [NCT02266264]Phase 480 participants (Actual)Interventional2014-10-31Completed
A Phase III Randomized Trial Investigating Bortezomib (NSC# 681239) on a Modified Augmented BFM (ABFM) Backbone in Newly Diagnosed T-Lymphoblastic Leukemia (T-ALL) and T-Lymphoblastic Lymphoma (T-LLy) [NCT02112916]Phase 3847 participants (Actual)Interventional2014-10-04Active, not recruiting
International Phase 3 Trial in Philadelphia Chromosome-Positive Acute Lymphoblastic Leukemia (Ph+ALL) Testing Imatinib in Combination With Two Different Cytotoxic Chemotherapy Backbones [NCT03007147]Phase 3475 participants (Anticipated)Interventional2017-08-08Recruiting
Risk-Stratified Randomized Phase III Testing of Blinatumomab (NSC#765986) in First Relapse of Childhood B-Lymphoblastic Leukemia (B-ALL) [NCT02101853]Phase 3669 participants (Actual)Interventional2014-12-17Active, not recruiting
Single-center, Double-masked, Placebo-controlled Parallel-group Study of Pregnancy-related Hormones Estradiol and Medroxyprogesterone, in Conjunction With Hydrocortisone and Growth Hormone to Stimulate C-peptide Secretion in Women With T1DM [NCT01265017]Phase 10 participants (Actual)Interventional2012-07-31Withdrawn(stopped due to Insufficient funding)
Intensive Treatment For T-CELL Acute Lymphoblastic Leukemia and Advanced Stage Lymphoblastic Non-Hodgkin's Lymphoma: A Pediatric Oncology Group Phase III Study [NCT01230983]Phase 3573 participants (Actual)Interventional1996-06-30Completed
Stress Hydrocortisone In Pediatric Septic Shock [NCT03401398]Phase 31,032 participants (Anticipated)Interventional2019-03-11Recruiting
Low Dose Corticosteroid Infusion in Vasoplegia After Cardiac Surgery (CORTIVAS-CS): a Prospective Randomized Double-blinded Clinical Trial [NCT04301479]Phase 3140 participants (Anticipated)Interventional2020-03-31Not yet recruiting
Evaluation of Corticosteroid Therapy in Childhood Severe Sepsis (Steroids in Paediatric Sepsis, StePS) - a Randomised Pilot Study [NCT00732277]Phase 221 participants (Actual)Interventional2008-04-30Completed
ASSESSMENT OF ADRENAL FUNCTION IN PATIENTS WITH ACUTE HEPATITIS USING CONCENTRATION OF SERUM TOTAL CORTISOL, SERUM FREE AND SALIVARY CORTISOL [NCT02859584]111 participants (Actual)Interventional2011-08-31Completed
Protein/Metabolite Biomarker(s) for Glucocorticoid Action; an Experimental Trial in Patients With Adrenal Insufficiency [NCT02152553]11 participants (Actual)Interventional2014-05-31Completed
A Randomized, Double-blind Study Investigating the Efficacy and Safety of Mesalazine With Hydrocortisone Sodium Succinate (100mg QD) Enema for 4-Week Treatment in Patients With Ulcerative Colitis (UC) [NCT03110198]Phase 4528 participants (Anticipated)Interventional2017-05-31Recruiting
The Effect of Cortisol Administration on Neural Correlates of Emotion in Depression [NCT02837432]Early Phase 1192 participants (Actual)Interventional2016-07-31Completed
Open Label Randomised 3 Period Crossover Study to Evaluate Bioavailability of Modified Release Hydrocortisone (HC) Under Fasting & Fed Conditions & Immediate Release HC Tablets Under Fasting Conditions in Dexamethasone-suppressed Subjects [NCT02408068]Phase 118 participants (Actual)Interventional2015-01-31Completed
HYDROcortisone Versus Placebo for Severe HospItal-acquired Pneumonia in Intensive Care Patients: the HYDRO-SHIP Study [NCT05354778]180 participants (Anticipated)Interventional2022-10-16Recruiting
The Influence of Psychobiological Adversity to Children and Adolescents With Type 1 Diabetes [NCT02575001]207 participants (Actual)Observational2015-07-31Completed
A Phase 1 Clinical Study to Investigate the Safety and Pharmacokinetics of MK-5684 in China Participants With Metastatic Castration-Resistant Prostate Cancer [NCT06136598]Phase 114 participants (Anticipated)Interventional2023-12-25Not yet recruiting
Effect Of Hydrocortisone Phonophoresis Versus Iontophoresis In Patients With Subacromial Impingement Syndrome [NCT05919121]60 participants (Anticipated)Interventional2023-05-01Recruiting
A Feasibility Pilot and Phase II Study Of Chemoimmunotherapy With Epratuzumab (IND #12034) for Children With Relapsed CD22-Positive Acute Lymphoblastic Leukemia (ALL) [NCT00098839]Phase 1/Phase 2134 participants (Actual)Interventional2005-02-28Completed
A Pilot Study To Determine The Toxicity Of The Addition Of Rituximab To The Induction And Consolidation Phases And The Addition Of Rasburicase To The Reduction Phase In Children With Newly Diagnosed Advanced B-Cell Leukemia/Lymphoma Treated With LMB/FAB T [NCT00057811]Phase 297 participants (Actual)Interventional2004-06-30Completed
Randomized, Embedded, Multifactorial Adaptive Platform Trial for Community- Acquired Pneumonia [NCT02735707]Phase 310,000 participants (Anticipated)Interventional2016-04-11Recruiting
Impact of Obesity on the Pharmacokinetics of Anticancer Therapy in Children With High Risk Acute Lymphoblastic Leukemia (ALL) [NCT00900445]0 participants (Actual)Observational2008-03-24Withdrawn
A Phase III Randomized Trial for Evaluating Second Line Hormonal Therapy (Ketoconazole/Hydrocortisone) Versus Paclitaxel/Estramustine Combination Chemotherapy on Progression Free Survival in Asymptomatic Patients With a Rising PSA After Hormonal Therapy f [NCT00027859]Phase 30 participants Interventional2003-10-08Completed
A Randomized, Dose-Ranging, Double Blind Study of Lidocaine Hydrochloride and/or Hydrocortisone Acetate (Alone or in Combination) in the 14-Day Twice-Daily Treatment of Grade I or II Hemorrhoids [NCT02689856]Phase 2211 participants (Actual)Interventional2015-05-31Completed
Effect of Hydrocortisone on Improving Outcome of Pneumatic Reduction of Infantile Intussusception: A Randomized Controlled Trial [NCT02691858]80 participants (Anticipated)Interventional2015-04-30Recruiting
A Comparative Clinical Trial to Evaluate the Efficacy and Safety of Tacrolimus Versus Hydrocortisone in Treatment of Children With Atopic Dermatitis [NCT05324618]Phase 4200 participants (Actual)Interventional2022-05-15Completed
Randomized, Open Label, Crossover Study Pharmacokinetics and Bioavailability of Hydrocortisone Acetate Administered as a Suppository With the Sephure® Rectal Suppository Applicator Compared With Cortenema in Healthy Subjects [NCT02671058]Phase 116 participants (Actual)Interventional2016-03-31Completed
A Phase II Pilot Trial of Bortezomib (PS-341, Velcade) in Combination With Intensive Re-Induction Therapy for Children With Relapsed Acute Lymphoblastic Leukemia (ALL) and Lymphoblastic Lymphoma (LL) [NCT00873093]Phase 2148 participants (Actual)Interventional2009-03-31Completed
An Open-label, Prospective, Randomized, Controlled Clinical Trial of the Use of Reduced Duration Versus Standard Duration Steroid Replacement Therapy for Acute Adrenal Insufficiency in Patients With Septic Shock [NCT00842933]Phase 432 participants (Anticipated)Interventional2007-05-31Terminated(stopped due to Unable to meet enrollment goal prior to PI transfer)
DFCI ALL Adult Consortium Protocol: Adult ALL Trial [NCT01005758]Phase 2180 participants (Anticipated)Interventional2009-01-31Not yet recruiting
A Randomized Phase 3 Interim Response Adapted Trial Comparing Standard Therapy With Immuno-oncology Therapy for Children and Adults With Newly Diagnosed Stage I and II Classic Hodgkin Lymphoma [NCT05675410]Phase 31,875 participants (Anticipated)Interventional2023-05-11Recruiting
A Phase 3 Trial Investigating Blinatumomab (NSC# 765986) in Combination With Chemotherapy in Patients With Newly Diagnosed Standard Risk or Down Syndrome B-Lymphoblastic Leukemia (B-ALL) and the Treatment of Patients With Localized B-Lymphoblastic Lymphom [NCT03914625]Phase 36,720 participants (Anticipated)Interventional2019-07-03Recruiting
The Effects of Hydrocortisone in Endotoxemia in Normal Volunteers [NCT01064986]Phase 112 participants (Actual)Interventional2010-02-28Completed
A Randomized, Double-Blind, Active-Controlled, Phase 3 Study of Chronocort Compared With Immediate-Release Hydrocortisone Replacement Therapy in Participants Aged 16 Years and Over With Congenital Adrenal Hyperplasia [NCT05063994]Phase 3150 participants (Anticipated)Interventional2021-12-13Active, not recruiting
Hair Cortisol and the Risk of Acute Myocardial Infarction [NCT00682487]120 participants (Actual)Observational2008-06-30Completed
Pilot Study of Chinese Medicine Medicated Bath as Complementary Medicine for Mild to Moderate Plaque -Type Psoriasis Patient. [NCT04117919]Phase 230 participants (Anticipated)Interventional2019-10-05Recruiting
RESCUE - Effect of Supplemental Hydrocortisone During Stress in Prednisolone-induced Adrenal Insufficiency; A Multicentre, Randomised, Double Blinded, Placebo-controlled Clinical Trial on Health-related Quality of Life in Patients With Polymyalgia Rheumat [NCT05435781]Phase 4250 participants (Anticipated)Interventional2022-06-07Recruiting
A Double Blind, Multicentre, Randomised, Parallel Group Study to Demonstrate the Equivalence of the Response to Vaccination of a Tacrolimus Ointment Regimen to a Steroid Ointment Regimen in Children With Moderate to Severe Atopic Dermatitis [NCT00801957]Phase 2260 participants (Actual)Interventional2003-03-31Completed
Double Blinded, Randomized Trial, Comparing Intravenous Bolus of 50 mg of Hydrocortisone Every 6 Hours for 7 Days With a Continuous Infusion of 300 mg Per Day of Hydrocortisone 300-mg Group During 5 Days in the Treatment of Septic Shock. [NCT02768740]Phase 4120 participants (Actual)Interventional2008-04-30Completed
A Phase I Study Evaluating the Safety, Tolerability and Biological Activity of EZN-3042, a Survivin mRNA Antagonist, Administered With Re-induction Chemotherapy in Children With Relapsed Acute Lymphoblastic Leukemia (ALL) [NCT01186328]Phase 16 participants (Actual)Interventional2010-08-24Terminated(stopped due to Enzon Pharmaceuticals decided to end its development of EZN-3042.)
A Phase I, Multicenter, Double-Blind, Randomized Study to Evaluate the Safety and Tolerability Profile of Topical Cream SNG100 for 14 Days of Treatment in Moderate Atopic Dermatitis Subjects. [NCT04615962]Phase 166 participants (Anticipated)Interventional2021-01-01Not yet recruiting
Interval Bolus Delivery of Subcutaneous Hydrocortisone Via Infusion Pump in Children With Congenital Adrenal Hyperplasia [NCT03718234]Phase 111 participants (Actual)Interventional2019-01-01Completed
Randomized, Placebo-Controlled Trial of Treatment of Atopic Dermatitis With Concurrent Altabax® and Topical Low-Potency Corticosteroids vs. Low-Potency Corticosteroid Mono-therapy [NCT00871208]Phase 40 participants (Actual)Interventional2009-05-31Withdrawn(stopped due to Funding withdrawn)
Phase III Study of Hydrocortisone in Patients With Severe H1N1 Related Pneumonia [NCT01014364]Phase 340 participants (Actual)Interventional2010-03-31Terminated(stopped due to the H1N1 pandemic is now over, and fewer cases than expected were observed)
Intensified Tyrosine Kinase Inhibitor Therapy (Dasatinib NSC# 732517) in Philadelphia Chromosome Positive Acute Lymphoblastic Leukemia (ALL) [NCT00720109]Phase 2/Phase 363 participants (Actual)Interventional2008-07-14Completed
Glucocorticoid Treatment in Addison's Disease [NCT01063569]Phase 2/Phase 333 participants (Actual)Interventional2010-02-28Completed
Phase II Trial to Assess the Activity of Ketoconazole Plus Lenalidomide in Patients With Prostate Cancer Progressive After Androgen Deprivation [NCT00460031]Phase 234 participants (Actual)Interventional2006-09-01Completed
Effect of Estrogen on the Stress Response for Postmenopausal Women [NCT00220454]Phase 240 participants Interventional2002-12-31Completed
Withholding Hydrocortisone vs Routine Use of Hydrocortisone During Peri-operation in Pituitary Adenoma Patients With Intact Hypothalamus-Pituitary-Adrenal Axis: Randomized Controlled Trial to Assess Safety and Complications [NCT04621565]436 participants (Anticipated)Interventional2020-11-01Recruiting
[NCT01608945]60 participants (Actual)Observational2008-04-30Suspended
Adherence to Topical Hydrocortisone 17-butyrate 0.1% (Locoid®) Using Different Vehicles in Adults With Atopic Dermatitis [NCT00693693]Phase 426 participants (Actual)Interventional2006-11-30Completed
A Phase I/II Study of Oral Calcitriol in Combination With Ketoconazole in Androgen Independent Prostate Cancer [NCT00536991]Phase 1/Phase 251 participants (Actual)Interventional2006-10-31Terminated(stopped due to difficult to recruit)
A Phase 2 Study of SNDX-5613 in Combination With Chemotherapy for Patients With Relapsed or Refractory KMT2A-Rearranged Infant Leukemia [NCT05761171]Phase 278 participants (Anticipated)Interventional2023-11-20Recruiting
A Phase I Study of Venetoclax in Combination With Cytotoxic Chemotherapy, Including Calaspargase Pegol, for Children, Adolescents and Young Adults With High-Risk Hematologic Malignancies [NCT05292664]Phase 192 participants (Anticipated)Interventional2023-03-29Recruiting
A Phase III Study of Efficacy, Safety and Tolerability of Chronocort® Compared With Standard Glucocorticoid Replacement Therapy in the Treatment of Congenital Adrenal Hyperplasia [NCT02716818]Phase 3122 participants (Actual)Interventional2016-02-22Completed
A Phase 1 Study Of Palbociclib (IND#141416), A CDK 4/6 Inhibitor, In Combination With Chemotherapy In Children With Relapsed Acute Lymphoblastic Leukemia (ALL) Or Lymphoblastic Lymphoma (LL) [NCT03792256]Phase 115 participants (Anticipated)Interventional2019-04-11Active, not recruiting
Prospective, Randomized, Double-blind, Cohort Study of Hydrocortisone vs Placebo in Systemic Low Blood Pressure During Hypothermia Treatment in Asphyxiated Newborns [NCT02700828]Phase 2/Phase 332 participants (Actual)Interventional2016-02-29Completed
Retrospective Study of Intrapleural Methylprednisolone Injection for Multiple Organ Failure With Acute Respiratory Distress Syndrome [NCT01423864]Phase 229 participants (Actual)Interventional2005-06-30Completed
Hemodynamic and Biological Effects of Fludrocortisone and Hydrocortisone, in Healthy Volunteers With Aldosterone Induced Suppression [NCT00673270]Phase 1/Phase 213 participants (Actual)Interventional2008-05-31Terminated
A Randomized Pilot Trial of a Steroid-free Immunosuppressant Regimen in Pediatric Liver Transplantation [NCT00694408]Phase 315 participants (Actual)Interventional2008-06-30Terminated(stopped due to Study terminated due to withdrawal from market of Daclizumab)
Supplemental Corticosteroids in Cirrhotic Hypotensive Patients With Suspicion of Sepsis [NCT02602210]Phase 3100 participants (Actual)Interventional2015-01-31Terminated(stopped due to low inclusion rate)
Gleevec (Imatinib) Plus Multi-Agent Chemotherapy For Newly-Diagnosed Philadelphia Chromosome-Positive Acute Lymphoblastic Leukemia [NCT00618501]Phase 250 participants (Anticipated)Interventional2005-10-31Completed
International Collaborative Treatment Protocol for Infants Under One Year With Acute Lymphoblastic or Biphenotypic Leukemia [NCT00550992]445 participants (Anticipated)Interventional2006-01-31Recruiting
A Groupwide Pilot Study to Test the Tolerability and Biologic Activity of the Addition of Azacitidine (NSC# 102816) to Chemotherapy in Infants With Acute Lymphoblastic Leukemia (ALL) and KMT2A (MLL) Gene Rearrangement [NCT02828358]Phase 278 participants (Actual)Interventional2017-04-01Active, not recruiting
A Novel Therapeutic Modality for Congenital Adrenal Hyperplasia [NCT00529841]7 participants (Actual)Interventional2007-01-31Completed
A Phase III Study of Risk Directed Therapy for Infants With Acute Lymphoblastic Leukemia (ALL): Randomization of Highest Risk Infants to Intensive Chemotherapy +/- FLT3 Inhibition (CEP-701, Lestaurtinib; NSC#617807) [NCT00557193]Phase 3218 participants (Actual)Interventional2008-01-15Active, not recruiting
Early Prevention of Broncho-pulmonary Dysplasia and Neonatal Mortality in Very Preterm Infants Using Low Dose of Hydrocortisone: a Randomized Controlled Trial [NCT00623740]Phase 3523 participants (Actual)Interventional2008-04-30Completed
A PedAL/EuPAL Phase 1/2 Trial of IMGN632 in Pediatric Patients With Relapsed or Refractory Leukemia [NCT05320380]Phase 1/Phase 20 participants (Actual)Interventional2023-08-01Withdrawn(stopped due to Withdrawn per CS0150757)
Effect of Oral Ketoconazole on the Pharmacokinetics of Oral Dexamethasone and Oral Hydrocortisone in Patients With Androgen Independent Prostate Cancer [NCT00559481]0 participants (Actual)Interventional2007-10-31Withdrawn(stopped due to Withdrawn due to low accrual)
An Open-label, Randomized, Titration-blinded, Phase III Study of Efficacy, Safety and Tolerability Of Chronocort® Compared With Standard Glucocorticoid REeplacement Therapy in the Treatment of Participants Aged 16 Years and Over With Congenital Adrenal Hy [NCT03532022]Phase 30 participants (Actual)Interventional2018-10-04Withdrawn(stopped due to Protocol re-design required following EU Phase III results)
The Effects of Epinephrine and Cortisol on Emotion in Depression [NCT04148261]Early Phase 10 participants (Actual)Interventional2020-12-31Withdrawn(stopped due to Principal Investigator left lab before study start)
A RANDOMIZED PHASE III TRIAL COMPARING DEXAMETHASONE WITH PREDNISONE IN INDUCTION TREATMENT AND BONE MARROW TRANSPLANTATION WITH INTENSIVE MAINTENANCE TREATMENT IN ADOLESCENT AND ADULT ACUTE LYMPHOBLASTIC LEUKEMIA (ALL-4) [NCT00002700]Phase 3392 participants (Anticipated)Interventional1995-08-31Completed
A PHASE III TWO-ARM RANDOMIZED STUDY COMPARING ANTIANDROGEN WITHDRAWAL ALONE VERSUS ANTIANDROGEN WITHDRAWAL COMBINED WITH KETOCONAZOLE AND HYDROCORTISON IN PATIENTS WITH ADVANCED PROSTAGE CANCER [NCT00002760]Phase 3260 participants (Actual)Interventional1996-08-31Completed
A Phase II Study of Compound 506U78 in Patients With Refractory T-Cell Malignancies-POG/CCG Intergroup Study [NCT00002970]Phase 2148 participants (Actual)Interventional1997-06-30Completed
Chemotherapy (CT) Followed by Donor Lymphocyte Infusion (DLI) Plus Interleukin 2 (IL-2) for Patients With Relapse Acute Myeloid or Lymphoid Leukemia After Allogeneic Hematopoietic Transplant [NCT00005802]Phase 1/Phase 20 participants Interventional1999-06-30Completed
Hydrocortisone Therapy Optimization During Hypothermia Treatment in Asphyxiated Neonates - a Pharmacokinetic Study [NCT05836610]Phase 450 participants (Anticipated)Interventional2021-09-21Recruiting
Hemophagocytic Lymphohistiocytosis [NCT00334672]Phase 3288 participants (Anticipated)Interventional2006-03-31Active, not recruiting
Influence of Hydrocortisone on Humoral and Cellular Immunologic Markers in High Risk Patients After Cardiac Surgery [NCT00490828]Phase 4120 participants (Actual)Interventional2007-06-30Completed
Evaluation of the Antipruritic Effect of Elidel (Pimecrolimus) in Non-atopic Pruritic Disease [NCT00507832]Phase 230 participants (Actual)Interventional2007-04-30Completed
A Randomized Phase 3 Trial of Nivolumab (NSC# 748726) in Combination With Chemo-Immunotherapy for the Treatment of Newly Diagnosed Primary Mediastinal B-Cell Lymphoma [NCT04759586]Phase 3244 participants (Anticipated)Interventional2021-10-05Recruiting
The Safety of Proctofoam-HC in the Third Trimester of Pregnancy [NCT00405288]408 participants (Actual)Observational2006-11-30Completed
Calcipotriol Plus Hydrocortisone in Psoriasis Vulgaris on the Face and on the Intertriginous Areas [NCT00691002]Phase 31,245 participants (Actual)Interventional2008-05-31Completed
Treatment of Acute Lymphoblastic Leukemia in Children [NCT00400946]Phase 3800 participants (Actual)Interventional2005-04-30Completed
Phase III of Recombinant Human Activated Protein C and Low Dose of Hydrocortisone and Fludrocortisone in Adult Septic Shock [NCT00625209]Phase 31,241 participants (Actual)Interventional2008-03-31Completed
A, Randomised, Controlled, Two-armed, Two-period Cross-over, Multi-centre Phase II/III Study to Assess the Safety and Pharmacokinetics of Once-daily Oral Modified-release Hydrocortisone in Patients With Adrenal Insufficiency [NCT00915343]Phase 2/Phase 364 participants (Actual)Interventional2007-08-21Completed
Randomized Comparisons of Oral Mercaptopurine vs Oral Thioguanine and IT Methotrexate vs ITT for Standard Risk Acute Lymphoblastic Leukemia [NCT00002744]Phase 31,970 participants (Actual)Interventional1996-05-31Completed
Induction Intensification in Infant ALL: A Children's Oncology Group Study [NCT00002756]Phase 2221 participants (Actual)Interventional1996-06-30Completed
"A Phase II Trial of Early Medical Adrenalectomy for D0.5 Prostate Cancer" [NCT00006371]Phase 22 participants (Actual)Interventional2000-05-31Terminated(stopped due to low accrual)
A Randomized Study of Two Methods of CNS Prophylaxis in Patients With Acute Lymphoblastic Leukemia [NCT00019409]Phase 30 participants (Actual)Interventional1999-10-31Withdrawn
Intensive Induction Therapy for Children With Acute Lymphoblastic Leukemia (ALL) Who Experience a Bone Marrow Relapse [NCT00049569]126 participants (Anticipated)Interventional2003-01-31Completed
The Effect of Glucocorticoid Pre-Treatment on the Systemic Cytokine Response to Endotoxin in Human Volunteers [NCT00396344]36 participants (Anticipated)Interventional2006-10-31Completed
Corticosteroid Therapy of Septic Shock - Corticus. A Multi-National, Prospective, Double-Blind, Randomized, Placebo-Controlled Study [NCT00147004]Phase 3500 participants (Actual)Interventional2002-03-31Completed
A Double-Blind, Double-Dummy, Two-Way Cross-Over, Randomised, Phase II Study of Efficacy, Safety and Tolerability of Modified-Release Hydrocortisones: Chronocort® Versus Plenadren®, in Adrenal Insufficiency [NCT05222152]Phase 267 participants (Anticipated)Interventional2021-11-23Active, not recruiting
A Randomized, Double-blind, Placebo-controlled, Multicenter, Parallel Group Study to Evaluate Safety and Efficacy of 25 mg Hydrocortisone Acetate Suppositories in the Treatment of Symptomatic Internal Hemorrhoids. [NCT03335774]Phase 2103 participants (Actual)Interventional2019-02-12Completed
Comparative Study Between Hydrocortisone and Mannitol in Treatment of Postdural Puncture Headache: a Randomized Double-blind Study [NCT02760862]Phase 450 participants (Actual)Interventional2014-10-31Completed
An Open Label Pilot Study to Investigate the Effects of Two Preparations of Hydrocortisone (Hydrocortisone 100mg/ml and Solu-Cortef) Injected Intramuscularly Into the Deltoid and Upper Thigh Muscle During the State of Hypocortisolaemia [NCT05350020]Phase 48 participants (Anticipated)Interventional2022-03-14Recruiting
Phase II Trial to Assess the Activity of Ketoconazole Plus GM-CSF in Patients With Prostate Cancer Progressive After Androgen Deprivation [NCT00309894]Phase 249 participants (Actual)Interventional2004-04-30Completed
Congenital Adrenal Hyperplasia: Innovative Once Daily Dual Release Hydrocortisone Treatment [NCT03760835]Phase 4150 participants (Anticipated)Interventional2016-08-11Recruiting
Continuous Subcutaneous Hydrocortisone Infusion in Congenital Adrenal Hyperplasia [NCT01771328]Phase 220 participants (Anticipated)Interventional2013-02-28Recruiting
Effect of Intravenous Hydrocortison on Post-ischemic Brachial Artery Dilation and on Thenar Oxygen Saturation in Adult Septic Shock. A Human Placebo-controlled Randomized Study. [NCT01817153]Phase 2/Phase 310 participants (Actual)Interventional2013-11-05Terminated(stopped due to not enough recruitment)
Continuous Subcutaneous Hydrocortisone Infusion In Addison's Disease and Type 1 Diabetes [NCT01840189]Phase 22 participants (Actual)Interventional2013-05-31Completed
A Phase II Study of Therapy for Pediatric Relapsed or Refractory Precursor B-Cell Acute Lymphoblastic Leukemia and Lymphoma [NCT01700946]Phase 280 participants (Actual)Interventional2013-04-15Completed
A Pilot Study Assessing the Use of Continuous Subcutaneous Hydrocortisone Infusion in the Treatment of Congenital Adrenal Hyperplasia [NCT01859312]Phase 28 participants (Actual)Interventional2013-05-06Completed
FAB LMB 96 -- Treatment of Mature B-CELL Lymphoma/Leukemia: A SFOP LMB 96/CCG 5961/UKCCSG NHL 9600 Cooperative Study [NCT00002757]Phase 31,148 participants (Actual)Interventional2001-06-30Completed
A Randomised Blinded Placebo Controlled Trial of Hydrocortisone in Critically Ill Patients With Septic Shock [NCT01448109]Phase 43,800 participants (Actual)Interventional2012-06-13Completed
A Phase I Trial of Temsirolimus (CCI-779, Pfizer, Inc.) in Combination With Etoposide and Cyclophosphamide in Children With Relapsed Acute Lymphoblastic Leukemia and Non-Hodgkins Lymphoma [NCT01614197]Phase 116 participants (Actual)Interventional2015-07-03Completed
Low-dose Cortisol in Chronic Posttraumatic Stress Disorder [NCT00362661]20 participants (Anticipated)Interventional2007-06-30Terminated(stopped due to Recruitment: Insufficient number of patients eligible for enrollment)
Prevalence of Neuroendocrine Dysfunction in the Pediatric Cardiopulmonary Bypass Patient [NCT00850720]3 participants (Actual)Observational2009-03-31Terminated(stopped due to Inability to recruit / logistic problems.)
HIGH INTENSITY, BRIEF DURATION CHEMOTHERAPY FOR DIFFUSE SMALL NONCLEAVED CELL LYMPHOMA AND THE L-3 SUBTYPE OF ALL: A PILOT STUDY OF A MULTIDRUG REGIMEN [NCT00002494]Phase 2134 participants (Actual)Interventional1992-05-31Completed
TREATMENT OF ISOLATED CNS RELAPSE OF ACUTE LYMPHOBLASTIC LEUKEMIA -- A PEDIATRIC ONCOLOGY GROUP-WIDE PHASE II STUDY [NCT00002704]Phase 2156 participants (Actual)Interventional1996-01-31Completed
Medical Research Council Working Party on Leukaemia in Childhood Acute Myeloid Leukaemia Trial 12 [NCT00003436]Phase 32,000 participants (Anticipated)Interventional1998-07-31Completed
A Phase 2, Open Label, Crossover Pharmacokinetic and Pharmacodynamic Study to Compare Chronocort Versus Cortef in Patients With CAH [NCT00519818]Phase 1/Phase 220 participants (Actual)Interventional2007-08-31Completed
Glucocorticoids After Traumatic Birth and the Associated Risk of Developing Posttraumatic Stress Disorder (PTSD): an Open Label Pilot Trial [NCT04852458]Phase 1133 participants (Actual)Interventional2021-05-21Completed
ALL Adult Consortium Trial: Adult ALL Trial [NCT00476190]Phase 2112 participants (Anticipated)Interventional2007-04-30Active, not recruiting
Corticosteroid Intralesional Injection as an Alternative Treatment in Oral Pyogenic Granuloma in the Esthetic Zone [NCT05534334]Phase 2/Phase 330 participants (Anticipated)Interventional2022-05-01Recruiting
Randomized Controlled Trial Comparing Low Dose and High Dose Steroids in Patients Undergoing Colorectal Surgery [NCT01559675]121 participants (Actual)Interventional2010-09-30Completed
Combined Use of Dexmedetomidine and Hydrocortisone to Prevent New Onset Atrial Fibrillation After Coronary Artery Bypass Grafting Surgery [NCT05674253]Early Phase 1248 participants (Anticipated)Interventional2022-12-25Recruiting
An Open Label, Partially Randomised, Single Dose, Crossover Study to Evaluate the PK, Oral Bioavailability and Relationship to Metabolic Parameters of Hydrocortisone and Infacort® in Healthy Adult Male Volunteers. [NCT01960530]Phase 114 participants (Actual)Interventional2013-10-31Completed
Phase 3 Study of Corticotherapy (Hydrocortisone Alone Versus Hydrocortisone Plus Fludrocortisone) Versus Corticotherapy Plus Intensive Insulin Therapy for Septic Shock [NCT00320099]Phase 3508 participants (Actual)Interventional2006-01-31Completed
AUTOLOGOUS, ALLOGENEIC, OR SYNGENEIC BONE MARROW TRANSPLANTATION IN HODGKIN'S DISEASE, NON-HODGKIN'S LYMPHOMA, AND MULTIPLE MYELOMA [NCT00002552]Phase 240 participants (Anticipated)Interventional1993-10-31Completed
A PHASE III STUDY IN CHILDREN WITH UNTREATED ACUTE MYELOGENOUS LEUKEMIA (AML) OR MYELODYSPLASTIC SYNDROME (MDS) [NCT00002798]Phase 3880 participants (Actual)Interventional1996-08-31Completed
EXTRAMEDULLARY RELAPSE AND OCCULT BONE MARROW INVOLVEMENT IN CHILDHOOD ACUTE LYMPHOBLASTIC LEUKEMIA: A PHASE III GROUP-WIDE STUDY [NCT00002816]Phase 3120 participants (Anticipated)Interventional1996-12-31Completed
Treatment of Newly Diagnosed Acute Lymphoblastic Leukemia in Infants Less Than 1 Year of Age. [NCT00002785]Phase 20 participants Interventional1996-07-31Completed
The Value of Dexamethasone Versus Prednisolone During Induction and Maintenance Therapy of Prolonged Versus Conventional Duration of L-Asparaginase Therapy During Consolidation and Late Intensification, and of Corticosteroid + VCR Pulses During Maintenanc [NCT00003728]Phase 31,500 participants (Anticipated)Interventional1998-12-31Active, not recruiting
PHASE III TRIAL OF ORCHIECTOMY/LHRH ANALOG + FLUTAMIDE + SURAMIN + HYDROCORTISONE VS ORCHIECTOMY/LHRH ANALOG + FLUTAMIDE IN PATIENTS WITH METASTATIC PROSTATE CANCER [NCT00002881]Phase 30 participants Interventional1996-10-31Completed
A Two-Part, Phase II Randomized Trial to Explore Topical Spironolactone to Prevent/Attenuate Rash From Epidermal Growth Factor Receptor Inhibitors (Panitumumab and Cetuximab) in Advanced Cancer Patients [NCT01867294]Phase 219 participants (Actual)Interventional2012-08-31Completed
Phase II Trial of Intensive, Short-Course Combination Chemotherapy in the Treatment of Newly Diagnosed Patients With Poor-Risk Nonlymphoblastic Lymphoma and Acute B-Lymphoblastic Leukemia and in Patients With Recurrent Non-Hodgkin's Lymphoma [NCT00002471]Phase 20 participants Interventional1990-02-28Completed
Evaluation of Suramin in Advanced Adrenal Cortical Carcinoma, Phase II [NCT00002921]Phase 213 participants (Actual)Interventional1997-03-31Terminated(stopped due to Permanently Closed Due to Lack of Accrual)
HYdrocortisone and VAsopressin in Post-REsuscitation Syndrome [NCT04591990]Phase 3380 participants (Anticipated)Interventional2021-05-27Recruiting
Effect of Postoperative Hydrocortisone on Cardiovascular and Respiratory Function in Neonates Undergoing Cardiopulmonary Bypass [NCT01595386]40 participants (Actual)Interventional2012-04-30Completed
Acute Myeloid Leukemia Salvage Therapy for Patients in First Relapse or Who Fail to Achieve an Initial Remission or Who Develop AML as a Second Malignant Neoplasm [NCT00002805]Phase 2115 participants (Actual)Interventional1997-08-31Completed
HIGH INTENSITY, BRIEF DURATION CHEMOTHERAPY FOR RELAPSED OR REFRACTORY ALL: A PHASE II STUDY OF A MULTIDRUG REGIMEN [NCT00002865]Phase 225 participants (Actual)Interventional1995-04-30Completed
Physiologic Effects of Stress Dose Corticosteroids in the Management of Inhospital Cardiac Arrest - CORTICA [NCT02790788]Phase 1/Phase 2100 participants (Actual)Interventional2016-11-04Completed
Effect of Stress-dose Steroids on Post-resuscitation Infectious (Septic) Complications After In-hospital Cardiac Arrest. Individual Patient Data-based Re-analysis of Synthesized Prior Randomized Clinical Trial Data [NCT02408939]191 participants (Actual)Observational2015-03-31Completed
Hormonal Mechanisms of Sleep Restriction - Axis Study [NCT03142893]Phase 180 participants (Anticipated)Interventional2017-05-08Active, not recruiting
The Use of Perioperative Steroids in Patients Undergoing Transsphenoidal Resection of Pituitary Tumors or Cysts [NCT02084134]43 participants (Actual)Interventional2012-03-31Completed
An Open-label, Single-arm, Single-center Study Evaluating the Hemodynamic Response to Angiotensin-II When Used as the Second Vasopressor Agent for Septic Shock [NCT06122987]Phase 450 participants (Anticipated)Interventional2023-12-31Not yet recruiting
A Phase II Study of Intrathecal and Systemic Chemotherapy With Radiation Therapy for Children With Central Nervous System Atypical Teratoid/Rhabdoid Tumor (AT/RT) Tumor [NCT00084838]Phase 225 participants (Actual)Interventional2003-02-28Completed
Pharmacokinetics of Hydrocortisone After Subcutaneous Administration Compared With Intramuscular Injection in Chronic Adrenal Insufficiency [NCT01450930]Phase 212 participants (Actual)Interventional2011-11-30Completed
Allogeneic Hematopoietic Cell Transplantation of Positively Selected CD34+ Cells and Defined Inoculum of T Cells From Related Haploidentical Donors for Older Patients With Indolent Hematologic Malignancies [NCT00185692]Phase 216 participants (Actual)Interventional2000-08-31Completed
3-Arm Randomized Placebo Controlled Double Blind Phase 3 Study to Evaluate Safety and Efficacy of Once-Daily and Twice-Daily Hydrocortisone Acetate 90 mg Suppository Administered With a Sephure Applicator in Subjects With Ulcerative Colitis [NCT04469686]Phase 3618 participants (Anticipated)Interventional2020-12-10Recruiting
A Phase III Randomized Trial for Newly Diagnosed High Risk B-Lymphoblastic Leukemia (B-ALL) Including a Stratum Evaluating Dasatinib (NSC#732517) in Patients With Ph-like Tyrosine Kinase Inhibitor (TKI) Sensitive Mutations [NCT02883049]Phase 35,937 participants (Actual)Interventional2012-02-29Active, not recruiting
A Phase 3 Study Comparing an Ointment Containing Calcipotriol 25 mcg/g Plus Hydrocortisone 10 mg g With Tacalcitol 4 mcg/g Ointment and the Ointment Vehicle Alone, All Applied Once Daily in the Treatment of Psoriasis Vulgaris on the Face and on the Intert [NCT00640822]Phase 3782 participants (Actual)Interventional2008-02-29Completed
Effect of Steroids Given Over 24 Hours on Cytokine Release, Urinary Desmosine Level and Thrombogenic Markers in Patients Undergoing Unilateral Total Hip Replacement [NCT01782859]40 participants (Actual)Interventional2012-10-31Completed
Low-dose Hydrocortisone in Patients With COVID-19 and Severe Hypoxia - the COVID STEROID Trial [NCT04348305]Phase 330 participants (Actual)Interventional2020-04-17Completed
A Randomized International Phase 3 Trial of Imatinib and Chemotherapy With or Without Blinatumomab in Patients With Newly-Diagnosed Philadelphia Chromosome-Positive or Philadelphia Chromosome-Like ABL-Class B-Cell Acute Lymphoblastic Leukemia [NCT06124157]Phase 3680 participants (Anticipated)Interventional2024-01-22Not yet recruiting
A Phase 3 Trial of Androgen Ablation Alone vs. Chemo/Hormonal Therapy as Initial Treatment of Unresectable/Metastatic Adenocarcinoma of the Prostate [NCT00002855]Phase 3306 participants (Actual)Interventional1996-08-31Completed
Standard Chemotherapy (CHOP Regimen) Versus Sequential High-Dose Chemotherapy With Autologous Stem Cell Transplantation in Patients With Newly Diagnosed Aggressive Non-Hodgkin's Lymphomas and Poor Prognostic Factors: A Randomized Phase III Study (MISTRAL) [NCT00003215]Phase 3400 participants (Anticipated)Interventional1997-04-30Completed
Treatment of Children With Down Syndrome (DS) and Acute Myeloid Leukemia (AML), Myelodysplastic Syndrome (MDS), and Transient Myeloproliferative Disorder (TMD): A Phase III Group-Wide Study [NCT00003593]Phase 3254 participants (Actual)Interventional1999-06-30Completed
Prospective Phase II Study of a High Dose, Short Course Regimen (R-CODOX-M/IVAC) Including CNS Penetration and Intensive IT Prophylaxis in HIV-Associated Burkitt's and Atypical Burkitt's Lymphoma [NCT00392834]Phase 234 participants (Actual)Interventional2006-09-30Completed
A Phase 3 Randomized Trial of Inotuzumab Ozogamicin (NSC#: 772518) for Newly Diagnosed High-Risk B-ALL; Risk-Adapted Post-Induction Therapy for High-Risk B-ALL, Mixed Phenotype Acute Leukemia, and Disseminated B-LLy [NCT03959085]Phase 34,772 participants (Anticipated)Interventional2019-10-31Recruiting
A Randomized, Controlled, Multi-Centre Trial on the Effects of Dual-release Hydrocortisone Preparations Versus Conventional Glucocorticoid Replacement Therapy in Patients Affected by Primary and Secondary Adrenal Insufficiency. DREAM Trial. [NCT02277587]Phase 489 participants (Actual)Interventional2014-03-31Completed
The Intra-Procedural Cortisol Assay During Adrenal Vein Sampling: Rationale andDesign of A Randomized Study (I-PADUA) [NCT03449797]200 participants (Anticipated)Interventional2018-04-01Not yet recruiting
International Protocol for the Treatment of Childhood Anaplastic Large Cell Lymphoma [NCT00006455]Phase 3885 participants (Actual)Interventional1999-11-26Completed
Hormonal Mechanisms of Sleep Restriction - Axis Study in Older Men and Postmenopausal Women [NCT04037605]Early Phase 15 participants (Actual)Interventional2020-02-09Active, not recruiting
Hormonal Mechanisms of Sleep Restriction [NCT02256865]Early Phase 140 participants (Actual)Interventional2014-10-31Completed
Difference in Mortality and Evolution in Septic Patients Treated With Vitamin C, Tiamine, Cyanocobalamine, Pyridoxine and Hydrocortisone Treated at the ICU of General Hospital Zone 11 IMSS Piedras Negras Coahuila. [NCT04197115]Phase 319 participants (Actual)Interventional2019-09-01Completed
Steroid Use in Pediatric Fluid and Vasoactive Infusion Dependent Shock - Pilot Study (STRIPES) [NCT02044159]Phase 457 participants (Actual)Interventional2014-07-31Completed
Effects of Glucocorticoid Combined With Vitamin C and Vitamin B1 Versus Hydrocortisone Alone on Microcirculation in Severe Septic Shock [NCT03821714]22 participants (Actual)Interventional2019-02-01Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

TrialOutcome
NCT00057811 (4) [back to overview]Toxic Death
NCT00057811 (4) [back to overview]Response Rate
NCT00057811 (4) [back to overview]Minimal Residual Disease
NCT00057811 (4) [back to overview]Grade ≥ 3 Stomatitis
NCT00084838 (19) [back to overview]Grade 3-4 Gastrointestinal Events
NCT00084838 (19) [back to overview]Grade 3-4 Hemorrhage Events
NCT00084838 (19) [back to overview]Grade 3-4 Hepatic Events
NCT00084838 (19) [back to overview]2-yr Overall Survival
NCT00084838 (19) [back to overview]Grade 3-4 Infection/Febrile Neutropenia Events
NCT00084838 (19) [back to overview]Grade 3-4 Metabolic/Laboratory Events
NCT00084838 (19) [back to overview]Grade 3-4 Muscloskeletal Events
NCT00084838 (19) [back to overview]Grade 3-4 Neurology Events
NCT00084838 (19) [back to overview]Grade 3-4 Pain Events
NCT00084838 (19) [back to overview]Grade 3/4 Events
NCT00084838 (19) [back to overview]Grade 3-4 Dermatology Events
NCT00084838 (19) [back to overview]Grade 3-4 Pulmonary Events
NCT00084838 (19) [back to overview]Grade 3-4 Renal/Genitourinary Events
NCT00084838 (19) [back to overview]Grade 3-4 Constitutional Events
NCT00084838 (19) [back to overview]Grade 3-4 Cardiovascular Events
NCT00084838 (19) [back to overview]Grade 3-4 Blood/Bone Marrow Events
NCT00084838 (19) [back to overview]Grade 3-4 Auditory/Hearing Events
NCT00084838 (19) [back to overview]Grade 3-4 Allergy/Immunology
NCT00084838 (19) [back to overview]Pre-Radiation Therapy Chemotherapeutic Response
NCT00096135 (1) [back to overview]Event-free Survival
NCT00098839 (4) [back to overview]Remission Re-induction (CR2) Rate
NCT00098839 (4) [back to overview]Pharmacokinetics
NCT00098839 (4) [back to overview]Rate of Minimal Residual Disease (MRD) < 0.01%
NCT00098839 (4) [back to overview]Event-free Survival Rate
NCT00185692 (2) [back to overview]Acute Graft-versus-Host Disease (GVHD) Grade 2-4 Risk From Time of Transplant Until Day 90 Post-transplant
NCT00185692 (2) [back to overview]Engraftment of Haploidentical CD34+ Selected Blood Stem Cells in Older Patients or Those With Medical Co-morbidities Following Total Lymphoid Irradiation and Antithymocyte Globulin Transplant Conditioning
NCT00354107 (1) [back to overview]Response
NCT00392834 (1) [back to overview]Overall Survival (OS) at 1 Year
NCT00400946 (10) [back to overview]Induction Infection Toxicity Rate
NCT00400946 (10) [back to overview]Post-Induction Therapeutic Nadir Serum Asparaginase Activity Rate
NCT00400946 (10) [back to overview]Induction Therapeutic Nadir Serum Asparaginase Activity Rate
NCT00400946 (10) [back to overview]Post-Induction Nadir Serum Asparaginase Activity Level
NCT00400946 (10) [back to overview]5-Year Disease-Free Survival by Bone Marrow Day 18 Status
NCT00400946 (10) [back to overview]5-year Disease-Free Survival by CNS Directed Treatment Group
NCT00400946 (10) [back to overview]5-Year Disease-Free Survival by MRD Day 32 Status
NCT00400946 (10) [back to overview]Asparaginase-Related Toxicity Rate
NCT00400946 (10) [back to overview]Induction Serum Asparaginase Activity Level
NCT00400946 (10) [back to overview]5-Year Disease-Free Survival
NCT00405288 (12) [back to overview]Neonatal Health
NCT00405288 (12) [back to overview]Neonatal Health Concerns-infections
NCT00405288 (12) [back to overview]Prematurity
NCT00405288 (12) [back to overview]Respiratory Neonatal Health Concerns
NCT00405288 (12) [back to overview]Skin Conditions in Neonatal Period
NCT00405288 (12) [back to overview]Other Neonatal Health Concerns
NCT00405288 (12) [back to overview]Birth-weight
NCT00405288 (12) [back to overview]Gestational Age at Delivery
NCT00405288 (12) [back to overview]Cardiovascular Neonatal Health Concerns in the First Two Weeks After Birth
NCT00405288 (12) [back to overview]Fetal Distress
NCT00405288 (12) [back to overview]Low Birth Weight at Birth
NCT00405288 (12) [back to overview]Mode of Delivery
NCT00460031 (5) [back to overview]Number of Patients With a Partial Response, Progressive Disease, or Stable Disease Based on Prostate-Specific Antigen (PSA) or Measurable Disease
NCT00460031 (5) [back to overview]Time to Progression
NCT00460031 (5) [back to overview]Ratio of Change in Immune Response From Baseline
NCT00460031 (5) [back to overview]Change in Immune Response From Baseline
NCT00460031 (5) [back to overview]Number of Patients With Grade 3 and 4 Toxicity as Assessed by NCI CTCAE v3.0
NCT00519818 (2) [back to overview]17 Hydroxyprogesterone at 08.00 Hours
NCT00519818 (2) [back to overview]Chronocort vs. Cortef Cortisol Concentrations (AUC Over 24 Hours - Time Points 0,.5,1,1.5,2,3,4,5,6,7,8,10,10.5,11, 11.5,12,13,15,17,17.5,18,18.5,19,20,22,24 Post Dose).
NCT00536991 (4) [back to overview]Determine the Maximum Tolerated Dose (MTD)
NCT00536991 (4) [back to overview]Incidence of Toxicity Graded According to the National Cancer Institute CTC Version 3.0
NCT00536991 (4) [back to overview]Objective Tumor Response, Assessed by RECIST
NCT00536991 (4) [back to overview]PSA Response Rate
NCT00557193 (10) [back to overview]Percent Probability of Event Free Survival (EFS) by MRD Status and Treatment Arm
NCT00557193 (10) [back to overview]Pharmacodynamics PIA Levels in Infants Given Lestaurtinib at DL2 in Combination With Chemotherapy
NCT00557193 (10) [back to overview]Percent Probability for Event-free Survival (EFS) of MLL-R Infants Treated With Combination Chemotherapy With or Without Lestaurtinib at DL2
NCT00557193 (10) [back to overview]Percent Probability for Event-free Survival (EFS) for Patients on Arm C at Dose Level 2 (DL2)
NCT00557193 (10) [back to overview]Percent Probability for Event-free Survival (EFS) for Patients on Arm A
NCT00557193 (10) [back to overview]Number of Patients Who Experienced Lestaurtinib-related Dose Limiting Toxicity (DLT)
NCT00557193 (10) [back to overview]Describe in Vitro Sensitivity as a Molecular Mechanism of Primary Resistance to Lestaurtinib in Leukemic Blasts
NCT00557193 (10) [back to overview]Describe in Vitro Sensitivity as a Molecular Mechanism of Acquired Resistance to Lestaurtinib in Leukemic Blasts
NCT00557193 (10) [back to overview]Describe FLT3 Protein Expression as a Molecular Mechanism of Acquired Resistance to Lestaurtinib in Leukemic Blasts
NCT00557193 (10) [back to overview]Describe FLT3 Protein Expression as a Molecular Mechanism of Primary Resistance to Lestaurtinib in Leukemic Blasts
NCT00640822 (1) [back to overview]Subjects With Controlled Disease According to the Investigator Assessment of the Face at Week 8
NCT00691002 (5) [back to overview]"Participants With Controlled Disease According to the IGA of Disease Severity of the Face at Week 4 (Visit 4) in the Double-blind Phase"
NCT00691002 (5) [back to overview]"Participants With Success According to Total Sign Score of the Intertriginous Areas at Week 8 (Visit 6) in the Double-blind Phase"
NCT00691002 (5) [back to overview]"Participants With Success According to Total Sign Score (TSS) of the Face at Week 8 (Visit 6) in the Double-blind Phase"
NCT00691002 (5) [back to overview]"Participants With Controlled Disease According to the Investigator's Global Assessment(IGA) of Disease Severity of the Face at Week 8 (Visit 6) in the Double-blind Phase"
NCT00691002 (5) [back to overview]"Participants With Controlled Disease According to the IGA of Disease Severity of the Intertriginous Areas at Week 8 (Visit 6) in the Double-blind Phase"
NCT00693693 (1) [back to overview]Adherence to Locoid
NCT00720109 (5) [back to overview]Percent of Patients MRD Positive (MRD > 0.01%) at End of Consolidation
NCT00720109 (5) [back to overview]Contribution of Dasatinib on Minimal Residual Disease (MRD) After Induction Therapy
NCT00720109 (5) [back to overview]Feasibility and Toxicity of an Intensified Chemotherapeutic Regimen Incorporating Dasatinib for Treatment of Children and Adolescents With Ph+ ALL Assessed by Examining Adverse Events
NCT00720109 (5) [back to overview]Overall EFS Rate for the Combined Cohort of Standard- and High-Risk Patients (Who Receive the Final Chosen Dose of Dasatinib)
NCT00720109 (5) [back to overview]Event-Free Survival (EFS) of Patients With Standard-risk Disease Treated With Dasatinib in Combination With Intensified Chemotherapy
NCT00873093 (7) [back to overview]Rate of Minimal Residual Disease (MRD) < 0.01% at End Block 1
NCT00873093 (7) [back to overview]Event Free Survival
NCT00873093 (7) [back to overview]Toxic Death Rate
NCT00873093 (7) [back to overview]Severe Adverse Events (SAE) Rate.
NCT00873093 (7) [back to overview]Second Complete Remission Rate at the End of Block 1 Reinduction Chemotherapy
NCT00873093 (7) [back to overview]Rate of Minimal Residual Disease (MRD) < 0.01% at End Block 3
NCT00873093 (7) [back to overview]Rate of Minimal Residual Disease (MRD) < 0.01% at End Block 2
NCT00915343 (40) [back to overview]Area Under the Concentration Time Curve During a Dosing Interval at Steady State (AUCtau) of S-cortisol in Plasma After Single and Multiple Dosing During Part A
NCT00915343 (40) [back to overview]Area Under the Concentration Time Curve During a Dosing Interval at Steady State Adjusted by Dose (AUCtau/Dose) of S-cortisol in Plasma After Single and Multiple Dosing During Part A
NCT00915343 (40) [back to overview]Area Under the Concentration Time Curve From Zero to 10 Hours Adjusted by Dose (AUC0-10h/Dose) of S-cortisol in Plasma After Single and Multiple Dosing During Part A
NCT00915343 (40) [back to overview]Area Under the Concentration Time Curve From Zero to 24 Hours (AUC0-24h) of Total S-cortisol in Plasma After Multiple Doses During Part A
NCT00915343 (40) [back to overview]Area Under the Concentration Time Curve From Zero to 24 Hours Adjusted by Dose (AUC0-24h/Dose) of S-cortisol in Plasma After Single and Multiple Dosing During Part A
NCT00915343 (40) [back to overview]Area Under the Concentration Time Curve From Zero to 4 Hours Adjusted by Dose (AUC0-4h/Dose) of S-cortisol in Plasma After Single and Multiple Dosing During Part A
NCT00915343 (40) [back to overview]Average Concentration of S-cortisol During the Dosing Interval at Steady State (Css,av) in Plasma After Single and Multiple Dosing During Part A
NCT00915343 (40) [back to overview]Average Concentration of S-cortisol During the Dosing Interval at Steady State Adjusted by Dose (Css,av/Dose) in Plasma After Single and Multiple Dosing During Part A
NCT00915343 (40) [back to overview]Change From Baseline to 12 Weeks in Diurnal Fatigue Questionnaire for Day Average of Once Daily Therapy - Part A
NCT00915343 (40) [back to overview]Change From Baseline to 6 Months in Diurnal Fatigue Questionnaire for Day Average- Part B
NCT00915343 (40) [back to overview]Change From Baseline to 6 Months in Quality of Life (QoL) Assessed by Fatigue Impact Scale (FIS) Total Score - Part B
NCT00915343 (40) [back to overview]Change From Baseline to 6 Months in Quality of Life (QoL) Assessed by Psychological General Well Being (PGWB) Total Scores- Part B
NCT00915343 (40) [back to overview]Comparison of Quality of Life (QoL) Assessed by Fatigue Impact Scale (FIS) Total Score Between Once Daily and Thrice Daily Therapy - Part A
NCT00915343 (40) [back to overview]Comparison of Quality of Life (QoL) Assessed by Psychological General Well Being (PGWB) Total Scores Between Once Daily and Thrice Daily Therapy- Part A
NCT00915343 (40) [back to overview]Comparison on 24-hour Urinary Free Cortisol Between Once Daily and Thrice Daily Therapy-Part A
NCT00915343 (40) [back to overview]Comparison on Participant Compliance Between Once Daily and Thrice Daily Therapy - Part A
NCT00915343 (40) [back to overview]Concentration at 6 Hours (C6h) of S-cortisol in Plasma After Single and Multiple Dosing During Part A
NCT00915343 (40) [back to overview]Concentration at 7 Hours (C7h) of S-cortisol in Plasma After Single and Multiple Dosing During Part A
NCT00915343 (40) [back to overview]Drug Concentration Half-Life From 5 to 14 Hours (t1/2[5-14h]) of S-cortisol in Plasma After Single and Multiple Dosing During Part A
NCT00915343 (40) [back to overview]Drug Concentration Half-Life From 5 to 24 Hours (t1/2[5-24h]) of S-cortisol in Plasma After Single and Multiple Dosing During Part A
NCT00915343 (40) [back to overview]First Detectable Concentration (Cfirst) of S-cortisol in Plasma After Single and Multiple Dosing During Part A
NCT00915343 (40) [back to overview]First Detectable Concentration Adjusted by Dose (Cfirst/Dose) of S-cortisol in Plasma After Single and Multiple Dosing During Part A
NCT00915343 (40) [back to overview]Maximal Concentration (Cmax1) of S-cortisol in Plasma After Single and Multiple Dosing During Part A
NCT00915343 (40) [back to overview]Maximal Concentration (Cmax2) of S-cortisol in Plasma After Single and Multiple Dosing During Part A
NCT00915343 (40) [back to overview]Maximal Concentration Adjusted by Dose (Cmax1/Dose) of S-cortisol in Plasma After Single and Multiple Dosing During Part A
NCT00915343 (40) [back to overview]Participant Compliance- Part B
NCT00915343 (40) [back to overview]Percentage (%) of Area Under the Concentration Time Curve (AUC) Extrapolation of S-cortisol in Plasma After Single and Multiple Dosing During Part A
NCT00915343 (40) [back to overview]Percentage (%) of Fluctuation in Concentrations of S-cortisol at Steady State in Plasma After Single and Multiple Dosing During Part A
NCT00915343 (40) [back to overview]Time to First Detectable Concentration (Tfirst) of S-cortisol in Plasma After Single and Multiple Dosing During Part A
NCT00915343 (40) [back to overview]Time to First Detectable Concentration Adjusted by Dose (Tfirst/Dose) of S-cortisol in Plasma After Single and Multiple Dosing During Part A
NCT00915343 (40) [back to overview]Time to Peak Plasma Concentration (Tmax1) of S-cortisol in Plasma After Single and Multiple Dosing During Part A
NCT00915343 (40) [back to overview]Time to Peak Plasma Concentration (Tmax2) of S-cortisol in Plasma After Single and Multiple Dosing During Part A
NCT00915343 (40) [back to overview]Time to Reach a Concentration of 200 Nanometers (nM) (T200) of S-cortisol in Plasma After Single and Multiple Dosing During Part A
NCT00915343 (40) [back to overview]Area Under the Concentration Time Curve (AUC) Between Specified Timepoints of Total S-cortisol in Plasma After Single and Multiple Dosing During Part A
NCT00915343 (40) [back to overview]Change From Baseline to 6 Months in Quality of Life (QoL) Assessed by Short Form-36 Survey (SF-36) For Physical and Mental Component Score - Part B
NCT00915343 (40) [back to overview]Comparison of Overall Patient Tolerability Score Between Once Daily and Thrice Daily Therapy, Assessed by Patient and Investigator - Part A
NCT00915343 (40) [back to overview]Comparison of Quality of Life (QoL) Assessed by Short Form-36 Survey (SF-36) For Physical and Mental Component Score Between Once Daily and Thrice Daily Therapy- Part A
NCT00915343 (40) [back to overview]Comparison on Participant Preference by Questionnaire Between Once Daily and Thrice Daily Therapy-Part A
NCT00915343 (40) [back to overview]Percentage (%) of Participants With Change From Baseline in Patient Tolerability Questionnaire at Month 6, Assessed by Patient and Investigator - Part B
NCT00915343 (40) [back to overview]Accumulation Ratio (Rac) of S-cortisol in Plasma After Single and Multiple Dosing During Part A
NCT01559675 (1) [back to overview]Orthostatic Hypotension
NCT01595386 (11) [back to overview]Average Inotrope Score
NCT01595386 (11) [back to overview]CICU Length of Stay
NCT01595386 (11) [back to overview]Changes in Baseline Arterial-venous Oxygen Saturation Difference
NCT01595386 (11) [back to overview]Incidence of Low Cardiac Output Syndrome (LCOS)
NCT01595386 (11) [back to overview]Changes in Baseline Inflammatory Mediators
NCT01595386 (11) [back to overview]ACTH Stimulation Test
NCT01595386 (11) [back to overview]Time Until First Extubation
NCT01595386 (11) [back to overview]Mortality
NCT01595386 (11) [back to overview]Mean Number of Days Subjects Alive and Ventilator Free
NCT01595386 (11) [back to overview]Hospital Length of Stay
NCT01595386 (11) [back to overview]Fluid Balance
NCT01614197 (1) [back to overview]Minimum Residual Disease (MRD) Levels Present at End of Cycle 1 Therapy in Patients
NCT01700946 (4) [back to overview]3-year Overall Survival Rate of Patients With Relapsed ALL
NCT01700946 (4) [back to overview]Mean of CD20 Expression Levels
NCT01700946 (4) [back to overview]3-year Event-free Survival Rates in Patients With Relapsed ALL
NCT01700946 (4) [back to overview]Median CD20 Expression Levels
NCT01782859 (4) [back to overview]Serum Prothrombin Fragment 1 and 2 (PF 1.2)
NCT01782859 (4) [back to overview]Plasmin-a 2 Antiplasmin Complex (PAP)
NCT01782859 (4) [back to overview]Interleukin (IL)-6 Cytokine Release (Inflammatory Marker)
NCT01782859 (4) [back to overview]Pain at 3 Months Post-op
NCT01859312 (44) [back to overview]Participants Mean Level of ACTH Area Under the Curve (AUC) - Midday (1500 - 2300)
NCT01859312 (44) [back to overview]Participants Mean Level of ACTH Area Under the Curve (AUC) - Nighttime (2300 - 0700)
NCT01859312 (44) [back to overview]Participants Mean Level of ACTH at 0700
NCT01859312 (44) [back to overview]Participants Mean Level of ACTH at 0700
NCT01859312 (44) [back to overview]Participants Mean Level of Androstenedione Area Under the Curve (AUC) - 24 Hours
NCT01859312 (44) [back to overview]Participants Mean Level of Androstenedione Area Under the Curve (AUC) - 24 Hours
NCT01859312 (44) [back to overview]Participants Mean Level of Androstenedione Area Under the Curve (AUC) - Daytime (0700-1500)
NCT01859312 (44) [back to overview]Participants Mean Level of Androstenedione Area Under the Curve (AUC) - Daytime (0700-1500)
NCT01859312 (44) [back to overview]Participants Mean Level of Androstenedione Area Under the Curve (AUC) - Midday (1500 - 2300)
NCT01859312 (44) [back to overview]Participants Mean Level of Androstenedione Area Under the Curve (AUC) - Midday (1500 - 2300)
NCT01859312 (44) [back to overview]Participants Mean Level of Androstenedione Area Under the Curve (AUC) - Nighttime (2300 - 0700)
NCT01859312 (44) [back to overview]Participants Mean Level of Progesterone Area Under the Curve (AUC) - Nighttime (2300 - 0700)
NCT01859312 (44) [back to overview]Participants Mean Level of ACTH Area Under the Curve (AUC) - Nighttime (2300 - 0700)
NCT01859312 (44) [back to overview]Participants Mean Level of Androstenedione Area Under the Curve (AUC) - Nighttime (2300 - 0700)
NCT01859312 (44) [back to overview]Participants Mean Level of Androstenedione at 0700
NCT01859312 (44) [back to overview]Participants Mean Level of Androstenedione at 0700
NCT01859312 (44) [back to overview]Participants Mean Level of Progesterone Area Under the Curve (AUC) - 24 Hours
NCT01859312 (44) [back to overview]Participants Mean Level of Progesterone Area Under the Curve (AUC) - 24 Hours
NCT01859312 (44) [back to overview]Participants Mean Level of Progesterone Area Under the Curve (AUC) - Daytime (0700-1500)
NCT01859312 (44) [back to overview]Participants Mean Level of Progesterone Area Under the Curve (AUC) - Daytime (0700-1500)
NCT01859312 (44) [back to overview]Participants Mean Level of Progesterone Area Under the Curve (AUC) - Midday (1500 - 2300)
NCT01859312 (44) [back to overview]Participants Mean Level of Progesterone Area Under the Curve (AUC) - Midday (1500 - 2300)
NCT01859312 (44) [back to overview]Participants Mean Level of Progesterone Area Under the Curve (AUC) - Nighttime (2300 - 0700)
NCT01859312 (44) [back to overview]Participants Mean Progesterone Levels at 0700
NCT01859312 (44) [back to overview]Participants Mean Progesterone Level at 0700
NCT01859312 (44) [back to overview]Number of Patients With 17-OH Progesterone Levels Equal or Below 1,200 ng/dL at 0700
NCT01859312 (44) [back to overview]Number of Patients With 17-OHP Levels Equal or Below 1,200 ng/dL at 0700
NCT01859312 (44) [back to overview]Participant Lean Body Mass
NCT01859312 (44) [back to overview]Participant Lean Body Mass
NCT01859312 (44) [back to overview]Participants Mean Level of 17-OHP Area Under the Curve (AUC) - 24 Hours
NCT01859312 (44) [back to overview]Participants Mean Level of 17-OHP Area Under the Curve (AUC) - 24 Hours
NCT01859312 (44) [back to overview]Participants Mean Level of 17-OHP Area Under the Curve (AUC) - Daytime (0700-1500)
NCT01859312 (44) [back to overview]Participants Mean Level of 17-OHP Area Under the Curve (AUC) - Daytime (0700-1500)
NCT01859312 (44) [back to overview]Participants Mean Level of 17-OHP Area Under the Curve (AUC) - Midday (1500 - 2300)
NCT01859312 (44) [back to overview]Participants Mean Level of 17-OHP Area Under the Curve (AUC) - Midday (1500 - 2300)
NCT01859312 (44) [back to overview]Participants Mean Level of 17-OHP Area Under the Curve (AUC) - Nighttime (2300 - 0700)
NCT01859312 (44) [back to overview]Participants Mean Level of 17-OHP Area Under the Curve (AUC) - Nighttime (2300 - 0700)
NCT01859312 (44) [back to overview]Participants Mean Level of 17-OHP at 0700
NCT01859312 (44) [back to overview]Participants Mean Level of 17-OHP at 0700
NCT01859312 (44) [back to overview]Participants Mean Level of ACTH Area Under the Curve (AUC) - 24 Hours
NCT01859312 (44) [back to overview]Participants Mean Level of ACTH Area Under the Curve (AUC) - 24 Hours
NCT01859312 (44) [back to overview]Participants Mean Level of ACTH Area Under the Curve (AUC) - Daytime (0700-1500)
NCT01859312 (44) [back to overview]Participants Mean Level of ACTH Area Under the Curve (AUC) - Daytime (0700-1500)
NCT01859312 (44) [back to overview]Participants Mean Level of ACTH Area Under the Curve (AUC) - Midday (1500 - 2300)
NCT01867294 (4) [back to overview]Percentage of Patients in the Spironolactone Arm Who Complete the 4-week Study Intervention (Study I)
NCT01867294 (4) [back to overview]Number of Patients Reporting a Grade 2+ Adverse Event Attributed to Spironolactone (Study I)
NCT01867294 (4) [back to overview]Incidence of Truncal/Extremity Rash of Any Grade in Patients in the Spironolactone Arm (Study I)
NCT01867294 (4) [back to overview]Efficacy of Spironolactone and Placebo Measured by the Use of the Brief Pictorial Rash Incidence Questionnaire (Study I)
NCT01960530 (6) [back to overview]PK and Metabolism of Cortisol
NCT01960530 (6) [back to overview]Maximum Serum Concentration (Cmax)
NCT01960530 (6) [back to overview]Insulin Sensitivity Under Physiological Conditions and After Administration of Dexamethasone and Infacort®, Hydrocortisone Tablets and i.v Hydrocortisone.
NCT01960530 (6) [back to overview]Concentrations of Cortisol Binding Protein
NCT01960530 (6) [back to overview]AUC0-t
NCT01960530 (6) [back to overview]Adverse Events (AEs)
NCT02044159 (8) [back to overview]Number of Participants With Incidence of Adverse Events and Mortality in the Full Cohort
NCT02044159 (8) [back to overview]1c. Discontinuation of Study Drug When Off All Vasoactive Medications
NCT02044159 (8) [back to overview]1a. Time to Administration of the First Dose of Study Drug
NCT02044159 (8) [back to overview]1b. Weaning of Study Drug to q8h When Patient is Hemodynamically Stable
NCT02044159 (8) [back to overview]Percentage of Patients for Whom Blood Samples Are Sent, and Successfully Received and Analyzed in Their Respective Labs
NCT02044159 (8) [back to overview]Time to Discontinuation of Vasoactive Infusions
NCT02044159 (8) [back to overview]Number of Patients Started on Open Label Steroids by the Treating Physician
NCT02044159 (8) [back to overview]Patient Accrual Rate Over One Year (% of Target Sample Size Achieved)
NCT02084134 (2) [back to overview]Percentage of Patients Discharged on Glucocorticoids
NCT02084134 (2) [back to overview]Number of Participants With Adrenal Insufficiency
NCT02101853 (4) [back to overview]Overall Survival (OS) of LR Relapse Patients
NCT02101853 (4) [back to overview]Disease Free Survival (DFS) of High-risk (HR) and Intermediate-risk (IR) Relapse Patients
NCT02101853 (4) [back to overview]Disease Free Survival (DFS) of Low Risk (LR) Relapse Patients
NCT02101853 (4) [back to overview]Overall Survival (OS) of HR and IR Relapse Patients
NCT02112916 (6) [back to overview]EFS for Very High Risk (VHR) T-LLy Patients Treated With HR Berlin-Frankfurt-Munster (BFM) Intensification Blocks Who Have Complete or Partial Remission and Those Who do Not Respond
NCT02112916 (6) [back to overview]EFS for Standard (SR) and Intermediate Risk (IR) T-ALL Patients on the Non-bortezomib Containing Arm on This Study (no Cranial Radiation Therapy [CRT]) and Similar Patients on AALL0434 (Received CRT)
NCT02112916 (6) [back to overview]Event-free Survival (EFS) for Modified Augmented Berlin-Frankfurt-Munster Backbone With or Without Bortezomib in All Randomized Patients
NCT02112916 (6) [back to overview]EFS for Very High Risk (VHR) T-ALL Patients Treated With High Risk (HR) Berlin-Frankfurt-Munster (BFM) Intensification Blocks Who Become Minimal Residual Disease (MRD) Negative and Those Who Remain MRD Positive at the End of HR Block 3
NCT02112916 (6) [back to overview]Toxicity Rates Associated With Modified Standard Therapy, Including Dexamethasone and Additional Pegaspargase
NCT02112916 (6) [back to overview]Cumulative Incidence Rates of Isolated Central Nervous System (CNS) Relapse for SR and IR T-ALL Patients on the Non-bortezomib Containing Arm on This Study (no CRT) and Similar Patients on AALL0434 (Receive CRT)
NCT02408068 (6) [back to overview]Comparison of Fed and Fasted Chronocort AUC0-t
NCT02408068 (6) [back to overview]Chronocort Cmax
NCT02408068 (6) [back to overview]Bioavailability of Chronocort® vs Hydrocortisone Tablets - Fasted Using AUC0-t
NCT02408068 (6) [back to overview]Bioavailability of Chronocort® vs Hydrocortisone Tablets - Cmax
NCT02408068 (6) [back to overview]Bioavailability of Chronocort® vs Hydrocortisone Tablets - Fasted Using Tmax.
NCT02408068 (6) [back to overview]Comparison of Fed and Fasted Chronocort Tmax
NCT02481310 (2) [back to overview]12-month PFS (Progression Free Survival) of Treatment With Ixazomib in Combination With DA-EPOCH-R (Phase II)
NCT02481310 (2) [back to overview]To Determine the Recommended Phase II Dose (RP2D) of Ixazomib in Combination With DA-EPOCH-R.
NCT02716818 (6) [back to overview]Number of Participants With 17-OHP and A4 Levels in the Optimal Range at 9:00 at Week 24 Visit
NCT02716818 (6) [back to overview]Changes Relative to Standard Glucocorticoid Therapy in Body Composition (DEXA - Bone Mineral Density) - Measured at All Sites Except Germany.
NCT02716818 (6) [back to overview]Change From Baseline to 24 Weeks of the Mean of the 24-hour Standard Deviation Score (SDS) Profile for A4
NCT02716818 (6) [back to overview]Change From Baseline to 24 Weeks of the Mean of the 24-hour Standard Deviation Score (SDS) Profile for 17-OHP
NCT02716818 (6) [back to overview]17-OHP and A4 by Individual Baseline Treatment Strata.
NCT02716818 (6) [back to overview]Changes Relative to Standard Glucocorticoid Therapy in Body Composition (DEXA - Fat Mass and Lean Mass)
NCT02760862 (1) [back to overview]Number of Patients (in Digits) Got Earlier Relief of PDPH (in Hours) After Use of Hydrocortisone or Mannitol.
NCT02790788 (22) [back to overview]Early Postresuscitation Arterial Blood Pressure (mmHg) Measured Through Institution of Invasive Intra-arterial Pressure Monitoring (as Feasible).
NCT02790788 (22) [back to overview]Early Postresuscitation Arterial Blood Pressure (mmHg) Measured Through Institution of Invasive Intra-arterial Pressure Monitoring.
NCT02790788 (22) [back to overview]Early Postresuscitation Arterial Blood Pressure (mmHg) Measured Through Institution of Invasive Intra-arterial Pressure Monitoring.
NCT02790788 (22) [back to overview]Early Postresuscitation Arterial Blood Pressure (mmHg) Measured Through Institution of Invasive Intra-arterial Pressure Monitoring.
NCT02790788 (22) [back to overview]Early Postresuscitation Cardiac Output (L/Min) Measured by Either Pulse Index Continuous Cardiac Output (PiCCO) or a Continuous Cardiac Output (CCO) Thermodilution Pulmonary Artery Catheter.
NCT02790788 (22) [back to overview]Early Postresuscitation Cardiac Output (L/Min) Measured by Either Pulse Index Continuous Cardiac Output (PiCCO) or a Continuous Cardiac Output (CCO) Thermodilution Pulmonary Artery Catheter.
NCT02790788 (22) [back to overview]Early Postresuscitation Cardiac Output (L/Min) Measured by Either Pulse Index Continuous Cardiac Output (PiCCO) or a Continuous Cardiac Output (CCO) Thermodilution Pulmonary Artery Catheter.
NCT02790788 (22) [back to overview]Early Postresuscitation Cardiac Output (L/Min) Measured by Either Pulse Index Continuous Cardiac Output (PiCCO) or a Continuous Cardiac Output (CCO) Thermodilution Pulmonary Artery Catheter.
NCT02790788 (22) [back to overview]Early Postresuscitation Central Venous Oxygen Saturation (%) Measured in Blood Samples Obtained Through a Central Venous Catheter Port (as Feasible).
NCT02790788 (22) [back to overview]Early Postresuscitation Central Venous Oxygen Saturation (%) Measured in Blood Samples Obtained Through a Central Venous Catheter Port.
NCT02790788 (22) [back to overview]Early Postresuscitation Central Venous Oxygen Saturation (%) Measured in Blood Samples Obtained Through a Central Venous Catheter Port.
NCT02790788 (22) [back to overview]Early Postresuscitation Central Venous Oxygen Saturation (%) Measured in Blood Samples Obtained Through a Central Venous Catheter Port.
NCT02790788 (22) [back to overview]Organ Failure-free Days.
NCT02790788 (22) [back to overview]Survival to Hospital Discharge With Favorable Functional Outcome.
NCT02790788 (22) [back to overview]Cerebral Blood Flow Index by Near Infrared Spectroscopy With Indocyanine Green.
NCT02790788 (22) [back to overview]Early Postresuscitation Inflammatory Response as Assessed by Serum Cytokine Levels (pg/mL).
NCT02790788 (22) [back to overview]Eccentricity Index by Echocardiography.
NCT02790788 (22) [back to overview]Left and Right Ventricular Diastolic Area (cm^2) by Echocardiography.
NCT02790788 (22) [back to overview]Steroid-associated Complications.
NCT02790788 (22) [back to overview]Core Body Temperature in Degrees Celcius.
NCT02790788 (22) [back to overview]Early Postresuscitation Arterial Blood Pressure (mmHg) Measured Through Institution of Invasive Intra-arterial Pressure Monitoring (as Feasible).
NCT02790788 (22) [back to overview]Left and Right Ventricular Ejection Fraction (%) by Echocardiography.
NCT02828358 (5) [back to overview]Biologic Activity, Defined as Global Deoxyribonucleic Acid (DNA) Methylation Change in Peripheral Blood Mononuclear Cells (PBMC)s; Day 5 of Second Course of Azacitidine
NCT02828358 (5) [back to overview]Tolerability of Azacitidine in Combination With Interfant-06 Standard Chemotherapy in Evaluable Infant Patients With Newly Diagnosed ALL With KMT2A Gene Rearrangement (KMT2A-R). KMT2A Gene Rearrangement (KMT2A-R)
NCT02828358 (5) [back to overview]Biologic Activity, Defined as Global Deoxyribonucleic Acid (DNA) Methylation Change in Peripheral Blood Mononuclear Cells (PBMC)s; Day 5 of First Course of Azacitidine
NCT02828358 (5) [back to overview]Biologic Activity, Defined as Global Deoxyribonucleic Acid (DNA) Methylation Change in Peripheral Blood Mononuclear Cells (PBMC)s; Day 1 Prior to Second Course of Azacitidine
NCT02828358 (5) [back to overview]Biologic Activity, Defined as Global Deoxyribonucleic Acid (DNA) Methylation Change in Peripheral Blood Mononuclear Cells (PBMC)s; Day 1 Prior to First Course of Azacitidine
NCT03335774 (2) [back to overview]Reduction in Swelling
NCT03335774 (2) [back to overview]Reduction in Itching Severity
NCT03422159 (8) [back to overview]Ventilator Free Days
NCT03422159 (8) [back to overview]Hospital Mortality
NCT03422159 (8) [back to overview]Change in Sequential Organ Failure Assessment (SOFA) Score
NCT03422159 (8) [back to overview]Hospital Length of Stay
NCT03422159 (8) [back to overview]Time to Vasopressor Independence (Hours)
NCT03422159 (8) [back to overview]Procalcitonin (PCT) Clearance
NCT03422159 (8) [back to overview]ICU Mortality
NCT03422159 (8) [back to overview]ICU Length of Stay
NCT03509350 (19) [back to overview]Katz Index of Independence in Activities of Daily Living (ADL) Score
NCT03509350 (19) [back to overview]Hayling Test Score
NCT03509350 (19) [back to overview]Functional Activities Questionnaire (FAQ) Score
NCT03509350 (19) [back to overview]EuroQol, 5 Dimension (EQ-5D) Visual Analog Scale Score
NCT03509350 (19) [back to overview]Digit Span Test Score
NCT03509350 (19) [back to overview]Controlled Oral Word Association Test (COWAT) Score
NCT03509350 (19) [back to overview]Length of Hospital Stay
NCT03509350 (19) [back to overview]Intensive Care Unit (ICU) Mortality
NCT03509350 (19) [back to overview]Wechsler Memory Scale III - Delayed Recall Logical Memory Score
NCT03509350 (19) [back to overview]Wechsler Adult Intelligence Scale (WAIS)-IV Similarities Score
NCT03509350 (19) [back to overview]Vasopressor and Ventilator-free Days (VVFD)
NCT03509350 (19) [back to overview]Telephone Interview for Cognitive Status (TICS)
NCT03509350 (19) [back to overview]Posttraumatic Stress Disorder-8 (PTSD-8) Score
NCT03509350 (19) [back to overview]Patient-Reported Outcomes Measurement Information System (PROMIS) Depression 6
NCT03509350 (19) [back to overview]Number of Participants With Delirium Assessed With the DeliriumTelephone Confusion Assessment Method (CAM)
NCT03509350 (19) [back to overview]Number of Participants Employed
NCT03509350 (19) [back to overview]Mortality at 30 Days
NCT03509350 (19) [back to overview]Mortality at 180 Days
NCT03509350 (19) [back to overview]Length of ICU Stay
NCT03813147 (8) [back to overview]Elimination Half-life of MLN4924 (Pevonedistat) Added to the 3-drug Backbone of Azacitidine (Aza), Fludarabine, and Cytarabine Re-induction for Pediatric Patients With Recurrent/Refractory AML and MDS
NCT03813147 (8) [back to overview]Area Under the Plasma Concentration Versus Time Curve of MLN4924 (Pevonedistat) Added to the 3-drug Backbone of Azacitidine (Aza), Fludarabine, and Cytarabine Re-induction for Pediatric Patients With Recurrent/Refractory AML and MDS
NCT03813147 (8) [back to overview]Maximum Concentration of MLN4924 (Pevonedistat) Added to the 3-drug Backbone of Azacitidine (Aza), Fludarabine, and Cytarabine Re-induction for Pediatric Patients With Recurrent/Refractory AML and MDS
NCT03813147 (8) [back to overview]Number of Participants With Antitumor Activity of MLN4924 (Pevonedistat)
NCT03813147 (8) [back to overview]Number of Participants With Adverse Events Attributable to MLN4924 (Pevonedistat)
NCT03813147 (8) [back to overview]Number of Participants With Dose Limiting Toxicities of MLN4924 (Pevonedistat)
NCT03813147 (8) [back to overview]Total Plasma Clearance of MLN4924 (Pevonedistat) Added to the 3-drug Backbone of Azacitidine (Aza), Fludarabine, and Cytarabine Re-induction for Pediatric Patients With Recurrent/Refractory AML and MDS
NCT03813147 (8) [back to overview]Maximum Time to Concentration of MLN4924 (Pevonedistat) Added to the 3-drug Backbone of Azacitidine (Aza), Fludarabine, and Cytarabine Re-induction for Pediatric Patients With Recurrent/Refractory AML and MDS

Toxic Death

Implementation of the toxic death rate stopping rule, a death must be possibly, probably or definitely attributable to Rituximab and/or chemotherapy to be considered a toxic death. (NCT00057811)
Timeframe: Up to 1 year

,
Interventionparticipants (Number)
Toxic deathNo toxic death
Group B (Chemotherapy, Protective Therapy, Monoclonal Antib.)045
Group C (Chemotherapy, Monoclonal Antibody Therapy)238

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Response Rate

Response includes both complete and partial responses. Per protocol, complete Response is defined as the complete disappearance of all clinical evidence of disease by physical examination, by imaging studies, by bone marrow biopsy (where indicated), by CNS evaluation (where indicated) and by biopsy where there is a residual abnormality on an imaging study. Bone marrow must contain <5% blasts. CSF WBC must be <5/μL with no blasts or lymphomatous cells present. Partial response is defined as: at least a 50% reduction in the size of all measurable tumor areas. Each site is to be defined by the product of the maximum length, width and depth (3 dimensions). No lesion may progress. No new lesion may appear. Bone marrow must contain <5% blasts. CSF WBC must be <5/μL with no blasts or lymphomatous cells present.. (NCT00057811)
Timeframe: Up to 5 years

Interventionpercentage of participants analyzed (Number)
Group B (Chemotherapy, Protective Therapy, Monoclonal Antib.)88
Group C (Chemotherapy, Monoclonal Antibody Therapy)83

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Minimal Residual Disease

The presence or absence of tumor cells at the end of induction assessed by studying tissue and/or blood/marrow. Details of methods and criteria used can be found in Shiramizu at al. BJH 153:758-763, 2011 (full citation in the citation section). (NCT00057811)
Timeframe: Not Provided

Interventionpercentage of samples analyzed (Number)
Group B (Chemotherapy, Protective Therapy, Monoclonal Antib.)22
Group C (Chemotherapy, Monoclonal Antibody Therapy)70

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Grade ≥ 3 Stomatitis

The incidence of grade ≥ 3 stomatitis. Grade 3 stomatitis: Confluent ulcerations or pseudomembranes; bleeding with minor trauma. Grade 4 stomatitis: Tissue necrosis; Significant spontaneous bleeding; life-threatening consequences (NCT00057811)
Timeframe: Up to 1 year

,
Interventionparticipants (Number)
Incidence of grade ≥ 3 stomatitisNo incidence of grade ≥ 3 stomatitis
Group B (Chemotherapy, Protective Therapy, Monoclonal Antib.)441
Group C (Chemotherapy, Monoclonal Antibody Therapy)634

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Grade 3-4 Gastrointestinal Events

All Grade 3-4 Gastrointestinal events based on CTCAEv2 as reported on case report forms. (NCT00084838)
Timeframe: Assessed during therapy up to 30 days post-therapy completion which is approximately 55 weeks for patients who completed therapy.

Interventionadverse events (Number)
Multi-agent Intrathecal and Systemic CT With RT (Mod IRS III)139

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Grade 3-4 Hemorrhage Events

All Grade 3-4 Hemorrhage events based on CTCAEv2 as reported on case report forms. (NCT00084838)
Timeframe: Assessed during therapy up to 30 days post-therapy completion which is approximately 55 weeks for patients who completed therapy.

Interventionadverse events (Number)
Multi-agent Intrathecal and Systemic CT With RT (Mod IRS III)1

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Grade 3-4 Hepatic Events

All Grade 3-4 Hepatic events based on CTCAEv2 as reported on case report forms. (NCT00084838)
Timeframe: Assessed during therapy up to 30 days post-therapy completion which is approximately 55 weeks for patients who completed therapy.

Interventionadverse events (Number)
Multi-agent Intrathecal and Systemic CT With RT (Mod IRS III)8

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2-yr Overall Survival

Overall survival is defined as the time from date of diagnosis to death or date of last follow-up. 2-year overall survival is the probability of patients remaining alive at 2-years from study entry estimated using Kaplan-Meier (KM) methods which censors patients at date of last follow-up. Precision of this conditional probability estimate was measured in terms of standard error. Median OS, the original primary endpoint, was not estimable based on the Kaplan-Meier method because of insufficient follow-up. (NCT00084838)
Timeframe: Patients are followed for survival up to 5 yrs post-therapy completion or death; As of this analysis, median follow-up among survivors was 31 months with the longest follow-up being 40 months.

Interventionprobability (Number)
Multi-agent Intrathecal and Systemic CT With RT (Modified IRS0.70

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Grade 3-4 Infection/Febrile Neutropenia Events

All Grade 3-4 Infection/Febrile Neutropenia events based on CTCAEv2 as reported on case report forms. (NCT00084838)
Timeframe: Assessed during therapy up to 30 days post-therapy completion which is approximately 55 weeks for patients who completed therapy.

Interventionadverse events (Number)
Multi-agent Intrathecal and Systemic CT With RT (Mod IRS III)49

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Grade 3-4 Metabolic/Laboratory Events

All Grade 3-4 Metabolic/Laboratory events based on CTCAEv2 as reported on case report forms. (NCT00084838)
Timeframe: Assessed during therapy up to 30 days post-therapy completion which is approximately 55 weeks for patients who completed therapy.

Interventionadverse events (Number)
Multi-agent Intrathecal and Systemic CT With RT (Mod IRS III)128

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Grade 3-4 Muscloskeletal Events

All Grade 3-4 Muscloskeletal events based on CTCAEv2 as reported on case report forms. (NCT00084838)
Timeframe: Assessed during therapy up to 30 days post-therapy completion which is approximately 55 weeks for patients who completed therapy.

Interventionadverse events (Number)
Multi-agent Intrathecal and Systemic CT With RT (Mod IRS III)8

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Grade 3-4 Neurology Events

All Grade 3-4 Neurology events based on CTCAEv2 as reported on case report forms. (NCT00084838)
Timeframe: Assessed during therapy up to 30 days post-therapy completion which is approximately 55 weeks for patients who completed therapy.

Interventionadverse events (Number)
Multi-agent Intrathecal and Systemic CT With RT (Mod IRS III)45

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Grade 3-4 Pain Events

All Grade 3-4 Pain events based on CTCAEv2 as reported on case report forms. (NCT00084838)
Timeframe: Assessed during therapy up to 30 days post-therapy completion which is approximately 55 weeks for patients who completed therapy.

Interventionadverse events (Number)
Multi-agent Intrathecal and Systemic CT With RT (Mod IRS III)31

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Grade 3/4 Events

All Grade 3-4 events based on CTCAEv2 as reported on case report forms. (NCT00084838)
Timeframe: Assessed during therapy up to 30 days post-therapy completion which is approximately 55 weeks for patients who completed therapy.

Interventionadverse events (Number)
Multi-agent Intrathecal and Systemic CT With RT (Mod IRS III)1021

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Grade 3-4 Dermatology Events

All Grade 3-4 Dermatology events based on CTCAEv2 as reported on case report forms. (NCT00084838)
Timeframe: Assessed during therapy up to 30 days post-therapy completion which is approximately 55 weeks for patients who completed therapy.

Interventionadverse events (Number)
Multi-agent Intrathecal and Systemic CT With RT (Mod IRS III)3

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Grade 3-4 Pulmonary Events

All Grade 3-4 Pulmonary events based on CTCAEv2 as reported on case report forms. (NCT00084838)
Timeframe: Assessed during therapy up to 30 days post-therapy completion which is approximately 55 weeks for patients who completed therapy.

Interventionadverse events (Number)
Multi-agent Intrathecal and Systemic CT With RT (Mod IRS III)4

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Grade 3-4 Renal/Genitourinary Events

All Grade 3-4 Renal/Genitourinary events based on CTCAEv2 as reported on case report forms. (NCT00084838)
Timeframe: Assessed during therapy up to 30 days post-therapy completion which is approximately 55 weeks for patients who completed therapy.

Interventionadverse events (Number)
Multi-agent Intrathecal and Systemic CT With RT (Mod IRS III)4

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Grade 3-4 Constitutional Events

All Grade 3-4 Constitutional events based on CTCAEv2 as reported on case report forms. (NCT00084838)
Timeframe: Assessed during therapy up to 30 days post-therapy completion which is approximately 55 weeks for patients who completed therapy.

Interventionadverse events (Number)
Multi-agent Intrathecal and Systemic CT With RT (Mod IRS III)22

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Grade 3-4 Cardiovascular Events

All Grade 3-4 Cardiovascular events based on CTCAEv2 as reported on case report forms. (NCT00084838)
Timeframe: Assessed during therapy up to 30 days post-therapy completion which is approximately 55 weeks for patients who completed therapy.

Interventionadverse events (Number)
Multi-agent Intrathecal and Systemic CT With RT (Mod IRS III)6

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Grade 3-4 Blood/Bone Marrow Events

"All Grade 3-4 Blood/Bone Marrow events based on CTCAEv2 as reported on case report forms.~Arm Name" (NCT00084838)
Timeframe: Assessed during therapy up to 30 days post-therapy completion which is approximately 55 weeks for patients who completed therapy.

Interventionadverse events (Number)
Multi-agent Intrathecal and Systemic CT With RT (Mod IRS III)564

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Grade 3-4 Auditory/Hearing Events

All Grade 3-4 Auditory/Hearing events based on CTCAEv2 as reported on case report forms. (NCT00084838)
Timeframe: Assessed during therapy up to 30 days post-therapy completion which is approximately 55 weeks for patients who completed therapy.

Interventionadverse events (Number)
Multi-agent Intrathecal and Systemic CT With RT (Mod IRS III)8

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Grade 3-4 Allergy/Immunology

All Grade 3-4 Allergy/Immunology events based on CTCAEv2 as reported on case report forms. (NCT00084838)
Timeframe: Assessed during therapy up to 30 days post-therapy completion which is approximately 55 weeks for patients who completed therapy.

Interventionadverse events (Number)
Multi-agent Intrathecal and Systemic CT With RT (Mod IRS III)1

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Pre-Radiation Therapy Chemotherapeutic Response

"Response pre-RT/post-CT was defined as follows with overall response defined as achieving PR or CR.~Complete Response (CR): Complete resolution of all initially demonstrable tumor on MRI or CT evaluation w/o appearance of any new areas of disease; negative CSF cytology. Partial Response (PR): >/= 50% decrease in the sum of the products of the maximum perpendicular diameters of the tumor (sum LD) relative to baseline w/o appearance of any new areas of disease; CSF cytology unchanged from that at diagnosis or clearing after being initially positive Stable Disease (SD): <50% decrease in the sum LD w/o appearance of any new areas of disease; CSF cytology unchanged from that at diagnosis or clearing after being initially positive Progressive Disease (PD): >/= 25% increase in the sum LD relative to baseline, or the appearance of any new areas of disease or appearance of positive cytology after two consecutive negative samples." (NCT00084838)
Timeframe: Assessed at study entry and pre-RT/post-CT at week 7.

Interventionproportion of evaluable patients (Number)
Multi-agent Intrathecal and Systemic CT With RT (Modified IRS0.58

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Event-free Survival

Monitoring of efficacy results will be performed in comparison with historical results. (NCT00096135)
Timeframe: 3 years

Interventionpercentage of participants (Number)
CNS Patients - Treatment (Combination Chemotherapy)64.9
Testicular Relapse Patients (Combination Chemotherapy)70

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Remission Re-induction (CR2) Rate

The proportion of patients who achieved complete response at the end Block 1 of re-induction therapy. Complete Remission (CR) - Attainment of M1 bone marrow (<5% blasts) with no evidence of circulating blasts or extramedullary disease and with recovery of peripheral counts (ANC >1000/uL and platelet count >100,000/uL). Partial Remission (PR) - Complete disappearance of circulating blasts and achievement of M2 marrow status (5% or < 25% blast cells and adequate cellularity). Partial Remission Cytolytic (PRCL) - Complete disappearance of circulating blasts and achievement of at least 50% reduction from baseline in bone marrow blast count. Minimal Response Cytolytic (MRCL) - 50% reduction in the peripheral blast count with no increase in peripheral white blood cell count. (NCT00098839)
Timeframe: At the end of Block 1 of re-induction therapy (day 36)

Interventionproportion of participants (Number)
Reinduction Chemoimmunotherapy With Epratuzumab Once Weekly.646
Reinduction Chemoimmunotherapy With Epratuzumab Twice Weekly.660

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Pharmacokinetics

Mean trough serum concentration measured before final dose of epratuzumab. (NCT00098839)
Timeframe: Up to day 36

Interventionug/mL (Mean)
Twice Weekly Dosing Schedule501

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Rate of Minimal Residual Disease (MRD) < 0.01%

Proportion of patients (evaluable and had MRD measured at the end of Block 1) who had MRD < 0.01%. (NCT00098839)
Timeframe: At the end of Block 1 of re-induction therapy (day 36)

InterventionProportion of participants (Number)
Reinduction Chemoimmunotherapy With Epratuzumab Once Weekly.195
Reinduction Chemoimmunotherapy With Epratuzumab Twice Weekly.295

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Event-free Survival Rate

Proportion of patients who were event free at 4 months (NCT00098839)
Timeframe: At 4 months after enrollment

InterventionProportion of participants (Number)
Reinduction Chemoimmunotherapy With Epratuzumab Once Weekly.604
Reinduction Chemoimmunotherapy With Epratuzumab Twice Weekly.640

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Acute Graft-versus-Host Disease (GVHD) Grade 2-4 Risk From Time of Transplant Until Day 90 Post-transplant

GVHD grading system goes from 0-4 where grade 4 is the most severe. Grade 0 and 1 do not require systemic treatment, Grade 2-4 require treatment. This trial evaluated the risk of developing acute GVHD grades 2-4 within 90 days of transplant. (NCT00185692)
Timeframe: 90 days

InterventionParticipants (Count of Participants)
Transplantation of CD34+ Cells1

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Engraftment of Haploidentical CD34+ Selected Blood Stem Cells in Older Patients or Those With Medical Co-morbidities Following Total Lymphoid Irradiation and Antithymocyte Globulin Transplant Conditioning

number achieving donor cell engraftment (>95%) by day 90 after transplant. (NCT00185692)
Timeframe: 100 days

InterventionParticipants (Count of Participants)
Transplantation of CD34+ Cells4

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Response

Anti tumor activity as assessed by computed tomography of neck/chest/abdomen/pelvis, positron emission tomography scan and/or gallium scan. Assessed by physical examination appropriate imaging studies. Bone marrow aspirate/biopsy must be normal and any macroscopic nodules in any organs detectable on imaging techniques should no longer be present. Gallium scans must be negative if initially positive. (NCT00354107)
Timeframe: Week 4

Interventionpercent (Number)
Treatment (Monoclonal Antibody Therapy, Chemotherapy)50

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Overall Survival (OS) at 1 Year

(NCT00392834)
Timeframe: 1 year post treatment

InterventionCumulative proportion surviving at 1 yr (Number)
Regimen A (R-CODOX-M Chemotherapy)1.0
Regimen B (Rituximab and IVAC Chemotherapy)0.82

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Induction Infection Toxicity Rate

Infection toxicity rate is defined as the percentage of patients who experience bacterial or fungal infection of grade 3 or higher with treatment attribution of possibly, probably or definite based on CTCAEv3 during remission induction phase of combination chemotherapy. (NCT00400946)
Timeframe: Assessed daily during remission induction days 4-32.

Interventionpercentage of participants (Number)
Overall26

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Post-Induction Therapeutic Nadir Serum Asparaginase Activity Rate

Nadir serum asparaginase activity (NSAA) levels were estimated based on established methods. Post-Induction therapeutic NSAA rate is defined as the percentage of patients achieving a NSAA level above 0.1 IU/mL ever during post-induction therapy. (NCT00400946)
Timeframe: Samples for nadir serum asparaginase activity analyses were obtained before doses administered at weeks 5, 11, 17, 23 and 29 of post-induction asparaginase treatment.

Interventionpercentage of participants (Number)
Intramuscular Native E Coli L-asparaginase (IM-EC)71
Intravenous PEG-asparaginase (IV-PEG)99

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Induction Therapeutic Nadir Serum Asparaginase Activity Rate

Nadir serum asparaginase activity (NSAA) levels were estimated based on established methods. Induction therapeutic NSAA rate is defined as the percentage of patients achieving a NSAA level above 0.1 IU/mL at a given timepoint. (NCT00400946)
Timeframe: Samples for serum asparaginase activity analyses were obtained days 4, 11, 18 and 25 post one-dose of IV-PEG on day 7 of the induction phase.

Interventionpercentage of participants (Number)
Day 4 NSAA RateDay 11 NSAA RateDay 18 NSAA RateDay 25 NSAA Rate
Overall97968712

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Post-Induction Nadir Serum Asparaginase Activity Level

Nadir serum asparaginase activity (NSAA) levels were estimated based on established methods. (NCT00400946)
Timeframe: Samples for nadir serum asparaginase activity analyses were obtained before doses administered at weeks 5, 11, 17, 23 and 29 of post-induction asparaginase treatment.

,
InterventionIU/mL (Mean)
Week 5 NSAA LevelWeek 11 NSAA LevelWeek 17 NSAA LevelWeek 23 NSAA LevelWeek 29 NSAA Level
Intramuscular Native E Coli L-asparaginase (IM-EC)0.1290.1430.1590.1800.123
Intravenous PEG-asparaginase (IV-PEG)0.7260.7730.7870.7570.806

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5-Year Disease-Free Survival by Bone Marrow Day 18 Status

Disease-free survival (DFS) in a landmark analysis is defined as the duration of time from asparaginase randomization (which occurred after patients achieved complete remission and were assigned to a final risk group) to documented relapse, death during remission or second malignant neoplasm. DFS is estimated based on the Kaplan-Meier method and 5-year DFS is the probability of patients remaining alive, relapse-free and without occurrence of second malignant neoplasm 5 years from asparaginase randomization. Disease relapse is defined as >25% lymphoblasts identified morphologically in bone marrow aspirate/biopsy, or identification of lymphoblasts in marrow (any percentage) identified to be leukemic by flow cytometry, cytogenetics, FISH, immunohistochemistry, or other tests. Appearance of leukemic cells at any extramedullary site (a single, unequivocal lymphoblast in the CSF may qualify as CNS leukemia) also qualifies if confirmed by the PI. (NCT00400946)
Timeframe: Disease evaluations occurred continuously on treatment. Suggested long-term follow-up was monthly for 6m, bi-monthly for 6m, every 4 months for 1y, semi-annually for 1y, then annually. Median follow-up in this study cohort is 6 yrs, up to 10y.

Interventionprobability (Number)
M1 Day 18 Bone Marrow Status.89
M2/M3 Day 18 Bone Marrow Status.78
Hypocellular Day 18 Bone Marrow Status.88

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5-year Disease-Free Survival by CNS Directed Treatment Group

Disease-free survival (DFS) in a landmark analysis is defined as the duration of time from asparaginase randomization (which occurred after patients achieved complete remission and were assigned to a final risk group) to documented relapse, death during remission or second malignant neoplasm. DFS is estimated based on the Kaplan-Meier method and 5-year DFS is the probability of patients remaining alive, relapse-free and without occurrence of second malignant neoplasm 5 years from asparaginase randomization. Disease relapse is defined as >25% lymphoblasts identified morphologically in bone marrow aspirate/biopsy, or identification of lymphoblasts in marrow (any percentage) identified to be leukemic by flow cytometry, cytogenetics, FISH, immunohistochemistry, or other tests. Appearance of leukemic cells at any extramedullary site (a single, unequivocal lymphoblast in the CSF may qualify as CNS leukemia) also qualifies if confirmed by the PI. (NCT00400946)
Timeframe: Disease evaluations occurred continuously on treatment. Suggested long-term follow-up was monthly for 6m, bi-monthly for 6m, every 4 months for 1y, semi-annually for 1y, then annually. Median follow-up in this study cohort is 6 yrs, up to 10y.

Interventionprobability (Number)
CNS-1.89
CNS-2.89
CNS-31.00
Traumatic Tap With Blasts.84
Traumatic Tap Without Blasts.87

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5-Year Disease-Free Survival by MRD Day 32 Status

Disease-free survival (DFS) in a landmark analysis is defined as the duration of time from asparaginase randomization (which occurred after patients achieved complete remission and were assigned to a final risk group) to documented relapse, death during remission or second malignant neoplasm. DFS is estimated based on the Kaplan-Meier method and 5-year DFS is the probability of patients remaining alive, relapse-free and without occurrence of second malignant neoplasm 5 years from asparaginase randomization. Disease relapse is defined as >25% lymphoblasts identified morphologically in bone marrow aspirate/biopsy, or identification of lymphoblasts in marrow (any percentage) identified to be leukemic by flow cytometry, cytogenetics, FISH, immunohistochemistry, or other tests. Appearance of leukemic cells at any extramedullary site (a single, unequivocal lymphoblast in the CSF may qualify as CNS leukemia) also qualifies if confirmed by the PI. (NCT00400946)
Timeframe: Disease evaluations occurred continuously on treatment. Suggested long-term follow-up was monthly for 6m, bi-monthly for 6m, every 4 months for 1y, semi-annually for 1y, then annually. Median follow-up in this study cohort is 6 yrs, up to 10y.

Interventionprobability (Number)
Low Day 32 MRD Level.79
High Day 32 MRD Level.90

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Induction Serum Asparaginase Activity Level

Serum asparaginase activity (NSAA) levels were estimated based on established methods. (NCT00400946)
Timeframe: Samples for serum asparaginase activity analyses were obtained days 4, 11, 18 and 25 post one-dose of IV-PEG on day 7 of the induction phase.

InterventionIU/mL (Median)
Day 4 NSAA LevelDay 11 NSAA LevelDay 18 NSAA LevelDay 25 NSAA Level
Overall.694.505.211.048

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5-Year Disease-Free Survival

Disease-free survival (DFS) in a landmark analysis is defined as the duration of time from asparaginase randomization (which occurred after patients achieved complete remission and were assigned to a final risk group) to documented relapse, death during remission or second malignant neoplasm. DFS is estimated based on the Kaplan-Meier method and 5-year DFS is the probability of patients remaining alive, relapse-free and without occurrence of second malignant neoplasm 5 years from asparaginase randomization. Disease relapse is defined as >25% lymphoblasts identified morphologically in bone marrow aspirate/biopsy, or identification of lymphoblasts in marrow (any percentage) identified to be leukemic by flow cytometry, cytogenetics, FISH, immunohistochemistry, or other tests. Appearance of leukemic cells at any extramedullary site (a single, unequivocal lymphoblast in the CSF may qualify as CNS leukemia) also qualifies if confirmed by the PI. (NCT00400946)
Timeframe: Disease evaluations occurred continuously on treatment. Suggested long-term follow-up was monthly for 6m, bi-monthly for 6m, every 4 months for 1y, semi-annually for 1y, then annually. Median follow-up in this study cohort is 6 yrs, up to 10y.

Interventionprobability (Number)
Intramuscular Native E Coli L-asparaginase (IM-EC).89
Intravenous PEG-asparaginase (IV-PEG).90

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Neonatal Health

Neonatal health at birthyes=need for medical attention or intervention after birth, abnormalities detected, no= no need for medical attention, no abnormalities detected at birth (NCT00405288)
Timeframe: at birth

,
Interventionparticipants (Number)
Yes (present neonatal health concerns)No (absent neonatal health concerns)
Control24154
Proctofoam-HC®28171

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Neonatal Health Concerns-infections

Infections occuring in the neonatal period (NCT00405288)
Timeframe: neonatal period

,
Interventionparticipants (Number)
Urinary tract infectionsStreptococcus B infectionPneumoniaLeucocytosis
Control0220
Proctofoam-HC®2002

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Prematurity

birth at <37 gestational weeks (NCT00405288)
Timeframe: at birth

,
Interventionparticipants (Number)
yesno
Control10180
Proctofoam-HC®8193

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Respiratory Neonatal Health Concerns

(NCT00405288)
Timeframe: neonatal period

,
Interventionparticipants (Number)
Pulmonary aspirationMild asthmaTachypnea
Control022
Proctofoam-HC®420

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Skin Conditions in Neonatal Period

(NCT00405288)
Timeframe: neonatal period

,
Interventionparticipants (Number)
RashEczemaAcne
Control222
Proctofoam-HC®200

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Other Neonatal Health Concerns

(NCT00405288)
Timeframe: neonatal period

,
Interventionparticipants (Number)
ConjuctivitisMyopiaColicMilk allergyHypoglycemiaPoor feedingPoor weight gainAnemiaRenal calculi
Control024200222
Proctofoam-HC®400042200

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Birth-weight

Weight of the baby measured in grams at time of birth. (NCT00405288)
Timeframe: until delivery

Interventiongrams (Mean)
Proctofoam-HC®3406.9
Control3487.7

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Gestational Age at Delivery

Fetal gestational age at delivery (NCT00405288)
Timeframe: until delivery

Interventiongestational weeks (Mean)
Proctofoam-HC®39.4
Control39.1

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Cardiovascular Neonatal Health Concerns in the First Two Weeks After Birth

Assessment of neonate's morphology and function of cardiovascular system in the first two weeks after birth (NCT00405288)
Timeframe: neonatal period

,
Interventionparticipants (Number)
Cardiovascular anomaliesHeart murmurPremature atrial contraction
Control042
Proctofoam-HC®260

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Fetal Distress

Presence of fetal distress at birth: heart deceleration/acceleration, meconium/amniotic fluid (NCT00405288)
Timeframe: at birth

,
Interventionparticipants (Number)
Fetal distressNo fetal distress
Control31142
Proctofoam-HC®36163

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Low Birth Weight at Birth

Low birth weight (birth weights <2500 grams) (NCT00405288)
Timeframe: at birth

,
Interventionparticipants (Number)
YesNo
Control3198
Proctofoam-HC®6194

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Mode of Delivery

Method of delivery for both groups: vaginal or caesarean section (NCT00405288)
Timeframe: at birth

,
Interventionparticipants (Number)
Vaginal deliveryCaesarean sectionUnknown
Control146553
Proctofoam-HC®173310

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Number of Patients With a Partial Response, Progressive Disease, or Stable Disease Based on Prostate-Specific Antigen (PSA) or Measurable Disease

Patients will be evaluated for clinical benefit monthly with PSA values.Patients who are benefiting from treatment are eligible for additional cycles of treatment. Thereafter, therapy will continue until criteria for progressive disease are met. Response is based on the RECIST criteria from the National Cancer institute. Complete Response (CR) disappearance of all target lesions; Partial Response (PR) >= 30% decrease in the sum of the longest diameter of target lesions from baseline; Progressive Disease (PD) >= increase in the sum of the longest diameter of target lesions from baseline; Stable Disease (SD) neither sufficient for partial response nor sufficient increase for progressive disease. (NCT00460031)
Timeframe: 28 days

Interventionparticipants (Number)
Partial ResponseProgressive DiseaseStable Disease
Ketoconazole Plus Lenalidomide779

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Time to Progression

Patients will be evaluated for clinical benefit monthly with PSA values.Patients who are benefiting from treatment are eligible for additional cycles of treatment. Thereafter, therapy will continue until criteria for progressive disease are met. Response is based on the RECIST criteria from the National Cancer institute. Complete Response (CR) disappearance of all target lesions; Partial Response (PR) >= 30% decrease in the sum of the longest diameter of target lesions from baseline; Progressive Disease (PD) >= increase in the sum of the longest diameter of target lesions from baseline; Stable Disease (SD) neither sufficient for partial response nor sufficient increase for progressive disease. (NCT00460031)
Timeframe: One year (12 months) after start of treatment

InterventionMonths (Median)
Ketoconazole Plus Lenalidomide3

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Ratio of Change in Immune Response From Baseline

The pattern of immune response by assessing T cell and dendritic cell markers, specifically by measuring the ratio of BDCA-2 to BDCA-1 cells (NCT00460031)
Timeframe: Week 8

Interventionratio (Mean)
Ketoconazole Plus Lenalidomide-0.39

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Change in Immune Response From Baseline

The pattern of immune response by assessing T cell and dendritic cell markers, specifically by measuring the levels of CD4+ FoxP3+ Regulatory T cells (NCT00460031)
Timeframe: Week 8

Interventioncells/ul (Mean)
Ketoconazole Plus Lenalidomide0.18

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Number of Patients With Grade 3 and 4 Toxicity as Assessed by NCI CTCAE v3.0

Patients will be evaluated for toxicity every 2 weeks during the first cycle. Thereafter, evaluations will be done every 28 days or more frequently if clinically indicated. (NCT00460031)
Timeframe: Up to 30 days after discontinuation of treatment

Interventionparticipants (Number)
Ketoconazole Plus Lenalidomide19

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17 Hydroxyprogesterone at 08.00 Hours

(NCT00519818)
Timeframe: Cortef after one week compared with Chronocort after one month

Interventionnmol/l (Mean)
Cortef16.4
Chronocort86.9

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Chronocort vs. Cortef Cortisol Concentrations (AUC Over 24 Hours - Time Points 0,.5,1,1.5,2,3,4,5,6,7,8,10,10.5,11, 11.5,12,13,15,17,17.5,18,18.5,19,20,22,24 Post Dose).

(NCT00519818)
Timeframe: Cortef after one week, Chronocort after one month

Interventionh*nmol/l (Mean)
Cortef5380
Chronocort3973

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Determine the Maximum Tolerated Dose (MTD)

Determine the maximum tolerated dose (MTD) of oral calcitriol daily x 3 consecutive days a week in combination with oral ketoconazole (400 mg thrice daily [TID]) + oral hydrocortisone (20 mg AM, 10 mg PM) (NCT00536991)
Timeframe: up to 11 years

Interventionmcg (Number)
Treatment (Calcitriol, Ketoconazole, Hydrocortisone)10

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Incidence of Toxicity Graded According to the National Cancer Institute CTC Version 3.0

Count of participants with serious adverse event. Please refer to the adverse event reporting for more detail. (NCT00536991)
Timeframe: Up to 11 years

InterventionParticipants (Count of Participants)
Phase I/II: Oral Calcitriol, Ketoconazole, Hydrocortisone14

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Objective Tumor Response, Assessed by RECIST

Judged by monthly physical exam and radiographic evaluation. Patients will be considered evaluable for tumor response if they have at least two post-baseline tumor assessments at least 4 weeks apart, received study medication for 8 weeks or if they have evidence of disease progression. Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR. (NCT00536991)
Timeframe: Up to 11 years

Interventionpercentage of participants (Number)
Phase I/II: Oral Calcitriol, Ketoconazole, Hydrocortisone24

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PSA Response Rate

Patients will be considered evaluable for PSA response if they have at least two post-baseline PSA measurements at least 4 weeks apart, or if they have other evidence of disease progression. A PSA response will be considered a PSA decline of at least 50% must be confirmed by a second PSA value four or more weeks later. The reference PSA for these declines should be a PSA measured within 2 weeks prior to the initiation of therapy. (NCT00536991)
Timeframe: Up to 11 years

Interventionpercentage of participants (Number)
Phase I/II: Oral Calcitriol, Ketoconazole, Hydrocortisone35

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Percent Probability of Event Free Survival (EFS) by MRD Status and Treatment Arm

Three-year EFS estimates and 90% CI will be reported by treatment arm and end-induction MRD status. (NCT00557193)
Timeframe: 3 Years from end of Induction)

Interventionpercent probability (Number)
Arm A (MRD Negative)86.05
Arm A (MRD Positive)87.5
Arm B (MRD Negative)47.37
Arm B (MRD Positive)22.73
Arm C (MRD Negative)51.85
Arm C (MRD Positive)27.03

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Pharmacodynamics PIA Levels in Infants Given Lestaurtinib at DL2 in Combination With Chemotherapy

Summarized with mean and standard deviation for those with available data in Arm C (NCT00557193)
Timeframe: Sampled between weeks 6-12 from start of induction

InterventionActivity percentage (Mean)
Arm C (Safety/Efficacy Dose Level 2)69.00

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Percent Probability for Event-free Survival (EFS) of MLL-R Infants Treated With Combination Chemotherapy With or Without Lestaurtinib at DL2

Event Free Probability where EFS time is defined as time from randomization to first event (relapse, second malignant neoplasm, death) or date of last contact for patients who are event-free. EFS is constructed using the Kaplan-Meier life table method with confidence interval based on standard errors computed using the method of Peto and Peto. EFS will be compared between patients on treatment Arm C at DL2 to those on Arm B. (NCT00557193)
Timeframe: From start of post-induction therapy for up to 10 years.

Interventionpercent probability (Number)
Arm B (IR/HR MLL-R Chemotherapy)38.89
Arm C (IR/HR MLL-R Chemotherapy and Lestaurtinib)35.82

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Percent Probability for Event-free Survival (EFS) for Patients on Arm C at Dose Level 2 (DL2)

EFS time is defined as time from randomization to first event (relapse, second malignant neoplasm, death) or date of last contact for patients who are event-free. EFS is constructed using the Kaplan-Meier life table method with confidence interval based on standard errors computed using the method of Peto and Peto. (NCT00557193)
Timeframe: From start of post-induction therapy for up to 10 years

Interventionpercentage probability (Number)
Arm C (Safety/Efficacy Dose Level 2)35.82

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Percent Probability for Event-free Survival (EFS) for Patients on Arm A

EFS time is defined as time from treatment assignment to first event (relapse, second malignant neoplasm, death) or date of last contact for patients who are event-free. EFS is constructed using the Kaplan-Meier life table method with confidence interval based on standard errors computed using the method of Peto and Peto. (NCT00557193)
Timeframe: From start of post-induction therapy for up to 10 years

Interventionpercentage probability (Number)
Arm A (Standard Risk MLL-G)86.67

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Describe in Vitro Sensitivity as a Molecular Mechanism of Primary Resistance to Lestaurtinib in Leukemic Blasts

Described via means and standard deviations in samples which have primary resistance to lestaurtinib (NCT00557193)
Timeframe: Sampled at the start of induction

InterventionProportion of cells that are viable (Median)
Arm A (Standard Risk MLL-G)0.75
Arm B (IR/HR MLL-R Chemotherapy)0.48
Arm C (IR/HR MLL-R Chemotherapy and Lestaurtinib)0.47

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Describe in Vitro Sensitivity as a Molecular Mechanism of Acquired Resistance to Lestaurtinib in Leukemic Blasts

Described via means and standard deviations in samples which have acquired resistance to lestaurtinib (NCT00557193)
Timeframe: At relapse (up to 3 years)

InterventionProportion of cells that are viable (Mean)
Arm C (IR/HR MLL-R Chemotherapy and Lestaurtinib)0.69

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Describe FLT3 Protein Expression as a Molecular Mechanism of Acquired Resistance to Lestaurtinib in Leukemic Blasts

Described via means and standard deviations in available Arm C relapse samples (NCT00557193)
Timeframe: At relapse (up to 3 years)

InterventionqPCR fold expression ratio (Mean)
Arm C (Safety/Efficacy Dose Level 2)5.73

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Describe FLT3 Protein Expression as a Molecular Mechanism of Primary Resistance to Lestaurtinib in Leukemic Blasts

Described via mean and standard deviation by group. (NCT00557193)
Timeframe: Sampled at the start of induction

InterventionqPCR fold expression ratio (Mean)
Arm A (Standard Risk MLL-G)1.25
Arm B (IR/HR MLL-R Chemotherapy)7.85
Arm C (IR/HR MLL-R Chemotherapy and Lestaurtinib)5.83

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Subjects With Controlled Disease According to the Investigator Assessment of the Face at Week 8

(NCT00640822)
Timeframe: Week 8

InterventionParticipants (Number)
Calcipotriol Plus Hydrocortisone Ointment183
Tacalcitol Ointment147
Calcipotriol Plus Hydrocortisone Ointment Vehicle37

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"Participants With Controlled Disease According to the IGA of Disease Severity of the Face at Week 4 (Visit 4) in the Double-blind Phase"

"The assessment of the disease severity of the face was made using the 6-category scale below.~Clear Almost clear Mild Moderate Severe Very severe~The assessment was made considering the condition of psoriasis vulgaris of the face at the time of the evaluation, not in relation to the condition at a previous visit.~For subjects with a baseline severity of moderate or worse - controlled disease of the face was defined as clear or almost clear according to the IGA of disease severity of the face.~For subjects with a baseline severity of mild - controlled disease of the face was defined as clear according to the IGA of disease severity of the face." (NCT00691002)
Timeframe: At Week 4

InterventionParticipants (Count of Participants)
LEO 80190101
Calcipotriol66
Hydrocortisone61
LEO 80190 Vehicle14

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"Participants With Success According to Total Sign Score of the Intertriginous Areas at Week 8 (Visit 6) in the Double-blind Phase"

"The severity of the subject's psoriasis vulgaris on the intertriginous areas was evaluated in terms of the three clinical signs: redness, thickness and scaliness. All the defined intertriginous areas were rated separately using the same scale as for the investigator's assessment of clinical signs (redness, thickness and scaliness) of the face.~For each clinical sign, a single score, reflecting the average severity of all psoriatic lesions on the face was determined according to the scale below:~Redness 0 = none~= mild~= moderate~= severe~= very severe~Thickness 0 = none~= mild~= moderate~= severe~= very severe~Scaliness 0 = none~= mild~= moderate~= severe~= very severe~A mean score was calculated for each sign (redness, thickness and scaliness) based on scores of all the defined intertriginous areas with psoriasis at baseline and the sum of these mean scores constituted the TSS.~Success was defined as a TSS score of 0 or 1." (NCT00691002)
Timeframe: At Week 8 (end of treatment for double-blind phase)

InterventionParticipants (Count of Participants)
LEO 8019082
Calcipotriol81
Hydrocortisone59
LEO 80190 Vehicle15

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"Participants With Success According to Total Sign Score (TSS) of the Face at Week 8 (Visit 6) in the Double-blind Phase"

"Success was defined as a TSS score of 0 or 1.~For each clinical sign, a single score, reflecting the average severity of all psoriatic lesions on the face was determined according to the scale below:~Redness 0 = none (no erythema) 1 = mild (faint erythema, pink to very light red) 2 = moderate (definite light red erythema) 3 = severe (dark red erythema) 4 = very severe (very dark red erythema) Thickness 0 = none (no plaque elevation) 1 = mild (slight, barely perceptible elevation) 2 = moderate (definite elevation but not thick) 3 = severe (definite elevation, thick plaque with sharp edge) 4 = very severe (very thick plaque with sharp edge) Scaliness 0 = none (no scaling) 1 = mild (sparse, fine-scale lesions, only partially covered) 2 = moderate (coarser scales, most of lesions covered) 3 = severe (entire lesion covered with coarse scales) 4 = very severe (very thick coarse scales, possibly fissured)~The sum of the three scores constituted a TSS ranging from 0 to 12" (NCT00691002)
Timeframe: At Week 8 (end of treatment for double-blind phase)

InterventionParticipants (Count of Participants)
LEO 80190171
Calcipotriol136
Hydrocortisone131
LEO 80190 Vehicle42

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"Participants With Controlled Disease According to the Investigator's Global Assessment(IGA) of Disease Severity of the Face at Week 8 (Visit 6) in the Double-blind Phase"

"The (sub) investigator made an assessment of the disease severity of the face using the 6-category scale below.~Clear, Almost clear, Mild, Moderate, Severe, Very severe~The assessment was made considering the condition of psoriasis vulgaris of the face at the time of the evaluation, not in relation to the condition at a previous visit.~For subjects with a baseline (Visit 1) severity of moderate or worse - controlled disease of the face was defined as clear or almost clear according to the IGA of disease severity of the face.~For subjects with a baseline (Visit 1) severity of mild - controlled disease of the face was defined as clear according to the IGA of disease severity of the face." (NCT00691002)
Timeframe: At Week 8 (end of treatment for double-blind phase)

InterventionParticipants (Count of Participants)
LEO 80190158
Calcipotriol135
Hydrocortisone115
LEO 80190 Vehicle41

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"Participants With Controlled Disease According to the IGA of Disease Severity of the Intertriginous Areas at Week 8 (Visit 6) in the Double-blind Phase"

"The (sub)investigator made an assessment of the disease severity of the intertriginous areas using the 6-category scale below.~Clear, Almost clear, Mild, Moderate, Severe, Very severe The assessment was made considering the condition of psoriasis vulgaris of the intertrigi-nous areas at the time of the evaluation, not in relation to the condition at a previous visit.~For subjects with a baseline severity of moderate or worse - controlled disease of the intertriginous areas was defined as clear or almost clear according to the IGA of disease severity of the intertriginous areas.~For subjects with a baseline severity of mild - controlled disease of the intertriginous areas was defined as clear according to the IGA of disease severity of the intertriginous areas." (NCT00691002)
Timeframe: At Week 8 (end of treatment for double-blind phase)

InterventionParticipants (Count of Participants)
LEO 8019080
Calcipotriol55
Hydrocortisone48
LEO 80190 Vehicle14

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Adherence to Locoid

Adherence measured by MEMS cap as the % of days that the two total prescribed doses were applied (NCT00693693)
Timeframe: 2 weeks

Interventionpercentage of days (Mean)
Cream.55
Ointment.60
Lipocream.50

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Percent of Patients MRD Positive (MRD > 0.01%) at End of Consolidation

A 1-sample Z-test of proportions (alpha=5%, 1-sided test) will be used. (NCT00720109)
Timeframe: At end of consolidation (at 11 weeks)

InterventionPercentage of participants (Number)
Treatment Induction (Enzyme Inhibitor Therapy & Chemotherapy)10.5
Standard-risk0
High-risk66.7

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Contribution of Dasatinib on Minimal Residual Disease (MRD) After Induction Therapy

Percent of patients MRD Positive (MRD > 0.01%) at End of Induction. (NCT00720109)
Timeframe: At the end of induction therapy (at 5 weeks)

InterventionPercentage of participants (Number)
Treatment Induction (Enzyme Inhibitor Therapy & Chemotherapy)40.7
Standard-risk29.2
High-risk100.0

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Feasibility and Toxicity of an Intensified Chemotherapeutic Regimen Incorporating Dasatinib for Treatment of Children and Adolescents With Ph+ ALL Assessed by Examining Adverse Events

Number of patients in safety cohort with dose limiting toxicity (DLT)(including treatment delay) (NCT00720109)
Timeframe: Weeks 3 through 23 of treatment (From week 3 Induction through Intensification Block 1)

InterventionPts with DLTs (Number)
Treatment Induction (Enzyme Inhibitor Therapy & Chemotherapy)1

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Overall EFS Rate for the Combined Cohort of Standard- and High-Risk Patients (Who Receive the Final Chosen Dose of Dasatinib)

An event is defined as: Induction failure, relapse at any site, secondary malignancy, or death. (NCT00720109)
Timeframe: From the time entry on study to first event or date of last follow-up, assessed up to 7 years

Interventionpercentage of patients (Number)
Treatment Induction (Enzyme Inhibitor Therapy & Chemotherapy)79.8
Standard-risk83.2
High-risk66.7

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Event-Free Survival (EFS) of Patients With Standard-risk Disease Treated With Dasatinib in Combination With Intensified Chemotherapy

Event-Free Survival (EFS) curves will be constructed using the Kaplan-Meier life table method with standard errors computed using the method of Peto and Peto. A 1-sided 95% confidence interval for EFS will be constructed. (NCT00720109)
Timeframe: At 3 years

InterventionPercent probability (Number)
Treatment Induction (Enzyme Inhibitor Therapy & Chemotherapy)79.8
Standard-risk83.2
High-risk66.7

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Rate of Minimal Residual Disease (MRD) < 0.01% at End Block 1

Percentage of eligible and evaluable patients with MRD < 0.01% among those who had successful MRD determination at the end of Block 1. (NCT00873093)
Timeframe: End of Block 1 (Day 36 of Block 1) of re-induction therapy

Interventionpercentage of participants (Number)
Pre-B ALL Relapse 18-36 Mths From Dx (Chemotherapy)Age<=21 Yrs35.4
Pre-B ALL Relapse <18 Mths From Dx (Chemotherapy) Age <=21 Yrs25

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Event Free Survival

Percentage of patients who were event free at 4 months (NCT00873093)
Timeframe: 4 months after enrollment

InterventionPercentage of participants (Number)
Pre-B ALL Relapse 18-36 Mths From Dx (Chemotherapy)Age<=21 Yrs68.5
Pre-B ALL Relapse <18 Mths From Dx (Chemotherapy) Age <=21 Yrs37.8

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Toxic Death Rate

The proportion of toxic death rate among all eligible patients. (NCT00873093)
Timeframe: 4 months

Interventionpercentage of participants (Number)
Overall2.1

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Severe Adverse Events (SAE) Rate.

The proportion of SAE rate among all eligible patients (NCT00873093)
Timeframe: 4 months

Interventionpercentage of participants (Number)
Overall8.2

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Second Complete Remission Rate at the End of Block 1 Reinduction Chemotherapy

The percentage of eligible and evaluable patients who have achieved complete response at the end Block 1 of re-induction therapy. (NCT00873093)
Timeframe: The outcome is measured the end of Block 1 (Day 36 of Block 1) of re-induction therapy.

InterventionPercentage of participants (Number)
Pre-B ALL Relapse 18-36 Mths From Dx (Chemotherapy)Age<=21 Yrs72.2
Pre-B ALL Relapse <18 Mths From Dx (Chemotherapy) Age <=21 Yrs63

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Rate of Minimal Residual Disease (MRD) < 0.01% at End Block 3

Percentage of eligible and evaluable patients with MRD < 0.01% among those who had successful MRD determination at the end of Block 3. (NCT00873093)
Timeframe: End of Block 3 (Day 36 of Block 3) of re-induction therapy

InterventionPercentage of participants (Number)
Pre-B ALL Relapse 18-36 Mths From Dx (Chemotherapy)Age<=21 Yrs80
Pre-B ALL Relapse <18 Mths From Dx (Chemotherapy) Age <=21 Yrs63.6

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Rate of Minimal Residual Disease (MRD) < 0.01% at End Block 2

Percentage of eligible and evaluable patients with MRD < 0.01% among those who had successful MRD determination at the end of Block 2. (NCT00873093)
Timeframe: End of Block 2 (Day 36 of Block 2) of re-induction therapy

Interventionpercentage of participants (Number)
Pre-B ALL Relapse 18-36 Mths From Dx (Chemotherapy)Age<=21 Yrs66.7
Pre-B ALL Relapse <18 Mths From Dx (Chemotherapy) Age <=21 Yrs42.1

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Area Under the Concentration Time Curve During a Dosing Interval at Steady State (AUCtau) of S-cortisol in Plasma After Single and Multiple Dosing During Part A

AUC can be used as a measure of drug exposure. It is derived from drug concentration and time so it gives a measure how much and how long a drug stays in a body. AUCtau is defined as AUC during a dosing interval at steady state. Participants in Arm 1 underwent standardised in-house PK sampling during 24 hours in order to assess single-dose PK of OD or TID regimen at the start of each study treatment period while participants in Arm 2 had a reduced PK sampling scheme of single dose PK on Days 1-2 and returned for multiple-dose PK sampling on Days 7-8. The average of single and multiple dosing for combined arm 1+2 was reported. (NCT00915343)
Timeframe: Arm 1: Week 4, Week 16, Week 16 + 1 day, Week 28; Arm 2: Week 4, Week 4 + 7 days, Week 16, Week 16 + 7 days

Interventionhour*nanomole per liter (Mean)
Hydrocortisone MR Tablet OD - Part A3962.0
Hydrocortisone Tablet TID - Part A4879.6

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Area Under the Concentration Time Curve During a Dosing Interval at Steady State Adjusted by Dose (AUCtau/Dose) of S-cortisol in Plasma After Single and Multiple Dosing During Part A

AUC can be used as a measure of drug exposure. It is derived from drug concentration and time so it gives a measure how much and how long a drug stays in a body. Participants in Arm 1 underwent standardised in-house PK sampling during 14 hours in order to assess single-dose PK of OD or TID regimen at the start of each study treatment period while participants in Arm 2 had a reduced PK sampling scheme of single dose PK on Days 1-2 and returned for multiple-dose PK sampling on Days 7-8. The average of single and multiple dosing for combined arm 1+2 was reported. (NCT00915343)
Timeframe: Arm 1: Week 4, Week 16, Week 16 + 1 day, Week 28; Arm 2: Week 4, Week 4 + 7 days, Week 16, Week 16 + 7 days

Interventionhour per liter (Mean)
Hydrocortisone MR Tablet OD - Part A0.048
Hydrocortisone Tablet TID - Part A0.061

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Area Under the Concentration Time Curve From Zero to 10 Hours Adjusted by Dose (AUC0-10h/Dose) of S-cortisol in Plasma After Single and Multiple Dosing During Part A

AUC can be used as a measure of drug exposure. It is derived from drug concentration and time so it gives a measure how much and how long a drug stays in a body. Participants in Arm 1 underwent standardised in-house PK sampling during 24 hours in order to assess single-dose PK of OD or TID regimen at the start of each study treatment period while participants in Arm 2 had a reduced PK sampling scheme of single dose PK on Days 1-2 and returned for multiple-dose PK sampling on Days 7-8. The average of single and multiple dosing for combined arm 1+2 was reported. (NCT00915343)
Timeframe: Arm 1: Week 4, Week 16, Week 16 + 1 day, Week 28; Arm 2: Week 4, Week 4 + 7 days, Week 16, Week 16 + 7 days

Interventionhour per liter (Mean)
Hydrocortisone MR Tablet OD - Part A0.041
Hydrocortisone Tablet TID - Part A0.046

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Area Under the Concentration Time Curve From Zero to 24 Hours (AUC0-24h) of Total S-cortisol in Plasma After Multiple Doses During Part A

AUC can be used as a measure of drug exposure. It is derived from drug concentration and time so it gives a measure how much and how long a drug stays in a body. Participants in Arm 1 underwent standardised in-house PK sampling during 24 hours in order to assess single-dose PK of OD or TID regimen at the start of each study treatment period while participants in Arm 2 had a reduced PK sampling scheme of single dose PK on Days 1-2 and returned for multiple-dose PK sampling on Days 7-8. The data for combined arm 1+2 after multiple doses were reported. (NCT00915343)
Timeframe: Arm 1: Week 4, Week 16, Week 16 + 1 day, Week 28; Arm 2: Week 4, Week 4 + 7 days, Week 16, Week 16 + 7 days

Interventionhour*nanomole per liter (Mean)
Hydrocortisone MR Tablet OD - Part A3962.0
Hydrocortisone Tablet TID - Part A4879.6

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Area Under the Concentration Time Curve From Zero to 24 Hours Adjusted by Dose (AUC0-24h/Dose) of S-cortisol in Plasma After Single and Multiple Dosing During Part A

AUC can be used as a measure of drug exposure. It is derived from drug concentration and time so it gives a measure how much and how long a drug stays in a body. Participants in Arm 1 underwent standardised in-house PK sampling during 24 hours in order to assess single-dose PK of OD or TID regimen at the start of each study treatment period while participants in Arm 2 had a reduced PK sampling scheme of single dose PK on Days 1-2 and returned for multiple-dose PK sampling on Days 7-8. The average of single and multiple dosing for combined arm 1+2 was reported. (NCT00915343)
Timeframe: Arm 1: Week 4, Week 16, Week 16 + 1 day, Week 28; Arm 2: Week 4, Week 4 + 7 days, Week 16, Week 16 + 7 days

Interventionhour per liter (Mean)
Hydrocortisone MR Tablet OD - Part A0.047
Hydrocortisone Tablet TID - Part A0.060

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Area Under the Concentration Time Curve From Zero to 4 Hours Adjusted by Dose (AUC0-4h/Dose) of S-cortisol in Plasma After Single and Multiple Dosing During Part A

AUC can be used as a measure of drug exposure. It is derived from drug concentration and time so it gives a measure how much and how long a drug stays in a body. Participants in Arm 1 underwent standardised in-house PK sampling during 24 hours in order to assess single-dose PK of OD or TID regimen at the start of each study treatment period while participants in Arm 2 had a reduced PK sampling scheme of single dose PK on Days 1-2 and returned for multiple-dose PK sampling on Days 7-8. The average of single and multiple dosing for combined arm 1+2 was reported. (NCT00915343)
Timeframe: Arm 1: Week 4, Week 16, Week 16 + 1 day, Week 28; Arm 2: Week 4, Week 4 + 7 days, Week 16, Week 16 + 7 days

Interventionhour per liter (Mean)
Hydrocortisone MR Tablet OD - Part A0.025
Hydrocortisone Tablet TID - Part A0.024

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Average Concentration of S-cortisol During the Dosing Interval at Steady State (Css,av) in Plasma After Single and Multiple Dosing During Part A

Css,av was calculated as the area under the S-cortisol concentration versus time curve during a dosing interval at steady state (AUCtau) divided by dosing interval (tau). Participants in Arm 1 underwent standardised in-house PK sampling during 24 hours in order to assess single-dose PK of OD or TID regimen at the start of each study treatment period while participants in Arm 2 had a reduced PK sampling scheme of single dose PK on Days 1-2 and returned for multiple-dose PK sampling on Days 7-8. The average of single and multiple dosing for combined arm 1+2 was reported. (NCT00915343)
Timeframe: Arm 1: Week 4, Week 16, Week 16 + 1 day, Week 28; Arm 2: Week 4, Week 4 + 7 days, Week 16, Week 16 + 7 days

Interventionnanomoles per liter (Mean)
Hydrocortisone MR Tablet OD - Part A165.1
Hydrocortisone Tablet TID - Part A203.3

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Average Concentration of S-cortisol During the Dosing Interval at Steady State Adjusted by Dose (Css,av/Dose) in Plasma After Single and Multiple Dosing During Part A

Css,av was calculated as the area under the S-cortisol concentration versus time curve during a dosing interval at steady state (AUCtau) divided by dosing interval (tau). Participants in Arm 1 underwent standardised in-house PK sampling during 24 hours in order to assess single-dose PK of OD or TID regimen at the start of each study treatment period while participants in Arm 2 had a reduced PK sampling scheme of single dose PK on Days 1-2 and returned for multiple-dose PK sampling on Days 7-8. The average of single and multiple dosing for combined arm 1+2 was reported. (NCT00915343)
Timeframe: Arm 1: Week 4, Week 16, Week 16 + 1 day, Week 28; Arm 2: Week 4, Week 4 + 7 days, Week 16, Week 16 + 7 days

Interventionper liter (Mean)
Hydrocortisone MR Tablet OD - Part A0.002
Hydrocortisone Tablet TID - Part A0.003

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Change From Baseline to 12 Weeks in Diurnal Fatigue Questionnaire for Day Average of Once Daily Therapy - Part A

Diurnal fatigue was assessed at 8 ante meridian (AM), at 12 AM and at 4 post meridian (PM) by a visual analogue scale (VAS) based on 8 domains (energy, relaxed, less alert, moody, mental fatigue, intellectually slow, difficulty focusing, physical activity). Mean values were calculated for the morning (8 AM), the day (12 AM), the evening (4 PM) and mean per day (mean of 8 AM, 12 AM and 4 PM) were analyzed with score range from 0 to 100. A lower value corresponds to better well-being. (NCT00915343)
Timeframe: Baseline (week 0), Week 12

Interventionscores on a scale (Mean)
Hydrocortisone MR Tablet OD - Part A-3.1

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Change From Baseline to 6 Months in Diurnal Fatigue Questionnaire for Day Average- Part B

Diurnal fatigue scores (Visual Analog Scale [VAS] scores of energy, relaxed, less alert, moody, mental fatigue, intellectually slow, difficulty focusing, physical activity) were analyzed with score range from 0 to 100. A lower value corresponds to better well-being. (NCT00915343)
Timeframe: Baseline (week 0), month 6

Interventionscores on a scale (Mean)
Hydrocortisone MR Tablet OD - Part B (All 6 Months)-0.180

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Change From Baseline to 6 Months in Quality of Life (QoL) Assessed by Fatigue Impact Scale (FIS) Total Score - Part B

FIS is a subject-reported scale that qualifies the impact of fatigue on daily life in participants. It consisted of 40 statements that measure fatigue in 3 areas: physical, cognitive, and psychosocial. This 40-item scale evaluates the construct of perceived impact of fatigue on everyday life. Respondents rated each statement using a 5-point Likert-type scale ranging from 0 (no problem) to 4 (extreme problem). A total score ranged from 0 to 160. A lower value corresponds to better well-being. (NCT00915343)
Timeframe: Baseline (week 0), month 6

Interventionscores on a scale (Mean)
Hydrocortisone MR Tablet OD - Part B (All 6 Months)-1.09

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Change From Baseline to 6 Months in Quality of Life (QoL) Assessed by Psychological General Well Being (PGWB) Total Scores- Part B

The PGWB consists of 22 self-administered items rated on a scale from 1 (worst level of well-being) to 6 (maximum level of well-being) with a total score ranging from 22 to 132. A higher score represents better well-being. (NCT00915343)
Timeframe: Baseline (week 0), month 6

Interventionscores on a scale (Mean)
Hydrocortisone MR Tablet OD - Part B (All 6 Months)-0.739

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Comparison of Quality of Life (QoL) Assessed by Fatigue Impact Scale (FIS) Total Score Between Once Daily and Thrice Daily Therapy - Part A

FIS is a subject-reported scale that qualifies the impact of fatigue on daily life in participants. It consisted of 40 statements that measure fatigue in 3 areas: physical, cognitive, and psychosocial. This 40-item scale evaluates the construct of perceived impact of fatigue on everyday life. Respondents rated each statement using a 5-point Likert-type scale ranging from 0 (no problem) to 4 (extreme problem). A total score ranged from 0 to 160. A lower value corresponds to better well-being. (NCT00915343)
Timeframe: 12 weeks

Interventionscores on a scale (Mean)
Hydrocortisone MR Tablet OD - Part A22.6
Hydrocortisone Tablet TID - Part A26.4

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Comparison of Quality of Life (QoL) Assessed by Psychological General Well Being (PGWB) Total Scores Between Once Daily and Thrice Daily Therapy- Part A

The PGWB consists of 22 self-administered items rated on a scale from 1 (worst level of well-being) to 6 (maximum level of well-being) with a total score ranging from 22 to 132. A higher score represents better well-being. (NCT00915343)
Timeframe: 12 weeks

Interventionscores on a scale (Mean)
Hydrocortisone MR Tablet OD - Part A110.5
Hydrocortisone Tablet TID - Part A107.7

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Comparison on 24-hour Urinary Free Cortisol Between Once Daily and Thrice Daily Therapy-Part A

(NCT00915343)
Timeframe: 12 weeks

Interventionnanomoles per 24 hours (Mean)
Hydrocortisone MR Tablet OD - Part A385.7
Hydrocortisone Tablet TID - Part A425.9

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Comparison on Participant Compliance Between Once Daily and Thrice Daily Therapy - Part A

Compliance was calculated as actual consumption/expected consumption Compliance = (Number of dispensed tablets - Number of returned tablets)/(Number of days during the study period x daily Number of hydrocortisone tablets when taking the ordinary daily dose). (NCT00915343)
Timeframe: Weeks 4 up to 28

Interventionpercentage use (Mean)
Hydrocortisone MR Tablet OD - Part A104.8
Hydrocortisone Tablet TID - Part A103.1

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Concentration at 6 Hours (C6h) of S-cortisol in Plasma After Single and Multiple Dosing During Part A

Participants in Arm 1 underwent standardised in-house PK sampling during 24 hours in order to assess single-dose PK of OD or TID regimen at the start of each study treatment period while participants in Arm 2 had a reduced PK sampling scheme of single dose PK on Days 1-2 and returned for multiple-dose PK sampling on Days 7-8. The average of single and multiple dosing for combined arm 1+2 was reported. (NCT00915343)
Timeframe: Arm 1: Week 4, Week 16, Week 16 + 1 day, Week 28; Arm 2: Week 4, Week 4 + 7 days, Week 16, Week 16 + 7 days

Interventionnanomoles per liter (Mean)
Hydrocortisone MR Tablet OD - Part A278.5
Hydrocortisone Tablet TID - Part A426.7

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Concentration at 7 Hours (C7h) of S-cortisol in Plasma After Single and Multiple Dosing During Part A

Participants in Arm 1 underwent standardised in-house PK sampling during 24 hours in order to assess single-dose PK of OD or TID regimen at the start of each study treatment period while participants in Arm 2 had a reduced PK sampling scheme of single dose PK on Days 1-2 and returned for multiple-dose PK sampling on Days 7-8. The average of single and multiple dosing for combined arm 1+2 was reported. (NCT00915343)
Timeframe: Arm 1: Week 4, Week 16, Week 16 + 1 day, Week 28; Arm 2: Week 4, Week 4 + 7 days, Week 16, Week 16 + 7 days

Interventionnanomoles per liter (Mean)
Hydrocortisone MR Tablet OD - Part A214.1
Hydrocortisone Tablet TID - Part A322.4

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Drug Concentration Half-Life From 5 to 14 Hours (t1/2[5-14h]) of S-cortisol in Plasma After Single and Multiple Dosing During Part A

t1/2[5-14h] is the time taken for the blood plasma concentration of a drug to halve from 5 to 14 hours. Participants in Arm 1 underwent standardised in-house PK sampling during 24 hours in order to assess single-dose PK of OD or TID regimen at the start of each study treatment period while participants in Arm 2 had a reduced PK sampling scheme of single dose PK on Days 1-2 and returned for multiple-dose PK sampling on Days 7-8. The average of single and multiple dosing for combined arm 1+2 was reported. (NCT00915343)
Timeframe: Arm 1: Week 4, Week 16, Week 16 + 1 day, Week 28; Arm 2: Week 4, Week 4 + 7 days, Week 16, Week 16 + 7 days

Interventionhours (Mean)
Hydrocortisone MR Tablet OD - Part A4.60
Hydrocortisone Tablet TID - Part A18.4

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Drug Concentration Half-Life From 5 to 24 Hours (t1/2[5-24h]) of S-cortisol in Plasma After Single and Multiple Dosing During Part A

t1/2[5-24h] is the time taken for the blood plasma concentration of a drug to halve from 5 to 24 hours. Participants in Arm 1 underwent standardised in-house PK sampling during 24 hours in order to assess single-dose PK of OD or TID regimen at the start of each study treatment period while participants in Arm 2 had a reduced PK sampling scheme of single dose PK on Days 1-2 and returned for multiple-dose PK sampling on Days 7-8. The average of single and multiple dosing for combined arm 1+2 was reported. (NCT00915343)
Timeframe: Arm 1: Week 4, Week 16, Week 16 + 1 day, Week 28; Arm 2: Week 4, Week 4 + 7 days, Week 16, Week 16 + 7 days

Interventionhours (Mean)
Hydrocortisone MR Tablet OD - Part A7.32
Hydrocortisone Tablet TID - Part A1.84

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First Detectable Concentration (Cfirst) of S-cortisol in Plasma After Single and Multiple Dosing During Part A

Participants in Arm 1 underwent standardised in-house PK sampling during 24 hours in order to assess single-dose PK of OD or TID regimen at the start of each study treatment period while participants in Arm 2 had a reduced PK sampling scheme of single dose PK on Days 1-2 and returned for multiple-dose PK sampling on Days 7-8. The average of single and multiple dosing for combined arm 1+2 was reported. (NCT00915343)
Timeframe: Arm 1: Week 4, Week 16, Week 16 + 1 day, Week 28; Arm 2: Week 4, Week 4 + 7 days, Week 16, Week 16 + 7 days

Interventionnanomoles per liter (Mean)
Hydrocortisone MR Tablet OD - Part A229.0
Hydrocortisone Tablet TID - Part A295.1

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First Detectable Concentration Adjusted by Dose (Cfirst/Dose) of S-cortisol in Plasma After Single and Multiple Dosing During Part A

Participants in Arm 1 underwent standardised in-house PK sampling during 24 hours in order to assess single-dose PK of OD or TID regimen at the start of each study treatment period while participants in Arm 2 had a reduced PK sampling scheme of single dose PK on Days 1-2 and returned for multiple-dose PK sampling on Days 7-8. The average of single and multiple dosing for combined arm 1+2 was reported. (NCT00915343)
Timeframe: Arm 1: Week 4, Week 16, Week 16 + 1 day, Week 28; Arm 2: Week 4, Week 4 + 7 days, Week 16, Week 16 + 7 days

Interventionper liter (Mean)
Hydrocortisone MR Tablet OD - Part A0.003
Hydrocortisone Tablet TID - Part A0.004

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Maximal Concentration (Cmax1) of S-cortisol in Plasma After Single and Multiple Dosing During Part A

Cmax is a term that refers to the maximum (or peak) concentration that a drug achieves in the body after the drug has been administrated. Cmax1 is the Cmax after first dose of study drug. Participants in Arm 1 underwent standardised in-house PK sampling during 24 hours in order to assess single-dose PK of OD or TID regimen at the start of each study treatment period while participants in Arm 2 had a reduced PK sampling scheme of single dose PK on Days 1-2 and returned for multiple-dose PK sampling on Days 7-8. The average of single and multiple dosing for combined arm 1+2 was reported. (NCT00915343)
Timeframe: Arm 1: Week 4, Week 16, Week 16 + 1 day, Week 28; Arm 2: Week 4, Week 4 + 7 days, Week 16, Week 16 + 7 days

Interventionnanomoles per liter (Mean)
Hydrocortisone MR Tablet OD - Part A690.7
Hydrocortisone Tablet TID - Part A802.8

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Maximal Concentration (Cmax2) of S-cortisol in Plasma After Single and Multiple Dosing During Part A

Cmax is a term that refers to the maximum (or peak) concentration that a drug achieves in the body after the drug has been administrated. Cmax2 is the Cmax after second dose of study drug. Participants in Arm 1 underwent standardised in-house PK sampling during 24 hours in order to assess single-dose PK of OD or TID regimen at the start of each study treatment period while participants in Arm 2 had a reduced PK sampling scheme of single dose PK on Days 1-2 and returned for multiple-dose PK sampling on Days 7-8. The average of single and multiple dosing for combined arm 1+2 was reported. (NCT00915343)
Timeframe: Arm 1: Week 4, Week 16, Week 16 + 1 day, Week 28; Arm 2: Week 4, Week 4 + 7 days, Week 16, Week 16 + 7 days

Interventionnanomoles per liter (Mean)
Hydrocortisone MR Tablet OD - Part A553.8
Hydrocortisone Tablet TID - Part A446.9

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Maximal Concentration Adjusted by Dose (Cmax1/Dose) of S-cortisol in Plasma After Single and Multiple Dosing During Part A

Cmax is a term that refers to the maximum (or peak) concentration that a drug achieves in the body after the drug has been administrated. Cmax1 is the Cmax after first dose of study drug. Participants in Arm 1 underwent standardised in-house PK sampling during 24 hours in order to assess single-dose PK of OD or TID regimen at the start of each study treatment period while participants in Arm 2 had a reduced PK sampling scheme of single dose PK on Days 1-2 and returned for multiple-dose PK sampling on Days 7-8. The average of single and multiple dosing for combined arm 1+2 was reported. (NCT00915343)
Timeframe: Arm 1: Week 4, Week 16, Week 16 + 1 day, Week 28; Arm 2: Week 4, Week 4 + 7 days, Week 16, Week 16 + 7 days

Interventionper liter (Mean)
Hydrocortisone MR Tablet OD - Part A0.008
Hydrocortisone Tablet TID - Part A0.010

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Participant Compliance- Part B

Compliance was calculated as actual consumption/expected consumption Compliance = (Number of dispensed tablets - Number of returned tablets)/(Number of days during the study period x daily Number of hydrocortisone tablets when taking the ordinary daily dose). (NCT00915343)
Timeframe: Up to Month 6 follow-up

Interventionpercentage use (Mean)
Hydrocortisone MR Tablet OD - Part B (All 6 Months)102.3

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Percentage (%) of Area Under the Concentration Time Curve (AUC) Extrapolation of S-cortisol in Plasma After Single and Multiple Dosing During Part A

The percentage of AUC0-inf that is due to extrapolation from Tlast to infinity (AUC%Extrapolation) was calculated by using the formula AUC%extrapolation = 100*(AUC0-inf minus AUC0-t)/AUC0-inf. The function of this parameter was to provide information about what percentage of the theoretical curve (AUC0-inf) was possible to determine experimentally (AUC0-t). Therefore, on average, it is expected that the residual area (AUCextrapolation) is not greater than 20%. Participants in Arm 1 underwent standardised in-house PK sampling during 24 hours in order to assess single-dose PK of OD or TID regimen at the start of each study treatment period while participants in Arm 2 had a reduced PK sampling scheme of single dose PK on Days 1-2 and returned for multiple-dose PK sampling on Days 7-8. The average of single and multiple dosing for combined arm 1+2 was reported. (NCT00915343)
Timeframe: Arm 1: Week 4, Week 16, Week 16 + 1 day, Week 28; Arm 2: Week 4, Week 4 + 7 days, Week 16, Week 16 + 7 days

Interventionpercentage of AUC (Mean)
Hydrocortisone MR Tablet OD - Part A10.1
Hydrocortisone Tablet TID - Part A9.26

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Percentage (%) of Fluctuation in Concentrations of S-cortisol at Steady State in Plasma After Single and Multiple Dosing During Part A

Percentage of fluctuation was calculated by using formula 100*(Cmax-minimum plasma concentration [Cmin])/Cavg,ss. It was peak trough fluctuation within one dosing interval at steady state. Participants in Arm 1 underwent standardised in-house PK sampling during 24 hours in order to assess single-dose PK of OD or TID regimen at the start of each study treatment period while participants in Arm 2 had a reduced PK sampling scheme of single dose PK on Days 1-2 and returned for multiple-dose PK sampling on Days 7-8. The average of single and multiple dosing for combined arm 1+2 was reported. (NCT00915343)
Timeframe: Arm 1: Week 4, Week 16, Week 16 + 1 day, Week 28; Arm 2: Week 4, Week 4 + 7 days, Week 16, Week 16 + 7 days

Interventionpercentage of fluctuation (Mean)
Hydrocortisone MR Tablet OD - Part A429.7
Hydrocortisone Tablet TID - Part A396.2

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Time to First Detectable Concentration (Tfirst) of S-cortisol in Plasma After Single and Multiple Dosing During Part A

Participants in Arm 1 underwent standardised in-house PK sampling during 24 hours in order to assess single-dose PK of OD or TID regimen at the start of each study treatment period while participants in Arm 2 had a reduced PK sampling scheme of single dose PK on Days 1-2 and returned for multiple-dose PK sampling on Days 7-8. The average of single and multiple dosing for combined arm 1+2 was reported. (NCT00915343)
Timeframe: Arm 1: Week 4, Week 16, Week 16 + 1 day, Week 28; Arm 2: Week 4, Week 4 + 7 days, Week 16, Week 16 + 7 days

Interventionhours (Median)
Hydrocortisone MR Tablet OD - Part A0.229
Hydrocortisone Tablet TID - Part A0.208

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Time to First Detectable Concentration Adjusted by Dose (Tfirst/Dose) of S-cortisol in Plasma After Single and Multiple Dosing During Part A

Participants in Arm 1 underwent standardised in-house PK sampling during 24 hours in order to assess single-dose PK of OD or TID regimen at the start of each study treatment period while participants in Arm 2 had a reduced PK sampling scheme of single dose PK on Days 1-2 and returned for multiple-dose PK sampling on Days 7-8. The average of single and multiple dosing for combined arm 1+2 was reported. (NCT00915343)
Timeframe: Arm 1: Week 4, Week 16, Week 16 + 1 day, Week 28; Arm 2: Week 4, Week 4 + 7 days, Week 16, Week 16 + 7 days

Intervention(hour per nanomole)*10^6 (Mean)
Hydrocortisone MR Tablet OD - Part A2.26
Hydrocortisone Tablet TID - Part A2.32

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Time to Peak Plasma Concentration (Tmax1) of S-cortisol in Plasma After Single and Multiple Dosing During Part A

Tmax is the time after administration of a drug when the maximum plasma concentration in the body is reached. Tmax1 is the Tmax after first dose of study drug. Participants in Arm 1 underwent standardised in-house PK sampling during 24 hours in order to assess single-dose PK of OD or TID regimen at the start of each study treatment period while participants in Arm 2 had a reduced PK sampling scheme of single dose PK on Days 1-2 and returned for multiple-dose PK sampling on Days 7-8. The average of single and multiple dosing for combined arm 1+2 was reported. (NCT00915343)
Timeframe: Arm 1: Week 4, Week 16, Week 16 + 1 day, Week 28; Arm 2: Week 4, Week 4 + 7 days, Week 16, Week 16 + 7 days

Interventionhours (Median)
Hydrocortisone MR Tablet OD - Part A1.00
Hydrocortisone Tablet TID - Part A0.750

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Time to Peak Plasma Concentration (Tmax2) of S-cortisol in Plasma After Single and Multiple Dosing During Part A

Tmax is the time after administration of a drug when the maximum plasma concentration in the body is reached. Tmax2 is the Tmax after second dose of study drug. Participants in Arm 1 underwent standardised in-house PK sampling during 24 hours in order to assess single-dose PK of OD or TID regimen at the start of each study treatment period while participants in Arm 2 had a reduced PK sampling scheme of single dose PK on Days 1-2 and returned for multiple-dose PK sampling on Days 7-8. The average of single and multiple dosing for combined arm 1+2 was reported. (NCT00915343)
Timeframe: Arm 1: Week 4, Week 16, Week 16 + 1 day, Week 28; Arm 2: Week 4, Week 4 + 7 days, Week 16, Week 16 + 7 days

Interventionhours (Median)
Hydrocortisone MR Tablet OD - Part A5.00
Hydrocortisone Tablet TID - Part A6.00

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Time to Reach a Concentration of 200 Nanometers (nM) (T200) of S-cortisol in Plasma After Single and Multiple Dosing During Part A

Participants in Arm 1 underwent standardised in-house PK sampling during 24 hours in order to assess single-dose PK of OD or TID regimen at the start of each study treatment period while participants in Arm 2 had a reduced PK sampling scheme of single dose PK on Days 1-2 and returned for multiple-dose PK sampling on Days 7-8. The average of single and multiple dosing for combined arm 1+2 was reported. (NCT00915343)
Timeframe: Arm 1: Week 4, Week 16, Week 16 + 1 day, Week 28; Arm 2: Week 4, Week 4 + 7 days, Week 16, Week 16 + 7 days

Interventionhours (Median)
Hydrocortisone MR Tablet OD - Part A0.250
Hydrocortisone Tablet TID - Part A0.167

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Area Under the Concentration Time Curve (AUC) Between Specified Timepoints of Total S-cortisol in Plasma After Single and Multiple Dosing During Part A

"AUC can be used as a measure of drug exposure. It is derived from drug concentration and time so it gives a measure how much and how long a drug stays in a body. AUC between specified timepoints included AUC0-4h, AUC4-12h, AUC6-12h, AUC12-24h, AUC0-10h, AUC4-10h, AUC6-10h, AUC10-24h, AUC(0-inf), AUC(24h-inf). Participants in Arm 1 underwent standardised in-house PK sampling during 24 hours in order to assess single-dose PK of OD or TID regimen at the start of each study treatment period while participants in Arm 2 had a reduced PK sampling scheme of single dose PK on Days 1-2 and returned for multiple-dose PK sampling on Days 7-8. The average of single and multiple dosing for combined arm 1+2 was reported. Here, Nsignifies the number of participants evaluable for this outcome." (NCT00915343)
Timeframe: Arm 1: Week 4, Week 16, Week 16 + 1 day, Week 28; Arm 2: Week 4, Week 4 + 7 days, Week 16, Week 16 + 7 days

,
Interventionhour*nanomole per liter (Mean)
AUC0-4h (N=61, 61)AUC4-12h (N=61, 61)AUC6-12h (N=61, 61)AUC12-24h (N=61, 61)AUC0-10h (N=61, 61)AUC4-10h (N=61, 61)AUC6-10h (N=61, 61)AUC10-24h (N=61, 61)AUC(0-inf) (N=52, 52)AUC(24h-inf) (N=52, 52)
Hydrocortisone MR Tablet OD - Part A2053.71491.8808.2306.23388.41334.7651.1465.03972.6195.3
Hydrocortisone Tablet TID - Part A1929.72302.51607.6576.63768.71839.01144.11058.05162.8410.4

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Change From Baseline to 6 Months in Quality of Life (QoL) Assessed by Short Form-36 Survey (SF-36) For Physical and Mental Component Score - Part B

The SF-36 was a questionnaire used to assess physical functioning and is made up of eight domains: physical functioning, role physical, bodily pain, general health, vitality, social functioning, role-emotional and mental health. Transforming and standardizing these domains lead to the calculation of the physical and mental component summary measures. Scores ranging from 0 to 100, with 0=worst score (or quality of life) and 100=best score. A higher value in the SF-36 questionnaire corresponds to better well-being. (NCT00915343)
Timeframe: Baseline (week 0), month 6

Interventionscores on a scale (Mean)
Physical componentMental component
Hydrocortisone MR Tablet OD - Part B (All 6 Months)0.390-0.896

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Comparison of Overall Patient Tolerability Score Between Once Daily and Thrice Daily Therapy, Assessed by Patient and Investigator - Part A

"Overall patient tolerability score assessed by patient and investigator, ranged from 1 (feeling poor on treatment) to 5 (feeling very well on treatment). The average total score ranges from 1 to 5 with a higher score representing better tolerability of the treatment. Questionnaire assessed by patient were I have been very poorly on the treatment, I haven't been very well (or less well) on the treatment, I have been acceptably well on the treatment, I have been well on the treatment and I have been very well on the treatment. Questionnaire assessed by investigator were The patient has been feeling very poorly on the treatment, The patient has not tolerated the treatment well, The patient has tolerated the treatment less well, The patient has tolerated the treatment well and The patient has tolerated the treatment very well." (NCT00915343)
Timeframe: 12 weeks

,
Interventionscores on a scale (Mean)
PatientInvestigator
Hydrocortisone MR Tablet OD - Part A4.284.26
Hydrocortisone Tablet TID - Part A4.364.33

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Comparison of Quality of Life (QoL) Assessed by Short Form-36 Survey (SF-36) For Physical and Mental Component Score Between Once Daily and Thrice Daily Therapy- Part A

The SF-36 was a questionnaire used to assess physical functioning and is made up of eight domains: physical functioning, role physical, bodily pain, general health, vitality, social functioning, role-emotional and mental health. Transforming and standardizing these domains lead to the calculation of the physical and mental component summary measures. Scores ranging from 0 to 100, with 0=worst score (or quality of life) and 100=best score. A higher value corresponds to better well-being. (NCT00915343)
Timeframe: 12 weeks

,
Interventionscores on a scale (Mean)
Physical componentMental component
Hydrocortisone MR Tablet OD - Part A49.351.1
Hydrocortisone Tablet TID - Part A50.049.8

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Comparison on Participant Preference by Questionnaire Between Once Daily and Thrice Daily Therapy-Part A

Participant Preference Questionnaire consisted of the following set of questions: 1. How large was the benefit with OD compared to TID and the responses were recorded as considerably poorer, somewhat poorer, comparable, large, very large; 2. How strongly concur with the following statement: I prefer novel OD to conventional TID and the responses were recorded as strongly disagree, disagree, neutral, strongly, very strongly; 3. How strongly concur with the following statement: I prefer conventional TID to novel OD and the responses were recorded as strongly disagree, disagree, neutral, strongly, very strongly. (NCT00915343)
Timeframe: Weeks 16 up to 28

Interventionpercentage of preference (Number)
Benefit compared OD to TID: Considerably poorerBenefit compared OD to TID: Somewhat poorerBenefit compared OD to TID: ComparableBenefit compared OD to TID: LargeBenefit compared OD to TID: Very largePrefer OD to TID: Strongly disagreePrefer OD to TID: DisagreePrefer OD to TID: NeutralPrefer OD to TID: StronglyPrefer OD to TID: Very stronglyPrefer TID to OD: Strongly disagreePrefer TID to OD: DisagreePrefer TID to OD: NeutralPrefer TID to OD: StronglyPrefer TID to OD: Very strongly
Hydrocortisone OD Versus TID3.85.75.720.864.23.73.75.625.961.139.635.412.54.28.3

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Percentage (%) of Participants With Change From Baseline in Patient Tolerability Questionnaire at Month 6, Assessed by Patient and Investigator - Part B

Patient tolerability questionnaire was assessed by both patient and investigator, the responses were as follows: improvement, no change, worsening and were reported. (NCT00915343)
Timeframe: Baseline (week 0), month 6

Interventionpercentage of participants (Number)
Improvement (Patient)Improvement (Investigator)No change (Patient)No change (Investigator)Worsening (Patient)Worsening (Investigator)
Hydrocortisone MR Tablet OD - Part B (All 6 Months)10.714.073.270.016.116.0

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Accumulation Ratio (Rac) of S-cortisol in Plasma After Single and Multiple Dosing During Part A

The Rac was calculated as area under the S-cortisol concentration versus time curve during a dosing interval at steady state (AUCtau) on Day 28 divided by AUC0-24h on Day 1. Participants in Arm 1 underwent standardised in-house PK sampling during 24 hours in order to assess single-dose PK of OD or TID regimen at the start of each study treatment period while participants in Arm 2 had a reduced PK sampling scheme of single dose PK on Days 1-2 and returned for multiple-dose PK sampling on Days 7-8. The average of single and multiple dosing for combined arm 1+2 was reported. (NCT00915343)
Timeframe: Arm 1: Week 4, Week 16, Week 16 + 1 day, Week 28; Arm 2: Week 4, Week 4 + 7 days, Week 16, Week 16 + 7 days

Interventionratio (Mean)
Hydrocortisone MR Tablet OD - Part A1.11
Hydrocortisone Tablet TID - Part A1.03

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Orthostatic Hypotension

(NCT01559675)
Timeframe: Postoperative Day 1

Interventionparticipants (Number)
High Dose Steroid2
Low Dose Steroid2

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Average Inotrope Score

Average inotrope score over first 48 hours after Cardiac Intensive Care Unit admission was used as a secondary outcome. Inotrope Score is calculated based on the dose of inotropes currently infusing at a given time points. The formula for calculation is as follows: Epinephrine/Norepinephrine (mcg/kg/min) dose x100, plus Dopamine/Dobutamine (mcg/kg/min) dose x 1, plus Neosynephrine (mcg/kg/min) dose x10, plus Vasopressin (units/kg/hr) [(dose x60)/10,000] = Inotrope Score. Our institution does not include Milrinone in our inotrope score calculation because every patient receives a continuous infusion in the immediate post-operative period. The higher the inotrope score the more cardiac support the patient is requiring or the worse their cardiac function is becoming. (NCT01595386)
Timeframe: first 48 hours post-op

,
InterventionInotrope Score (Median)
Inotrope Score at 12 hours post bypassInotrope Score 24 hours post bypassInotrope Score 48 hours post bypass
Hydrocortisone4.740
Normal Saline-Placebo5.300

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CICU Length of Stay

CICU length of stay will be calculated from the time the subject is admitted to the CICU post-op until they are discharged from the unit. This will be used as a secondary outcome. (NCT01595386)
Timeframe: approximately 1 week

Interventionhours (Median)
Normal Saline-Placebo162
Hydrocortisone213

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Changes in Baseline Arterial-venous Oxygen Saturation Difference

Respiratory values such as changes in baseline arterial-venous oxygen saturation difference at admission to the pediatric cardiac intensive care unit will be used as a secondary outcome. (NCT01595386)
Timeframe: admit to the CICU

Interventionpercentage of arterial-venous saturation (Median)
Normal Saline-Placebo14
Hydrocortisone9.5

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Incidence of Low Cardiac Output Syndrome (LCOS)

Low Cardiac Output Syndrome (LCOS) within the first 48 hours after post-operative admission to the Pediatric Cardiac Intensive Care Unit was used as the primary outcome. This was defined as a double in inotropic support from post-operative admit, requiring Extracorporeal Membrane Oxygenation (ECMO) support, receiving Cardiopulmonary Resuscitation, or death. (NCT01595386)
Timeframe: first 48 hours after cardiac intensive care unit (CICU) admission post-op

Interventionpercentage of patients (Number)
Normal Saline-Placebo57
Hydrocortisone26

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Changes in Baseline Inflammatory Mediators

Changes in pre-op inflammatory mediators will be assessed at 0, 4, 12, 24 and 48 hours post bypass and used as a secondary outcome. (NCT01595386)
Timeframe: 0, 4,12, 24, and 48 hours post bypass

,
Interventionpg/mL (Median)
Pre-op Il-100 hr post bypass Il-104 hr post bypss Il-1012 hr post bypass Il-1024 hr post bypass Il-1048 hr post bypass Il-10Pre-op Il-1 beta0 hr post bypass Il-1 beta4 hr post bypass Il-1 beta12 hr post bypss Il-1 beta24 hr post bypass Il-1 beta48 hr post bypass Il-1 betaPre-op Il-60 hr post bypass IL-64 hr post bypsas Il-612 hr post bypass Il-624 hr post bypass Il-648 hr post bypass Il-6Pre-op Il-80 hr post bypass Il-84 hr post bypss IL-812 hr post bypass IL-824 hr post bypass Il-848 hr post bypass Il-8Pre-op tumor necrosis factor (TNF)-alpha0 hr post bypass TNF-alpha4 hr post bypass TNF-alpha12 hr post bypss TNF-alpha24 hr post bypass TNF-alpha48 hr post bypass TNF-alpha
Hydrocortisone4.316492.220.110.79.40.530.51.20.330.770.295.812.465.250.445.515.323.599.8261.59710350.34.32.95.54.24.13
Normal Saline-Placebo422553.517.511.47.90.490.440.830.491.710.763.613.65893.711040.127.111821215312967.34.73.66.46.65.85.1

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ACTH Stimulation Test

AdrenoCorticoTropic Hormone stimulation test will be performed at least 24 hours pre-bypass and immediately after successful discontinuation of bypass and compared. These outcomes will be used as a secondary outcome. (NCT01595386)
Timeframe: 24 hours prebypass and 0 hours post-bypass

,
Interventionmicrog/dL (Median)
Pre-op ACTHPre-op Pre-stimulation cortisolPre-op Post-stimulation cortisolPost-op ACTHPost-op Pre-Stimulation cortisolPost-op Post-stimulation cortisol
Hydrocortisone3123.347.17.587.2118.8
Normal Saline-Placebo24.518.243.610.589.4112.3

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Time Until First Extubation

Respiratory values such as duration of intubation will be used as a secondary outcome. (NCT01595386)
Timeframe: Until discharge from hospital, approximately 2 weeks

Interventionhours (Median)
Normal Saline-Placebo55
Hydrocortisone51

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Mortality

Subject mortality will in the CICU will be used as a secondary outcome. (NCT01595386)
Timeframe: Duration of CICU stay, approximately 1 week

Interventionpercentage of patients (Number)
Normal Saline-Placebo14
Hydrocortisone0

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Mean Number of Days Subjects Alive and Ventilator Free

Respiratory variables include such as alive, ventilator free days at 28 days post-op will be used as secondary outcome. The mean number of days subjects were live and ventilator free up to the 28 days after surgery. (NCT01595386)
Timeframe: up to 28 days post op

Interventiondays (Median)
Normal Saline-Placebo24
Hydrocortisone25

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Hospital Length of Stay

The average length of hospital stay from the time the subject is admitted to the CICU post-op until they are discharged will be used as a secondary outcome. (NCT01595386)
Timeframe: Admit to CICU till hospital discharge, approximately 3 weeks

Interventiondays (Median)
Normal Saline-Placebo13.5
Hydrocortisone19

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Fluid Balance

Hemodynamic variable such as total fluid balance within the first 48 hours post-op will be used as a secondary outcome. Fluid balance is a calculation of the overall fluid status for a given time period. The total input (fluid, medications, etc) that are given to a patient during a given time frame (24 hours) minus the total output (urine, stool, drainage, etc. ) that comes out of a patient during a given time frame. (NCT01595386)
Timeframe: 1st 48 hours post-op

InterventionmL/kg (Median)
Normal Saline-Placebo-64
Hydrocortisone-114

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Minimum Residual Disease (MRD) Levels Present at End of Cycle 1 Therapy in Patients

"MRD positive is defined as > or = to 0.1% MRD MRD negative is define as < 0.1% MRD~All these analyses will be descriptive and exploratory and hypotheses generating in nature." (NCT01614197)
Timeframe: Cycle 1 (a minimum of 4 weeks and a max of 8 weeks)

,,,
InterventionParticipants (Count of Participants)
MRD positiveMRD negative
Dose Level 130
Dose Level 221
Dose Level 351
Dose Level 421

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3-year Overall Survival Rate of Patients With Relapsed ALL

Estimate the 3-year survival rate of participants with first relapse or primary refractory precursor B-cell ALL treated with risk-directed therapy. (NCT01700946)
Timeframe: 3 years of follow-up since the on-study date

Interventionpercentage of participants (Number)
STANDARD RISK94.4
HIGH RISK55.5
All Patients Enrolled on the Study72.63

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Mean of CD20 Expression Levels

To estimate mean levels of CD20 expression at baseline, during treatment with dexamethasone-containing chemotherapy and following rituximab treatment in Block I of remission induction therapy for relapsed precursor B-cell ALL. (NCT01700946)
Timeframe: Baseline and at the end of Block I (approximately 5 weeks after the on-study date)

,,
Interventionpercentage of CD20 Antigen (Mean)
At BaselineAt Block I
All Patients Enrolled on the Study36.2319.43
HIGH RISK39.8220.10
STANDARD RISK31.1018.54

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3-year Event-free Survival Rates in Patients With Relapsed ALL

Estimate the 3-year event-free survival rate of participants with first relapse or primary refractory precursor B-cell ALL treated with risk-directed therapy. (NCT01700946)
Timeframe: 3 years of follow-up since the on-study date

Interventionpercentage of participants (Number)
STANDARD RISK83.3
HIGH RISK55.7
All Patients Enrolled on the Study67.83

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Median CD20 Expression Levels

To estimate median levels of CD20 expression at baseline, during treatment with dexamethasone-containing chemotherapy and following rituximab treatment in Block I of remission induction therapy for relapsed precursor B-cell ALL. (NCT01700946)
Timeframe: Baseline and at the end of Block I (approximately 5 weeks after the on-study date)

,,
Interventionpercentage of CD20 Antigen (Median)
At BaselineAt Block 1
All Patients Enrolled on the Study22.015.58
HIGH RISK23.1319.58
STANDARD RISK16.4011.83

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Serum Prothrombin Fragment 1 and 2 (PF 1.2)

(NCT01782859)
Timeframe: First 24 hours after surgery

,
Interventionpmol/mL (Mean)
BaselineWound Closure4 hours postoperatively6 hours postoperatively24 hours postoperatively
Placebo334.15778.331306.761175.71356.79
Prednisone/Hydrocortisone298.12619.211138.651032.52422.61

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Plasmin-a 2 Antiplasmin Complex (PAP)

(NCT01782859)
Timeframe: First 24 hours after surgery

,
Interventionmcg/L (Mean)
BaselineWound Closure4 hours postoperatively6 hours postoperatively24 hours postoperatively
Placebo924.671361.232251.332283.18996.39
Prednisone/Hydrocortisone1011.172251.332455.712379.57914.16

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Interleukin (IL)-6 Cytokine Release (Inflammatory Marker)

The time frame of the study for each patient covers the period between time of surgery and until discharge from the hospital. (NCT01782859)
Timeframe: Participants will be followed from the time of surgery until discharge, expected average of 3-5 days

,
Interventionpicograms/milliliter (Mean)
BaselineWound closure4 hours postoperatively6 hours postoperatively24 hours postoperatively
Placebo2.984.4689.21115.17176.79
Prednisone/Hydrocortisone5.694.4756.7264.468.51

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Pain at 3 Months Post-op

At 3 months postoperatively, patients were asked to rate their pain on a scale of 0-10, with 0 being no pain and 10 being worst pain. (NCT01782859)
Timeframe: 3 months postoperatively

Interventionunits on a scale (Mean)
Placebo0.92
Prednisone/Hydrocortisone0.54

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Participants Mean Level of ACTH Area Under the Curve (AUC) - Midday (1500 - 2300)

Participants Mean Level of ACTH Area Under the Curve (AUC) - Midday (1500 - 2300). AUC was calculated using the linear-up log-down trapezoidal rule for the 8 hour midday level, samples were obtained every 2 hours beginning at 1500, 1700, 1900, 2100, 2300. Actual collection times were used to define peak plasma concentration (Cmax) and time to peak plasma concentration (Tmax). (NCT01859312)
Timeframe: At baseline

Interventionh*pg/mL (Mean)
Continuous Subcutaneous Hydrocortisone Infusion458

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Participants Mean Level of ACTH Area Under the Curve (AUC) - Nighttime (2300 - 0700)

Participants Mean Level of ACTH Area Under the Curve (AUC) - Nighttime (2300 - 0700). AUC was calculated using the linear-up log-down trapezoidal rule for the 8 hour nighttime level, samples were obtained every 2 hours beginning at 2300, 0100, 0300, 0500, 0700. Actual collection times were used to define peak plasma concentration (Cmax) and time to peak plasma concentration (Tmax). (NCT01859312)
Timeframe: At baseline

Interventionh*pg/mL (Mean)
Continuous Subcutaneous Hydrocortisone Infusion841

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Participants Mean Level of ACTH at 0700

Participants Mean Level of ACTH at 0700. (NCT01859312)
Timeframe: At 6 months

Interventionpg/mL (Mean)
Continuous Subcutaneous Hydrocortisone Infusion139

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Participants Mean Level of ACTH at 0700

Participants Mean Level of ACTH at 0700. (NCT01859312)
Timeframe: At baseline

Interventionpg/mL (Mean)
Continuous Subcutaneous Hydrocortisone Infusion405

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Participants Mean Level of Androstenedione Area Under the Curve (AUC) - 24 Hours

Participants Mean Level of Androstenedione area under the curve (AUC) - 24 hours. AUC was calculated using the linear-up log-down trapezoidal rule for the entire 24 hours and samples were obtained every 2 hours beginning at 2300, 0100, 0300, 0500, 0700, 0900, 1100, 1300, 1500, 1700, 1900, 2100, 2300. Actual collection times were used to define peak plasma concentration (Cmax) and time to peak plasma concentration (Tmax). (NCT01859312)
Timeframe: At 6 months

Interventionh*mcg/dL (Mean)
Continuous Subcutaneous Hydrocortisone Infusion5.2

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Participants Mean Level of Androstenedione Area Under the Curve (AUC) - 24 Hours

Participants Mean Level of Androstenedione Area Under the Curve (AUC) - 24 hours. AUC was calculated using the linear-up log-down trapezoidal rule for the entire 24 hours and samples were obtained every 2 hours beginning at 2300, 0100, 0300, 0500, 0700, 0900, 1100, 1300, 1500, 1700, 1900, 2100, 2300. Actual collection times were used to define peak plasma concentration (Cmax) and time to peak plasma concentration (Tmax). (NCT01859312)
Timeframe: At baseline

Interventionh*mcg/dL (Mean)
Continuous Subcutaneous Hydrocortisone Infusion12.7

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Participants Mean Level of Androstenedione Area Under the Curve (AUC) - Daytime (0700-1500)

Participants Mean Level of Androstenedione Area Under the Curve (AUC) - Daytime (0700-1500). AUC was calculated using the linear-up log-down trapezoidal rule for the 8 hour daytime level, samples were obtained every 2 hours beginning at 0700, 0900, 1100, 1300, 1500. Actual collection times were used to define peak plasma concentration (Cmax) and time to peak plasma concentration (Tmax). (NCT01859312)
Timeframe: At 6 months

Interventionh*mcg/dL (Mean)
Continuous Subcutaneous Hydrocortisone Infusion1.8

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Participants Mean Level of Androstenedione Area Under the Curve (AUC) - Daytime (0700-1500)

Participants Mean Level of Androstenedione Area Under the Curve (AUC) - Daytime (0700-1500). AUC was calculated using the linear-up log-down trapezoidal rule for the 8 hour daytime level, samples were obtained every 2 hours beginning at 0700, 0900, 1100, 1300, 1500. Actual collection times were used to define peak plasma concentration (Cmax) and time to peak plasma concentration (Tmax). (NCT01859312)
Timeframe: At baseline

Interventionh*mcg/dL (Mean)
Continuous Subcutaneous Hydrocortisone Infusion5.3

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Participants Mean Level of Androstenedione Area Under the Curve (AUC) - Midday (1500 - 2300)

Participants Mean Level of Androstenedione Area Under the Curve (AUC) - Midday (1500 - 2300). AUC was calculated using the linear-up log-down trapezoidal rule for the 8 hour midday level, samples were obtained every 2 hours beginning at 1500, 1700, 1900, 2100, 2300. Actual collection times were used to define peak plasma concentration (Cmax) and time to peak plasma concentration (Tmax). (NCT01859312)
Timeframe: At 6 months

Interventionh*mcg/dL (Mean)
Continuous Subcutaneous Hydrocortisone Infusion1.6

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Participants Mean Level of Androstenedione Area Under the Curve (AUC) - Midday (1500 - 2300)

Participants Mean Level of Androstenedione Area Under the Curve (AUC) - Midday (1500 - 2300). AUC was calculated using the linear-up log-down trapezoidal rule for the 8 hour midday level, samples were obtained every 2 hours beginning at 1500, 1700, 1900, 2100, 2300. Actual collection times were used to define peak plasma concentration (Cmax) and time to peak plasma concentration (Tmax). (NCT01859312)
Timeframe: At baseline

Interventionh*mcg/dL (Mean)
Continuous Subcutaneous Hydrocortisone Infusion3.7

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Participants Mean Level of Androstenedione Area Under the Curve (AUC) - Nighttime (2300 - 0700)

Participants Mean Level of Androstenedione Area Under the Curve (AUC) - Nighttime (2300 - 0700). AUC was calculated using the linear-up log-down trapezoidal rule for the 8 hour nighttime level, samples were obtained every 2 hours beginning at 2300, 0100, 0300, 0500, 0700. Actual collection times were used to define peak plasma concentration (Cmax) and time to peak plasma concentration (Tmax). (NCT01859312)
Timeframe: At 6 months

Interventionh*mcg/dL (Mean)
Continuous Subcutaneous Hydrocortisone Infusion1.8

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Participants Mean Level of Progesterone Area Under the Curve (AUC) - Nighttime (2300 - 0700)

Participants Mean Level of Progesterone area under the curve (AUC) - Nighttime (2300 - 0700). AUC was calculated using the linear-up log-down trapezoidal rule for the 8 hour nighttime level, samples were obtained every 2 hours beginning at 2300, 0100, 0300, 0500, 0700. Actual collection times were used to define peak plasma concentration (Cmax) and time to peak plasma concentration (Tmax). (NCT01859312)
Timeframe: At baseline

Interventionh*ng/dL (Mean)
Continuous Subcutaneous Hydrocortisone Infusion28.2

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Participants Mean Level of ACTH Area Under the Curve (AUC) - Nighttime (2300 - 0700)

Participants Mean Level of ACTH Area Under the Curve (AUC) - Nighttime (2300 - 0700). AUC was calculated using the linear-up log-down trapezoidal rule for the 8 hour nighttime level, samples were obtained every 2 hours beginning at 2300, 0100, 0300, 0500, 0700. Actual collection times were used to define peak plasma concentration (Cmax) and time to peak plasma concentration (Tmax). (NCT01859312)
Timeframe: At 6 months

Interventionh*pg/mL (Mean)
Continuous Subcutaenous Hydrocortisone Infusion564

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Participants Mean Level of Androstenedione Area Under the Curve (AUC) - Nighttime (2300 - 0700)

Participants Mean Level of Androstenedione Area Under the Curve (AUC) - Nighttime (2300 - 0700). AUC was calculated using the linear-up log-down trapezoidal rule for the 8 hour nighttime level, samples were obtained every 2 hours beginning at 2300, 0100, 0300, 0500, 0700. Actual collection times were used to define peak plasma concentration (Cmax) and time to peak plasma concentration (Tmax). (NCT01859312)
Timeframe: At baseline

Interventionh*mcg/dL (Mean)
Continuous Subcutaneous Hydrocortisone Infusion3.7

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Participants Mean Level of Androstenedione at 0700

Participants Mean Level of Androstenedione at 0700. (NCT01859312)
Timeframe: At 6 months

Interventionng/dL (Mean)
Continuous Subcutaneous Hydrocortisone Infusion317

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Participants Mean Level of Androstenedione at 0700

Participants Mean Level of Androstenedione at 0700. (NCT01859312)
Timeframe: At baseline

Interventionng/dL (Mean)
Continuous Subcutaneous Hydrocortisone Infusion748

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Participants Mean Level of Progesterone Area Under the Curve (AUC) - 24 Hours

Participants Mean Level of Progesterone area under the curve (AUC) - 24 hours. AUC was calculated using the linear-up log-down trapezoidal rule for the entire 24 hours and samples were obtained every 2 hours beginning at 2300, 0100, 0300, 0500, 0700, 0900, 1100, 1300, 1500, 1700, 1900, 2100, 2300. Actual collection times were used to define peak plasma concentration (Cmax) and time to peak plasma concentration (Tmax). (NCT01859312)
Timeframe: At 6 months

Interventionh*ng/dL (Mean)
Continuous Subcutaneous Hydrocortisone Infusion13.7

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Participants Mean Level of Progesterone Area Under the Curve (AUC) - 24 Hours

Participants Mean Level of Progesterone area under the curve (AUC) - 24 hours. AUC was calculated using the linear-up log-down trapezoidal rule for the entire 24 hours and samples were obtained every 2 hours beginning at 2300, 0100, 0300, 0500, 0700, 0900, 1100, 1300, 1500, 1700, 1900, 2100, 2300. Actual collection times were used to define peak plasma concentration (Cmax) and time to peak plasma concentration (Tmax). (NCT01859312)
Timeframe: At baseline

Interventionh*ng/dL (Mean)
Continuous Subcutaneous Hydrocortisone Infusion101.1

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Participants Mean Level of Progesterone Area Under the Curve (AUC) - Daytime (0700-1500)

Participants Mean Level of Progesterone area under the curve (AUC) - Daytime (0700-1500). AUC was calculated using the linear-up log-down trapezoidal rule for the 8 hour daytime level, samples were obtained every 2 hours beginning at 0700, 0900, 1100, 1300, 1500. Actual collection times were used to define peak plasma concentration (Cmax) and time to peak plasma concentration (Tmax). (NCT01859312)
Timeframe: At 6 months

Interventionh*ng/dL (Mean)
Continuous Subcutaneous Hydrocortisone Infusion4.2

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Participants Mean Level of Progesterone Area Under the Curve (AUC) - Daytime (0700-1500)

Participants Mean Level of Progesterone area under the curve (AUC) - Daytime (0700-1500). AUC was calculated using the linear-up log-down trapezoidal rule for the 8 hour daytime level, samples were obtained every 2 hours beginning at 0700, 0900, 1100, 1300, 1500. Actual collection times were used to define peak plasma concentration (Cmax) and time to peak plasma concentration (Tmax). (NCT01859312)
Timeframe: At baseline

Interventionh*ng/dL (Mean)
Continuous Subcutaneous Hydrocortisone Infusion42.2

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Participants Mean Level of Progesterone Area Under the Curve (AUC) - Midday (1500 - 2300)

Participants Mean Level of Progesterone area under the curve (AUC) - Midday (1500 - 2300). AUC was calculated using the linear-up log-down trapezoidal rule for the 8 hour midday level, samples were obtained every 2 hours beginning at 1500, 1700, 1900, 2100, 2300. Actual collection times were used to define peak plasma concentration (Cmax) and time to peak plasma concentration (Tmax). (NCT01859312)
Timeframe: At 6 months

Interventionh*ng/dL (Mean)
Continuous Subcutaneous Hydrocortisone Infusion5.5

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Participants Mean Level of Progesterone Area Under the Curve (AUC) - Midday (1500 - 2300)

Participants Mean Level of Progesterone area under the curve (AUC) - Midday (1500 - 2300). AUC was calculated using the linear-up log-down trapezoidal rule for the 8 hour midday level, samples were obtained every 2 hours beginning at 1500, 1700, 1900, 2100, 2300. Actual collection times were used to define peak plasma concentration (Cmax) and time to peak plasma concentration (Tmax). (NCT01859312)
Timeframe: At baseline

Interventionh*ng/dL (Mean)
Continuous Subcutaneous Hydrocortisone Infusion30.7

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Participants Mean Level of Progesterone Area Under the Curve (AUC) - Nighttime (2300 - 0700)

Participants Mean Level of Progesterone area under the curve (AUC) - Nighttime (2300 - 0700). AUC was calculated using the linear-up log-down trapezoidal rule for the 8 hour nighttime level, samples were obtained every 2 hours beginning at 2300, 0100, 0300, 0500, 0700. Actual collection times were used to define peak plasma concentration (Cmax) and time to peak plasma concentration (Tmax). (NCT01859312)
Timeframe: At 6 months

Interventionh*ng/dL (Mean)
Continuous Subcutaneous Hydrocortisone Infusion4.0

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Participants Mean Progesterone Levels at 0700

Participants Mean Level of Progesterone at 0700 (NCT01859312)
Timeframe: At baseline

Interventionng/mL (Mean)
Continuous Subcutaneous Hydrocortisone Infusion9.5

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Participants Mean Progesterone Level at 0700

Participants Mean Level of Progesterone at 0700 (NCT01859312)
Timeframe: At 6 months

Interventionng/mL (Mean)
Continuous Subcutaneous Hydrocortisone Infusion0.8

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Number of Patients With 17-OH Progesterone Levels Equal or Below 1,200 ng/dL at 0700

17-OHP (17-hydroxyprogesterone) is a laboratory blood test to test for congenital adrenal hyperplasia (CAH) due to 21-hydroxylase deficiency (NCT01859312)
Timeframe: At 6 months

InterventionParticipants (Count of Participants)
Continuous Subcutaneous Hydrocortisone Infusion3

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Number of Patients With 17-OHP Levels Equal or Below 1,200 ng/dL at 0700

17-OHP (17-hydroxyprogesterone) is a laboratory blood test to test for congenital adrenal hyperplasia (CAH) due to 21-hydroxylase deficiency (NCT01859312)
Timeframe: At baseline

InterventionParticipants (Count of Participants)
Continuous Subcutaneous Hydrocortisone Infusion0

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Participant Lean Body Mass

lean body mass measured by DEXA, Hologic Discovery-A (NCT01859312)
Timeframe: At 6 months

Interventionkg (Mean)
Continuous Subcutaneous Hydrocortisone Infusion64.3

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Participant Lean Body Mass

lean body mass measured by DEXA, Hologic Discovery-A (NCT01859312)
Timeframe: At baseline

Interventionkg (Mean)
Continuous Subcutaneous Hydrocortisone Infusion60.7

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Participants Mean Level of 17-OHP Area Under the Curve (AUC) - 24 Hours

17-OHP (17-hydroxyprogesterone) is a laboratory blood test to test for congenital adrenal hyperplasia (CAH) due to 21-hydroxylase deficiency. AUC was calculated using the linear-up log-down trapezoidal rule for the entire 24 hours and samples were obtained every 2 hours beginning at 2300, 0100, 0300, 0500, 0700, 0900, 1100, 1300, 1500, 1700, 1900, 2100, 2300. Actual collection times were used to define peak plasma concentration (Cmax) and time to peak plasma concentration (Tmax). (NCT01859312)
Timeframe: At 6 months

Interventionh*mcg/dL (Mean)
Continuous Subcutaneous Hydrocortisone Infusion25.7

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Participants Mean Level of 17-OHP Area Under the Curve (AUC) - 24 Hours

17-OHP (17-hydroxyprogesterone) is a laboratory blood test to test for congenital adrenal hyperplasia (CAH) due to 21-hydroxylase deficiency. AUC was calculated using the linear-up log-down trapezoidal rule for the entire 24 hours and samples were obtained every 2 hours beginning at 2300, 0100, 0300, 0500, 0700, 0900, 1100, 1300, 1500, 1700, 1900, 2100, 2300. Actual collection times were used to define peak plasma concentration (Cmax) and time to peak plasma concentration (Tmax). (NCT01859312)
Timeframe: At baseline

Interventionh*mcg/dL (Mean)
Continuous Subcutaneous Hydrocortisone Infusion98.5

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Participants Mean Level of 17-OHP Area Under the Curve (AUC) - Daytime (0700-1500)

17-OHP (17-hydroxyprogesterone) is a laboratory blood test to test for congenital adrenal hyperplasia (CAH) due to 21-hydroxylase deficiency. AUC was calculated using the linear-up log-down trapezoidal rule for the 8 hour daytime level, samples were obtained every 2 hours beginning at 0700, 0900, 1100, 1300, 1500. Actual collection times were used to define peak plasma concentration (Cmax) and time to peak plasma concentration (Tmax). (NCT01859312)
Timeframe: At 6 months

Interventionh*mcg/dL (Mean)
Continuous Subcutaneous Hydrocortisone Infusion6.8

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Participants Mean Level of 17-OHP Area Under the Curve (AUC) - Daytime (0700-1500)

17-OHP (17-hydroxyprogesterone) is a laboratory blood test to test for congenital adrenal hyperplasia (CAH) due to 21-hydroxylase deficiency. AUC was calculated using the linear-up log-down trapezoidal rule for the 8 hour daytime level, samples were obtained every 2 hours beginning at 0700, 0900, 1100, 1300, 1500. Actual collection times were used to define peak plasma concentration (Cmax) and time to peak plasma concentration (Tmax). (NCT01859312)
Timeframe: At baseline

Interventionh*mcg/dL (Mean)
Continuous Subcutaneous Hydrocortisone Infusion48.6

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Participants Mean Level of 17-OHP Area Under the Curve (AUC) - Midday (1500 - 2300)

17-OHP (17-hydroxyprogesterone) is a laboratory blood test to test for congenital adrenal hyperplasia (CAH) due to 21-hydroxylase deficienc. AUC was calculated using the linear-up log-down trapezoidal rule for the 8 hour midday level, samples were obtained every 2 hours beginning at 1500, 1700, 1900, 2100, 2300. Actual collection times were used to define peak plasma concentration (Cmax) and time to peak plasma concentration (Tmax). (NCT01859312)
Timeframe: At baseline

Interventionh*mcg/dL (Mean)
Continuous Subcutaneous Hydrocortisone Infusion20.5

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Participants Mean Level of 17-OHP Area Under the Curve (AUC) - Midday (1500 - 2300)

17-OHP (17-hydroxyprogesterone) is a laboratory blood test to test for congenital adrenal hyperplasia (CAH) due to 21-hydroxylase deficiency. AUC was calculated using the linear-up log-down trapezoidal rule for the 8 hour midday level, samples were obtained every 2 hours beginning at 1500, 1700, 1900, 2100, 2300. Actual collection times were used to define peak plasma concentration (Cmax) and time to peak plasma concentration (Tmax). (NCT01859312)
Timeframe: At 6 months

Interventionh*mcg/dL (Mean)
Continuous Subcutaneous Hydrocortisone Infusion7.5

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Participants Mean Level of 17-OHP Area Under the Curve (AUC) - Nighttime (2300 - 0700)

17-OHP (17-hydroxyprogesterone) is a laboratory blood test to test for congenital adrenal hyperplasia (CAH) due to 21-hydroxylase deficiency. AUC was calculated using the linear-up log-down trapezoidal rule for the 8 hour nighttime level, samples were obtained every 2 hours beginning at 2300, 0100, 0300, 0500, 0700. Actual collection times were used to define peak plasma concentration (Cmax) and time to peak plasma concentration (Tmax). (NCT01859312)
Timeframe: At 6 months

Interventionh*mcg/dL (Mean)
Continuous Subcutaneous Hydrocortisone Infusion11.4

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Participants Mean Level of 17-OHP Area Under the Curve (AUC) - Nighttime (2300 - 0700)

17-OHP (17-hydroxyprogesterone) is a laboratory blood test to test for congenital adrenal hyperplasia (CAH) due to 21-hydroxylase deficiency. AUC was calculated using the linear-up log-down trapezoidal rule for the 8 hour nighttime level, samples were obtained every 2 hours beginning at 2300, 0100, 0300, 0500, 0700. Actual collection times were used to define peak plasma concentration (Cmax) and time to peak plasma concentration (Tmax). (NCT01859312)
Timeframe: At baseline

Interventionh*mcg/dL (Mean)
Continuous Subcutaneous Hydrocortisone Infusion29.5

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Participants Mean Level of 17-OHP at 0700

17-OHP (17-hydroxyprogesterone) is a laboratory blood test to test for congenital adrenal hyperplasia (CAH) due to 21-hydroxylase deficiency (NCT01859312)
Timeframe: At 6 months

Interventionng/dL (Mean)
Continuous Subcutaneous Hydrocortisone Infusion2150

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Participants Mean Level of 17-OHP at 0700

17-OHP (17-hydroxyprogesterone) is a laboratory blood test to test for congenital adrenal hyperplasia (CAH) due to 21-hydroxylase deficiency (NCT01859312)
Timeframe: At baseline

Interventionng/dL (Mean)
Continuous Subcutaneous Hydrocortisone Infusion8313

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Participants Mean Level of ACTH Area Under the Curve (AUC) - 24 Hours

Participants Mean Level of ACTH Area Under the Curve (AUC) - 24 Hours. AUC was calculated using the linear-up log-down trapezoidal rule for the entire 24 hours and samples were obtained every 2 hours beginning at 2300, 0100, 0300, 0500, 0700, 0900, 1100, 1300, 1500, 1700, 1900, 2100, 2300. Actual collection times were used to define peak plasma concentration (Cmax) and time to peak plasma concentration (Tmax). (NCT01859312)
Timeframe: At 6 months

Interventionh*pg/mL (Mean)
Continuous Subcutaneous Hydrocortisone Infusion1087

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Participants Mean Level of ACTH Area Under the Curve (AUC) - 24 Hours

Participants Mean Level of ACTH Area Under the Curve (AUC) - 24 Hours. AUC was calculated using the linear-up log-down trapezoidal rule for the entire 24 hours and samples were obtained every 2 hours beginning at 2300, 0100, 0300, 0500, 0700, 0900, 1100, 1300, 1500, 1700, 1900, 2100, 2300.Actual collection times were used to define peak plasma concentration (Cmax) and time to peak plasma concentration (Tmax). (NCT01859312)
Timeframe: At baseline

Interventionh*pg/mL (Mean)
Continuous Subcutaneous Hydrocortisone Infusion2538

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Participants Mean Level of ACTH Area Under the Curve (AUC) - Daytime (0700-1500)

Participants Mean Level of ACTH Area Under the Curve (AUC) - Daytime (0700-1500). AUC was calculated using the linear-up log-down trapezoidal rule for the 8 hour daytime level, samples were obtained every 2 hours beginning at 0700, 0900, 1100, 1300, 1500. Actual collection times were used to define peak plasma concentration (Cmax) and time to peak plasma concentration (Tmax). (NCT01859312)
Timeframe: At 6 months

Interventionh*pg/mL (Mean)
Continuous Subcutaneous Hydrocortisone Infusion340

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Participants Mean Level of ACTH Area Under the Curve (AUC) - Daytime (0700-1500)

Participants Mean Level of ACTH Area Under the Curve (AUC) - Daytime (0700-1500). AUC was calculated using the linear-up log-down trapezoidal rule for the 8 hour daytime level, samples were obtained every 2 hours beginning at 0700, 0900, 1100, 1300, 1500. Actual collection times were used to define peak plasma concentration (Cmax) and time to peak plasma concentration (Tmax). (NCT01859312)
Timeframe: At baseline

Interventionh*pg/mL (Mean)
Continuous Subcutaneous Hydrocortisone Infusion1239

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Participants Mean Level of ACTH Area Under the Curve (AUC) - Midday (1500 - 2300)

Participants Mean Level of ACTH Area Under the Curve (AUC) - Midday (1500 - 2300). AUC was calculated using the linear-up log-down trapezoidal rule for the 8 hour midday level, samples were obtained every 2 hours beginning at 1500, 1700, 1900, 2100, 2300. Actual collection times were used to define peak plasma concentration (Cmax) and time to peak plasma concentration (Tmax). (NCT01859312)
Timeframe: At 6 months

Interventionh*pg/mL (Mean)
Continuous Subcutaneous Hydrocortisone Infusion183

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Percentage of Patients in the Spironolactone Arm Who Complete the 4-week Study Intervention (Study I)

The number of patients able to complete the 4-week study intervention and the 4-week observation period are reported. (NCT01867294)
Timeframe: At 4 weeks

InterventionParticipants (Count of Participants)
Study I: Spironolactone4
Study I: Placebo0

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Number of Patients Reporting a Grade 2+ Adverse Event Attributed to Spironolactone (Study I)

Adverse events were collected at the end of one 4-week cycle and one 4-week observation period according to the Common Terminology Criteria for Adverse Events (CTCAE) CTEP Version 4.0. The number of patients reporting a grade 2+ adverse event attributed to spironolactone is reported here. (NCT01867294)
Timeframe: At 8 weeks

InterventionParticipants (Count of Participants)
Study I: Spironolactone0
Study I: Placebo0

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Incidence of Truncal/Extremity Rash of Any Grade in Patients in the Spironolactone Arm (Study I)

Adverse events were collected at the end of each 4-week cycle according to the Common Terminology Criteria for Adverse Events (CTCAE) CTEP Version 4.0. The number of patients reporting a truncal/extremity adverse event is reported here. The treatment will be considered feasible if at least 50% of patients in the spironolactone arm develop a truncal/extremity rash of any grade at the end of 4 weeks. (NCT01867294)
Timeframe: At 4 weeks

InterventionParticipants (Count of Participants)
Study I: Spironolactone6
Study I: Placebo6

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Efficacy of Spironolactone and Placebo Measured by the Use of the Brief Pictorial Rash Incidence Questionnaire (Study I)

Patients will be dichotomously categorized as a success if no rash is reported and a failure if rash exists at the end of 4 weeks. The number of patients that successfully completed 4 weeks of treatment and reported no rash on the Brief Pictorial Rash Incidence Questionnaire are reported. (NCT01867294)
Timeframe: At 4 weeks

Interventionparticipants (Number)
Study I: Spironolactone1
Study I: Placebo2

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PK and Metabolism of Cortisol

Blood: Serum cortisol under physiological conditions and after administration of dexamethasone and Infacort® Granules, Hydrocortisone Tablets and i.v Hydrocortisone Injection. (NCT01960530)
Timeframe: Blood, urine & saliva samples on Day 1 and/or Day 2 of each Study Period

Interventionnmol/L (Mean)
Endogenous Cortisol447.355
Dexamethasone19.349
Infacort®963.134
Hydrocortisone Tablet893.077
i.v Hydrocortisone Injection1580.337

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Maximum Serum Concentration (Cmax)

Derived PK for Serum Cortisol: Maximum serum concentration (Cmax) (NCT01960530)
Timeframe: Hourly from 0 to 24 hours

Interventionnmol/L (Geometric Mean)
Infacort®940.012
Hydrocortisone Tablet896.489
i.v Hydrocortisone Injection1563.479

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Insulin Sensitivity Under Physiological Conditions and After Administration of Dexamethasone and Infacort®, Hydrocortisone Tablets and i.v Hydrocortisone.

A standardised mixed meal elevates blood glucose and provides a reproducible stimulation of insulin release. Lower levels of insulin secretion, whilst maintaining normoglycaemia would indicate enhanced insulin sensitivity and glucose disposal; higher insulin levels will reflect insulin resistance. (NCT01960530)
Timeframe: Blood samples on Day 1 and/or Day 2 of each Study Period

InterventionuIU/mL (Mean)
Endogenous Cortisol70.529
Dexamethasone80.668
Infacort®77.575
Hydrocortisone Tablet70.650
i.v Hydrocortisone Injection70.121

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Concentrations of Cortisol Binding Protein

Cortisol protein binding under physiological conditions and after the administration of dexamethasone and hydrocortisone. (NCT01960530)
Timeframe: Blood samples on Day 1 and/or Day 2 of each Study Period

Interventionug/mL (Mean)
Endogenous Cortisol22.950
Dexamethasone23.441
Infacort®22.386
Hydrocortisone Tablet21.757
i.v Hydrocortisone Injection21.482

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AUC0-t

Derived PK for Serum Cortisol: Area under the curve from 0-24 hours (NCT01960530)
Timeframe: Hourly from 0 to 24 hours

Interventionnmol*h/L (Geometric Mean)
Infacort®2543.24
Hydrocortisone Tablet2896.73
i.v Hydrocortisone Injection2923.46

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Adverse Events (AEs)

Number of subjects with adverse events throughout the study. (NCT01960530)
Timeframe: Days 1-2 during each Study Period

Interventionparticipants (Number)
Endogenous Cortisol3
Dexamethasone3
Infacort®0
Hydrocortisone Tablet1
i.v Hydrocortisone Injection2

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Number of Participants With Incidence of Adverse Events and Mortality in the Full Cohort

The specific adverse events that will be measured include: severe bleeding, secondary infections and the use of insulin infusions. The incidence of adverse events and mortality rate was measured in aggregate (i.e. the whole cohort) in order to provide a better baseline estimate of these outcomes in our study population. (NCT02044159)
Timeframe: Daily during hospital admission (up to 28 days)

InterventionParticipants (Count of Participants)
Full Cohort24

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1c. Discontinuation of Study Drug When Off All Vasoactive Medications

This objective is a measure of protocol adherence. The goal is to discontinue study drug within 12 to 18 hours of vasoactive medications being stopped. We will consider adherence to the protocol adequate if secondary outcomes 1a to 1c are met in 80% of enrolled patients. (NCT02044159)
Timeframe: 7 days

Intervention% of doses administered correctly (Number)
Full Cohort97.6

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1a. Time to Administration of the First Dose of Study Drug

This objective is a measure of protocol adherence. The goal is to have patients randomized within 6 hours, and study drug administration completed within 8 hours of starting a vasoactive medication. We will consider adherence to our protocol to be adequate if secondary outcomes 1a to 1c are met in 80% of enrolled patients. (NCT02044159)
Timeframe: 8 hours from starting vasoactive medication

Interventionhours (Mean)
Full Cohort3.8

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1b. Weaning of Study Drug to q8h When Patient is Hemodynamically Stable

This objective is a measure of protocol adherence. The goal is weaning of study drug to q8h within 12 hours of no escalation of therapy. We will consider adherence to our protocol to be adequate if secondary outcomes 1a to 1c are met in 80% of enrolled patients. (NCT02044159)
Timeframe: 7 days

Intervention% of doses administered correctly (Number)
Full Cohort97.6

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Percentage of Patients for Whom Blood Samples Are Sent, and Successfully Received and Analyzed in Their Respective Labs

A total of 3 ml of blood in a red top tube will be collected within 24 hours of hospital admission. Patients with access for blood sampling and for whom consent has been obtained will have blood samples collected. The samples will be separated at each centre, stored until the end of the recruitment period, and then shipped to the principal investigators's centre as per the specific test requirements. The free cortisol and stratification biomarker samples will be batched and then shipped to Cincinnati for analysis at the end of the study. The number of samples collected, and the number of samples successfully received and analyzed at the principal investigator's site and at the Cincinnati lab will be determined at the end of the recruitment phase. (NCT02044159)
Timeframe: End of the study recruitment phase (up to 1.5 years)

InterventionParticipants (Count of Participants)
Full Cohort44

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Time to Discontinuation of Vasoactive Infusions

The time to discontinuation of vasoactive agents will be used to better estimate the sample size for the full study. (NCT02044159)
Timeframe: Daily during hospital admission (up to 28 days)

Interventionhours (Median)
Hydrocortisone38.2
Placebo33.1

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Number of Patients Started on Open Label Steroids by the Treating Physician

We will consider the number of patients started on open label steroids by the treating physician to be acceptable if it occurs in less than 10% of patients. We will also collect information on the clinical parameters of patients when open label steroids are given. (NCT02044159)
Timeframe: 7 days

InterventionParticipants (Count of Participants)
Full Cohort6

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Patient Accrual Rate Over One Year (% of Target Sample Size Achieved)

The total number of participants recruited over the recruitment period to both arms (this was a feasibility outcome that was analyzed for the full cohort and, as stated a priori in the study protocol was not compared between study arms). Our goal is to recruit 72 patients over one year . However, we will consider patient accrual rate to be adequate if we recruit 60 patients from seven sites within this time period. (NCT02044159)
Timeframe: 1 year

Interventionpercentage of target sample size (Number)
Full Cohort82

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Percentage of Patients Discharged on Glucocorticoids

Patient charts were reviewed to identify patients who were discharged on prednisone (NCT02084134)
Timeframe: 1 day (Day of hospital discharge)

InterventionParticipants (Count of Participants)
Steroid Treatment Arm8
Non-steroid Treatment2

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Number of Participants With Adrenal Insufficiency

Adrenal insufficiency was defined by a 30 or 60 min cortisol < 18 during a cosyntropin stimulation test (NCT02084134)
Timeframe: 6 weeks following surgery

InterventionParticipants (Count of Participants)
Steroid Treatment Arm2
Non-steroid Treatment1

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Overall Survival (OS) of LR Relapse Patients

OS rates of LR relapse B-ALL patients who are randomized following Block 1 chemotherapy to receive either chemotherapy alone or chemotherapy plus blinatumomab (LR Randomization). OS is calculated as the time from randomization to date of death or date of last contact. Three-year OS estimates will be calculated from date of randomization for both Arm C and Arm D. Two-sided 95% confidence intervals will be calculated. (NCT02101853)
Timeframe: Up to 3 years from date of randomization

Interventionpercentage of participants (Number)
Arm C (LR Control)88.29
Arm D (LR Blinatumomab)90.37

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Disease Free Survival (DFS) of High-risk (HR) and Intermediate-risk (IR) Relapse Patients

DFS rates of HR and IR relapse B-ALL patients who are randomized following Induction Block 1 chemotherapy to receive either two intensive chemotherapy blocks or two 5-week blocks of blinatumomab (HR/IR Randomization). DFS is calculated as the time from randomization to date of first event (treatment failure, relapse, second malignancy, remission death) or date of last contact. Two-year DFS estimates will be calculated from date of randomization for both Arm A and Arm B. Two-sided 95% confidence intervals will be calculated. (NCT02101853)
Timeframe: Up to 2 years from date of randomization

Interventionpercentage of participants (Number)
Arm A (HR and IR Control)39.04
Arm B (HR and IR Blinatumomab)54.44

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Disease Free Survival (DFS) of Low Risk (LR) Relapse Patients

DFS rates of LR relapse B-ALL patients who are randomized following Block 1 chemotherapy to receive either chemotherapy alone or chemotherapy plus blinatumomab (LR Randomization). DFS is calculated as the time from randomization to date of first event (relapse, second malignancy, remission death) or date of last contact. Three-year DFS estimates will be calculated from date of randomization for both Arm C and Arm D. Two-sided 95% confidence intervals will be calculated. (NCT02101853)
Timeframe: Up to 3 years from date of randomization

Interventionpercentage of participants (Number)
Arm C (LR Control)58.94
Arm D (LR Blinatumomab)67.00

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Overall Survival (OS) of HR and IR Relapse Patients

OS rates of HR and IR relapse B-ALL patients who are randomized following Induction Block 1 chemotherapy to receive either two intensive chemotherapy blocks or two 5-week blocks of blinatumomab (HR/IR Randomization). OS is calculated as the time from randomization to date of death or date of last contact. Two-year OS estimates will be calculated from date of randomization for both Arm A and Arm B. Two-sided 95% confidence intervals will be calculated. (NCT02101853)
Timeframe: Up to 2 years from date of randomization

Interventionpercentage of participants (Number)
Arm A (HR and IR Control)58.40
Arm B (HR and IR Blinatumomab)71.33

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EFS for Very High Risk (VHR) T-LLy Patients Treated With HR Berlin-Frankfurt-Munster (BFM) Intensification Blocks Who Have Complete or Partial Remission and Those Who do Not Respond

EFS for very high risk (VHR) T-LLy patients treated with HR Berlin-Frankfurt-Munster (BFM) intensification blocks who have complete or partial remission and those who do not respond (NCT02112916)
Timeframe: 3 years

InterventionPercentage of participants (Number)
VHR T-LLy (CR/PR)0

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EFS for Standard (SR) and Intermediate Risk (IR) T-ALL Patients on the Non-bortezomib Containing Arm on This Study (no Cranial Radiation Therapy [CRT]) and Similar Patients on AALL0434 (Received CRT)

EFS is calculated as time from randomization at study entry to first event (induction failure, induction death, relapse, second malignancy, remission death) or date of last contact. (NCT02112916)
Timeframe: 3 years

InterventionPercentage of participants (Number)
AALL1231 T-ALL Patients88.3
AALL0434 T-ALL Patients88.8

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Event-free Survival (EFS) for Modified Augmented Berlin-Frankfurt-Munster Backbone With or Without Bortezomib in All Randomized Patients

EFS is calculated as time from randomization at study entry to first event (induction failure, induction death, relapse, second malignancy, remission death) or date of last contact. Three-year EFS rates will be calculated for both groups. (NCT02112916)
Timeframe: 3 years

InterventionPercentage of participants (Number)
Arm A (Combination Chemotherapy)81.7
Arm B (Combination Chemotherapy, Bortezomib)85.1

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EFS for Very High Risk (VHR) T-ALL Patients Treated With High Risk (HR) Berlin-Frankfurt-Munster (BFM) Intensification Blocks Who Become Minimal Residual Disease (MRD) Negative and Those Who Remain MRD Positive at the End of HR Block 3

EFS will be calculated as time from the end of the three high-risk blocks of therapy to first event (relapse, second malignancy, remission death) or date of last contact. (NCT02112916)
Timeframe: 3 years

InterventionPercentage of participants (Number)
VHR T-ALL MRD Undetectable25.0
VHR T-ALL MRD Detectable88.9

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Toxicity Rates Associated With Modified Standard Therapy, Including Dexamethasone and Additional Pegaspargase

Percentage of patients who experienced Grade 3 or higher Toxicity Assessed by the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) Version 4.0 (NCT02112916)
Timeframe: 3 years from start of therapy by patient

InterventionPercentage of participants (Number)
Total Patients78.0

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Cumulative Incidence Rates of Isolated Central Nervous System (CNS) Relapse for SR and IR T-ALL Patients on the Non-bortezomib Containing Arm on This Study (no CRT) and Similar Patients on AALL0434 (Receive CRT)

Cumulative incidence of isolated CNS relapse adjusting for competing risks using the method of: Gray R, A class of K-sample tests for comparing the cumulative incidence of a competing risk. Ann Stat 1141:1154, 1988 (NCT02112916)
Timeframe: 3 years

,
InterventionPercentage of participants (Number)
Isolated CNS RelapseIsolated Bone Marrow RelapseCombined Bone Marrow Relapse
AALL0434 T-ALL Patients2.23.01.8
AALL1231 T-ALL Patients3.61.41.3

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Comparison of Fed and Fasted Chronocort AUC0-t

"Area under the curve from 0 to 24 hours for serum cortisol. Please note that the AUC0-t will be presented as a single figure (geometric mean) to represent exposure over time.~N.B., the sampling points for Hydrocortisone are as follows: 0h, 0.25h, 0.5h, 0.75h, 1h, 1.5h, 2h, 2.5h, 3h, 4h, 5h, 6h, 8h, 10h and 12h post-dose. However, the results for Hydrocortisone will not be incorporated into the analysis for this outcome measure." (NCT02408068)
Timeframe: 24 hours (at 0h, then 0.5h, 1h, 1.5h, 2h, 2.5h, 3h, 3.5h, 4h, 4.5h, 5h, 5.5h, 6h, 6.5h, 7h, 7.5h, 8h, 9h, 10h, 11h, 12h, 13h, 14h, 15h, 16h, 18h, 20h, 22h and 24h post-dose.)

Interventionh*nmol/L (Geometric Mean)
Chronocort Fed3229.26
Chronocort Fasted2980.85
Immediate-Release Hydrocortisone2466.90

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Chronocort Cmax

Comparison of fed and fasted Chronocort Cmax for serum cortisol. (NCT02408068)
Timeframe: 24 hours

Interventionnmol/L (Geometric Least Squares Mean)
Chronocort Fed549.49
Chronocort Fasted708.46
Immediate-Release Hydrocortisone856.36

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Bioavailability of Chronocort® vs Hydrocortisone Tablets - Fasted Using AUC0-t

To evaluate the relative bioavailability of Chronocort® and immediate release hydrocortisone at a single dose of 20 mg in the fasted state using area under the curve (NCT02408068)
Timeframe: 24 hours

Interventionh*nmol/L (Geometric Mean)
Chronocort Fasted2980.85
Immediate-Release Hydrocortisone2466.90
Chronocort Fed3229.26

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Bioavailability of Chronocort® vs Hydrocortisone Tablets - Cmax

Evaluation of the relative bioavailability of Chronocort® and immediate release hydrocortisone at a single dose of 20 mg in the fasted state by Cmax (NCT02408068)
Timeframe: 24 hours

Interventionnmol/L (Geometric Mean)
Chronocort Fasted708.45
Immediate-Release Hydrocortisone856.36
Chronocort Fed549.49

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Bioavailability of Chronocort® vs Hydrocortisone Tablets - Fasted Using Tmax.

To evaluate the relative bioavailability of Chronocort® and immediate release hydrocortisone at a single dose of 20 mg in the fasted state using Tmax. (NCT02408068)
Timeframe: 24 hours

Interventionhours (Median)
Chronocort Fasted4.5
Immediate-Release Hydrocortisone0.87
Chronocort Fed6.75

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Comparison of Fed and Fasted Chronocort Tmax

Comparison of Fed and Fasted Chronocort based on the time to achive the maximum concentration of serum cortisol (NCT02408068)
Timeframe: 24 hours

Interventionhours (Median)
Chronocort Fed6.75
Chronocort Fasted4.5
Immediate-Release Hydrocortisone0.87

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12-month PFS (Progression Free Survival) of Treatment With Ixazomib in Combination With DA-EPOCH-R (Phase II)

12-month PFS will be defined as the percentage of patients alive and progression free 12 months from start of therapy. Patients lost to follow up will be censored from last point of contact. PFS was calculated using a Kplan-meier estimation with the probability of patients being progression free at 12 months, presented as the percentage based on this probability. (NCT02481310)
Timeframe: Up to 12 months from initiation of treatment

Interventionprobability (%) of patients alive (Number)
Treatment (Combination Chemotherapy, Rituximab, Ixazomib)75.84

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Number of Participants With 17-OHP and A4 Levels in the Optimal Range at 9:00 at Week 24 Visit

"17-OHP and A4 levels at 09:00 at the week 24 visit, as a responder analysis (i.e. the number of participants achieving results in the optimal range).~Optimal range for 17-OHP (male) = 1.2* - 6.7 nmol/L (female) = 1.2* - 8.6 Optimal range for A4 (male) = 1.4 - 5.2 nmol/L (female) = 1.0 - 7.0 nmol/L~* = There is no lower reference range available for 17-OHP, hence the lower limit of the optimal range was used in the derivation of the average Standard Deviation Score. This enabled calculation of an 'unsigned' SDS score which was used to assess potential over-treatment as well as under-treatment." (NCT02716818)
Timeframe: 24 weeks

InterventionParticipants (Count of Participants)
Chronocort - 09:00h Response - 17-OHP30
Chronocort - 09:00h Response - A425
Standard Glucocorticoid Therapy - 09:00h Response - 17-OHP30
Standard Glucocorticoid Therapy - 09:00h Response - A430

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Changes Relative to Standard Glucocorticoid Therapy in Body Composition (DEXA - Bone Mineral Density) - Measured at All Sites Except Germany.

Changes relative to Standard glucocorticoid therapy in body composition (DEXA - bone mineral density only) - measured at all sites except Germany. (NCT02716818)
Timeframe: Baseline and 24 weeks

Interventiong/cm^2 (Mean)
Chronocort - DEXA - Bone Mineral Density-0.001
Standard Glucocorticoid Therapy - DEXA - Bone Mineral Density-0.008

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Change From Baseline to 24 Weeks of the Mean of the 24-hour Standard Deviation Score (SDS) Profile for A4

Change from baseline to 24 weeks of the mean of the 24-hour standard deviation score (SDS) - also referred to as a z-score - profile for A4 (androstenedione). This secondary efficacy variable was calculated as follows: the natural logarithm of the mean of the 24-hour SDS for the natural logarithm of A4. The mean of the 24-hour SDS profile for each visit was the arithmetic mean of all the SDSs with the first and last (13th) weighted one half relative to the intermediate SDSs. For each of the 13 log-transformed A4 values at each visit, an SDS was calculated by counting the number of SDs that were above or below the mean of the log-transformed range. A negative z-score indicated greater control of A4 when compared to baseline (0). (NCT02716818)
Timeframe: 24 weeks

InterventionZ-score (Mean)
Chronocort®0.113
Standard Glucocorticoid Therapy-0.041

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Change From Baseline to 24 Weeks of the Mean of the 24-hour Standard Deviation Score (SDS) Profile for 17-OHP

Change from baseline to 24 weeks of the mean of the 24-hour standard deviation score (SDS) - also referred to as a z-score - profile for 17-OHP (17-Hydroxyprogesterone). The primary efficacy variable was the natural logarithm of the mean of the 24-hour SDS for the natural logarithm of 17-OHP. The mean of the 24-hour SDS profile for each visit was the arithmetic mean of all the SDSs with the first and last (13th) weighted one half relative to the intermediate SDSs. For each of the 13 log-transformed 17-OHP values at each visit, an SDS was calculated by counting the number of SDs that were above or below the mean of the log-transformed range. A negative z-score indicated greater control of 17-OHP when compared to baseline (0). (NCT02716818)
Timeframe: 24 weeks

InterventionZ-score (Mean)
Chronocort®-0.403
Standard Glucocorticoid Therapy-0.172

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17-OHP and A4 by Individual Baseline Treatment Strata.

17-OHP and A4 by individual baseline treatment strata presented in the same manner as the primary endpoint (using 24-hour SDS profile at 24 weeks). Change from baseline to 24 weeks of the mean of the 24-hour standard deviation score (SDS) - also referred to as a z-score - profile for 17-OHP and A4. This secondary efficacy variable was calculated as follows: the natural logarithm of the mean of the 24-hour SDS for the natural logarithm of 17-OHP and A4. The mean of the 24-hour SDS profile for each visit was the arithmetic mean of all the SDSs with the first and last (13th) weighted one half relative to the intermediate SDSs. For each of the 13 log-transformed 17-OHP and A4 values at each visit, an SDS was calculated by counting the number of SDs that were above or below the mean of the log-transformed range. A negative z-score indicated greater control of 17-OHP and A4 when compared to baseline (0). (NCT02716818)
Timeframe: 24 weeks

InterventionZ-score (Mean)
Pre-Baseline - Hydrocortisone - 17-OHP-0.248
Pre-Baseline - Prednisone/Prednisolone - 17-OHP-0.061
Pre-Baseline - Dexamethasone - 17-OHP-0.245
Pre-Baseline - Chronocort vs. Hydrocortisone - 17-OHP-0.431
Pre-Baseline - Chronocort vs. Prednisone/Prednisolone - 17-OHP-0.320
Pre-Baseline - Chronocort vs. Dexamethasone - 17-OHP-0.565
Pre-Baseline - Hydrocortisone - A4-0.211
Pre-Baseline - Prednisone/Prednisolone - A40.100
Pre-Baseline - Dexamethasone - A40.368
Pre-Baseline - Chronocort vs. Hydrocortisone - A40.015
Pre-Baseline - Chronocort vs. Prednisone/Prednisolone - A40.328
Pre-Baseline - Chronocort vs. Dexamethasone - A4-0.092

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Changes Relative to Standard Glucocorticoid Therapy in Body Composition (DEXA - Fat Mass and Lean Mass)

Changes relative to Standard glucocorticoid therapy in body composition (DEXA) (fat mass and lean mass) - measured at all sites except Germany. (NCT02716818)
Timeframe: Baseline and 24 weeks

Interventionkilograms (Mean)
Chronocort - DEXA - Fat Mass-0.575
Standard Glucocorticoid Therapy - DEXA - Fat Mass0.445
Chronocort - DEXA - Lean Mass0.640
Standard Glucocorticoid Therapy - DEXA - Lean Mass0.234

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Number of Patients (in Digits) Got Earlier Relief of PDPH (in Hours) After Use of Hydrocortisone or Mannitol.

(NCT02760862)
Timeframe: within 48 hours after starting of treatment

InterventionParticipants (Count of Participants)
Group (I) (N=25)25
Group (II) (N=25)25

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Early Postresuscitation Arterial Blood Pressure (mmHg) Measured Through Institution of Invasive Intra-arterial Pressure Monitoring (as Feasible).

Results on early postresuscitation, mean arterial blood pressure (mmHg) are provided for the second, pre-specified time point of measurement, i.e. at 4 hours after ROSC. (NCT02790788)
Timeframe: Time points of measurement: 4 hours after ROSC.

InterventionmmHg (Mean)
Steroids Group83.9
Control Group78.9

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Early Postresuscitation Arterial Blood Pressure (mmHg) Measured Through Institution of Invasive Intra-arterial Pressure Monitoring.

Results on postresuscitation, mean arterial blood pressure (mmHg) are provided for the fifth, pre-specified time point of measurement, i.e. at 72 hours after ROSC. (NCT02790788)
Timeframe: Time points of measurement: 72 hours after ROSC.

InterventionmmHg (Mean)
Steroids Group85.2
Control Group84.7

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Early Postresuscitation Arterial Blood Pressure (mmHg) Measured Through Institution of Invasive Intra-arterial Pressure Monitoring.

Results on postresuscitation, mean arterial blood pressure (mmHg) are provided for the fourth, pre-specified time point of measurement, i.e. at 48 hours after ROSC. (NCT02790788)
Timeframe: Time points of measurement: 48 hours after ROSC.

InterventionmmHg (Mean)
Steroids Group80.2
Control Group84.2

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Early Postresuscitation Arterial Blood Pressure (mmHg) Measured Through Institution of Invasive Intra-arterial Pressure Monitoring.

Results on postresuscitation, mean arterial blood pressure (mmHg) are provided for the third, pre-specified time point of measurement, i.e. at 24 hours after ROSC. (NCT02790788)
Timeframe: Time points of measurement: 24 hours after ROSC.

InterventionmmHg (Mean)
Steroids Group79.9
Control Group81.9

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Early Postresuscitation Cardiac Output (L/Min) Measured by Either Pulse Index Continuous Cardiac Output (PiCCO) or a Continuous Cardiac Output (CCO) Thermodilution Pulmonary Artery Catheter.

RESULTS ARE PROVIDED FOR CARDIAC OUTPUT (CO) AT 4 HOURS AFTER ROSC. (NCT02790788)
Timeframe: Time points of measurement: 4 hours after ROSC.

InterventionL/min (Mean)
Steroids Group4.9
Control Group5.0

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Early Postresuscitation Cardiac Output (L/Min) Measured by Either Pulse Index Continuous Cardiac Output (PiCCO) or a Continuous Cardiac Output (CCO) Thermodilution Pulmonary Artery Catheter.

Results are provided for CO at 24 hours after ROSC. (NCT02790788)
Timeframe: Time points of measurement: 24 hours after ROSC.

InterventionL/min (Mean)
Steroids Group5.6
Control Group5.4

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Early Postresuscitation Cardiac Output (L/Min) Measured by Either Pulse Index Continuous Cardiac Output (PiCCO) or a Continuous Cardiac Output (CCO) Thermodilution Pulmonary Artery Catheter.

Results are provided for CO at 48 hours after ROSC (NCT02790788)
Timeframe: Time points of measurement: 48 hours after ROSC.

InterventionL/min (Mean)
Steroids Group5.8
Control Group5.7

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Early Postresuscitation Cardiac Output (L/Min) Measured by Either Pulse Index Continuous Cardiac Output (PiCCO) or a Continuous Cardiac Output (CCO) Thermodilution Pulmonary Artery Catheter.

Results are provided for CO at 72 hours after ROSC. (NCT02790788)
Timeframe: Time points of measurement: 72 hours after ROSC.

InterventionL/min (Mean)
Steroids Group5.8
Control Group5.6

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Early Postresuscitation Central Venous Oxygen Saturation (%) Measured in Blood Samples Obtained Through a Central Venous Catheter Port (as Feasible).

Results on postresuscitation central venous oxygen saturation (%) are provided for the second, pre-specified time point of measurement, i.e., at 4 hours after ROSC. (NCT02790788)
Timeframe: Time points of measurement: 4 hours after ROSC.

InterventionPercent Hemoglobin Concentration (Mean)
Steroids Group67.4
Control Group56.8

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Early Postresuscitation Central Venous Oxygen Saturation (%) Measured in Blood Samples Obtained Through a Central Venous Catheter Port.

Results on postresuscitation central venous oxygen saturation (%) are provided for the fifth, pre-specified time point of measurement, i.e., at 72 hours after ROSC. (NCT02790788)
Timeframe: Time points of measurement: 72 hours after ROSC.

InterventionPercent Hemoglobin Saturation (Mean)
Steroids Group72.5
Control Group70.4

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Early Postresuscitation Central Venous Oxygen Saturation (%) Measured in Blood Samples Obtained Through a Central Venous Catheter Port.

Results on postresuscitation central venous oxygen saturation (%) are provided for the fourth, pre-specified time point of measurement, i.e., at 48 hours after ROSC. (NCT02790788)
Timeframe: Time points of measurement: 48 hours after ROSC.

InterventionPercent Hemoglobin Concentration (Mean)
Steroids Group73.3
Control Group70.5

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Early Postresuscitation Central Venous Oxygen Saturation (%) Measured in Blood Samples Obtained Through a Central Venous Catheter Port.

Results on postresuscitation central venous oxygen saturation (%) are provided for the third, pre-specified time point of measurement, i.e., at 24 hours after ROSC. (NCT02790788)
Timeframe: Time points of measurement: 24 hours after ROSC.

InterventionPercent Hemoglobin Concentration (Mean)
Steroids Group71.1
Control Group70.1

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Organ Failure-free Days.

Number of organ failure-free days during days 1 through 60 postrandomization. Organ failure free=corresponding Sequential Organ Failure Assessment Subscore <3; each subscore can have the following values: 0, 1, 2, 3, and 4; increasing values indicate worsening organ failure. (NCT02790788)
Timeframe: Days 1 to 60 postrandomization.

InterventionNumber of Days without Organ Failure (Median)
Steroids Group0
Control Group0

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Survival to Hospital Discharge With Favorable Functional Outcome.

Survival to hospital discharge with a Cerebral Performance Category (CPC) Score of 1 or 2. The CPC Score ranges can have the following values: 1, 2, 3, 4, and 5; lower Scores correspond to better outcomes, whereas higher Scores reflect worsening outcomes, e.g. a Score of 4 means Coma or Vegetative state, and a Score of 5 means Brain Death. (NCT02790788)
Timeframe: Up to 180 days postrandomization.

InterventionParticipants (Count of Participants)
Steroids Group2
Control Group5

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Cerebral Blood Flow Index by Near Infrared Spectroscopy With Indocyanine Green.

Results are reported for 2 pairs of cerebral blood flow index (CBFI) measurements performed each time at a lower and a higher level of mean arterial pressure (MAP) at the following time points: 1) at 4 hours after ROSC and 2) at 72 hours after ROSC (NCT02790788)
Timeframe: Time points of measurement: 4 and 72 hours postresuscitation.

,
InterventionnM/s (Mean)
CBFI 4 HOURS POST-ROSC MEAN MAP=75.5 MMHGCBFI 4 HOURS POST-ROSC MEAN MAP=96.0 MMHGCBFI 72 HOURS POST-ROSC MEAN MAP=75.5 MMHGCBFI 72 HOURS POST-ROSC MEAN MAP= 97.0 MMHG
Control Group3.33.53.43.8
Steroids Group4.04.24.34.9

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Early Postresuscitation Inflammatory Response as Assessed by Serum Cytokine Levels (pg/mL).

Logarithm (base 10)-transformed serum levels of tumor necrosis factor alpha (TNFa), interleukin (IL)-1 beta, IL-6, IL-8, and IL-10; blood samples were obtained by venipuncture. (NCT02790788)
Timeframe: Time points of measurement: 4, 24, 48, and 72 hours postresuscitation.

,
InterventionLog(10) transformed values of pg/mL (Mean)
IL-6 at 4 hours after ROSCTNFα at 4 hours after ROSCIL-1β at 4 hours after ROSCIL-8 at 4 hours after ROSCIL-10 at 4 hours after ROSCIL-6 at 24 hours after ROSCTNFα at 24 hours after ROSCIL-1β at 24 hours after ROSCIL-8 at 24 hours after ROSCIL-10 at 24 hours after ROSCIL-6 at 48 hours after ROSCTNFα at 48 hours after ROSCIL-1β at 48 hours after ROSCIL-8 at 48 hours after ROSCIL-10 at 48 hours after ROSCIL-6 at 72 hours after ROSCTNFα at 72 hours after ROSCIL-1β at 72 hours after ROSCIL-8 at 72 hours after ROSCIL-10 at 72 hours after ROSC
Control Group2.222.032.032.431.761.992.002.092.291.541.911.962.032.171.531.901.962.042.191.45
Steroids Group2.191.972.072.391.762.062.022.062.271.691.871.992.092.151.561.932.002.052.151.66

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Eccentricity Index by Echocardiography.

"Eccentricity index (ECCI) is defined as the ratio of the left ventricular (LV) longitudinal (or anteroposterior) diameter to the LV transverse (or septo-lateral) diameter, measured at end diastole and end systole in a short-axis view. Pertinent results are provided for a first determination within 12 hours after ROSC and a second determination at 72 hours after ROSC." (NCT02790788)
Timeframe: Time points of measurement: Within the first 12 hours and at 72 hours postresuscitation.

,
InterventionECCENTRICITY INDEX (Mean)
End-diastolic ECCI within 12 hours after ROSCEnd-systolic ECCI within 12 hours after ROSCEnd-diastolic ECCI at 72 hours after ROSCEnd-systolic ECCI at 72 hours after ROSC
Control Group1.31.31.31.3
Steroids Group1.21.31.21.2

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Left and Right Ventricular Diastolic Area (cm^2) by Echocardiography.

Results are provided on left ventricular end-diastolic area (LVEDA) and right ventricular diastolic area (RVEDA) by echocardiography within 12 hours and 72 hours after ROSC. (NCT02790788)
Timeframe: Time points of measurement: Within the first 12 hours and at 72 hours postresuscitation.

,
Interventioncm^2 (Mean)
LVEDA within 12 hours after ROSCRVEDA within 12 hours after ROSCLVEDA at 72 hours after ROSCRVEDA at 72 hours after ROSC
Control Group22.813.018.512.6
Steroids Group23.112.123.114.5

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Steroid-associated Complications.

Episodes of 1) Hyperglycemia (defined as Blood Glucose >200 mg/dL), 2) Hypernatremia (defined as blood gas analysis-derived sodium ion concentration >150 mEq/L), and 3) Infections (defined as any microbiologically documented, intensive care unit-acquired, or hospital-acquired infection). (NCT02790788)
Timeframe: Up to 180 days postrandomization.

,
InterventionNumber of Episodes per Patient (Median)
No. of Episodes of HyperglycemiaNo. of Episodes of HypernatremiaNo. of Episodes of Infections
Control Group000
Steroids Group000

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Core Body Temperature in Degrees Celcius.

Results are provided for core body temperature averaged over the following time intervals after ROSC: 1) 0-6 hours; 2) 6-12 hours; 3) 12-18 hours; 4) 18-24 hours; 5) 24-30 hours; 6) 30-36 hours; 7) 36-42 hours; and 42-48 hours. (NCT02790788)
Timeframe: Time points of measurement: Hourly from intensive care admission to 48 hours postresuscitation.

,
InterventionDegrees Celcius (Mean)
Temperature averaged over 0-6 hours after ROSCTemperature averaged over 6-12 hours after ROSCTemperature averaged over 12-18 hours after ROSCTemperature averaged over 18-24 hours after ROSCTemperature averaged over 24-30 hours after ROSCTemperature averaged over 30-36 hours after ROSCTemperature averaged over 36-42 hours after ROSCTemperature averaged over 42-48 hours after ROSC
Control Group35.636.636.536.336.236.236.236.3
Steroids Group36.536.336.036.136.136.036.136.2

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Early Postresuscitation Arterial Blood Pressure (mmHg) Measured Through Institution of Invasive Intra-arterial Pressure Monitoring (as Feasible).

Results on early postresuscitation, mean arterial blood pressure (mmHg) are provided for the first, pre-specified time point of measurement, i.e. at 20 min after the return of spontaneous circulation (ROSC). (NCT02790788)
Timeframe: Time point of measurement: 20 min after the return of spontaneous circulation (ROSC).

InterventionmmHg (Mean)
Steroids Group78.4
Control Group75.1

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Left and Right Ventricular Ejection Fraction (%) by Echocardiography.

Results are provided on left ventricular ejection fraction (LVEF) and right ventricular ejection fraction (RVEF) within 12 hours and 72 hours after ROSC. (NCT02790788)
Timeframe: Time points of measurement: Within the first 12 hours and at 72 hours postresuscitation.

,
InterventionPercentage (Mean)
LVEF within 12 hours after ROSCRVEF within 12 hours after ROSCLVEF at 72 hours after ROSCRVEF at 72 hours after ROSC
Control Group45.942.75044.7
Steroids Group42.341.74542.8

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Biologic Activity, Defined as Global Deoxyribonucleic Acid (DNA) Methylation Change in Peripheral Blood Mononuclear Cells (PBMC)s; Day 5 of Second Course of Azacitidine

Will calculate the percentage of CpG site methylation for all patients after the second course of azacitidine. Mean and standard deviation will be reported. (NCT02828358)
Timeframe: Week 13, Day 5 (Following induction phase (5 weeks), the first course of Azacitidine (1 week), and consolidation (6 weeks), the second course of Azacitidine began around Week 13 of therapy)

InterventionPercentage of CpG methylation (Mean)
KMT2A-Rearranged74.52

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Tolerability of Azacitidine in Combination With Interfant-06 Standard Chemotherapy in Evaluable Infant Patients With Newly Diagnosed ALL With KMT2A Gene Rearrangement (KMT2A-R). KMT2A Gene Rearrangement (KMT2A-R)

Proportion of KMT2A-Rearranged patients treated with azacitidine with Dose Limiting Toxicities (DLTs) from the first course of azacitidine administration up to fourth course of azacitidine administration. (NCT02828358)
Timeframe: 6 months

Interventionpercentage of participants (Number)
KMT2A-Rearranged6.45

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Biologic Activity, Defined as Global Deoxyribonucleic Acid (DNA) Methylation Change in Peripheral Blood Mononuclear Cells (PBMC)s; Day 5 of First Course of Azacitidine

Will calculate the percentage of CpG site methylation for all patients after the first course of azacitidine. Mean and standard deviation will be reported. (NCT02828358)
Timeframe: Week 6, Day 5 (Following the induction phase (35 days), the first course of Azacitidine began around Week 6 of therapy)

InterventionPercentage of CpG methylation (Mean)
KMT2A-Rearranged75.54

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Biologic Activity, Defined as Global Deoxyribonucleic Acid (DNA) Methylation Change in Peripheral Blood Mononuclear Cells (PBMC)s; Day 1 Prior to Second Course of Azacitidine

Will calculate the percentage of CpG site methylation for all patients before the second course of azacitidine. Mean and standard deviation will be reported. (NCT02828358)
Timeframe: Week 13, Day 1 (Following induction phase (5 weeks), the first course of Azacitidine (1 week), and consolidation (6 weeks), the second course of Azacitidine began around Week 13 of therapy)

InterventionPercentage of CpG methylation (Mean)
KMT2A-Rearranged76.5

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Biologic Activity, Defined as Global Deoxyribonucleic Acid (DNA) Methylation Change in Peripheral Blood Mononuclear Cells (PBMC)s; Day 1 Prior to First Course of Azacitidine

Will calculate the percentage of CpG site methylation for all patients before the first course of azacitidine. Mean and standard deviation will be reported. (NCT02828358)
Timeframe: Week 6, Day 1 (Following the induction phase (35 days), the first course of Azacitidine began around Week 6 of therapy)

InterventionPercentage of CpG methylation (Mean)
KMT2A-Rearranged78.17

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Reduction in Swelling

"Reduction in the swelling of internal hemorrhoid was measured by anoscopy. Visual assessment of hemorrhoids was performed at end of treatment. Video of the procedure will be recorded for blinded central reading and assessment. Swelling was graded on a scale from 0 - None to 4 - Very Severe.~Numeric grades and their changes from baseline are summarized descriptively by visit and treatment group. Changes from baseline will be compared between the treatment groups. Mean difference between the groups and its 95% confidence interval will be displayed at Visit 4, along with the p-value from the two-sample t-test." (NCT03335774)
Timeframe: Day 15

Interventionscores on a scale (Mean)
Hydrocortisone Acetate Suppository, 25 mg2.3
Placebo (Vehicle) Suppository2.0

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Reduction in Itching Severity

"Patient-reported outcome (PRO) was collated and analyzed by deploying the Internal Hemorrhoid Sign and Symptom Assessment (IHSSA) questionnaire. The patients updated the questionnaire on a daily basis between visits 1-5. Responses to each item were averaged across each period.~The mean score from the Screening period was considered the baseline score.~Mean scores and their changes from baseline were summarized.~Itching was scored from on 0-4 scale (0 =No itching, 1 = A little itching, 2 =Moderate itching, 3 = A lot of itching, 4 = Worst itching that you could imagine" (NCT03335774)
Timeframe: Day 15

Interventionscores on a scale (Mean)
Hydrocortisone Acetate Suppository, 25 mg0.74
Placebo (Vehicle) Suppository0.71

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Ventilator Free Days

Number of days alive and off of the ventilator at day 28. (NCT03422159)
Timeframe: 28 Days post-randomization

InterventionDays (Mean)
Treatment Arm22
Placebo Arm22.4

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Hospital Mortality

In-hospital mortality rate. (NCT03422159)
Timeframe: Survival until hospital discharge, up to 28 days.

InterventionParticipants (Count of Participants)
Treatment Arm11
Placebo Arm13

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Change in Sequential Organ Failure Assessment (SOFA) Score

Defined as the day 4 post-randomization SOFA score minus the initial SOFA score. The Sequential Organ Failure Assessment (SOFA) Score is a mortality prediction score that is based on the degree of dysfunction of six organ systems. The score is calculated on admission and every 24 hours until discharge using the worst parameters measured during the prior 24 hours SOFA score ranges from 0 (no organ dysfunction) to 24 (highest possible score / organ dysfunction). (NCT03422159)
Timeframe: 4 days post-randomization

Interventionscore on a scale (Mean)
Treatment Arm2.9
Placebo Arm1.93

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Hospital Length of Stay

Time from admitting to discharge of hospital stay. (NCT03422159)
Timeframe: From admission to the hospital until final discharge, up to 28 days.

InterventionDays (Mean)
Treatment Arm11.5
Placebo Arm11

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Time to Vasopressor Independence (Hours)

Defined as the time from starting the active treatment/placebo to discontinuation of all pressors. (NCT03422159)
Timeframe: From start of vasopressor medication to final discontinuation of vasopressor medication, up to 7 days.

Interventionhours (Mean)
HAT Treatment27
Comparator53

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Procalcitonin (PCT) Clearance

PCT at 96 hours minus initial PCT, divided by the initial PCT multiplied by 100. (NCT03422159)
Timeframe: 4 days post-randomization

InterventionPercent (Mean)
Treatment Arm63
Placebo Arm58

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ICU Mortality

ICU mortality rate (NCT03422159)
Timeframe: From admission to hospital until final discharge from the ICU, up to 28 days.

InterventionParticipants (Count of Participants)
Treatment Arm6
Placebo Arm10

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ICU Length of Stay

Time from admitting to ICU to discharge. (NCT03422159)
Timeframe: From admission to the ICU until final discharge from the ICU, up to an average of 7 days.

Interventiondays (Mean)
Treatment Arm4.76
Placebo Arm4.66

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Katz Index of Independence in Activities of Daily Living (ADL) Score

Activities of daily living is assessed with the Katz ADL instrument. The Katz ADL has 6 items asking if participants can perform daily tasks independently. Responses are scored as 1 = yes and 0 = no. Total scores range from 0 to 6 with higher scores indicating greater independence. (NCT03509350)
Timeframe: Day 180

Interventionscore on a scale (Mean)
Treatment Protocol2.8
Control Protocol2.4

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Hayling Test Score

Executive function is assessed with the Hayling Test. The Hayling Test includes two parts of 15 items each where participants complete sentences by providing the missing word. The test is scored as the amount of time it takes, in seconds, to recite a correct response and the appropriateness of the response (in Part 2). Scaled scores range from 1 to 10 where 1 = impaired, 6 = average, and 10 = very superior. (NCT03509350)
Timeframe: Day 180

Interventionunits on a scale (Mean)
Treatment Protocol4.2
Control Protocol4.2

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Functional Activities Questionnaire (FAQ) Score

Instrumental activities of daily living is assessed with the Functional Activities Questionnaire (FAQ). The FAQ includes 10 items which are scored on a scale from 0 to 3 where 0 = normal and 3 = dependent. Total scores range from 0 to 30 and lower scores indicate that the respondent is able to perform daily activities. A score of 9 (where the person is dependent in 3 activities) is used as a cut-point indicating impairments with functioning. (NCT03509350)
Timeframe: Day 180

Interventionscore on a scale (Mean)
Treatment Protocol9.5
Control Protocol7.7

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EuroQol, 5 Dimension (EQ-5D) Visual Analog Scale Score

Quality of life is assessed with the Visual Analog Scale of the EuroQol, 5 dimension (EQ-5D) questionnaire. The EQ-5D asks about 5 dimensions of health (mobility, self-care, usual activities, pain, and depression). The questionnaire includes a visual analog scale where respondents rate their current health where 0 = worst health imaginable and 100 = best health imaginable. (NCT03509350)
Timeframe: Day 180

Interventionunits on a scale (Mean)
Treatment Protocol66
Control Protocol67

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Digit Span Test Score

The Digit Span Test is used to assesses attention. In the Digit Span Test, participants are read a series of numbers and are asked to repeat them back in the same order. The Digit Span test is scored by the number of digits the participant is able to remember in each test. Higher scores indicate greater ability to pay attention and to remember sequences. The average adult can remember about 7 numbers, plus or minus two, without making an error. (NCT03509350)
Timeframe: Day 180

Interventionnumbers recalled (Mean)
Treatment Protocol8.3
Control Protocol9.5

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Controlled Oral Word Association Test (COWAT) Score

Language is assessed with the Controlled Oral Word Association Test (COWAT). Participants generate words beginning with selected letters within 60 seconds. Generating a higher number of words indicates greater language skills. (NCT03509350)
Timeframe: Day 180

Interventionwords (Mean)
Treatment Protocol40
Control Protocol40

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Length of Hospital Stay

The number of days that participants were in the hospital is compared between study arms. (NCT03509350)
Timeframe: Day 30

Interventiondays (Mean)
Treatment Protocol12.6
Control Protocol13.5

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Intensive Care Unit (ICU) Mortality

The number of participants who died while in the ICU is compared between study arms. (NCT03509350)
Timeframe: Day 30

InterventionParticipants (Count of Participants)
Treatment Protocol52
Control Protocol49

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Wechsler Memory Scale III - Delayed Recall Logical Memory Score

Memory is assessed with the Logical Memory subtest from the Wechsler Memory Scale III. Participants listened to two short paragraphs and were asked to recall details from each story after 30 minutes. Scores represent the number of correctly remembered details. Total scores range from 0 to 25 with higher scores reflecting better memory. (NCT03509350)
Timeframe: Day 180

Interventioncorrect story details (Mean)
Treatment Protocol6.9
Control Protocol8.1

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Wechsler Adult Intelligence Scale (WAIS)-IV Similarities Score

Reasoning is assessed with the WAIS-IV Similarities instrument. Participants were asked to explain how two words are alike. Responses are scored according to how correct they are, with a score of 0 for incorrect answers. After 3 consecutive scores of 0 the survey is stopped. Total raw scores vary depending on the number of word pairs presented. Higher scores indicate better performance. Scores will be compared between study arms. (NCT03509350)
Timeframe: Day 180

Interventionscore on a scale (Mean)
Treatment Protocol7.7
Control Protocol8.2

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Vasopressor and Ventilator-free Days (VVFD)

The primary outcome measure is VVFD in the first 30 days after the start of treatment. The endpoint was recorded to the nearest day. Participants who died are scored zero days, even if there was a period during which the participant was alive and free of vasopressors and mechanical ventilation. Participants who must return to ventilation and/or vasopressors had their counters reset at zero days. (NCT03509350)
Timeframe: Up to Day 30

Interventiondays (Median)
Treatment Protocol25
Control Protocol26

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Telephone Interview for Cognitive Status (TICS)

The Telephone Interview for Cognitive Status (TICS) is an 11-item instrument assessing orientation. Correct responses to the items are scored in a variety of ways, depending on how much of the response is correct. Total scores range from 0 to 41 with higher scores indicating increased cognitive orientation. (NCT03509350)
Timeframe: Day 180

Interventionscore on a scale (Mean)
Treatment Protocol30.6
Control Protocol31.2

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Posttraumatic Stress Disorder-8 (PTSD-8) Score

Posttraumatic Stress Disorder (PTSD) is assessed with the Posttraumatic Stress Disorder - 8 instrument. The PTSD-8 includes 8 items which are answered on a 4 point scale where 01 = not at all and 3 = all of the time. Total scores range from 0 to 24 where higher scores indicate greater symptoms of PTSD. (NCT03509350)
Timeframe: Day 180

Interventionscore on a scale (Mean)
Treatment Protocol5.7
Control Protocol5.2

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Patient-Reported Outcomes Measurement Information System (PROMIS) Depression 6

Depression is assessed with the PROMIS Depression 6 instrument. This tool includes 6 items with response options on a scale of 1 to 5. Total raw scores range from 6 to 30 with higher scores indicating greater symptoms of depression. (NCT03509350)
Timeframe: Day 180

Interventionscore on a scale (Mean)
Treatment Protocol11.9
Control Protocol11.9

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Number of Participants With Delirium Assessed With the DeliriumTelephone Confusion Assessment Method (CAM)

The Telephone CAM evaluates dementia with 9-items, where additional questions are asked if symptoms are present. Rather than providing a summary score, if participants exhibit signs of a change in mental status which fluctuates and they experience inattention, along with disorganized thinking or altered level of consciousness, delirium is suggested. (NCT03509350)
Timeframe: Day 180

InterventionParticipants (Count of Participants)
Treatment Protocol0
Control Protocol0

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Number of Participants Employed

The Employment Questionnaire is a brief measure of the participant's employment history and ability or capacity to work. The number of participants who indicated being employed are presented here. (NCT03509350)
Timeframe: Day 180

InterventionParticipants (Count of Participants)
Treatment Protocol17
Control Protocol25

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Mortality at 30 Days

The number of participants who did not survive until Day 30 is compared between study arms. (NCT03509350)
Timeframe: Day 30

InterventionParticipants (Count of Participants)
Treatment Protocol56
Control Protocol60

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Mortality at 180 Days

The number of participants who did not survive until Day 180 is compared between study arms. (NCT03509350)
Timeframe: Day 180

InterventionParticipants (Count of Participants)
Treatment Protocol102
Control Protocol94

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Length of ICU Stay

The number of days that participants were in the ICU is compared between study arms. (NCT03509350)
Timeframe: Day 30

Interventiondays (Mean)
Treatment Protocol6.7
Control Protocol6.4

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Elimination Half-life of MLN4924 (Pevonedistat) Added to the 3-drug Backbone of Azacitidine (Aza), Fludarabine, and Cytarabine Re-induction for Pediatric Patients With Recurrent/Refractory AML and MDS

Median (Range) of the elimination half-life of MLN4924 (pevonedistat) added to the 3-drug backbone of azacitidine (aza), fludarabine, and cytarabine re-induction for pediatric patients with recurrent/refractory AML and MDS by dose level measured pre-dose, end of infusion, 4-6 hours, and 24 hours post-dose infusion on Days 1 and 5. (NCT03813147)
Timeframe: Up to 5 days

InterventionHour (Median)
Stratum 1 With 20 mg/m^24.7
PK With 20 mg/m^25.5

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Area Under the Plasma Concentration Versus Time Curve of MLN4924 (Pevonedistat) Added to the 3-drug Backbone of Azacitidine (Aza), Fludarabine, and Cytarabine Re-induction for Pediatric Patients With Recurrent/Refractory AML and MDS

Median (Range) of the area under the plasma concentration versus time curve of MLN4924 (pevonedistat) added to the 3-drug backbone of azacitidine (aza), fludarabine, and cytarabine re-induction for pediatric patients with recurrent/refractory AML and MDS by dose level measured pre-dose, end of infusion, 4-6 hours, and 24 hours post-dose infusion on Days 1 and 5. (NCT03813147)
Timeframe: Up to 5 days

Interventionhr*ng/mL (Median)
Stratum 1 With 20 mg/m^21004.9
PK With 20 mg/m^21047.4

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Maximum Concentration of MLN4924 (Pevonedistat) Added to the 3-drug Backbone of Azacitidine (Aza), Fludarabine, and Cytarabine Re-induction for Pediatric Patients With Recurrent/Refractory AML and MDS

Median (Range) of the maximum concentration of MLN4924 (pevonedistat) added to the 3-drug backbone of azacitidine (aza), fludarabine, and cytarabine re-induction for pediatric patients with recurrent/refractory AML and MDS by dose level measured pre-dose, end of infusion, 4-6 hours, and 24 hours post-dose infusion on Days 1 and 5. (NCT03813147)
Timeframe: Up to 5 days

Interventionng/mL (Median)
Stratum 1 With 20 mg/m^2248.5
PK With 20 mg/m^2213

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Number of Participants With Antitumor Activity of MLN4924 (Pevonedistat)

Frequency of participants with best overall response by dose level of PR or CR for MLN4924 (pevonedistat) added to the 3-drug backbone of azacitidine (aza), fludarabine, and cytarabine re-induction Per Response Evaluation Criteria for CR (M1 bone marrow (< 5% blasts) with no evidence of circulating blasts or extramedullary disease and with recovery of peripheral blood counts (ANC > 1000/uL and platelet count > 100,000/uL), CRp (M1 bone marrow (< 5% blasts) and no evidence of circulating blasts or extramedullary disease and with recovery of ANC > 1000/uL and platelet transfusion independence), CRi (M1 bone marrow (<5% blasts) and no evidence of circulating blasts or extramedullary disease and with ANC < 1000/uL or platelet count < 100,000/uL without platelet transfusion independence), or PR (M2 marrow status (> 5% or < 25% blasts cells) and at least 50% decrease in bone marrow blast percent from baseline. (NCT03813147)
Timeframe: Up to 1 year

InterventionParticipants (Count of Participants)
Stratum 1 With 20 mg/m^21
PK With 20 mg/m^22

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Number of Participants With Adverse Events Attributable to MLN4924 (Pevonedistat)

Frequency of patients with at least one grade 3 adverse event at least possibly attributable to MLN4924 (pevonedistat) added to the 3-drug backbone of azacitidine (aza), fludarabine, and cytarabine re-induction for pediatric patients with recurrent/refractory AML and MDS by dose level. (NCT03813147)
Timeframe: Up to 70 days

InterventionParticipants (Count of Participants)
Stratum 1 With 20 mg/m^26
PK With 20 mg/m^26

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Number of Participants With Dose Limiting Toxicities of MLN4924 (Pevonedistat)

Frequency of patients with dose limiting toxicity in the first cycle of MLN4924 (pevonedistat) added to the 3-drug backbone of azacitidine (aza), fludarabine, and cytarabine re-induction for pediatric patients with recurrent/refractory AML and MDS by dose level among patients in the dose escalation cohort. (NCT03813147)
Timeframe: Up to 35 days

InterventionParticipants (Count of Participants)
Stratum 1 With 20 mg/m^21
PK With 20 mg/m^22

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Total Plasma Clearance of MLN4924 (Pevonedistat) Added to the 3-drug Backbone of Azacitidine (Aza), Fludarabine, and Cytarabine Re-induction for Pediatric Patients With Recurrent/Refractory AML and MDS

Median (Range) of the total plasma clearance of MLN4924 (pevonedistat) added to the 3-drug backbone of azacitidine (aza), fludarabine, and cytarabine re-induction for pediatric patients with recurrent/refractory AML and MDS by dose level measured pre-dose, end of infusion, 4-6 hours, and 24 hours post-dose infusion on Days 1 and 5. (NCT03813147)
Timeframe: Up to 5 days

InterventionL/h/m^2 (Median)
Stratum 1 With 20 mg/m^220.1
PK With 20 mg/m^219.2

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Maximum Time to Concentration of MLN4924 (Pevonedistat) Added to the 3-drug Backbone of Azacitidine (Aza), Fludarabine, and Cytarabine Re-induction for Pediatric Patients With Recurrent/Refractory AML and MDS

Median (Range) of the maximum time to concentration of MLN4924 (pevonedistat) added to the 3-drug backbone of azacitidine (aza), fludarabine, and cytarabine re-induction for pediatric patients with recurrent/refractory AML and MDS by dose level measured pre-dose, end of infusion, 4-6 hours, and 24 hours post-dose infusion on Days 1 and 5. (NCT03813147)
Timeframe: Up to 5 days

InterventionHour (Median)
Stratum 1 With 20 mg/m^21.2
PK With 20 mg/m^21.1

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