Page last updated: 2024-10-21

hydroxyindoleacetic acid and Flushing

hydroxyindoleacetic acid has been researched along with Flushing in 22 studies

(5-hydroxyindol-3-yl)acetic acid : A member of the class of indole-3-acetic acids that is indole-3-acetic acid substituted by a hydroxy group at C-5.

Flushing: A transient reddening of the face that may be due to fever, certain drugs, exertion, or stress.

Research Excerpts

ExcerptRelevanceReference
" The number and intensity of flushing episodes and bowel movements, urinary 5-hydroxyindoleacetic acid (5HIAA) levels, and plasma serotonin levels were recorded."5.09Treatment of carcinoid syndrome: a prospective crossover evaluation of lanreotide versus octreotide in terms of efficacy, patient acceptability, and tolerance. ( Blumberg, J; Bommelaer, G; Bouché, O; Catus, F; Ducreux, M; O'Toole, D; Ruszniewski, P; Wemeau, JL, 2000)
"The authors conducted a retrospective chart review of patients with carcinoid tumors and elevated serotonin levels (as measured by 24-hour urine 5-hydroxyindoleacetic acid [5-HIAA]) at Dana-Farber/Brigham and Women's Cancer Center who initiated treatment with serotonergic antidepressants after a carcinoid diagnosis from 2003 to 2016."3.85Retrospective review of serotonergic medication tolerability in patients with neuroendocrine tumors with biochemically proven carcinoid syndrome. ( Brais, LK; Braun, IM; Chan, JA; Dutton, T; Kulke, MH; Meyer, FL; Minden, SL; Shi, DD; Yuppa, DP, 2017)
"To characterize a disorder of episodes of flushing and increased levels of 5-hydroxyindoleacetic acid (5-HIAA) in men with secondary hypogonadism who respond to testosterone therapy."3.69Pseudocarcinoid syndrome associated with hypogonadism and response to testosterone therapy. ( Drake, AJ; Eisold, JF; Jasser, MZ; Shakir, KM; Yoshihashi, AK, 1996)
"Seventy-one patients were treated."2.71Rapid and sustained relief from the symptoms of carcinoid syndrome: results from an open 6-month study of the 28-day prolonged-release formulation of lanreotide. ( Arnold, R; Bax, N; Caplin, M; de Herder, WW; Delle Fave, G; Ducreux, M; Eriksson, B; Glaser, B; Grossman, A; Ish-Shalom, S; Lombard-Bohas, C; O'Toole, D; Reed, N; Rougier, P; Ruszniewski, P; Schmidt, W; Seitz, JF; Tomassetti, P; Van Cutsem, E; Wiedenmann, B; Wymenga, M, 2004)
"Flushing was a prominent symptom in 46% and diarrhoea or altered bowel habit in 37%."2.39The clinical and laboratory correlates of an increased urinary 5-hydroxyindoleacetic acid. ( FitzGerald, RJ; Tormey, WP, 1995)
"In all, 115 patients with carcinoid were interviewed."1.32Relationships among delay of diagnosis, extent of disease, and survival in patients with abdominal carcinoid tumors. ( Pommier, RF; Toth-Fejel, S, 2004)
"Twenty-five patients with solid tumors received, after myeloblative chemotherapy, a total of 30 reinfusions of PBSC and/or bone marrow."1.30Effects of peripheral stem cell or bone marrow reinfusion on peripheral serotonin metabolism. ( Kema, IP; Mulder, NH; Smit Sibinga, CT; van der Graaf, WT; Vries, EG; Wymenga, AN, 1999)
"5-Hydroxyindoleacetic acid and serotonin were elevated."1.29[Pronounced flush symptoms in carcinoid syndrome without liver metastases]. ( Hammar, CH; Raschka, C; Roth, J, 1994)
"After one month of treatment, flushing episodes (median (range)) decreased significantly (3 (0."1.29Treatment of the carcinoid syndrome with the longacting somatostatin analogue lanreotide: a prospective study in 39 patients. ( Bernades, P; Blumberg, J; Chayvialle, JA; Cloarec, D; Ducreux, M; Dupas, JL; Genestin, E; Gouerou, H; Jian, R; Michel, H; Raymond, JM; Rougier, P; Ruszniewski, P, 1996)
"Orchiectomy is considered a safe and simple procedure, free from serious side effects, in the treatment of prostatic carcinoma."1.28Flushing. Long-term side effect of orchiectomy in treatment of prostatic carcinoma. ( Charig, CR; Rundle, JS, 1989)
"Twelve carcinoid patients and six controls were given alcohol and the kallikrein activity was measured before and at 2, 5, and 10 minutes after alcohol ingestion; kallikrein activity did not change significantly."1.27Flushing in the carcinoid syndrome and plasma kallikrein. ( Feldman, JM; Lucas, KJ, 1986)

Research

Studies (22)

TimeframeStudies, this research(%)All Research%
pre-19909 (40.91)18.7374
1990's8 (36.36)18.2507
2000's3 (13.64)29.6817
2010's2 (9.09)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Pavel, M1
Hörsch, D1
Caplin, M2
Ramage, J1
Seufferlein, T1
Valle, J1
Banks, P1
Lapuerta, P1
Sands, A1
Zambrowicz, B1
Fleming, D1
Wiedenmann, B2
Shi, DD1
Yuppa, DP1
Dutton, T1
Brais, LK1
Minden, SL1
Braun, IM1
Kulke, MH1
Chan, JA1
Meyer, FL1
Toth-Fejel, S1
Pommier, RF1
Ruszniewski, P3
Ish-Shalom, S1
Wymenga, M1
O'Toole, D2
Arnold, R1
Tomassetti, P1
Bax, N1
Eriksson, B1
Glaser, B1
Ducreux, M3
Lombard-Bohas, C1
de Herder, WW1
Delle Fave, G1
Reed, N1
Seitz, JF1
Van Cutsem, E1
Grossman, A1
Rougier, P2
Schmidt, W1
Hosoda, S1
Suyama, M1
Saito, T1
Kohmura, Y1
Hosoda, R1
Tormey, WP1
FitzGerald, RJ1
Roth, J1
Raschka, C1
Hammar, CH1
Matuchansky, C1
Launay, JM1
Shakir, KM1
Jasser, MZ1
Yoshihashi, AK1
Drake, AJ1
Eisold, JF1
Chayvialle, JA2
Blumberg, J2
Cloarec, D1
Michel, H1
Raymond, JM1
Dupas, JL1
Gouerou, H1
Jian, R1
Genestin, E1
Bernades, P1
Martin, JA1
Brownbill, K1
Betchen, SA1
Cirigliano, M1
Furth, EE1
Broussard, D1
Grippi, M1
Lichtenstein, GR1
Wymenga, AN1
van der Graaf, WT1
Kema, IP1
Smit Sibinga, CT1
Vries, EG1
Mulder, NH1
Bommelaer, G1
Wemeau, JL1
Bouché, O1
Catus, F1
Norheim, I3
Theodorsson-Norheim, E2
Brodin, E1
Oberg, K3
Kvols, LK1
Moertel, CG1
O'Connell, MJ1
Schutt, AJ1
Rubin, J1
Hahn, RG1
Lucas, KJ1
Feldman, JM1
Lindgren, PG1
Lundqvist, G2
Magnusson, A1
Wide, L2
Wilander, E1
Aldrich, LB1
Moattari, AR1
Vinik, AI1
Charig, CR1
Rundle, JS1
Theodorsson, E1
Ahlman, H1

Clinical Trials (3)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Phase 2, Open-Label, Multi-Center, Serial Ascending-Dose, Dose-Finding Study to Evaluate the Safety and Tolerability of LX1606 in Subjects With Symptomatic Carcinoid Syndrome[NCT01104415]Phase 215 participants (Actual)Interventional2010-06-15Completed
Safety of Lanreotide 120 mg ATG in Combination With Metformin in Patients With Progressive Advanced Well-differentiated Gastro-intestinal (GI) or Lung Carcinoids: A Pilot, One-arm, Open-label, Prospective Study: the MetNET-2 Trial[NCT02823691]Early Phase 120 participants (Actual)Interventional2016-04-30Active, not recruiting
UPCC 04219 Phase 2 Study of Capecitabine-Temozolomide(CapTem) With Yttrium-90 Radioembolization in the Treatment of Patients With Unresectable Metastatic Grade 2 Neuroendocrine Tumors[NCT04339036]Phase 250 participants (Anticipated)Interventional2021-10-07Recruiting
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Change From Baseline in Daily Number of Cutaneous Flushing Episodes

Participants recorded the number of daily cutaneous flushing episodes experienced in the daily diary. The change from baseline value was calculated as the difference between the mean numbers of cutaneous flushing episodes of the post-baseline interval (Weeks 9 to 12) and baseline. Baseline for the Extension Period was defined as non-missing assessment in Run-in period prior to the first dose of study drug. (NCT01104415)
Timeframe: Core Phase: Baseline to Weeks 9-12; Extension Period: Baseline to Week 24

InterventionDaily number of flushing episodes (Mean)
Telotristat Etiprate- Core Phase-0.88
Telotristat Etiprate- Extension Period-1.55

Change From Baseline in Daily Severity of Abdominal Pain or Discomfort Using 100 mm Visual Analog Scale (VAS)

The severity of abdominal pain was measured using a 100 mm VAS. Participants rated their perception of the sensation/severity of abdominal pain or experienced by marking a single vertical line on a VAS scale from 0 to 100 mm, where 0 = No vomiting and 100 = vomiting. The change from the baseline value was calculated as the difference between the mean score of the post-baseline interval (Weeks 9 to 12) and baseline. 0 indicate the best score, 100 indicates the worst score. Baseline for the Extension Period was defined as non-missing assessment in Run-in period prior to the first dose of study drug. (NCT01104415)
Timeframe: Core Phase: Baseline to Weeks 9-12; Extension Period: Baseline to Week 24

Interventionscore on a scale (Mean)
Telotristat Etiprate- Core Phase-8.66
Telotristat Etiprate- Extension Period-24.11

Change From Baseline in Number of Bowel Movements (BMs)

Participants recorded the number of bowel movements in a daily diary. The change from baseline value was calculated as the difference between mean numbers of BMs of the post-baseline interval (Weeks 9 to 12) and baseline. A negative change from baseline indicates improvement. Baseline for the Extension Period was defined as non-missing assessment in Run-in period prior to the first dose of study drug. (NCT01104415)
Timeframe: Core Phase: Baseline to Weeks 9-12; Extension Period: Baseline to Week 24

Interventionnumber of bowel movements/day (Mean)
Telotristat Etiprate- Core Phase-2.60
Telotristat Etiprate- Extension Period-2.85

Change From Baseline in Percentage of Days With Sensation of Urgency to Defecate

"Participants assessed the urgency to defecate using a daily diary response to the following question, Have you felt or experienced a sense of urgency to pass stool today?. The change from the baseline value was calculated as the difference between the mean score (percentage of days) of the post-baseline interval (Weeks 9 to 12) and baseline. Baseline for the Extension Period was defined as non-missing assessment in Run-in period prior to the first dose of study drug." (NCT01104415)
Timeframe: Core Phase: Baseline to Weeks 9-12; Extension Period: Baseline to Week 24

Interventionpercentage of days (Mean)
Telotristat Etiprate- Core Phase-11.32
Telotristat Etiprate- Extension Period-22.79

Change From Baseline in Sensation/Severity of Nausea Using 100 mm Visual Analog Scale (VAS)

Sensation/severity of nausea was measured using a 100 mm VAS. Participants rated their perception of the sensation/severity of nausea experienced by marking a single vertical line on a VAS scale from 0 to 100 mm, where 0 = No vomiting and 100 = vomiting. The change from the baseline value was calculated as the difference between the mean score of the post-baseline interval (Weeks 9 to 12) and baseline. 0 indicates the best score, 100 indicates the worst score. Baseline for the Extension Period was defined as non-missing assessment in Run-in period prior to the first dose of study drug. (NCT01104415)
Timeframe: Core Phase: Baseline to Weeks 9-12; Extension Period: Baseline to Week 24

Interventionscore on a scale (Mean)
Telotristat Etiprate- Core Phase-2.43
Telotristat Etiprate- Extension Period-5.71

Change From Baseline in Stool Form/Consistency

Participants assessed stool form/consistency in a daily diary using a 6-point scale (0-none, 1-hard, 2-firm, 3-soft, 4-loose, 5-watery). The change from the baseline value was calculated as the difference between a mean score of the post-baseline interval (Weeks 9 to 12) and baseline. 0 indicates the best score and 5 indicates the worst score. A negative change from baseline indicates improvement. Baseline for the Extension Period was defined as non-missing assessment in Run-in period prior to the first dose of study drug. (NCT01104415)
Timeframe: Core Phase: Baseline to Weeks 9-12; Extension Period: Baseline to Week 24

Interventionscore on a scale (Mean)
Telotristat Etiprate- Core Phase-0.79
Telotristat Etiprate- Extension Period-1.31

Change From Baseline in Urinary 5-Hydroxyindoleacetic Acid (HIAA) Levels

Urinary 5-HIAA (u5-HIAA) is a standard test used in clinical practice to assess the neuroendocrine tumor (NET) activity and is collected as a 24-hour urine specimen. The change from baseline value for the Extension Period was calculated as the difference between mean change in 5-HIAA of the post-baseline interval (Weeks 20 to 21) and baseline. A negative change from baseline indicates improvement. Baseline for the Extension Period was defined as non-missing assessment in Run-in period prior to the first dose of study drug. (NCT01104415)
Timeframe: Core Phase: Baseline to Week 12; Extension Period: Baseline to Weeks 20-21

Interventionmg/24 hours (Mean)
Telotristat Etiprate- Core Phase-97.26
Telotristat Etiprate- Extension Period-65.02

Number of Participants Achieving Clinically Meaningful Symptom Reduction in the Core Phase

Clinically meaningful symptom reduction was defined as either: a) an average of < 4 bowel movements per day over 15 consecutive days, b) a 50% reduction from baseline in the number of bowel movements, c) a positive response to the question regarding adequate relief, or d) a 50% reduction from baseline in the number of daily flushing episodes. (NCT01104415)
Timeframe: Baseline to Week 12

InterventionParticipants (Count of Participants)
Telotristat Etiprate- Core Phase14

Number of Participants With an Improvement in Global Assessment of Symptoms Associated With Carcinoid Syndrome

"Participants assessed their symptoms using a weekly subjective response to the following question, In the past 7 days, have you had adequate relief of your carcinoid syndrome bowel complaints such as diarrhea, urgent need to have a bowel movement, abdominal pain, or discomfort?. The values for improvement in global assessment of symptoms associated with carcinoid syndrome in the Core Phase were averaged from Weeks 9 to 12." (NCT01104415)
Timeframe: Core Phase: Weeks 9-12; Extension Period: Week 24

InterventionParticipants (Count of Participants)
Telotristat Etiprate- Core Phase10
Telotristat Etiprate- Extension Period4

Number of Participants With Any Treatment Emergent Adverse Events (TEAEs) and Drug-Related TEAEs in the Core Phase

An adverse event (AE) was defined as any untoward medical occurrence associated with the use of a drug in humans, whether or not considered drug-related. Treatment-emergent AEs were defined as any AEs reported after the first dose of treatment on Day 1. (NCT01104415)
Timeframe: Baseline up to Week 12 in the Core Phase

InterventionParticipants (Count of Participants)
Any TEAEDrug-Related TEAE
Telotristat Etiprate- Core Phase155

Number of Participants With Any Treatment Emergent Adverse Events (TEAEs) and Drug-Related TEAEs in the Extension Period

An adverse event (AE) was defined as any untoward medical occurrence associated with the use of a drug in humans, whether or not considered drug-related. Treatment-emergent AEs were defined as any AEs reported after the first dose of treatment on Day 1. (NCT01104415)
Timeframe: Up to 124 Weeks in the Extension Period

InterventionParticipants (Count of Participants)
Any TEAEDrug-Related TEAE
Telotristat Etiprate- Extension Period114

Reviews

2 reviews available for hydroxyindoleacetic acid and Flushing

ArticleYear
The clinical and laboratory correlates of an increased urinary 5-hydroxyindoleacetic acid.
    Postgraduate medical journal, 1995, Volume: 71, Issue:839

    Topics: Adolescent; Adrenal Gland Neoplasms; Adult; Aged; Aged, 80 and over; Carcinoid Tumor; Diagnostic Ima

1995
Tubulovillous adenoma of the duodenum: a new etiology for flushing and urinary 5-HIAA elevation.
    Digestive diseases and sciences, 1998, Volume: 43, Issue:7

    Topics: Adenoma, Villous; Carcinoid Tumor; Diagnosis, Differential; Duodenal Neoplasms; Duodenum; Female; Fl

1998

Trials

4 trials available for hydroxyindoleacetic acid and Flushing

ArticleYear
Telotristat etiprate for carcinoid syndrome: a single-arm, multicenter trial.
    The Journal of clinical endocrinology and metabolism, 2015, Volume: 100, Issue:4

    Topics: Abdominal Pain; Adult; Aged; Aged, 80 and over; Female; Flushing; Gastrointestinal Transit; Humans;

2015
Rapid and sustained relief from the symptoms of carcinoid syndrome: results from an open 6-month study of the 28-day prolonged-release formulation of lanreotide.
    Neuroendocrinology, 2004, Volume: 80, Issue:4

    Topics: Adult; Aged; Aged, 80 and over; Chromogranins; Delayed-Action Preparations; Dose-Response Relationsh

2004
Treatment of carcinoid syndrome: a prospective crossover evaluation of lanreotide versus octreotide in terms of efficacy, patient acceptability, and tolerance.
    Cancer, 2000, Feb-15, Volume: 88, Issue:4

    Topics: Antineoplastic Agents; Biomarkers, Tumor; Carcinoid Tumor; Cross-Over Studies; Diarrhea; Female; Flu

2000
The effects of octreotide on basal and stimulated hormone levels in patients with carcinoid syndrome.
    The Journal of clinical endocrinology and metabolism, 1989, Volume: 68, Issue:4

    Topics: Aged; Double-Blind Method; Female; Flushing; Humans; Hydroxyindoleacetic Acid; Insulin; Intestinal N

1989

Other Studies

16 other studies available for hydroxyindoleacetic acid and Flushing

ArticleYear
Retrospective review of serotonergic medication tolerability in patients with neuroendocrine tumors with biochemically proven carcinoid syndrome.
    Cancer, 2017, Jul-15, Volume: 123, Issue:14

    Topics: Anxiety; Carcinoid Tumor; Depression; Diarrhea; Female; Flushing; Humans; Hydroxyindoleacetic Acid;

2017
Relationships among delay of diagnosis, extent of disease, and survival in patients with abdominal carcinoid tumors.
    American journal of surgery, 2004, Volume: 187, Issue:5

    Topics: Abdominal Neoplasms; Carcinoid Tumor; Diagnostic Errors; Disease Progression; Female; Flushing; Foll

2004
Novel flushing provoked by volatile anesthetics in Mastomys natalensis bearing a transplantable substrain of gastric carcinoid that predominantly secretes serotonin.
    Journal of the National Cancer Institute, 1984, Volume: 72, Issue:6

    Topics: Anesthetics; Animals; Carcinoid Tumor; Flushing; Histamine; Histamine Release; Hydroxyindoleacetic A

1984
[Pronounced flush symptoms in carcinoid syndrome without liver metastases].
    Leber, Magen, Darm, 1994, Volume: 24, Issue:6

    Topics: Aged; Cecal Neoplasms; Cecum; Diagnosis, Differential; Flushing; Humans; Hydroxyindoleacetic Acid; I

1994
Serotonin, catecholamines, and spontaneous midgut carcinoid flush: plasma studies from flushing and nonflushing sites.
    Gastroenterology, 1995, Volume: 108, Issue:3

    Topics: Adult; Aged; Catecholamines; Female; Flushing; Humans; Hydroxyindoleacetic Acid; Intestinal Neoplasm

1995
Pseudocarcinoid syndrome associated with hypogonadism and response to testosterone therapy.
    Mayo Clinic proceedings, 1996, Volume: 71, Issue:12

    Topics: Aged; Antineoplastic Agents, Hormonal; Flushing; Humans; Hydroxyindoleacetic Acid; Hypogonadism; Mal

1996
Treatment of the carcinoid syndrome with the longacting somatostatin analogue lanreotide: a prospective study in 39 patients.
    Gut, 1996, Volume: 39, Issue:2

    Topics: Biomarkers, Tumor; Diarrhea; Female; Flushing; Humans; Hydroxyindoleacetic Acid; Male; Malignant Car

1996
When is an indole not an indole?
    Clinical chemistry, 1998, Volume: 44, Issue:1

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Butanones; Carcinoid Tumor; Chromatography, High Pressure L

1998
Effects of peripheral stem cell or bone marrow reinfusion on peripheral serotonin metabolism.
    Bone marrow transplantation, 1999, Volume: 24, Issue:9

    Topics: Adult; Blood Platelets; Bone Marrow Transplantation; Female; Flushing; Hematopoietic Stem Cell Trans

1999
Tachykinins in carcinoid tumors: their use as a tumor marker and possible role in the carcinoid flush.
    The Journal of clinical endocrinology and metabolism, 1986, Volume: 63, Issue:3

    Topics: Adult; Aged; Chromatography, High Pressure Liquid; Eating; Ethanol; Female; Flushing; Humans; Hydrox

1986
Treatment of the malignant carcinoid syndrome. Evaluation of a long-acting somatostatin analogue.
    The New England journal of medicine, 1986, Sep-11, Volume: 315, Issue:11

    Topics: Adult; Aged; Antineoplastic Agents; Diarrhea; Female; Flushing; Humans; Hydroxyindoleacetic Acid; In

1986
Flushing in the carcinoid syndrome and plasma kallikrein.
    Cancer, 1986, Nov-15, Volume: 58, Issue:10

    Topics: Adult; Aged; Bronchial Neoplasms; Carcinoid Tumor; Female; Flushing; Gastrointestinal Neoplasms; Hum

1986
Malignant carcinoid tumors. An analysis of 103 patients with regard to tumor localization, hormone production, and survival.
    Annals of surgery, 1987, Volume: 206, Issue:2

    Topics: Adult; Aged; Bronchial Neoplasms; Diarrhea; Female; Flushing; Gastrointestinal Neoplasms; Heart Arre

1987
Distinguishing features of idiopathic flushing and carcinoid syndrome.
    Archives of internal medicine, 1988, Volume: 148, Issue:12

    Topics: Adult; Diagnosis, Differential; Female; Flushing; Humans; Hydroxyindoleacetic Acid; Male; Malignant

1988
Flushing. Long-term side effect of orchiectomy in treatment of prostatic carcinoma.
    Urology, 1989, Volume: 33, Issue:3

    Topics: Aged; Aged, 80 and over; Flushing; Follicle Stimulating Hormone; Humans; Hydroxyindoleacetic Acid; L

1989
[A prolonged-action somatostatin analog and carcinoid syndrome].
    Bulletin de l'Academie nationale de medecine, 1989, Volume: 173, Issue:5

    Topics: Adult; Aged; Aged, 80 and over; Delayed-Action Preparations; Diarrhea; Female; Flushing; Humans; Hyd

1989