metyrapone has been researched along with Nelson Syndrome in 8 studies
Metyrapone: An inhibitor of the enzyme STEROID 11-BETA-MONOOXYGENASE. It is used as a test of the feedback hypothalamic-pituitary mechanism in the diagnosis of CUSHING SYNDROME.
metyrapone : An aromatic ketone that is 3,3-dimethylbutan-2-one in which the methyl groups at positions 1 and 4 are replaced by pyridin-3-yl groups. A steroid 11beta-monooxygenase (EC 1.14.15.4) inhibitor, it is used in the diagnosis of adrenal insufficiency.
Nelson Syndrome: A syndrome characterized by HYPERPIGMENTATION, enlarging pituitary mass, visual defects secondary to compression of the OPTIC CHIASM, and elevated serum ACTH. It is caused by the expansion of an underlying ACTH-SECRETING PITUITARY ADENOMA that grows in the absence of feedback inhibition by adrenal CORTICOSTEROIDS, usually after ADRENALECTOMY.
Excerpt | Relevance | Reference |
---|---|---|
"ACTH-dependent Cushing's syndrome is a heterogeneous disorder requiring a multidisciplinary and individualized approach to patient management." | 2.44 | Treatment of adrenocorticotropin-dependent Cushing's syndrome: a consensus statement. ( Bertagna, X; Bertherat, J; Biller, BM; Boscaro, M; Buchfelder, M; Colao, A; Grossman, AB; Hermus, AR; Hofland, LJ; Klibanski, A; Lacroix, A; Lindsay, JR; Melmed, S; Newell-Price, J; Nieman, LK; Petersenn, S; Sonino, N; Stalla, GK; Stewart, PM; Swearingen, B; Vance, ML; Wass, JA, 2008) |
Timeframe | Studies, this research(%) | All Research% |
---|---|---|
pre-1990 | 5 (62.50) | 18.7374 |
1990's | 2 (25.00) | 18.2507 |
2000's | 1 (12.50) | 29.6817 |
2010's | 0 (0.00) | 24.3611 |
2020's | 0 (0.00) | 2.80 |
Authors | Studies |
---|---|
Biller, BM | 1 |
Grossman, AB | 1 |
Stewart, PM | 1 |
Melmed, S | 1 |
Bertagna, X | 1 |
Bertherat, J | 1 |
Buchfelder, M | 1 |
Colao, A | 1 |
Hermus, AR | 1 |
Hofland, LJ | 1 |
Klibanski, A | 1 |
Lacroix, A | 1 |
Lindsay, JR | 1 |
Newell-Price, J | 1 |
Nieman, LK | 1 |
Petersenn, S | 1 |
Sonino, N | 1 |
Stalla, GK | 1 |
Swearingen, B | 1 |
Vance, ML | 1 |
Wass, JA | 2 |
Boscaro, M | 1 |
Thorén, M | 1 |
Ajne, M | 1 |
Hall, K | 1 |
Wilson, RE | 1 |
Orth, DN | 1 |
Nicholson, WE | 1 |
Mount, CD | 1 |
Bertagna, XY | 1 |
Raux-Demay, MC | 1 |
Girard, F | 1 |
Wiedemann, E | 2 |
Saito, T | 2 |
Linfoot, JA | 2 |
Li, CH | 2 |
Littley, MD | 1 |
Shalet, SM | 1 |
Beardwell, CG | 1 |
Ahmed, SR | 1 |
Sutton, ML | 1 |
Howlett, TA | 1 |
Plowman, PN | 1 |
Rees, LH | 1 |
Jones, AE | 1 |
Besser, GM | 1 |
Trial | Phase | Enrollment | Study Type | Start Date | Status | ||
---|---|---|---|---|---|---|---|
Treatment of Pituitary Cushing Disease With a Selective CDK Inhibitor, R-roscovitine[NCT02160730] | Phase 2 | 4 participants (Actual) | Interventional | 2014-05-31 | Terminated (stopped due to NIH grant ended.) | ||
[information is prepared from clinicaltrials.gov, extracted Sep-2024] |
The number of participants that achieved a urinary free cortisol level above the upper limit of the normal range but reduced by ≥50% from baseline at week 4. (NCT02160730)
Timeframe: Baseline, Week 4
Intervention | Participants (Count of Participants) |
---|---|
R-roscovitine | 2 |
A visible change in tumor size as determined by the investigator after reviewing MRI reports between baseline and 4 weeks of treatment. (NCT02160730)
Timeframe: Baseline, 4 weeks
Intervention | Participants (Count of Participants) |
---|---|
R-roscovitine | 0 |
"To evaluate the efficacy of R-roscovitine 400 mg oral administration twice daily for 4 days every week for total of 4 weeks on normalizing 24 hour urinary free cortisol (24 h UFC) levels in CD patients. Normalizing is defined as having urine free cortisol levels within the normal range for that lab value." (NCT02160730)
Timeframe: Baseline, 4 weeks
Intervention | Participants (Count of Participants) |
---|---|
R-roscovitine | 0 |
The number of participants that experience an adverse event between baseline and study end likely related to study drug as a measure of safety and tolerability. (NCT02160730)
Timeframe: Baseline, 4 weeks
Intervention | Participants (Count of Participants) |
---|---|
R-roscovitine | 2 |
Change in typical Cushing's syndrome clinical signs and symptoms defined by mean weight at baseline and 4 weeks. (NCT02160730)
Timeframe: Baseline, 4 weeks
Intervention | lbs (Mean) | |
---|---|---|
Baseline | 4 Weeks | |
R-roscovitine | 217 | 217.4 |
Mean diastolic blood pressure between baseline and 4 weeks. (NCT02160730)
Timeframe: Baseline, 4 weeks
Intervention | mmHg (Mean) | |
---|---|---|
Baseline | 4 Weeks | |
R-roscovitine | 76.5 | 71 |
HbA1c levels are measured at baseline and at study end, these are averaged across all subjects. (NCT02160730)
Timeframe: Baseline, 4 Weeks
Intervention | Percentage (Mean) | |
---|---|---|
Baseline | Study End-4 weeks | |
R-roscovitine | 6.9 | 7 |
Mean change in systolic blood pressure between baseline and 4 weeks. (NCT02160730)
Timeframe: Baseline, 4 weeks
Intervention | mmHg (Mean) | |
---|---|---|
Baseline | 4 weeks | |
R-roscovitine | 150.3 | 128.3 |
Mean serum cortisol values at baseline and 4 weeks (NCT02160730)
Timeframe: Baseline, 4 weeks
Intervention | mg/dL (Mean) | |
---|---|---|
Baseline | 4 Weeks | |
R-roscovitine | 25.6 | 27.1 |
Mean change between baseline and week 4 of fasting blood glucose levels. (NCT02160730)
Timeframe: Baseline, 4 Weeks
Intervention | g/dL (Mean) | |
---|---|---|
Baseline | 4 weeks | |
R-roscovitine | 121.4 | 104.3 |
Mean change in Plasma ACTH between baseline and 4 weeks. (NCT02160730)
Timeframe: Baseline, 4 weeks
Intervention | pg/mL (Mean) | |
---|---|---|
Baseline | 4 weeks | |
R-roscovitine | 79.3 | 79.9 |
2 reviews available for metyrapone and Nelson Syndrome
Article | Year |
---|---|
Treatment of adrenocorticotropin-dependent Cushing's syndrome: a consensus statement.
Topics: ACTH Syndrome, Ectopic; Adrenal Insufficiency; Adrenalectomy; Adrenocorticotropic Hormone; Cushing S | 2008 |
[Cushing syndrome in children].
Topics: Adolescent; Adrenal Cortex Hormones; Adrenal Gland Neoplasms; Adrenalectomy; Adrenocorticotropic Hor | 1993 |
1 trial available for metyrapone and Nelson Syndrome
Article | Year |
---|---|
Long-term follow-up of low-dose external pituitary irradiation for Cushing's disease.
Topics: Adolescent; Adrenalectomy; Adult; Aged; Child; Cushing Syndrome; Female; Follow-Up Studies; Humans; | 1990 |
5 other studies available for metyrapone and Nelson Syndrome
Article | Year |
---|---|
Plasma pattern of immunoreactive ACTH in normal man and in patients with Nelson's syndrome.
Topics: Adrenocorticotropic Hormone; Adult; Chromatography, Gel; Cross Reactions; Female; Humans; Hydrocorti | 1981 |
Human gamma-lipotropin radioimmunoassay: identification of immunoreactive gamma-lipotropin in human plasma and tissue.
Topics: ACTH Syndrome, Ectopic; Addison Disease; Adult; Antibody Specificity; beta-Lipotropin; Female; Human | 1981 |
Specific radioimmunoassay of human beta-endorphin in unextracted plasma.
Topics: Adenoma; Adrenal Gland Neoplasms; Carcinoma, Bronchogenic; Cushing Syndrome; Dexamethasone; Endorphi | 1979 |
Radioimmunoassay of human beta-lipotropin in unextracted plasma.
Topics: Acromegaly; beta-Lipotropin; Cushing Syndrome; Female; Humans; Hypopituitarism; Immune Sera; Male; M | 1977 |
Megavoltage pituitary irradiation in the management of Cushing's disease and Nelson's syndrome: long-term follow-up.
Topics: Adolescent; Adrenocorticotropic Hormone; Adult; Aged; Cushing Syndrome; Female; Follow-Up Studies; H | 1989 |