Page last updated: 2024-10-31

metyrapone and Nelson Syndrome

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.

Research Excerpts

ExcerptRelevanceReference
"ACTH-dependent Cushing's syndrome is a heterogeneous disorder requiring a multidisciplinary and individualized approach to patient management."2.44Treatment 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)

Research

Studies (8)

TimeframeStudies, this research(%)All Research%
pre-19905 (62.50)18.7374
1990's2 (25.00)18.2507
2000's1 (12.50)29.6817
2010's0 (0.00)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Biller, BM1
Grossman, AB1
Stewart, PM1
Melmed, S1
Bertagna, X1
Bertherat, J1
Buchfelder, M1
Colao, A1
Hermus, AR1
Hofland, LJ1
Klibanski, A1
Lacroix, A1
Lindsay, JR1
Newell-Price, J1
Nieman, LK1
Petersenn, S1
Sonino, N1
Stalla, GK1
Swearingen, B1
Vance, ML1
Wass, JA2
Boscaro, M1
Thorén, M1
Ajne, M1
Hall, K1
Wilson, RE1
Orth, DN1
Nicholson, WE1
Mount, CD1
Bertagna, XY1
Raux-Demay, MC1
Girard, F1
Wiedemann, E2
Saito, T2
Linfoot, JA2
Li, CH2
Littley, MD1
Shalet, SM1
Beardwell, CG1
Ahmed, SR1
Sutton, ML1
Howlett, TA1
Plowman, PN1
Rees, LH1
Jones, AE1
Besser, GM1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Treatment of Pituitary Cushing Disease With a Selective CDK Inhibitor, R-roscovitine[NCT02160730]Phase 24 participants (Actual)Interventional2014-05-31Terminated (stopped due to NIH grant ended.)
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Number of Participants That Experience Changes in Clinical Signs of Hypercortisolemia

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

InterventionParticipants (Count of Participants)
R-roscovitine2

Number of Participants That Have a Visible Change in Tumor Size

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

InterventionParticipants (Count of Participants)
R-roscovitine0

Number of Participants With a Normalized 24 Hour Urinary Free Cortisol After 4 Weeks

"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

InterventionParticipants (Count of Participants)
R-roscovitine0

Number of Participants With Adverse Events

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

InterventionParticipants (Count of Participants)
R-roscovitine2

Change in Clinical Symptoms

Change in typical Cushing's syndrome clinical signs and symptoms defined by mean weight at baseline and 4 weeks. (NCT02160730)
Timeframe: Baseline, 4 weeks

Interventionlbs (Mean)
Baseline4 Weeks
R-roscovitine217217.4

Change in Diastolic Blood Pressure

Mean diastolic blood pressure between baseline and 4 weeks. (NCT02160730)
Timeframe: Baseline, 4 weeks

InterventionmmHg (Mean)
Baseline4 Weeks
R-roscovitine76.571

Change in Mean HbA1c Levels Between Baseline and 4 Weeks

HbA1c levels are measured at baseline and at study end, these are averaged across all subjects. (NCT02160730)
Timeframe: Baseline, 4 Weeks

InterventionPercentage (Mean)
BaselineStudy End-4 weeks
R-roscovitine6.97

Change in Systolic Blood Pressure

Mean change in systolic blood pressure between baseline and 4 weeks. (NCT02160730)
Timeframe: Baseline, 4 weeks

InterventionmmHg (Mean)
Baseline4 weeks
R-roscovitine150.3128.3

Changes in Serum Cortisol Between Baseline and 4 Weeks

Mean serum cortisol values at baseline and 4 weeks (NCT02160730)
Timeframe: Baseline, 4 weeks

Interventionmg/dL (Mean)
Baseline4 Weeks
R-roscovitine25.627.1

Fasting Glucose at Baseline and 4 Weeks

Mean change between baseline and week 4 of fasting blood glucose levels. (NCT02160730)
Timeframe: Baseline, 4 Weeks

Interventiong/dL (Mean)
Baseline4 weeks
R-roscovitine121.4104.3

Plasma ACTH at Baseline and 4 Weeks

Mean change in Plasma ACTH between baseline and 4 weeks. (NCT02160730)
Timeframe: Baseline, 4 weeks

Interventionpg/mL (Mean)
Baseline4 weeks
R-roscovitine79.379.9

Reviews

2 reviews available for metyrapone and Nelson Syndrome

ArticleYear
Treatment of adrenocorticotropin-dependent Cushing's syndrome: a consensus statement.
    The Journal of clinical endocrinology and metabolism, 2008, Volume: 93, Issue:7

    Topics: ACTH Syndrome, Ectopic; Adrenal Insufficiency; Adrenalectomy; Adrenocorticotropic Hormone; Cushing S

2008
[Cushing syndrome in children].
    Annales de pediatrie, 1993, Volume: 40, Issue:7

    Topics: Adolescent; Adrenal Cortex Hormones; Adrenal Gland Neoplasms; Adrenalectomy; Adrenocorticotropic Hor

1993

Trials

1 trial available for metyrapone and Nelson Syndrome

ArticleYear
Long-term follow-up of low-dose external pituitary irradiation for Cushing's disease.
    Clinical endocrinology, 1990, Volume: 33, Issue:4

    Topics: Adolescent; Adrenalectomy; Adult; Aged; Child; Cushing Syndrome; Female; Follow-Up Studies; Humans;

1990

Other Studies

5 other studies available for metyrapone and Nelson Syndrome

ArticleYear
Plasma pattern of immunoreactive ACTH in normal man and in patients with Nelson's syndrome.
    Acta endocrinologica, 1981, Volume: 96, Issue:1

    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.
    The Journal of clinical endocrinology and metabolism, 1981, Volume: 53, Issue:1

    Topics: ACTH Syndrome, Ectopic; Addison Disease; Adult; Antibody Specificity; beta-Lipotropin; Female; Human

1981
Specific radioimmunoassay of human beta-endorphin in unextracted plasma.
    The Journal of clinical endocrinology and metabolism, 1979, Volume: 49, Issue:3

    Topics: Adenoma; Adrenal Gland Neoplasms; Carcinoma, Bronchogenic; Cushing Syndrome; Dexamethasone; Endorphi

1979
Radioimmunoassay of human beta-lipotropin in unextracted plasma.
    The Journal of clinical endocrinology and metabolism, 1977, Volume: 45, Issue:5

    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.
    Clinical endocrinology, 1989, Volume: 31, Issue:3

    Topics: Adolescent; Adrenocorticotropic Hormone; Adult; Aged; Cushing Syndrome; Female; Follow-Up Studies; H

1989