Page last updated: 2024-10-31

metyrapone and Pituitary ACTH Hypersecretion

metyrapone has been researched along with Pituitary ACTH Hypersecretion in 22 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.

Pituitary ACTH Hypersecretion: A disease of the PITUITARY GLAND characterized by the excess amount of ADRENOCORTICOTROPIC HORMONE secreted. This leads to hypersecretion of cortisol (HYDROCORTISONE) by the ADRENAL GLANDS resulting in CUSHING SYNDROME.

Research Excerpts

ExcerptRelevanceReference
"A diagnosis of preclinical Cushing's disease was made, and she was treated with 11-hydroxylase inhibitor metyrapone."5.34Preclinical Cushing's disease characterized by massive adrenal hyperplasia and hormonal changes after three years of metyrapone therapy. ( Nomura, K; Ohmori, K; Ohmori, N; Takano, K, 2007)
" This review will rather focus specifically on adverse events associated with these drugs (ketoconazole, levoketoconazole, metyrapone, osilodrostat, pasireotide, cabergoline and mifepristone), and the way in which to monitor and treat them, based on retrospective studies and the most recently published prospective studies."2.82How best to monitor the specific side effects of medical treatments of Cushing's disease. ( Castinetti, F, 2022)
"Osilodrostat has been shown to be highly effective at maintaining normal urinary free cortisol in patients with CD."2.72Updates in adrenal steroidogenesis inhibitors for Cushing's syndrome - A practical guide. ( Fleseriu, M; Han, AJ; Varlamov, EV, 2021)
"Medical therapy to control hypercortisolism in adrenal Cushing's syndrome is currently not the first-line therapy."2.66What is the role of medical therapy in adrenal-dependent Cushing's syndrome? ( Braun, LT; Reincke, M, 2020)
"Medical therapy for Cushing disease is primarily used to control hypercortisolism in patients whose disease persists or with recurrent disease after pituitary surgery, including those awaiting the salutary effects of radiation therapy."2.61Medical Management of Cushing Disease. ( Biller, BMK; Tritos, NA, 2019)
"Pasireotide was the only treatment to be assessed in a randomized trial and was supported by a 'moderate' level of evidence."2.50Efficacy of medical treatment in Cushing's disease: a systematic review. ( Gadelha, MR; Vieira Neto, L, 2014)
"Hypercortisolism induced by Cushing disease causes high morbidity and mortality."2.48New prospects for drug treatment in Cushing disease. ( Barahona Constanzo, MJ; del Pozo Picó, C, 2012)
"The goals of ideal medical therapy for Cushing's disease should be to target the aetiology of the disorder, and thus surgery is the current 'gold standard' treatment."2.46Medical therapy of Cushing's disease: where are we now? ( Alexandraki, KI; Grossman, AB, 2010)
"The most common cause of endogenous Cushing's disease in children older than 7 years is ACTH-dependent Cushing's disease (85%)."2.45[Cushing's syndrome: special issues]. ( Goñi Iriarte, MJ, 2009)
"Effective treatment of Cushing's disease can normalize biochemical levels, reverse comorbidities, and improve overall survival and quality of life."2.45Rationale for treatment and therapeutic options in Cushing's disease. ( Petersenn, S; Stewart, PM, 2009)
"Symptoms of hyperandrogenism are common in patients with Cushing's disease (CD), yet they are not sufficiently explained by androgen concentrations."1.7211-Oxygenated C19 steroids are the predominant androgens responsible for hyperandrogenemia in Cushing's disease. ( Adaway, JE; Auer, MK; Bidlingmaier, M; Braun, L; Hartmann, MF; Hawley, J; Keevil, B; Lottspeich, C; Nowotny, HF; Reincke, M; Reisch, N; Schilbach, K; Tschaidse, L; Vogel, F; Wudy, SA, 2022)
"Since hypercortisolism due to active Cushing's disease may worsen a COVID-19 infection, multi-disciplinary management that includes appropriate and prompt treatment strategies is mandatory in such cases."1.62Successful management of a patient with active Cushing's disease complicated with coronavirus disease 2019 (COVID-19) pneumonia. ( Atsumi, T; Cho, KY; Inoshita, N; Kamada, K; Kameda, H; Kenmotsu, Y; Konno, S; Miyoshi, H; Nakakubo, S; Nakamura, A; Nakamura, J; Nomoto, H; Sawamura, Y; Shimatsu, A; Sugino, H; Suzuki, M; Takahashi, Y; Yamashita, Y; Yuno, A, 2021)
"BLA = bilateral adrenalectomy CD = Cushing disease CS = Cushing syndrome eCRF = electronic case report form MRI = magnetic resonance imaging PCOS = polycystic ovary syndrome."1.46BIOCHEMICAL CONTROL DURING LONG-TERM FOLLOW-UP OF 230 ADULT PATIENTS WITH CUSHING DISEASE: A MULTICENTER RETROSPECTIVE STUDY. ( Ayala, A; Biller, BMK; Bonert, V; Broder, MS; Carmichael, JD; Cherepanov, D; Eagan, M; Geer, EB; Gordon, MB; Hannoush, Z; Katznelson, L; Lalazar, Y; Lee, J; Manuylova, E; Neary, MP; Pulaski-Liebert, KJ; Said, Q; Shafiq, I; Surampudi, V; Swerdloff, RS, 2017)
"A long-term recurrence rate of Cushing's disease ranging from 2%-25% has been reported."1.39[Predictors of long-term remission after transsphenoidal surgery in Cushing's disease]. ( Abellán Galiana, P; Escrivá, CM; Fajardo Montañana, C; Gómez Vela, J; Lillo, VR; Riesgo Suárez, PA, 2013)
"Imaging tests by CT/MRI identified the tumors in 8 of 16 (50%), in 4 of 11 (36%) and 4 of 6 (66."1.36Clinical features and management of ectopic ACTH syndrome at a single institute in Japan. ( Doi, M; Hirata, Y; Izumiyama, H; Sugiyama, T; Yoshimoto, T, 2010)
"A diagnosis of preclinical Cushing's disease was made, and she was treated with 11-hydroxylase inhibitor metyrapone."1.34Preclinical Cushing's disease characterized by massive adrenal hyperplasia and hormonal changes after three years of metyrapone therapy. ( Nomura, K; Ohmori, K; Ohmori, N; Takano, K, 2007)

Research

Studies (22)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's6 (27.27)29.6817
2010's10 (45.45)24.3611
2020's6 (27.27)2.80

Authors

AuthorsStudies
Emmerich, J1
van Koppen, CJ1
Burkhart, JL1
Hu, Q1
Siebenbürger, L1
Boerger, C1
Scheuer, C1
Laschke, MW1
Menger, MD1
Hartmann, RW1
Pivonello, R1
Simeoli, C1
Di Paola, N1
Colao, A1
Nowotny, HF1
Braun, L1
Vogel, F1
Bidlingmaier, M1
Reincke, M2
Tschaidse, L1
Auer, MK1
Lottspeich, C1
Wudy, SA1
Hartmann, MF1
Hawley, J1
Adaway, JE1
Keevil, B1
Schilbach, K1
Reisch, N1
Castinetti, F3
Tritos, NA1
Biller, BMK2
Braun, LT1
Yuno, A1
Kenmotsu, Y1
Takahashi, Y1
Nomoto, H1
Kameda, H1
Cho, KY1
Nakamura, A1
Yamashita, Y1
Nakamura, J1
Nakakubo, S1
Kamada, K1
Suzuki, M1
Sugino, H1
Inoshita, N1
Konno, S1
Miyoshi, H1
Atsumi, T1
Sawamura, Y1
Shimatsu, A1
Varlamov, EV1
Han, AJ1
Fleseriu, M1
Geer, EB1
Shafiq, I1
Gordon, MB1
Bonert, V1
Ayala, A1
Swerdloff, RS1
Katznelson, L1
Lalazar, Y1
Manuylova, E1
Pulaski-Liebert, KJ1
Carmichael, JD1
Hannoush, Z1
Surampudi, V1
Broder, MS1
Cherepanov, D1
Eagan, M1
Lee, J1
Said, Q1
Neary, MP1
van den Bosch, OF1
Stades, AM1
Zelissen, PM1
Gadelha, MR1
Vieira Neto, L1
Goñi Iriarte, MJ1
Alwani, RA1
de Herder, WW1
van Aken, MO1
van den Berge, JH1
Delwel, EJ1
Dallenga, AH1
De Jong, FH1
Lamberts, SW1
van der Lely, AJ1
Feelders, RA1
Stewart, PM1
Petersenn, S1
Alexandraki, KI1
Grossman, AB1
Doi, M1
Sugiyama, T1
Izumiyama, H1
Yoshimoto, T1
Hirata, Y1
Barahona Constanzo, MJ1
del Pozo Picó, C1
Abellán Galiana, P1
Fajardo Montañana, C1
Riesgo Suárez, PA1
Gómez Vela, J1
Escrivá, CM1
Lillo, VR1
Liu, PY1
Pincus, SM1
Keenan, DM1
Roelfsema, F1
Veldhuis, JD1
Miyoshi, T1
Otsuka, F1
Suzuki, J1
Inagaki, K1
Takeda, M1
Kano, Y1
Yamashita, T1
Ogura, T1
Date, I1
Tanaka, Y1
Hashimoto, K1
Makino, H1
Ohmori, N1
Nomura, K1
Ohmori, K1
Takano, K1
Obinata, D1
Yamaguchi, K1
Hirano, D1
Yoshida, T1
Soma, M1
Takahashi, S1

Reviews

10 reviews available for metyrapone and Pituitary ACTH Hypersecretion

ArticleYear
Cushing's disease: adrenal steroidogenesis inhibitors.
    Pituitary, 2022, Volume: 25, Issue:5

    Topics: Adrenocorticotropic Hormone; Cushing Syndrome; Female; Humans; Hypokalemia; Ketoconazole; Male; Mety

2022
How best to monitor the specific side effects of medical treatments of Cushing's disease.
    Best practice & research. Clinical endocrinology & metabolism, 2022, Volume: 36, Issue:6

    Topics: Humans; Metyrapone; Mifepristone; Pituitary ACTH Hypersecretion; Pituitary Gland; Retrospective Stud

2022
How best to monitor the specific side effects of medical treatments of Cushing's disease.
    Best practice & research. Clinical endocrinology & metabolism, 2022, Volume: 36, Issue:6

    Topics: Humans; Metyrapone; Mifepristone; Pituitary ACTH Hypersecretion; Pituitary Gland; Retrospective Stud

2022
How best to monitor the specific side effects of medical treatments of Cushing's disease.
    Best practice & research. Clinical endocrinology & metabolism, 2022, Volume: 36, Issue:6

    Topics: Humans; Metyrapone; Mifepristone; Pituitary ACTH Hypersecretion; Pituitary Gland; Retrospective Stud

2022
How best to monitor the specific side effects of medical treatments of Cushing's disease.
    Best practice & research. Clinical endocrinology & metabolism, 2022, Volume: 36, Issue:6

    Topics: Humans; Metyrapone; Mifepristone; Pituitary ACTH Hypersecretion; Pituitary Gland; Retrospective Stud

2022
How best to monitor the specific side effects of medical treatments of Cushing's disease.
    Best practice & research. Clinical endocrinology & metabolism, 2022, Volume: 36, Issue:6

    Topics: Humans; Metyrapone; Mifepristone; Pituitary ACTH Hypersecretion; Pituitary Gland; Retrospective Stud

2022
How best to monitor the specific side effects of medical treatments of Cushing's disease.
    Best practice & research. Clinical endocrinology & metabolism, 2022, Volume: 36, Issue:6

    Topics: Humans; Metyrapone; Mifepristone; Pituitary ACTH Hypersecretion; Pituitary Gland; Retrospective Stud

2022
How best to monitor the specific side effects of medical treatments of Cushing's disease.
    Best practice & research. Clinical endocrinology & metabolism, 2022, Volume: 36, Issue:6

    Topics: Humans; Metyrapone; Mifepristone; Pituitary ACTH Hypersecretion; Pituitary Gland; Retrospective Stud

2022
How best to monitor the specific side effects of medical treatments of Cushing's disease.
    Best practice & research. Clinical endocrinology & metabolism, 2022, Volume: 36, Issue:6

    Topics: Humans; Metyrapone; Mifepristone; Pituitary ACTH Hypersecretion; Pituitary Gland; Retrospective Stud

2022
How best to monitor the specific side effects of medical treatments of Cushing's disease.
    Best practice & research. Clinical endocrinology & metabolism, 2022, Volume: 36, Issue:6

    Topics: Humans; Metyrapone; Mifepristone; Pituitary ACTH Hypersecretion; Pituitary Gland; Retrospective Stud

2022
Medical Management of Cushing Disease.
    Neurosurgery clinics of North America, 2019, Volume: 30, Issue:4

    Topics: Cabergoline; Etomidate; Humans; Ketoconazole; Metyrapone; Mitotane; Pituitary ACTH Hypersecretion; S

2019
What is the role of medical therapy in adrenal-dependent Cushing's syndrome?
    Best practice & research. Clinical endocrinology & metabolism, 2020, Volume: 34, Issue:3

    Topics: Adrenal Gland Diseases; Cushing Syndrome; Humans; Ketoconazole; Metyrapone; Mitotane; Pituitary ACTH

2020
Updates in adrenal steroidogenesis inhibitors for Cushing's syndrome - A practical guide.
    Best practice & research. Clinical endocrinology & metabolism, 2021, Volume: 35, Issue:1

    Topics: Cushing Syndrome; Cytochrome P-450 CYP11B2; Enzyme Inhibitors; Etomidate; Humans; Hydrocortisone; Im

2021
Efficacy of medical treatment in Cushing's disease: a systematic review.
    Clinical endocrinology, 2014, Volume: 80, Issue:1

    Topics: Cabergoline; Ergolines; Female; Humans; Ketoconazole; Male; Metyrapone; Mitotane; Pituitary ACTH Hyp

2014
[Cushing's syndrome: special issues].
    Endocrinologia y nutricion : organo de la Sociedad Espanola de Endocrinologia y Nutricion, 2009, Volume: 56, Issue:5

    Topics: Adolescent; Adrenal Gland Neoplasms; Adrenalectomy; Adrenocortical Hyperfunction; Adult; Child; Cush

2009
Rationale for treatment and therapeutic options in Cushing's disease.
    Best practice & research. Clinical endocrinology & metabolism, 2009, Volume: 23 Suppl 1

    Topics: ACTH-Secreting Pituitary Adenoma; Adenoma; Adrenalectomy; Choice Behavior; Combined Modality Therapy

2009
Medical therapy of Cushing's disease: where are we now?
    Frontiers of hormone research, 2010, Volume: 38

    Topics: Dopamine Agonists; Humans; Hydrocortisone; Ketoconazole; Metyrapone; Mifepristone; Mitotane; Pituita

2010
New prospects for drug treatment in Cushing disease.
    Endocrinologia y nutricion : organo de la Sociedad Espanola de Endocrinologia y Nutricion, 2012, Volume: 59, Issue:10

    Topics: Adenoma; Adrenocorticotropic Hormone; Animals; Cabergoline; Clinical Trials as Topic; Clinical Trial

2012

Trials

1 trial available for metyrapone and Pituitary ACTH Hypersecretion

ArticleYear
Joint synchrony of reciprocal hormonal signaling in human paradigms of both ACTH excess and cortisol depletion.
    American journal of physiology. Endocrinology and metabolism, 2005, Volume: 289, Issue:1

    Topics: Adolescent; Adrenocorticotropic Hormone; Adult; Aged; Feedback; Female; Homeostasis; Humans; Hydroco

2005

Other Studies

11 other studies available for metyrapone and Pituitary ACTH Hypersecretion

ArticleYear
Lead Optimization Generates CYP11B1 Inhibitors of Pyridylmethyl Isoxazole Type with Improved Pharmacological Profile for the Treatment of Cushing's Disease.
    Journal of medicinal chemistry, 2017, 06-22, Volume: 60, Issue:12

    Topics: Administration, Oral; Animals; Biological Availability; Chemistry Techniques, Synthetic; Cytochrome

2017
11-Oxygenated C19 steroids are the predominant androgens responsible for hyperandrogenemia in Cushing's disease.
    European journal of endocrinology, 2022, Nov-01, Volume: 187, Issue:5

    Topics: Adrenocorticotropic Hormone; Androgens; Androstenedione; Androsterone; Cortisone; Dehydroepiandroste

2022
Successful management of a patient with active Cushing's disease complicated with coronavirus disease 2019 (COVID-19) pneumonia.
    Endocrine journal, 2021, Apr-28, Volume: 68, Issue:4

    Topics: ACTH-Secreting Pituitary Adenoma; Adenoma; Adult; Amides; Benzamidines; Combined Modality Therapy; C

2021
BIOCHEMICAL CONTROL DURING LONG-TERM FOLLOW-UP OF 230 ADULT PATIENTS WITH CUSHING DISEASE: A MULTICENTER RETROSPECTIVE STUDY.
    Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists, 2017, Volume: 23, Issue:8

    Topics: 14-alpha Demethylase Inhibitors; ACTH-Secreting Pituitary Adenoma; Adenoma; Adolescent; Adrenalectom

2017
Increased long-term remission after adequate medical cortisol suppression therapy as presurgical treatment in Cushing's disease.
    Clinical endocrinology, 2014, Volume: 80, Issue:2

    Topics: Adolescent; Adrenocorticotropic Hormone; Adult; Aged; Enzyme Inhibitors; Female; Humans; Hydrocortis

2014
Biochemical predictors of outcome of pituitary surgery for Cushing's disease.
    Neuroendocrinology, 2010, Volume: 91, Issue:2

    Topics: Adult; Corticotropin-Releasing Hormone; Disease-Free Survival; Female; Follow-Up Studies; Humans; Hy

2010
Clinical features and management of ectopic ACTH syndrome at a single institute in Japan.
    Endocrine journal, 2010, Volume: 57, Issue:12

    Topics: ACTH Syndrome, Ectopic; Adrenocorticotropic Hormone; Adult; Aged; Corticotropin-Releasing Hormone; D

2010
[Predictors of long-term remission after transsphenoidal surgery in Cushing's disease].
    Endocrinologia y nutricion : organo de la Sociedad Espanola de Endocrinologia y Nutricion, 2013, Volume: 60, Issue:8

    Topics: ACTH-Secreting Pituitary Adenoma; Adenoma; Adolescent; Adrenal Insufficiency; Adrenocorticotropic Ho

2013
Periodic secretion of adrenocorticotropin in a patient with Cushing's disease manifested during pregnancy.
    Endocrine journal, 2005, Volume: 52, Issue:3

    Topics: Adenoma; Adrenocorticotropic Hormone; Adult; Corticotropin-Releasing Hormone; Female; Humans; Hydroc

2005
Preclinical Cushing's disease characterized by massive adrenal hyperplasia and hormonal changes after three years of metyrapone therapy.
    Endocrine journal, 2007, Volume: 54, Issue:3

    Topics: ACTH-Secreting Pituitary Adenoma; Adenoma; Adrenal Glands; Adrenocorticotropic Hormone; Aged; Antime

2007
Preoperative management of Cushing's syndrome with metyrapone for severe psychiatric disturbances.
    International journal of urology : official journal of the Japanese Urological Association, 2008, Volume: 15, Issue:4

    Topics: Adenoma; Adrenal Gland Neoplasms; Adrenalectomy; Depressive Disorder; Female; Humans; Metyrapone; Mi

2008