Page last updated: 2024-10-31

mitotane and ACTH Syndrome, Ectopic

mitotane has been researched along with ACTH Syndrome, Ectopic in 7 studies

Mitotane: A derivative of the insecticide DICHLORODIPHENYLDICHLOROETHANE that specifically inhibits cells of the adrenal cortex and their production of hormones. It is used to treat adrenocortical tumors and causes CNS damage, but no bone marrow depression.

ACTH Syndrome, Ectopic: Symptom complex due to ACTH production by non-pituitary neoplasms.

Research Excerpts

ExcerptRelevanceReference
"Mitotane is a drug which is concentrated largely in adipose tissue and the adrenal glands."5.27Primary hypogonadism associated with o,p' DDD (mitotane) therapy. ( Sparagana, M, 1987)
"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)
"Mitotane is a drug which is concentrated largely in adipose tissue and the adrenal glands."1.27Primary hypogonadism associated with o,p' DDD (mitotane) therapy. ( Sparagana, M, 1987)

Research

Studies (7)

TimeframeStudies, this research(%)All Research%
pre-19904 (57.14)18.7374
1990's0 (0.00)18.2507
2000's1 (14.29)29.6817
2010's1 (14.29)24.3611
2020's1 (14.29)2.80

Authors

AuthorsStudies
Salle, L1
Mas, R1
Teissier-Clément, MP1
Donadille, B1
Groussin, L1
Waintrop, C1
Abbas, H1
Tenenbaum, F1
Dugué, MA1
Coste, J1
Bertagna, X2
Bertherat, J2
Biller, BM1
Grossman, AB1
Stewart, PM1
Melmed, S1
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, JA1
Boscaro, M1
Aron, DC1
Findling, JW1
Fitzgerald, PA1
Forsham, PH1
Wilson, CB1
Tyrrell, JB1
Kuhn, JM1
Proeschel, MF1
Seurin, DJ1
Bertagna, XY1
Luton, JP1
Girard, FL1
Sparagana, M2
Ackerman, L1

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 mitotane and ACTH Syndrome, Ectopic

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's syndrome: problems in management.
    Endocrine reviews, 1982,Summer, Volume: 3, Issue:3

    Topics: ACTH Syndrome, Ectopic; Adenoma; Adrenal Gland Neoplasms; Adrenalectomy; Adrenocorticotropic Hormone

1982

Other Studies

5 other studies available for mitotane and ACTH Syndrome, Ectopic

ArticleYear
Ectopic adrenocortical carcinoma of the ovary: An unexpected outcome.
    Annales d'endocrinologie, 2020, Volume: 81, Issue:5

    Topics: ACTH Syndrome, Ectopic; Adrenal Cortex Neoplasms; Adrenocortical Carcinoma; Adult; Antineoplastic Ag

2020
Management of Cushing's syndrome due to ectopic adrenocorticotropin secretion with 1,ortho-1, para'-dichloro-diphenyl-dichloro-ethane: findings in 23 patients from a single center.
    The Journal of clinical endocrinology and metabolism, 2010, Volume: 95, Issue:2

    Topics: ACTH Syndrome, Ectopic; Adrenocorticotropic Hormone; Adult; Aged; Aged, 80 and over; Cushing Syndrom

2010
Comparative assessment of ACTH and lipotropin plasma levels in the diagnosis and follow-up of patients with Cushing's syndrome: a study of 210 cases.
    The American journal of medicine, 1989, Volume: 86, Issue:6 Pt 1

    Topics: ACTH Syndrome, Ectopic; Adenoma; Adolescent; Adrenal Gland Neoplasms; Adrenalectomy; Adrenocorticotr

1989
Positive iodine-131 6 beta-iodomethyl-19-norcholesterol (NP-59) adrenal images can precede return of adrenocortical function after o,p' DDD treatment.
    Clinical nuclear medicine, 1988, Volume: 13, Issue:5

    Topics: 19-Iodocholesterol; ACTH Syndrome, Ectopic; Adrenal Glands; Adult; Cholesterol; Humans; Iodine Radio

1988
Primary hypogonadism associated with o,p' DDD (mitotane) therapy.
    Journal of toxicology. Clinical toxicology, 1987, Volume: 25, Issue:6

    Topics: ACTH Syndrome, Ectopic; Adult; Erectile Dysfunction; Gonadotropins; Humans; Hypogonadism; Luteinizin

1987