Page last updated: 2024-11-07

prednisone and Hypokalemia

prednisone has been researched along with Hypokalemia in 23 studies

Prednisone: A synthetic anti-inflammatory glucocorticoid derived from CORTISONE. It is biologically inert and converted to PREDNISOLONE in the liver.
prednisone : A synthetic glucocorticoid drug that is particularly effective as an immunosuppressant, and affects virtually all of the immune system. Prednisone is a prodrug that is converted by the liver into prednisolone (a beta-hydroxy group instead of the oxo group at position 11), which is the active drug and also a steroid.

Hypokalemia: Abnormally low potassium concentration in the blood. It may result from potassium loss by renal secretion or by the gastrointestinal route, as by vomiting or diarrhea. It may be manifested clinically by neuromuscular disorders ranging from weakness to paralysis, by electrocardiographic abnormalities (depression of the T wave and elevation of the U wave), by renal disease, and by gastrointestinal disorders. (Dorland, 27th ed)

Research Excerpts

ExcerptRelevanceReference
"The objective is to report the clinical case of a patient with castration-resistant metastatic prostate cancer who developed ascending flaccid paralysis secondary to severe hypokalemia, probably due to hyperaldosteronism secondary to the use of Abiraterone Acetate, despite the use of Prednisone."8.31Ascending Flaccid Paralysis Secondary to Hypokalemia in A Cancer Patient using Abiraterone - A Case Report. ( Cintra, MTG; Costa, AL; de Almeida, DCB; de Carvalho, FB; de Oliveira Faria, BL, 2023)
"To investigate the correlation between decrease of 11beta-hydroxysteroid dehydrogenase (11beta-HSD) activity and hypokalemia induced by furosemide (Fur) in rats."7.71Correlation between decrease of 11beta-hydroxysteroid dehydrogenase activity and hypokalemia induced by furosemide in rats. ( Shen, JP; Yao, B; Zhang, YD, 2001)
"While abiraterone acetate (AA) has demonstrated survival benefit in advanced prostate cancer (APC), meaningful cardiotoxicity is observed."5.41Association between RCT methodology and disease indication with mineralocorticoid-related toxicity for patients receiving abiraterone acetate for advanced prostate cancer: A meta-analysis of RCTs. ( Hall, ME; Klaassen, Z; Laviana, AA; Luckenbaugh, AN; Magee, DE; Padgett, WJ; Satkunasivam, R; Schaffer, K; Wallis, CJD, 2023)
"The objective is to report the clinical case of a patient with castration-resistant metastatic prostate cancer who developed ascending flaccid paralysis secondary to severe hypokalemia, probably due to hyperaldosteronism secondary to the use of Abiraterone Acetate, despite the use of Prednisone."4.31Ascending Flaccid Paralysis Secondary to Hypokalemia in A Cancer Patient using Abiraterone - A Case Report. ( Cintra, MTG; Costa, AL; de Almeida, DCB; de Carvalho, FB; de Oliveira Faria, BL, 2023)
"To investigate the correlation between decrease of 11beta-hydroxysteroid dehydrogenase (11beta-HSD) activity and hypokalemia induced by furosemide (Fur) in rats."3.71Correlation between decrease of 11beta-hydroxysteroid dehydrogenase activity and hypokalemia induced by furosemide in rats. ( Shen, JP; Yao, B; Zhang, YD, 2001)
" A 64-year-old woman with diffuse histiocytic lymphoma developed persistent hypokalemia following a course of Cytoxan (cyclophosphamide), Adriamycin (doxorubicin), vincristine, and prednisone (CHOP)-Bleo."3.67Potassium-wasting nephropathy secondary to chemotherapy simulating Bartter's syndrome. ( Floyd, M; Lieber, IH; McGuffin, WL; Stoneburner, SD, 1984)
" Grade 3/4 adverse events occurred in 62% of elderly patients and in 60% of patients aged <75 yr treated with AA plus P."2.79Efficacy and safety of abiraterone acetate in an elderly patient subgroup (aged 75 and older) with metastatic castration-resistant prostate cancer after docetaxel-based chemotherapy. ( Chi, KN; Fizazi, K; Haqq, CM; Higano, CS; Kheoh, T; Li, J; Marberger, M; Molina, A; Mulders, PF; Saad, F, 2014)
"Two patients with chronic sialoadenitis had features of Bartter's and Gitelman's syndrome, respectively."1.30Hypokalaemic alkalosis, acquired Gitelman's and Bartter's syndrome in chronic sialoadenitis. ( Bartoli, E; Casatta, L; Ferraccioli, GF, 1997)
"Changes in beta 2-adrenoceptor function by chronic dosing of beta 2-mimetics and the possible influence of a single dose of prednisone have been studied as changes over time in the concentration-effect relationship of the beta 2-adrenoceptor agonist terbutaline."1.29Pharmacodynamic modelling of the drug-induced downregulation of a beta 2-adrenoceptor mediated response and lack of restoration of receptor function after a single high dose of prednisone. ( Braat, MC; Jonkers, RE; Koopmans, RP; van Boxtel, CJ, 1995)
"The patient had histamine-fast achlorhydria and a normal gastric biopsy and no gastrin was recovered from the tumour tissue."1.24WATERY DIARRHOEA AND AN ISLET CELL TUMOUR. ( CREAMER, B; HINDLE, W; MCBRIEN, DJ, 1964)

Research

Studies (23)

TimeframeStudies, this research(%)All Research%
pre-199012 (52.17)18.7374
1990's2 (8.70)18.2507
2000's2 (8.70)29.6817
2010's4 (17.39)24.3611
2020's3 (13.04)2.80

Authors

AuthorsStudies
de Almeida, DCB1
Costa, AL1
de Oliveira Faria, BL1
de Carvalho, FB1
Cintra, MTG1
Hall, ME1
Padgett, WJ1
Klaassen, Z1
Magee, DE1
Luckenbaugh, AN1
Laviana, AA1
Satkunasivam, R1
Schaffer, K1
Wallis, CJD1
Calvani, J1
Elia, R1
Battistella, M1
Delyon, J1
Vivier-Chicoteau, J1
Gornet, JM1
Lebbé, C1
Baroudjian, B1
Bertheau, P1
Mulders, PF1
Molina, A1
Marberger, M1
Saad, F1
Higano, CS1
Chi, KN1
Li, J1
Kheoh, T1
Haqq, CM1
Fizazi, K1
Polanco, NA1
Soto-Abraham, MV1
Rodríguez-Castellanos, FE1
Liu, AY1
Lowe, RC1
Levy, BD1
Katz, JT1
Loscalzo, J1
Rastegar, A1
CONTE, M1
FOUET, P1
JACOBS, C1
HINDLE, W1
MCBRIEN, DJ1
CREAMER, B1
DE GRAEFF, J1
LAMEIJER, LD1
Jhamb, R1
Gupta, N1
Garg, S1
Kumar, S1
Gulati, S1
Mishra, D1
Beniwal, P1
Lieber, IH1
Stoneburner, SD1
Floyd, M1
McGuffin, WL1
Read, NW1
Read, MG1
Krejs, GJ1
Hendler, RS1
Davis, G1
Fordtran, JS1
Jonkers, RE1
Braat, MC1
Koopmans, RP1
van Boxtel, CJ1
Casatta, L1
Ferraccioli, GF1
Bartoli, E1
Yao, B1
Zhang, YD1
Shen, JP1
Jerusalem, F1
Knappe, G1
Flemming, F1
Stobbe, H1
Wendt, F1
Marks, IN1
Bank, S1
Louw, JH1
Schaison, G1
Powell, JR1
Walther, H1
Gajdos, A1
Weil, J1
Gajdos-Török, M1
Coupry, A1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Phase 3, Randomized, Double-Blind, Placebo-Controlled Study of Abiraterone Acetate (CB7630) Plus Prednisone in Patients With Metastatic Castration-Resistant Prostate Cancer Who Have Failed Docetaxel-Based Chemotherapy[NCT00638690]Phase 31,195 participants (Actual)Interventional2008-05-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Number of Patients Achieving a Prostate-Specific Antigen Decline >=50%

A prostate-specific antigen (PSA) response was defined as a >=50% decline from baseline. (NCT00638690)
Timeframe: Up to 12 months

InterventionParticipants (Number)
Abiraterone Acetate232
Placebo22

Overall Survival

Overall survival is defined as the time interval from the date of randomization to the date of death from any cause. (NCT00638690)
Timeframe: Up to 60 months

InterventionDays (Median)
Abiraterone Acetate450.0
Placebo332.0

Radiographic Progression-free Survival

Radiographic progression-free survival is based on imaging studies according to modified Response Evaluation Criteria in Solid Tumors (RECIST): baseline lymph node size must be >=2.0 cm to be considered a target lesion; progression on bone scans with >=2 new lesions not consistent with tumor flare, confirmed on a second scan >=6 weeks later that shows >=1 additional new lesion. (NCT00638690)
Timeframe: Up to 11 months

InterventionDays (Median)
Abiraterone Acetate171.0
Placebo110.0

Time to Prostate-Specific Antigen Progression According to Prostate Specific Antigen Working Group Criteria

The time interval from the date of randomization to the date of the prostate-specific antigen (PSA) progression as defined in the protocol-specific Prostate Specific Antigen Working Group (PSAWG) criteria, namely, a PSA level of at least 5 ng/ml that has risen on at least 2 successive occasions, at least 2 weeks apart. (NCT00638690)
Timeframe: Up to 12 months

InterventionDays (Median)
Abiraterone Acetate309.0
Placebo200.0

Reviews

2 reviews available for prednisone and Hypokalemia

ArticleYear
Association between RCT methodology and disease indication with mineralocorticoid-related toxicity for patients receiving abiraterone acetate for advanced prostate cancer: A meta-analysis of RCTs.
    Clinical genitourinary cancer, 2023, Volume: 21, Issue:5

    Topics: Abiraterone Acetate; Antineoplastic Combined Chemotherapy Protocols; Cardiotoxicity; Humans; Hyperte

2023
[Treatment of myopathies and spinal muscular atrophies (author's transl)].
    Schweizerische Rundschau fur Medizin Praxis = Revue suisse de medecine Praxis, 1978, Jan-24, Volume: 67, Issue:4

    Topics: Amyotrophic Lateral Sclerosis; Azathioprine; Collagen Diseases; Dermatomyositis; Glycogen Storage Di

1978

Trials

1 trial available for prednisone and Hypokalemia

ArticleYear
Efficacy and safety of abiraterone acetate in an elderly patient subgroup (aged 75 and older) with metastatic castration-resistant prostate cancer after docetaxel-based chemotherapy.
    European urology, 2014, Volume: 65, Issue:5

    Topics: Abiraterone Acetate; Adult; Age Factors; Aged; Aged, 80 and over; Androstadienes; Antineoplastic Com

2014

Other Studies

20 other studies available for prednisone and Hypokalemia

ArticleYear
Ascending Flaccid Paralysis Secondary to Hypokalemia in A Cancer Patient using Abiraterone - A Case Report.
    Current drug safety, 2023, Volume: 18, Issue:1

    Topics: Abiraterone Acetate; Antineoplastic Combined Chemotherapy Protocols; Humans; Hypokalemia; Male; Para

2023
[An unusual digestive complication under anti-PD-1 (pembrolizumab)].
    Annales de pathologie, 2020, Volume: 40, Issue:4

    Topics: Aged; Antibodies, Monoclonal, Humanized; Budesonide; Colitis, Collagenous; Diarrhea; Humans; Hypokal

2020
Nephrocalcinosis and distal renal tubular acidosis in Sjögren's syndrome.
    Nefrologia : publicacion oficial de la Sociedad Espanola Nefrologia, 2013, Nov-13, Volume: 33, Issue:6

    Topics: Acidosis, Renal Tubular; Adult; Delayed Diagnosis; Humans; Hypercalciuria; Hypokalemia; Male; Nephri

2013
Clinical problem-solving. A rash hypothesis.
    The New England journal of medicine, 2010, Jul-01, Volume: 363, Issue:1

    Topics: Adult; Biopsy; Blood Cell Count; Bone Marrow; Colon; Diagnosis, Differential; Diarrhea; Drug Therapy

2010
Attending rounds: patient with hypokalemia and metabolic acidosis.
    Clinical journal of the American Society of Nephrology : CJASN, 2011, Volume: 6, Issue:10

    Topics: Acidosis; Acidosis, Renal Tubular; Adult; Bicarbonates; Female; Humans; Hypokalemia; Paralysis; Pota

2011
[WATER RETENTION IN CIRRHOTICS. PHYSIOPATHOLOGICAL DATA AND THERAPEUTIC RESULTS].
    Bulletins et memoires de la Societe medicale des hopitaux de Paris, 1963, Nov-29, Volume: 114

    Topics: Ascites; Edema; Heart Failure; Humans; Hypokalemia; Hyponatremia; Liver Cirrhosis; Mineralocorticoid

1963
WATERY DIARRHOEA AND AN ISLET CELL TUMOUR.
    Gut, 1964, Volume: 5

    Topics: Achlorhydria; Adenoma, Islet Cell; Aldosterone; Cortisone; Dexamethasone; Diarrhea; Feces; Gastrins;

1964
PERIODIC PARALYSIS.
    The American journal of medicine, 1965, Volume: 39

    Topics: Adolescent; Chlorides; Cortisone; Diet Therapy; Diet, Sodium-Restricted; Digoxin; Drug Therapy; Gene

1965
Diffuse lymphomatous infiltration of kidney presenting as renal tubular acidosis and hypokalemic paralysis: case report.
    Croatian medical journal, 2007, Volume: 48, Issue:6

    Topics: Acid-Base Equilibrium; Acidosis, Renal Tubular; Adult; Antigens, CD19; Antigens, CD20; Antineoplasti

2007
Potassium-wasting nephropathy secondary to chemotherapy simulating Bartter's syndrome.
    Cancer, 1984, Sep-01, Volume: 54, Issue:5

    Topics: Aldosterone; Antineoplastic Combined Chemotherapy Protocols; Bartter Syndrome; Bleomycin; Cyclophosp

1984
A report of five patients with large-volume secretory diarrhea but no evidence of endocrine tumor or laxative abuse.
    Digestive diseases and sciences, 1982, Volume: 27, Issue:3

    Topics: Adult; Aged; Cathartics; Chronic Disease; Colon; Diarrhea; Electrolytes; Endocrine System Diseases;

1982
Pharmacodynamic modelling of the drug-induced downregulation of a beta 2-adrenoceptor mediated response and lack of restoration of receptor function after a single high dose of prednisone.
    European journal of clinical pharmacology, 1995, Volume: 49, Issue:1-2

    Topics: Adrenergic beta-Agonists; Adult; Down-Regulation; Female; Glucocorticoids; Humans; Hypokalemia; Male

1995
Hypokalaemic alkalosis, acquired Gitelman's and Bartter's syndrome in chronic sialoadenitis.
    British journal of rheumatology, 1997, Volume: 36, Issue:10

    Topics: Adult; Aged; Alkalosis; Allopurinol; Anti-Inflammatory Agents; Antimetabolites; Bartter Syndrome; Ca

1997
Correlation between decrease of 11beta-hydroxysteroid dehydrogenase activity and hypokalemia induced by furosemide in rats.
    Acta pharmacologica Sinica, 2001, Volume: 22, Issue:11

    Topics: 11-beta-Hydroxysteroid Dehydrogenase Type 1; Animals; Cortisone; Diuretics; Furosemide; Hydroxystero

2001
[Pancreatic islet cell adenoma with the triad diarrhea, hypokalemia and hyperglycemia].
    Deutsche medizinische Wochenschrift (1946), 1966, Jul-08, Volume: 91, Issue:27

    Topics: Adenoma, Islet Cell; Adult; Diarrhea; Female; Humans; Hyperglycemia; Hypokalemia; Prednisone; Radiog

1966
Islet cell tumor of the pancreas with reversible watery diarrhea and achylorhydraia.
    Gastroenterology, 1967, Volume: 52, Issue:4

    Topics: Achlorhydria; Adenoma, Islet Cell; Adult; Diarrhea; Gastric Acidity Determination; Gastric Juice; Hu

1967
[The practitioner's approach to acute hypercalcemia].
    La Presse medicale, 1969, Jun-21, Volume: 77, Issue:30

    Topics: Acute Disease; Animals; Bone Neoplasms; Calcitonin; Diet Therapy; Edetic Acid; Humans; Hypercalcemia

1969
Steroid and hypokalemic myopathy after corticosteroids for ulcerative colitis. Systemic and tropical application.
    The American journal of gastroenterology, 1969, Volume: 52, Issue:5

    Topics: Absorption; Aged; Colitis, Ulcerative; Electrocardiography; Female; Humans; Hydrocortisone; Hypokale

1969
[Hypercalcemia syndrome in bronchial carcinoma without skeletal metastasizing].
    Zeitschrift fur die gesamte innere Medizin und ihre Grenzgebiete, 1970, Sep-15, Volume: 25, Issue:18

    Topics: Bronchial Neoplasms; Carcinoma, Squamous Cell; Cardiac Glycosides; Female; Humans; Hypercalcemia; Hy

1970
[A new variety of porphyria, mixed or variegate hereditary coproporphyria].
    Revue francaise d'etudes cliniques et biologiques, 1969, Volume: 14, Issue:3

    Topics: Adenine Nucleotides; Child; Dehydration; Feces; Female; Humans; Hypertrichosis; Hypokalemia; Hyponat

1969