Page last updated: 2024-10-26

valproic acid and Cushing's Syndrome

valproic acid has been researched along with Cushing's Syndrome in 24 studies

Valproic Acid: A fatty acid with anticonvulsant and anti-manic properties that is used in the treatment of EPILEPSY and BIPOLAR DISORDER. The mechanisms of its therapeutic actions are not well understood. It may act by increasing GAMMA-AMINOBUTYRIC ACID levels in the brain or by altering the properties of VOLTAGE-GATED SODIUM CHANNELS.
valproic acid : A branched-chain saturated fatty acid that comprises of a propyl substituent on a pentanoic acid stem.

Research Excerpts

ExcerptRelevanceReference
" Despite an increase in bromocriptine dosage to 30 mg daily and 24 mg/day cyproheptadine, the clinical and biochemical remission was not sustained in patient 1, and no further improvement occurred in patient 2."5.28Bromocriptine-responsive Cushing's disease associated with anterior pituitary corticotroph hyperplasia or normal pituitary gland. ( Croughs, RJ; Koppeschaar, HP; McNicol, AM; van't Verlaat, JW, 1989)
" Neither a single dose nor long term administration of sodium valproate resulted in a significant decrease of plasma ACTH levels in patients with Cushing's disease and Nelson's syndrome."2.66The effect of sodium valproate in Cushing's disease, Nelson's syndrome and Addison's disease. ( Allolio, B; Jaursch-Hancke, C; Kaulen, D; Reincke, M; Winkelmann, W, 1988)
" The effect of a long term administration of sodium valproate (600-1000 mg/day) was evaluated in 2 patients with active Cushing's disease and in 1 patient with Nelson's syndrome (3 weeks, 3, 9 months respectively); in the 2 patients with Cushing's disease ACTH and cortisol secretion, 17-hydroxy-corticosteroids (17-OHCS) urinary excretion did not change during DPA treatment."2.65Lack of ACTH lowering effect of sodium valproate in patients with ACTH hypersecretion. ( Berselli, ME; Frascatani, F; Loli, P; Muratori, F; Tagliaferri, M, 1984)
" Despite an increase in bromocriptine dosage to 30 mg daily and 24 mg/day cyproheptadine, the clinical and biochemical remission was not sustained in patient 1, and no further improvement occurred in patient 2."1.28Bromocriptine-responsive Cushing's disease associated with anterior pituitary corticotroph hyperplasia or normal pituitary gland. ( Croughs, RJ; Koppeschaar, HP; McNicol, AM; van't Verlaat, JW, 1989)
"Treatment with cyproheptadine again induced hypocorticism necessitating corticosteroid substitution therapy."1.27Sodium valproate and cyproheptadine may independently induce a remission in the same patient with Cushing's disease. ( Croughs, RJ; Koppeschaar, HP; Schwarz, F; Thijssen, JH, 1983)

Research

Studies (24)

TimeframeStudies, this research(%)All Research%
pre-199021 (87.50)18.7374
1990's3 (12.50)18.2507
2000's0 (0.00)29.6817
2010's0 (0.00)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Koppeschaar, HP5
Croughs, RJ5
van't Verlaat, JW2
Hendriks, MJ1
Arts, CJ1
Thijssen, JH4
Schwarz, F4
Allolio, B2
Winkelmann, W2
Kaulen, D2
Hipp, FX1
Mies, R1
Cavagnini, F1
Invitti, C1
Polli, EE1
Glaser, B1
Kahana, L1
Elias, V1
Sheinfeld, M1
Jones, MT2
Gillham, B2
Altaher, AR2
Nicholson, SA1
Campbell, EA1
Watts, SM1
Thody, A1
Elias, AN2
Gwinup, G2
Valenta, LJ1
Bergstrand, CG1
Nilsson, KO1
Ambrosi, B1
Bochicchio, D1
Riva, E1
Faglia, G1
Loli, P1
Berselli, ME1
Frascatani, F1
Muratori, F1
Tagliaferri, M1
Miller, JW1
Crapo, L1
García Rojas, JF1
Mangas Rojas, A1
Barba Chacón, A1
García Osle, M1
Zamora Madaria, E1
Beckers, A1
Stevenaert, A1
Pirens, G1
Flandroy, P1
Sulon, J1
Hennen, G1
McNicol, AM1
Kasperlik-Załuska, A2
Migdalska, B2
Jeske, W2
Wiśniewska-Woźniak, T2
Sek, S1
Reincke, M1
Jaursch-Hancke, C1
Nussey, SS1
Price, P1
Jenkins, JS1
Drac-Kaniewska, J1
Yoshida, H1
Takeda, F1
Kinouchi, T1
Shimizu, N1
López-Moreno, JM1
Rodríguez-Portales, JA1
Mahana, D1
Burch, WM1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
An Open-label Study of the Efficacy and Safety of CORLUX (Mifepristone) in the Treatment of the Signs and Symptoms of Endogenous Cushing's Syndrome[NCT00569582]Phase 350 participants (Actual)Interventional2007-12-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Decrease in Diastolic Blood Pressure.

Responder is defined as subject with a decrease greater than or equal to 5mm Hg in diastolic blood pressure from baseline to week 24 or last visit. (NCT00569582)
Timeframe: Baseline to Week 24

Interventionparticipants (Number)
Mifepristone8

Improvement in Diabetes and/or Glucose Intolerance.

Responder is defined as subject with a decrease greater than or equal to 25% in area under the curve for glucose on 2-hour oral glucose test from baseline to week 24 or last visit, for Cushing's patients with type-2 diabetes mellitus/impaired glucose tolerance. (NCT00569582)
Timeframe: Baseline to Week 24

Interventionparticipants (Number)
Mifepristone15

Reviews

4 reviews available for valproic acid and Cushing's Syndrome

ArticleYear
Treatment of Cushing's disease in children.
    Acta paediatrica Scandinavica, 1982, Volume: 71, Issue:1

    Topics: Adrenalectomy; Adrenocorticotropic Hormone; Aminoglutethimide; Bromocriptine; Child; Cushing Syndrom

1982
The medical treatment of Cushing's syndrome.
    Endocrine reviews, 1993, Volume: 14, Issue:4

    Topics: Adrenal Cortex Neoplasms; Adrenal Glands; Aminoglutethimide; Animals; Bromocriptine; Cushing Syndrom

1993
[Drug and radiotherapy of pituitary tumors].
    Nihon rinsho. Japanese journal of clinical medicine, 1986, Volume: 44, Issue:3

    Topics: Acromegaly; Adenoma; Adrenocorticotropic Hormone; Bromocriptine; Cushing Syndrome; Cyproheptadine; G

1986
Cushing's disease. A review.
    Archives of internal medicine, 1985, Volume: 145, Issue:6

    Topics: Adenoma; Adolescent; Adrenalectomy; Adult; Animals; Bromocriptine; Child; Combined Modality Therapy;

1985

Trials

2 trials available for valproic acid and Cushing's Syndrome

ArticleYear
Lack of ACTH lowering effect of sodium valproate in patients with ACTH hypersecretion.
    Journal of endocrinological investigation, 1984, Volume: 7, Issue:2

    Topics: Addison Disease; Adrenalectomy; Adrenocorticotropic Hormone; Adult; Cushing Syndrome; Female; Humans

1984
The effect of sodium valproate in Cushing's disease, Nelson's syndrome and Addison's disease.
    Klinische Wochenschrift, 1988, Aug-01, Volume: 66, Issue:15

    Topics: Addison Disease; Adrenocorticotropic Hormone; Cushing Syndrome; Humans; Hydrocortisone; Lypressin; N

1988

Other Studies

18 other studies available for valproic acid and Cushing's Syndrome

ArticleYear
Successful treatment with sodium valproate of a patient with Cushing's disease and gross enlargement of the pituitary.
    Acta endocrinologica, 1984, Volume: 107, Issue:4

    Topics: 17-Hydroxycorticosteroids; Adenoma; Adrenocorticotropic Hormone; Cushing Syndrome; Female; Humans; H

1984
Valproate in Cushing's syndrome.
    Lancet (London, England), 1982, Jan-16, Volume: 1, Issue:8264

    Topics: Adrenocorticotropic Hormone; Adult; Cushing Syndrome; Female; Humans; Male; Middle Aged; Valproic Ac

1982
Sodium valproate and heterogeneity of pituitary dependent Cushing's syndrome.
    Lancet (London, England), 1982, May-29, Volume: 1, Issue:8283

    Topics: Adult; Cushing Syndrome; Female; Humans; Pituitary Gland, Anterior; Valproic Acid

1982
Sodium valproate in Cushing's disease.
    Lancet (London, England), 1984, Jul-21, Volume: 2, Issue:8395

    Topics: Adult; Cushing Syndrome; Female; Humans; Middle Aged; Valproic Acid

1984
Sodium valproate and metyrapone for pituitary-dependent Cushing's disease.
    Lancet (London, England), 1984, Sep-15, Volume: 2, Issue:8403

    Topics: Adrenal Glands; Adult; Cushing Syndrome; Drug Therapy, Combination; Female; Humans; Metyrapone; Pitu

1984
Clinical and experimental studies on the role of GABA in the regulation of ACTH secretion: a review.
    Psychoneuroendocrinology, 1984, Volume: 9, Issue:2

    Topics: Adrenocorticotropic Hormone; Corticotropin-Releasing Hormone; Cushing Syndrome; gamma-Aminobutyric A

1984
Effects of valproic acid, naloxone and hydrocortisone in Nelson's syndrome and cushing's disease.
    Clinical endocrinology, 1981, Volume: 15, Issue:2

    Topics: Adrenalectomy; Adrenocorticotropic Hormone; Adult; Cushing Syndrome; Female; Humans; Hydrocortisone;

1981
Cortisol, valproic acid, and ACTH suppression.
    Annals of internal medicine, 1982, Volume: 96, Issue:6 Pt 1

    Topics: Adrenocorticotropic Hormone; Animals; Cushing Syndrome; Humans; Hydrocortisone; Rats; Valproic Acid

1982
Sodium valproate and cyproheptadine may independently induce a remission in the same patient with Cushing's disease.
    Acta endocrinologica, 1983, Volume: 104, Issue:2

    Topics: Adrenocorticotropic Hormone; Adult; Bromocriptine; Cushing Syndrome; Cyproheptadine; Dexamethasone;

1983
Effects of sodium-valproate administration on plasma ACTH levels in patients with ACTH hypersecretion.
    Journal of endocrinological investigation, 1983, Volume: 6, Issue:4

    Topics: Addison Disease; Adrenocorticotropic Hormone; Cushing Syndrome; Female; Humans; Male; Nelson Syndrom

1983
[Clinical remission in Cushing's disease through treatment with sodium valproate and bromocriptine].
    Revista clinica espanola, 1991, Volume: 188, Issue:1

    Topics: Bromocriptine; Chronic Disease; Cushing Syndrome; Cyproheptadine; Drug Therapy, Combination; Female;

1991
Cyclical Cushing's disease and its successful control under sodium valproate.
    Journal of endocrinological investigation, 1990, Volume: 13, Issue:11

    Topics: Adolescent; Cushing Syndrome; Humans; Hydrocortisone; Male; Periodicity; Valproic Acid

1990
Bromocriptine-responsive Cushing's disease associated with anterior pituitary corticotroph hyperplasia or normal pituitary gland.
    The Journal of clinical endocrinology and metabolism, 1989, Volume: 68, Issue:2

    Topics: Adolescent; Adrenocorticotropic Hormone; Bromocriptine; Cushing Syndrome; Cyproheptadine; Humans; Hy

1989
The relationship between cortisol and ACTH in patients with Cushing's disease following neurosurgery or pharmacotherapy.
    Endokrynologia Polska, 1989, Volume: 40, Issue:2

    Topics: Adolescent; Adrenocorticotropic Hormone; Adult; Aminoglutethimide; Cushing Syndrome; Cyproheptadine;

1989
The combined use of sodium valproate and metyrapone in the treatment of Cushing's syndrome.
    Clinical endocrinology, 1988, Volume: 28, Issue:4

    Topics: Adrenocorticotropic Hormone; Adult; Aged; Cortodoxone; Cushing Syndrome; Drug Therapy, Combination;

1988
The effect of sodium valproate on plasma ACTH and cortisol concentrations in Cushing's disease and Nelson's syndrome.
    Endokrynologia Polska, 1988, Volume: 39, Issue:5

    Topics: Adrenocorticotropic Hormone; Adult; Cushing Syndrome; Female; Hormone Antagonists; Humans; Hydrocort

1988
Response to neurotransmitter modulating drugs in patients with Cushing's disease.
    Clinical endocrinology, 1986, Volume: 25, Issue:6

    Topics: Adolescent; Adult; Bromocriptine; Cushing Syndrome; Cyproheptadine; Female; Humans; Hydrocortisone;

1986
Fever of unexplained origin, biochemical Cushing's disease and cerebral dysrhythmia corrected by valproate sodium.
    Canadian Medical Association journal, 1985, Jan-15, Volume: 132, Issue:2

    Topics: Adult; Brain; Cushing Syndrome; Electroencephalography; Female; Fever of Unknown Origin; Humans; Val

1985