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| Sponsored by: |
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) |
|---|---|
| Information provided by: | National Institutes of Health Clinical Center (CC) |
| ClinicalTrials.gov Identifier: | NCT00001180 |
Purpose
Corticotropin Releasing Hormone (CRH) is a hypothalamic hormone made up of 41 amino acids. Amino acids are proteins that when combined make up different substances, like hormones. The order of amino acids in CRH, has been determined, meaning that the hormone can now be synthetically reproduced in a laboratory setting.
When CRH is released from the hypothalamus it stimulates the pituitary gland to secrete another hormone, ACTH. ACTH then causes the adrenal glands to make a third hormone, cortisol. This process is known as the hypothalamic-pituitary-adrenal axis. Problems can occur in any of the steps of this process and result in a variety of diseases (Cushing's Syndrome and adrenal insufficiency).
Researchers hope that CRH created in a laboratory setting, ovine CRH (oCRH) can be used to help diagnose and treat conditions of the HPA axis.
This study will test the relationship for single doses of oCRH in normal volunteers and patients with disorders of the HPA axis. The oCRH will be injected into the patients vein as a single injection or slowly through an IV line over 24 hours. The participants will have blood tests taken to measure hormone levels before, during, and after receiving the oCRH.
| Condition | Intervention |
|---|---|
|
Adrenal Gland Hyperfunction Adrenal Gland Hypofunction Cushing's Syndrome Healthy |
Drug: Ovine Corticotropin-Releasing Hormone (oCRH) |
| Study Type: | Observational |
| Official Title: | Dose Response Relationship for Single Doses of Corticotropin Releasing Hormone (CRH) in Normal Volunteers and in Patients With Adrenal Insufficiency |
| Estimated Enrollment: | 2250 |
| Study Start Date: | March 1982 |
| Estimated Study Completion Date: | June 2005 |
Corticotropin-releasing hormone (CRH) is a 41 amino acid hypothalamic peptide whose chemical structure has recently been determined after more than two decades of intensive research. This peptide stimulates secretion of ACTH by the corticotroph cells of the pituitary gland. As with the previously discovered hypothalamic hormones, CRH has important diagnostic and therapeutic applications. This study seeks to explore these clinical applications by determining the dose-response relationship for single doses of ovine CRH (oCRH) in normal volunteers and in patients with disorders of the hypothalamic-pituitary-adrenal axis. CRH is administered intravenously at doses up to 10 pg/kg, given as a bolus or up to 1 ug/kg/b as a continuous infusion lasting up to 24 hours. Plasma levels of ACTH, cortisol and CRH are measured before, during and after CRH administration.
Eligibility| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
INCLUSION CRITERIA:
The normal volunteers are obtained through the NIH volunteer program or are NIH employees. Normal volunteers are in excellent health and are receiving no chronic medications.
We now routinely test patients with hypocortisolism or hypercortisolism in our clinic and ward.
Contacts and Locations More Information
| Study ID Numbers: | 820045, 82-CH-0045 |
| Study First Received: | November 3, 1999 |
| Last Updated: | March 3, 2008 |
| ClinicalTrials.gov Identifier: | NCT00001180 History of Changes |
| Health Authority: | United States: Federal Government |
|
Corticotropin Releasing Hormone Cushing Syndrome Psychiatric Hypercortisolism Adrenal Insufficiency Normal Volunteer |
|
Addison's Disease Hyperadrenalism Adrenal Insufficiency Autoimmune Diseases Corticotropin-Releasing Hormone Adrenal Gland Hypofunction Hormone Antagonists Adrenal Gland Hyperfunction Hormones, Hormone Substitutes, and Hormone Antagonists Cushing Syndrome Adrenal Gland Diseases |
Endocrine System Diseases Healthy Hypoadrenalism Hormones X-linked Adrenoleukodystrophy Adrenocortical Hyperfunction Adrenocorticotropic Hormone Adrenoleukodystrophy Addison Disease Endocrinopathy Epinephrine |
|
Adrenal Insufficiency Autoimmune Diseases Disease Immune System Diseases Corticotropin-Releasing Hormone Physiological Effects of Drugs Hormones, Hormone Substitutes, and Hormone Antagonists Cushing Syndrome Adrenal Gland Diseases |
Endocrine System Diseases Hormones Adrenocortical Hyperfunction Pharmacologic Actions Adrenocorticotropic Hormone Pathologic Processes Syndrome Addison Disease |
