Cushing's Disease Clinical Trial
Official title:
An Open Label, Multicenter Study Evaluating the Safety and Efficacy of Short Term (6 Weeks) Rosiglitazone Treatment in Patient's With Cushing's Disease
RATIONALE: Rosiglitazone may help pituitary tumor cells become more like normal cells, and to
grow and spread more slowly.
PURPOSE: This phase II trial is studying how well rosiglitazone works in treating patients
with newly diagnosed ACTH-secreting pituitary tumor (Cushing disease).
OBJECTIVES:
Primary
- To assess the effect of rosiglitazone on biochemical control in patients with newly
diagnosed ACTH-secreting pituitary tumor (Cushing disease).
Secondary
- To assess the effect of this drug on corticotrophin (CRH)-stimulated pituitary tumor
ACTH secretion.
- To assess the overall safety and tolerability of this drug in these patients.
- To assess the overall quality of life of patients treated with this drug.
- Percentage of Reduction in 24-hour Urinary-free Cortisol Levels
OUTLINE: This is a multicenter study.
Patients receive oral rosiglitazone once daily for 7 weeks in the absence of disease
progression or unacceptable toxicity.
Blood, urine, and saliva samples are collected periodically for laboratory studies.
Inflammatory markers (C-reactive protein, interleukin-6 [IL-6], serum sialic acid, soluble
intracellular and vascular adhesion molecules [sICAM-1, and sVCAM-1], and amyloid A) are
measured at baseline and at the completion of study treatment; salivary cortisol and 24-hour
urinary-free cortisol levels are measured at baseline and weekly during study treatment;
dexamethasone suppression tests with serum cortisol and corticotrophin (CRH) stimulation test
are performed at baseline and at the completion of study treatment; prolactin, insulin-like
growth factor-1 (IGF1), thyroid function, and sex steroid hormones are measured at baseline
and at the completion of study treatment; and dynamic pituitary function testing
(arginine/growth hormone-releasing hormone [GHRH] testing to measure growth hormone
secretion) is performed at baseline.
;
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