Cushing's Syndrome Clinical Trial
Official title:
Prospective, Single Arm, Open-label, Multicenter, International Study to Assess the Effects of Metyrapone in Patients With Endogenous Cushing's Syndrome During a 12-week Treatment Period Followed by an Extension Period of 24 Weeks
The purpose of this prospective, international phase III/IV study is to assess the efficacy and safety of metyrapone in patients with endogenous Cushing's syndrome during up to 36 weeks of treatment. The ability of metyrapone (250 mg capsules) to normalize urinary free cortisol (UFC) levels will be assessed during up to 36 weeks (9 months) of treatment.
This study will include Cushing disease patients with persistent or recurrent disease (after
pituitary surgery) or who are newly diagnosed but are unsuitable for early surgery or wish to
defer surgery. It will also include patients with ectopic ACTH syndrome (either occult, after
surgery failure, or inoperable or metastatic) and patients with Cushing's syndrome from
adrenal causes.
The ability of metyrapone to normalize urinary free cortisol levels will be assessed during
up to 36 weeks (9 months) of treatment. Patients participating in this study and who are
controlled or close to the target at the end of a 3-months period may continue with an
optional extension period of 6 months in which the long-term efficacy and safety profiles of
metyrapone will be assessed. This extension study is intended to provide new findings to
consolidate existing efficacy and safety data on metyrapone in the treatment of Cushing's
syndrome.
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