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Pituitary Diseases clinical trials

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NCT ID: NCT04713293 Recruiting - Pituitary Disease Clinical Trials

China Pituitary Disease Registry (CAPASITY)

Start date: July 26, 2020
Phase:
Study type: Observational

Epidemiologic studies have revealed a tremendous increase in the prevalence of pituitary disease and related mortality worldwide. In order to meet all the challenges in the treatment of pituitary disease in China, CAPASITY was founded in 2020. The objective of CAPASITY is to launch a pituitary disease management model based on the Internet health information platform. It allows the application and evaluation of pituitary disease treatment strategies at multiple centers. The proprietary electronic medical database will help the dynamic big-data analysis in epidemiology of pituitary disease, diagnosis, and treatment.

NCT ID: NCT04621565 Recruiting - Surgery Clinical Trials

Hydrocortisone Use During Peri-operation for Pituitary Adenomas

Start date: November 1, 2020
Phase: N/A
Study type: Interventional

The investigators hypothesize that withholding hydrocortisone during the peri-operation in patients with pituitary adenomas whose hypothalamus pituitary adrenal axis are intact are safe.

NCT ID: NCT04611685 Recruiting - Pain Clinical Trials

Pain Management After Transnasal Transsphenoidal Surgery for Pituitary Adenomas

Start date: October 31, 2020
Phase: N/A
Study type: Interventional

We hypothesize that the effects of non-steroidal anti-inflammatory drugs (NSAIDS) for pain relief among patients with pituitary adenomas undergoing transnasal transsphenoidal surgeries are non-inferior to tramadol. We aim to launch a single-center randomized clinical trial to verify this hypothesis.

NCT ID: NCT04584866 Recruiting - Pituitary Adenoma Clinical Trials

Semi-sitting Versus Supine Position in Endoscopic Skull Base Surgery

PosESS
Start date: January 22, 2021
Phase: N/A
Study type: Interventional

This study is to prospectively compare the standard supine (control group) and the semi-sitting position (head elevation of 30°; intervention group) in endoscopic endonasal pituitary surgery.

NCT ID: NCT04572139 Recruiting - Aging Clinical Trials

Age-related Differences in Response to Pituitary Stimulation Tests

Start date: September 23, 2020
Phase:
Study type: Observational

The purpose of this study to age-related differences to the response of a combined pituitary stimulation test with TRH, LHRH and ACTH.

NCT ID: NCT04569591 Not yet recruiting - Pituitary Adenoma Clinical Trials

Corticotrophin-releasing Hormone (CRH) Stimulation for 18F-FDG-PET Detection of Pituitary Adenoma in Cushing s Disease

Start date: June 26, 2024
Phase: N/A
Study type: Interventional

Background: Cushing s disease is caused by a pituitary gland tumor. Patients with Cushing s disease suffer obesity, diabetes, osteoporosis, weakness, and hypertension. The cure is surgery to remove the pituitary tumor. Currently, MRI is the best way to find these tumors. But not all tumors can be seen with an MRI. Researchers hope giving the hormone CRH before a PET scan can help make these tumors more visible. Objective: To test whether giving CRH before a PET scan will help find pituitary gland tumors that might be causing Cushing s disease. Eligibility: People ages 8 and older with Cushing s disease that is caused by a pituitary gland tumor that cannot be reliably seen on MRI Design: Participants will be screened with their medical history, a physical exam, an MRI, and blood tests. Participants will have at least one hospital visit. During their time in the hospital, they will have a physical exam and a neurological exam. They will have a PET scan of the brain. A thin plastic tube will be inserted into an arm vein. A small amount of radioactive sugar and CRH will be injected through the tube. Participants will lie in a darkened room for about an hour and be asked to urinate. Then they will lie inside the scanner for about 40 minutes. After the scan, they will be asked to urinate every 2-3 hours for the rest of the day. Blood will be drawn through a needle in the arm. Participants will have surgery to remove their tumor within 3 months after the scan. Participants will then continue regular follow-up in the clinic.

NCT ID: NCT04546386 Completed - Pituitary Adenoma Clinical Trials

Long-term Follow up for Retinal Vascular Changes After Endoscopic Endonasal Pituitary Surgery.

Start date: January 10, 2019
Phase:
Study type: Observational

This study investigates the retinal vascular features, using optical coherence tomography angiography, in patients during one year's follow up after the endoscopic endonasal surgery to remove an intra-suprasellar pituitary adenoma compressing the optic nerve.

NCT ID: NCT04529356 Not yet recruiting - Headache Clinical Trials

The TMS Treatment for Postoperative Headache in GH Tumor

Start date: September 1, 2020
Phase: N/A
Study type: Interventional

Headache is a very common main complaint of patients with GH pituitary tumor, which has seriously affected the normal work and life of patients. Although the current surgery and drugs have a certain effect on patients with headache, the overall effect is not satisfied. However, the use of COX-2 inhibitors, non-steroidal anti-inflammatory drugs and other analgesics are only effective for some patients with headaches, and long-term use has adverse reactions. Therefore, it is necessary to seek new treatments for postoperative headaches in patients with GH pituitary tumors. Transcranial magnetic stimulation (TMS) modulates the excitability of the underlying cerebral cortex by applying a rapidly changing magnetic field on the surface of the scalp. It is a relatively simple and safe method. It is currently approved for treating depression, migraine, obsessive-compulsive disorder, and Alzheimer's disease. Several small clinical studies have proven that rTMS can be used to prevent and treat Headache. Therefore, this study aims to observe the efficacy and safety of TMS in the treatment of postoperative headache in patients with GH pituitary tumors.

NCT ID: NCT04493801 Recruiting - Clinical trials for Surgery--Complications

Incidence of Rhinological Morbidities During Endonasal Pituitary Surgery, With or Without Nasoseptal Flap

HLNS
Start date: July 23, 2019
Phase:
Study type: Observational

Determine and compare prospectively the incidence of rhinological adverse events during pituitary surgery with or without nasoseptal flap

NCT ID: NCT04425954 Completed - Pituitary Adenoma Clinical Trials

Evaluation of Early Retinal Vascular Modifications After Endoscopic Endonasal Pituitary Surgery

Start date: January 1, 2019
Phase:
Study type: Observational

This study evaluates the retinal vascular features using optical coherence tomography angiography in patients that received endoscopic endonasal approach for the removal of an intra-suprasellar pituitary adenoma compressing the optic nerve.