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The Utility of Plasma Free Cortisol in the Assessment of Adrenal Function in Patients with Pituitary Disease

Not Applicable
Completed
Conditions
Adrenal function
Metabolic and Endocrine - Other metabolic disorders
Registration Number
ACTRN12609000541202
Lead Sponsor
Department of Health, South Australia
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
120
Inclusion Criteria

Pituitary patients: Clearly diagnosed with either ACTH sufficiency/deficiency

Normal volunteers: Age 20-80 yrs

Exclusion Criteria

Pregnancy, advanced malignancy, active infection, liver failure

Study & Design

Study Type
Observational
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Sensitivity of basal and synacthen-stimulated free cortisol (by mass spectrometry) to diagnose adrenal insufficiency. The normal subjects will be used to define the reference range for cortisol by mass spectrometry. The definition of pituitary subjects as either ACTH sufficient or deficient will be historical and based on the assessment of the HPA axis after pituitary surgery using current gold standard assessments (e.g insulin tolerance test or unequivocally normal or abnormal morning cortisol).[At time of study (cross-sectional study)]
Secondary Outcome Measures
NameTimeMethod
Sensitivity of basal and synacthen-stimulated total cortisol (by mass spectrometry) to diagnose adrenal insufficiency. The normal subjects will be used to define the reference range for cortisol by mass spectrometry. The definition of pituitary subjects as either ACTH sufficient or deficient will be historical and based on the assessment of the HPA axis after pituitary surgery using current gold standard assessments (e.g insulin tolerance test or unequivocally normal or abnormal morning cortisol).[At time of study (cross-sectional study)]
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