MedPath

GLUCOCORTICOID HIGH-DOSE VS. GLUCOCORTICOID REPLACEMENT THERAPY IN IMMUNE CHECKPOINT INHIBITOR ASSOCIATED INFLAMMATION OF THE PITUITARY GLAND: AN OPEN, RANDOMIZED PILOT STUDY

Phase 1
Conditions
Immune regulatory antibodies (e.g. ipilimumab, pembrolizumab and nivolumab) inhibiting immunological checkpoints are increasingly used to treat various oncological entities. Potential side effects of are immune-related adverse events such as hypophysitis, affecting up to 10–15% of patients receiving ipilimumab. Hypophysitis manifests mostly in the form of multiple anterior pituitary hormone deficiencies (mostly central hypothyroidism and central adrenal insufficiency).
Therapeutic area: Diseases [C] - Hormonal diseases [C19]
Registration Number
EUCTR2017-001915-35-AT
Lead Sponsor
Medical University of Graz
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Authorised-recruitment may be ongoing or finished
Sex
All
Target Recruitment
Not specified
Inclusion Criteria

-Patients treated with either Anti-CTLA4-antibodies alone or who are treated with a combination of anti-CTLA4 and anti-PD1 antibodies either at the Department of Dermatology or the Division of Oncology, Department of Internal Medicine
-Patients = 18 years of age can be included in the study
-Diagnosis of IH based on clinical, hormonal and/or radiologic findings

Are the trial subjects under 18? no
Number of subjects for this age range:
F.1.2 Adults (18-64 years) yes
F.1.2.1 Number of subjects for this age range 20
F.1.3 Elderly (>=65 years) no
F.1.3.1 Number of subjects for this age range

Exclusion Criteria

-Patients currently already on glucocorticoid therapy will be excluded
-Patients with pre-existing pituitary or adrenal diseases will be excluded

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
© Copyright 2025. All Rights Reserved by MedPath