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Avoiding over and undertreatment by optimizing of the timing ofglucocorticoïd treatment in children with cnogenital adrenal hyperplasia

Phase 1
Conditions
Congenital adrenal hyperplasia (CAH) is a disorder of adrenal steroidsynthesis leading to cortisol deficiency and an increase in androgenproduction.Treatment in children consists of hydrocortisone substitutionthereby also restoring the negative feedback on the pituitary gland andconsequently normalize androgen production. There is still no evidenceabout the best timing of hydrocortisone use: The highest dosage ofhydrocortisone in the morning or the highest dosage at night
Therapeutic area: Diseases [C] - Hormonal diseases [C19]
Registration Number
EUCTR2018-004802-24-NL
Lead Sponsor
Radboud University Nijmegen Medical Centre
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Recruiting
Sex
All
Target Recruitment
50
Inclusion Criteria

• Children with CAH due to 21-hydroxylase deficiency > 4 years old and
< 18 years old
• The diagnosis is confirmed by mutation analysis
• Patient are treated with hydrocortisone according to standard
guidelines in a thrice daily schedule
• Ability to collect saliva
Are the trial subjects under 18? yes
Number of subjects for this age range: 50
F.1.2 Adults (18-64 years) no
F.1.2.1 Number of subjects for this age range
F.1.3 Elderly (>=65 years) no
F.1.3.1 Number of subjects for this age range

Exclusion Criteria

•Other forms of CAH
•Not able to collect saliva
•Chronical medication use other than hydrocortisone and
fludrocortisone

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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