Status:

RECRUITING

Congenital Adrenal Hyperplasia Once Daily Hydrocortisone Treatment

Lead Sponsor:

Federico II University

Conditions:

Congenital Adrenal Hyperplasia

Eligibility:

All Genders

18+ years

Phase:

PHASE4

Brief Summary

This is a controlled, open study designed to compare the effects of dual-release hydrocortisone preparations versus conventional glucocorticoid therapy on clinical, anthropometric parameters, metaboli...

Detailed Description

Congenital adrenal hyperplasia due to 21-hydroxylase deficiency is an autosomal recessive disorder characterized by cortisol and in some cases aldosterone deficiency, associated with androgen excess. ...

Eligibility Criteria

Inclusion

  • males and females aged \>18 years;
  • established diagnosis of adrenal insufficiency in congenital adrenal hyperplasia due to 21-hydroxylase deficiency;
  • stably treated with conventional glucocorticoids, available to change their regimen according to random allocation
  • written informed consent/assent to participate in the study in compliance with local regulations.

Exclusion

  • clinical or laboratory signs of severe cerebral, respiratory, hepatobiliary or pancreatic diseases, renal dysfunction, gastrointestinal emptying, or motility disturbances (i.e. chronic diarrhea), significant psychiatric illnesses;
  • history of/or current alcohol and/or drug abuse;
  • night shift workers;
  • underlying diseases that could necessitate treatment with glucocorticoids;
  • therapies with hepatic enzyme induction drugs interfering with glucocorticoid kinetics, or immunosuppressive steroid therapy;
  • patients with a documented intolerance/known hypersensitivity to dual release hydrocortisone;
  • vulnerable populations, such as elderly, cancer patients, pregnant and lactating women;
  • history of non-compliance to medical regimens, or potentially unreliable patients

Key Trial Info

Start Date :

August 11 2016

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 31 2027

Estimated Enrollment :

150 Patients enrolled

Trial Details

Trial ID

NCT03760835

Start Date

August 11 2016

End Date

December 31 2027

Last Update

September 16 2025

Active Locations (1)

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Federico II University

Naples, Italy, 80131