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Effects of Corticotropin Releasing Hormone (CRH) on the Sleep in Patients With Hypopituitarism
This study is currently recruiting participants.
Verified by Max-Planck-Institute of Psychiatry, April 2008
Sponsored by: Max-Planck-Institute of Psychiatry
Information provided by: Max-Planck-Institute of Psychiatry
ClinicalTrials.gov Identifier: NCT00666068
  Purpose

In contrast to healthy subjects, patients with hypopituitarism do not exhibit endocrine responses when hormones are injected. This is at least true for those with a complete insufficiency of the anterior pituitary. For example, administration of corticotropin releasing hormone (CRH) is not followed by an increase of ACTH and cortisol. Therefore, "pure" hormone effects can be investigated.

It is well established that hormones of the hypothalamic-pituitary-adrenal axis are involved in sleep regulation. In rodents, CRH decreased slow wave sleep (SWS). In humans, CRH was reported to increase wakefulness and to decrease SWS and REM sleep. Primary objective was therefore to study the effect of CRH on patients with hypopituitarism.

To date, there is no information on sleep of patients with hypopituitarism. Secondary objective is therefore to compare sleep of patients with hypopituitarism with sleep of age-matched healthy controls.


Condition Intervention
Hypopituitarism
Other: corticotropin releasing hormone (CRH)
Other: Placebo

Drug Information available for: Corticotropin Corticotropin-releasing hormone
U.S. FDA Resources
Study Type: Interventional
Study Design: Basic Science, Randomized, Single Blind (Subject), Placebo Control, Crossover Assignment, Pharmacodynamics Study
Official Title: Effects of CRH on the Sleep in Patients With Hypopituitarism

Further study details as provided by Max-Planck-Institute of Psychiatry:

Primary Outcome Measures:
  • Sleep-EEG variables, conventionally and quantitatively analyzed [ Time Frame: within the first month ] [ Designated as safety issue: No ]

Estimated Enrollment: 30
Study Start Date: February 2008
Estimated Study Completion Date: December 2008
Estimated Primary Completion Date: October 2008 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
1: Experimental

Patients with hypopituitarism

Cross over design: see interventions 1-2

Other: corticotropin releasing hormone (CRH)
50 µg injected at 2200, 2300, 0000, and 0100
Other: Placebo
injected at 2200, 2300, 0000, and 0100
2: Placebo Comparator

Parallel design:

Healthy controls to be compared with placebo condition in patients with hypopituitarism

Other: Placebo
injected at 2200, 2300, 0000, and 0100

  Eligibility

Ages Eligible for Study:   18 Years to 75 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Patients with hypopituitarism

Inclusion Criteria:

  • Age 18-75 years
  • Complete insufficiency of the anterior pituitary
  • Stable hormone substitution for at least 3 months

Exclusion Criteria:

  • Hormone excess in the past
  • Sleep disorder, e.g. sleep apnea syndrome

Healthy controls

Inclusion Criteria:

  • Age 18-75 years

Exclusion Criteria:

  • Any medication during 6 week prior to study entry
  • Shift work
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00666068

Contacts
Contact: Axel Steiger, MD +49 8930622 ext 236 steiger@mpipsykl.de
Contact: Michael Kluge, MD +49 8930622 ext 396 kluge@mpipsykl.de

Locations
Germany
Max Planck Institute of Psychiatry Recruiting
Munich, Germany, 80804
Contact: Michael Kluge, MD     +49 89 30622 ext 396     kluge@mpipsykl.de    
Sub-Investigator: Michael Kluge, MD            
Sponsors and Collaborators
Max-Planck-Institute of Psychiatry
  More Information

Responsible Party: Max-Planck-Institute of Psychiatry ( Prof. Dr. Axel Steiger )
Study ID Numbers: L2/2003A
Study First Received: April 22, 2008
Last Updated: April 23, 2008
ClinicalTrials.gov Identifier: NCT00666068  
Health Authority: Germany: Federal Institute for Drugs and Medical Devices

Keywords provided by Max-Planck-Institute of Psychiatry:
Patients with hypopituitarism

Study placed in the following topic categories:
Hypothalamic Diseases
Corticotropin-Releasing Hormone
Pituitary Diseases
Hypopituitarism
Endocrine System Diseases
Central Nervous System Diseases
Endocrinopathy
Brain Diseases
Adrenocorticotropic Hormone

Additional relevant MeSH terms:
Physiological Effects of Drugs
Nervous System Diseases
Hormones, Hormone Substitutes, and Hormone Antagonists
Hormones
Pharmacologic Actions

ClinicalTrials.gov processed this record on January 16, 2009