Cushing's Disease Complications (COMPLICUSHING)
Evolution of the Metabolic, Cardiovascular, Bone Complications and of the Quality of Life in Cushing's Disease
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
At inclusion the following will be investigated and recorded :
- demographic and personal medical history.
- Familial medical history related to osteoporosis, cardiovascular disorders and thromboembolism.
- Current medical treatment.
- Physical examination.
Assessment of basal 24hrs urinary cortisol and salivary cortisol.
- At baseline (i.e. before specific treatment of Cortisol excess):
- physical examination,
- routine biology,
- HbA1C, fasting glucose and oral glucose load,
- cholesterol, triglyceride, HDL & LDL,
- coagulation and fibrinolysis investigation,
- 24hrs urinary cortisol and salivary cortisol, urinary labstick test.
- EKG, cardiac ultrasound, cardiac CT-scan, arterial and venous US,
- ophthalmology examination,
- spine X-Ray, bone densitometry,
- QoL questionnaires (SF-36, QoLCushing, Beck BDI-II).
Every year during a 3 years follow-up the following will be investigated :
- Current medical treatment.
- Physical examination.
- Assessment of basal routine biology,
- HbA1C, fasting glucose,
- cholesterol, triglyceride, HDL & LDL,
- coagulation and fibrinolysis investigation,
- 24hrs urinary cortisol and salivary cortisol, urinary labstick test.
- EKG, cardiac ultrasound, cardiac CT-scan (if abnormal initially), arterial and venous US,
- ophthalmology examination, bone densitometry,
- QoL questionnaires (SF-36, QoLCushing, Beck BDI-II).
Study Type
Study Type
Enrollment (Actual)
Enrollment
Contacts and Locations
Study Locations
-
-
Paris
-
Paris, Paris, France, 75014
- AP-HP, Hôpital Cochin
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- Cushing's disease diagnosed by complementary explorations according to the National Program of Diagnosis and Care of the Cushing 's disease
Exclusion Criteria:
- other cause of Cushing's syndrome
- known inherited syndrome having for consequence an hormonal hypersecretion (NEM-1, complexe of carney, McCuneAlbright syndrome)
- patient does not understand french
- life expectancy of less than 6 months
- pregnant women
- dependent patient
Study Plan
How is the study designed?
Design Details
- Observational Models: Cohort
- Time Perspectives: Prospective
Number of groups / cohorts
Cohorts and Interventions
Group / CohortGroup / Cohort |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
patient with Cushing's disease
|
Blood sample 24hrs urinary cortisol and salivary cortisol, urinary labstick test, EKG, cardiac ultrasound, cardiac CT-scan, arterial and venous US ophthalmology examination spine X-Ray bone densitometry QoL questionnaires (SF-36, QoLCushing, Beck BDI-II)
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
number of complications (hormonal and imaging results, quality of life) per patient (composite)
Time Frame: from diagnosis until 3 years of treatment
|
Evaluate the frequency of :
|
from diagnosis until 3 years of treatment
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Remission rate of Cushing's disease
Time Frame: 1 year after treatment
|
1 year after treatment
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Jerome Bertherat, MD, PhD, Assistance Publique - Hopitaux de Paris
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimated)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Endocrine System Diseases
- Brain Diseases
- Central Nervous System Diseases
- Nervous System Diseases
- Hypothalamic Diseases
- Hyperpituitarism
- Pituitary Diseases
- Pituitary ACTH Hypersecretion
- Health Care Quality, Access, and Evaluation
- Investigative Techniques
- Epidemiologic Methods
- Data Collection
- Health Care Evaluation Mechanisms
- Quality of Health Care
- Public Health
- Environment and Public Health
- Surveys and Questionnaires
Other Study ID Numbers
Other Study ID Numbers
- P120132
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