Hair Cortisol and Testosterone Levels in Patients With Sarcoidosis
Hair Cortisol and Testosterone Levels in Patients With Sarcoidosis Associated Fatigue
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Rationale: Fatigue is a common symptom in patients with sarcoidosis and has great impact on quality of life. Several aspects in the pathogenesis of sarcoidosis and co-morbidities accompanying sarcoidosis could contribute to fatigue. However, until now the etiology of fatigue in sarcoidosis is unknown. Measurements of steroid hormones in scalp hair could possibly be directional in elucidating the underlying mechanism and could also be used as a screening and follow up tool in interventional studies.
Objective: A pilot to investigate whether cortisol and testosterone levels measured in hair differ between patients with sarcoidosis related fatigue, sarcoidosis patients without fatigue and healthy subjects.
Study design: A prospective observational study, using hair samples of sarcoidosis patients with and without fatigue, compared to an already existing age matched healthy control group.
Study population: Adult sarcoidosis patients at the outpatient clinic of the pulmonary department of the Erasmus MC, Rotterdam Main study parameters/endpoints: Cortisol and testosterone levels in scalp hair, correlation with Fatigue Assessment Scale.
Study Type
Study Type
Enrollment (Actual)
Enrollment
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- Age of at least 18 years
- Diagnosis of sarcoidosis based on consistent clinical features/BAL fluid analysis/ PA according to the latest ATS/ERS/WASOG statement on sarcoidosis
- Able to speak, read and write in Dutch
- Presence of sarcoidosis related fatigue, defined as a ≥ 22 score on the Fatigue Assessment Scale
- Other causes of fatigue are excluded or contributing comorbidities are optimally treated (e.g. OSAS, hypothyroidism or anemia)
Exclusion Criteria:
- Unable to understand questionnaires (intellectual impaired or language barrier)
- Hair length < 1 cm
- Use of systemic and/ or inhalation steroids in the last year
- Use of methylphenidate (Ritalin) < 1 month before the study
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 |
|---|---|
|
Sarcoidosis - fatigued
Men and women with sarcoidosis and a score of ≥ 22 on the Fatigue Assessment Scale.
A small hair sample will be cut and the participants will be asked to complete questionnaires on fatigue, anxiety, depression, stress and quality of life.
|
|
|
Sarcoidosis - non-fatigued
Men and women with sarcoidosis and a score of < 22 on the Fatigue Assessment Scale.
A small hair sample will be cut and the participants will be asked to complete questionnaires on fatigue, anxiety, depression, stress and quality of life.
|
|
|
Healthy controls
Hair steroid values of a previously collected normal values study in adults will be used as healthy controls
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Scalp hair cortisol differences between sarcoidosis patients with and without fatigue and healthy controls
Time Frame: 1 month
|
Differences between patients with sarcoidosis related fatigue, sarcoidosis patients without fatigue, and healthy controls
|
1 month
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Scalp hair testosterone differences between sarcoidosis patients with and without fatigue and healthy controls
Time Frame: 1 month
|
Differences between patients with sarcoidosis related fatigue, sarcoidosis patients without fatigue, and healthy controls
|
1 month
|
|
Scalp hair cortisone differences between sarcoidosis patients with and without fatigue and healthy controls
Time Frame: 1 month
|
Differences between patients with sarcoidosis related fatigue, sarcoidosis patients without fatigue, and healthy controls
|
1 month
|
|
Fatigue Assessment Scale (FAS)
Time Frame: 1 day
|
A short validated questionnaire to assess fatigue in sarcoidosis, and its relation to scalp hair steroids
|
1 day
|
|
King's Sarcoidosis Questionnaire (KSQ)
Time Frame: 1 day
|
A validated questionnaire to assess sarcoidosis-related health status, and its relation to scalp hair steroids
|
1 day
|
|
EuroQol-5D-5L (EQ-5D-5L)
Time Frame: 1 day
|
A validated generic questionnaire to assess general health status, and its relation to scalp hair steroids
|
1 day
|
|
Short Form-36 (SF-36)
Time Frame: 1 day
|
A validated generic questionnaire to assess health-related quality of life, and its relation to scalp hair steroids
|
1 day
|
|
Perceived Stress Scale
Time Frame: 1 day
|
A validated questionnaire to assess perception of stress, and its relation to scalp hair steroids
|
1 day
|
|
Hospital Anxiety and Depression Scale
Time Frame: 1 day
|
A validated questionnaire to identify presence of depression and anxiety, and their relation to scalp hair steroids
|
1 day
|
|
% predicted forced vital capacity (FVC)
Time Frame: 1 day
|
To assess the relationship between scalp hair steroids and FVC
|
1 day
|
|
% predicted diffusion capacity of carbon monoxide (DLCO)
Time Frame: 1 day
|
To assess the relationship between scalp hair steroids and DLCO
|
1 day
|
|
6-minute walk distance test (6MWT)
Time Frame: 1 day
|
To assess the relationship between scalp hair steroids and 6MWT
|
1 day
|
|
Waist circumference
Time Frame: 1 day
|
To assess the relationship between scalp hair steroids and waist circumference
|
1 day
|
|
Body Mass Index (BMI)
Time Frame: 1 day
|
To assess the relationship between scalp hair steroids and BMI
|
1 day
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: M. S. Wijsenbeek, MD, PhD, Erasmus University Medical Center, Rotterdam, the Netherlands
Publications and helpful links
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 (Actual)
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
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- MEC-2014-206
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Sarcoidosis
-
NCT07604220Not yet recruitingCardiac Sarcoidosis | Sarcoidosis, Cardiac | Sarcoidosis With Myocarditis | Sarcoidosis of the Heart
-
NCT01440192TerminatedStage 2 Pulmonary Sarcoidosis | Stage 3 Pulmonary Sarcoidosis
-
NCT02024555CompletedSarcoidosis; Antimycobacterial Therapy
-
NCT06853834RecruitingSarcoidosis Lung | Pulmonary Sarcoidosis
-
NCT04904939CompletedEndobronchial Mucosal Pathology in Pulmonary Sarcoidosis
-
NCT03746847CompletedCardiac Sarcoidosis
Clinical Trials on Determination of scalp hair steroids
-
NCT07195487Active, not recruiting
-
NCT03630107CompletedPruritus of the Scalp
-
NCT02778243CompletedUrinary Bladder Neoplasms | Prostate Hyperplasia
-
NCT06885112Recruiting
-
NCT04450589CompletedAndrogenetic Alopecia | Androgenic Alopecia | Hair Loss/Baldness | Hair Thinning | Telogen Effluvium | Thinning Hair
-
NCT04450602CompletedAndrogenetic Alopecia | Androgenic Alopecia | Hair Loss/Baldness | Hair Thinning | Telogen Effluvium | Thinning Hair
-
NCT03603587TerminatedSkin Cancer | Skin Aging
-
NCT04238091WithdrawnAlopecia Areata | Alopecia Totalis | Alopecia Universalis