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Effects of Corticotropin Releasing Hormone (CRH) on the Sleep in Patients With Hypopituitarism

Information source: Max-Planck-Institute of Psychiatry
Information obtained from ClinicalTrials.gov on October 19, 2009
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: Hypopituitarism

Intervention: corticotropin releasing hormone (CRH) (Other); Placebo (Other); Placebo (Other)

Phase: N/A

Status: Recruiting

Sponsored by: Max-Planck-Institute of Psychiatry

Overall contact:
Axel Steiger, MD, Phone: +49 8930622, Ext: 236, Email: steiger@mpipsykl.de

Summary

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.

Clinical Details

Official title: Effects of CRH on the Sleep in Patients With Hypopituitarism

Study design: Basic Science, Randomized, Single Blind (Subject), Placebo Control, Crossover Assignment, Pharmacodynamics Study

Primary outcome: Sleep-EEG variables, conventionally and quantitatively analyzed

Eligibility

Minimum age: 18 Years. Maximum age: 75 Years. Gender(s): Both.

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

Locations and Contacts

Axel Steiger, MD, Phone: +49 8930622, Ext: 236, Email: steiger@mpipsykl.de

Max Planck Institute of Psychiatry, Munich 80804, Germany; Recruiting
Michael Kluge, MD, Phone: +49 89 30622, Ext: 396, Email: kluge@mpipsykl.de
Michael Kluge, MD, Sub-Investigator
Additional Information

Starting date: February 2008
Ending date: December 2008
Last updated: April 23, 2008

Page last updated: October 19, 2009

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