Diseases

Measurement of Outcome of Surgical Treatment in Patients With Acromegaly

Measurement of Outcome of Surgical Treatment in Patients With Acromegaly

OBJECTIVES: I. Compare growth hormone (GH) levels at baseline and after glucose suppression measured with both a polyclonal radioimmunoassay and a highly sensitive immunoradiometric assay (IRMA) in patients with acromegaly and normal volunteers.

II. Measure the levels of IGF-I and its binding protein, IGFBP-3, in these cohorts.

III. Determine any correlation between levels of IGF-I and IGFBP-3 and GH suppressibility as assessed by sensitive IRMA.

IV. Determine if patients who demonstrate biochemical features of mild GH excess are at risk for progression to active disease.

PROTOCOL OUTLINE: Blood samples are collected and assessed for growth hormone and IGF-I by polyclonal radioimmunoassay (RIA) and immunoradiometric assay (IRMA). Growth hormone is measured at baseline and 60, 90, and 120 minutes after a 100 g glucose drink. Serum glucose is measured at baseline and at 2 hours post dextrose administration by the glucose hexokinase method.

Clinical scores are determined for headache, perspiration, fatigue, joint pain, and acne.

Exams and tests may be repeated every 6 months for 2 years.

N/A
Observational
Primary Purpose: Screening
  • Acromegaly
    * Includes publications given by the data provider as well as publications identified by National Clinical Trials Identifier (NCT ID) in Medline.
    165
    September 1999

    PROTOCOL ENTRY CRITERIA:

    --Disease Characteristics--

    Diagnosis of acromegaly and treated with transsphenoidal surgery

    Biochemically and histologically confirmed growth hormone secreting tumor

    OR

    Healthy volunteers

    --Prior/Concurrent Therapy--

    Surgery:

    • See Disease Characteristics

    • Greater than 6 months since prior surgery

      Other: At least 1 month since prior bromocriptine or octreotide

      --Patient Characteristics--

      Performance status: Ambulatory

      Hepatic: No active hepatic disease

      Renal: No active renal disease

      Other:

    • No diabetes mellitus

    • No glucose intolerance

    • Hypopituitarism allowed if on stable doses of replacement therapy

    Both
    20 Years - 75 Years
    Accepts Healthy Volunteers
    • , ,
    • , ,
    United States,
    NCT00005100
    NCRR-M01RR00645-2525
    CPMC-IRB-7590
    ,
    National Center for Research Resources (NCRR)
    • Columbia University
    Study Chair: Pamela U. Freda, Columbia University
    National Center for Research Resources (NCRR)
    December 2003
    April 6, 2000
    June 23, 2005
    Required WHO trial registration data element.
    †† WHO trial registration data element that is required only if it exists.