Congenital Adrenal Hyperplasia: Calcium Channels as Therapeutic Targets
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Purpose
This study will test the ability of extended release nifedipine (Procardia XL), a blood pressure medication, to permit a decrease in the dose of glucocorticoid medication children take to treat congenital adrenal hyperplasia (CAH).
| Condition | Intervention | Phase |
|---|---|---|
|
Congenital Adrenal Hyperplasia |
Drug: Nifedipine |
Phase 1 Phase 2 |
| Study Type: | Interventional |
| Study Design: | Intervention Model: Parallel Assignment Masking: Double-Blind Primary Purpose: Treatment |
This protocol is designed to assess both acute and chronic effects of the calcium channel antagonist, nifedipine, on the hypothalamic-pituitary-adrenal axis in patients with congenital adrenal hyperplasia. The multicenter trial is composed of two phases and will involve a double-blind, placebo-controlled parallel design. The goal of Phase I is to examine the ability of nifedipine vs. placebo to decrease adrenocorticotropic hormone (ACTH) levels, as well as to begin to assess the dose-dependency of nifedipine effects. The goal of Phase II is to evaluate the long-term effects of nifedipine; that is, can attenuation of ACTH release by nifedipine permit a decrease in the dosage of glucocorticoid needed to suppress the HPA axis? Such a decrease would, in turn, reduce the deleterious effects of glucocorticoid treatment in CAH.
Eligibility| Ages Eligible for Study: | 14 Years to 35 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- diagnosed with Congenital Adrenal Hyperplasia (CAH)
- normal ECG during baseline evaluation
Exclusion Criteria:
- history of liver disease, or elevated liver function tests
- history of cardiovascular disease
Contacts and Locations
More Information
No publications provided
| ClinicalTrials.gov Identifier: | NCT00000102 History of Changes |
| Other Study ID Numbers: | NCRR-M01RR01070-0506, M01RR01070 |
| Study First Received: | November 3, 1999 |
| Last Updated: | June 23, 2005 |
| Health Authority: | United States: Federal Government |
Additional relevant MeSH terms:
|
Adrenal Hyperplasia, Congenital Adrenogenital Syndrome Adrenocortical Hyperfunction Hyperplasia Disorders of Sex Development Urogenital Abnormalities Congenital Abnormalities Genetic Diseases, Inborn Steroid Metabolism, Inborn Errors Metabolism, Inborn Errors Metabolic Diseases Adrenal Gland Diseases Endocrine System Diseases |
Gonadal Disorders Pathologic Processes Nifedipine Tocolytic Agents Reproductive Control Agents Physiological Effects of Drugs Pharmacologic Actions Therapeutic Uses Calcium Channel Blockers Membrane Transport Modulators Molecular Mechanisms of Pharmacological Action Cardiovascular Agents Vasodilator Agents |
ClinicalTrials.gov processed this record on May 19, 2013