Study of the Approximate Entropy of Adrenocorticotropic Hormone and Cortisol Secretion in Patients With Head Injury
Recruitment status was Active, not recruiting
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Purpose
OBJECTIVES: I. Determine the randomness of adrenocorticotropic hormone (ACTH) and cortisol secretion using approximate entropy in patients who have sustained a head injury.
II. Determine the correlation between randomness of ACTH and cortisol secretion and stages of sleep in these patients.
| Condition | Intervention |
|---|---|
|
Brain Injury Craniocerebral Trauma |
Drug: cosyntropin Drug: metyrapone |
| Study Type: | Observational |
| Study Design: | Primary Purpose: Screening |
| Estimated Enrollment: | 32 |
| Study Start Date: | February 1998 |
PROTOCOL OUTLINE: Patients are stratified according to type of injury (closed head injury due to trauma vs vascular accidents). Patients are admitted two times for overnight assessment.
Admission 1: Patients receive cosyntropin IV. Blood is drawn at 30 and 60 minutes after IV infusion. Patients receive oral metyrapone before sleep. A sham sleep study is conducted through the night and patients' blood is drawn in the morning.
Admission 2: At least 2 weeks after admission 1, patients return for an overnight admission. Starting in the evening, blood is drawn every 15 minutes for 12 hours. A sleep study is conducted through the night.
Eligibility| Ages Eligible for Study: | 20 Years to 35 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
PROTOCOL ENTRY CRITERIA:
--Disease Characteristics--
Patients who have sustained head injury
Closed head injury from trauma OR
Vascular accidents like strokes and hemorrhages
--Prior/Concurrent Therapy--
Endocrine therapy: No concurrent cortisol replacement
Other: No blood donation during and for 1 month after study
--Patient Characteristics--
Hematopoietic: Hemoglobin normal
Other:
- No hypopituitarism
- No body mass index of 28 or greater
- Not pregnant or nursing
- Must have normal menstrual cycles
- No severe mental impairment
- Must not require legal guardian
Contacts and Locations| United States, Texas | |
| Transitional Learning Community | |
| Galveston, Texas, United States, 77550 | |
| University of Texas Medical Branch | |
| Galveston, Texas, United States, 77555-0209 | |
| Study Chair: | Randall Urban | University of Texas |
More Information
No publications provided
| ClinicalTrials.gov Identifier: | NCT00006270 History of Changes |
| Other Study ID Numbers: | 199/15376, UTMB-98-018, UTMB-GCRC-486 |
| Study First Received: | September 11, 2000 |
| Last Updated: | June 23, 2005 |
| Health Authority: | United States: Federal Government |
Keywords provided by National Center for Research Resources (NCRR):
|
brain injury neurologic and psychiatric disorders rare disease |
Additional relevant MeSH terms:
|
Craniocerebral Trauma Brain Injuries Trauma, Nervous System Nervous System Diseases Wounds and Injuries Brain Diseases Central Nervous System Diseases Adrenocorticotropic Hormone Cosyntropin Beta-Endorphin |
Metyrapone Hormones Hormones, Hormone Substitutes, and Hormone Antagonists Physiological Effects of Drugs Pharmacologic Actions Neurotransmitter Agents Molecular Mechanisms of Pharmacological Action Antimetabolites Enzyme Inhibitors |
ClinicalTrials.gov processed this record on May 21, 2013