Cardiovascular Risk Profile in Patients With Congenital Adrenal Hyperplasia

NCT ID: NCT01807364

Last Updated: 2016-06-17

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

170 participants

Study Classification

OBSERVATIONAL

Study Start Date

2011-05-31

Study Completion Date

2016-04-30

Brief Summary

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Treatment with glucocorticoids and mineralocorticoids has changed congenital adrenal hyperplasia (CAH) from a fatal to a chronic lifelong disease. Long-term treatment, in particular the chronic (over-)treatment with glucocorticoids, may have an adverse effect on the cardiovascular risk profile in adult CAH patients. The objective of this study was to evaluate the cardiovascular risk profile of adult CAH patients.

Detailed Description

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Treatment with glucocorticoids and mineralocorticoids has changed congenital adrenal hyperplasia (CAH) from a fatal to a chronic lifelong disease. Long-term treatment, in particular the chronic (over-)treatment with glucocorticoids, may have an adverse effect on the cardiovascular risk profile in adult CAH patients. The objective of this study was to evaluate the cardiovascular risk profile of adult CAH patients.

DESIGN: Case control study Primary objective : detection of cardiovascular damage in patients with classical or non classical CAH diagnosed in childhood. The patients will be compared with age- and gender- and tobacco status- matched control.

Secondary objective Study of microvascular function Evaluation of cardiovascular risk factors Total cumulative (TCG) and total average (TAG) glucocorticoid doses will be calculated from pediatric and adult files and correlated to arterial macro- and microcirculatory dysfunction.

Primary outcome Ultrasound evaluation of intima-media thickness at common carotids, carotid bulbs and left ventricular function Secondary outcome Peripheral and central blood pressure Skin capillary density and pulse-wave velocity Glucose and insulin during an oral glucose tolerance test Circulating cardiovascular risk markers (hsCRP, adiponectin, Interleukin-6) Lipid profile Anthropometry, fat and lean mass measured by dual-energy X-ray absorptiometry Total cumulative dose of glucocorticoid Number of subjects : 90 patients/90 controls Inclusion criteria of CAH patients

* Patients \> 18 yrs with classical or non classical CAH diagnosed during childhood
* Absence of known cardiovascular disease
* Absence of combined oral contraceptives during the previous month Inclusion criteria of controls
* Age under 18
* Absence of known cardiovascular disease
* Absence of combined oral contraceptives during the previous month

Duration of the inclusion period: 3 years

Conditions

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Congenital Adrenal Hyperplasia

Study Design

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Observational Model Type

COHORT

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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Congenital adrenal hyperplasia

Patients \> 18 yrs with classical or non classical CAH diagnosed during childhood

No interventions assigned to this group

controls

control patients

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Patients \> 18 yrs with classical or non classical CAH diagnosed during childhood
* Absence of known cardiovascular disease
* Absence of combined oral contraceptives during the previous month


* Age \> 18 yrs
* Absence of known cardiovascular disease
* Absence of combined oral contraceptives during the previous month

Exclusion Criteria

* Blood donation during the previous 3 months
* Cardiovascular disease
* Treatment by combined oral contraceptives
* Pregnancy
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Assistance Publique - Hôpitaux de Paris

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Anne Bachelot, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

APHP

Locations

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Pitié Salpêtrière Hospital

Paris, , France

Site Status

Countries

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France

Other Identifiers

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P091106

Identifier Type: OTHER

Identifier Source: secondary_id

AOR 10032

Identifier Type: -

Identifier Source: org_study_id

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