Long-Term Outcomes of Hypopituitarism Following Gamma Knife Radiosurgery for Pituitary Adenomas

NCT ID: NCT07015645

Last Updated: 2025-06-11

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

137 participants

Study Classification

OBSERVATIONAL

Study Start Date

2019-01-01

Study Completion Date

2025-01-01

Brief Summary

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This study aims to assess long-term outcomes of hypopituitarism following gamma knife radiosurgery (GKRS) for pituitary adenomas.

Detailed Description

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Pituitary adenomas (PAs) are one of the most common intracranial neoplasms, accounting for 10-20% of diagnosed brain tumors.

Initial gamma knife radiosurgery (GKRS) can be an alternative treatment for selected NFPA patients with comorbidities, documented growth small tumors, cavernous sinus invasion, or advanced age.

Hypopituitarism is one of the most common complications of radiosurgery (Cordeiro et al., 2018). Long-term follow-up is crucial to assess new pituitary deficits. Typically, hypopituitarism presents within the first 2-4 years after the treatment with radiosurgery, but the risk of pituitary insufficiency increases to up to 80%. Reports on the highest incidence of new-onset hypopituitarism also mentioned the longest follow-up period.

Conditions

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Long Term Hypopituitarism Gamma Knife Radiosurgery Pituitary Adenomas

Study Design

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Observational Model Type

COHORT

Study Time Perspective

RETROSPECTIVE

Study Groups

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Pituitary Adenomas group

Patients received gamma knife radiosurgery (GKRS) treatment for pituitary adenomas.

Gamma Knife Radiosurgery

Intervention Type PROCEDURE

Patients received gamma knife radiosurgery (GKRS) treatment for pituitary adenomas.

Interventions

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Gamma Knife Radiosurgery

Patients received gamma knife radiosurgery (GKRS) treatment for pituitary adenomas.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Age ≥18 years.
* Both sexes.
* Patients treated with gamma knife radiosurgery (GKRS).

Exclusion Criteria

* Patients with inadequate endocrine follow-up (\<12 months).
* Patients who had undergone previous radiation therapy.
* Pituitary insufficiency which presents before gamma knife radiosurgery (GKRS).
* Patients without visible glands.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Al-Azhar University

OTHER

Sponsor Role lead

Responsible Party

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Awad Mohamed Hegab

Lecturer of Neurosurgery, Faculty of Medicine, Al-Azhar University, Damietta, Egypt.

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Al-Azhar University (Damietta)

Damietta, , Egypt

Site Status

Countries

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Egypt

Other Identifiers

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DFM-IRB 00012367-25-05-006

Identifier Type: -

Identifier Source: org_study_id

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