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Observational Study to Investigate the Prevalence of Cardiac Abnormalities and Valvular Regurgitation in Patients With Prolactinomas Treated Chronically With Cabergoline


Phase 4
18 Years
65 Years
Not Enrolling
Both
Prolactinomas

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Trial Information

Observational Study to Investigate the Prevalence of Cardiac Abnormalities and Valvular Regurgitation in Patients With Prolactinomas Treated Chronically With Cabergoline


Within one week from a clinical observation in the outpatient service, all patients will be
admitted to the hospital for a complete endocrine screening, a cardiological visit that will
include an electrocardiogram and an echocardiogram.

The endocrine profile will include measurement of IGF-I, PRL, FSH, LH, 17-β-estradiol,
testosterone, FT3, FT4, TSH, and cortisol at 8.00 in the morning after an overnight fasting.

The clinical profile will include blood pressure measurement at the right arm, with the
subjects in relaxed sitting position. The average of six measurements (three taken by each
of two examiners, in the same day of echocardiography, between 8.00-9.00 in the morning)
with a mercury sphygmomanometer will be used in all analysis. According with the seventh
report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment
of High Blood Pressure (10), hypertension, if present, is classified as mild (Stage 1) when
the SBP or DBP were between 140 and 159 mmHg and between 90 and 99 mmHg, respectively;
severe (Stage 2) when the SBP or DBP were >160 and >100 mmHg respectively; pre-hypertension
is defined as SBP >120¬ and <140 and DBP >80 and <90 mmHg. Heart rate will be also measured.


Inclusion Criteria:



- Patients with documented hyperprolactinemia receiving continuous treatment with
cabergoline only for at least 12 months

- Newly diagnosed patients with prolactinoma never previously receiving dopamine
agonists treatment

Exclusion Criteria:

- A history of cardiac valve abnormalities,

- Previous use of anorectic drugs or other ergot-derived drugs,

- Treatment with cabergoline for less than 12 months,

- Valve calcification, valve regurgitation associated with annular dilatation or
excessive leaflet motion,

- Mitral regurgitation associated with left ventricular wall-motion abnormalities or
left ventricular dilatation,

- Withdrawal from cabergoline treatment for longer than 1 month, according with our
treatment protocol (11).

Type of Study:

Observational

Study Design:

Observational Model: Case Control, Time Perspective: Prospective

Outcome Measure:

Prevalence of regurgitation (graded as mild, moderate, severe) at any cardiac valve.

Outcome Time Frame:

9 months

Safety Issue:

Yes

Principal Investigator

Annamaria AL Colao, Prof.

Investigator Role:

Principal Investigator

Investigator Affiliation:

Federico II University

Authority:

Italy: National Monitoring Centre for Clinical Trials - Ministry of Health

Study ID:

NeuroendoUnit-2

NCT ID:

NCT00460616

Start Date:

January 2007

Completion Date:

September 2007

Related Keywords:

  • Prolactinomas
  • Prolactin
  • Prolactinomas
  • Dopamine-Agonists
  • Cabergoline
  • Cardiac valve disease
  • Prolactinoma

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