Cortisol Control of Human Inflammatory Responses to Endotoxin
NCT00396344 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 36
Last updated 2008-05-09
Summary
The purpose of the research is to study a common and dangerous medical condition called 'septic shock' that often occurs in critically ill patients. In order to learn about septic shock in humans, we will administer a substance called 'endotoxin' to participants in this study. Endotoxin causes a temporary period of inflammation in the human body, a brief 'virtual' infection. This is an established method for the investigation of inflammation properties. We are interested in how the natural hormone, cortisol, can affect the human response to endotoxin. We know that when cortisol is given at the same time as endotoxin it can decrease the inflammation that occurs due to endotoxin. In this study we will test whether or not cortisol, when given the day before the endotoxin, will work to change the inflammation that occurs due to endotoxin. In order to test this, two-thirds of the study participants will receive cortisol on the day before they receive the endotoxin and one-third of the study participants will receive a placebo (no medication) before the endotoxin.
Conditions
Interventions
- OTHER
-
Çontrol
Intravenous saline
- DRUG
-
Hydrocortisone
Intravenous stress dose of hydrocortisone
- DRUG
-
Hydrocortisone
Intravenous pharmacologic hydrocortisone
Sponsors & Collaborators
-
National Institute of Allergy and Infectious Diseases (NIAID)
collaborator NIH -
Dartmouth-Hitchcock Medical Center
lead OTHER
Principal Investigators
-
Mark P Yeager, MD · Dartmouth-Hitchcock Medical Center
Study Design
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Max Age
- 55 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2006-10-31
- Primary Completion
- 2007-11-30
- Completion
- 2007-11-30
Countries
- United States
Study Locations
More Related Trials
-
Stress Doses of Hydrocortisone on Coagulation Dysfunction in Patients With Septic Shock
NCT02266589 ·Status: COMPLETED ·Phase: PHASE3
-
Impact of Hydrocortisone Administration on White Blood Cell Gene Expression in Patients With Severe Sepsis
NCT00185783 ·Status: COMPLETED
-
Steroids and Post-resuscitation Infectious (Septic) Complications
NCT02408939 ·Status: COMPLETED
-
Initiation of Hydrocortisone for the Treatment of Septic Shock
NCT02580240 ·Status: COMPLETED ·Phase: NA
-
Effects of Intravenous Metabolic Recovery Agent in Elderly Septic Patients on Prognosis and Microcirculation.
NCT06723626 ·Status: RECRUITING ·Phase: NA
-
Hydrocortisone Versus Hydrocortisone Plus Fludrocortisone for the Treatment of Adrenal Insufficiency in Severe Sepsis
NCT00368381 ·Status: WITHDRAWN ·Phase: PHASE4
-
Rapid Recognition of Corticosteroid Resistant or Sensitive Sepsis
NCT04280497 ·Status: RECRUITING ·Phase: NA
-
Early Versus Conventional Cessation of Hydrocortisone in Septic Shock
NCT05818826 ·Status: RECRUITING ·Phase: PHASE2
-
Vitamin C, Steroids, and Thiamine, and Cerebral Autoregulation and Functional Outcome in Septic Shock
NCT03649633 ·Status: TERMINATED ·Phase: PHASE1/PHASE2
-
Hemodynamic and Inflammatory Effects of Abrupt Versus Tapered Corticosteroid Discontinuation in Septic Shock
NCT01150409 ·Status: TERMINATED ·Phase: PHASE4
-
Effect of Hydrocortison on Post-ischemic Flow-mediated Dilation and on Thenar Oxygen Saturation in Human Septic Shock.
NCT01817153 ·Status: TERMINATED ·Phase: PHASE2/PHASE3
-
Adrenal Insufficiency in Septic Shock
NCT00842933 ·Status: TERMINATED ·Phase: PHASE4
-
Diagnostic Study of Adrenal Cortical Function in Children With Septic Shock
NCT00005890 ·Status: COMPLETED ·Phase: NA
-
Effects of Stress Doses of Hydrocortisone on Coagulation Dysfunction in Patients With Septic Shock
NCT02114710 ·Status: COMPLETED ·Phase: PHASE3
-
The Effect of Moderate-Dose Steroid Therapy in Sepsis
NCT01275638 ·Status: COMPLETED ·Phase: PHASE4
-
Effects of Hydrocortison Treatment on Angiotensin II and Angiotensin II Receptors in Patients With Septic Shock
NCT04647552 ·Status: COMPLETED
-
Septic Shock em Steroids
NCT01047670 ·Status: UNKNOWN ·Phase: PHASE2/PHASE3
-
Effects of Endotoxin in Normal Human Volunteers
NCT00001303 ·Status: COMPLETED ·Phase: PHASE1
-
Early Intravenous Hydrocortisone in Sepsis
NCT06217939 ·Status: RECRUITING ·Phase: NA
-
Hydrocortisone for COVID-19 and Severe Hypoxia
NCT04348305 ·Status: COMPLETED ·Phase: PHASE3
-
The Effect of Vitamin C, Thiamine and Hydrocortisone on Clinical Course and Outcome in Patients With Severe Sepsis and Septic Shock
NCT03335124 ·Status: TERMINATED ·Phase: PHASE4
-
Metabolic Resuscitation Using Ascorbic Acid, Thiamine, and Glucocorticoids in Sepsis.
NCT03422159 ·Status: COMPLETED ·Phase: PHASE2
-
Correlation Salivary Cortisol and Free Serum Cortisol to Total Serum Cortisol in MICU Septic Shock
NCT00523198 ·Status: COMPLETED
-
Vasopressin Plasma Concentrations in Patients Receiving Exogenous Vasopressin Infusion for Septic Shock
NCT03014063 ·Status: COMPLETED
-
The Efficacy of Adjunctive Use of Ondansetron in Patients With Sepsis and Septic Shock
NCT05402553 ·Status: UNKNOWN ·Phase: PHASE1/PHASE2