This study investigates stimulation of the posterior pituitary gland by oral Macimorelin (a ghrelin receptor Agonist) to be a novel diagnostic test in the polyuria-polydipsia syndrome.
Copeptin measurements upon intravenous arginine stimulation discriminate patients with diabetes insipidus versus patients with primary polydipsia with a high diagnostic accuracy. An oral test would be easier to perform, causes less risks and discomfort for the patients and would require less resources in clinical practice. This study investigates stimulation of the posterior pituitary gland by oral Macimorelin (a ghrelin receptor Agonist) to be a novel diagnostic test in the polyuria-polydipsia syndrome.
Study Type
INTERVENTIONAL
Purpose
DIAGNOSTIC
Masking
NONE
Enrollment
28
oral Macimorelin stimulation test with the dose of 0.5mg/kg body weight Macimorelin
oral Macimorelin stimulation test with the dose of 0.75mg/kg body weight Macimorelin
University Hospital Basel Endocrinology, Diabetes and Metabolism
Basel, Switzerland
Change in Copeptin value (pmol/l), after intake of Macimorelin of 0.5mg/kg body weight
evaluate copeptin values after the intake of of a single oral-dose Macimorelin of 0.5mg/kg body weight
Time frame: baseline blood exam (timepoint 0) and further blood collections after 30, 45, 60, 90 and 120 minutes after baseline blood collection
Change in Copeptin value (pmol/l), after intake of Macimorelin of 0.75mg/kg body weight
evaluate copeptin values after the intake of of a single oral-dose Macimorelin of 0.75mg/kg body weight
Time frame: baseline blood exam (timepoint 0) and further blood collections after 30, 45, 60, 90 and 120 minutes after baseline blood collection
Change in Growth Hormone (GH) value (ng/mL)
evaluate GH values after the intake of of a single oral-dose Macimorelin
Time frame: baseline blood exam (timepoint 0) and further blood collections after 30, 45, 60, 90 and 120 minutes after baseline blood collection
Change in Insulin-like growth factor 1 (IGF-1) value (yg/mL)
evaluate IGF-1 values after the intake of of a single oral-dose Macimorelin
Time frame: baseline blood exam (timepoint 0) and further blood collections after 30, 45, 60, 90 and 120 minutes after baseline blood collection
Change in free thyroxine (fT4) value (ng/dL)
evaluate fT4 values after the intake of of a single oral-dose Macimorelin
Time frame: baseline blood exam (timepoint 0) and further blood collections after 30, 45, 60, 90 and 120 minutes after baseline blood collection
Change in Thyreotropin (TSH) value (mU/L)
evaluate TSH values after the intake of of a single oral-dose Macimorelin
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Time frame: baseline blood exam (timepoint 0) and further blood collections after 30, 45, 60, 90 and 120 minutes after baseline blood collection
Change in Prolactin value (yg/L)
evaluate Prolactin values after the intake of of a single oral-dose Macimorelin
Time frame: baseline blood exam (timepoint 0) and further blood collections after 30, 45, 60, 90 and 120 minutes after baseline blood collection
Change in Cortisol value (ng/mL)
evaluate Cortisol values after the intake of of a single oral-dose Macimorelin
Time frame: baseline blood exam (timepoint 0) and further blood collections after 30, 45, 60, 90 and 120 minutes after baseline blood collection
Change in Adrenocorticotropin (ACTH) value ( pg/mL)
evaluate ACTH values after the intake of of a single oral-dose Macimorelin
Time frame: baseline blood exam (timepoint 0) and further blood collections after 30, 45, 60, 90 and 120 minutes after baseline blood collection
Change in Luteotropin (LH) value (U/L)
evaluate LH values after the intake of of a single oral-dose Macimorelin
Time frame: baseline blood exam (timepoint 0) and further blood collections after 30, 45, 60, 90 and 120 minutes after baseline blood collection
Change in Follicle-stimulating hormone value(FSH) (IU/mL)
evaluate FSH values after the intake of of a single oral-dose Macimorelin
Time frame: baseline blood exam (timepoint 0) and further blood collections after 30, 45, 60, 90 and 120 minutes after baseline blood collection