New scan could replace invasive test for Cushing's disease diagnosis
NCT ID NCT07108244
First seen Jun 27, 2026 · Last updated Jul 07, 2026 · Updated 2 times
Summary
This study compares a new, non-invasive PET-MRI scan to the standard invasive test (IPSS) for finding pituitary tumors in people with Cushing's disease. About 43 adults with confirmed Cushing's will get both tests to see which is more accurate. The goal is to make diagnosis safer and more precise.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 43 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jun 2026
- Expected to finish
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Jul 2029
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age ≥18 years * Biochemically confirmed ACTH-dependent hypercortisolism, defined as: * Non-suppressed ACTH levels plus minimal 2 of the following: * Overnight 1mg dexamethasone suppression test \> 50 nmol/L * Elevated late night salivary cortisol (min. 2/3 measurements) * Elevated 24-hours urinary free cortisol (min. 2 measurements) * Pituitary microadenoma (\< 10mm) OR negative / inconclusive findings on standard MRI of the pituitary sella-region. * Indication for further evaluation with IPSS Exclusion Criteria: * Non-ACTH dependent hypercortisolism * Pituitary macroadenoma (≥ 10mm) * Suspicion of Pseudo-Cushing's disease (e.g. due to alcohol use disorder, PCO's, obesity, de-pression) according to standard work up / guidelines * use of glucocorticosteroids * Impaired renal function, defined as eGFR (MDRD) \<30ml/min/1,73 m2. An exception can be made in consultation with the treating physician. * Impaired Liver function * Pregnancy/breastfeeding. For the latter, temporary discontinuation may be considered. * Known allergic reaction to therapeutic radiopharmaceuticals.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
2 sites in 2 countries. The list below names each one and where it is.
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The official record
The full official record for this study. This one lists no contact details, but it is the first place any would appear.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Erasmus University Medical Centre
Rotterdam, South Holland, 3015, Netherlands
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University Hospital Basel
Basel, Canton of Basel-City, 4031, Switzerland
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Cushing's disease study in western france withdrawn before starting
- New pill could tame hormone disorder Cushing's syndrome
- New PET scan aims to spot tiny brain tumors that standard MRI misses
- New PET scan could spot tiny brain tumors missed by MRI
- New scan could pinpoint hidden brain tumors in cushing patients