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NCT02084134 · ClinicalTrials.gov registry record · NA

Peri-Operative Steroid Management in Patients

A NA study, sponsored by Washington University School of Medicine.

Completed
Registry status
NA
Development phase
43
Enrollment target

NCT02084134: Completed NA study, sponsored by Washington University School of Medicine.

NCT02084134 is a NA study that has completed, run by Washington University School of Medicine. The registered enrollment target is 43 participants, below the 1,404-participant average among 58,714 other NA trials with a reported enrollment target (97% lower). According to ClinicalTrials.gov, the official US trial registry.

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The verdict

NCT02084134, a NA study, has completed, sponsored by Washington University School of Medicine.

COMPLETED
Registry status
NA
Development phase
43 participants
Enrollment target

Study Summary

During transsphenoidal resection of pituitary tumors and cysts, surgery is performed by a neurosurgeon and ear nose and throat surgeon. The pituitary tumor or cyst is reached by making a small hole in the back of the nose into the bottom of the skull. The surgeon is able to see the pituitary and tumor with an endoscope and remove the tumor through the hole. Surgery on the pituitary can cause disruption in the secretion of ACTH and cause adrenal failure (lack of cortisol secretion) which can cause nausea, vomiting, low blood pressure, and rarely can be fatal. There is no consensus among endocrinologists and neurosurgeons about the use of perioperative steroids in pituitary patients. Traditionally, all patients undergoing pituitary surgery were given steroids before, during, and after surgery because of the assumption that there would be some compromise in the amount of ACTH released by the pituitary as a result of surgical trauma. Studies have failed to show, however, that ACTH secretion is in fact compromised during transsphenoidal pituitary microsurgery. As a result, there are some centers that routinely give perioperative steroids to all patients undergoing pituitary surgery and there are some centers that do not routinely give perioperative steroids. There are several retrospective and prospective studies that have addressed this issue and have shown that withholding perioperative steroids is safe, but there has never been a prospective study comparing the two approaches. Objectives: The goal of this study is to prospectively compare two approaches to the perioperative management of patients undergoing transsphenoidal resection of a pituitary tumor or cyst. One protocol includes the routine use of perioperative steroids and the other does not. The investigators hypothesis, based on previous studies, is that patients who are adrenally sufficient do not routinely need to be treated with perioperative steroids. The investigators also hypothesize that the use of pe

Primary Outcome

Adrenal insufficiency was defined by a 30 or 60 min cortisol \< 18 during a cosyntropin stimulation test

Interventions

  • DRUG dexamethasone
  • DRUG hydrocortisone

Trial Details

FieldValue
Enrollment Target 43 participants
Start Date 2012-03
Est. Completion 2016-12-31
Phase NA

What the finished NCT02084134 record still lists

NCT02084134 is an interventional study that assigns participants to a tested intervention. The registry caps enrollment at 43 participants, a relatively small participant target, below the 1,404-participant average among 58,714 other NA trials with a reported enrollment target (97% lower).

The record links to 0 conditions, and to 2 interventions - of which dexamethasone is the first listed.

NCT02084134 does not publish any study locations in the registry export this page uses.

Frequently Asked Questions

What is clinical trial NCT02084134 about?

NCT02084134 is a clinical study titled "Peri-Operative Steroid Management in Patients". During transsphenoidal resection of pituitary tumors and cysts, surgery is performed by a neurosurgeon and ear nose and throat surgeon. The pituitary tumor or cyst is reached by making a small hole in the back of the nose into the bottom of the skull. The surgeon is able to see the pituitary and tum...

What is the current status of trial NCT02084134?

This trial is currently completed. It is a NA study. The enrollment target is 43 participants. The study started on 2012-03. Estimated completion is 2016-12-31.

What interventions are being tested in trial NCT02084134?

The interventions under investigation include: dexamethasone (DRUG), hydrocortisone (DRUG).

Who is sponsoring clinical trial NCT02084134?

This trial is sponsored by Washington University School of Medicine, which has 1,502 total clinical trials registered on ClinicalTrials.gov.

How this trial's enrollment target compares

Where NCT02084134's enrollment target sits among peer trials

43 1435th of 2000 higher than 565 of 2,000 other NA trials

participants (enrollment target), bucketed by value

Each bar is a band; taller bars hold more other NA trials. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count and share, and where it sits relative to this entry.

Source ClinicalTrials.gov registry export · 2026-08-08

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Source: ClinicalTrials.gov NCT02084134, the US trial registry maintained by the National Library of Medicine. NCT02084134 (small enrollment · none site footprint · completed) retrieved and formatted by PlainTrial, see methodology.