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The main hypothesis of the HEPACORT study is that upon diagnosis of endogenous Cushing's syndrome, significant liver fibrosis may be present, particularly in the most severe forms of Cushing's syndrome.
the HEPACORT study is the first exploratory study to assess the severity of liver fibrosis in patients with Cushing's syndrome or suspected of presenting by Magnetic Resonance Elastography (MRE).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cushing's Syndrome | Experimental | Patients with proven autonomic cortisol secretion (Cushing's Syndrome) |
|
| Suspected Cushing's Syndrome | Experimental | Patients with possible autonomic cortisol secretion (Suspected Cushing's Syndrome) |
|
| Metabolic Syndrome | Active Comparator | Patients with metabolic syndrome |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Magnetic resonance elastography (MRE) | Device | Magnetic Resonance Imaging (MRI) imaging with low-frequency vibrations to create a visual map (elastogram) that shows stiffness of body tissues |
| Measure | Description | Time Frame |
|---|---|---|
| Estimation of the severity of hepatic fibrosis by MRE (kPa). | Estimation of the severity of hepatic fibrosis in kPa by a non-invasive elastography method : magnetic resonance elastography. | Baseline (day 0) |
| Measure | Description | Time Frame |
|---|---|---|
| Evaluation of the presence of hepatic fibrosis by MRE (kPa). | Evaluation of the presence of hepatic fibrosis by ERM : ERM value ≥ 72.5 kPa. | Baseline (day 0) |
| Evaluation of the association between hyperglycemia (blood glucose by g/L) with the presence of Fibrosis by MRE (kPa). |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Nicolas SCHEYER, MD | Contact | +33383154302 | n.scheyer@chru-nancy.fr | |
| Guillaume DROUOT, PhD | Contact | +33383157666 | g.drouot@chru-nancy.fr |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHRU Nancy | Recruiting | Nancy | France |
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| Baseline (day 0) |
| Evaluation of the association between high blood pressure (mmHg) with the presence of Fibrosis by MRE (kPa). | Baseline (day 0) |
| Evaluation of the association between overweight (kg) with the presence of Fibrosis by MRE (kPa). | Baseline (day 0) |
| Evaluation of the association between osteoporosis (g/cm²) with the presence of Fibrosis by MRE (kPa). | Baseline (day 0) |
| Evolution of transaminases (UI/L) between the diagnosis and the last visit. | 1 year |
| Evolution of GGT (gamma-glutamyl transferase) (UI/L) between the diagnosis and the last visit. | 1 year |
| Evolution of ALP (Alkaline Phosphatases) (UI/L) between the diagnosis and the last visit | 1 year |
| Evolution of Bilirubin (mg/L) between the diagnosis and the last visit. | 1 year |
| Evolution of Albumin (g/L) between the diagnosis and the last visit. | 1 year |
| Evolution of platelets (platelets/mm3) between the diagnosis and the last visit. | 1 year |
| Evolution of ferritin (ng/mL) between the diagnosis and the last visit. | 1 year |
| ID | Term |
|---|---|
| D003480 | Cushing Syndrome |
| D024821 | Metabolic Syndrome |
| ID | Term |
|---|---|
| D000308 | Adrenocortical Hyperfunction |
| D000307 | Adrenal Gland Diseases |
| D004700 | Endocrine System Diseases |
| D007333 | Insulin Resistance |
| D006946 | Hyperinsulinism |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
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| ID | Term |
|---|---|
| D054459 | Elasticity Imaging Techniques |
| ID | Term |
|---|---|
| D014463 | Ultrasonography |
| D003952 | Diagnostic Imaging |
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
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