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The Short Synacthen (Corticotropin) Test Can Be Used to Predict Recovery of Hypothalamo-Pituitary-Adrenal Axis Function

Plain-language guide to PMID 29846658 (2018): observational study of ACTH (Corticotropin) and Cosyntropin.

Key Facts

PMID
29846658
Journal
The Journal of clinical endocrinology and metabolism
Year
2018
Study type
Observational Study
Authors
Pofi R et al. (11 authors)
DOI
10.1210/jc.2018-00529

What This Study Did, in Plain Language

What Was Tested

This observational study looks at ACTH (Corticotropin) and Cosyntropin.

The 250-μg short Synacthen (corticotropin) test (SST) is the most commonly used tool to assess hypothalamo-pituitary-adrenal (HPA) axis function.

To use the SST results to predict adrenal recovery.

Why It Was Studied

There are many potentially reversible causes of adrenal insufficiency (AI), but no data to guide clinicians as to the frequency of repeat testing or likelihood of HPA axis recovery.

Who Took Part

By PubMed's age tags, the people studied were adults, middle-aged adults and older adults, both men and women.

Seven hundred seventy-six patients with reversible causes of AI were identified who had at least two SSTs performed.

How the Study Was Run

A retrospective analysis of 1912 SSTs data.

What Was Measured

There are many potentially reversible causes of adrenal insufficiency (AI), but no data to guide clinicians as to the frequency of repeat testing or likelihood of HPA axis recovery.

The subject headings attached to it are Adrenal Insufficiency, Adrenocorticotropic Hormone, Hydrocortisone, Hypothalamo-Hypophyseal System, Pituitary-Adrenal Function Tests, Pituitary-Adrenal System and Prognosis.

What This Means in Plain Language

This is an observational study of ACTH (Corticotropin) and Cosyntropin.

Its findings take up roughly 5 sentences of the abstract and are left out here on purpose; the source paper is the place to read them.

The publication is from 2018 (The Journal of clinical endocrinology and metabolism), a journal based in United States.

More context: the ACTH (Corticotropin) compound page and the Cosyntropin compound page, all human trials.

Our Notes on the Compounds

ACTH (Corticotropin): The 39-amino-acid pituitary hormone that drives cortisol production; given as repository corticotropin (Acthar Gel).

Cosyntropin: A synthetic 24-amino-acid fragment of ACTH (also tetracosactide, Synacthen) used mainly in the adrenal stimulation test.

Related Pages

Source: PubMed record. This explanation is written by PeptideWhiz from the public record. For research and education only. Not medical advice; no dosing information is given.