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Taking people in ItalyNo phase

Impact of Adrenal IncidenTalomas and Possible Autonomous Cortisol Secretion on Cardiovascular and Metabolic Alterations

Key facts

Who runs it
University of Roma La Sapienza
Where
Rome, ItalySee the site
Trial code
Status
Recruiting
People taking part
68 people, planned
Started
2 Jan 2019
Planned end
31 Dec 2025
Type of study
Observational, 4 groups
Treatments tested
  • Adrenalectomy
Record updated
28 March 2025

Who can take part

Age
18 years to 80 years
Sex
Women and men
Healthy volunteers
Can take part

The registry criteria, word for word

Show all 5 criteriaShow less

Who can take part

  • Incidentally detected adrenal mass

Who cannot take part

  • Patients taking medications influencing glucocorticoid production or metabolism
  • Patients with overt Cushing's syndrome, pheochromocytoma, Conn syndrome, adrenocortical carcinoma, late-onset congenital adrenal hyperplasia, adrenal metastasis and adrenal hemorrhage
  • Patients with psychiatric diseases or alcohol abuse
  • Pregnancy

Check if you might fit

Answer for yourself. This is not a decision: only the study team can say whether you can take part.

  • Are you between 18 and 80 years old?

Where in Italy

  • Department of Experimental MedicineRome, ItalyContact: Andrea M Isidori, MD, PhDTaking people

About the trial

What the trial wants to find out

The investigators hypothesize that cardiovascular and metabolic alterations can occur in patients with adrenal adenomas and possible Autonomous Cortisol Secretion (pACS). Investigators hypothesize that adrenalectomy in selected patients, following the 2016 European Congress of Endocrinology (ECE) guidelines, can improve metabolic parameters and cardiovascular risks and features.

The 4 groups in the trial

  • Patients with non-functioning adrenal adenoma

    Patients with incidentally discovered adrenal mass with 1mg-DST serum cortisol levels lower than 50 nmol/L

  • Patients with pACS receiving conservative management

    Patients with incidentally discovered adrenal mass with 1mg-DST serum cortisol levels greater than 50 nmol/L receiving conservative management

  • Patients with pACS receiving adrenalectomy

    Patients with incidentally discovered adrenal mass with 1mg-DST serum cortisol levels greater than 50 nmol/L receiving adrenalectomy according to the 2016 European Society of Endocrinology guidelines

    Treatment: Adrenalectomy

  • Healthy controls

    Patients without adrenal masses

Questions to ask the study team

  1. How often do I need to come in, and for how long each time?
  2. Are travel costs paid?
  3. Can I keep my own doctor?
  4. What happens if I want to stop?

Contact the study team: see the registry record → Contacts and Locations

Print a page for my doctor

Data and sources

Registry record
Listed on ClinicalTrials.gov.
Official title
Impact of Adrenal IncidenTalomas and Possible Autonomous Cortisol Secretion on Cardiovascular and Metabolic Alterations (ITACA Study)
Fit questions
Built from NCT04127552, who can take part
Record updated
28 March 2025