Dopamine Agonists Withdrawal Study of Invasive Prolactinomas Involving the Cavernous Sinus
Study Details
Study Description
Brief Summary
The purpose of this study is to observe whether dopamine agonists can be safely withdrawn after the tumor volume and prolactin level of invasive prolactinomas involving the cavernous sinus have been effectively controlled through pharmacological treatment.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
|
Detailed Description
For giant or large invasive prolactinomas involving the cavernous sinus, whether the drug can be safely withdrawn after the tumor volume and prolactin(PRL) level have been effectively controlled through pharmacological treatment still remains unknown. The study objects are patients with invasive prolactinomas involving the cavernous sinus, which were invaded the cavernous sinus to an extent corresponding to Grade III or IV, according to the classification scheme of Knosp and colleagues, who had undergone pharmacological treatment including bromocriptine or cabergoline. Observation will be started after drug withdrawal criteria are reached (PRL remains normal level for no less than two years; tumor volume has shrank more than 50%, and the distance is more than 5mm between tumor and optical nerve),the patients are randomized to withdrawal group or continue treatment group.Observational items include changes of PRL level, tumor volume as well as vision acuity and visual fields. If elevated PRL or tumor relapse is observed, pharmacological treatment will be restarted.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Withdrawal group Withdrawal observation after reaching the withdrawal standard |
|
| Continue treatment group Continue treatment obsevation after reaching the withdrawal standard |
Outcome Measures
Primary Outcome Measures
- Change from baseline on PRL level [Up to 2 years]
Record the result of PRL on every 3 month follow-up visit
Secondary Outcome Measures
- Change from baseline on tumor volume measured by enhanced pituitary Magnetic Resonance Imaging（MRI） [Up to 2 years]
Record the tumor volume from enhanced pituitary MRI on every 3 month follow-up visits
- Change from baseline of visual acuity [Up to 2 years]
Record the Visual acuity on every 3 month follow-up visit
- Change from baseline on 5 point visual field scale [Up to 2 years]
Record the Visual field scale on every 3 month follow-up visit, 0 = normal, no vision loss; 1 = one quadrant vision loss; 2 = two quadrants of vision loss; 3 = three quadrants of vision loss; 4 = four quadrants of vision loss but retain a central tubular vision; 5 = blind
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Aged between 15 and 70 years old, either sex;
-
Karnofsky performance status ≥ 70;
-
Patients who were suffered Invasive prolactinomas involving the cavernous sinus , referring to ①Serum prolactin level>200ng/ml, or >4000mIU/L;②enhanced Magnetic Resonance images confirm tumor invasion into cavernous sinus, i.e. Knosp grade Ⅲ or Ⅳ, and were treated by dopamine agonists treatment;
-
PRL remains normal level for no less than two years;
-
Tumor volume has shrank more than 50%, and the distance is more than 5mm between tumor and optical nerve;
-
The patient has signed the informed consent.
Exclusion Criteria:
-
Patients concomitantly taking the psychotropic drugs or other drugs causing elevated PRL ;
-
Patients with parkinson disease and is taking dopaminergic agents;
-
Patients with prolactinoma who received Gamma knife treatment;
-
Patients who use any dopamine receptor agonists other than bromocriptine and cabergoline;
-
Patients taking the other prolactinomas simultaneously;
-
pregnant or lactating women, or women preparing pregnant;
-
Patients with poor compliance, who cannot implement the program strictly.
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Beijing Tiantan Hospital | Beijing | Beijing | China | |
| 2 | Peking Union Medical College Hospital | Beijing | Beijing | China | |
| 3 | Xinqiao Hospital of Chongqing | Chongqing | Chongqing | China | |
| 4 | First Affiliated Hospital of Fujian Medical University | Fuzhou | Fujian | China | |
| 5 | The First Hospital of China Medical University | Shenyang | Liaoning | China | |
| 6 | Ruijin Hosipital | Shanghai | Shanghai | China | 200025 |
| 7 | Huashan Hospital | Shanghai | Shanghai | China | |
| 8 | First Affiliated Hospital of Wenzhou Medical University | Wenzhou | Zhejiang | China |
Sponsors and Collaborators
- Zhebao Wu
- Xinqiao Hospital of Chongqing
- First Hospital of China Medical University
- Beijing Tiantan Hospital
- First Affiliated Hospital of Wenzhou Medical University
- First Affiliated Hospital of Fujian Medical University
- Peking Union Medical College Hospital
- Huashan Hospital
Investigators
- Study Chair: Zhebao Wu, Medical PhD, Ruijin Hospital
Study Documents (Full-Text)
None provided.More Information
Publications
- Wu ZB, Su ZP, Wu JS, Zheng WM, Zhuge QC, Zhong M. Five years follow-up of invasive prolactinomas with special reference to the control of cavernous sinus invasion. Pituitary. 2008;11(1):63-70.
- Wu ZB, Yu CJ, Su ZP, Zhuge QC, Wu JS, Zheng WM. Bromocriptine treatment of invasive giant prolactinomas involving the cavernous sinus: results of a long-term follow up. J Neurosurg. 2006 Jan;104(1):54-61.
- WSIP-1586