ClinicalTrials.gg
CompletedNCT04897802Updated Jan 20, 2026

Identification and Clinical Relevance of an Oxytocin Deficient State (GLP1 Study)

A Phase 4 interventional study of Experimental: GLP1-RA (exenatide) administration and Control: Placebo administration in Hypopituitarism, Central Diabetes Insipidus and Panhypopituitarism, sponsored by Fundació Institut de Recerca de l'Hospital de la Santa Creu i Sant Pau. Completed at 1 site in Spain. Open to participants aged 18 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-01-20.

Sponsored by Fundació Institut de Recerca de l'Hospital de la Santa Creu i Sant Pau · Phase 4, Interventional, and Diagnostic

Phase
Phase 4
Study type
Interventional
Enrollment
42
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

Oxytocin (OT) is a hypothalamic peptide that enters the peripheral circulation via the posterior pituitary gland. OT plays a key role in regulating appetite, psychopathology, prosocial behavior and sexual function. Hypopituitarism is associated with increased obesity, increased psychopathology, sexual and prosocial dysfunction despite appropriate hormone replacement. A few studies suggest the existence of a possible OT deficient state in hypopituitarism. In animal models, glucagon-like peptide 1 (GLP1) has shown to increase OT release.

This study is designed to evaluate OT values after administration of GLP1 in adults (healthy volunteers and patients with hypopituitarism).

The investigators hypothesize that OT response will be blunted following GLP1 receptor agonist (GLP1-RA) in patients with hypopituitarism compared to healthy controls.

Read the detailed description

This research is focused on two groups of participants: healthy controls (HC) and hypopituitary patients (HYPO) with at least one symptom of hypothalamic damage, presumably at highest risk for OT deficiency.

The aim is to improve knowledge on the physiology and patho-physiology of endogenous OT secretion in hypopituitary patients compared to healthy controls using a randomized, single-blind, crossover assignment (GLP1-RA vs placebo), placebo-control design.

Clinical implications of secretory OT dynamics and release under different stimuli using validated questionnaires to evaluate psychopathology, socio-emotional functioning, disordered eating behavior, impaired quality of life and sexual dysfunction, will be also evaluated.

02

Conditions studied

  • Hypopituitarism
  • Central Diabetes Insipidus
  • Panhypopituitarism
  • Psychological Disorder
  • Social Isolation
  • Hypothalamic Diseases
  • Pituitary Diseases
  • Oxytocin Deficiency

Keywords

  • oxytocin
  • hypopituitarism
  • diabetes insipidus
  • hypothalamic-pituitary diseases
  • psychopathology
  • exenatide
03

In context

Hypopituitarism

47 studies on the registry are indexed under Hypopituitarism; 8 are open to participants now.

This study's enrollment of 42 is above the median of 38 across 29 interventional studies indexed under Hypopituitarism.

Browse Hypopituitarism studies →

Lead sponsor

Fundació Institut de Recerca de l'Hospital de la Santa Creu i Sant Pau is the lead sponsor of 343 studies on the registry; 65 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Patients with hypopituitarism (HYPO) (>1 pituitary hormone deficiency) and stable hormone replacement for the prior three months
  • At least one clinical sign of hypothalamic damage
  • Female participants will be done in the early to midfollicular phase

Exclusion criteria

Exclusion Criteria:

  • uncorrected hormone deficiency
  • creatinine >1.5mg/dL
  • (ALT) or aspartate amino transferase (AST) >2.5x
  • hematocrit less than 30%
  • suicidality or active psychosis
  • participation in a trial with drugs within 30 days
  • using a high dose
  • Any type of diabetes mellitus
  • Obese patients on GLP1-RA therapies
  • vigorous physical exercise
  • alcohol intake within 24 hours before the study participation
  • evidence of any acute illness or any illness that the Investigator determines could interfere with study participation or safety
  • pregnancy or breastfeeding for last 8 weeks
  • known allergies towards GLP1-RA
  • patients refusing or unable to give written
  • Additionally for healthy controls: the presence of brain or pituitary tumor, radiation involving the hypothalamus or pituitary, history of hypopituitarism or receiving testosterone or glucocorticoids esters.
Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Phase 4
Primary purpose
Diagnostic
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Single (Participant)
Enrollment
42 participants (actual)

Study arms

  • Experimental
    Experimental: GLP1-RA administration

    A single dose of 10 mcg of GLP1-RA (exenatide) will be injected subcutaneously and samples will be collected over 2 hours (15 (T15), 30 (T30), 45 (T45), 60 (T60'), 90 (T90) and 120 (T120) minutes) after GLP1-RA:placebo administration to assess OT secretory patterns

    Drug: Experimental: GLP1-RA (exenatide) administration

  • Placebo comparator
    Control: Placebo administration

    Sodium Chloride 0.9% will be administered subcutaneously at equivalent volume than GLP1-RA (exenatide) administration

    Drug: Control: Placebo administration

Interventions

  • a single dose of 10 mcg of GLP-RA (exenatide) will be administered subcutaneously and samples to assess OT secretory patterns will be collected over 2 hours

    Also known as: exenatide administration

  • DrugControl: Placebo administration

    Sodium Chloride 0.9% will be administered subcutaneously at equivalent volume than 10 mcg of exenatide

    Also known as: placebo administration (sodium chloride)

06

What researchers measure

Primary outcomes

  1. Change in oxytocin concentration (pg/mL)

    Change in oxytocin concentration (pg/mL) after administration of 10 µg of GLP1-RA (exenatide) or 0.9% sodium chloride (NaCl)

    Time frame: Baseline blood exam (timepoint 0) and further blood collections after 15, 30, 45, 60, 90 and 120 minutes after baseline blood collection

Secondary outcomes

  1. Maximal change in oxytocin concentration (pg/mL)

    Change in oxytocin concentration (pg/mL) after administration of 10 µg of GLP1-RA (exenatide) or 0.9% NaCl

    Time frame: Within the two hours after the injection

  2. Overall oxytocin secretion (pg/mL)

    Oxytocin area under the curve after administration of 10 µg of GLP1-RA (exenatide) or 0.9% NaCl

    Time frame: Within the two hours after the injection

  3. Change in glucose concentration (mg/dL)

    Change in glucose concentration (mg/dL) after administration of 10 µg of GLP1-RA (exenatide) or 0.9% NaCl

    Time frame: Baseline blood exam (timepoint 0) and further blood collections after 15, 30, 45, 60, 90 and 120 minutes after baseline blood collection

  4. Change in insulin concentration (pmol/L)

    Change in insulin concentration (pmol/L) after administration of 10 µg of GLP1-RA (exenatide) or 0.9% NaCl

    Time frame: Baseline blood exam (timepoint 0) and further blood collections after 15, 30, 45, 60, 90 and 120 minutes after baseline blood collection

  5. Mood assessment

    Association between Beck Depression Inventory-2 score (range from 0 to 63, higher scores mean a worse outcome) and baseline oxytocin concentration (pg/mL)

    Time frame: Baseline

  6. Quality of life assessment

    Association between 36-item Short Form Health Survey score (range from 0 to 100, the higher scores indicate better health status) and baseline oxytocin concentration (pg/mL)

    Time frame: Baseline

  7. Impulsivity assessment

    Association between Barratt Impulsiveness Scale (range from 30 to 120, higher scores indicate greater impulsivity) and baseline oxytocin concentration (pg/mL)

    Time frame: Baseline

  8. Alexithymia assessment

    Association between Toronto Alexithymia scales-20 score (range from 20 to 100, higher scores mean a worse outcome) and baseline oxytocin concentration (pg/mL)

    Time frame: Baseline

07

Study locations

1 site
  • Hospital de la Santa Creu i Sant Pau
    Barcelona, 08041, Spain
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Sep 2021 to primary completion in Apr 2024, 31 months.

How these figures are worked out, and which studies are left out of them.

Registered
May 17, 2021
First posted
May 24, 2021
StartActual
Sep 13, 2021
Primary completionActual
Apr 30, 2024
CompletionActual
Dec 31, 2024
Last update
Jan 20, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jan 20, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT04897802
Collaborators
Instituto de Salud Carlos III
Responsible party
Sponsor
First posted
May 24, 2021
Start date
Sep 13, 2021
Primary completion
Apr 30, 2024
Completion
Dec 31, 2024
Last update
Jan 20, 2026

Study contacts

Anna Aulinas, MD PhD
principal investigator · IR-Sant Pau

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Mar 2024. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Exenatide

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