Corticorelin Explained

Corticorelin (INN, trade name Xerecept) is a diagnostic agent. It is a synthetic form of human corticotropin-releasing hormone (hCRH).^[1]

Medical uses

The corticorelin stimulation test helps to differentiate between the causes for adrenocorticotropic hormone (ACTH)-dependent hypercortisolism. It is used to distinguish a pituitary source of excessive ACTH secretion from a different source.

• If corticorelin injection increases plasma levels of ACTH and cortisol, a diagnosis of Cushing's disease is achieved (ACTH of pituitary origin).
• If corticorelin injection leads to little or no response in plasma levels of ACTH or cortisol, a diagnosis of ectopic ACTH syndrome is confirmed.

Side effects

The most common side effects (in 1% to 10% of patients) are transient dysosmia and dysgeusia (distortion of the sense of smell and taste), as well as a sensation of warmth. About 0.1 to 1% of patients experience hypersensitivity, hypotension (lowering of blood pressure), tachycardia (increased heart rate), flush, dyspnoea (breathing difficulties), a cold sensation in the throat, the urge to urinate, and dizziness. Pituitary apoplexy has been reported in patients with pituitary tumours.

Interactions

The effects of corticorelin are reduced by corticosteroids, antihistamines, antiserotonergics and oxytocin. They are amplified by vasopressin and its analogues.^[2]

See also

• ACTH stimulation test
• Dexamethasone suppression test
• Metyrapone
• Pituitary-adrenal axis
• Tetracosactide

Notes and References

1. Andoh K, Kimura T, Saeki I . General pharmacological properties of the human corticotropin-releasing hormone corticorelin (human) . Arzneimittelforschung . 44 . 6 . 715–26 . June 1994 . 8053970 . etal.
2. Book: Austria-Codex. Österreichischer Apothekerverlag. Vienna. 2018. de.