Clinical trial Recruiting at 5 sites Observational Ages 18 to 75

Assessing hidden cortisol excess in type 2 diabetes and obesity

Official title: Type 2 Diabetes, Obesity and Cortisol Excess

Run by Istituto Auxologico Italiano · NCT05759637 · Data updated 2026-11-12

This study is trying to see how common hidden high cortisol levels are in people with type 2 diabetes and in obese individuals without diabetes.

Quick facts

Study typeObservational
Ages18 Years to 75 Years
SexAll
Enrollment3200 (estimated)
SponsorIstituto Auxologico Italiano
Academic / other
Locations5 sites (Milan and 4 other locations)
StatusRecruiting
StartedMay 6, 2022
Main results expectedDecember 31, 2026
Study endsDecember 31, 2026
Registry record updatedNovember 10, 2026
Trial IDNCT05759637 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates include adults aged 18 to 75 with type 2 diabetes or obesity without type 2 diabetes.

Probably not a fit

Patients with conditions such as pregnancy, sleep apnea, or known secondary hypertension may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This observational study aims to evaluate the prevalence of hidden hypercortisolism (HidHyCo) in patients with type 2 diabetes (T2D) and in obese individuals without T2D. It will analyze the clinical characteristics associated with HidHyCo in both groups. Participants aged 18 to 75 years will be recruited from outpatient clinics specializing in diabetes and obesity. The study will involve a 1mg dexamethasone suppression test (DST) to assess cortisol levels.

Why it matters

Potential benefit: If successful, this study could lead to better identification and management of hidden hypercortisolism in patients with type 2 diabetes and obesity, potentially reducing associated complications.

How similar studies have gone: While the prevalence of hidden hypercortisolism has been noted in various populations, this specific approach to assessing it in T2D and obesity is relatively novel.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

patients with T2D and Obesity

Exclusion Criteria:

* pregnancy/breast feeding,
* sleep apnea,
* prepuberal onset of hypertension, hormonal hypersecreting adrenal mass,
* symptoms of hypercortisolism;
* already known secondary hypertension;
* conditions associated with increased hypothalamic-pituitary-adrenal (HPA) axis activity, -severe autoimmune/rheumatologic and hematologic diseases, alcoholism, kidney disease (glomerular filtration rate \<60)
* drugs influencing the HPA axis activity. For inclusion in Group 2 the presence of T2D will be an exclusion criteria

Where it's running

  • Istituto Auxologico Italiano
    Milan, Italy
    Recruiting
  • Niguarda Hospital
    Milan, Italy
    Recruiting
  • Campus Bio-Medico University
    Roma, Italy
    Recruiting
  • University of Siena
    Siena, Italy
    Recruiting
  • Azienda Ospedaliero Universitaria, Santa Maria della Misericordia di Udine
    Udine, Italy
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.