Evidence map›Paper›PMID 39656185›Full record

ReviewThe Journal of clinical endocrinology and metabolism2025

Extended-release Hydrocortisone Formulations-Is There a Clinically Meaningful Benefit?

Sandra D Steintorsdottir, Marianne Øksnes, Anders P Jørgensen, Eystein S Husebye

Abstract readReview
In one paragraph

Review in The Journal of clinical endocrinology and metabolism, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Sandra D SteintorsdottirDepartment of Clinical Medicine, University of Bergen, Bergen N-5020, Norway.
Marianne ØksnesDepartment of Clinical Medicine, University of Bergen, Bergen N-5020, Norway.
Anders P JørgensenDepartment of Endocrinology, Oslo University Hospital, Oslo N-0424, Norway.
Eystein S HusebyeDepartment of Clinical Medicine, University of Bergen, Bergen N-5020, Norway.ORCID 0000-0002-7886-2976

Funding

KlinBeforskThe Regional Health Authorities of Norway
6 · The paper itself

Abstract

Despite best practice replacement therapy with corticosteroids, patients with adrenal insufficiency report diminished quality of life and face increased mortality and morbidity. Conventional formulations of hydrocortisone have short half-lives (about 90 minutes) requiring multiple dosing during the day. Since 2011, extended-release hydrocortisone (ER-HC) formulations have been available enabling once-, sometimes twice-daily dosing. Most studies comparing ER-HC formulations with conventional hydrocortisone therapy report reduction in body weight, blood pressure and glucose levels, and improved quality of life. However, it is still unclear if the reported beneficiary effects are due to differences in cortisol exposure or alterations in pharmacokinetics. Here, we review studies comparing conventional and ER-HC treatment in adrenal insufficiency and discuss whether these novel formulations are safe and offer clinically significant benefits.

Indexed as

Adrenal InsufficiencyHormone Replacement TherapyHydrocortisoneDelayed-Action PreparationsHumansQuality of LifeTreatment OutcomeDelayed-Action PreparationsHydrocortisoneAddison's diseaseadrenal insufficiencyextended-release hydrocortisone (ER-HC)glucocorticoid replacement therapyimmediate-release hydrocortisone (IR-HC)

Identifiers

PMID39656185
PMCPMC11834724

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.