University of Padua

Clinical and pharmacological determinants of serum dexamethasone concentrations during 1-mg DST

Ceccato, Filippo (2026) Clinical and pharmacological determinants of serum dexamethasone concentrations during 1-mg DST. [Data Collection]

Collection description

Context: The 1-mg overnight dexamethasone suppression test (1-mg DST) is widely used to screen for hypercortisolism, but its interpretation may be affected by variability in dexamethasone exposure due to clinical and pharmacological factors. Objective: To evaluate determinants of serum dexamethasone levels during 1-mg DST and their impact on test interpretation. Methods: Observational study including 546 patients undergoing 1-mg DST with measurement of serum cortisol and dexamethasone levels. Clinical variables (age, BMI, eGFR) and concomitant medications were analyzed. Associations with dexamethasone levels were assessed using multivariable linear regression; suboptimal exposure (<4.5 nmol/L) was evaluated by logistic analysis.

DOI: 10.25430/researchdata.cab.unipd.it.00001906
Keywords: Dexamethasone suppression test; Cushing’s syndrome; mild autonomous cortisol secretion; non-functioning adrenal incidentaloma.
Subjects: Life Sciences > Physiology, Pathophysiology and Endocrinology: Organ physiology, pathophysiology, endocrinology, metabolism, ageing, tumorigenesis, cardiovascular diseases, metabolic syndromes > Comparative physiology and pathophysiology
Department: Departments > Dipartimento di Medicina (DIMED)
Depositing User: Filippo Ceccato
Date Deposited: 01 Sep 2026 07:20
Last Modified: 03 Sep 2026 07:43
Creators/Authors:
CreatorsEmailORCID
Ceccato, Filippofilippo.ceccato@unipd.itorcid.org/0000-0003-1456-8716
Type of data: Mixed
Collection period:
FromTo
10 May 201931 December 2025
Geographic coverage: Italy
Statement on legal, ethical and access issues: This study was approved by the Ethics Committee of Padova University-Hospital (PITACORA, protocol number AOP3318, Ethics Committee registration 5938-AO-24), and all patients provided informed consent.
Resource language: english
Metadata language: english
Publisher: Research Data Unipd
Date: 31 August 2026
Copyright holders: The Author
URI: https://researchdata.cab.unipd.it/id/eprint/1906

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