Pituitary & hypothalamus

Copeptin kinetics in healthy aging

J Clin Endocrinol MetabPublished Randomised controlled trial

Authors' conclusion

Copeptin kinetics are mostly preserved in healthy older adults, yet the ability to suppress copeptin after hydration is diminished.

Study context

Population
Healthy older (≥60 years) and younger (18–30 years) adults undergoing copeptin stimulation (3% saline infusion) and suppression (tap water ingestion) tests in randomized order; 50% female in both groups
Participants
16 vs 16
Comparison
Healthy older adults vs healthy younger controls
  • Older adultsn = 16
  • Younger controlsn = 16reference
Primary endpoint
Within-subject copeptin range in older adults vs younger controls
Methodological detailscross-over
  • Cross-over

Primary result

As reported in the abstract

Within-subject copeptin range

P = 0.867

Further findings

Outcomeβ (pmol·h/L) (95% CI)P value
Copeptin response to stimulationComparable between groups+3.9 (−2.9, +10.7)P = 0.020
Copeptin decrease during suppressionSmaller decrease in older adults+ .8 (+0.3, +1.3)P = 0.005

Original publication

Copeptin kinetics in healthy aging. J Clin Endocrinol Metab. Published 9 April 2026. doi:10.1210/clinem/dgag143

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