Pediatric endocrinology

Oral Levodopa Stimulates Copeptin Secretion in Children and Adolescents with Intact Posterior Pituitary Function

Endocr PractPublished Prospective cohort study

Authors' conclusion

Oral levodopa could be used to stimulate copeptin.

Study context

Population
Patients <18 years with short stature, no polyuria or polydipsia, undergoing levodopa stimulation test for suspected GHD, May 2023–Nov 2023final analysis
Participants
44 patients
Exposure
Levodopa stimulation test vs insulin tolerance test
Outcome
Effect of oral levodopa on copeptin secretion
Follow-up
0, 30, 60, 90 and 120 min
Methodological detailsobservational, single-centre
  • Observational
  • Single-centre

Main finding

As reported in the abstract

Copeptin in the levodopa stimulation test

Copeptin at baseline, median (IQR)

5.20 (3.51, 8.25) pmol/L

Maximum copeptin, median (IQR)

19.36 (8.97, 108.08) pmol/L

P < .001

Peak vs baseline, times

3.94

1.41, 13.88P < .001

Observational data: associations, not effects.

Further findings

Peak copeptin, levodopa test vs insulin tolerance test · significantly higher with levodopa · part of patients

P = 0.009

Levodopa dose

Higher copeptin was associated with a larger dose of levodopa

Original publication

Oral Levodopa Stimulates Copeptin Secretion in Children and Adolescents with Intact Posterior Pituitary Function. Endocr Pract. Published 24 August 2024. doi:10.1016/j.eprac.2024.08.006

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