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NCT04269928

Effects of Adrenal Artery Ablation and Adrenalectomy in Patients With Primary Aldosteronism

Completed Last updated 22 March 2024
What this trial tests

trial testing Endovascular chemical ablation of adrenal gland in Primary Aldosteronism in 110 participants. Completed in 1 June 2021.

Timeline
19 January 2016
Primary endpoint
30 December 2019
1 June 2021

Quick facts

Lead sponsorThird Military Medical University
StatusCompleted
Study typeOBSERVATIONAL
Enrollment110
Start date19 January 2016
Primary completion30 December 2019
Estimated completion1 June 2021
Sites1 location across China

Drugs / interventions tested

Conditions studied

Sponsor

Third Military Medical University

Who can join

Adults 30 to 65, any sex, with Primary Aldosteronism or Hypertension. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Primary aldosteronism (PA) is the main cause of secondary hypertension, affecting 5-15% of the general hypertensive population. Early diagnosis and treatment are of crucial importance as patients with PA are more susceptible to cardiovascular and cerebrovascular morbidity and mortality than blood-pressure-matched hypertensive patients. Current guidelines indicate that mineralocorticoid receptor (MR) antagonists and laparoscopic adrenalectomy are the principal treatments for PA.Laparoscopic adrenalectomy is recommended for patients with aldosteronoma or unilateral adrenal hyperplasia. During the past two decades, catheter-based arterial embolization or computed tomography (CT)-guided radiofrequency thermogenesis have been used for aldosteronomas treatment. Although these procedures are claimed to be effective for treatment of aldosteronomas, the evidence comes mostly from case reports or small series. In addition, some PA patients refuse surgery and are intolerant of the adverse effects of MR antagonists; others have persistence of PA after adrenelectomy, but respond poorly to MR antagonists. An alternative therapy is needed in such cases. In recent years, adrenal artery ablation has also been used to treat primary aldosteronism, which can reduce the level of aldosterone and blood pressure, but its efficacy and safety are not clear. To confirm the effect of adrenal artery ablation on blood pressure, RAAS system and blood potassium, the researchers conducted a parallel control clinical study of patients with primary aldosteronism (Aldosteronoma).

Publications & conference data

No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.

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Other recruiting trials for Primary Aldosteronism

Currently open trials in the same condition.

Other Third Military Medical University trials

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Data sources for this page

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