Status:

COMPLETED

Prospective Evaluation of Confirmatory Testing for Primary Aldosteronism

Lead Sponsor:

University of Calgary

Collaborating Sponsors:

Canadian Institutes of Health Research (CIHR)

Hypertension Canada

Conditions:

Primary Aldosteronism

Eligibility:

All Genders

18+ years

Brief Summary

This study is to evaluate the performance characteristics of the seated saline infusion test and the ultra low-dose ACTH stimulation test for the diagnosis of primary aldosteronism.

Detailed Description

This is a prospective study (with a target recruitment of 200 participants) designed to evaluate the performance characteristics of the seated saline infusion test and the ultra low-dose ACTH stimulat...

Eligibility Criteria

Inclusion

  • Individuals with hypertension
  • Individuals with an elevated screening adrenal renin ration (ARR)
  • Individuals with high probability features of primary aldosteronism (e.g., resistant hypertension, spontaneous or diuretic-induced hypokalemia, and/or an adrenal nodule) with clinical indications for adrenal vein sampling and surgery (if appropriate).

Exclusion

  • Individuals with chronic kidney disease (estimated glomerular filtration rate \<40 mL/min/1.73m2),
  • Individuals with a history of heart failure, chronic edema, uncontrolled severe hypertension (systolic blood pressure \>180 and/or diastolic blood pressure \>110 mmHg), untreated hypokalemia, cortisol-secreting adrenal adenoma, and/or pheochromocytoma
  • Individual who previously received confirmatory testing.

Key Trial Info

Start Date :

January 15 2017

Trial Type :

OBSERVATIONAL

Allocation :

ACTUAL

End Date :

August 31 2024

Estimated Enrollment :

183 Patients enrolled

Trial Details

Trial ID

NCT04422756

Start Date

January 15 2017

End Date

August 31 2024

Last Update

March 30 2025

Active Locations (1)

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University of Calgary

Calgary, Alberta, Canada