Actively Recruiting

Age: 18Years +
All Genders
ID05765786

Do we Miss a Common Subset of Primary Aldosteronism in Which There is Cyclical or Exaggerated Diurnal Variation in Secretion?

Led by Queen Mary University of London · Updated on 2025-06-08

100

Participants Needed

1

Research Sites

N/A

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are investigating whether measuring aldosterone levels in a 24-hour urine sample can better detect Primary Aldosteronism (PA), a condition causing high blood pressure. The study also explores if aldosterone production varies during the day or follows a cyclical pattern in people with this condition. Understanding these patterns may help diagnose more individuals with PA, especially those with variable aldosterone levels. Participants will provide a 24-hour urine sample to measure aldosterone metabolites. They will also undergo multiple blood tests throughout the day to assess changes in aldosterone secretion. This observational study does not involve treatment but focuses on evaluating aldosterone patterns over a 12-month period. During the study, participants will be monitored with urine and blood tests to measure aldosterone levels and variability. Researchers will analyze the sensitivity and specificity of the 24-hour urine test, compare day and night urine measurements, and observe variations in aldosterone secretion. Outcomes include clinical and biochemical cure rates in those who may undergo adrenalectomy. The study lasts at least 12 months, with ongoing assessments during this time.

CONDITIONS

Brief Title

Diagnosing Variable Primary Aldosteronism.

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • People with suspected Primary Aldosteronism based on low renin, high plasma sodium, or low plasma potassium
  • Patients diagnosed with Primary Aldosteronism but with aldosterone levels below 277 pmol/L
  • Patients with aldosterone test results showing variability at different times
  • Willingness to consent and participate in the study
Not Eligible

You will not qualify if you...

  • Inability to stop beta-adrenoceptor blocker therapy for two weeks
  • Receiving end-of-life treatment

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

Diagnostic Evaluation

Duration - Up to 12 months

Participants provide 24-hour urine samples and multiple blood tests throughout the day to assess aldosterone secretion variability.

Multiple visits during the day for blood tests and 24-hour urine collection

Trial Site Locations

Total: 1 location

1

Queen Mary University of London

London, United Kingdom

Actively Recruiting

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Research Team

Y

Yun Ni Lee

T

Tumi Kaminskas

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

0

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