Primary Aldosteronism and Surgically Curable Forms in Hypertension Patients Using 11C-Metomidate
NCT03990701 · Status: COMPLETED · Phase: EARLY_PHASE1 · Type: INTERVENTIONAL · Enrollment: 25
Last updated 2021-06-01
Summary
10% of patients with hypertension potentially have the treatable condition - primary aldosteronism. Primary aldosteronism (PA) is caused by either bilateral adrenal disease (\~40%), managed with lifelong medications; or unilateral disease (\~60%), cured with laparoscopic surgery (adrenalectomy). Unfortunately, many patients with curable hypertension remain undiagnosed and consequently develop cardiac disease and strokes. The difficulty with identifying curable unilateral disease is due to adrenal vein sampling (AVS): an invasive, and technically-difficult procedure, with inconclusive results in 50% of patients. An alternative novel imaging, 11C-metomidate Positron emission tomography-computed tomography (PET-CT), can detect adrenal tumors, and concurrently confirm their over-activity. It is non-invasive, non-operator-dependent, and can identify more patients with curable hypertension.
Investigators hypothesize that 11C-metomidate PET-CT can accurately identify patients with surgically-curable unilateral adrenal disease among hypertensive Asians with primary aldosteronism.
Conditions
- Primary Aldosteronism
- Primary Aldosteronism Due to Aldosterone Producing Adenoma
Interventions
- COMBINATION_PRODUCT
-
11C-Metomidate PET/CT Scan
11C-Metomidate PET/CT imaging at Clinical Imaging Research Centre
Sponsors & Collaborators
-
National University Health System, Singapore
collaborator OTHER -
Clinical Imaging Research Centre
collaborator UNKNOWN -
Singapore General Hospital
collaborator OTHER -
Tan Tock Seng Hospital
collaborator OTHER -
Khoo Teck Puat Hospital
collaborator OTHER -
Ng Teng Fong General Hospital
collaborator OTHER -
Changi General Hospital
lead OTHER
Study Design
- Allocation
- NA
- Purpose
- DIAGNOSTIC
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 21 Years
- Max Age
- 70 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2018-05-21
- Primary Completion
- 2021-03-30
- Completion
- 2021-03-30
Countries
- Singapore
Study Locations
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