Prospective Evaluation of Confirmatory Testing for Primary Aldosteronism
NCT04422756 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 183
Last updated 2025-03-30
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.
Conditions
- Primary Aldosteronism
Interventions
- DIAGNOSTIC_TEST
-
Seated intravenous saline infusion test
The test will be conducted by infusing two litres of normal saline intravenously over 4 hours with the patient seated.Blood collection (for aldosterone, cortisol, renin, and electrolytes) will be performed at baseline and after completion of the infusion. Following infusion, plasma aldosterone levels \<140 pmol/L will be considered as "negative," levels \>280 pmol/L as "positive," and levels in between classified as indeterminate.
- DIAGNOSTIC_TEST
-
Ultra low-dose ACTH stimulation test
The test will be performed by injecting 0.03 mcg of ACTH intravenously. Blood collection (for aldosterone, cortisol, and renin) will be performed at baseline and after 15 minutes. We expect a "positive" response to correspond with a plasma aldosterone \>2200 pmol/L and ARR \>220 pmol/L/mIU/L following stimulation.
Sponsors & Collaborators
-
Canadian Institutes of Health Research (CIHR)
collaborator OTHER_GOV -
Hypertension Canada
collaborator OTHER -
University of Calgary
lead OTHER
Principal Investigators
-
Alexander Leung, Asst. Prof · University of Calgary
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2017-01-15
- Primary Completion
- 2024-08-31
- Completion
- 2024-08-31
Countries
- Canada
Study Locations
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