Outcome of Patients With Primary Aldosteronism
NCT04428827 · Status: UNKNOWN · Type: OBSERVATIONAL · Enrollment: 600
Last updated 2021-08-12
Summary
Majority of patients with hypertension have primary hypertension (without an underlying cause). Primary aldosteronism (PA) is the most common cause of secondary hypertension, and can be found in 5-10% of patients locally. PA is caused by excessive release of a hormone (aldosterone) from the adrenal glands, which can be unilateral (one gland) or bilateral (both glands).
It has been shown that excess aldosterone has other harmful effects in addition to hypertension, such as directly affecting the heart, blood vessels, kidneys, leading to increased cardiovascular morbidity and mortality. This is supported by studies showing reversal of these effects after treatment for PA.
The investigators aim to assess the long-term cardiovascular, and renal outcomes of patients with PA, compared to patients with essential hypertension.
Conditions
- Primary Aldosteronism
- Primary Aldosteronism Due to Aldosterone Producing Adenoma
- Primary Aldosteronism Due to Adrenal Hyperplasia (Bilateral)
- Adrenalectomy; Status
- Mineralocorticoid Excess
- Mineralocorticoid Antagonists [Aldosterone Antagonists] Causing Adverse Effects in Therapeutic Use
- Cardiovascular Morbidity
- Chronic Renal Disease
- Hypokalemia
Interventions
- PROCEDURE
-
Unilateral adrenalectomy in patients with unilateral disease
Unilateral adrenalectomy in patients with unilateral disease
Sponsors & Collaborators
-
Singapore General Hospital
collaborator OTHER -
Changi General Hospital
lead OTHER
Principal Investigators
-
Troy Puar, MRCP · Changi General Hospital
Eligibility
- Min Age
- 14 Years
- Max Age
- 100 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2016-10-01
- Primary Completion
- 2022-07-30
- Completion
- 2022-07-30
Countries
- Singapore
Study Locations
More Related Trials
-
Is the Evolution of the Aldosterone-renin Ratio Pre- Versus Post-operative on Day 1 Following Unilateral Adrenalectomy for Primary Hyperaldosteronism Predictive of Blood Pressure Outcomes
NCT07110155 ·Status: NOT_YET_RECRUITING
-
Primary Aldosteronism in General Practice: Organ Damage, Epidemiology and Treatment
NCT01728493 ·Status: COMPLETED
-
Predicting Reduction of Hypertension After Adrenalectomy for Primary Aldosteronism: a Multicenter Analysis
NCT04761354 ·Status: COMPLETED
-
Adrenal Artery Ablation Treats Primary Aldosteronism
NCT03398785 ·Status: COMPLETED ·Phase: PHASE3
-
Primary Aldosteronism and Surgically Curable Forms in Hypertension Patients Using 11C-Metomidate
NCT03990701 ·Status: COMPLETED ·Phase: EARLY_PHASE1
-
Adrenal Artery Ablation for Primary Aldosteronism
NCT03653845 ·Status: UNKNOWN ·Phase: PHASE3
-
The Plasma Metabolomics Profiling of Primary Aldosteronism
NCT06500000 ·Status: COMPLETED
-
Superselective Adrenal Arterial Embolization for Bilateral Idiopathic Hyperaldosteronism: A Prospective Cohort Study
NCT05186675 ·Status: UNKNOWN ·Phase: NA
-
Efficacy of Spironolactone Combined With Antihypertensive Drugs in Patients With Primary Aldosteronism
NCT07137364 ·Status: RECRUITING
-
Adrenal Artery Ablation for Primary Aldosteronism With Resistant Hypertension
NCT04345198 ·Status: COMPLETED ·Phase: NA
-
Multi-omics Studies of Primary Aldosteronism
NCT07111351 ·Status: RECRUITING
-
Adrenal Artery Ablation for Uncontrolled Hypertension
NCT03660397 ·Status: UNKNOWN ·Phase: PHASE3
-
Trial of Aldosterone-hybrid SteRoid for Guiding curablE Treatment of Primary Aldosteronism (TARGET-PA)
NCT07297745 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Cardiovascular Manifestations of MR Activation in Primary Aldosteronism: Pilot Clinical Study
NCT05030545 ·Status: RECRUITING ·Phase: PHASE4
-
The Effect of SAAE on Ventricular Remodeling in PA Patients
NCT05501080 ·Status: RECRUITING ·Phase: NA
-
Cardiovascular Evaluation of Adult PHA 1 Patients
NCT00646828 ·Status: COMPLETED
-
Superselective Adrenal Arterial Embolization Versus Oral Spironolactone for Treatment of Idiopathic Hyperaldosteronism
NCT07328230 ·Status: RECRUITING ·Phase: NA
-
Tissue Sodium Quantification in Patients With Primary Aldosteronism: See Sodium to Treat
NCT06569589 ·Status: RECRUITING
-
The Comparison of Single Catheter and Double Catheter Adrenal Vein Sampling Methods Based on the Upper Limb Approach
NCT06737848 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Diagnosing Variable Primary Aldosteronism.
NCT05765786 ·Status: RECRUITING
-
Primary Aldosteronism in Western Norway
NCT02832388 ·Status: RECRUITING
-
Does Aldosterone Cause Hypertension by a Non-Renal Mechanism?
NCT00553722 ·Status: UNKNOWN ·Phase: PHASE4
-
Investigating Salt Taste Threshold in Patients Being Investigated for Primary Hyperaldosteronism Before and After Treatment.
NCT04556279 ·Status: WITHDRAWN
-
Tissue K+ in Primary Hyperaldosteronism
NCT04251780 ·Status: COMPLETED
-
Electronic Alert to Improve Testing For Primary Aldosteronism in Patients With Hypertension
NCT05925569 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA