UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000022657
Receipt number R000026115
Scientific Title The ACTH stimulation test and computed tomography are useful for determining the subtype of primary aldosteronis m
Date of disclosure of the study information 2016/06/08
Last modified on 2016/06/08 10:55:31

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Basic information

Public title

The ACTH stimulation test and computed tomography are useful for determining the subtype of primary aldosteronis m

Acronym

Useful test and value for determining the subtype of primary aldosteronism

Scientific Title

The ACTH stimulation test and computed tomography are useful for determining the subtype of primary aldosteronis m

Scientific Title:Acronym

Useful test and value for determining the subtype of primary aldosteronism

Region

Japan


Condition

Condition

Primary aldosteronism

Classification by specialty

Endocrinology and Metabolism

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The diagnostic steps for primary aldosteronism (PA) include case screening tests, confirmatory tests, and localization. The aim of this study was to investigate useful confirmatory tests and their cut-off values for determining the subtype of primary aldosteronism, especially in unilateral PA, such as aldosterone-producing adenoma, and bilateral PA, such as idiopathic hyperaldosteronism.

Basic objectives2

Others

Basic objectives -Others

Adrenal venous sampling (AVS) is the gold-standard test to differentiate unilateral from bilateral disease. However, AVS is far from easy to perform for all patients with PA because of some problems.Therefore, bilateral cases of patients with PA should be identified in a minimally invasive manner before performing AVS.

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Investigation of usefulness confirmatory test and
value for determining the subtype of primary aldosteronism

Key secondary outcomes



Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit


Not applicable

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

The medical records of patients diagnosed with PA by confirmatory testing and localization by AVS were retrospectively analyzed. Ninety patients admitted to Nippon Medical School Hospital for AVS from January 2009 to March 2015 were examined. The diagnosis was confirmed by endocrinological examinations such as confirmatory tests (CCT, FUT and SIT) and ACTH-stimulated AVS (ACTH-AVS).

Key exclusion criteria

A patient who had iodine allergy and used steroid during AVS
Five patients who were diagnosed with subclinical Cushing's syndrome
Four patients taking antihypertensive drugs other than calcium channel blockers and a blockers for refractory hypertension
One patient with suspected bilateral aldosterone producing adenomas
Two patients with unsuccessful AVS
One patient who had aldosterone excess and LR over 2.6 on AVS, but CR was over 1.0

Target sample size

76


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Hitoshi Sugihara

Organization

Graduate School of Medicine, Nippon Medical School

Division name

Department of Endocrinology, Diabetes and Metabolism

Zip code


Address

1-1-5, Sendagi, Bunkyo-ku, Tokyo, 113-8603, Japan

TEL

03-3822-2131

Email

hitoshi@nms.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name AYAKO MORIYA

Organization

Graduate School of Medicine, Nippon Medical School

Division name

Department of Endocrinology, Diabetes and Metabolism

Zip code


Address

1-1-5, Sendagi, Bunkyo-ku, Tokyo, 113-8603, Japan

TEL

03-3822-2131

Homepage URL


Email

ayako0414@nms.ac.jp


Sponsor or person

Institute

Graduate School of Medicine, Nippon Medical School

Institute

Department

Personal name



Funding Source

Organization

Graduate School of Medicine, Nippon Medical School

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2016 Year 06 Month 08 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2009 Year 01 Month 01 Day

Date of IRB


Anticipated trial start date

2009 Year 01 Month 01 Day

Last follow-up date


Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

retrospective review


Management information

Registered date

2016 Year 06 Month 08 Day

Last modified on

2016 Year 06 Month 08 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000026115


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name