UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000053285
Receipt number R000060781
Scientific Title Investigation on the expectations for surgical treatment in patients with primary aldosteronism
Date of disclosure of the study information 2024/01/06
Last modified on 2024/07/10 17:14:44

* This page includes information on clinical trials registered in UMIN clinical trial registed system.
* We don't aim to advertise certain products or treatments


Basic information

Public title

Investigation on the expectations for surgical treatment in patients with primary aldosteronism

Acronym

Investigation on the expectations for surgical treatment in patients with primary aldosteronism

Scientific Title

Investigation on the expectations for surgical treatment in patients with primary aldosteronism

Scientific Title:Acronym

Investigation on the expectations for surgical treatment in patients with 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 diagnosis of unilateral or bilateral primary aldosteronism is currently made using the Laterality Ratio (LR) derived from invasive adrenal vein sampling. However, due to the nature of the disease, it is difficult to completely distinguish between the two, and any cutoff value for LR used to determine unilateral aldosteronism will inevitably include a certain proportion of bilateral cases. In other words, the cure rate in surgical treatment greatly depends on where the LR cutoff value is set. Therefore, this study aims to clarify the expectations of patients with primary aldosteronism regarding the effectiveness (cure rate) of surgical treatment through a survey.

Basic objectives2

Others

Basic objectives -Others

"The study aims to clarify, through a survey, the expectations of patients with primary aldosteronism regarding the effectiveness (cure rate) of surgical treatment from their perspective. Based on these survey results, a laterality ratio will be established that is grounded in these findings.

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

the effectiveness (cure rate) of surgical treatment for primary aldosteronism expected by patients.

Key secondary outcomes

factors considered by patients that influence the decision to undergo surgery, age, gender, blood pressure, BMI, blood tests (serum biochemistry test, daily fluctuation of hormones, etc.), urinalysis, confirmatory tests(captopril challenge test, furosemide and upright posture test, saline infusion test), CT scans, adrenal vein sampling, portable polysomnography, ankle brachial pressure index, cardiac ultrasound, abdominal ultrasound, carotid ultrasound, data related to treatment (antihypertensive drugs, diabetes treatment drugs, including lipid disorder treatment medications), data on lifestyle habits (smoking status, drinking status), and prognostic data (cardiovascular events, date of last follow-up)


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

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Patients who visited the Nihon University Itabashi Hospital between January 2006 and March 2026, and who were diagnosed with primary aldosteronism or suspected of having it, and consented to participate in the study.

Key exclusion criteria

Patients who refused to participate in this study and the investigator determined to be unsuitable for study

Target sample size

200


Research contact person

Name of lead principal investigator

1st name Hiroki
Middle name
Last name Kobayashi

Organization

Nihon University School of Medicine

Division name

Division of Nephrology, Hypertension and Endocrinology, Department of Internal Medicine

Zip code

173-8610

Address

30-1 Oyaguchi Kami-chou, Itabashi-ku, Tokyo

TEL

+81-3-3972-8111

Email

kobayashi.hiroki@nihon-u.ac.jp


Public contact

Name of contact person

1st name Hiroki
Middle name
Last name Kobayashi

Organization

Nihon University School of Medicine

Division name

Division of Nephrology, Hypertension and Endocrinology, Department of Internal Medicine

Zip code

173-8610

Address

30-1 Oyaguchi Kami-chou, Itabashi-ku, Tokyo

TEL

+81-3-3972-8111

Homepage URL


Email

kobayashi.hiroki@nihon-u.ac.jp


Sponsor or person

Institute

Nihon University

Institute

Department

Personal name



Funding Source

Organization

Division of Nephrology, Hypertension and Endocrinology, Department of Internal Medicine, Nihon University School of Medicine, Tokyo, Japan

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Nihon university Itabashi hospital clinical reseach center

Address

30-1 Oyaguchi Kami-chou, Itabashi-ku, Tokyo

Tel

+81-3-3972-8111

Email

med.itabashi.chiken@nihon-u.ac.jp


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

2024 Year 01 Month 06 Day


Related information

URL releasing protocol


Publication of results

Published


Result

URL related to results and publications

https://pubmed.ncbi.nlm.nih.gov/38747468/

Number of participants that the trial has enrolled

82

Results

For surgical treatment of primary aldosteronism, the median minimum treatment success rate that patients expect when undergoing surgery is 80%.

Results date posted

2024 Year 07 Month 10 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results

2024 Year 05 Month 15 Day

Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2023 Year 12 Month 26 Day

Date of IRB

2023 Year 12 Month 26 Day

Anticipated trial start date

2024 Year 01 Month 06 Day

Last follow-up date

2024 Year 07 Month 10 Day

Date of closure to data entry

2024 Year 07 Month 10 Day

Date trial data considered complete

2024 Year 07 Month 10 Day

Date analysis concluded

2024 Year 07 Month 10 Day


Other

Other related information

This study is an observational study in which the primary outcome is the effectiveness (cure rate) of surgical treatment for primary aldosteronism expected by patients.


Management information

Registered date

2024 Year 01 Month 06 Day

Last modified on

2024 Year 07 Month 10 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000060781