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Primary Aldosteronism Due to Aldosterone Producing AdenomaRSDAHNCT02642445

Renal Sympathetic Denervation From The Adventitia on Hypertension

A study testing Renal Sympathetic Denervation in people with Primary Aldosteronism Due to Aldosterone Producing Adenoma, run by Henan Institute of Cardiovascular Epidemiology at 1 site in China.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Renal sympathetic denervation from the intima of renal arteries has become an important method for the treatment of resistant hypertension, but renal sympathetic nerve are mainly located in the adventitia, and there is no report about renal sympathetic denervation from the renal adventitia. Read more about this study

Who is it for?
Ages 18 to 70 years
What is being tested?
Renal Sympathetic Denervation
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
60 participants
Where
1 siteChina
Study dates
Dec 2016to 31 Dec 2019
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 70 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • . Renal artery diameter ≥4 mm and Length ≥20 mm;
  • . 18 years old ≤ age ≤ 70 years old;
  • . Specific diagnosis of adrenal adenoma and primary aldosteronism before the patients are enrolled in the study;
  • . Clinic systolic blood pressure≥160 mmHg and/or diastolic blood pressure≥100 mmHg (patients with type 2 diabetes: clinic systolic blood pressure≥150 mmHg and/or diastolic blood pressure≥95 mmHg) .
  • . 24 hours ambulatory blood pressure (SBP/DBP)≥140 and/or 90 mmHg;
  • . Estimated GFR (eGFR)≥45 ml/min / 1.73 m2.

Who cannot join

  • . Renal artery abnormalities include: either side renal arterial blood flow mechanics or anatomical obvious stenosis (≥50% ); Underwent renal artery balloon angioplasty or inserting a stent; Renal artery anatomy apparently is unusual to insert catheter;
  • . Cardiovascular instability includes: myocardial infarction in six months, unstable angina or cerebrovascular disease; Thrombus or unstable plaques in the arteries with extensive atherosclerosis; Hemodynamic apparently change in patients with heart valve disease;
  • . The patients with typeⅠdiabetes;
  • . Other serious organic disease;
  • . Participated in other clinical research.

Trial locations and contacts

1 site in 1 country.

China1 site
  • Zhengzhou university People's Hospital

    Zhengzhou, Henan, 450000

Other trials in China

About this study

Official title: Efficacy and Safety of Renal Sympathetic Denervation From The Adventitia on Hypertension in Patients With Primary Aldosteronism

Renal sympathetic denervation from the intima of renal arteries has become an important method for the treatment of resistant hypertension, but renal sympathetic nerve are mainly located in the adventitia, and there is no report about renal sympathetic denervation from the renal adventitia. Primary aldosteronism is an important factor of secondary hypertension, tumor aldosterone in unilateral adrenal can increase the concentration of plasma aldosterone, in some patients blood pressure control is still not desirable after resection of tumor aldosterone. This study intends to conduct renal sympathetic denervation ablation from the adventitia to observe its efficacy and safety on blood pressure of patients with primary aldosterone.

Read the detailed description

Renal sympathetic denervation from the intima of renal arteries has become an important method for the treatment of resistant hypertension, but renal sympathetic nerve are mainly located in the adventitia, and there is no report about renal sympathetic denervation from the renal adventitia. Primary aldosteronism is an important factor of secondary hypertension, tumor aldosterone in unilateral adrenal can increase the concentration of plasma aldosterone, in some patients blood pressure control is still not desirable after resection of tumor aldosterone.

This study intends to conduct renal sympathetic denervation ablation(RDN)from the adventitia to observe its efficacy and safety on blood pressure of patients with primary aldosterone.

Being tested
Renal Sympathetic Denervation
Keywords
Renal sympathetic denervation;hypertension

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Renal Sympathetic DenervationDevice

    We applied a ablation catheter for discrete radiofrequency ablations of 8 W or less and lasting up to 2 min each to obtain up to four-six ablations separated both longitudinally and rotationally from the adventitia

Study groups in NCT02642445
Study groupRoleWhat they receive
Renal Sympathetic DenervationExperimentalRenal sympathetic Denervation are conducted from the adventitia of renal artery
Receives: Device: Renal Sympathetic Denervation
Control GroupNo interventionRenal Sympathetic Denervation are not conducted in control group.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change from Baseline Systolic Blood Pressure at 6 months,12 months, 18 months

    The Change of Systolic Blood Pressure from Baseline to 6 months,12 months, 18 months

    Measured: at 6 months,12 months,18 months

Secondary outcomes (2)
  1. Change from Baseline Renin at 6 months,12 months, 18 months

    The Change of Renin from Baseline to 6 months,12 months, 18 months

    Measured: at 6 months,12 months,18 months

  2. Change from Baseline aldosterone at 6 months,12 months, 18 months

    The Change of aldosterone from Baseline to 6 months,12 months, 18 months

    Measured: at 6 months,12 months,18 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted30 Dec 2015 (estimated)
  2. Study startDec 2016
  3. Primary completion31 Mar 2019
  4. Study completion31 Dec 2019

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Participant
Enrolment
60 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02642445
Sponsor's protocol ID
HenanICE201502
Acronym
RSDAH
Status last verified
Oct 2020
First submitted
19 Dec 2015
Last updated
3 Nov 2020
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing Renal Sympathetic Denervation in people with Primary Aldosteronism Due to Aldosterone Producing Adenoma, run by Henan Institute of Cardiovascular Epidemiology at 1 site in China.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 3 Nov 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in China. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change from Baseline Systolic Blood Pressure at 6 months,12 months, 18 months (time frame: at 6 months,12 months,18 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 3 Nov 2020.

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