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.
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
- Conditions the study is for
- Primary Aldosteronism Due to Aldosterone Producing Adenoma
- 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.
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 group | Role | What they receive |
|---|---|---|
| Renal Sympathetic Denervation | Experimental | Renal sympathetic Denervation are conducted from the adventitia of renal artery Receives: Device: Renal Sympathetic Denervation |
| Control Group | No intervention | Renal 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.
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)
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
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.
- First posted30 Dec 2015 (estimated)
- Study startDec 2016
- Primary completion31 Mar 2019
- Study completion31 Dec 2019
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Primary Aldosteronism Due to Aldosterone Producing AdenomaStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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)
Sponsor and investigators
- Lead sponsor
- Henan Institute of Cardiovascular Epidemiology
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Chuanyu Gao, Henan Institute of Cardiovascular Epidemiology
- Investigators
- ChuanYu Gao, Dr., Principal investigator, Henan Institute of Cardiovascular EpidemiologyDayi Hu, Dr., Principal investigator, Henan Institute of Cardiovascular Epidemiology
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
Study at a glance
From the registry record, last updated by the sponsor on 3 Nov 2020. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Efficacy and Safety of Renal Sympathetic Denervation From The Adventitia on Hypertension in Patients With Primary Aldosteronism
- ClinicalTrials.gov ID
- NCT02642445
- Acronym / sponsor ID
- RSDAH / HenanICE201502
- Keywords
- Renal sympathetic denervation;hypertension
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 60 participants (actual)
- Lead sponsor
- Henan Institute of Cardiovascular EpidemiologyUniversity, hospital or other
- Study start
- Dec 2016
- Primary completion
- 31 Mar 2019 (actual)
- Study completion
- 31 Dec 2019 (actual)
- First posted
- 30 Dec 2015 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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.
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.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (participant)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Renal Sympathetic Denervation | Experimental | Device: Renal Sympathetic DenervationRenal sympathetic Denervation are conducted from the adventitia of renal artery |
| Control Group | No intervention | –Renal Sympathetic Denervation are not conducted in control group. |
Who may qualify
- Ages
- 18 to 70 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- . 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;
Key exclusion criteria (5 listed)
- . 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.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Renal Sympathetic DenervationWe 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 | Device | Renal Sympathetic Denervation |
Primary outcome
Change from Baseline Systolic Blood Pressure at 6 months,12 months, 18 months
Time frame: at 6 months,12 months,18 months
The Change of Systolic Blood Pressure from Baseline to 6 months,12 months, 18 months
2 secondary outcomes
Change from Baseline Renin at 6 months,12 months, 18 months
Time frame: at 6 months,12 months,18 months
Change from Baseline aldosterone at 6 months,12 months, 18 months
Time frame: at 6 months,12 months,18 months
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 3 Nov 2020.
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Recruiting
Radiofrequency Ablation Versus Adrenalectomy for Adenoma in Patients With Primary Aldosteronism and Hypertension
Primary Aldosteronism Due to Conn Adenoma, Radiofrequency Ablation Treatment
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
ChuanYu Gao, Dr. principal investigator
Henan Institute of Cardiovascular Epidemiology
Dayi Hu, Dr. principal investigator
Henan Institute of Cardiovascular Epidemiology
1 site in 1 country: see every site and its status.
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.