Please note that the copy function is not enabled for this field.
If you wish to
modify
existing outcomes, please copy and paste the current outcome text into the Update field.
LOGIN
CREATE ACCOUNT
MY TRIALS
LOGIN
CREATE ACCOUNT
MY TRIALS
REGISTER TRIAL
FAQs
HINTS AND TIPS
DEFINITIONS
Register a trial
The ANZCTR website will be unavailable from 1pm until 3pm (AEDT) on Wednesday the 30th of October for website maintenance. Please be sure to log out of the system in order to avoid any loss of data.
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been endorsed by the ANZCTR. Before participating in a study, talk to your health care provider and refer to this
information for consumers
Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT04761354
Registration number
NCT04761354
Ethics application status
Date submitted
10/02/2021
Date registered
18/02/2021
Titles & IDs
Public title
Predicting Reduction of Hypertension After Adrenalectomy for Primary Aldosteronism: a Multicenter Analysis
Query!
Scientific title
Characteristics Predicting Clinically Relevant Reduction of Hypertension Following Adrenalectomy for Primary Aldosteronism: a Multicenter Analysis
Query!
Secondary ID [1]
0
0
16-196/C
Query!
Universal Trial Number (UTN)
Query!
Trial acronym
Query!
Linked study record
Query!
Health condition
Health condition(s) or problem(s) studied:
Primary Aldosteronism Due to Aldosterone Producing Adenoma
0
0
Query!
Primary Aldosteronism
0
0
Query!
Primary Aldosteronism Due to Conn Adenoma
0
0
Query!
Condition category
Condition code
Cancer
0
0
0
0
Query!
Bowel - Back passage (rectum) or large bowel (colon)
Query!
Metabolic and Endocrine
0
0
0
0
Query!
Other endocrine disorders
Query!
Cardiovascular
0
0
0
0
Query!
Hypertension
Query!
Intervention/exposure
Study type
Observational
Query!
Patient registry
Query!
Target follow-up duration
Query!
Target follow-up type
Query!
Description of intervention(s) / exposure
University Medical Center Utrecht - Patients who underwent adrenalectomy for primary aldosteronism in case of an aldosterone-producing-adenoma
University Medical Center Groningen - Patients who underwent adrenalectomy for primary aldosteronism in case of an aldosterone-producing-adenoma
Vu University Medical Center Amsterdam - Patients who underwent adrenalectomy for primary aldosteronism in case of an aldosterone-producing-adenoma
University Medical Center Maastricht - Patients who underwent adrenalectomy for primary aldosteronism in case of an aldosterone-producing-adenoma
Academic Medical Center Amsterdam - Patients who underwent adrenalectomy for primary aldosteronism in case of an aldosterone-producing-adenoma
Istituto di Semeiotica Chirurgica Roma - Patients who underwent adrenalectomy for primary aldosteronism in case of an aldosterone-producing-adenoma
University of California San Francisco - Patients who underwent adrenalectomy for primary aldosteronism in case of an aldosterone-producing-adenoma
Northwestern Memorial Hospital - Patients who underwent adrenalectomy for primary aldosteronism in case of an aldosterone-producing-adenoma
Weill Cornell Medical Center - Patients who underwent adrenalectomy for primary aldosteronism in case of an aldosterone-producing-adenoma
Columbia University Medical Center - Patients who underwent adrenalectomy for primary aldosteronism in case of an aldosterone-producing-adenoma
University of Chicago Medical Center - Patients who underwent adrenalectomy for primary aldosteronism in case of an aldosterone-producing-adenoma
M.D. Anderson Cancer Center - Patients who underwent adrenalectomy for primary aldosteronism in case of an aldosterone-producing-adenoma
Boston Medical Center - Patients who underwent adrenalectomy for primary aldosteronism in case of an aldosterone-producing-adenoma
University Health Network Toronto - Patients who underwent adrenalectomy for primary aldosteronism in case of an aldosterone-producing-adenoma
Montreal General Hospital - McGill University - Patients who underwent adrenalectomy for primary aldosteronism in case of an aldosterone-producing-adenoma
University of Sydney - Patients who underwent adrenalectomy for primary aldosteronism in case of an aldosterone-producing-adenoma
Query!
Comparator / control treatment
Query!
Control group
Query!
Outcomes
Primary outcome [1]
0
0
Postoperative blood pressure measurement
Query!
Assessment method [1]
0
0
systolic and diastolic blood pressure via office blood pressure measurements
Query!
Timepoint [1]
0
0
6 months postoperative
Query!
Primary outcome [2]
0
0
antihypertensive medication use
Query!
Assessment method [2]
0
0
number of antihypertensives in defined daily dose
Query!
Timepoint [2]
0
0
6 months postoperative (corresponding to the entered postoperative blood pressure)
Query!
Primary outcome [3]
0
0
resolution of hypertension
Query!
Assessment method [3]
0
0
resolution of hypertension score via the PASO consensus criteria
Query!
Timepoint [3]
0
0
6 months postoperative
Query!
Secondary outcome [1]
0
0
Postoperative serum potassium level
Query!
Assessment method [1]
0
0
Serum potassium in mmol/l.
Query!
Timepoint [1]
0
0
6 months postoperative
Query!
Secondary outcome [2]
0
0
Postoperative plasma aldosterone level in lying and standing position
Query!
Assessment method [2]
0
0
Plasma aldosterone in nmol/l.
Query!
Timepoint [2]
0
0
6 months postoperative
Query!
Secondary outcome [3]
0
0
Postoperative plasma renin activity in lying and standing position
Query!
Assessment method [3]
0
0
Plasma renin activity in mg/L/u.
Query!
Timepoint [3]
0
0
6 months postoperative
Query!
Secondary outcome [4]
0
0
Postoperative aldosterone to renin ratio
Query!
Assessment method [4]
0
0
Aldosterone to renin ratio using plasma aldosterone level and plasma renin activity
Query!
Timepoint [4]
0
0
6 months postoperative
Query!
Secondary outcome [5]
0
0
Postoperative plasma creatinine level
Query!
Assessment method [5]
0
0
Plasma creatinine in mg/dL
Query!
Timepoint [5]
0
0
6 months postoperative
Query!
Secondary outcome [6]
0
0
Pathology
Query!
Assessment method [6]
0
0
Final result of pathology after adrenalectomy
Query!
Timepoint [6]
0
0
6 months postoperative
Query!
Eligibility
Key inclusion criteria
* All patients who underwent unilateral adrenalectomy between 2010 and 2016 for APA.
* Patients with biochemical evidence of primary aldosteronism who underwent adrenalectomy on account of an aldosterone-producing adenoma(APA), proven by Computerized Tomography(CT) or Magnetic Resonance Imaging(MRI) or Adrenal Venous Sampling(AVS).
Query!
Minimum age
18
Years
Query!
Query!
Maximum age
No limit
Query!
Query!
Sex
Both males and females
Query!
Can healthy volunteers participate?
No
Query!
Key exclusion criteria
* Age <18 years.
* Missing or incomplete data about preoperative blood pressure and number of antihypertensive drugs.
* Missing or incomplete follow-up data about postoperative blood pressure and number of antihypertensive drugs. We aim enter the blood pressure and number of antihypertensive drugs closest to 6 months after adrenalectomy.
Query!
Study design
Purpose
Query!
Duration
Query!
Selection
Query!
Timing
Retrospective
Query!
Statistical methods / analysis
Query!
Recruitment
Recruitment status
Completed
Query!
Data analysis
Query!
Reason for early stopping/withdrawal
Query!
Other reasons
Query!
Date of first participant enrolment
Anticipated
Query!
Actual
26/03/2016
Query!
Date of last participant enrolment
Anticipated
Query!
Actual
Query!
Date of last data collection
Anticipated
Query!
Actual
26/03/2017
Query!
Sample size
Target
Query!
Accrual to date
Query!
Final
514
Query!
Recruitment in Australia
Recruitment state(s)
NSW
Query!
Recruitment hospital [1]
0
0
University of Sydney - Sydney
Query!
Recruitment postcode(s) [1]
0
0
- Sydney
Query!
Recruitment outside Australia
Country [1]
0
0
United States of America
Query!
State/province [1]
0
0
California
Query!
Country [2]
0
0
United States of America
Query!
State/province [2]
0
0
Illinois
Query!
Country [3]
0
0
United States of America
Query!
State/province [3]
0
0
Massachusetts
Query!
Country [4]
0
0
United States of America
Query!
State/province [4]
0
0
New York
Query!
Country [5]
0
0
United States of America
Query!
State/province [5]
0
0
Texas
Query!
Country [6]
0
0
Canada
Query!
State/province [6]
0
0
Ontario
Query!
Country [7]
0
0
Canada
Query!
State/province [7]
0
0
Quebec
Query!
Country [8]
0
0
Italy
Query!
State/province [8]
0
0
Lazio
Query!
Country [9]
0
0
Netherlands
Query!
State/province [9]
0
0
Limburg
Query!
Country [10]
0
0
Netherlands
Query!
State/province [10]
0
0
Noord-Holland
Query!
Country [11]
0
0
Netherlands
Query!
State/province [11]
0
0
Groningen
Query!
Funding & Sponsors
Primary sponsor type
Other
Query!
Name
UMC Utrecht
Query!
Address
Query!
Country
Query!
Other collaborator category [1]
0
0
Other
Query!
Name [1]
0
0
University of California, San Francisco
Query!
Address [1]
0
0
Query!
Country [1]
0
0
Query!
Other collaborator category [2]
0
0
Other
Query!
Name [2]
0
0
Northwestern Memorial Hospital
Query!
Address [2]
0
0
Query!
Country [2]
0
0
Query!
Other collaborator category [3]
0
0
Other
Query!
Name [3]
0
0
Weill Medical College of Cornell University
Query!
Address [3]
0
0
Query!
Country [3]
0
0
Query!
Other collaborator category [4]
0
0
Other
Query!
Name [4]
0
0
Columbia University
Query!
Address [4]
0
0
Query!
Country [4]
0
0
Query!
Other collaborator category [5]
0
0
Other
Query!
Name [5]
0
0
University of Chicago
Query!
Address [5]
0
0
Query!
Country [5]
0
0
Query!
Other collaborator category [6]
0
0
Other
Query!
Name [6]
0
0
M.D. Anderson Cancer Center
Query!
Address [6]
0
0
Query!
Country [6]
0
0
Query!
Other collaborator category [7]
0
0
Other
Query!
Name [7]
0
0
Boston Medical Center
Query!
Address [7]
0
0
Query!
Country [7]
0
0
Query!
Other collaborator category [8]
0
0
Other
Query!
Name [8]
0
0
University Health Network, Toronto
Query!
Address [8]
0
0
Query!
Country [8]
0
0
Query!
Other collaborator category [9]
0
0
Other
Query!
Name [9]
0
0
Montreal General Hospital
Query!
Address [9]
0
0
Query!
Country [9]
0
0
Query!
Other collaborator category [10]
0
0
Other
Query!
Name [10]
0
0
University of Sydney
Query!
Address [10]
0
0
Query!
Country [10]
0
0
Query!
Other collaborator category [11]
0
0
Other
Query!
Name [11]
0
0
University Medical Center Groningen
Query!
Address [11]
0
0
Query!
Country [11]
0
0
Query!
Other collaborator category [12]
0
0
Other
Query!
Name [12]
0
0
Maastricht University Medical Center
Query!
Address [12]
0
0
Query!
Country [12]
0
0
Query!
Other collaborator category [13]
0
0
Other
Query!
Name [13]
0
0
Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)
Query!
Address [13]
0
0
Query!
Country [13]
0
0
Query!
Other collaborator category [14]
0
0
Other
Query!
Name [14]
0
0
Catholic University of the Sacred Heart
Query!
Address [14]
0
0
Query!
Country [14]
0
0
Query!
Other collaborator category [15]
0
0
Other
Query!
Name [15]
0
0
Amsterdam UMC, location VUmc
Query!
Address [15]
0
0
Query!
Country [15]
0
0
Query!
Ethics approval
Ethics application status
Query!
Summary
Brief summary
Primary aldosteronism (PA) is the excessive endogenous production of the mineralocorticoid aldosterone. Although various rare forms of PA exist, the vast majority of cases are accounted by either an aldosterone-producing adenoma (APA) or bilateral adrenal hyperplasia. During the last decades the prevalence of PA has risen, predominantly due to better awareness of disease. Several studies estimated a prevalence of PA up to 17% in an unselected population of hypertensive patients. However, in a population with resistant hypertension the reported prevalence is even higher: 17-23%. This emphasizes the clinical impact of PA on morbidity and mortality due to high blood pressure. Since both hypertension and aldosteronism are independent risk factors for cardiovascular morbidity, the aim of treatment is curation or reduction of both. After an adrenalectomy for APA normalization of biochemical abnormalities is achieved in almost all cases. Nevertheless, curation of hypertension (systolic blood pressure \<140 and diastolic blood pressure \<90 mmHg) without the need of antihypertensive medication is accomplished in only 35-45% of the cases. In 2008 the Aldosteronoma Resolution Score (ARS) was developed. This score predicts the likelihood of complete resolution of the hypertension in patients with an aldosteronoma and has been validated by other investigator groups. Reduction of hypertension is also an important clinical outcome and is reported in 90-98% of the patients after surgery. In most studies reduction is defined as a certain decrease in blood pressure or antihypertensive medication. However, there is no consensus on the precise definition of reduction in these patients, which leads to incomparable results. The aim of the proposed study is to determine the proportion of patients with clinically relevant reduction of hypertension after adrenalectomy in a large cohort. Furthermore, the investigators aim to determine the characteristics predicting this clinically relevant reduction. Additionally, the investigators evaluate the predictive value of the Aldosteronoma Resolution Score for clinically relevant reduction and aim to develop a scoring system to help clinicians predict the likelihood of reduction of hypertension after adrenalectomy so it can be used for patient counseling.
Query!
Trial website
https://clinicaltrials.gov/study/NCT04761354
Query!
Trial related presentations / publications
Williams TA, Lenders JWM, Mulatero P, Burrello J, Rottenkolber M, Adolf C, Satoh F, Amar L, Quinkler M, Deinum J, Beuschlein F, Kitamoto KK, Pham U, Morimoto R, Umakoshi H, Prejbisz A, Kocjan T, Naruse M, Stowasser M, Nishikawa T, Young WF Jr, Gomez-Sanchez CE, Funder JW, Reincke M; Primary Aldosteronism Surgery Outcome (PASO) investigators. Outcomes after adrenalectomy for unilateral primary aldosteronism: an international consensus on outcome measures and analysis of remission rates in an international cohort. Lancet Diabetes Endocrinol. 2017 Sep;5(9):689-699. doi: 10.1016/S2213-8587(17)30135-3. Epub 2017 May 30. Zarnegar R, Young WF Jr, Lee J, Sweet MP, Kebebew E, Farley DR, Thompson GB, Grant CS, Clark OH, Duh QY. The aldosteronoma resolution score: predicting complete resolution of hypertension after adrenalectomy for aldosteronoma. Ann Surg. 2008 Mar;247(3):511-8. doi: 10.1097/SLA.0b013e318165c075. Utsumi T, Kawamura K, Imamoto T, Kamiya N, Komiya A, Suzuki S, Nagano H, Tanaka T, Nihei N, Naya Y, Suzuki H, Tatsuno I, Ichikawa T. High predictive accuracy of Aldosteronoma Resolution Score in Japanese patients with aldosterone-producing adenoma. Surgery. 2012 Mar;151(3):437-43. doi: 10.1016/j.surg.2011.08.001. Epub 2011 Oct 13. Aronova A, Gordon BL, Finnerty BM, Zarnegar R, Fahey TJ 3rd. Aldosteronoma resolution score predicts long-term resolution of hypertension. Surgery. 2014 Dec;156(6):1387-92; discussion 1392-3. doi: 10.1016/j.surg.2014.08.019. Epub 2014 Nov 11. Stowasser M, Gordon RD, Gunasekera TG, Cowley DC, Ward G, Archibald C, Smithers BM. High rate of detection of primary aldosteronism, including surgically treatable forms, after 'non-selective' screening of hypertensive patients. J Hypertens. 2003 Nov;21(11):2149-57. doi: 10.1097/00004872-200311000-00025. Vorselaars WMCM, Nell S, Postma EL, Zarnegar R, Drake FT, Duh QY, Talutis SD, McAneny DB, McManus C, Lee JA, Grant SB, Grogan RH, Romero Arenas MA, Perrier ND, Peipert BJ, Mongelli MN, Castelino T, Mitmaker EJ, Parente DN, Pasternak JD, Engelsman AF, Sywak M, D'Amato G, Raffaelli M, Schuermans V, Bouvy ND, Eker HH, Bonjer HJ, Vaarzon Morel NM, Nieveen van Dijkum EJM, Vrielink OM, Kruijff S, Spiering W, Borel Rinkes IHM, Valk GD, Vriens MR; International CONNsortium study group. Clinical Outcomes After Unilateral Adrenalectomy for Primary Aldosteronism. JAMA Surg. 2019 Apr 1;154(4):e185842. doi: 10.1001/jamasurg.2018.5842. Epub 2019 Apr 17. Vorselaars WMCM, van Beek DJ, Postma EL, Spiering W, Borel Rinkes IHM, Valk GD, Vriens MR; International CONNsortium study group. Clinical outcomes after surgery for primary aldosteronism: Evaluation of the PASO-investigators' consensus criteria within a worldwide cohort of patients. Surgery. 2019 Jul;166(1):61-68. doi: 10.1016/j.surg.2019.01.031. Epub 2019 May 1. Vorselaars WMCM, van Beek DJ, Postma EL, Spiering W, Borel Rinkes IHM, Valk GD, Vriens MR; International CONNsortium Study Group. Validation of the Aldosteronoma Resolution Score Within Current Clinical Practice. World J Surg. 2019 Oct;43(10):2459-2468. doi: 10.1007/s00268-019-05074-z. Erratum In: World J Surg. 2020 Jan;44(1):323. doi: 10.1007/s00268-019-05150-4. Vorselaars WMCM, van Beek DJ, Suurd DPD, Postma E, Spiering W, Borel Rinkes IHM, Valk GD, Vriens MR; International CONNsortium*. Adrenalectomy for Primary Aldosteronism: Significant Variability in Work-Up Strategies and Low Guideline Adherence in Worldwide Daily Clinical Practice. World J Surg. 2020 Jun;44(6):1905-1915. doi: 10.1007/s00268-020-05408-2.
Query!
Public notes
Query!
Contacts
Principal investigator
Name
0
0
Menno R Vriens, MD
Query!
Address
0
0
UMC Utrecht
Query!
Country
0
0
Query!
Phone
0
0
Query!
Fax
0
0
Query!
Email
0
0
Query!
Contact person for public queries
Name
0
0
Query!
Address
0
0
Query!
Country
0
0
Query!
Phone
0
0
Query!
Fax
0
0
Query!
Email
0
0
Query!
Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
Query!
No/undecided IPD sharing reason/comment
Query!
What supporting documents are/will be available?
No Supporting Document Provided
Type
Other Details
Attachment
Study protocol
Study Protocol and Statistical Analysis Plan
https://cdn.clinicaltrials.gov/large-docs/54/NCT04761354/Prot_SAP_000.pdf
Statistical analysis plan
Study Protocol and Statistical Analysis Plan
https://cdn.clinicaltrials.gov/large-docs/54/NCT04761354/Prot_SAP_000.pdf
Results publications and other study-related documents
Type
Citations or Other Details
Journal
Vorselaars WMCM, Nell S, Postma EL, Zarnegar R, Dr...
[
More Details
]
Journal
Vorselaars WMCM, van Beek DJ, Postma EL, Spiering ...
[
More Details
]
Journal
Vorselaars WMCM, van Beek DJ, Postma EL, Spiering ...
[
More Details
]
Journal
Vorselaars WMCM, van Beek DJ, Suurd DPD, Postma E,...
[
More Details
]
Results not provided in
https://clinicaltrials.gov/study/NCT04761354