RecruitingNCT06955286

Study on the Incidence of Adrenal Insufficiency After Surgery in Primary Aldosteronism Patients Concurrent With or Without Autonomous Cortisol Secretion


Sponsor

Qifu Li

Enrollment

200 participants

Start Date

Jan 2, 2025

Study Type

OBSERVATIONAL

Conditions

Summary

To evaluate the incidence of adrenal insufficiency after surgery in Primary aldosteronism (PA) patients concurrent with or without autonomous cortisol secretion (ACS).


Eligibility

Min Age: 18 YearsMax Age: 70 Years

Inclusion Criteria4

  • PA conccurent with or without autonomous cortisol secretion
  • complete adrenalectomy
  • complete ACTH stimulation test on the one day after surgery
  • complete follow-up at 6,12 months after surgery

Exclusion Criteria7

  • Patients underwent partial adrenalectomy
  • Suspicion of familial hyperaldosteronism or Liddle syndrome. \[i.e., age \<20 years, hypertension and hypokalemia, or with family history\]
  • Suspicion of pheochromocytoma or adrenal carcinoma.
  • Congestive heart failure with New York Heart Association (NYHA) Functional Classification III or IV; History of serious cardiovascular or cerebrovascular disease (angina, myocardial infarction or stroke) in the past 3 months; Severe anemia (Hb\<60g/L); Serious liver dysfunction or chronic kidney disease aspartate aminotransferase (AST) or alanine transaminase (ALT) \>3 times the upper limit of normal, or estimated glomerular filtration rate (eGFR) \< 30 ml/min/1.73 m2); Systemic Inflammatory Response Syndrome (SIRS); Uncontrolled diabetes (FBG≥13.3 mmol/L); Obesity (BMI≥35 kg/m2) or Underweight (BMI≤18 kg/m2); Untreated aneurysm; Other comorbidity potentially interfering with treatment;
  • Patients with actively malignant tumor.
  • Long- term use of glucocorticoids.
  • Suspected PBMAH or PPNAD;

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Interventions

DIAGNOSTIC_TESTcomplete ACTH stimulation test the day after surgery

patients complete ACTH stimulation test on the one day after surgery


Locations(1)

the First Affiliated Hospital of Chongqing Medical University, Chongqing, China

Chongqing, Chongqing Municipality, China

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NCT06955286


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