Intraoperative Analysis of Cortisol During Adrenal Vein Sampling

NCT ID: NCT01761344

Last Updated: 2013-08-29

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

21 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-01-31

Study Completion Date

2013-08-31

Brief Summary

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Aldosterone is a hormone produced in the adrenals that helps regulate the salt balance and blood pressure. Primary hyperaldosteronism is one of the main endocrine causes of secondary hypertension. The overproduction of aldosteron might in some cases be due to unilateral hyperplasia of the adrenal cortex or a unilateral aldosterone-producing adenoma. In these cases the adrenal can be removed and the patient cured of hypertension. The clinical evaluation of patients with confirmed primary hyperaldosteronism therefore includes selective sampling of blood from the adrenal veins to determine lateralization of overproduction. This is executed as an interventional radiological procedure.

The adrenal vein sampling is challenging, and success is determined by measuring another adrenal hormone named cortisol in the blood samples as a marker of a correctly drawn sample. By routine laboratory assays the procedure is evaluated after the patient has been discharged from the hospital. In the study a rapid assay of cortisol will be evaluated, allowing the radiologist to draw new samples during the same procedure if the first set of samples is unsuccessful. The study hypothesis is that intraoperative measurement of cortisol is a useful tool to evaluate successful sampling, and that fewer patients will need a repeated procedure.

Detailed Description

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Conditions

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Primary Hyperaldosteronism

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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Intraoperative measurement of cortisol

Intervention: During a routine procedure intraoperative cortisol is measured. Upon unsuccessful sampling, the sampling will be repeated.

Group Type EXPERIMENTAL

Intraoperative cortisol measurement.

Intervention Type OTHER

Levels of cortisol in blood samples will be determined using a rapid cortisol assay. This is not standard procedure

Interventions

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Intraoperative cortisol measurement.

Levels of cortisol in blood samples will be determined using a rapid cortisol assay. This is not standard procedure

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Primary hyperaldosteronism
* Motivated for surgery if applicable
* Able to give informed consent

Exclusion Criteria

* Not able to give informed consent
* Severe kidney failure
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Haukeland University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Gunnar Mellgren, MD.PhD

Role: STUDY_CHAIR

Hormonlaboratoriet, Haukeland Universitetssykehus

Locations

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Haukeland University Hospital

Bergen, Hordaland, Norway

Site Status

Countries

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Norway

Other Identifiers

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2012/1856

Identifier Type: -

Identifier Source: org_study_id