Development of Clinical Evidence for Optimal Management of Adrenal Diseases Based on Real-World Data

NCT ID: NCT06229405

Last Updated: 2024-03-04

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

RECRUITING

Total Enrollment

8200 participants

Study Classification

OBSERVATIONAL

Study Start Date

2022-05-10

Study Completion Date

2024-12-31

Brief Summary

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This research aims to establish clinical evidence for optimal treatment guidelines for adrenal diseases using real-world data. The approach involves building prospective and retrospective patient registries, which will be utilized to develop and conduct research on disease-specific protocols for adrenal disorders. The study targets patients with primary aldosteronism, pheochromocytoma, adrenal cancer, adrenal incidentalomas, and mild autonomous cortisol secretion. Registries for patients with adrenal diseases will be obtained from Seoul National University Hospital and Asan Medical Center, along with securing a common data model. The ultimate goal is to conduct research to generate clinical evidence for adrenal diseases using these resources.

Detailed Description

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The ultimate goal is to develop clinical evidence for unmet needs in adrenal gland diseases using real-world data, thereby contributing to the optimization of treatment guidelines. This involves:

1. Generating real-world healthcare data through prospective and retrospective registries specific to each adrenal disease.
2. Acquiring a common data model for adrenal diseases, applicable across both domestic and international multicenter settings.
3. Creating real-world data linked with hospital medical records and public data for each adrenal disease, utilizing anonymized information merging services.
4. Developing and conducting research based on prospective and retrospective registries, a common data model, and the utilization of public-medical data for different adrenal diseases.

Study Design:

Prospective and retrospective patient registries.

Study Population:

Patients with adrenal gland disorders, including primary aldosteronism, pheochromocytoma, adrenal cancer, adrenal incidentalomas, and mild autonomous cortisol secretion

Research Methods:

1. Securing prospective and retrospective registries of patients with adrenal diseases.
2. Obtaining a common data model for adrenal diseases.
3. Utilizing the secured registries and common data model for multicenter studies to generate clinical evidence for adrenal diseases.
4. Linking public and medical data with the secured registries to further research in generating clinical evidence for adrenal diseases.

Conditions

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Adrenal Tumor Primary Aldosteronism Cushing Syndrome Pheochromocytoma Adrenal Cortical Carcinoma

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Nonfunctioning adrenal adenoma

Incidentally detected adrenal mass without hormone production

No interventions assigned to this group

Mild autonomous cortisol secretion

Adrenal tumors that do not meet the criteria for adrenal Cushing's syndrome but are not suppressed to below 1.8 µg/dL after the dexamethasone suppression test

No interventions assigned to this group

Adrenal Cushing syndrome

Adrenal diseases characterized by biochemical hypercortisolism accompanying with overt Cushingoid features.

No interventions assigned to this group

Primary aldosteronism

Adrenal diseases characterized by the excessive production of the hormone aldosterone and suppressed renin.

Diagnostic criteria are as the following:

1. Plasma aldosterone level of ≥6 ng/dL after a seated saline infusion test
2. Plasma aldosterone level of ≥13 ng/dL after a captopril challenge test.

No interventions assigned to this group

Pheochromocytoma and paraganglioma

Chromaffin-originated tumors in the adrenal gland and others, characterized by catecholamine excess

No interventions assigned to this group

Adrenal cortical carcinoma

Malignant tumors originated from the adrenal cortex, which was confirmed by biopsy or pathology results

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* patients with adrenal diseases such as adrenal cortical carcinoma, Cushing's syndrome, primary aldosteronism, pheochromocytoma, adrenal incidentaloma
* patients who are 19 years or older

Exclusion Criteria

* patients younger than 19 years old
Minimum Eligible Age

19 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Asan Medical Center

OTHER

Sponsor Role collaborator

Seoul National University Bundang Hospital

OTHER

Sponsor Role collaborator

Samsung Medical Center

OTHER

Sponsor Role collaborator

Inha University Hospital

OTHER

Sponsor Role collaborator

Chonnam National University Hospital

OTHER

Sponsor Role collaborator

Nowon Eulji Medical Center

UNKNOWN

Sponsor Role collaborator

Seoul National University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Jung Hee Kim

Associate professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Jung Hee Kim, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Seoul National University Hospital

Locations

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Seoul National University Hospital

Seoul, , South Korea

Site Status RECRUITING

Countries

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South Korea

Central Contacts

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Jung Hee Kim, MD, PhD

Role: CONTACT

+82-10-2072-4839

Facility Contacts

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Jung Hee Kim, M.D

Role: primary

Other Identifiers

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2204-155-1320

Identifier Type: -

Identifier Source: org_study_id

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