Evaluating adrenal insufficiency after surgery in patients with primary aldosteronism
Official title: Study on the Incidence of Adrenal Insufficiency After Surgery in Primary Aldosteronism Patients Concurrent With or Without Autonomous Cortisol Secretion
Run by Chongqing Medical University · NCT06955286 · Data updated 2026-11-12
This study is testing how often people with primary aldosteronism develop adrenal insufficiency after having surgery to remove their adrenal glands.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years to 70 Years |
| Sex | All |
| Enrollment | 521 (estimated) |
| Sponsor | Chongqing Medical University Academic / other |
| Locations | 1 site (Chongqing, Chongqing Municipality) |
| Status | Recruiting |
| Started | January 2, 2025 |
| Main results expected | December 31, 2027 |
| Study ends | December 31, 2028 |
| Registry record updated | May 1, 2026 |
| Trial ID | NCT06955286 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates include patients diagnosed with primary aldosteronism who have undergone complete adrenalectomy and are able to complete the ACTH stimulation test.
✕Probably not a fit
Patients who have undergone partial adrenalectomy or have conditions such as familial hyperaldosteronism or pheochromocytoma may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This observational study aims to assess the incidence of adrenal insufficiency following adrenalectomy in patients diagnosed with primary aldosteronism, both with and without concurrent autonomous cortisol secretion. Participants will undergo a complete ACTH stimulation test the day after their surgery to evaluate their adrenal function. The study will follow these patients for a period of 6 to 12 months post-surgery to monitor any occurrences of adrenal insufficiency. It is a single-center study conducted at the First Affiliated Hospital of Chongqing Medical University.
Why it matters
Potential benefit: If successful, this study could provide critical insights into the management of adrenal insufficiency in patients with primary aldosteronism, potentially improving postoperative care.
How similar studies have gone: While similar studies have explored adrenal insufficiency in various contexts, this specific focus on primary aldosteronism and postoperative outcomes is relatively novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
* A confirmed diagnosis of primary aldosteronism or autonomous cortisol secretion;
② Completion of unilateral adrenal surgery;
③ Voluntary participation and obtaining informed consent. (2) Exclusion criteria
* Patients with typical clinical manifestations of Cushing's syndrome;
* Patients suspected of having bilateral cortisol over-secretion, such as PBMAH or PPNAD; ③ Patients with severe surgical complications, unstable postoperative condition (not due to cortical insufficiency), and difficulty completing the ACTH stimulation test;
* History of ACTH allergy;
* Patients requiring long-term hormone therapy for other diseases (such as autoimmune diseases);
* Severe liver and kidney dysfunction (ALT ≥ 3 times the upper limit of normal; patients undergoing dialysis or with an estimated glomerular filtration rate \< 30 ml/min/m2); ⑦ History of contralateral adrenal surgery; ⑧ Patients with poor compliance who are unable to complete the study.
Where it's running
-
the First Affiliated Hospital of Chongqing Medical University, Chongqing, China
Chongqing, Chongqing Municipality, China Recruiting
Study contacts
- Study coordinator: Li Qifu, PhD
- Email: liqifu@yeah.net
- Phone: +86-023-89011552
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.