Inclisiran vs. Statin for Primary Aldosteronism
Official title: A Randomized Controlled Study Comparing Inclisiran Plus Spironolactone Versus Statin Plus Spironolactone for Primary Aldosteronism
Run by Third Military Medical University · NCT07884955 · Data updated 2026-11-12
This trial tests whether inclisiran plus amlodipine works differently from a statin-based approach in people with primary aldosteronism and high blood pressure.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years to 70 Years |
| Sex | All |
| Enrollment | 50 (estimated) |
| Sponsor | Third Military Medical University Academic / other |
| Locations | 1 site (Chongqing, Chongqing Municipality) |
| Status | Recruiting |
| Started | October 1, 2026 |
| Main results expected | August 1, 2027 |
| Study ends | August 1, 2027 |
| Registry record updated | October 21, 2026 |
| Trial ID | NCT07884955 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults 18-70 with diagnosed primary aldosteronism and hypertension, whose BP can be controlled to <160/100 mmHg after a washout period.
✕Probably not a fit
Patients with very high blood pressure (BP >180/110 mmHg), significant hepatic or renal impairment, or recent major cardiac events may not benefit and could be excluded for safety.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This interventional study compares two lipid-lowering strategies in adults with primary aldosteronism and hypertension. Participants are randomized to receive inclisiran-based therapy or a statin-based regimen, alongside standard antihypertensive care. The study aims to see how these treatments influence aldosterone levels and blood pressure, while monitoring safety and lipid outcomes. Eligible participants are adults 18-70 with PA, controlled blood pressure after washout, and stable potassium within a defined range. The trial is conducted at Daping Hospital, with Third Military Medical University as the lead sponsor.
Why it matters
Potential benefit: If successful, the findings could clarify whether inclisiran offers an advantage over statins in modulating aldosterone-related pathways and improving blood pressure control in PA.
How similar studies have gone: Prior evidence suggests lipid-lowering strategies can impact aldosterone, but this exact comparison between inclisiran and statins in PA is novel and not yet established.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Patients with hypertension aged18-70years. 2. Meeting the diagnostic criteria for primary aldosteronism (PA) according to the \*Expert Consensus on the Diagnosis and Treatment of Primary Aldosteronism (2025 Edition) 3. Patients either untreated or on antihypertensive therapy; after a 1-2week washout period, blood pressure is \<160/100mmHg. 4. Serum potassium at the end of the run-in period: 3mmol/L ≤ serum potassium \<5mmol/L. 5. Voluntary participation in the trial and provision of written informed consent. Exclusion Criteria: 1. Office blood pressure \>180/110mmHg. 2. Severe hepatic insufficiency or severe renal insufficiency. 3. Acute coronary syndrome, myocardial infarction, percutaneous coronary intervention, or cerebrovascular accident within the previous 6 months; heart failure of NYHA class II-IV. 4. Serum potassium \<2.5mmol/L or \>5.5mmol/L. 5. Pregnancy or planned pregnancy within 1year. 6. Neurological or psychiatric disorders. 7. Concurrent malignant neoplasm. 8. Low-density-lipoprotein-cholesterol(LDL-C) \<2.6mmol/L. 9. Any other conditions that, in the investigator's opinion, may interfere with efficacy and/or safety assessment of the study (including but not limited to poor subject compliance or inability to attend scheduled follow-up due to long-distance residence).
Where it's running
-
Daping Hospital,Third Military Medical University
Chongqing, Chongqing Municipality, China Recruiting
Study contacts
- Study coordinator: Liyuan Yuan
- Email: 706539967@qq.com
- Phone: +8617374960635
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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.