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Trial Title: [18F]AlF-NOTA-pentixather PET/CT in Patients With Suspected Primary Hyperaldosteronism

NCT ID: NCT05815069

Condition: Aldosterone-Producing Adenoma

Conditions: Official terms:
Adenoma

Study type: Interventional

Study phase: N/A

Overall status: Recruiting

Study design:

Allocation: N/A

Intervention model: Single Group Assignment

Primary purpose: Diagnostic

Masking: None (Open Label)

Intervention:

Intervention type: Diagnostic Test
Intervention name: [18F]AlF-NOTA-pentixather PET/CT
Description: The radiotracer 18F-AlF-NOTA-pentixather PET/CT (dose 4.81 MBq/Kg body weight) was injected intravenously according to the patient's body weight. The whole-body PET/CT examination from the top of the skull to the root of the thigh was performed using a PET/CT examination instrument (Siemens Biograph mCT Flow) 50-60 minutes after the injection of radiopharmaceuticals. Flow Motion flow scanning technology with a matrix of 128x128 and a layer thickness of 3 mm was used. all PET images were iteratively reconstructed. Patients who have undergone surgery routinely undergo pathological examination.
Arm group label: [18F]AlF-NOTA-pentixather

Other name: pathological examination

Summary: The study was proposed to include 20 patients with clinical suspicion of primary aldosteronism for [18F]AlF-NOTA-pentixather PET/CT imaging and to analyze the specificity and sensitivity of [18F]AlF-NOTA-pentixather PET/CT for the diagnosis of APA by comparison with the final pathological findings.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Persistent hypertension or refractory hypertension (blood pressure >140/90 mmHg with a combination of three antihypertensive drugs, including diuretics) with hypokalemia of blood pressure >160/100 mmHg. - Uncontrollable hypokalemia with or without hypertension. Persistent hypertension or refractory hypertension with blood pressure >160/100 mmHg and aldosterone-renin ratio (ARR) ≥30 (ng/dl)/(ng/ml/h). - Positive captopril test (≤30% decrease in plasma aldosterone level after captopril administration) is a sufficient but not mandatory condition. - Patients with CT showing unilateral or bilateral adrenal nodules with well-defined borders but normal serum potassium and ARR <30 (ng/dl)/(ng/ml/h) were also included in the study. Exclusion Criteria: - Female patients who are pregnant (or intend to become pregnant within six months), breastfeeding, or unwilling to use contraception. - Abnormal cardiopulmonary function or mental status, unable to tolerate prone for 20 minutes. - Refusal to sign an informed consent form or inability or unwillingness to comply with the investigator-approved study protocol. - Other conditions deemed by the investigator to be inappropriate for participation in this study.

Gender: All

Minimum age: 18 Years

Maximum age: 80 Years

Healthy volunteers: Accepts Healthy Volunteers

Locations:

Facility:
Name: Sichuan Academy of Medical Sciences.Sichuan Provincial People's Hospital

Address:
City: Chengdu
Zip: 610072
Country: China

Status: Recruiting

Contact:
Last name: Wei Zhang, Ph.D

Phone: 86+02887393368
Email: zhangwscd@uestc.edu.cn

Contact backup:
Last name: Limeng He, MA.Sc
Email: hlmxnykdx@163.com

Start date: January 7, 2023

Completion date: June 2024

Lead sponsor:
Agency: Sichuan Provincial People's Hospital
Agency class: Other

Source: Sichuan Provincial People's Hospital

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05815069

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