Simple blood test could uncover curable high blood pressure
NCT ID NCT05757076
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested whether a simple blood test, called the aldosterone renin ratio (ARR), could help doctors find more cases of primary aldosteronism—a common but often missed cause of high blood pressure that can be cured with surgery or treated with specific medications. Researchers looked at 53 adults with high blood pressure to see how many cases were being overlooked. The goal is to improve detection so patients can get the right treatment sooner.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- What this could lead to
- If successful, this blood test could help doctors find more cases of primary aldosteronism, leading to better treatment or even a surgical cure for some patients.
- What could go wrong
- This was a small, completed study with only 53 participants, so results may not apply to everyone. The test may not catch all missed cases.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
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53 people
The number who actually took part.
- Started
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May 2023
- Finished
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Dec 2025
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Subjects will be enrolled prospectively, under Institutional Review Board (IRB) approval and patient informed consent. Enrollment will include patients with known hypertension diagnosed via ICD-10 code who are on a single anti-hypertensive medication. Primary Care Physicians will identify potential patients and they will discuss with patients the possibility of participating in the study. The PCP will subsequently refer any potential patients that meet the criteria to the study team. A study coordinator will reach out to the patient via telephone encounter, MyChart message or mail to discuss the study in more detail. . Subjects will be consented in an office visit.
- Ages
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18 to 65 years
- Sex
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Anyone
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Consent to participate in the study * Participants limited to subjects in the CCF * Age between and inclusive of 18 and 65 years of age * No gender exclusion * Patients diagnosed with Essential Hypertension by ICD-10 code on at least two occasions in the previous six months, even if not on medications for hypertension * Patients on a single anti-hypertensive medication for at least six months with the diagnosis of hypertension Exclusion Criteria: * Those on a mineralocorticoid antagonist therapy (spironolactone, eplerenone) * Those with a documented diagnosis of primary aldosteronism or primary hyperaldosteronism * Those with a diagnosis of secondary hyperaldosteronism * Those with a diagnosis of heart failure, renal artery stenosis, cirrhosis, ascites, cor pulmonale. * Pregnancy status (verbal)
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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The Cleveland Clinic Foundation
Cleveland, Ohio, 44195, United States
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Other studies related to the condition(s) this trial covers.
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