New needle treatment could replace surgery for curing Hormone-Driven high blood pressure
NCT ID NCT05405101
First seen Jun 27, 2026 · Last updated Jul 17, 2026 · Updated 1 time
Summary
This study tests if a less invasive needle-based treatment (thermal ablation) works as well as surgery to cure a hormone disorder called primary aldosteronism, which causes high blood pressure. About 122 adults with the condition will be randomly assigned to one of the two treatments. The goal is to see if the needle treatment can normalize blood pressure and hormone levels without the need for long-term medication.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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112 people
The number who actually took part.
- Started
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Sep 2022
- Expected to finish
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Nov 2026
An estimate. End dates often move.
- 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.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion criteria (all of): * Age \> 18 years * Primary aldosteronism diagnosed according to international guidelines * Unilateral disease by AVS or PET-CT criteria * Ipsilateral radiological abnormality with benign imaging characteristics and technically amenable to both thermal ablation and surgery * Able and willing to give informed consent * Randomisation approved by MDT Exclusion criteria (any of): * Absolute contraindication to α- or β-adrenoceptor antagonist therapy or CT contrast * Contraindication or unwillingness for either surgery or thermal ablation * Inability to withdraw β-adrenoceptor antagonist therapy for 2 weeks * Unwilling to undergo either LA or thermal ablation * Unwilling to comply with study visit schedule * Pregnancy or unwillingness to undertake secure contraception for the study duration (female participants only) * Life-limiting comorbidity (at the discretion of the PI) * Clinical and/or biochemical evidence of autonomous cortisol secretion sufficient, in the opinion of the patient's physician, to mandate a unilateral adrenalectomy independent of autonomous aldosterone secretion
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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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Cambridge University Hospitals NHS Foundation Trust
Cambridge, SMLG, CB2 0QQ, United Kingdom
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Guy's and St Thomas' NHS Foundation Trust
London, SE1 9RT, United Kingdom
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Imperial College Healthcare NHS Trust
London, W12 0HS, United Kingdom
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Sheffield Teaching Hospitals NHS Foundation Trust
Sheffield, S10 2JF, United Kingdom
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St Bartholomew's Hospital
London, EC1A 7BE, United Kingdom
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University College London Hospital NHS Foundation Trust
London, NW1 2PG, United Kingdom
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Can a pill quiet the adrenal Glands' hormone overdrive?
- Sauna bathing may offer a sweat-based path to lower blood pressure
- Can a new PET scan light up hidden adrenal tumors causing high blood pressure?
- Wearable tech puts hormone health to the test
- New scan could replace risky vein test for Hormone-Driven high blood pressure