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Resistant HypertensionNCT06282107

Effectiveness and Safety of BiSAAE for Resistant Hypertension.

A study testing BiSAAE and traditional triple antihypertensive treatment in people with Resistant Hypertension, run by First Affiliated Hospital of Chengdu Medical College.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

Hypertension is a common problem, affecting >1.1 billion people worldwide. Unfortunately, fewer than one in five treated patients with hypertension have their blood pressure (BP) under control. Read more about this study

Who is it for?
Ages 30 to 65 years
Conditions the study is for
Resistant Hypertension
What is being tested?
BiSAAE and traditional triple antihypertensive treatment
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
72 participants
Where
No sites listed yet
Study dates
1 Jan 2025to 31 Dec 2026
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 30 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male or female, aged between 30-65 years old.
  • Patients with resist hypertension (office systolic blood pressure ≥140 mmHg, and/or office diastolic blood pressure ≥90 mmHg, and/or 24-h average systolic blood pressure ≥130 mmHg) with rational lifestyle change and triple antihypertensive drugs (irbesartanhydrochlorothiazide 162.5 mg/d, amlodipine 5 mg/d) for at least 4 weeks.
  • Informed consent signed and agreed to participate in this trial.

Who cannot join

  • Secondary hypertension
  • Adrenergic insufficiency.
  • adrenocortical insufficiency
  • Renal failure eGFR<60 mL/min/1.73 m2
  • Heart failure with NYHA grade Ⅱ-Ⅳ grade or unstable angina, severe cardiovascular and cerebrovascular stenosis, myocardial infarction, intracranial aneurysm, stroke and other acute cardiovascular events.
  • Acute infections, tumors and severe arrhythmias, psychiatric disorders, drugs or alcohol addicts.
Show all 15Show fewer
  • Liver dysfunction or the following history of liver disease: AST or ALT 3 times higher than the upper limit, liver cirrhosis, history of hepatic encephalopathy, esophageal variceal history or portal shunt history.
  • Fertile woman without contraceptives.
  • Coagulation dysfunction.
  • Pregnant women or lactating women.
  • Participated in other clinical trials or admitted with other research drugs within 3 months prior to the trial.
  • Any surgical or medical condition which can significantly alter the absorption, distribution, metabolism, or excretion of any study drug.
  • Allergy or any contraindications for the study drugs, contrast agents and alcohol.
  • History of depression, schizophrenia or vascular dementia.
  • -Refused to sign informed consent

Trial locations and contacts

No sites are listed yet. Contact the study team or a site near you to ask about taking part.

About this study

Official title: Effectiveness and Safety of Bilateral Superselective Adrenal Arterial Embolization (BiSAAE) for Resistant Hypertension

Hypertension is a common problem, affecting >1.1 billion people worldwide. Unfortunately, fewer than one in five treated patients with hypertension have their blood pressure (BP) under control. The increasing number of people with uncontrolled BP despite the use of three or more antihypertensive agents at optimal or maximally tolerated doses, with one of those agents preferably being a diuretic has been described as the resistant hypertension (RH). Achieving BP control is essential because patients with hypertension who have uncontrolled BP have significantly higher rates of all-cause, cardiovascular, heart disease and cerebrovascular disease mortality compared to normotensive individuals, whereas mortality risk in patients with well-controlled BP does not differ from that in normotensive individuals. There are a number of potential factors that contribute to the suboptimal control of hypertension, including medication non-adherence and prescribing inertia. This highlights the limitations of purely pharmacological approaches for the effective management of hypertension. In fact, the activation of the renin-angiotensin-aldosterone system (RAAS) and sympatho-adrenomedullary system play a pathogenic role in triggering and sustaining RH. Superselective adrenal arterial embolization (SAAE) is a catheter-based percutaneous transluminal procedure which selectively injects ethanol into adrenal artery to ablate part of the adrenal gland for suppression of excessive aldosterone and catecholamines. Over the last decade, unilateral SAAE has emerged as a potential treatment option for patients with primary aldosteronism. Whether this approach can be extrapolated to patients with RH is unclear. We thus set out to perform a randomized trial to compare the safety and efficacy of bilateral SAAE with antihypertensive medications in treating RH.

Being tested
BiSAAE, traditional triple antihypertensive treatment

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • BiSAAEProcedure or surgery

    SAAE is a catheter-based percutaneous transluminal procedure which selectively injects ethanol into bilateral adrenal artery to ablate part of the adrenal gland for suppression of excessive aldosterone and catecholamines

  • traditional triple antihypertensive treatmentProcedure or surgery

    traditional triple antihypertensive treatment

Study groups in NCT06282107
Study groupRoleWhat they receive
Bilateral superselective adrenal arterial embolizationExperimentalSelectively injects 1.5-2.5 mL ethanol into bilateral adrenal artery to ablate part of the adrenal gland; irbesartanhydrochlorothiazide 162.5 mg/d, amlodipine 5 mg/d
Receives: Procedure: BiSAAE
traditional triple antihypertensive treatmentActive comparatorirbesartanhydrochlorothiazide 162.5 mg/d, amlodipine 5 mg/d
Receives: Procedure: traditional triple antihypertensive treatment

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change of 24-h average systolic blood pressure

    Difference in the change of 24-h average systolic blood pressure between the intervention and control group

    Measured: 6-month

  2. Change of 24-h average systolic blood pressure

    Difference in the change of 24-h average systolic blood pressure between the intervention and control group

    Measured: 12-month

  3. Change of 24-h average systolic blood pressure

    Difference in the change of 24-h average systolic blood pressure between the intervention and control group

    Measured: 3-month

Secondary outcomes (48)
  1. Change of 24-h average diastolic blood pressure, daytime mean systolic blood pressure, daytime mean diastolic blood pressure, and nighttime average systolic and diastolic blood pressure

    Difference in the change of 24-h average diastolic blood pressure, daytime mean systolic blood pressure, daytime mean diastolic blood pressure, and nighttime average systolic and diastolic blood pressure between the intervention and control group

    Measured: 6-month

  2. Change of 24-h average diastolic blood pressure, daytime mean systolic blood pressure, daytime mean diastolic blood pressure, and nighttime average systolic and diastolic blood pressure

    Difference in the change of 24-h average diastolic blood pressure, daytime mean systolic blood pressure, daytime mean diastolic blood pressure, and nighttime average systolic and diastolic blood pressure between the intervention and control group

    Measured: 3-month

  3. Change of 24-h average diastolic blood pressure, daytime mean systolic blood pressure, daytime mean diastolic blood pressure, and nighttime average systolic and diastolic blood pressure

    Difference in the change of 24-h average diastolic blood pressure, daytime mean systolic blood pressure, daytime mean diastolic blood pressure, and nighttime average systolic and diastolic blood pressure between the intervention and control group

    Measured: 12-month

  4. Change of home systolic and diastolic pressure

    Difference in the change of home systolic and diastolic pressure between the intervention and control group

    Measured: 6-month

  5. Change of home systolic and diastolic pressure

    Difference in the change of home systolic and diastolic pressure between the intervention and control group

    Measured: 12-month

  6. Change of home systolic and diastolic pressure

    Difference in the change of home systolic and diastolic pressure between the intervention and control group

    Measured: 3-month

  7. Difference in the change of office systolic and diastolic pressure between the intervention and control group

    Difference in the change of office systolic and diastolic pressure between the intervention and control group

    Measured: 6-month

  8. Difference in the change of office systolic and diastolic pressure between the intervention and control group

    Difference in the change of office systolic and diastolic pressure between the intervention and control group

    Measured: 12-month

  9. Difference in the change of office systolic and diastolic pressure between the intervention and control group

    Difference in the change of office systolic and diastolic pressure between the intervention and control group

    Measured: 3-month

  10. Difference in the change of blood electrolytes (K+, Na + in mmol/L) between the intervention and control group

    Difference in the change of blood electrolytes (K+, Na + in mmol/L) between the intervention and control group

    Measured: 6-month

  11. Difference in the change of blood electrolytes (K+, Na + in mmol/L) between the intervention and control group

    Difference in the change of blood electrolytes (K+, Na + in mmol/L) between the intervention and control group

    Measured: 12-month

  12. Difference in the change of blood electrolytes (K+, Na + in mmol/L) between the intervention and control group

    Difference in the change of blood electrolytes (K+, Na + in mmol/L) between the intervention and control group

    Measured: 3-month

  13. Change of plasma aldosterone

    Difference in the change of plasma aldosterone (pg/mL) between the intervention and control group

    Measured: 6-month

  14. Change of plasma aldosterone

    Difference in the change of plasma aldosterone (pg/mL) between the intervention and control group

    Measured: 12-month

  15. Change of plasma aldosterone

    Difference in the change of plasma aldosterone (pg/mL) between the intervention and control group

    Measured: 3-month

  16. Change of plasma cortisol

    Change of plasma cortisol

    Measured: 6-month

  17. Change of plasma cortisol

    Change of plasma cortisol

    Measured: 12-month

  18. Change of plasma cortisol

    Change of plasma cortisol

    Measured: 3-month

  19. Change of plasma renin measured

    Difference in the change of plasma renin (pg/ml) between the intervention and control group

    Measured: 6-month

  20. Change of plasma renin measured

    Difference in the change of plasma renin (pg/ml) between the intervention and control group

    Measured: 12-month

  21. Change of plasma renin measured

    Difference in the change of plasma renin (pg/ml) between the intervention and control group

    Measured: 3-month

  22. Change of liver enzymes

    Difference in the change of liver enzymes (ALT, AST in IU/L) between the intervention and control group

    Measured: 6-month

  23. Change of liver enzymes

    Difference in the change of liver enzymes (ALT, AST in IU/L) between the intervention and control group

    Measured: 12-month

  24. Change of liver enzymes

    Difference in the change of liver enzymes (ALT, AST in IU/L) between the intervention and control group

    Measured: 3-month

  25. Change of kidney function

    Difference in the change of serum creatinine in umol/L between the intervention and control group

    Measured: 6-month

  26. Change of kidney function

    Difference in the change of serum creatinine in umol/L between the intervention and control group

    Measured: 12-month

  27. Change of kidney function

    Difference in the change of serum creatinine in umol/L between the intervention and control group

    Measured: 3-month

  28. Change of fasting blood glucose

    Difference in the change of fasting blood glucose in mmol/L between the intervention and control group

    Measured: 6-month

  29. Change of fasting blood glucose

    Difference in the change of fasting blood glucose in mmol/L between the intervention and control group

    Measured: 3-month

  30. Change of fasting blood glucose

    Difference in the change of fasting blood glucose in mmol/L between the intervention and control group

    Measured: 12-month

  31. Change of lipids profiles

    Difference in the change of lipids profiles (TC, HDL-C, LDL-C, TG) in mmol/L between the intervention and control group

    Measured: 6-month

  32. Change of lipids profiles

    Difference in the change of lipids profiles (TC, HDL-C, LDL-C, TG) in mmol/L between the intervention and control group

    Measured: 12-month

  33. Change of lipids profiles

    Difference in the change of lipids profiles (TC, HDL-C, LDL-C, TG) in mmol/L between the intervention and control group

    Measured: 3-month

  34. Change of echocardiography parameters (IVSd、IVSs、LVPWd, LVPWs, LVEDD)

    Difference in the change of echocardiography parameters (IVSd、IVSs、LVPWd, LVPWs, LVEDD, in millimetre[mm]) between the intervention and control group

    Measured: 6-month

  35. Change of echocardiography parameters (IVSd、IVSs、LVPWd, LVPWs, LVEDD)

    Difference in the change of echocardiography parameters (IVSd、IVSs、LVPWd, LVPWs, LVEDD, in millimetre[mm]) between the intervention and control group

    Measured: 12-month

  36. Change of echocardiography parameters (IVSd、IVSs、LVPWd, LVPWs, LVEDD)

    Difference in the change of echocardiography parameters (IVSd、IVSs、LVPWd, LVPWs, LVEDD, in millimetre[mm]) between the intervention and control group

    Measured: 3-month

  37. Change of 24-h urine microalbumin

    Difference in the change of 24-h urine microalbumin (mg/L) between the intervention and control group

    Measured: 6-month

  38. Change of 24-h urine microalbumin

    Difference in the change of 24-h urine microalbumin (mg/L) between the intervention and control group

    Measured: 12-month

  39. Change of 24-h urine microalbumin

    Difference in the change of 24-h urine microalbumin (mg/L) between the intervention and control group

    Measured: 3-month

  40. Change of 24-h urine creatinine

    Difference in the change of 24-h urine creatinine (umol/L) between the intervention and control group

    Measured: 6-month

  41. Change of 24-h urine creatinine

    Difference in the change of 24-h urine creatinine (umol/L) between the intervention and control group

    Measured: 12-month

  42. Change of 24-h urine creatinine

    Difference in the change of 24-h urine creatinine (umol/L) between the intervention and control group

    Measured: 3-month

  43. Change of echocardiography parameters (LVEF)

    Change of echocardiography parameters (LVEF)

    Measured: 6-month

  44. Change of echocardiography parameters (LVEF)

    Change of echocardiography parameters (LVEF)

    Measured: 12-month

  45. Change of echocardiography parameters (LVEF)

    Change of echocardiography parameters (LVEF)

    Measured: 3-month

  46. Change of carotid intima-media thickness

    Difference in the change of carotid intima-media thickness(CIMT) assessed by carotid ultrasound between the intervention and control group

    Measured: 6-month

  47. Change of carotid intima-media thickness

    Difference in the change of carotid intima-media thickness(CIMT) assessed by carotid ultrasound between the intervention and control group

    Measured: 12-month

  48. Change of carotid intima-media thickness

    Difference in the change of carotid intima-media thickness(CIMT) assessed by carotid ultrasound between the intervention and control group

    Measured: 3-month

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted28 Feb 2024
  2. Study start1 Jan 2025 (estimated)
  3. Primary completion30 Jun 2025 (estimated)
  4. Study completion31 Dec 2026 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
72 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06282107
Sponsor's protocol ID
BiSAAE-RHT
Status last verified
Feb 2024
First submitted
18 Feb 2024
Last updated
28 Feb 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Wang X, Luo T, Yang Y, Zhou Y, Hou J, Wang P. Unilateral chemical ablation of the adrenal gland lowers blood pressure and alleviates target organ damage in spontaneously hypertensive rats. Hypertens Res. 2023 Dec;46(12):2693-2704. doi: 10.1038/s41440-023-01444-2. Epub 2023 Oct 3.

    PubMed 37789113
  • Zhou Y, Wang X, Hou J, Wan J, Yang Y, Liu S, Luo T, Liu Q, Xue Q, Wang P. A controlled trial of percutaneous adrenal arterial embolization for hypertension in patients with idiopathic hyperaldosteronism. Hypertens Res. 2024 Feb;47(2):311-321. doi: 10.1038/s41440-023-01420-w. Epub 2023 Aug 29.

    PubMed 37644179
  • Zhou Y, Wang D, Liu Q, Hou J, Wang P. Case report: Percutaneous adrenal arterial embolization cures resistant hypertension. Front Cardiovasc Med. 2022 Oct 11;9:1013426. doi: 10.3389/fcvm.2022.1013426. eCollection 2022.

    PubMed 36304542
  • Zhou Y, Liu Q, Wang X, Wan J, Liu S, Luo T, He P, Hou J, Pu J, Wang D, Liang D, Yang Y, Wang P. Adrenal Ablation Versus Mineralocorticoid Receptor Antagonism for the Treatment of Primary Aldosteronism: A Single-Center Prospective Cohort Study. Am J Hypertens. 2022 Dec 8;35(12):1014-1023. doi: 10.1093/ajh/hpac105.

    PubMed 36205513

Questions about this trial

What is this clinical trial studying?

A study testing BiSAAE and traditional triple antihypertensive treatment in people with Resistant Hypertension, run by First Affiliated Hospital of Chengdu Medical College.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 15 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: opening soon, as of the sponsor's last update on 28 Feb 2024. Status can change between updates, so confirm with the study contact before making plans.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Yaqiong Zhou (+8615184399329, 1273868593@qq.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change of 24-h average systolic blood pressure (time frame: 6-month). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06282107, which also lists 4 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 28 Feb 2024.

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