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Adrenocortical Adenoma, clinical trials

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NCT ID: NCT04917757 Active, not recruiting - Clinical trials for Adrenal Incidentaloma

Clinical Outcome of Autonomous Cortisol Secretion in Adrenal Incidentalomas

NAPACA
Start date: January 1, 2015
Phase:
Study type: Observational [Patient Registry]

The primary aim of the study is to assess mortality and cardiovascular events potentially linked to cortisol excess in patients with adrenal incidentalomas stratified by cortisol values following the 1-mg overnight dexamethasone test.

NCT ID: NCT04860180 Active, not recruiting - Clinical trials for Adrenal Incidentaloma

Effect of Surgical or Conservative Approach in Patients With Adrenal Incidentalomas

Start date: September 29, 2016
Phase: N/A
Study type: Interventional

Subclinical hypercortisolism (SH) is a status of asymptomatic hypercortisolism, frequently found in patients with adrenal adenomas (estimated prevalence: 0.8-2% after 60 years of age). Although SH may lead to diabetes, hypertension and osteoporosis, the diagnostic SH criteria and those suggesting the need of adrenalectomy are debated. Indeed, beside the cortisol secretion, the individual cortisol sensitivity may play a role in determining the SH consequences. Subjects with possible SH due to adrenal adenoma will be randomized to surgery/conservative follow up. The effects of surgery on the cardiovascular, bone, metabolic complications of SH and on neuropsychological aspects and quality of life (QoL) and the possibility to predict them by using cortisol sensitivity and secretion markers will be studied. The study may clarify how to individuate patients who can benefit from surgery. These results will help reducing the costs of both useless surgical operations and SH consequences.

NCT ID: NCT02030587 Active, not recruiting - Hyperaldosteronism Clinical Trials

Laparoscopic Adrenalectomy Versus Radiofrequency Ablation

LARFA
Start date: January 2013
Phase: N/A
Study type: Interventional

This is a prospective randomized controlled study comparing laparoscopic adrenalectomy (LA) versus image-guided percutaneous radiofrequency ablation (RFA) in treating aldosterone-producing adenoma. The objectives of this study are to 1. compare the short-term outcomes of LA and RFA in treating aldosterone-producing adenoma. 2. compare the treatment success rates of LA and RFA during follow-up for primary aldosteronism.