About this trial
The drug treatment for primary aldosteronism (PA) is limited and difficult to improve long-term cardiovascular outcomes. This study plans to enroll patients with primary aldosteronism and randomly divide into 3 groups: scheme 1: Statin combined with amlodipine besylate, scheme 2: Statin combined with Spironolactone and Amlodipine besylate. scheme 3: Amlodipine besylate combined with Spironolactone , to observe the changes in plasma aldosterone level, 24-hour urinary aldosterone, blood pressure, and long-term cardiovascular risk.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Clinical diagnosis of primary aldosteronism
Disqualifiers
Allergy to drugs in this study
Pregnancy
Severe liver and kidney dysfunction
Mental illness
Trial design
Parallel
Treatments tested in this trial
Simvastatin combined with Amlodipine besylate
Drug6-month treatment of Simvastatin combined with Amlodipine besylate
Simvastatin combined with Spironolactone and Amlodipine besylate.
Drug6-month treatment of Simvastatin combined with Spironolactone and Amlodipine besylate.
Amlodipine besylate combined Spironolactone
Drug6-month treatment of Amlodipine besylate combined with Spironolactone
Treatment groups
Trial outcomes
Primary outcomes
changes in plasma aldosterone levels
blood samples are collected at baseline and 6 months after treatment to measure plasma aldosterone levels, and compare between groups and within groups (pg/ml)
changes in 24-hour urinary aldosterone levels
24 hours urine are collected at baseline and 6 months after treatment to measure 24-hour urinary aldosterone, and compare between groups and within groups(pmol/24h)
Secondary outcomes
changes in office blood pressure and home blood pressure
Record office blood pressure at baseline and at follow-up after medical treatment (mmHg), and compare between groups and within groups
changes in serum potassium levels
blood samples are collected at baseline and 6 months after treatment to measure serum potassium levels, and compare between groups and within groups (mmol/L)
changes in serum renin level
blood samples are collected at baseline and 6 months after treatment to measure serum renin levels, and compare between groups and within groups (mU/L)
changes in plasma cholesterol levels
blood samples are collected at baseline and 6 months after treatment to measure plasma cholesterol levels, and compare between groups and within groups (mmol/L)
Sponsors and contacts
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