UGLA/ENSAT-HT_v1
Research type
Research Study
Full title
Performance of an omics-signature in the diagnosis and prognosis of endocrine and primary hypertension. A sub-study of the ENSAT-HT Horizon 2020 project
IRAS ID
222444
Contact name
Christian Delles
Contact email
Sponsor organisation
NHS GGC
Clinicaltrials.gov Identifier
Clinicaltrials.gov Identifier
633983, European Union’s Horizon 2020 research and innovation programme
Duration of Study in the UK
3 years, 0 months, 1 days
Research summary
Summary of Research
The UGLA/ENSAT-HT is an observational multi-centre sub-study of the ENSAT-HT Horizon 2020 European project, which will compare the diagnostic performance of modern 'omics' techniques (genomics, metabolomics, proteomics of plasma and urine) with currently used, cumbersome diagnostic methods to detect endocrine (adrenal) forms of high blood pressure (EHBP) [phase 1]. In addition, we will explore whether omics might predict prognosis of patients that do not have an identifiable cause of hypertension, so-called primary hypertension (PHT), their cost-effectiveness and relation to the psycho-social burden of hypertension [Phase 2].
Omics signature identified in an ongoing, retrospective phase will be prospectively validated comparing all consenting adult EHBP and matched PHT patients (≤ 75 yo) referred to each participating centre. Exclusion criteria will entail severe comorbidity, non-adrenal active malignancies, pregnancy and lack of capacity or of therapeutic adherence.
Hypertensive patients referred to Glasgow Blood Pressure Clinic (GBPC) in the Queen Elizabeth University Hospital will be diagnosed and treated in keeping with usual diagnostic algorithms and care. The additional burden of participation is the sampling of extra blood and urine at the start of the usual diagnostic phase and at the end of a 1 year follow-up period, the collection of clinical data and filling out QoL questionnaires.
A European Union’s Horizon 2020 research and innovation programme grant will fund the research.Summary of Results
This prospective stage of the ENSAT-HT study, uses artificial intelligence (machine-learning based) analysis of several markers measured in the blood and urine to develop and validate a new system for diagnosis of high blood pressure caused by disorders in hormone production, with the intention of enabling quicker, more cost-effective diagnosis and treatment of patients with these conditions.
All collection and measurements of study samples have now been made, completing our role in this specific project. Our data has been delivered to study partners in Dundee who are now performing the extensive analytical procedures required to validate specific diagnostic signatures. When complete, this work will be published in high profile scientific journals as is currently the case for the previous retrospective study phase of this project. More details about the study, the partners involved and the results to date can be found at https://eur03.safelinks.protection.outlook.com/?url=https%3A%2F%2Fu2790089.ct.sendgrid.net%2Fls%2Fclick%3Fupn%3DXv3JSvJ-2B3M71ppf7N9agbZVJccDzFh8IIKEa8ZLdNBwNuJPYz832IrXm2gFvw-2BNtkXJ6_E1aO2-2BZlVOSJJV-2FajQqskegTd6IRomHYTi-2Fbt8SH3YKX-2FoEl1cK84DHBzV3n2Dtt3lTDnkKcGWRcrI2XX0ErvYmjNuyTCpWbcrxDOubHRA6czUwXo7iTt19n3UScfgZKTJVp9GT-2Bc7s0VTN509dYGZyJkI2QID0LMHagjP7-2FD9itDh3HsJ04cjMXMkOHe1acz8qcXh3zdK0TGnTiSI7ykg-3D-3D&data=05%7C01%7Capprovals%40hra.nhs.uk%7C46ead4a9932842b2a35508dae1bd2aa8%7C8e1f0acad87d4f20939e36243d574267%7C0%7C0%7C638070499821266229%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&sdata=YxJljuhxKSrE9Jg5fgptTVXEqQ7usZ6QCruWai9qRmY%3D&reserved=0REC name
South Central - Oxford C Research Ethics Committee
REC reference
18/SC/0171
Date of REC Opinion
22 Mar 2018
REC opinion
Favourable Opinion