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A Study on the Determination of Optimal Cutoff Values for Plasma Free Metanephrine and Normetanephrine in the Diagnosis of Pheochromocytoma Based on Real-World Clinical Practice

Optimization of cutoff values for plasma-free fractionated metanephrines in the endocrinological diagnosis of pheochromocytoma and paraganglioma: a multicenter retrospective study - Optimization of plasma-free fractionated metanephrines cutoffs in pheochromocytoma and paraganglioma

Status
Active, not recruiting
Phases
Unknown
Study type
Observational
Source
JPRN
Registry ID
JPRN-UMIN000060658
Enrollment
800
Registered
2026-02-13
Start date
2023-04-19
Completion date
Unknown
Last updated
2026-06-29

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

pheochromocytoma and paraganglioma

Interventions

None listed

Sponsors

University of Tsukuba
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: Eligible participants were adults aged 18 years or older who underwent measurement of pMN/pNMN using the 2-MET Plasma ELISA kit (SML) after its reimbursement from January 2019.

Exclusion criteria

Exclusion criteria: The following cases were excluded from the analysis based on medical record review: (1) use of medications known to interfere with metanephrine measurements (e.g., antidepressants, atypical antipsychotics, sympathomimetic agents); (2) ingestion of foods known to affect metanephrine measurements (e.g., caffeine-containing products, bananas, or vanilla) on the day of blood sampling; (3) specimen collection performed during the treatment of acute illnesses or other clinical conditions likely to cause marked sympathetic activation; (4) cases in which the presence or absence of PPGL could not be definitively determined due to insufficient pathological, imaging, or clinical follow-up data.

Design outcomes

Primary

MeasureTime frame
Optimal cutoff values of plasma-free metanephrine and normetanephrine for the diagnosis of pheochromocytoma and paraganglioma, determined by receiver operating characteristic (ROC) analysis.

Secondary

MeasureTime frame
1. Comparison of the diagnostic performance of plasma-free and urinary fractionated metanephrines assessed by ROC analysis (AUC, sensitivity, and specificity). 2. Comparison of changes in plasma-free fractionated metanephrine levels before and after surgery.

Countries

Japan

Contacts

Public ContactMasato Yonamine

University of Tsukuba Laboratory of Laboratory/Sports Medicine, Institute of Medicine

yonamine.masato.fu@un.tsukuba.ac.jp029-853-3209

Outcome results

None listed

Source: JPRN (via WHO ICTRP) · Data processed: Jul 10, 2026