The Role of Endothelin in the Supine Hypertension of Autonomic Failure
NCT01119417 · Status: WITHDRAWN · Phase: PHASE1 · Type: INTERVENTIONAL
Last updated 2021-10-05
Summary
The purpose of this study is to test the hypothesis that endothelin plays a role in the pathogenesis of supine hypertension in pure autonomic failure by increasing vascular resistance. To gauge its contribution to blood pressure regulation, pure autonomic failure and multiple system atrophy patients with supine hypertension will undergo a medication testing with the endothelin blocker, BQ123. We will compare the hemodynamic effects between PAF and MSA patients. Our primary endpoint will be the decrease in blood pressure during the administration of this compound.
Conditions
- Hypertension
- Pure Autonomic Failure
- Multiple System Atrophy
Interventions
- DRUG
-
BQ123
Low dose day: 25 nmol/min, single IV infusion for 15 min.
- DRUG
-
BQ123
Low dose day: 50 nmol/min, single IV infusion for 15 min
- DRUG
-
Bq123
High dose day: 100 nmol/min, single IV infusion for 15 min.
- DRUG
-
BQ123
High dose day: 300 nmol/min, single IV infusion for 15 min.
- DRUG
-
Saline
2-3 IV saline infusions for 15 min each.
Sponsors & Collaborators
-
Vanderbilt University
lead OTHER
Principal Investigators
-
Italo Biaggioni, M.D. · Vanderbilt University
Study Design
- Allocation
- RANDOMIZED
- Purpose
- OTHER
- Masking
- SINGLE
- Model
- CROSSOVER
Eligibility
- Min Age
- 18 Years
- Max Age
- 85 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2010-05-31
- Primary Completion
- 2021-05-31
- Completion
- 2021-05-31
Countries
- United States
Study Locations
More Related Trials
-
Autonomic Nervous System and Nitric Oxide Interactions
NCT01137253 ·Status: COMPLETED ·Phase: PHASE1
-
Hemodynamic Mechanisms of Abdominal Compression in the Treatment of Orthostatic Hypotension in Autonomic Failure
NCT02429557 ·Status: COMPLETED ·Phase: PHASE1
-
The Contribution of Endothelin to Vasomotor Function in Diseased Coronary Arteries
NCT00115583 ·Status: COMPLETED ·Phase: NA
-
The Pathophysiology of Orthostatic Hypotension
NCT00748059 ·Status: COMPLETED ·Phase: PHASE1
-
Effects of Midodrine and Droxidopa on Splanchnic Capacitance in Autonomic Failure
NCT02897063 ·Status: RECRUITING ·Phase: PHASE1
-
A Dose Response Trial Using 5 and 10 Mg of Midodrine Hydrochloride
NCT00426842 ·Status: COMPLETED ·Phase: PHASE2
-
Role of Sympathetic Activity and Splanchnic Capacitance in Hypertension
NCT02425566 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE1
-
Hemodynamic Response of Neuropathic And Non-Neuropathic POTS Patients To Adrenoreceptor Agonist And Antagonist
NCT03070730 ·Status: TERMINATED ·Phase: PHASE1/PHASE2
-
Nitric Oxide and the Autonomic Nervous System
NCT00178919 ·Status: COMPLETED ·Phase: NA
-
Influences of Phenylephrine, Dopamine and Ephedrine on Stroke Volume Variation and Pulse Pressure Variation
NCT02201121 ·Status: COMPLETED ·Phase: NA
-
Nebivolol and the Endothelin (ET)-1 System
NCT01395329 ·Status: COMPLETED ·Phase: PHASE4
-
: Vascular Function in Health and Disease
NCT02966665 ·Status: RECRUITING ·Phase: PHASE1
-
Sympathetic Neurovascular Transduction: Role of Adrenergic Receptors and Sex Differences
NCT05997732 ·Status: RECRUITING ·Phase: PHASE4
-
The Effects Of Bronchodilator Therapy On Respiratory And Autonomic Function In Patients With Familial Dysautonomia
NCT01987219 ·Status: COMPLETED ·Phase: PHASE3
-
Intravenous (IV) Saline and Exercise in Postural Tachycardia Syndrome (POTS)
NCT01000350 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Influence of the Autonomic Nervous System in Response to Exercise in Hypertensive Individuals
NCT04371757 ·Status: UNKNOWN ·Phase: NA
-
Autonomic Determinants of POTS - Pilot 2
NCT04140721 ·Status: ACTIVE_NOT_RECRUITING ·Phase: EARLY_PHASE1
-
Autonomic Determinants of POTS - Pilot1
NCT04050410 ·Status: ACTIVE_NOT_RECRUITING ·Phase: EARLY_PHASE1
-
A Study of LY2216684 in Healthy Participants Receiving Albuterol or Propanolol
NCT01263197 ·Status: COMPLETED ·Phase: PHASE1
-
Effects of Intensive Long-Term Vasodilation in Hypertensive Patients With Microvascular Angina Pectoris
NCT00424801 ·Status: TERMINATED ·Phase: NA
-
POTS NET mRNA Functional Correlation With NET Activity
NCT03218761 ·Status: ACTIVE_NOT_RECRUITING
-
Effect of BNP (Brain Natriuretic Peptides) on Endothelial Dysfunction Induced by Coronary Angioplasty
NCT00262574 ·Status: UNKNOWN ·Phase: PHASE4
-
Intravenous Norepinephrine for Orthostatic Hypotension
NCT01285908 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Pathophysiology of Cardiometabolic Risk Factors in African Americans
NCT01122407 ·Status: COMPLETED ·Phase: PHASE1
-
The Influence of Beta Blocker Therapy on the Hemodynamic Response to Inotrope Infusion in Patients With Acute Decompensated Heart Failure
NCT01971944 ·Status: COMPLETED