Contribution of Angiotensin II to Supine Hypertension in Autonomic Failure
NCT01292694 · Status: TERMINATED · Phase: PHASE1 · Type: INTERVENTIONAL · Enrollment: 12
Last updated 2018-08-24
Summary
The purpose of this study is to test the hypothesis that angiotensin II plays a role in the supine hypertension of primary autonomic failure. To determine the contribution of angiotensin II to renin and blood pressure regulation in autonomic failure, patients with multiple system atrophy \[MSA\] or pure autonomic failure \[PAF\] and supine hypertension will undergo medication testing with the angiotensin II receptor blocker losartan. The investigators will compare the biochemical and hemodynamic effects between MSA and PAF patients. In a subset of patients, the investigators will also give the ACE inhibitor captopril. Our primary endpoint will be changes in plasma renin activity, and subsequent components of the circulating renin-angiotensin system, in response to angiotensin II blockade. Our secondary outcome will be changes in hemodynamic measures during administration of these drugs.
Conditions
- Hypertension
- Pure Autonomic Failure
- Multiple System Atrophy
Interventions
- DRUG
-
Losartan
Oral, single-dose, 50 mg tablet
- DRUG
-
Captopril
Oral, single-dose, 50 mg tablet
- DRUG
-
Oral, single administration, gelatin capsule filled with microcrystalline cellulose
Sponsors & Collaborators
-
Vanderbilt University
lead OTHER
Principal Investigators
-
Italo Biaggioni, MD · Vanderbilt University
Study Design
- Allocation
- RANDOMIZED
- Purpose
- BASIC_SCIENCE
- Masking
- SINGLE
- Model
- CROSSOVER
Eligibility
- Min Age
- 18 Years
- Max Age
- 85 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2011-03-31
- Primary Completion
- 2017-03-31
- Completion
- 2017-03-31
Countries
- United States
Study Locations
More Related Trials
-
Essential Hypotension and Allostasis Registry
NCT02018497 ·Status: UNKNOWN
-
Genetic Mechanisms in Human Hypertension Renin-angiotensin-aldosterone System (RAAS) Inhibition Study
NCT01009944 ·Status: WITHDRAWN ·Phase: NA
-
Renal Sympathetic Denervation Combined With Aorticorenal Ganglion Ablation for Treatment of Hypertension
NCT06864962 ·Status: WITHDRAWN ·Phase: NA
-
Study 2: Effect of Minocycline Treatment on Drug-Resistant Hypertensive Patients
NCT02133885 ·Status: WITHDRAWN ·Phase: PHASE1/PHASE2
-
How to Test Success of a Renal Denervation
NCT02559882 ·Status: TERMINATED
-
Study of Renin-angiotensin System in Mechanically Ventilated Subjects
NCT03212690 ·Status: TERMINATED ·Phase: NA
-
Dopamine in Orthostatic Tolerance
NCT00748228 ·Status: TERMINATED ·Phase: NA
-
Effects of Renal Sympathetic Denervation on the Cardiac and Renal Functions in Patients With Drug-resistant Hypertension Through MRI Evaluation
NCT02164435 ·Status: UNKNOWN ·Phase: NA
-
Aldosterone & Sodium Regulation in Postural Tachycardia Syndrome - Screening
NCT01783288 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Mechanism of Masked Hypertension - Intervention
NCT04121299 ·Status: WITHDRAWN ·Phase: PHASE3
-
Dietary Sodium's Effect on Urinary Sodium and Dopamine Excretion in Patients With Postural Tachycardia Syndrome
NCT01563107 ·Status: COMPLETED ·Phase: NA
-
Evaluation of the Entresto Effect on Sympathic Nervous System in Patient With Heart Failure
NCT02787798 ·Status: TERMINATED ·Phase: PHASE4
-
Renal Denervation for Uncontrolled Hypertension
NCT02016573 ·Status: WITHDRAWN ·Phase: NA
-
Testosterone Regulation of the Natriuretic Peptide System
NCT02269072 ·Status: WITHDRAWN ·Phase: NA
-
Renal Denervation for Complicated Hypertension
NCT01865253 ·Status: TERMINATED ·Phase: PHASE4
-
Orthostatic Hypotension in Hypertensive Patient Hospitalized in Internal Medicine
NCT05247060 ·Status: COMPLETED
-
Sympathetic Activity and Renal Denervation
NCT01355055 ·Status: UNKNOWN
-
The Effect of Renal Denervation on Biological Variables
NCT01427049 ·Status: COMPLETED
-
Clinical Analysis of the Antihypertensive Effect of Laparoscopic Peripheral Nerve Blockade of the Renal Artery in Patients With Retroperitoneal Disease and Hypertension
NCT06829134 ·Status: RECRUITING ·Phase: NA
-
IntErnational Long-term Follow-up Study of Patients With Uncontrolled HyperTensioN
NCT01705080 ·Status: TERMINATED
-
Treatment of Resistant Hypertension by Prevention of T-Cell Co-Stimulation
NCT02232880 ·Status: TERMINATED ·Phase: PHASE2
-
Mechanism(s) Underlying Hypotensive Response to ARB/NEP Inhibition - Aim 1
NCT03738878 ·Status: TERMINATED ·Phase: PHASE4
-
Study of Inherited Changes of Receptors Located on Blood Vessels
NCT00001741 ·Status: COMPLETED ·Phase: PHASE1
-
Assessment of the Mechanism of Non-cardiac Syncope
NCT05728255 ·Status: COMPLETED
-
ANGIOTENSIN AGENTS AND REDUCTION OF THE PRESCRIPTION OF ANTIDEPRESSANT DRUGS: A RETROSPECTIVE COHORT STUDY USING REAL-WORLD DATA
NCT04899206 ·Status: WITHDRAWN