Effect of Midodrine vs Abdominal Compression on Cardiovascular Risk Markers in Autonomic Failure Patients
NCT04620382 · Status: COMPLETED · Phase: EARLY_PHASE1 · Type: INTERVENTIONAL · Enrollment: 31
Last updated 2026-05-05
Summary
The purpose of this study is to learn more about the effects of abdominal compression and the medication midodrine, two interventions used for the treatment of orthostatic hypotension (low blood pressure on standing), on hemodynamic markers of cardiovascular risk. The study will be conducted at the Vanderbilt University Medical Center and consists of a screening and 2 testing days, one with abdominal compression and one with midodrine. The total length of the study will be about 5 days.
Conditions
- Neurogenic Orthostatic Hypotension
- Autonomic Failure
- Pure Autonomic Failure
- Multiple System Atrophy
- Parkinson Disease
Interventions
- DEVICE
-
sham compression
Sham abdominal compression during head-up tilt
- DRUG
-
Midodrine
Midodrine 5-10 mg, single oral dose
- DRUG
-
Placebo pill
single oral dose
- DEVICE
-
Abdominal compression
abdominal compression up to 40 mmHg during head-up tilt
Sponsors & Collaborators
-
National Heart, Lung, and Blood Institute (NHLBI)
collaborator NIH -
Vanderbilt University Medical Center
lead OTHER
Principal Investigators
-
Luis Okamoto, MD · Vanderbilt University Medical Center
Study Design
- Allocation
- RANDOMIZED
- Purpose
- OTHER
- Masking
- SINGLE
- Model
- CROSSOVER
Eligibility
- Min Age
- 40 Years
- Max Age
- 80 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2020-11-09
- Primary Completion
- 2025-07-01
- Completion
- 2025-12-01
- FDA Drug
- Yes
Countries
- United States
Study Locations
More Related Trials
-
Tilt-Table Study of the Clinical Efficacy of Midodrine in Symptomatic Orthostatic Hypotension
NCT01518946 ·Status: COMPLETED ·Phase: PHASE4
-
Study to Assess the Benefit of Midodrine in the Treatment of Patients With Neurogenic Orthostatic Hypotension
NCT00555880 ·Status: COMPLETED ·Phase: PHASE4
-
Treatment and Prognosis of Neurogenic Orthostatic Hypotension : A Prospective Randomized Study
NCT02308124 ·Status: COMPLETED ·Phase: PHASE4
-
Assessment of Midodrine in the Prevention of Vasovagal Syncope: The Prevention of Syncope Trial IV
NCT01456481 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE4
-
Reduction in Splanchnic Capacitance Contributes to Sympathetically Dependent Hypertension in Autonomic
NCT02726711 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE1
-
Intravenous Norepinephrine for Orthostatic Hypotension
NCT01285908 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
The Role of Endothelin in the Supine Hypertension of Autonomic Failure
NCT01119417 ·Status: WITHDRAWN ·Phase: PHASE1
-
A Study in Subjects With Neurogenic Orthostatic Hypotension
NCT07089043 ·Status: RECRUITING ·Phase: PHASE2
-
: Vascular Function in Health and Disease
NCT02966665 ·Status: RECRUITING ·Phase: PHASE1
-
Midodrine for the Early Liberation of Vasopressor Support in the ICU
NCT04489589 ·Status: COMPLETED ·Phase: PHASE4
-
Treatment Strategy of Vasovagal Syncope
NCT05803148 ·Status: RECRUITING ·Phase: NA
-
Water and Sudafed in Autonomic Failure
NCT02149901 ·Status: TERMINATED ·Phase: EARLY_PHASE1
-
Non-Pharmacologic Therapy for Neurocardiogenic Syncope
NCT00096902 ·Status: COMPLETED ·Phase: PHASE2
-
Autonomic Nervous System and Nitric Oxide Interactions
NCT01137253 ·Status: COMPLETED ·Phase: PHASE1
-
Pathophysiology of Orthostatic Intolerance
NCT00608725 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
CAPITAL DOREMI 2: Inotrope Versus Placebo Therapy for Cardiogenic Shock
NCT05267886 ·Status: RECRUITING ·Phase: PHASE4
-
Midodrine and Fludrocortisone for Vasovagal Syncope
NCT04595942 ·Status: UNKNOWN ·Phase: PHASE3
-
Using Clonidine to Improve Leg Weakness in People With Heart Failure
NCT00858845 ·Status: COMPLETED ·Phase: PHASE4
-
Nebivolol in the Supine Hypertension of Autonomic Failure
NCT01044693 ·Status: COMPLETED ·Phase: NA
-
Sympathetic Regulation of Large Artery Stiffness in Humans With ISH
NCT04423627 ·Status: COMPLETED ·Phase: EARLY_PHASE1
-
Clinical Trial for the Prevention of Vasovagal Syncope
NCT00118482 ·Status: COMPLETED ·Phase: PHASE4
-
A Novel Device for the Treatment of Postural Hypotension - a Signal of Effectiveness Study.
NCT06039410 ·Status: RECRUITING ·Phase: NA
-
Role of Sympathetic Activity and Splanchnic Capacitance in Hypertension
NCT02425566 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE1
-
Dose Response to the Norepinephrine Precursor Droxidopa in Hypotensive Individuals With Spinal Cord Injury
NCT03602014 ·Status: COMPLETED ·Phase: PHASE4
-
Acupuncture for the Treatment of Medication-Dependent Hypotension in Heart Failure
NCT04952935 ·Status: UNKNOWN ·Phase: PHASE1/PHASE2