RECOVER-AUTONOMIC: Platform Protocol, Appendix B (Ivabradine)
NCT06305806 · Status: COMPLETED · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 181
Last updated 2026-02-20
Summary
This study is a platform protocol designed to be flexible so that it is suitable for a wide range of settings within health care systems and in community settings where it can be integrated into COVID-19 programs and subsequent treatment plans.
This protocol is a prospective, multi-center, multi-arm, randomized, controlled platform trial evaluating various interventions for use in the treatment of autonomic dysfunction symptoms, including cardiovascular complications and postural orthostatic tachycardia syndrome (POTS), in PASC participants. The interventions tested will include non-pharmacologic care and pharmacologic therapies with study drugs.
Conditions
- Long COVID
- Long Covid19
- Long Covid-19
Interventions
- DRUG
-
Ivabradine
Participants will receive ivabradine for 3 months (12 weeks) with a follow-up period for an additional 3 months (total study duration of 6 months).
- DRUG
-
Ivabradine Placebo
The control (placebo) oral tablets will be similar to the study drug, ivabradine. The control packaging matches the packaging. Participants will receive placebo for 3 months (12 weeks) with a follow-up period for an additional 3 months (total study duration of 6 months).
- BEHAVIORAL
-
Coordinated Care
Participants will receive coordinated non-pharmacologic care for a duration of 3 months, concurrent with ivabradine administration. Coordinated non-pharmacologic care involves volume expansion through high salt diet, water intake, abdominal binder, exercise/rehabilitation, motivation, education, and assisted care through care coordinator.
- BEHAVIORAL
-
Usual Care
Participants will receive usual non-pharmacologic care (control) for a duration of 3 months, concurrent with ivabradine administration.
Sponsors & Collaborators
-
Kanecia Obie Zimmerman
lead OTHER
Principal Investigators
-
Christopher Grainger, MD · Duke Clinical Research Institute
-
Cyndya Shibao, MD · Vanderbilt University Medical Center
-
Peter Novak, MD · Harvard
-
Pam Taub, MD · University of California, San Diego
-
Tae Chung, MD · Johns Hopkins University
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- TRIPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2024-03-11
- Primary Completion
- 2025-10-13
- Completion
- 2025-12-17
- FDA Drug
- Yes
Countries
- United States
Study Locations
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