Trial Outcomes & Findings for A Clinical Study for Patients With Neurogenic Orthostatic Hypotension (NOH) Using Droxidopa (NCT NCT00782340)

NCT ID: NCT00782340

Last Updated: 2014-05-16

Results Overview

The OHQ is the average of two sub-scales, the Orthostatic Hypotension Symptom Assessment Scale (OHSA) and the Orthostatic Hypotension Daily Activities Scale (OHDAS). Each asks the patient to rate their symptoms or disease impact over the past week. The OHSA sub-scale is the average of six items: 1) Dizziness, lightheadedness, feeling faint or feeling like you might black out; 2) Problems with vision; 3) Weakness; 4) Fatigue; 5) Trouble concentrating; and 6) Head/neck discomfort. The OHDAS sub-scale is the average of four items: 1) Standing for a short time; 2) Standing for a long time; 3) Walking for a short time; and 4) Walking for a long time. Each item is scored on a Likert scale from 0 to 10, with 10 being the most severe. For the change from randomization, negative numbers represent improvement from randomization in OHQ score.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

263 participants

Primary outcome timeframe

7 days

Results posted on

2014-05-16

Participant Flow

Participant milestones

Participant milestones
Measure
Open-Label Titration
All patients titrated to their optimal dose of droxidopa for up to 2 weeks during open-label dose titration.
Droxidopa
100 mg, oral, three times per day 200 mg, oral, three times per day 300 mg, oral, three times per day 400 mg, oral, three times per day 500 mg, oral, three times per day 600 mg, oral, three times per day Droxidopa: 100 mg, oral, three times per day 200 mg, oral, three times per day 300 mg, oral, three times per day 400 mg, oral, three times per day 500 mg, oral, three times per day 600 mg, oral, three times per day
Placebo
100 mg, oral, three times per day 200 mg, oral, three times per day 300 mg, oral, three times per day 400 mg, oral, three times per day 500 mg, oral, three times per day 600 mg, oral, three times per day Placebo: 100 mg, oral, three times per day 200 mg, oral, three times per day 300 mg, oral, three times per day 400 mg, oral, three times per day 500 mg, oral, three times per day 600 mg, oral, three times per day
Open Label Titration
STARTED
263
0
0
Open Label Titration
COMPLETED
162
0
0
Open Label Titration
NOT COMPLETED
101
0
0
Randomized Double Blind
STARTED
0
82
80
Randomized Double Blind
COMPLETED
0
82
80
Randomized Double Blind
NOT COMPLETED
0
0
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Open-Label Titration
All patients titrated to their optimal dose of droxidopa for up to 2 weeks during open-label dose titration.
Droxidopa
100 mg, oral, three times per day 200 mg, oral, three times per day 300 mg, oral, three times per day 400 mg, oral, three times per day 500 mg, oral, three times per day 600 mg, oral, three times per day Droxidopa: 100 mg, oral, three times per day 200 mg, oral, three times per day 300 mg, oral, three times per day 400 mg, oral, three times per day 500 mg, oral, three times per day 600 mg, oral, three times per day
Placebo
100 mg, oral, three times per day 200 mg, oral, three times per day 300 mg, oral, three times per day 400 mg, oral, three times per day 500 mg, oral, three times per day 600 mg, oral, three times per day Placebo: 100 mg, oral, three times per day 200 mg, oral, three times per day 300 mg, oral, three times per day 400 mg, oral, three times per day 500 mg, oral, three times per day 600 mg, oral, three times per day
Open Label Titration
Adverse Event
12
0
0
Open Label Titration
Treatment failure
50
0
0
Open Label Titration
Protocol Violation
5
0
0
Open Label Titration
Withdrawal by Subject
5
0
0
Open Label Titration
Enrollment capped
16
0
0
Open Label Titration
Did not meet responder criteria
2
0
0
Open Label Titration
Lost to Follow-up
5
0
0
Open Label Titration
Randomized in error
6
0
0

Baseline Characteristics

A Clinical Study for Patients With Neurogenic Orthostatic Hypotension (NOH) Using Droxidopa

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Not Randomized
n=101 Participants
Patients entered open label droxidopa dose titration, but did not proceed into washout and randomization.
Droxidopa
n=82 Participants
100 mg, oral, three times per day 200 mg, oral, three times per day 300 mg, oral, three times per day 400 mg, oral, three times per day 500 mg, oral, three times per day 600 mg, oral, three times per day Droxidopa: 100 mg, oral, three times per day 200 mg, oral, three times per day 300 mg, oral, three times per day 400 mg, oral, three times per day 500 mg, oral, three times per day 600 mg, oral, three times per day
Placebo
n=80 Participants
100 mg, oral, three times per day 200 mg, oral, three times per day 300 mg, oral, three times per day 400 mg, oral, three times per day 500 mg, oral, three times per day 600 mg, oral, three times per day Placebo: 100 mg, oral, three times per day 200 mg, oral, three times per day 300 mg, oral, three times per day 400 mg, oral, three times per day 500 mg, oral, three times per day 600 mg, oral, three times per day
Total
n=263 Participants
Total of all reporting groups
Age, Continuous
64.6 years
STANDARD_DEVIATION 15.4 • n=5 Participants
57.4 years
STANDARD_DEVIATION 16.90 • n=7 Participants
55.7 years
STANDARD_DEVIATION 20.03 • n=5 Participants
59.6 years
STANDARD_DEVIATION 17.8 • n=4 Participants
Sex: Female, Male
Female
37 Participants
n=5 Participants
40 Participants
n=7 Participants
38 Participants
n=5 Participants
115 Participants
n=4 Participants
Sex: Female, Male
Male
64 Participants
n=5 Participants
42 Participants
n=7 Participants
42 Participants
n=5 Participants
148 Participants
n=4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
1 Participants
n=4 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Black or African American
2 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
3 Participants
n=4 Participants
Race (NIH/OMB)
White
99 Participants
n=5 Participants
82 Participants
n=7 Participants
78 Participants
n=5 Participants
259 Participants
n=4 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Region of Enrollment
United States
48 participants
n=5 Participants
33 participants
n=7 Participants
32 participants
n=5 Participants
113 participants
n=4 Participants
Region of Enrollment
Canada
3 participants
n=5 Participants
0 participants
n=7 Participants
4 participants
n=5 Participants
7 participants
n=4 Participants
Region of Enrollment
Europe
50 participants
n=5 Participants
49 participants
n=7 Participants
44 participants
n=5 Participants
143 participants
n=4 Participants
Primary Clinical Diagnosis
Parkinson's Disease
45 participants
n=5 Participants
35 participants
n=7 Participants
31 participants
n=5 Participants
111 participants
n=4 Participants
Primary Clinical Diagnosis
Multiple System Atrophy
18 participants
n=5 Participants
15 participants
n=7 Participants
11 participants
n=5 Participants
44 participants
n=4 Participants
Primary Clinical Diagnosis
Pure Autonomic Failure
33 participants
n=5 Participants
26 participants
n=7 Participants
28 participants
n=5 Participants
87 participants
n=4 Participants
Primary Clinical Diagnosis
Non-Diabetic Autonomic Neuropathy
2 participants
n=5 Participants
2 participants
n=7 Participants
6 participants
n=5 Participants
10 participants
n=4 Participants
Primary Clinical Diagnosis
Other Diagnosis
3 participants
n=5 Participants
4 participants
n=7 Participants
4 participants
n=5 Participants
11 participants
n=4 Participants

PRIMARY outcome

Timeframe: 7 days

Population: Missing data are imputed using the last observation carried forward method.

The OHQ is the average of two sub-scales, the Orthostatic Hypotension Symptom Assessment Scale (OHSA) and the Orthostatic Hypotension Daily Activities Scale (OHDAS). Each asks the patient to rate their symptoms or disease impact over the past week. The OHSA sub-scale is the average of six items: 1) Dizziness, lightheadedness, feeling faint or feeling like you might black out; 2) Problems with vision; 3) Weakness; 4) Fatigue; 5) Trouble concentrating; and 6) Head/neck discomfort. The OHDAS sub-scale is the average of four items: 1) Standing for a short time; 2) Standing for a long time; 3) Walking for a short time; and 4) Walking for a long time. Each item is scored on a Likert scale from 0 to 10, with 10 being the most severe. For the change from randomization, negative numbers represent improvement from randomization in OHQ score.

Outcome measures

Outcome measures
Measure
Droxidopa
n=82 Participants
100 mg, oral, three times per day 200 mg, oral, three times per day 300 mg, oral, three times per day 400 mg, oral, three times per day 500 mg, oral, three times per day 600 mg, oral, three times per day Droxidopa: 100 mg, oral, three times per day 200 mg, oral, three times per day 300 mg, oral, three times per day 400 mg, oral, three times per day 500 mg, oral, three times per day 600 mg, oral, three times per day
Placebo
n=80 Participants
100 mg, oral, three times per day 200 mg, oral, three times per day 300 mg, oral, three times per day 400 mg, oral, three times per day 500 mg, oral, three times per day 600 mg, oral, three times per day Placebo: 100 mg, oral, three times per day 200 mg, oral, three times per day 300 mg, oral, three times per day 400 mg, oral, three times per day 500 mg, oral, three times per day 600 mg, oral, three times per day
Change in Orthostatic Hypotension Questionnaire Score (OHQ)
-1.83 units on a scale
Standard Deviation 2.067
-0.93 units on a scale
Standard Deviation 1.691

SECONDARY outcome

Timeframe: 7 days

Population: Missing data are imputed using the last observation carried forward method.

OHDAS composite scale range: 0 (none) -10 (worst), likert scale. Change: score at end of study minus score at randomization. A negative score indicates an improvement during the double-blind randomized phase relative to value at randomization.

Outcome measures

Outcome measures
Measure
Droxidopa
n=81 Participants
100 mg, oral, three times per day 200 mg, oral, three times per day 300 mg, oral, three times per day 400 mg, oral, three times per day 500 mg, oral, three times per day 600 mg, oral, three times per day Droxidopa: 100 mg, oral, three times per day 200 mg, oral, three times per day 300 mg, oral, three times per day 400 mg, oral, three times per day 500 mg, oral, three times per day 600 mg, oral, three times per day
Placebo
n=79 Participants
100 mg, oral, three times per day 200 mg, oral, three times per day 300 mg, oral, three times per day 400 mg, oral, three times per day 500 mg, oral, three times per day 600 mg, oral, three times per day Placebo: 100 mg, oral, three times per day 200 mg, oral, three times per day 300 mg, oral, three times per day 400 mg, oral, three times per day 500 mg, oral, three times per day 600 mg, oral, three times per day
Change in Ability to Conduct Activities of Daily Living Score (OHDAS Composite Score)
-1.98 units on a scale
Standard Deviation 2.310
-0.92 units on a scale
Standard Deviation 1.816

SECONDARY outcome

Timeframe: 7 days

Population: Missing data are imputed using the last observation carried forward method.

OHSA composite scale range: 0 (none) -10 (worst), likert scale. Change: score at end of study minus score at randomization. A negative score indicates an improvement during the double-blind randomized phase relative to value at randomization.

Outcome measures

Outcome measures
Measure
Droxidopa
n=81 Participants
100 mg, oral, three times per day 200 mg, oral, three times per day 300 mg, oral, three times per day 400 mg, oral, three times per day 500 mg, oral, three times per day 600 mg, oral, three times per day Droxidopa: 100 mg, oral, three times per day 200 mg, oral, three times per day 300 mg, oral, three times per day 400 mg, oral, three times per day 500 mg, oral, three times per day 600 mg, oral, three times per day
Placebo
n=79 Participants
100 mg, oral, three times per day 200 mg, oral, three times per day 300 mg, oral, three times per day 400 mg, oral, three times per day 500 mg, oral, three times per day 600 mg, oral, three times per day Placebo: 100 mg, oral, three times per day 200 mg, oral, three times per day 300 mg, oral, three times per day 400 mg, oral, three times per day 500 mg, oral, three times per day 600 mg, oral, three times per day
Change in Orthostatic Hypotension Symptom Assessment (OHSA Composite) Score
-1.68 units on a scale
Standard Deviation 2.125
-0.95 units on a scale
Standard Deviation 1.901

SECONDARY outcome

Timeframe: 7 days

Population: Missing data are imputed using the last observation carried forward method.

OHDAS Item 1 scale range: 0 (none) -10 (worst), likert scale. Change: score at end of study minus score at randomization. A negative score indicates an improvement during the double-blind randomized phase relative to value at randomization.

Outcome measures

Outcome measures
Measure
Droxidopa
n=82 Participants
100 mg, oral, three times per day 200 mg, oral, three times per day 300 mg, oral, three times per day 400 mg, oral, three times per day 500 mg, oral, three times per day 600 mg, oral, three times per day Droxidopa: 100 mg, oral, three times per day 200 mg, oral, three times per day 300 mg, oral, three times per day 400 mg, oral, three times per day 500 mg, oral, three times per day 600 mg, oral, three times per day
Placebo
n=80 Participants
100 mg, oral, three times per day 200 mg, oral, three times per day 300 mg, oral, three times per day 400 mg, oral, three times per day 500 mg, oral, three times per day 600 mg, oral, three times per day Placebo: 100 mg, oral, three times per day 200 mg, oral, three times per day 300 mg, oral, three times per day 400 mg, oral, three times per day 500 mg, oral, three times per day 600 mg, oral, three times per day
Change in Activities Involving Standing a Short Time (OHDAS Item 1)
-1.9 units on a scale
Standard Deviation 2.75
-0.8 units on a scale
Standard Deviation 2.60

SECONDARY outcome

Timeframe: 7 days

Population: Missing data are imputed using the last observation carried forward method.

OHDAS Item 3 scale range: 0 (none) -10 (worst), likert scale. Change: score at end of study minus score at randomization. A negative score indicates an improvement during the double-blind randomized phase relative to value at randomization.

Outcome measures

Outcome measures
Measure
Droxidopa
n=82 Participants
100 mg, oral, three times per day 200 mg, oral, three times per day 300 mg, oral, three times per day 400 mg, oral, three times per day 500 mg, oral, three times per day 600 mg, oral, three times per day Droxidopa: 100 mg, oral, three times per day 200 mg, oral, three times per day 300 mg, oral, three times per day 400 mg, oral, three times per day 500 mg, oral, three times per day 600 mg, oral, three times per day
Placebo
n=80 Participants
100 mg, oral, three times per day 200 mg, oral, three times per day 300 mg, oral, three times per day 400 mg, oral, three times per day 500 mg, oral, three times per day 600 mg, oral, three times per day Placebo: 100 mg, oral, three times per day 200 mg, oral, three times per day 300 mg, oral, three times per day 400 mg, oral, three times per day 500 mg, oral, three times per day 600 mg, oral, three times per day
Change in Activities Involving Walking a Short Time (OHDAS Item 3)
-1.7 units on a scale
Standard Deviation 2.55
-0.6 units on a scale
Standard Deviation 2.37

SECONDARY outcome

Timeframe: 7 days

Population: Missing data are imputed using the last observation carried forward method.

OHSA item 1 scale range: 0 (none) -10 (worst), likert scale. Change: score at end of study minus score at randomization. A negative score indicates an improvement during the double-blind randomized phase relative to value at randomization.

Outcome measures

Outcome measures
Measure
Droxidopa
n=82 Participants
100 mg, oral, three times per day 200 mg, oral, three times per day 300 mg, oral, three times per day 400 mg, oral, three times per day 500 mg, oral, three times per day 600 mg, oral, three times per day Droxidopa: 100 mg, oral, three times per day 200 mg, oral, three times per day 300 mg, oral, three times per day 400 mg, oral, three times per day 500 mg, oral, three times per day 600 mg, oral, three times per day
Placebo
n=80 Participants
100 mg, oral, three times per day 200 mg, oral, three times per day 300 mg, oral, three times per day 400 mg, oral, three times per day 500 mg, oral, three times per day 600 mg, oral, three times per day Placebo: 100 mg, oral, three times per day 200 mg, oral, three times per day 300 mg, oral, three times per day 400 mg, oral, three times per day 500 mg, oral, three times per day 600 mg, oral, three times per day
Change in Dizziness/ Lightheadedness/ Feeling Faint/ or Feeling Like You Might Blackout (OHSA Item 1)
-2.4 units on a scale
Standard Deviation 3.20
-1.1 units on a scale
Standard Deviation 2.58

SECONDARY outcome

Timeframe: 7 days

The CGI-S is a 7 point scale ranging from a score of 1 (no symptoms) to 7 (severe symptoms). Patients were grouped according to OH severity at the end of the randomization period as follows; Normal-Borderline OH (CGI-S 1-2), Mild-Moderate OH (CGI-S 3-4), Marked OH-Most Ill with OH (CGI-S 5-7).

Outcome measures

Outcome measures
Measure
Droxidopa
n=82 Participants
100 mg, oral, three times per day 200 mg, oral, three times per day 300 mg, oral, three times per day 400 mg, oral, three times per day 500 mg, oral, three times per day 600 mg, oral, three times per day Droxidopa: 100 mg, oral, three times per day 200 mg, oral, three times per day 300 mg, oral, three times per day 400 mg, oral, three times per day 500 mg, oral, three times per day 600 mg, oral, three times per day
Placebo
n=80 Participants
100 mg, oral, three times per day 200 mg, oral, three times per day 300 mg, oral, three times per day 400 mg, oral, three times per day 500 mg, oral, three times per day 600 mg, oral, three times per day Placebo: 100 mg, oral, three times per day 200 mg, oral, three times per day 300 mg, oral, three times per day 400 mg, oral, three times per day 500 mg, oral, three times per day 600 mg, oral, three times per day
Patient-Reported Clinical Global Improvement - Severity Scores
Normal-Borderline OH
23 participants
16 participants
Patient-Reported Clinical Global Improvement - Severity Scores
Mild-Moderate OH
39 participants
47 participants
Patient-Reported Clinical Global Improvement - Severity Scores
Marked OH-Most ill with OH
20 participants
17 participants

SECONDARY outcome

Timeframe: 7 days

The CGI-S is a 7 point scale ranging from a score of 1 (no symptoms) to 7 (severe symptoms). Patients were grouped according to OH severity at the end of the randomization period as follows; Normal-Borderline OH (CGI-S 1-2), Mild-Moderate OH (CGI-S 3-4), Marked OH-Most Ill with OH (CGI-S 5-7).

Outcome measures

Outcome measures
Measure
Droxidopa
n=82 Participants
100 mg, oral, three times per day 200 mg, oral, three times per day 300 mg, oral, three times per day 400 mg, oral, three times per day 500 mg, oral, three times per day 600 mg, oral, three times per day Droxidopa: 100 mg, oral, three times per day 200 mg, oral, three times per day 300 mg, oral, three times per day 400 mg, oral, three times per day 500 mg, oral, three times per day 600 mg, oral, three times per day
Placebo
n=80 Participants
100 mg, oral, three times per day 200 mg, oral, three times per day 300 mg, oral, three times per day 400 mg, oral, three times per day 500 mg, oral, three times per day 600 mg, oral, three times per day Placebo: 100 mg, oral, three times per day 200 mg, oral, three times per day 300 mg, oral, three times per day 400 mg, oral, three times per day 500 mg, oral, three times per day 600 mg, oral, three times per day
Clinician-Reported Clinical Global Improvement - Severity Scores
Normal-Borderline OH
21 participants
15 participants
Clinician-Reported Clinical Global Improvement - Severity Scores
Mild-Moderate OH
39 participants
44 participants
Clinician-Reported Clinical Global Improvement - Severity Scores
Marked OH-Most ill with OH
22 participants
21 participants

SECONDARY outcome

Timeframe: 7 days

Change: standing systolic blood pressure at end of study minus standing systolic blood pressure at randomization. A positive score indicates an improvement during the double-blind randomized phase relative to value at randomization.

Outcome measures

Outcome measures
Measure
Droxidopa
n=82 Participants
100 mg, oral, three times per day 200 mg, oral, three times per day 300 mg, oral, three times per day 400 mg, oral, three times per day 500 mg, oral, three times per day 600 mg, oral, three times per day Droxidopa: 100 mg, oral, three times per day 200 mg, oral, three times per day 300 mg, oral, three times per day 400 mg, oral, three times per day 500 mg, oral, three times per day 600 mg, oral, three times per day
Placebo
n=79 Participants
100 mg, oral, three times per day 200 mg, oral, three times per day 300 mg, oral, three times per day 400 mg, oral, three times per day 500 mg, oral, three times per day 600 mg, oral, three times per day Placebo: 100 mg, oral, three times per day 200 mg, oral, three times per day 300 mg, oral, three times per day 400 mg, oral, three times per day 500 mg, oral, three times per day 600 mg, oral, three times per day
Change in Systolic Blood Pressure (SBP) Measurements 3 Minutes Post Standing
11.2 mmHg
Standard Deviation 22.89
3.9 mmHg
Standard Deviation 16.28

Adverse Events

Open-Label Titration

Serious events: 2 serious events
Other events: 38 other events
Deaths: 0 deaths

Droxidopa

Serious events: 0 serious events
Other events: 9 other events
Deaths: 0 deaths

Placebo

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Open-Label Titration
n=263 participants at risk
All patients treated with study drug during dose titration (7-14 days)
Droxidopa
n=81 participants at risk
100 mg, oral, three times per day 200 mg, oral, three times per day 300 mg, oral, three times per day 400 mg, oral, three times per day 500 mg, oral, three times per day 600 mg, oral, three times per day Droxidopa: 100 mg, oral, three times per day 200 mg, oral, three times per day 300 mg, oral, three times per day 400 mg, oral, three times per day 500 mg, oral, three times per day 600 mg, oral, three times per day
Placebo
n=81 participants at risk
100 mg, oral, three times per day 200 mg, oral, three times per day 300 mg, oral, three times per day 400 mg, oral, three times per day 500 mg, oral, three times per day 600 mg, oral, three times per day Placebo: 100 mg, oral, three times per day 200 mg, oral, three times per day 300 mg, oral, three times per day 400 mg, oral, three times per day 500 mg, oral, three times per day 600 mg, oral, three times per day
Gastrointestinal disorders
Nausea
0.38%
1/263 • Number of events 1
One patient randomized to the droxidopa group in the randomized double blind phase was treated with placebo during this period and is included in the placebo group (actual treatment received) for the safety analyses.
0.00%
0/81
One patient randomized to the droxidopa group in the randomized double blind phase was treated with placebo during this period and is included in the placebo group (actual treatment received) for the safety analyses.
0.00%
0/81
One patient randomized to the droxidopa group in the randomized double blind phase was treated with placebo during this period and is included in the placebo group (actual treatment received) for the safety analyses.
Gastrointestinal disorders
Vomiting
0.38%
1/263 • Number of events 1
One patient randomized to the droxidopa group in the randomized double blind phase was treated with placebo during this period and is included in the placebo group (actual treatment received) for the safety analyses.
0.00%
0/81
One patient randomized to the droxidopa group in the randomized double blind phase was treated with placebo during this period and is included in the placebo group (actual treatment received) for the safety analyses.
0.00%
0/81
One patient randomized to the droxidopa group in the randomized double blind phase was treated with placebo during this period and is included in the placebo group (actual treatment received) for the safety analyses.
Infections and infestations
Urinary Tract Infection
0.38%
1/263 • Number of events 1
One patient randomized to the droxidopa group in the randomized double blind phase was treated with placebo during this period and is included in the placebo group (actual treatment received) for the safety analyses.
0.00%
0/81
One patient randomized to the droxidopa group in the randomized double blind phase was treated with placebo during this period and is included in the placebo group (actual treatment received) for the safety analyses.
0.00%
0/81
One patient randomized to the droxidopa group in the randomized double blind phase was treated with placebo during this period and is included in the placebo group (actual treatment received) for the safety analyses.
Renal and urinary disorders
Neurogenic bladder
0.38%
1/263 • Number of events 1
One patient randomized to the droxidopa group in the randomized double blind phase was treated with placebo during this period and is included in the placebo group (actual treatment received) for the safety analyses.
0.00%
0/81
One patient randomized to the droxidopa group in the randomized double blind phase was treated with placebo during this period and is included in the placebo group (actual treatment received) for the safety analyses.
0.00%
0/81
One patient randomized to the droxidopa group in the randomized double blind phase was treated with placebo during this period and is included in the placebo group (actual treatment received) for the safety analyses.
Renal and urinary disorders
Ureteric obstruction
0.38%
1/263 • Number of events 1
One patient randomized to the droxidopa group in the randomized double blind phase was treated with placebo during this period and is included in the placebo group (actual treatment received) for the safety analyses.
0.00%
0/81
One patient randomized to the droxidopa group in the randomized double blind phase was treated with placebo during this period and is included in the placebo group (actual treatment received) for the safety analyses.
0.00%
0/81
One patient randomized to the droxidopa group in the randomized double blind phase was treated with placebo during this period and is included in the placebo group (actual treatment received) for the safety analyses.

Other adverse events

Other adverse events
Measure
Open-Label Titration
n=263 participants at risk
All patients treated with study drug during dose titration (7-14 days)
Droxidopa
n=81 participants at risk
100 mg, oral, three times per day 200 mg, oral, three times per day 300 mg, oral, three times per day 400 mg, oral, three times per day 500 mg, oral, three times per day 600 mg, oral, three times per day Droxidopa: 100 mg, oral, three times per day 200 mg, oral, three times per day 300 mg, oral, three times per day 400 mg, oral, three times per day 500 mg, oral, three times per day 600 mg, oral, three times per day
Placebo
n=81 participants at risk
100 mg, oral, three times per day 200 mg, oral, three times per day 300 mg, oral, three times per day 400 mg, oral, three times per day 500 mg, oral, three times per day 600 mg, oral, three times per day Placebo: 100 mg, oral, three times per day 200 mg, oral, three times per day 300 mg, oral, three times per day 400 mg, oral, three times per day 500 mg, oral, three times per day 600 mg, oral, three times per day
Nervous system disorders
Headache
9.9%
26/263 • Number of events 34
One patient randomized to the droxidopa group in the randomized double blind phase was treated with placebo during this period and is included in the placebo group (actual treatment received) for the safety analyses.
7.4%
6/81 • Number of events 7
One patient randomized to the droxidopa group in the randomized double blind phase was treated with placebo during this period and is included in the placebo group (actual treatment received) for the safety analyses.
0.00%
0/81
One patient randomized to the droxidopa group in the randomized double blind phase was treated with placebo during this period and is included in the placebo group (actual treatment received) for the safety analyses.
Nervous system disorders
Dizziness
6.5%
17/263 • Number of events 18
One patient randomized to the droxidopa group in the randomized double blind phase was treated with placebo during this period and is included in the placebo group (actual treatment received) for the safety analyses.
3.7%
3/81 • Number of events 3
One patient randomized to the droxidopa group in the randomized double blind phase was treated with placebo during this period and is included in the placebo group (actual treatment received) for the safety analyses.
1.2%
1/81 • Number of events 1
One patient randomized to the droxidopa group in the randomized double blind phase was treated with placebo during this period and is included in the placebo group (actual treatment received) for the safety analyses.

Additional Information

Chief Scientific Officer

Chelsea Therapeutics Inc.

Phone: 704-973-4202

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: LTE60