Efficacy and Tolerance of Flucortac in Patients With Orthostatic Neurogenic Hypotension

NCT ID: NCT04128137

Last Updated: 2023-10-02

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

90 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-07-09

Study Completion Date

2024-06-30

Brief Summary

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To evaluate the efficacy of a 4-week fludrocortisone (FLU) treatment on systolic blood pressure depression after 5 minutes of active orthostatism in patients with neurogenic orthostatic hypotension (HON) symptomatic, despite treatment with non-drug measures with or without midodrine.

Detailed Description

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The objective of the study is to demonstrate the efficacy of FLU on systolic blood pressure depression in patients with neurogenic orthostatic hypotension. The study is randomised versus placebo.Each patient will be followed for a maximum of 5 months, with no more than 8 visits to the investigator (V0 at Day-7, V1 at D0, V2 at D7, V3 at D+14, V4 at D+21, V5 at D+ 28, V6 at D+56 and V7 only for patients on the FLU arm at D+140.

The presence of a comparator control group with placebo permits to evaluate the efficacy and the tolerance of FLU independently of the natural evolution of the pathology, in patients benefiting from a non-drug or possibly medicated treatment (midodrine) but insufficient.

Conditions

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Neurogenic Orthostatic Hypotension

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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fludrocortisone

FLUCORTAC® 50 μg (tablet breackable). One tablet during the first week. Then 2 tablets during the second week. Then 3 tablets during the third week and finally 4 tablets during the 4th week. Maximum of 200μg/day.

Group Type EXPERIMENTAL

Fludrocortisone

Intervention Type DRUG

50 µg/day during one week then augmentation of 50 µg each weeks until a maximum dose of 200 µg/day. And a maintenance phase of 4 weeks at a stable dose

Placebo

placebo of flucortac and same diagram of administration

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

50 µg/day during one week then augmentation of 50 µg each weeks until a maximum dose of 200 µg/day. And a maintenance phase of 4 weeks at a stable dose

Interventions

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Fludrocortisone

50 µg/day during one week then augmentation of 50 µg each weeks until a maximum dose of 200 µg/day. And a maintenance phase of 4 weeks at a stable dose

Intervention Type DRUG

Placebo

50 µg/day during one week then augmentation of 50 µg each weeks until a maximum dose of 200 µg/day. And a maintenance phase of 4 weeks at a stable dose

Intervention Type OTHER

Other Intervention Names

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Flucortac

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of orthostatic hypotension (HO), ie a blood pressure drop\> 20 and / or 10 mmHg within 3 minutes after active and symptomatic lifting
* Patient suffering from a neurological disease
* orthostatic neurogenic hypotension persistent and symptomatic despite non-drug measures

Exclusion Criteria

* Hypersensitivity to FLU or any of its excipients
* non orthostatic neurogenic hypotension
* History of proven heart failure
* History of left ventricular systolic dysfunction
* Uncompensated hypokalemia
* Patient with poorly balanced Grade 3 hypertension
* Pregnant patient at the time of inclusion
* Nursing patient
Minimum Eligible Age

18 Years

Maximum Eligible Age

100 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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H.A.C. PHARMA

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jean-Michel SENARD, MD

Role: PRINCIPAL_INVESTIGATOR

National Coordinator

Locations

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Hôpital Broca (AP-HP)

Paris, , France

Site Status RECRUITING

Countries

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France

Central Contacts

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Catherine DENICOURT

Role: CONTACT

02 31 47 92 46

Facility Contacts

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Olivier HANON, MD

Role: primary

Other Identifiers

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2018-003905-25

Identifier Type: -

Identifier Source: org_study_id

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