Treatment of Orthostatic Hypotension in SCI

NCT ID: NCT05839652

Last Updated: 2024-10-01

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

RECRUITING

Clinical Phase

PHASE4

Total Enrollment

25 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-07-01

Study Completion Date

2026-06-30

Brief Summary

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The purpose of this study is to identify the effects of non-pharmacological and pharmacological anti-hypotensive treatment interventions on orthostatic hemodynamic responses, symptoms of autonomic dysreflexia and orthostatic hypotension, and levels of fatigue and comfort in hypotensive individuals with SCI.

Detailed Description

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Conditions

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Hypotension

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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Study 1

Twenty-five participants will be asked to visit the laboratory on 6 occasions, for an open-label, dose escalation trial to determine the effect of midodrine and droxidopa on supine and seated blood pressure and on symptoms of autonomic dysreflexia and orthostatic hypotension.

Group Type EXPERIMENTAL

Midodrine Hydrochloride

Intervention Type DRUG

Determine best drug and dose to increase and stabilize SBP during orthostatic tilt

Study 2

Determine the effects of compression garments, midodrine, and droxidopa, compared to placebo, on orthostatic hemodynamics, symptoms of AD and OH and reporting of fatigue and thermal comfort.

Group Type EXPERIMENTAL

Midodrine Hydrochloride

Intervention Type DRUG

Determine best drug and dose to increase and stabilize SBP during orthostatic tilt

Interventions

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Midodrine Hydrochloride

Determine best drug and dose to increase and stabilize SBP during orthostatic tilt

Intervention Type DRUG

Other Intervention Names

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Droxidopa

Eligibility Criteria

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Inclusion Criteria

* traumatic spinal cord injury
* at least 12 months post injury
* injury level of C1-T6
* AIS A, B or C
* non-ambulatory
* non-ventilator

Exclusion Criteria

* Active psychiatric disorder
* Stroke or cerebrovascular disease
* Alzheimer's Disease or dementia
* Unmanaged cardiac arrhythmias
* Concurrent systemic, hepatic, or renal disease
* Suspected or diagnosed malignancy
* Neurological disease other than SCI
* Self-reported history of three or more symptomatic episodes of AD per day
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Kessler Foundation

OTHER

Sponsor Role collaborator

James J. Peters Veterans Affairs Medical Center

FED

Sponsor Role lead

Responsible Party

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Jill M. Wecht, Ed.D.

Research Scientist

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Kessler Foundation

West Orange, New Jersey, United States

Site Status RECRUITING

James J Peters VA Medical Center

The Bronx, New York, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Matt G. Maher, MS

Role: CONTACT

9733243588

Facility Contacts

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Matthew T Maher, MS

Role: primary

201-566-0291

Finn E Fox, BS

Role: primary

718-584-9000 ext. 5418

Jorge Chavez, BS

Role: backup

718-584-9000 ext. 5420

Other Identifiers

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1747301-1

Identifier Type: -

Identifier Source: org_study_id

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