Treatment of Orthostatic Hypotension in SCI

ConditionHypotension
Trial statusRecruiting
Trial phasePhase 4
Trial typeInterventional
Biological sexAll
Age18-60
SponsorJames J. Peters Veterans Affairs Medical Center

About this trial

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.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

traumatic spinal cord injury

at least 12 months post injury

injury level of C1-T6

AIS A, B or C

Disqualifiers

Active psychiatric disorder

Stroke or cerebrovascular disease

Alzheimer's Disease or dementia

Unmanaged cardiac arrhythmias

Trial design

Design model

Single group

Treatments tested in this trial

  • Midodrine Hydrochloride

    Drug

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

Treatment groups

25 Participants
are divided into 2 treatment groups
Group A: Study 1Experimental treatment 1 intervention
Group B: Study 2Experimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Systolic blood pressure

determine differences in systolic blood pressure after midodrine, droxidopa, compression stockings and placebo

Time frame
3 years

Secondary outcomes

1

Cerebral blood flow velocity

determine differences in cerebral blood flow velocity after midodrine, droxidopa, compression stockings and placebo

Time frame
3 years
2

Symptoms of autonomic dysreflexia and orthostatic hypotension

determine differences in symptoms after midodrine, droxidopa, compression stockings and placebo

Time frame
3 years

Other outcomes

Sponsors and contacts

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