Page last updated: 2024-10-31

midodrine and Autonomic Failure, Pure

midodrine has been researched along with Autonomic Failure, Pure in 1 studies

Midodrine: An ethanolamine derivative that is an adrenergic alpha-1 agonist. It is used as a vasoconstrictor agent in the treatment of HYPOTENSION.
midodrine : An aromatic ether that is 1,4-dimethoxybenzene which is substituted at position 2 by a 2-(glycylamino)-1-hydroxyethyl group. A direct-acting sympathomimetic with selective alpha-adrenergic agonist activity, it is used (generally as its hydrochloride salt) as a peripheral vasoconstrictor in the treatment of certain hypotensive states. The main active moiety is its major metabolite, deglymidodrine.

Research

Studies (1)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's0 (0.00)29.6817
2010's1 (100.00)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Ramirez, CE1
Okamoto, LE1
Arnold, AC1
Gamboa, A1
Diedrich, A1
Choi, L1
Raj, SR1
Robertson, D1
Biaggioni, I1
Shibao, CA1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Efficacy and Safety of Midodrine and Atomoxetine Treatment in Patients With Neurogenic Orthostatic Hypotension : A Prospective Randomized Study[NCT03350659]Phase 450 participants (Actual)Interventional2018-01-01Completed
Phase 2 Norepinephrine Transporter Blockade, Autonomic Failure IND117394 12/28/12[NCT02784535]Phase 248 participants (Actual)Interventional2016-08-29Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Change in Heart Rate (HR)

HR is compared to baseline after 10 mins of standing. The difference increase in Heart rate from baseline, post drug at 4 weeks (NCT02784535)
Timeframe: Baseline and at 4 weeks

InterventionBeats per minute (Mean)
Placebo79.12
Atomoxetine82.68

Change in Blood Pressure

Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) (measured in mm of Hg) , is recorded after 10 mins of standing. The changes SBP and DBP are compared from baseline, post drug (4 weeks) (NCT02784535)
Timeframe: Baseline to 4 weeks

,
Interventionmm of Hg (Mean)
difference increase in SBP; post drug 4 weeks; standing for 10 minsDBP;post drug; standing 10 mins at 4 weeks
Atomoxetine-2.44-0.94
Placebo3.88-3.06

Change in the OHQ (Orthostatic Hypotension Questionnaire) Composite Score

"The Orthostatic Hypotension Questionnaire (OHQ) , patient-reported assessment tool consisting of the OH Symptom Assessment (OHSA), OH Daily Activity Scale (OHDAS).~The composite score is composed of 10 individual items: 6 items measure specific symptoms , the Orthostatic Hypotension Symptom Assessment (OHSA), and 4 items measure the impact of those symptoms on a patient daily activities, the Orthostatic Hypotension Daily Activity Scale (OHDAS). This scales helps to measure the impact of orthostatic symptoms on daily.~Scale is between 0-10: where 0 is minimum Orthostatic symptoms and 10 is the maximum / worse possible severity of the symptoms.~All items are scored 0 through 10 (higher scores = more impact) and summed into the respective total scores.~The OHSA and OHDAS subscales averaged to compute the OHQ composite score." (NCT02784535)
Timeframe: week 0 to week 4

,
InterventionScore on a scale (Mean)
OHQ composite score at BaselineOHQ composite score at 4weeksDifference in OHQ composite score at 4 weeks
Atomoxetin4.173.5-0.5
Placebo4.613.35-0.58

Trials

1 trial available for midodrine and Autonomic Failure, Pure

ArticleYear
Efficacy of atomoxetine versus midodrine for the treatment of orthostatic hypotension in autonomic failure.
    Hypertension (Dallas, Tex. : 1979), 2014, Volume: 64, Issue:6

    Topics: Administration, Oral; Adrenergic alpha-1 Receptor Agonists; Adrenergic Uptake Inhibitors; Aged; Atom

2014
Efficacy of atomoxetine versus midodrine for the treatment of orthostatic hypotension in autonomic failure.
    Hypertension (Dallas, Tex. : 1979), 2014, Volume: 64, Issue:6

    Topics: Administration, Oral; Adrenergic alpha-1 Receptor Agonists; Adrenergic Uptake Inhibitors; Aged; Atom

2014
Efficacy of atomoxetine versus midodrine for the treatment of orthostatic hypotension in autonomic failure.
    Hypertension (Dallas, Tex. : 1979), 2014, Volume: 64, Issue:6

    Topics: Administration, Oral; Adrenergic alpha-1 Receptor Agonists; Adrenergic Uptake Inhibitors; Aged; Atom

2014
Efficacy of atomoxetine versus midodrine for the treatment of orthostatic hypotension in autonomic failure.
    Hypertension (Dallas, Tex. : 1979), 2014, Volume: 64, Issue:6

    Topics: Administration, Oral; Adrenergic alpha-1 Receptor Agonists; Adrenergic Uptake Inhibitors; Aged; Atom

2014