serine has been researched along with Hypotension, Orthostatic in 16 studies
Serine: A non-essential amino acid occurring in natural form as the L-isomer. It is synthesized from GLYCINE or THREONINE. It is involved in the biosynthesis of PURINES; PYRIMIDINES; and other amino acids.
serine : An alpha-amino acid that is alanine substituted at position 3 by a hydroxy group.
Hypotension, Orthostatic: A significant drop in BLOOD PRESSURE after assuming a standing position. Orthostatic hypotension is a finding, and defined as a 20-mm Hg decrease in systolic pressure or a 10-mm Hg decrease in diastolic pressure 3 minutes after the person has risen from supine to standing. Symptoms generally include DIZZINESS, blurred vision, and SYNCOPE.
Excerpt | Relevance | Reference |
---|---|---|
"Parkinsonian patients with orthostatic hypotension and dizziness due to usual antiparkinson therapy have been treated with the precursor amino-acid of noradrenaline, DL-3,4-threo-dihydroxyphenylserine (DL-3,4-threo-DOPS)." | 3.66 | DL-3,4-threo-DOPS in Parkinson's disease: effects on orthostatic hypotension and dizziness. ( Birkmayer, G; Birkmayer, W; Lechner, H; Riederer, P, 1983) |
"A patient with severe orthostatic hypotension due to dopamine-beta-hydroxylase deficiency was treated with the unnatural aminoacid D,L-threo-3,4-dihydroxyphenylserine (DOPS) in the hope that it would serve as a substrate of aromatic-L-aminoacid decarboxylase to produce (-)-noradrenaline." | 1.27 | Effect of unnatural noradrenaline precursor on sympathetic control and orthostatic hypotension in dopamine-beta-hydroxylase deficiency. ( Boomsma, F; Man in 't Veld, AJ; Schalekamp, MA; van den Meiracker, AH, 1987) |
"Patients with orthostatic hypotension had low basal plasma norepinephrine levels, which did not increase after postural change." | 1.26 | Orthostatic hypotension in familial amyloid polyneuropathy: treatment with DL-threo-3,4-dihydroxyphenylserine. ( Hayashi, A; Higa, S; Nakajima, A; Sakoda, S; Suzuki, T; Takaba, Y; Yamamura, Y, 1981) |
Timeframe | Studies, this research(%) | All Research% |
---|---|---|
pre-1990 | 16 (100.00) | 18.7374 |
1990's | 0 (0.00) | 18.2507 |
2000's | 0 (0.00) | 29.6817 |
2010's | 0 (0.00) | 24.3611 |
2020's | 0 (0.00) | 2.80 |
Authors | Studies |
---|---|
Suzuki, T | 5 |
Higa, S | 2 |
Sakoda, S | 3 |
Hayashi, A | 2 |
Yamamura, Y | 1 |
Takaba, Y | 1 |
Nakajima, A | 1 |
Birkmayer, W | 1 |
Birkmayer, G | 1 |
Lechner, H | 1 |
Riederer, P | 1 |
Hoeldtke, RD | 1 |
Cilmi, KM | 1 |
Mattis-Graves, K | 1 |
Hasegawa, Y | 1 |
Koike, Y | 1 |
Matsuoka, Y | 2 |
Takahashi, A | 2 |
Biaggioni, I | 1 |
Robertson, D | 1 |
Man in 't Veld, AJ | 2 |
Boomsma, F | 2 |
van den Meiracker, AH | 2 |
Schalekamp, MA | 2 |
Senda, Y | 1 |
Muto, T | 1 |
Sobue, I | 1 |
Ushiyama, M | 1 |
Ikeda, S | 1 |
Yazawa, M | 1 |
Yanagisawa, N | 1 |
Takatsu, M | 1 |
Azuma, T | 1 |
Mizuno, R | 1 |
Tsujino, S | 1 |
Kishimoto, S | 3 |
Mizuta, E | 1 |
Ichikawa, K | 1 |
Fukuma, A | 1 |
Matsubayashi, K | 1 |
Kitazumi, T | 1 |
Otsuka, K | 1 |
Sadakane, N | 1 |
Shimada, K | 1 |
Ozawa, T | 1 |
Julien, C | 1 |
Lenders, J | 1 |
Yoshikawa, H | 1 |
Kawai, K | 1 |
Inoue, S | 1 |
Murayama, Y | 1 |
Kuzuya, N | 1 |
Fujita, T | 1 |
Koide, Y | 1 |
Yamashita, K | 1 |
Yoshizawa, K | 1 |
Mizusawa, H | 1 |
Ueji, M | 2 |
Matsumoto, M | 1 |
Yoneda, S | 1 |
Trial | Phase | Enrollment | Study Type | Start Date | Status | ||
---|---|---|---|---|---|---|---|
A Multi-center, Double-blind, Randomized, Parallel-Group, Placebo-Controlled Study to Assess the Clinical Effect of Droxidopa in the Treatment of Symptomatic Neurogenic Orthostatic Hypotension in Patients With Parkinson's Disease[NCT01176240] | Phase 3 | 225 participants (Actual) | Interventional | 2010-06-30 | Completed | ||
[information is prepared from clinicaltrials.gov, extracted Sep-2024] |
"The primary efficacy endpoint for 306A is the relative mean change in Orthostatic Hypotension Questionnaire (OHQ) composite score from baseline to end of study. 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 baseline, negative numbers represent improvement from baseline in OHQ score." (NCT01176240)
Timeframe: Baseline, Week 8
Intervention | units on a scale (Mean) |
---|---|
Droxidopa | -2.2 |
Placebo | -2.1 |
The total number of patient reported falls during the 8 week treatment period (NCT01176240)
Timeframe: Baseline, Week 8
Intervention | total falls per group (Number) |
---|---|
Droxidopa | 79 |
Placebo | 192 |
OHSA item 1 scale range: 0 (none) -10 (worst), likert scale. Change: score at Week 1 minus score at baseline. A negative score indicates an improvement in symptoms during the double-blind randomized phase relative to value at baseline. (NCT01176240)
Timeframe: Baseline, Week1
Intervention | units on a scale (Mean) |
---|---|
Droxidopa | -2.3 |
Placebo | -1.3 |
OHSA item 1 scale range: 0 (none) -10 (worst), likert scale. Change: score at Week 2 minus score at baseline. A negative score indicates an improvement in symptoms during the double-blind randomized phase relative to value at baseline. (NCT01176240)
Timeframe: Baseline, Week2
Intervention | units on a scale (Mean) |
---|---|
Droxidopa | -1.9 |
Placebo | -1.6 |
OHSA item 1 scale range: 0 (none) -10 (worst), likert scale. Change: score at Week 4 minus score at baseline. A negative score indicates an improvement in symptoms during the double-blind randomized phase relative to value at baseline. (NCT01176240)
Timeframe: Baseline, Week4
Intervention | units on a scale (Mean) |
---|---|
Droxidopa | -2.0 |
Placebo | -1.5 |
OHSA item 1 scale range: 0 (none) -10 (worst), likert scale. Change: score at Week 8 minus score at baseline. A negative score indicates an improvement in symptoms during the double-blind randomized phase relative to value at baseline. (NCT01176240)
Timeframe: Baseline, Week 8
Intervention | units on a scale (Mean) |
---|---|
Droxidopa | -2.1 |
Placebo | -1.5 |
"The relative mean change in Orthostatic Hypotension Questionnaire (OHQ) composite score from baseline to end of study. 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 baseline, negative numbers represent improvement from baseline in OHQ score." (NCT01176240)
Timeframe: Baseline, Week 8
Intervention | units on a scale (Mean) |
---|---|
Droxidopa | -2.2 |
Placebo | -2.0 |
Measure: Lowest standing systolic blood pressure reading of immediately post standing and 3 minutes post standing. Change: standing systolic blood pressure at Week 1 (Visit 4) minus standing systolic blood pressure at baseline. A positive score indicates an improvement in standing systolic blood pressure during the double-blind randomized phase relative to value at baseline. (NCT01176240)
Timeframe: Baseline, Week 1
Intervention | mmHg (Mean) |
---|---|
Droxidopa | 6.4 |
Placebo | 0.7 |
The average number of patient reported falls per week. (NCT01176240)
Timeframe: up to 10 weeks
Intervention | falls per week (Mean) |
---|---|
Droxidopa | 0.4 |
Placebo | 2.0 |
OHSA item 1 scale range: 0 (none) -10 (worst), likert scale. Change: score at Week 1 minus score at baseline. A negative score indicates improvement in symptoms during the double-blind randomized phase relative to value at baseline. (NCT01176240)
Timeframe: Baseline, Week 1
Intervention | units on a scale (Mean) |
---|---|
Droxidopa | -3.1 |
Placebo | -1.6 |
2 reviews available for serine and Hypotension, Orthostatic
Article | Year |
---|---|
[Management of autonomic disorders in amyloidosis].
Topics: Amyloidosis; Catecholamines; Droxidopa; Hereditary Sensory and Autonomic Neuropathies; Humans; Hypot | 1979 |
[Treatment of orthostatic hypotension by noradrenaline supplement].
Topics: Amyloidosis; Aromatic-L-Amino-Acid Decarboxylases; Catecholamines; Droxidopa; Humans; Hypotension, O | 1985 |
2 trials available for serine and Hypotension, Orthostatic
Article | Year |
---|---|
DL-Threo-3,4-dihydroxyphenylserine does not exert a pressor effect in orthostatic hypotension.
Topics: Adult; Aged; Analysis of Variance; Blood Pressure; Chromatography, High Pressure Liquid; Droxidopa; | 1984 |
Endogenous restoration of noradrenaline by precursor therapy in dopamine-beta-hydroxylase deficiency.
Topics: Adult; Blood Pressure; Clinical Trials as Topic; Dopamine beta-Hydroxylase; Dose-Response Relationsh | 1987 |
12 other studies available for serine and Hypotension, Orthostatic
Article | Year |
---|---|
Orthostatic hypotension in familial amyloid polyneuropathy: treatment with DL-threo-3,4-dihydroxyphenylserine.
Topics: Adult; Amyloidosis; Blood Pressure; Droxidopa; Female; Humans; Hypotension, Orthostatic; Male; Middl | 1981 |
DL-3,4-threo-DOPS in Parkinson's disease: effects on orthostatic hypotension and dizziness.
Topics: Aged; Antiparkinson Agents; Benserazide; Blood Pressure; Dizziness; Droxidopa; Drug Therapy, Combina | 1983 |
[Postprandial hypotension.syncope in Shy-Drager syndrome and its treatment with oral L-DOPS].
Topics: Autonomic Nervous System Diseases; Droxidopa; Eating; Female; Humans; Hypotension, Orthostatic; Midd | 1989 |
Effect of unnatural noradrenaline precursor on sympathetic control and orthostatic hypotension in dopamine-beta-hydroxylase deficiency.
Topics: Aromatic-L-Amino-Acid Decarboxylases; Dopamine; Dopamine beta-Hydroxylase; Dose-Response Relationshi | 1987 |
[Clinical effects of oral L-threo-3,4-dihydroxyphenylserine on orthostatic hypotension in patients with Shy-Drager syndrome].
Topics: Adult; Aged; Autonomic Nervous System Diseases; Droxidopa; Humans; Hypotension, Orthostatic; Male; M | 1987 |
[A case with acute pandysautonomia with aseptic meningitis--Pathophysiological and therapeutic study].
Topics: Acute Disease; Adult; Autonomic Nervous System Diseases; Droxidopa; Humans; Hypotension, Orthostatic | 1987 |
Studies of neurocirculatory effects of long-term L-threo-3,4-dihydroxyphenylserine administration in a patient with familial amyloidotic polyneuropathy.
Topics: Amyloidosis; Blood Circulation; Blood Pressure; Consciousness; Droxidopa; Female; Heart Rate; Humans | 1988 |
[Improvement in cardiovascular autonomic dysfunction of a patient with OPCA with L-threo-3,4-dihydroxyphenylserine].
Topics: Autonomic Nervous System; Droxidopa; Female; Humans; Hypotension, Orthostatic; Middle Aged; Olivopon | 1988 |
d,l-threo-3,4-dihydroxyphenylserine restores sympathetic control and cures orthostatic hypotension in dopamine beta-hydroxylase deficiency.
Topics: Blood Pressure; Dopamine; Dopamine beta-Hydroxylase; Droxidopa; Heart Rate; Humans; Hypotension, Ort | 1988 |
[A case of diabetic orthostatic hypotension effectively managed with L-dops (L-threo-3,4-dihydroxyphenylserine)].
Topics: Cimetidine; Diabetic Neuropathies; Diarrhea; Diphenhydramine; Droxidopa; Humans; Hypotension, Orthos | 1987 |
Mass spectrometric measurements of norepinephrine synthesis in man from infusion of stable isotope-labelled L-threo-3,4-dihydroxyphenylserine.
Topics: Atrophy; Brain Diseases; Cerebellum; Droxidopa; Gas Chromatography-Mass Spectrometry; Humans; Hypote | 1985 |
Treatment of orthostatic hypotension in Shy-Drager syndrome with DL-threo-3,4-dihydroxyphenylserine: a case report.
Topics: Autonomic Nervous System Diseases; Blood Pressure; Carbidopa; Droxidopa; Drug Combinations; Humans; | 1985 |