Page last updated: 2024-11-08

serine and Hypotension, Orthostatic

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.

Research Excerpts

ExcerptRelevanceReference
"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)."3.66DL-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."1.27Effect 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."1.26Orthostatic 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)

Research

Studies (16)

TimeframeStudies, this research(%)All Research%
pre-199016 (100.00)18.7374
1990's0 (0.00)18.2507
2000's0 (0.00)29.6817
2010's0 (0.00)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Suzuki, T5
Higa, S2
Sakoda, S3
Hayashi, A2
Yamamura, Y1
Takaba, Y1
Nakajima, A1
Birkmayer, W1
Birkmayer, G1
Lechner, H1
Riederer, P1
Hoeldtke, RD1
Cilmi, KM1
Mattis-Graves, K1
Hasegawa, Y1
Koike, Y1
Matsuoka, Y2
Takahashi, A2
Biaggioni, I1
Robertson, D1
Man in 't Veld, AJ2
Boomsma, F2
van den Meiracker, AH2
Schalekamp, MA2
Senda, Y1
Muto, T1
Sobue, I1
Ushiyama, M1
Ikeda, S1
Yazawa, M1
Yanagisawa, N1
Takatsu, M1
Azuma, T1
Mizuno, R1
Tsujino, S1
Kishimoto, S3
Mizuta, E1
Ichikawa, K1
Fukuma, A1
Matsubayashi, K1
Kitazumi, T1
Otsuka, K1
Sadakane, N1
Shimada, K1
Ozawa, T1
Julien, C1
Lenders, J1
Yoshikawa, H1
Kawai, K1
Inoue, S1
Murayama, Y1
Kuzuya, N1
Fujita, T1
Koide, Y1
Yamashita, K1
Yoshizawa, K1
Mizusawa, H1
Ueji, M2
Matsumoto, M1
Yoneda, S1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
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 3225 participants (Actual)Interventional2010-06-30Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

306A Efficacy: Change in Orthostatic Hypotension Questionnaire Score (OHQ)

"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

Interventionunits on a scale (Mean)
Droxidopa-2.2
Placebo-2.1

306A Efficacy: Patient Reported Falls

The total number of patient reported falls during the 8 week treatment period (NCT01176240)
Timeframe: Baseline, Week 8

Interventiontotal falls per group (Number)
Droxidopa79
Placebo192

306B Efficacy: Change in Dizziness/Lightheadedness/Feeling Faint/Feeling Like You Might Black Out (OHSA Item 1)

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

Interventionunits on a scale (Mean)
Droxidopa-2.3
Placebo-1.3

306B Efficacy: Change in OHSA Item 1 From Baseline to Week 2 (Visit 5)

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

Interventionunits on a scale (Mean)
Droxidopa-1.9
Placebo-1.6

306B Efficacy: Change in OHSA Item 1 From Baseline to Week 4 (Visit 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

Interventionunits on a scale (Mean)
Droxidopa-2.0
Placebo-1.5

306B Efficacy: Change in OHSA Item 1 From Baseline to Week 8 (Visit 7)

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

Interventionunits on a scale (Mean)
Droxidopa-2.1
Placebo-1.5

306B Efficacy: Change in Orthostatic Hypotension Questionnaire Score (OHQ)

"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

Interventionunits on a scale (Mean)
Droxidopa-2.2
Placebo-2.0

306B Efficacy: Change in Systolic Blood Pressure (SBP) Measurements Post Standing From Baseline to Week 1

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

InterventionmmHg (Mean)
Droxidopa6.4
Placebo0.7

306B Efficacy: Rate of Patient Reported Falls

The average number of patient reported falls per week. (NCT01176240)
Timeframe: up to 10 weeks

Interventionfalls per week (Mean)
Droxidopa0.4
Placebo2.0

Study 306A: Change in Dizziness/Lightheadedness/Feeling Faint/Feeling Like You Might Black Out (OHSA Item 1) From Baseline to Week 1

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

Interventionunits on a scale (Mean)
Droxidopa-3.1
Placebo-1.6

Reviews

2 reviews available for serine and Hypotension, Orthostatic

ArticleYear
[Management of autonomic disorders in amyloidosis].
    Nihon rinsho. Japanese journal of clinical medicine, 1979, Sep-10, Volume: 37, Issue:9

    Topics: Amyloidosis; Catecholamines; Droxidopa; Hereditary Sensory and Autonomic Neuropathies; Humans; Hypot

1979
[Treatment of orthostatic hypotension by noradrenaline supplement].
    No to shinkei = Brain and nerve, 1985, Volume: 37, Issue:7

    Topics: Amyloidosis; Aromatic-L-Amino-Acid Decarboxylases; Catecholamines; Droxidopa; Humans; Hypotension, O

1985

Trials

2 trials available for serine and Hypotension, Orthostatic

ArticleYear
DL-Threo-3,4-dihydroxyphenylserine does not exert a pressor effect in orthostatic hypotension.
    Clinical pharmacology and therapeutics, 1984, Volume: 36, Issue:3

    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.
    Lancet (London, England), 1987, Nov-21, Volume: 2, Issue:8569

    Topics: Adult; Blood Pressure; Clinical Trials as Topic; Dopamine beta-Hydroxylase; Dose-Response Relationsh

1987

Other Studies

12 other studies available for serine and Hypotension, Orthostatic

ArticleYear
Orthostatic hypotension in familial amyloid polyneuropathy: treatment with DL-threo-3,4-dihydroxyphenylserine.
    Neurology, 1981, Volume: 31, Issue:10

    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.
    Journal of neural transmission, 1983, Volume: 58, Issue:3-4

    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].
    Nihon Naika Gakkai zasshi. The Journal of the Japanese Society of Internal Medicine, 1989, Volume: 78, Issue:7

    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.
    Lancet (London, England), 1987, Nov-21, Volume: 2, Issue:8569

    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].
    Rinsho shinkeigaku = Clinical neurology, 1987, Volume: 27, Issue:3

    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].
    Rinsho shinkeigaku = Clinical neurology, 1987, Volume: 27, Issue:8

    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.
    Acta neurologica Scandinavica, 1988, Volume: 77, Issue:5

    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].
    Nihon Naika Gakkai zasshi. The Journal of the Japanese Society of Internal Medicine, 1988, Volume: 77, Issue:6

    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.
    Journal of hypertension. Supplement : official journal of the International Society of Hypertension, 1988, Volume: 6, Issue:4

    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)].
    Nihon Naika Gakkai zasshi. The Journal of the Japanese Society of Internal Medicine, 1987, Volume: 76, Issue:11

    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.
    Life sciences, 1985, Feb-04, Volume: 36, Issue:5

    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.
    European neurology, 1985, Volume: 24, Issue:5

    Topics: Autonomic Nervous System Diseases; Blood Pressure; Carbidopa; Droxidopa; Drug Combinations; Humans;

1985