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Efficacy of Therapeutic Interventions for Orthostatic Hypotension in Parkinson's Disease and Multiple System Atrophy
This study has been completed.
Sponsored by: Royal Brisbane and Women's Hospital
Information provided by: Royal Brisbane and Women's Hospital
ClinicalTrials.gov Identifier: NCT00103597
  Purpose

Patients with Parkinson's Disease or Multiple System Atrophy (MSA), and symptoms of orthostatic hypotension, are eligible for the study. Each patient will have three weeks of conservative therapy, three weeks of therapy with fludrocortisone, and three weeks of therapy with domperidone. Autonomic testing, a symptom questionnaire, bedside blood pressure testing, and Unified Parkinson Disease Rating Scale (UPDRS) will be performed after each intervention.


Condition Intervention Phase
Parkinson's Disease
Multiple System Atrophy
Orthostatic Hypotension
Drug: Fludrocortisone
Drug: Domperidone
Behavioral: Conservative Measures for Orthostatic Hypotension
Phase I

Genetics Home Reference related topics: familial paroxysmal nonkinesigenic dyskinesia Parkinson disease
MedlinePlus related topics: Low Blood Pressure Parkinson's Disease
Drug Information available for: Fludrocortisone Fludrocortisone 21-acetate Domperidone Domperidone maleate
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Double-Blind, Uncontrolled, Crossover Assignment, Efficacy Study
Official Title: Efficacy of Therapeutic Interventions for Orthostatic Hypotension in Parkinson's Disease and Multiple System Atrophy

Further study details as provided by Royal Brisbane and Women's Hospital:

Primary Outcome Measures:
  • Efficacy of conservative treatment, domperidone, and fludrocortisone for patient's subjective symptoms of orthostatic hypotension, and on objective autonomic testing

Estimated Enrollment: 50
Study Start Date: January 2005
Estimated Study Completion Date: September 2005
Detailed Description:

Enrolled patients, ages 40-95, must have Parkinson's or MSA, diagnosed by a neurologist, and symptoms of orthostatic hypotension. Each patient will fill out two validated questionnaires to determine if they are candidates for the study. Baseline patient details, such as their medications and UPDRS, will be recorded. Medications must be held stable during the period of the study.

Each patient will then have three weeks of conservative therapy, three weeks of therapy with fludrocortisone, and three weeks of therapy with domperidone. Autonomic testing, a symptom questionnaire, bedside blood pressure testing, and UPDRS will be performed after each intervention.

  Eligibility

Ages Eligible for Study:   40 Years to 95 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Patients residing in Queensland Australia
  • Age 40-95
  • Parkinson's Disease or MSA diagnosed by a neurologist
  • Symptoms of orthostatic hypotension, as defined by 2 validated questionnaires

Exclusion Criteria:

  • Patients with acute cardiomyopathy or cardiac condition
  • Patients unable to give consent
  • Patients not stable on their Parkinsonian medications
  • Patients with another cause for autonomic neuropathy
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00103597

Locations
Australia, Queensland
Royal Brisbane and Women's Hospital
Brisbane, Queensland, Australia, 4029
Sponsors and Collaborators
Royal Brisbane and Women's Hospital
Investigators
Principal Investigator: Kerrie Schoffer, MBBS Movement Disorders Fellow
  More Information

Study ID Numbers: 2004/135, 2004/135
Study First Received: February 11, 2005
Last Updated: October 19, 2005
ClinicalTrials.gov Identifier: NCT00103597  
Health Authority: Australia: Department of Health and Ageing Therapeutic Goods Administration

Keywords provided by Royal Brisbane and Women's Hospital:
Orthostatic hypotension
Parkinson's Disease

Study placed in the following topic categories:
Multiple system atrophy
Pathological Conditions, Anatomical
Hypotension
Hypotension, Orthostatic
Ganglion Cysts
Basal Ganglia Diseases
Vascular Diseases
Central Nervous System Diseases
Brain Diseases
Neurodegenerative Diseases
Dopamine
Domperidone
Postural hypotension
Multiple System Atrophy
Parkinson Disease
Movement Disorders
Fludrocortisone
Atrophy
Parkinsonian Disorders

Additional relevant MeSH terms:
Anti-Inflammatory Agents
Neurotransmitter Agents
Molecular Mechanisms of Pharmacological Action
Nervous System Diseases
Physiological Effects of Drugs
Gastrointestinal Agents
Antiemetics
Dopamine Antagonists
Pharmacologic Actions
Autonomic Agents
Therapeutic Uses
Cardiovascular Diseases
Dopamine Agents
Peripheral Nervous System Agents
Central Nervous System Agents

ClinicalTrials.gov processed this record on January 15, 2009