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NCT05295810

Hypercapnia in Orthostatic Hypotension

Recruiting now NA Last updated 9 December 2024
What this trial tests

NA trial testing Sequential Gas Delivery in Orthostatic Hypotension in 80 participants. Currently enrolling.

Timeline
1 March 2022
Primary endpoint
31 December 2026
31 May 2027

Quick facts

Lead sponsorUniversity of Calgary
PhaseNA
StatusRecruiting now
Study typeINTERVENTIONAL
Allocationrandomized
Designcrossover
Maskingnone
Primary purposetreatment
Enrollment80
Start date1 March 2022
Primary completion31 December 2026
Estimated completion31 May 2027
Sites1 location across Canada

Drugs / interventions tested

Conditions studied

Sponsor

University of Calgary

Who can join

Adults 18 to 100, any sex, with Orthostatic Hypotension or Neurogenic Orthostatic Hypotension. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

The Autonomic (or "automatic") Nervous System (ANS) regulates internal processes, including control of heart rate and blood pressure (BP). When someone stands, and gravity tries to pull blood away from the brain, the ANS works to maintain BP and brain blood flow. Neurogenic Orthostatic Hypotension (NOH) occurs when our "fight-or-flight" part ("sympathetic") of the ANS fails. BP can drop a lot when upright, reducing blood flow and oxygen delivery to the brain, and this can cause symptoms of light-headedness, nausea, and fainting. One solution to help counter the effects of NOH may be to increase sympathetic activity by breathing higher levels of carbon dioxide. In healthy volunteers, small increases in the amount of inhaled carbon dioxide has been shown to increase BP in the upright position, and this improves symptoms! The objectives of the current study are to apply carbon dioxide in patients with NOH and healthy controls to: (a) evaluate the effects of breathing carbon dioxide on BP and brain blood flow, and (b) determine if a device that increases carbon dioxide while standing will work as a new therapy

Publications & conference data

2 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Carbon dioxide for neurogenic orthostatic hypotension in adults: a novel therapy.
    Baker JR, Ranada SI, Incognito AV, Sheldon RS, et al · · 2025 · cited 3× · PMID 39374345 · DOI 10.1093/eurheartj/ehae653
  2. Elevating blood pressure in neurogenic orthostatic hypotension: Investigating the efficacy and tolerability of rebreathing therapy.
    Baker JR, Ranada SI, Incognito AV, Sheldon RS, et al · · 2026 · PMID 41734601 · DOI 10.1016/j.autneu.2026.103400

Verify or expand the search:

Other recruiting trials for Orthostatic Hypotension

Currently open trials in the same condition.

Other University of Calgary trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

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Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing