New hope for MSA patients: drug may reduce dizzy spells and falls
NCT ID NCT02071459
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested a drug called droxidopa (L-threo DOPS) in 107 adults with multiple system atrophy (MSA) who experience dizziness or fainting when standing up due to low blood pressure. Participants received either the drug or a placebo for 12 weeks. The goal was to see if the drug could reduce these symptoms and improve daily life. The trial is complete, and results help doctors understand if this treatment is helpful for managing this challenging symptom.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2/3
Runs two stages together: whether the treatment works, then large-scale confirmation.
- Participants
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107 people
The number who actually took part.
- Started
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Jan 2014
- Finished
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Oct 2019
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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30 to 80 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * MSA patients (possible or probable, MSA-P or C (according to revised criteria, Gilman et al 2008)). * Aged 30 to 80 years, * Able to walk at least 10 meters * With symptomatic OH (score of at least 3 at one of the items of Part I of the OH scale (OHQ)) * Documented fall in systolic blood pressure of at least 20 mmHg, and/or in diastolic blood pressure of at least 10 mmHg, within 3 minutes after standing. * Able to fill in the evaluation questionnaires with or without help * With no significant problems with swallowing. * Stable anti-parkinsonian, dysautonomia and depression treatments for the 4 weeks before the study and during the entire study * Signed written informed consent for the present study. Exclusion Criteria: * Dementia (DSM-IV, Mini-Mental State Examination (MMSE) \< 24/30) * Concomitant use of vaso-constrictive drugs, other than midodrine. Patients taking vasoconstrictor agents such as ephedrine, dihydroergotamine, must stop taking these drugs at least 2 days or 7 half-lives prior to their baseline visit (Visit 1); the association with midodrine may be kept at a stable dose not exceeding 3 tablets (7.5 mg) / day if the patient has no CV history. This will be discussed case by case with the coordinating center and the safety committee of this study. * Taking anti-hypertensive medication
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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CHRU de lille
Lille, 59037, France
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CHU Pontchaillou
Rennes, 35033, France
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CHU bordeaux
Bordeaux, France
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CHU de Clermont-Ferrand
Clermont-Ferrand, 63000, France
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CHU de Dijon
Dijon, 21000, France
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CHU de Poitiers
Poitiers, 86021, France
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CHU de Rouen
Rouen, 76031, France
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CHU de limoges
Limoges, 87042, France
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Centre hospitalier d'Angers
Angers, 49933, France
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Hôpital G. & R. Laennec
Nantes, 44093, France
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Hôpital La Timone
Marseille, 13000, France
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Hôpital Pitié-Salpétrière
Paris, 75013, France
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chu de Strasbourg
Strasbourg, 67091, France
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