Could a hidden liver condition cause POTS? new study aims to find out
NCT ID NCT05344599
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looks at whether people with Postural Orthostatic Tachycardia Syndrome (POTS) might also have a rare condition called acute hepatic porphyria (AHP), which can cause similar symptoms like rapid heart rate and abdominal pain. Researchers will test 70 adults with POTS using genetic tests, urine tests, and autonomic function tests to see how common AHP is in this group. The goal is to identify which POTS patients might benefit from AHP screening and treatment.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- What this could lead to
- If this study finds a link, it could lead to routine screening for acute hepatic porphyria in POTS patients, enabling earlier treatment.
- What could go wrong
- This is a small, observational study with only 70 participants, so results may not apply to all POTS patients. It does not test any new treatment.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
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70 people
The number who actually took part.
- Started
-
Jan 2022
- Expected to finish
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Jun 2026
An estimate. End dates often move.
- 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.
Who is studied
Postural Tachycardia Syndrome
- Ages
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18 to 65 years
- Sex
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Anyone
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria 1. Age 18 - 65 years 2. Individuals having an established diagnosis of POTS defined as the presence of presyncopal symptoms for more than 6 months and orthostatic tachycardia (\>30 bpm increase in HR within 10 min after assuming upright position) 3. The present of one of the following criteria: 3.1 Family history of acute hepatic porphyria 3.2 Unexplained recurrent (more than one), prolonged (\>24 hours) episode of severe, diffuse (poorly localized) abdominal pain AND at least TWO of the following: * Red to brownish urine. * Blistering skin lesions on sun-exposed areas. * Peripheral nervous system manifestations occurring around the time of abdominal pain (i.e., motor neuropathy (paresis), sensory neuropathy (numbness, tingling, limb pain). * Central nervous system manifestations occurring around the time of abdominal pain (i.e. confusion, anxiety, seizures, hallucinations). * Autonomic nervous system manifestations occurring around the time of abdominal pain (i.e. hyponatremia(Na\<lower limit of normal)), tachycardia, hypertension, nausea and vomiting, constipation). Exclusion Criteria 1. Pregnant or breastfeeding women 2. type 2 diabetes mellitus 3. History of alcohol or drug abuse 4. Inability to provide informed consent or comply with protocol
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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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Vanderbilt University Medical Center
Nashville, Tennessee, 37232, United States
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