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Psychostimulant
Modafinil for Postural Orthostatic Tachycardia Syndrome (POTS)
Phase < 1
Waitlist Available
Led By Italo Biaggioni, M.D.
Research Sponsored by Vanderbilt University Medical Center
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Be between 18 and 65 years old
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 2.5 hours post study medication
Awards & highlights
Study Summary
This trial will test if the drug modafinil can help improve cognitive function in patients with POTS.
Who is the study for?
This trial is for people aged 18-60 diagnosed with POTS by the Vanderbilt Autonomic Dysfunction Center. Participants must be able to consent and not have allergies to study meds, be pregnant or breastfeeding, dehydrated, bedridden, taking certain antidepressants (SNRIs/NET inhibitors), or have asthma due to propranolol's risks.Check my eligibility
What is being tested?
The study aims to see if modafinil can improve 'brain fog' in POTS patients. It involves comparing the effects of modafinil and a placebo on cognitive function when seated. Propranolol is also being tested as part of the treatment strategy.See study design
What are the potential side effects?
Modafinil may cause headaches, nausea, nervousness, dizziness, difficulty sleeping. Propranolol might lead to lower heart rate, fatigue, dizziness and could worsen asthma symptoms.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ 2.5 hours post study medication
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~2.5 hours post study medication
Treatment Details
Study Objectives
Outcome measures can provide a clearer picture of what you can expect from a treatment.Primary outcome measures
Visual Attention Performance Speed
Secondary outcome measures
Blood Pressure
Executive Function
Heart Rate
Other outcome measures
Processing speed
Visual learning and memory
Working memory
Trial Design
4Treatment groups
Experimental Treatment
Placebo Group
Group I: PropranololExperimental Treatment2 Interventions
Patients will receive single doses of propranolol (20 mg, oral) and placebo on a randomized study day. Medications will be dummy blinded to the patient and investigators.
Group II: Modafinil plus PropranololExperimental Treatment2 Interventions
Patients will receive single doses of modafinil (200 mg, oral) and propranolol (20 mg, oral) on a randomized study day. Medications will be dummy blinded to the patient and investigators.
Group III: ModafinilExperimental Treatment2 Interventions
Patients will receive single doses of modafinil (200 mg, oral) and placebo on a randomized study day. Medications will be dummy blinded to the patient and investigators.
Group IV: PlaceboPlacebo Group1 Intervention
Patients will receive two inactive placebo pills filled with microcrystalline cellulose on a randomized study day. Medications will be dummy blinded to the patient and investigators.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Modafinil
2002
Completed Phase 4
~1700
Placebo
1995
Completed Phase 3
~2670
Propranolol
2010
Completed Phase 4
~1290
Find a Location
Who is running the clinical trial?
National Center for Advancing Translational Sciences (NCATS)NIH
320 Previous Clinical Trials
401,710 Total Patients Enrolled
1 Trials studying Postural Orthostatic Tachycardia Syndrome
55 Patients Enrolled for Postural Orthostatic Tachycardia Syndrome
Vanderbilt University Medical CenterLead Sponsor
856 Previous Clinical Trials
672,172 Total Patients Enrolled
16 Trials studying Postural Orthostatic Tachycardia Syndrome
889 Patients Enrolled for Postural Orthostatic Tachycardia Syndrome
Italo Biaggioni, M.D.Principal InvestigatorVanderbilt University Medical Center
6 Previous Clinical Trials
191 Total Patients Enrolled
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- You have asthma because the study drug propranolol is not safe for people with asthma.I am currently taking medication for depression or anxiety.I am not allergic to the medications used in this study.I am between 18 and 60 years old.You have been diagnosed with POTS by a specific medical center using specific criteria.I am unable to understand or decide about participating in this study.My POTS is not due to dehydration or long periods in bed.
Research Study Groups:
This trial has the following groups:- Group 1: Modafinil plus Propranolol
- Group 2: Propranolol
- Group 3: Placebo
- Group 4: Modafinil
Awards:
This trial has 0 awards, including:Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.
Frequently Asked Questions
These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.
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