At a glance
ClinicalIndex Comparison Record- ✓Age 18 to 65 years
- ✓Non-ambulatory chronic tetraplegia, at least 1 year after acute spinal cord injury
- ✕Central nervous system disease other than SCI (e.g., multiple sclerosis, ALS, syringomyelia, tabes dorsalis)
- ✕Peripheral neuropathies
- ✕History of surgical sympathectomy
- ✕Coronary heart and/or artery disease
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
Prevention of Low Blood Pressure in Persons With Tetraplegia
In Brief
A Phase 3 clinical trial evaluating N-Nitro L-arginine-methylester (L-NAME) and Head-up Tilt maneuver for Hypotension and Spinal Cord Injury. Completed, enrolled 16 participants across 1 site.
Detailed Summary
The aim of this investigation is to determine the blood pressure response to NOS inhibition, with L-NAME, in persons with tetraplegia compared to non-SCI control subjects and to establish if blood pressure can be increased while upright in those with tetraplegia. If blood pressure is increased with NOS inhibition in persons with tetraplegia, this would improve our treatment of the condition of low blood pressure during seated postures in individuals with tetraplegia.
Study Details
Timeline
Interventions
A non-specific inhibitor of the nitric oxide synthase enzyme.
Participant will be placed onto tilt table and brought to 15 degrees of head up tilt for 60 minutes (intravenous infusion time). After this time, a progressive increase to 45 degrees will be completed with a 10 degree increase every 5 minutes. Participant will remain at 45 degrees for 45 minutes or until symptom onset.