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Tests overnight heat on lying-down high blood pressure in autonomic failure

Tests abdominal heating pad versus sham overnight in autonomic failure patients with supine hypertension.

Key facts

Who runs it
Vanderbilt University Medical Center
Where
Nashville, United StatesSee the site
Trial code
Registry title
Overnight Trials With Heat Stress in Autonomic Failure Patients With Supine Hypertension
Status
Recruiting
People taking part
20 people, planned
Started
30 Jan 2017
Expected to end
30 Dec 2026
Type of study
Interventional, 2 groupsOne group gets a sham (pretend) treatment, for comparison.
Treatments tested
  • Heating pad
  • Sham control
Record updated
16 January 2026

Who can take part

AI summary

From the trial's eligibility criteria. Machine-read from the registry text on this page, so it can be wrong. The registry text below and the trial team decide who can take part.

The trial is looking for adults with primary autonomic failure who also have high blood pressure when lying down. It tests heat applied over the abdomen during the night.

Age
18 to 80 years
Sex
Men and women
Disease stage
Primary autonomic failure (Parkinson Disease, Multiple System Atrophy or Pure Autonomic Failure) with supine hypertension, defined as SBP≥150 mmHg.

Main reasons for not taking part

  • Pregnancy
  • Significant heart, kidney or liver illness
  • Contraindications to pressor agents
  • Other factors that the investigator thinks would prevent finishing the study
  • Clinically significant abnormal clinical, mental or laboratory tests

The registry criteria, word for word

Show all 4 criteriaShow less

Who can take part

  • Male and female patients, between 18-80 yrs., with primary autonomic failure (Parkinson Disease, Multiple System Atrophy, and Pure Autonomic Failure) and supine hypertension. Supine hypertension will be defined as SBP≥150 mmHg
  • Patients able and willing to provide informed consent

Who cannot take part

  • Significant cardiac, renal or hepatic illness, or with contraindications to administration of pressor agents or with other factors, which in the investigator's opinion would prevent the subject from completing the protocol including clinically significant abnormalities in clinical, mental or laboratory testing
  • Pregnancy

Check if you might fit

Answer for yourself. This is not a decision: only the study team can say whether you can take part.

  • Are you between 18 and 80 years old?

Where in United States

  • Autonomic Dysfunction Center/ Vanderbilt University Medical CenterNashville, United StatesContact: Emily C Smith, RNTaking people

About the trial

What the trial wants to find out

Patients with autonomic failure are characterized by disabling orthostatic hypotension (low blood pressure on standing), and at least half of them also have high blood pressure while lying down (supine hypertension). Exposure to heat, such as in hot environments, often worsens their orthostatic hypotension. The causes of this are not fully understood. The purpose of this study is to evaluate whether applying local heat over the abdomen of patients with autonomic failure and supine hypertension during the night would decrease their nocturnal high blood pressure while lying down. This will help us better understand the mechanisms underlying this phenomenon, and may be of use in the treatment of supine hypertension.

The 2 groups in the trial

  • Heat StressTreatment being tested

    Passive heat-stress using a commercial heating pad applied on the trunk

    Treatment: Heating pad

  • Control (Non-heating)Sham treatment, for comparison

    Commercial heating pad applied on the trunk but turned off

    Treatment: Sham control

Questions to ask the study team

  1. How often do I need to come in, and for how long each time?
  2. Are travel costs paid?
  3. Can I keep my own doctor?
  4. What happens if I want to stop?

Contact the study team: see the registry record → Contacts and Locations

Print a page for my doctor

Data and sources

Registry record
Listed on ClinicalTrials.gov.
Official title
Overnight Trials to Compare the Effects of Controlled Heat Stress Versus Sham Control on Nocturnal Supine Hypertension in Autonomic Failure Patients
Plain-language title
Tests overnight heat on lying-down high blood pressure in autonomic failureGenerated from the registry record. The registry title is the official one.
AI summary
From the trial's eligibility criteria. Read by machine on 12 November 2026.
Fit questions
Built from NCT03042988, who can take part
Record updated
16 January 2026