Evidence map›Paper›PMID 26092297›Full record

ArticleExpert review of cardiovascular therapy2015

Droxidopa in neurogenic orthostatic hypotension.

Horacio Kaufmann, Lucy Norcliffe-Kaufmann, Jose-Alberto Palma

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Expert review of cardiovascular therapy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03602014 (Dose Response to the Norepinephrine Precursor Droxidopa in Hypotensive Individuals With Spinal Cord Injury), which is not on this map. Cited by 56 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed, 1 pooled it
12.4field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03602014 phase4completednot on this mapstarted 2018, after this paper: background citation

Dose Response to the Norepinephrine Precursor Droxidopa in Hypotensive Individuals With Spinal Cord Injury

TypeinterventionalSponsorJames J. Peters Veterans Affairs Medical CenterRan2018 to 2021Enrolled22ConditionsHypotension, Orthostatic, Hypotension, Spinal Cord InjuriesArmsNorthera, Placebo
3 · Its place in the literature

Who cites it

56 citing papers in PubMed, 1 synthesis or guideline pooled it, 100 citations in OpenAlex.

  1. Pooled it
  2. Establishing minimally clinically important differences for the orthostatic hypotension questionnaire (OHQ).Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2026
    Trial
  3. Trial
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  6. Article
  7. Article
  8. Review
  9. Diabetic neuropathy: cutting-edge research and future directions.Signal transduction and targeted therapy · 2025
    Review
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  15. Review
  16. Article
  17. Article
  18. Multiple system atrophy.Nature reviews. Disease primers · 2022
    Review
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  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Horacio KaufmannDepartment of Neurology, New York University School of Medicine, New York, NY, USA.
Lucy Norcliffe-Kaufmann
Jose-Alberto Palma
New York University · US

Funding

Training CoreU54NS065736 · NINDS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI KAUFMANN, HORACIO · 2009 to 2018
$11.6M
Optimization of compounds to improve mRNA splicing in familial dysautonomiaU01NS078025 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI SLAUGENHAUPT, SUSAN A · 2012 to 2016
$1.3M
NINDS NIH HHS 1U01NS078025-01NINDS NIH HHS U01 NS078025NINDS NIH HHS U54 NS065736NINDS NIH HHS U54NS065736
6 · The paper itself

Abstract

Neurogenic orthostatic hypotension (nOH) is a fall in blood pressure (BP) on standing due to reduced norepinephrine release from sympathetic nerve terminals. nOH is a feature of several neurological disorders that affect the autonomic nervous system, most notably Parkinson disease (PD), multiple system atrophy (MSA), pure autonomic failure (PAF), and other autonomic neuropathies. Droxidopa, an orally active synthetic amino acid that is converted to norepinephrine by the enzyme aromatic L-amino acid decarboxylase (dopa-decarboxylase), was recently approved by the FDA for the short-term treatment of nOH. It is presumed to raise BP by acting at the neurovascular junction to increase vascular tone. This article summarizes the pharmacological properties of droxidopa, its mechanism of action, and the efficacy and safety results of clinical trials.

Indexed as

Autonomic Nervous SystemBlood PressureDroxidopaHumansHypotension, OrthostaticSympathomimeticsDroxidopaSympathomimeticsautonomic failureautonomic neuropathyblood pressurecatecholaminesdopamine-beta hydroxylase deficiencyL-DOPSmultiple system atrophyParkinson diseasepure autonomic failuresyncope

Identifiers

PMID26092297
PMCPMC4509799
OpenAlexW1550562594

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.