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Pure autonomic failure (PAF) is a neurodegenerative disease that affects the sympathetic branch of the autonomous nervous system and that manifests with orthostatic hypotension.
Biomarker and diagnostic research for pure autonomic failure has been reported in the published literature.
1 FDA-approved treatment is available for pure autonomic failure, including DROXIDOPA (NORTHERA, approved 2014).
Brand Name | Generic Name | Mechanism | Approved | Market Status |
|---|---|---|---|---|
NORTHERA | DROXIDOPA | — | 2014 | Available |
Estimated prevalence: 1-9 in 1,000,000 (Rare).
14 clinical trials registered, 6 recruiting. Interventions under study include other interventions, drug therapy, and medical devices. Pipeline includes 4 PHASE1, 1 EARLY_PHASE1, 6 NA. Research is primarily sponsored by academic and government institutions.
NCT ID | Title | Phase | Sponsor | Status |
|---|---|---|---|---|
[NCT03042988](https://clinicaltrials.gov/study/NCT03042988) |
Data assembled from 5 of 12 sources · Last updated Sep 18, 2026, 9:26 PM UTC
European rare disease database
Genetic and Rare Diseases Info Center
14 trials found
Overnight Trials With Heat Stress in Autonomic Failure Patients With Supine Hypertension |
NA |
Vanderbilt University Medical Center |
RECRUITING |
[NCT04782830](https://clinicaltrials.gov/study/NCT04782830) | Use of Accelerometer for Quantification of Neurogenic Orthostatic Hypotension Symptoms | NA | Vanderbilt University Medical Center | RECRUITING |
[NCT01799915](https://clinicaltrials.gov/study/NCT01799915) | Natural History Study of Synucleinopathies | — | NYU Langone Health | RECRUITING |
[NCT02897063](https://clinicaltrials.gov/study/NCT02897063) | Effects of Midodrine and Droxidopa on Splanchnic Capacitance in Autonomic Failure | PHASE1 | Vanderbilt University Medical Center | RECRUITING |
[NCT05908760](https://clinicaltrials.gov/study/NCT05908760) | CO2 Rebreathing in nOH: A Proof-of-Concept Pilot Study | NA | University of Calgary | RECRUITING |
43 publications have been identified in PubMed for pure autonomic failure. Research spans Review / Meta-Analysis (26%), Epidemiology / Natural History (19%), and Diagnostic / Biomarker (16%).
Research Type | Count | % of Total |
|---|---|---|
Research summaries | 11 | 26% |
Disease patterns and progression | 8 | 19% |
Testing and diagnosis research | 7 | 16% |
Laboratory research | 7 | 16% |
Other research | 4 | 9% |
Patient case studies | 4 | 9% |
Clinical study results | 2 | 5% |
Chiaro G (2026). [PMID: 40397689](https://pubmed.ncbi.nlm.nih.gov/40397689/). *Brain*. [Epidemiology / Natural History]
Goldstein DS (2026). [PMID: 41814889](https://pubmed.ncbi.nlm.nih.gov/41814889/). *J Neurochem*. [Diagnostic / Biomarker]
Sawano M (2026). [PMID: 41405529](https://pubmed.ncbi.nlm.nih.gov/41405529/). *J Am Coll Cardiol*. [Other]
Cani I (2026). [PMID: 41265026](https://pubmed.ncbi.nlm.nih.gov/41265026/). *Parkinsonism Relat Disord*. [Epidemiology / Natural History]
Kaufmann H (2026). [PMID: 41134458](https://pubmed.ncbi.nlm.nih.gov/41134458/). *Clin Auton Res*. [Clinical Trial Publication]
Coon EA (2026). [PMID: 41653225](https://pubmed.ncbi.nlm.nih.gov/41653225/). *Brain*. [Other]
Keller C (2026). [PMID: 41369621](https://pubmed.ncbi.nlm.nih.gov/41369621/). *J Am Coll Cardiol*. [Epidemiology / Natural History]
Goldstein DS (2026). [PMID: 41844500](https://pubmed.ncbi.nlm.nih.gov/41844500/). *Parkinsonism Relat Disord*. [Basic Science / Preclinical]
Virameteekul S (2026). [PMID: 42081229](https://pubmed.ncbi.nlm.nih.gov/42081229/). *JAMA Neurol*. [Review / Meta-Analysis]
Fereshtehnejad SM (2026). [PMID: 41897312](https://pubmed.ncbi.nlm.nih.gov/41897312/). *Biomolecules*. [Review / Meta-Analysis]