Clinical trial Recruiting at 2 sites Interventional Ages 18 and up

Stellate ganglion block to help POTS symptoms

Official title: Ultrasound Guided Stellate Ganglion Block in Postural Tachycardia Syndrome: A Randomized Double Blind Sham Placebo-controlled Pilot Study

Run by Stanford University · NCT06953661 · Data updated 2026-11-12

This study tests whether a stellate ganglion block can improve symptoms and heart rate in adults with Postural Tachycardia Syndrome compared with a sham injection.

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment20 (estimated)
SponsorStanford University
Academic / other
Locations2 sites (Stanford, California and 1 other locations)
StatusRecruiting
StartedOctober 16, 2025
Main results expectedMay 2027
Study endsMay 2027
Registry record updatedOctober 28, 2026
Trial IDNCT06953661 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults diagnosed with POTS who can consent, comply with follow-up visits, and are English-speaking.

Probably not a fit

Patients who do not respond to the block or experience adverse effects may see no improvement in symptoms.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This randomized, single-center study assigns 20 adults with POTS to receive either a stellate ganglion block or a sham saline injection, with ropivacaine used in the block. The goal is to measure immediate and longer-term changes in heart rate, sympathetic activity markers, and overall POTS symptoms. Participants will undergo three follow-up visits to assess durability of any effects and safety. The trial is led by Stanford University and will compare the active intervention to a saline control in a controlled setting.

Why it matters

Potential benefit: If successful, participants may experience better symptom control and reduced heart rate responses upon standing.

How similar studies have gone: Previous studies in autonomic disorders have explored nerve blocks for symptom modulation, with mixed results; this study adds randomized, controlled data in POTS.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Adult patients (\>18 years of age) diagnosed with POTS
* Ability to provide informed consent
* Ability to comply with 3 follow up visits
* English speaking and capable of signing informed consent and complying with protocol requirements

Exclusion Criteria:

* Allergy to local anesthetics
* Severe coagulopathy
* History of or currently being treated for clinically significant ongoing cardiac arrhythmia, heart failure, myocarditis, pulmonary embolism requiring anticoagulation, pulmonary fibrosis or other pulmonary diagnosis that in the investigator's opinion may contribute to symptoms of POTS
* Inability to maintain a stable medication regiment for the duration of the study

Where it's running

  • Stanford University School of Medicine
    Stanford, California, United States
    Recruiting
  • Stanford University
    Stanford, California, United States
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.