Cardio-oncology & otherTrial design

Design and rationale of RECOVER-AUTONOMIC: A randomized platform trial evaluating interventions for Long COVID postural orthostatic tachycardia syndrome

Am Heart JPublished

  • multicenter, randomized, double-blinded, placebo-controlled, platform trial
  • flexible, adaptive design
  • factorial design

Study context

Population
Adults with Long COVID and postural orthostatic tachycardia syndrome (POTS)
Planned comparison
Intravenous immunoglobulin (IVIG) or ivabradine with matching placebo, and (in a factorial design) coordinated nonpharmacologic care or usual care
Primary endpoint
Change in orthostatic intolerance symptoms measured by the Orthostatic Hypotension Questionnaire/Orthostatic Intolerance Questionnaire
Follow-up
From baseline to the end of intervention

No results yet. This paper sets out the design of a trial; its results are to come.

Original publication

Design and rationale of RECOVER-AUTONOMIC: A randomized platform trial evaluating interventions for Long COVID postural orthostatic tachycardia syndrome. Am Heart J. Published 18 February 2026. doi:10.1016/j.ahj.2026.107384

Summarised from the published abstract; every number is checked against it