Summary
Clonidine is tracked by OSMF as an investigational option for ME/CFS; no regulator has approved it for this indication, and most post-viral conditions have no approved disease-modifying therapy at all. ClinicalTrials.gov lists 2 registered trials linking Clonidine to ME/CFS: 2 have completed. The most advanced is Phase 2 (NCT01040429, sponsored by Oslo University Hospital). It plans or enrolled 120 participants. Registered activity dates to 2010. The literature layer holds 8 publications for this pair: 8 PubMed search records. Publication years run from 1990 to 2023. Items here are search-derived or curated references rather than classified trial reports; treat them as leads to read, not as graded evidence.
Myalgic Encephalomyelitis / Chronic Fatigue Syndrome is tracked on the OSMF post-viral programme alongside ME/CFS, Long COVID, POTS and MCAS. Across the programme, 191 candidate agents are logged for ME/CFS, most of them preliminary; this page isolates the record for one of them.
Evidence table
| Evidence tier | C · Preliminary |
|---|---|
| Evidence score | 19.0 (trials 6.0, literature 8.0, tier 5, approved bonus 0.0) |
| Registered trials | 2 total: 0 recruiting, 0 active / not yet recruiting, 2 completed, 0 other |
| Linked publications | 8 (8 PubMed search records) |
| Agent type | Behavioural (Behavioral / Protocol / Exercise, Other / Unclassified) |
| Development stage (any indication) | Investigational |
| Mechanism / class | Not recorded |
| Data sources | OSMF therapeutic agent database, ClinicalTrials.gov, PubMed |
How the evidence score is calculated
- Each registered trial scores by status (recruiting / active / enrolling 3, completed 2.5, not yet recruiting 2, unknown 1, terminated / withdrawn / suspended 0.5) plus a phase bonus (phase 3-4 +2, phase 2 +1, phase 1 +0.5). The trial component is capped at 30.
- Each literature item scores by design (Cochrane review 5, meta-analysis 4, systematic review 3, RCT 3, clinical trial publication 2, curated reference 1.5, other PubMed record 1). The literature component is capped at 30.
- The existing evidence tier adds 15 (A / Strong), 10 (B / Moderate), 5 (C / Preliminary) or 0 (D / Anecdotal).
- Agents approved for any indication (max clinical phase 4) add 5, because an approved agent has an established safety profile that lowers the barrier to repurposing trials.
- The score ranks what has been studied, not what works. It does not read effect sizes or directions of effect.
Registered clinical trials
| NCT ID | Title | Status | Phase | Enrolment |
|---|---|---|---|---|
| NCT01040429 | The Norwegian Study of Chronic Fatigue Syndrome in Adolescents: Pathophysiology and Intervention Trial Oslo University Hospital · 2010 | completed | Phase 2 | 120 |
| NCT01507701 | Pilot Study for the NorCAPITAL Trial Oslo University Hospital · 2010 | completed | Not applicable | 5 |
Published literature
- PubMed record (biomarker-intervention search) Effect of clonidine on heart rate variability during spinal anaesthesia: randomized clinical trial.Anaesthesiology intensive therapy · 2023 · PMID 37728450
- PubMed record (biomarker-intervention search) Persistent Proarrhythmic Neural Remodeling Despite Recovery From Premature Ventricular Contraction-Induced Cardiomyopathy.Journal of the American College of Cardiology · 2020 · PMID 31918815
- PubMed record (biomarker-intervention search) Reduced cardiac contractile force due to sympathovagal dysfunction mediates the additive hypotensive effects of limited-access regimens of ethanol and clonidine in spontaneously hypertensive rats.The Journal of pharmacology and experimental therapeutics · 2010 · PMID 20864507
- PubMed record (biomarker-intervention search) Intermittent clonidine regimen abolishes tolerance to its antihypertensive effect: a spectral study.Journal of cardiovascular pharmacology · 2007 · PMID 17414230
- PubMed record (biomarker-intervention search) Leptin and heart sympathetic activity in normotensive obese and non-obese subjects.Italian heart journal : official journal of the Italian Federation of Cardiology · 2004 · PMID 15080578
- PubMed record (biomarker-intervention search) Heart rate and QT interval variability: abnormal alpha-2 adrenergic function in patients with panic disorder.Psychiatry research · 2003 · PMID 14656453
- PubMed record (biomarker-intervention search) Some central effects of kynurenic acid, 7-chlorokynurenic acid and 5,7- dichloro-kynurenic acid, glycine site antagonists.Polish journal of pharmacology · 1994 · PMID 8000442
- PubMed record (biomarker-intervention search) Effect of catecholaminergic drugs on quinolinate- and kynurenine-induced seizures in mice.Journal of neural transmission. General section · 1990 · PMID 2144973
Mechanism and notes
This is a behavioural, rehabilitation or protocol-based intervention rather than a molecule, so no pharmacological mechanism is recorded.
Clinical notes: Investigational for listed conditions. 2 associated trial(s) and 0 study reference(s) in current data. Review primary sources and consult specialists before use.
Safety: Limited specific safety data in these populations. Review full prescribing information and consult specialist. Many agents used off-label or investigational.
Dosing in studies: See linked studies/trials for reported doses and durations; typical protocols vary widely.
Frequently asked questions
Is Clonidine approved for ME/CFS?
Clonidine is tracked by OSMF as an investigational option for ME/CFS; no regulator has approved it for this indication, and most post-viral conditions have no approved disease-modifying therapy at all. Approval status for the specific indication should always be confirmed with the relevant regulator and prescribing information.
Is Clonidine in clinical trials for ME/CFS?
ClinicalTrials.gov lists 2 registered trials linking Clonidine to ME/CFS: 2 have completed. The most advanced is Phase 2 (NCT01040429, sponsored by Oslo University Hospital). It plans or enrolled 120 participants. Registered activity dates to 2010.
What does the evidence show for Clonidine in ME/CFS?
Clonidine has 2 completed trials and 8 linked publications for ME/CFS. Completed trials may or may not have posted results; follow the NCT links to check. OSMF's existing evidence tier for this pair is C (Preliminary), taken from the OSMF therapeutic agent database, which grades agents by the volume and design of condition-specific evidence rather than by effect size.
Cite this page
Data: ClinicalTrials.gov, PubMed, Open Targets, ChEMBL, DGIdb and the OSMF therapeutic agent database. Last updated 2026-10-07. Page built 2026-10-07.