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| ID | Type | Description | Link |
|---|---|---|---|
| EudraCTnr. 2008-001908-23 |
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| Name | Class |
|---|---|
| Danish Heart Foundation | OTHER |
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Heart failure is a frequent disease in Denmark, and it is associated with very high mortality. Around 60,000 people in Denmark have heart failure, and there is about 11,000 hospitalizations every year due to this disease. From the time of diagnosis, patients survive an average of 4-5 years.
A critical illness mechanism in heart failure is that these patients have high blood levels of catecholamines; epinephrine and norepinephrine, which is stress hormones from the sympathetic nervous system. Standard treatment of heart failure is with the two medical preparations betablockers and ACE-inhibitors.
It is not known what effect betablocker-treatment have on blood concentration of epinephrine and norepinephrine.
It is the purpose of this study, to investigate the effect of Selo-Zok ® (metoprolol) on the blood concentration of epinephrine and norepinephrine. This is done by creating a stress condition for the body, in this case with the bicycle test, while doing blood samples to determine the concentration of catecholamines. This will be done by 1-week treatment of tablet Selo-Zok ® followed by 1-week treatment of placebo (a substance with no medical effect). Blood samples will be taken to determine small changes in inheritance material (DNA) in the form of point mutations also called single nucleotide polymorphisms, since these changes can affect how we respond to metoprolol treatment.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Experimental | Metoprolol for 10 days followed by placebo for 7 days. |
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| 2 | Placebo Comparator | Placebo for 7 days followed by Metoprolol for 10 days |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Metoprolole (Selo-Zok ®) | Drug | Tablets, 200 mg, once a day, 10 days |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Changes in stress-triggered response of catecholamines. | 2 weeks and 3 days |
| Measure | Description | Time Frame |
|---|---|---|
| Change in stress-triggered blood pressure response. | 2 weeks and 3 days | |
| Change in stress-triggered pulse response. | 2 weeks and 3 days |
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Inclusion Criteria:
Exclusion Criteria:
Alcohol abuse or any other abuse
Intake of any narcotic drugs (example: cannabinoids, narcotics, stimulants of central nervous system, hypnotics, hallucinogenes)
Any of following medication:
Abnormal ECG, particularly 2. or 3. degree AV-block, sinusbradycardia, sick sinusnode-syndrome, sign of heart failure or ischemia.
Allergy or intolerance of metoprolole
Lactoseallergy
110 mmHg < Systolic blood pressure < 140 mmHg
60 mmHg < Diastolic blood pressure < 90 mmHg
Bloodsucker > 11,1 mmol/L, or fasting, venous bloodsucker >= 7,0 (measured if: 7,8 < BS < 11,1)
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| Name | Affiliation | Role |
|---|---|---|
| Henrik HP Enghusen Poulsen, MD | Rigshospitalet, Universityhospital of Copenhagen | Principal Investigator |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 22703382 | Derived | Petersen M, Andersen JT, Jimenez-Solem E, Broedbaek K, Hjelvang BR, Henriksen T, Frandsen E, Forman JL, Torp-Pedersen C, Kober L, Poulsen HE. Effect of the Arg389Gly beta(1)-adrenoceptor polymorphism on plasma renin activity and heart rate, and the genotype-dependent response to metoprolol treatment. Clin Exp Pharmacol Physiol. 2012 Sep;39(9):779-85. doi: 10.1111/j.1440-1681.2012.05736.x. |
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| Type | Date | Date Unknown |
|---|---|---|
| Release | Aug 12, 2011 | |
| Reset | Sep 16, 2011 | |
| Release | Oct 19, 2011 | |
| Reset | Nov 23, 2011 | |
| Release | May 1, 2014 | |
| Reset | May 29, 2014 |
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| Aug 12, 2011 | Sep 16, 2011 | |||
| Oct 19, 2011 |
| ID | Term |
|---|---|
| D006333 | Heart Failure |
| ID | Term |
|---|---|
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
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| Placebo |
| Drug |
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| Nov 23, 2011 |
| May 1, 2014 | May 29, 2014 |