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Beta-2 Polymorphisms and Beta Receptor Selectivity

Not Applicable
Completed
Conditions
Heart Failure
Registration Number
NCT00214318
Lead Sponsor
University of Wisconsin, Madison
Brief Summary

We hypothesize that b2 adrenergic polymorphisms affect b-receptor selectivity in patients with heart failure treated with either a b1-selective or a b-nonselective agent. b-2 polymorphisms may contribute to differing responses to drug treatment with beta-blockers in heart failure. Characterizing these polymorphisms may help explain the variability in the degree of "selectivity" of action of b-blockers at the b receptor, namely if their action is specific for the b-1 or b-2 receptor. Part A was conducted at the University of Utah, and all subjects completed study related activities. Part B (sub-study) consists of genotyping of blood samples collected in part A, which will be completed at the University of Wisconsin. Sub-study (samples and DNA isolation) or Part B entailed analyzing an extra 10 mL of blood that was taken for DNA isolation. Genotyping (i.e. determination of genetic makeup) of beta adrenergic polymorphisms utilized polymerase chain reaction followed by pyrosequencing.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
25
Inclusion Criteria
  • systolic dysfunction with ejection fraction ≤40%
  • symptomatic heart failure class 2-3
  • >18 years of age
  • optimal medical therapy of HF excluding the use of any beta-blockers within the previous 30 days of the study
Exclusion Criteria
  • active myocarditis
  • hemodynamically significant valvular heart disease
  • hypertrophic cardiomyopathy
  • contra-indications to beta-blockers
  • concomitant use of beta-agonists
  • beta-antagonist or anti-arrhythmics
  • unstable angina
  • myocardial infarction or bypass surgery within 3 months
  • significant renal insufficiency [creatinine >2.5 mg/dL], liver disease, or anemia

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
The effect of beta-2 polymorphisms on potassium changes in response to terbutaline infusions
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

University of Wisconsin

🇺🇸

Madison, Wisconsin, United States

University of Wisconsin
🇺🇸Madison, Wisconsin, United States
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