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Bisoprolol in Patients With Heart Failure and Chronic Obstructive Pulmonary Disease

Phase 2
Terminated
Conditions
Chronic Obstructive Pulmonary Disease
Heart Failure
Interventions
Drug: Placebo
Registration Number
NCT00702156
Lead Sponsor
NHS Greater Glasgow and Clyde
Brief Summary

The principal research objectives are to demonstrate cardioselective beta-blockade using bisoprolol is not inferior to placebo with regard to pulmonary function and improves quality of life in patients with heart failure and coexistent moderate or severe chronic obstructive pulmonary disease with or without significant reversibility. Patients will be followed up for 4 months during which bisoprolol will be up-titrated to the maximum clinically tolerated dose. Health status will be assessed using a generic and two disease specific questionnaires, and pulmonary function by spirometry, body box plethysmography, and cardiopulmonary exercise testing.

Detailed Description

Not available

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
27
Inclusion Criteria
  • symptomatic NYHA II or III chronic heart failure
  • left ventricular systolic dysfunction
  • moderate or severe chronic obstructive pulmonary disease
  • with or without significant reversibility
Exclusion Criteria
  • beta-blocker contraindications
  • non-dihydropyridine (diltiazem / verapamil) calcium channel blockers
  • recent coronary percutaneous intervention or coronary artery bypass graft surgery
  • haemodynamically significant valvular disease or hypertrophic cardiomyopathy.
  • active myocarditis or pericarditis.
  • recent cerebrovascular accident or transient ischaemic attack
  • serious concurrent systemic disease, such as malignancy, resulting in likely reduced life expectancy
  • pregnancy, childbearing potential with inadequate contraception, breast feeding

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
2PlaceboIdentical appearance matching placebo
1BisoprololBisoprolol
Primary Outcome Measures
NameTimeMethod
Forced expiratory volume 1 second (FEV1)16 weeks
Secondary Outcome Measures
NameTimeMethod
Quality of life: Minnesota Living with Heart Failure, SF-3616 weeks
NYHA Class16 weeks

Trial Locations

Locations (1)

Cardiopulmonary Transplant Unit Glasgow Royal Infirmary

🇬🇧

Glasgow, Scotland, United Kingdom

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