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Phase 4 N=27 Randomized Triple-blind Treatment

Effects of Nebivolol Versus Carvedilol on Cardiopulmonary Function at High Altitude in Healthy Subjects.

Hypoxia · Altitude · Heart Failure

Enrolled (actual)
27
Serious AEs
Results posted
Jun 2009
Primary outcome: Primary: Peak Exercise Oxygen Consumption — 33.9; 37.6; 38.0; 33.9 ml/Kg/min — p=0.01

Study Design & Population

Study type
Interventional
Phase
Phase 4
Interventions
placebo (Drug); Carvedilol (Drug); Nebivolol (Drug)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Istituto Auxologico Italiano
Primary completion
Nov 2006

Outcome Measures

OutcomeResultp-value
PRIMARY
Peak Exercise Oxygen Consumption
33.9; 37.6; 38.0; 33.9; 36.2; 39.7 0.01 sig
PRIMARY
Delta Peak Exercise Oxygen Consumption Time 1 Versus Time 3
-32.7; -37.6; -22.5 <0.05 sig
PRIMARY
Peak Exercise Minute Ventilation
93.9; 90.3; 81.8; 95.6; 89.6; 83.8 0.93
PRIMARY
Delta Peak Exercise Minute Ventilation Time 1 Versus Time 3.
0.7; -9.3; 15.2 <0.05 sig
SECONDARY
Peak Exercise Oxygen Saturation
SECONDARY
Systolic Pulmonary Artery Pressure.
SECONDARY
Resting Energy Expenditure
SECONDARY
Sitting Blood Pressure and Heart Rate
SECONDARY
Mean 24 Hour/Daytime/Night-time Blood Pressure and Heart Rate

Summary

Exposure of healthy subjects to high altitude hypoxia elicits changes in cardiovascular, respiratory and metabolic features as weel as in exercise performance similar, for some aspects, to those observed in chronic heart failure. Exposure to high altitude hypoxia represents a suitable model to assess different treatments proposed for this pathological condition. Our aim was to evaluate the impact of two different third-generation beta-blockers used in heart failure (carvedilol and nebivolol) on cardiovascular, respiratory, metabolic profile and on exercise performance at high altitude.

Eligibility Criteria

Inclusion Criteria

  • Men or women of any racial background
  • healthy
  • sealevel resident
  • age >= 18 years, =< 65 years
  • SBP< 130 mmHg and DBP< 80 mmHg, average of two measures at the sceening visit
  • FG < 100 mg/dl (5.6 mmol/l)
  • BMI < 25
  • written informed consent signed

Exclusion Criteria

  • engagement in regular exercise training
  • smoking habit
  • being enrolled in another research study
  • any current or previous cardiovascular, metabolic disease or any other cronic disease
  • any current treatment for any medical condition
  • any medical condition preventing or contraindication exposure to altitude hypoxia
  • any gastrointestinal disorder interfering with drug absorption
  • known allergy or contraindications to beta-blockers
  • pregnant or lactating women; women in reproductive age not using recognized contraceptive methods.
  • malignancy within the last 5 years
  • drug abuse or alcohol abuse within the last 5 years
  • history of noncompliance to medical regimens
  • incapacity or unwillingness to sign the informed consent
  • participation in any investigational clinical trial within the last 3 months
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00924833). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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