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Early Phase 1 N=27 Randomized Triple-blind Basic Science

Age Comparisons of Exercising Muscle O2 Supply in Healthy Adults: Effects of Esmolol Infusion

Aging

Enrolled (actual)
27
Serious AEs
0.0%
Results posted
May 2025
Primary outcome: Primary: Tissue Saturation Index (TSI) - Active Leg Muscle — -5.1; -3.1; -8.7; -6.3 % Total Labile Signal

Study Design & Population

Study type
Interventional
Phase
Early Phase 1
Interventions
Esmolol infusion (Drug); Saline infusion (Drug); Pre exercise baseline (Other); Isometric handgrip exercise (Other); Semi-recumbent cycling (Other)
Age
Adult, Older Adult · 18+ yrs
Sex
Female
Sponsor
David N. Proctor, PhD
Primary completion
Apr 2023

Outcome Measures

OutcomeResultp-value
PRIMARY
Tissue Saturation Index (TSI) - Active Leg Muscle
-5.1; -3.1; -8.7; -6.3; -1.5; -0.5
SECONDARY
Tissue Saturation Index - Inactive Forearm Muscle
-3.3; -1.3; -5.9; -2.3; -0.1; -0.5
SECONDARY
Systolic Blood Pressure
105; 104; 119; 137; 134; 156
SECONDARY
Heart Rate
64.5; 70.0; 106.3; 115.4; 123.1; 141.2
SECONDARY
Cardiac Output
5.3; 5.9; 11.3; 12.6; 13.5; 15.9
SECONDARY
Diastolic Blood Pressure
66; 63; 64; 59; 64; 62
SECONDARY
Mean Arterial Pressure
79; 77; 82; 85; 87; 93
SECONDARY
Stroke Volume
84; 86; 107; 110; 110; 114
SECONDARY
Systemic Vascular Conductance
70; 82; 141; 154; 159; 179
SECONDARY
∆HHb - Inactive Forearm
8.6; 5.0; 13.5; 5.9; 2.9; -3.4

Summary

This study will test the central hypothesis that postmenopausal women will demonstrate increased oxygen extraction in active leg muscle during leg cycling exercise while receiving an infusion of Esmolol, a fast-acting β1 selective antagonist, when compared to premenopausal women

Eligibility Criteria

3.1 Inclusion Criteria

  • Capable of giving informed consent
  • Premenopausal women ages 18-35 years OR post-menopausal women ages 55-70 years
  • Satisfactory medical history and physical exam, as determined by a Clinical Research Center (CRC) clinician
  • Not currently taking medications affecting heart rate or contractility
  • Fluent in written and spoken English

3.2 Exclusion Criteria

Participants who will not be studied are those who:

  • Are less than 19 years of age or more than 70 years of age
  • Are pregnant or lactating
  • Are prisoners or institutionalized individuals or unable to consent
  • Diagnosed renal failure (Creatinine >2.0 mg/dl)
  • Diagnosed liver disease (ALT and aspartate aminotransferase {AST} 2 times normal)
  • Diagnosed Reynaud's disease
  • Have uncontrolled diabetes
  • Have uncontrolled hypertension
  • Have a left ventricular ejection fraction < 40%
  • Have a recent history of unstable angina or myocardial infarction (<6 months), unstable angina, or use of nitrate medications within past 2 weeks
  • Severe lung disease (i.e., on supplemental oxygen or frequently use rescue inhalers) 11. Diagnosed bleeding or clotting disorder or recent blood transfusion 12. Have asthma, history of thyroid issues or hyperkalemia 13. Known use of recreational drugs 14. Methylphenidate use
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT04181606). 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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