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Recruiting
NCT05931276
CSP #2026 - Beta Blocker Dialyzability on Cardiovascular Outcomes
Conditions: End-Stage Kidney Disease, End-Stage Renal Disease
Sex: All
Ages: 18 Years – N/A
Healthy volunteers: No
Phase: PHASE3
Enrollment: 2540
Sponsor: VA Office of Research and Development
Location: VA Long Beach Healthcare System, Long Beach, CA Long Beach California
Summary
The investigators aim to determine, using a point-of-care randomized controlled trial design, if hemodialysis patients, who are randomized to metoprolol succinate (a dialyzable, beta-1 selective beta blocker), have an improved cardiovascular outcome compared to those randomized to carvedilol (a non-dialyzable, non-selective beta blocker with alpha-1 antagonist properties). The investigators will also examine intervention practices to identify components that best support engagement and sustainability.
Eligibility Criteria
Inclusion Criteria:
* On hemodialysis
* Received one of the following beta blockers through the VA pharmacy: metoprolol (succinate or tartrate), atenolol, labetalol, carvedilol, bisoprolol
Exclusion Criteria:
* Impaired decision-making capacity
* Patients not receiving carvedilol who have a history of asthma
* known hypersensitivity to any component of either drug
* Provider unwilling to sign a new medication order for a randomized patient
* No surrogate consent will be allowed
Source: ClinicalTrials.gov (NCT05931276). StuddyBuddy aggregates publicly available trial information.