CSP #2026 - Beta Blocker Dialyzability on Cardiovascular Outcomes

Description

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.

Conditions

End-Stage Kidney Disease, End-Stage Renal Disease

Study Overview

Study Details

Study overview

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.

CSP #2026 - Beta Blocker Dialyzability on Cardiovascular Outcomes (BRAVO)

CSP #2026 - Beta Blocker Dialyzability on Cardiovascular Outcomes

Condition
End-Stage Kidney Disease
Intervention / Treatment

-

Contacts and Locations

Boston

VA Boston Healthcare System Jamaica Plain Campus, Jamaica Plain, MA, Boston, Massachusetts, United States, 02130-4817

Minneapolis

Minneapolis VA Health Care System, Minneapolis, MN, Minneapolis, Minnesota, United States, 55417-2309

New York

VA NY Harbor Healthcare System, New York, NY, New York, New York, United States, 10010-5011

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • * Eligible patients are those (including men, women and minorities)
  • * On hemodialysis
  • * Received one of the following beta blockers through the VA pharmacy prescribed by a VA provider: metoprolol (succinate or tartrate), atenolol, labetalol, carvedilol, bisoprolol, nadolol, pindolol, nebivolol
  • * 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

Ages Eligible for Study

18 Years to

Sexes Eligible for Study

ALL

Accepts Healthy Volunteers

No

Collaborators and Investigators

VA Office of Research and Development,

Areef Ishani, MD MS, STUDY_CHAIR, Minneapolis VA Health Care System, Minneapolis, MN

James S Kaufman, MD, STUDY_CHAIR, VA NY Harbor Healthcare System, New York, NY

Study Record Dates

2027-12-31