Examining Genetic Influence on Response to Beta-Blocker Medications in People With Type 2 Diabetes
Uncoupling Protein Polymorphisms and Cardiometabolic Responses to Beta-Blockers
2 other identifiers
interventional
31
1 country
1
Brief Summary
Beta-blockers are medications used to treat cardiovascular disease (CVD) symptoms, including high blood pressure and chest pain. People with diabetes who receive beta-blockers may experience adverse health effects, but the exact cause of why this happens remains unknown. This study will examine the genetic factors that may influence how atenolol, a beta-blocker medication, affects fat breakdown, blood sugar levels, and heart function in people with type 2 diabetes.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_4 diabetes-mellitus-type-2
Started Dec 2009
Longer than P75 for phase_4 diabetes-mellitus-type-2
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
June 17, 2009
CompletedFirst Posted
Study publicly available on registry
June 19, 2009
CompletedStudy Start
First participant enrolled
December 1, 2009
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2013
CompletedStudy Completion
Last participant's last visit for all outcomes
May 1, 2014
CompletedResults Posted
Study results publicly available
December 22, 2017
CompletedSeptember 26, 2019
September 1, 2019
3.5 years
June 17, 2009
April 21, 2017
September 24, 2019
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Change in Diastolic Function (Annular Tissue Velocity [Em])
8 weeks
Change in Free Fatty Acid Kinetics
Estimate of peripheral lipolysis using modeling of free fatty acid levels collected during an IV glucose tolerance test. The change in threshold for insulin action (post-atenolol minus pre-atenolol) is the primary variable from this modeling that we analyzed.
Baseline and Week 8
Secondary Outcomes (5)
Change in Triglycerides
Baseline and Week 8
Change in Insulin Sensitivity
Baseline and Week 8
Change in Glucose Effectiveness
Baseline and Week 8
Change in HDL
Baseline and Week 8
Change in Insulin
Baseline and Week 8
Study Arms (1)
Atenolol
EXPERIMENTALParticipants will receive atenolol for 8 weeks.
Interventions
12.5 mg twice daily of atenolol for 1 week; increased to 25 mg twice daily for a total of 8 weeks, if the medication is well tolerated
Eligibility Criteria
You may qualify if:
- Type 2 diabetes
- Pre-Diabetes
You may not qualify if:
- Insulin therapy
- Treatment with any beta-blocker in the 30 days before study entry
- Asthma
- Chronic obstructive pulmonary disease (COPD)
- Greater than first degree heart block
- Heart rate less than 60 bpm
- Systolic blood pressure less than 90 mm Hg
- Raynaud's phenomenon
- Known history of angina, heart attack, heart failure, coronary revascularization, or automatic implantable cardioverter defibrillators
- Pregnant
- Creatinine clearance less than 35 ml/min
- Hematologic dysfunction (white blood cell \[WBC\] count less than 3000 or hematocrit less than 28%)
- Allergy to amide anesthetics
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
University of Maryland
Baltimore, Maryland, 21201, United States
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Dr. Amber Beitelshees
- Organization
- University of Maryland
Study Officials
- PRINCIPAL INVESTIGATOR
Amber L. Beitelshees, PharmD, MPH
University of Maryland, Baltimore
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Principal Investigator
Study Record Dates
First Submitted
June 17, 2009
First Posted
June 19, 2009
Study Start
December 1, 2009
Primary Completion
June 1, 2013
Study Completion
May 1, 2014
Last Updated
September 26, 2019
Results First Posted
December 22, 2017
Record last verified: 2019-09
Data Sharing
- IPD Sharing
- Will not share