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Removal of Beta Blocker Drugs by Hemodialysis

Primary Purpose

Chronic Kidney Diseases

Status
Completed
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
Beta blocker
Sponsored by
Lawson Health Research Institute
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Chronic Kidney Diseases focused on measuring hemodialysis, dialytic clearance, pharmacokinetics

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • at least 18 years of age, receiving hemodialysis three times per week for at least 90 days.

Exclusion Criteria:

  • gastrointestinal or liver disease, body mass index greater than 40 kg/m2, contraindications for receiving a beta blocker (treatment with contraindicated medications, prior adverse reaction, severe reactive airway disease, hemodynamic instability during dialysis).

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm 4

    Arm Type

    Experimental

    Experimental

    Experimental

    Experimental

    Arm Label

    Atenolol

    Bisoprolol

    Metoprolol

    Carvedilol

    Arm Description

    Atenolol (50 mg) administered 3 hours prior to a hemodialysis session. Blood samples are collected a multiple times during dialysis and spent dialysate is collected at the end of the dialysis session.

    Bisoprolol (5 mg) administered 3 hours prior to a hemodialysis session. Blood samples are collected a multiple times during dialysis and spent dialysate is collected at the end of the dialysis session.

    Metoprolol (50 mg) administered 3 hours prior to a hemodialysis session. Blood samples are collected a multiple times during dialysis and spent dialysate is collected at the end of the dialysis session.

    Carvedilol (6.25 mg) administered 3 hours prior to a hemodialysis session. Blood samples are collected a multiple times during dialysis and spent dialysate is collected at the end of the dialysis session.

    Outcomes

    Primary Outcome Measures

    Dialytic Clearance
    Dialytic clearance calculated by the recovery clearance method

    Secondary Outcome Measures

    Dialytic Clearance
    Dialytic clearance calculated by the arteriovenous difference method

    Full Information

    First Posted
    November 21, 2017
    Last Updated
    November 27, 2017
    Sponsor
    Lawson Health Research Institute
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    1. Study Identification

    Unique Protocol Identification Number
    NCT03361280
    Brief Title
    Removal of Beta Blocker Drugs by Hemodialysis
    Official Title
    Beta-blocker Dialyzability in Maintenance Hemodialysis Patients
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    November 2017
    Overall Recruitment Status
    Completed
    Study Start Date
    February 27, 2015 (Actual)
    Primary Completion Date
    March 10, 2016 (Actual)
    Study Completion Date
    March 10, 2016 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Lawson Health Research Institute

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No
    Product Manufactured in and Exported from the U.S.
    No
    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    Eight maintenance hemodialysis patients are given one of four beta blocker drugs (atenolol, bisoprolol, carvedilol, metoprolol) three hours prior to a hemodialysis session. Blood samples and spent dialysate are collected during dialysis. On separate dialysis sessions, patients received the other study drugs until they have taken each of the four study drugs. Dialytic clearance is calculated.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Chronic Kidney Diseases
    Keywords
    hemodialysis, dialytic clearance, pharmacokinetics

    7. Study Design

    Primary Purpose
    Basic Science
    Study Phase
    Phase 1, Phase 2
    Interventional Study Model
    Crossover Assignment
    Masking
    None (Open Label)
    Allocation
    Randomized
    Enrollment
    8 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Atenolol
    Arm Type
    Experimental
    Arm Description
    Atenolol (50 mg) administered 3 hours prior to a hemodialysis session. Blood samples are collected a multiple times during dialysis and spent dialysate is collected at the end of the dialysis session.
    Arm Title
    Bisoprolol
    Arm Type
    Experimental
    Arm Description
    Bisoprolol (5 mg) administered 3 hours prior to a hemodialysis session. Blood samples are collected a multiple times during dialysis and spent dialysate is collected at the end of the dialysis session.
    Arm Title
    Metoprolol
    Arm Type
    Experimental
    Arm Description
    Metoprolol (50 mg) administered 3 hours prior to a hemodialysis session. Blood samples are collected a multiple times during dialysis and spent dialysate is collected at the end of the dialysis session.
    Arm Title
    Carvedilol
    Arm Type
    Experimental
    Arm Description
    Carvedilol (6.25 mg) administered 3 hours prior to a hemodialysis session. Blood samples are collected a multiple times during dialysis and spent dialysate is collected at the end of the dialysis session.
    Intervention Type
    Drug
    Intervention Name(s)
    Beta blocker
    Intervention Description
    Beta blockers are administered as described in arms.
    Primary Outcome Measure Information:
    Title
    Dialytic Clearance
    Description
    Dialytic clearance calculated by the recovery clearance method
    Time Frame
    Through study completion, average of one year.
    Secondary Outcome Measure Information:
    Title
    Dialytic Clearance
    Description
    Dialytic clearance calculated by the arteriovenous difference method
    Time Frame
    Through study completion, average of one year.

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: at least 18 years of age, receiving hemodialysis three times per week for at least 90 days. Exclusion Criteria: gastrointestinal or liver disease, body mass index greater than 40 kg/m2, contraindications for receiving a beta blocker (treatment with contraindicated medications, prior adverse reaction, severe reactive airway disease, hemodynamic instability during dialysis).

    12. IPD Sharing Statement

    Plan to Share IPD
    No
    IPD Sharing Plan Description
    Plasma concentrations of beta blockers will be shared with other researchers if requested.

    Learn more about this trial

    Removal of Beta Blocker Drugs by Hemodialysis

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