CSP #2026 - Beta Blocker Dialyzability on Cardiovascular Outcomes

Trial statusRecruiting
Trial phasePhase 3
Trial typeInterventional
Biological sexAll
Age18+
SponsorVA Office of Research and Development

About this trial

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

Qualifiers

On hemodialysis

Received one of the following beta blockers through the VA pharmacy: metoprolol (succinate or tartrate), atenolol, labetalol, carvedilol, bisoprolol

Disqualifiers

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

Trial design

Treatments tested in this trial

  • Metoprolol Succinate
  • Carvedilol

Treatment groups

2,540 Participants
are divided into 2 treatment groups