Coreg CR, Blood Vessel Stiffness and Blood Vessel Function
NCT00732511 · Status: UNKNOWN · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 40
Last updated 2011-02-10
Summary
We are comparing the blood pressure-lowering effects of two marketed medications, Coreg CR and Toprol XL. Although both drugs reduce blood pressure by blocking the action of noradrenaline on beta-receptors in the blood vessels, Coreg CR also blocks alpha-receptors, which may provide added blood pressure-lowering. In addition, Coreg CR may have anti-oxidant actions. Cells which line blood vessels (termed "endothelial cells") make nitric oxide (NO), which relaxes the muscle cells encircling the blood vessels, causing a reduction in blood pressure. When body cells use oxygen, they normally produce "free radicals", which can destroy NO,leading to high blood pressure, heart damage and worsenimg of diabetes. Antioxidants remove free radicals and prevent or repair this damage. In this study we will measure endothelial cell function, blood vessel wall stiffness, NO in exhaled breath, and blood levels of substances which reflect NO production and destruction to determine if a pure beta-blocker (Toprol XL) differs from an alpha/beta blocker (Coreg CR) in these effects. We will also examine the mechanism by which such differences might occur.
Conditions
- Endothelial Function
- Diabetes Mellitus
- Hypertension
Interventions
- DRUG
-
carvedilol
capsules in doses of 20, 40, and 80 mg; once daily; 12 weeks duration
- DRUG
-
metoprolol extended release
tablets in doses 50, 100, and 200 mg; once daily; 12 weeks duration
Sponsors & Collaborators
-
State University of New York - Downstate Medical Center
lead OTHER
Principal Investigators
-
Nathaniel Winer, M.D. · Stae University of New York Downstate Medical Center
Study Design
- Allocation
- RANDOMIZED
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 80 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2008-04-30
- Primary Completion
- 2008-12-31
- Completion
- 2009-04-30
Countries
- United States
Study Locations
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