Collaborative Systematic Overview of Randomised Controlled Trials of Beta-Blockers in the Treatment of Heart Failure
NCT00832442 · Status: UNKNOWN · Type: OBSERVATIONAL · Enrollment: 18240
Last updated 2012-05-09
Summary
Several large trials have shown that beta-blocker treatment reduces the risk of death and hospital admission in patients with symptomatic heart failure. Unfortunately, survey data suggests relatively poor utilisation of beta-blockers, despite ample evidence for good tolerability. Additionally there are several important unanswered questions, such as clinical efficacy for specific sub-populations (women, the elderly and patients with diabetes or other co-morbidities) and the effect of beta-blockers in combination with other medications. Previous meta-analyses, based on published tabular data, have been conducted although this approach has important biases and limitations.
We plan to perform a carefully conducted systematic review of individual patient data from the major randomised trials of beta-blockers in heart failure. The goals of this collaborative project are to clarify the overall efficacy of beta-blockers and identify sub-groups that show particular benefit, thereby increasing the use of beta-blockers, reducing adverse clinical outcomes and the high costs associated with this condition.
Conditions
Interventions
- DRUG
-
Beta blocker
as determined by individual study
- OTHER
-
Placebo
in addition to usual care
Sponsors & Collaborators
-
University of Oxford
collaborator OTHER -
Royal Brompton & Harefield NHS Foundation Trust
lead OTHER
Principal Investigators
-
Marcus Flather · Royal Brompton Hospital, London
-
Luis Manzano · Universidad de Alcala, Madrid
-
Dipak Kotecha · Royal Brompton Hospital, London
-
Henry Krum · Monash University, Melbourne
Eligibility
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2008-08-31
- Primary Completion
- 2012-12-31
- Completion
- 2012-12-31
Countries
- United Kingdom
Study Locations
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