Trial Outcomes & Findings for Perioperative Propranolol in Patients With Post Traumatic Stress Disorder (PTSD) (NCT NCT01555554)

NCT ID: NCT01555554

Last Updated: 2026-07-02

Results Overview

Measured using patient medical records

Recruitment status

TERMINATED

Study phase

PHASE4

Target enrollment

59 participants

Primary outcome timeframe

Truncated at 30 days after admission to ICU

Results posted on

2026-07-02

Participant Flow

A total of 14,504 patients were screened for eligibility with 126 providing written consent and undergoing PDS assessment and 83 subjects potentially meeting inclusion criteria. Of those 83, 24 subjects were not found to not meet inclusion criteria due to postponement in surgery, change in condition, or due to the stress associated with talking about the trauma. Ultimately, only 59 participants met all inclusion criteria and were enrolled out of the originally planned 110 subjects anticipated.

Participant milestones

Participant milestones
Measure
Propranolol Hydrochloride
Propranolol Hydrochloride: Propranolol will be taken for a total of 14 days. On the morning of the surgery, prior to entry into the operating room, patients will receive the first dose of the study drug (the PDR recommended starting dose of Propranolol XL- Extended Release). Patients will take one 60 mg pill on the morning of surgery. On post operative day #1, patients will take one pill of receive propranolol XL 80 mg (once daily by mouth). On post operative days #2-#9, patients will take one pill of propranolol XL 120 mg (once daily by mouth). On post operative days #10-11, patients will take one pill of propranolol XL 80 mg (once daily by mouth). On post operative days #12-13, patients will take one pill of propranolol XL 60 mg (once daily by mouth). This will complete the course of propranolol.
Placebo Group
Placebo: The placebo pill will be taken for a total of 14 days. On the morning of the surgery, prior to entry into the operating room, patients will receive the first placebo pill to be taken once daily by mouth. On post operative days #1-13, patients will take one placebo pill (once daily by mouth). This will complete the course of the placebo.
Overall Study
STARTED
29
30
Overall Study
COMPLETED
14
15
Overall Study
NOT COMPLETED
15
15

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Perioperative Propranolol in Patients With Post Traumatic Stress Disorder (PTSD)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Propranolol Hydrochloride
n=29 Participants
Propranolol Hydrochloride: Propranolol will be taken for a total of 14 days. On the morning of the surgery, prior to entry into the operating room, patients will receive the first dose of the study drug (the PDR recommended starting dose of Propranolol XL- Extended Release). Patients will take one 60 mg pill on the morning of surgery. On post operative day #1, patients will take one pill of receive propranolol XL 80 mg (once daily by mouth). On post operative days #2-#9, patients will take one pill of propranolol XL 120 mg (once daily by mouth). On post operative days #10-11, patients will take one pill of propranolol XL 80 mg (once daily by mouth). On post operative days #12-13, patients will take one pill of propranolol XL 60 mg (once daily by mouth). This will complete the course of propranolol.
Placebo Group
n=30 Participants
Placebo: The placebo pill will be taken for a total of 14 days. On the morning of the surgery, prior to entry into the operating room, patients will receive the first placebo pill to be taken once daily by mouth. On post operative days #1-13, patients will take one placebo pill (once daily by mouth). This will complete the course of the placebo.
Total
n=59 Participants
Total of all reporting groups
Age, Continuous
63.2 years
STANDARD_DEVIATION 6.11 • n=20 Participants
58.3 years
STANDARD_DEVIATION 10.36 • n=20 Participants
60.75 years
STANDARD_DEVIATION 8.75 • n=40 Participants
Sex: Female, Male
Female
2 Participants
n=20 Participants
10 Participants
n=20 Participants
12 Participants
n=40 Participants
Sex: Female, Male
Male
27 Participants
n=20 Participants
20 Participants
n=20 Participants
47 Participants
n=40 Participants
Race/Ethnicity, Customized
Non-white or hispanic
6 Participants
n=20 Participants
13 Participants
n=20 Participants
19 Participants
n=40 Participants
Race/Ethnicity, Customized
White
23 Participants
n=20 Participants
17 Participants
n=20 Participants
40 Participants
n=40 Participants
Region of Enrollment
United States
29 participants
n=20 Participants
30 participants
n=20 Participants
59 participants
n=40 Participants

PRIMARY outcome

Timeframe: Truncated at 30 days after admission to ICU

Measured using patient medical records

Outcome measures

Outcome measures
Measure
Propranolol Hydrochloride
n=29 Participants
Propranolol Hydrochloride: Propranolol will be taken for a total of 14 days. On the morning of the surgery, prior to entry into the operating room, patients will receive the first dose of the study drug (the PDR recommended starting dose of Propranolol XL- Extended Release). Patients will take one 60 mg pill on the morning of surgery. On post operative day #1, patients will take one pill of receive propranolol XL 80 mg (once daily by mouth). On post operative days #2-#9, patients will take one pill of propranolol XL 120 mg (once daily by mouth). On post operative days #10-11, patients will take one pill of propranolol XL 80 mg (once daily by mouth). On post operative days #12-13, patients will take one pill of propranolol XL 60 mg (once daily by mouth). This will complete the course of propranolol.
Placebo Group
n=30 Participants
Placebo: The placebo pill will be taken for a total of 14 days. On the morning of the surgery, prior to entry into the operating room, patients will receive the first placebo pill to be taken once daily by mouth. On post operative days #1-13, patients will take one placebo pill (once daily by mouth). This will complete the course of the placebo.
ICU Length of Stay
0.79 days
Standard Deviation 2.1
1.07 days
Standard Deviation 1.9

PRIMARY outcome

Timeframe: Truncated at 30 days after admission to ICU

Measured using patient medical records

Outcome measures

Outcome measures
Measure
Propranolol Hydrochloride
n=29 Participants
Propranolol Hydrochloride: Propranolol will be taken for a total of 14 days. On the morning of the surgery, prior to entry into the operating room, patients will receive the first dose of the study drug (the PDR recommended starting dose of Propranolol XL- Extended Release). Patients will take one 60 mg pill on the morning of surgery. On post operative day #1, patients will take one pill of receive propranolol XL 80 mg (once daily by mouth). On post operative days #2-#9, patients will take one pill of propranolol XL 120 mg (once daily by mouth). On post operative days #10-11, patients will take one pill of propranolol XL 80 mg (once daily by mouth). On post operative days #12-13, patients will take one pill of propranolol XL 60 mg (once daily by mouth). This will complete the course of propranolol.
Placebo Group
n=30 Participants
Placebo: The placebo pill will be taken for a total of 14 days. On the morning of the surgery, prior to entry into the operating room, patients will receive the first placebo pill to be taken once daily by mouth. On post operative days #1-13, patients will take one placebo pill (once daily by mouth). This will complete the course of the placebo.
Hospital Length of Stay
3.38 days
Standard Deviation 3.22
4 days
Standard Deviation 3.42

PRIMARY outcome

Timeframe: Participants will be followed for the duration of hospital stay, an expected average of 1 week

Measured using Confusion Assessment Method (CAM-CAM-ICU)

Outcome measures

Outcome measures
Measure
Propranolol Hydrochloride
n=29 Participants
Propranolol Hydrochloride: Propranolol will be taken for a total of 14 days. On the morning of the surgery, prior to entry into the operating room, patients will receive the first dose of the study drug (the PDR recommended starting dose of Propranolol XL- Extended Release). Patients will take one 60 mg pill on the morning of surgery. On post operative day #1, patients will take one pill of receive propranolol XL 80 mg (once daily by mouth). On post operative days #2-#9, patients will take one pill of propranolol XL 120 mg (once daily by mouth). On post operative days #10-11, patients will take one pill of propranolol XL 80 mg (once daily by mouth). On post operative days #12-13, patients will take one pill of propranolol XL 60 mg (once daily by mouth). This will complete the course of propranolol.
Placebo Group
n=30 Participants
Placebo: The placebo pill will be taken for a total of 14 days. On the morning of the surgery, prior to entry into the operating room, patients will receive the first placebo pill to be taken once daily by mouth. On post operative days #1-13, patients will take one placebo pill (once daily by mouth). This will complete the course of the placebo.
Postoperative Delirium
4 Participants
9 Participants

PRIMARY outcome

Timeframe: Participants will be followed for the duration of hospital stay, an expected average of 1 week

Measured using Serum Creatinine laboratory values

Outcome measures

Outcome measures
Measure
Propranolol Hydrochloride
n=27 Participants
Propranolol Hydrochloride: Propranolol will be taken for a total of 14 days. On the morning of the surgery, prior to entry into the operating room, patients will receive the first dose of the study drug (the PDR recommended starting dose of Propranolol XL- Extended Release). Patients will take one 60 mg pill on the morning of surgery. On post operative day #1, patients will take one pill of receive propranolol XL 80 mg (once daily by mouth). On post operative days #2-#9, patients will take one pill of propranolol XL 120 mg (once daily by mouth). On post operative days #10-11, patients will take one pill of propranolol XL 80 mg (once daily by mouth). On post operative days #12-13, patients will take one pill of propranolol XL 60 mg (once daily by mouth). This will complete the course of propranolol.
Placebo Group
n=27 Participants
Placebo: The placebo pill will be taken for a total of 14 days. On the morning of the surgery, prior to entry into the operating room, patients will receive the first placebo pill to be taken once daily by mouth. On post operative days #1-13, patients will take one placebo pill (once daily by mouth). This will complete the course of the placebo.
Postoperative Renal Dysfunction
1 Participants
1 Participants

SECONDARY outcome

Timeframe: Participants will be followed for the duration of hospital stay, an expected average of 1 week

Measured using patient medical records

Outcome measures

Outcome measures
Measure
Propranolol Hydrochloride
n=27 Participants
Propranolol Hydrochloride: Propranolol will be taken for a total of 14 days. On the morning of the surgery, prior to entry into the operating room, patients will receive the first dose of the study drug (the PDR recommended starting dose of Propranolol XL- Extended Release). Patients will take one 60 mg pill on the morning of surgery. On post operative day #1, patients will take one pill of receive propranolol XL 80 mg (once daily by mouth). On post operative days #2-#9, patients will take one pill of propranolol XL 120 mg (once daily by mouth). On post operative days #10-11, patients will take one pill of propranolol XL 80 mg (once daily by mouth). On post operative days #12-13, patients will take one pill of propranolol XL 60 mg (once daily by mouth). This will complete the course of propranolol.
Placebo Group
n=27 Participants
Placebo: The placebo pill will be taken for a total of 14 days. On the morning of the surgery, prior to entry into the operating room, patients will receive the first placebo pill to be taken once daily by mouth. On post operative days #1-13, patients will take one placebo pill (once daily by mouth). This will complete the course of the placebo.
Perioperative Complications
4 Participants
12 Participants

SECONDARY outcome

Timeframe: 12 months

Pain intensity was measured using a Numerical Rating Scale (NRS). The range of the NRS is 0 and 10, where zero represents no pain at all and 10 represents the worst pain ever possible.

Outcome measures

Outcome measures
Measure
Propranolol Hydrochloride
n=2 Participants
Propranolol Hydrochloride: Propranolol will be taken for a total of 14 days. On the morning of the surgery, prior to entry into the operating room, patients will receive the first dose of the study drug (the PDR recommended starting dose of Propranolol XL- Extended Release). Patients will take one 60 mg pill on the morning of surgery. On post operative day #1, patients will take one pill of receive propranolol XL 80 mg (once daily by mouth). On post operative days #2-#9, patients will take one pill of propranolol XL 120 mg (once daily by mouth). On post operative days #10-11, patients will take one pill of propranolol XL 80 mg (once daily by mouth). On post operative days #12-13, patients will take one pill of propranolol XL 60 mg (once daily by mouth). This will complete the course of propranolol.
Placebo Group
n=3 Participants
Placebo: The placebo pill will be taken for a total of 14 days. On the morning of the surgery, prior to entry into the operating room, patients will receive the first placebo pill to be taken once daily by mouth. On post operative days #1-13, patients will take one placebo pill (once daily by mouth). This will complete the course of the placebo.
Pain Intensity
0.0 score on a scale
Standard Deviation 0.0
0.3 score on a scale
Standard Deviation 2.5

SECONDARY outcome

Timeframe: 12 months

Population: The 12 month survey response rate was low.

Measured using the Numerical Rating Scale (NRS). The range of the NRS is 0 and 10, where zero represents no pain at all and 10 represents the worst pain ever possible.

Outcome measures

Outcome measures
Measure
Propranolol Hydrochloride
n=2 Participants
Propranolol Hydrochloride: Propranolol will be taken for a total of 14 days. On the morning of the surgery, prior to entry into the operating room, patients will receive the first dose of the study drug (the PDR recommended starting dose of Propranolol XL- Extended Release). Patients will take one 60 mg pill on the morning of surgery. On post operative day #1, patients will take one pill of receive propranolol XL 80 mg (once daily by mouth). On post operative days #2-#9, patients will take one pill of propranolol XL 120 mg (once daily by mouth). On post operative days #10-11, patients will take one pill of propranolol XL 80 mg (once daily by mouth). On post operative days #12-13, patients will take one pill of propranolol XL 60 mg (once daily by mouth). This will complete the course of propranolol.
Placebo Group
n=3 Participants
Placebo: The placebo pill will be taken for a total of 14 days. On the morning of the surgery, prior to entry into the operating room, patients will receive the first placebo pill to be taken once daily by mouth. On post operative days #1-13, patients will take one placebo pill (once daily by mouth). This will complete the course of the placebo.
Pain Unpleasantness
4.5 score on a scale
Standard Deviation 3.5
2.33 score on a scale
Standard Deviation 2.6

SECONDARY outcome

Timeframe: Participants will be followed from preoperative baseline to 1 year postoperative

Measured using patient medical records.

Outcome measures

Outcome measures
Measure
Propranolol Hydrochloride
n=10 Participants
Propranolol Hydrochloride: Propranolol will be taken for a total of 14 days. On the morning of the surgery, prior to entry into the operating room, patients will receive the first dose of the study drug (the PDR recommended starting dose of Propranolol XL- Extended Release). Patients will take one 60 mg pill on the morning of surgery. On post operative day #1, patients will take one pill of receive propranolol XL 80 mg (once daily by mouth). On post operative days #2-#9, patients will take one pill of propranolol XL 120 mg (once daily by mouth). On post operative days #10-11, patients will take one pill of propranolol XL 80 mg (once daily by mouth). On post operative days #12-13, patients will take one pill of propranolol XL 60 mg (once daily by mouth). This will complete the course of propranolol.
Placebo Group
n=9 Participants
Placebo: The placebo pill will be taken for a total of 14 days. On the morning of the surgery, prior to entry into the operating room, patients will receive the first placebo pill to be taken once daily by mouth. On post operative days #1-13, patients will take one placebo pill (once daily by mouth). This will complete the course of the placebo.
Perioperative Opioids Use
9 Participants
8 Participants

SECONDARY outcome

Timeframe: Participants will be followed for the duration of hospital stay, an expected average of 1 week

Measured using patient medical records

Outcome measures

Outcome measures
Measure
Propranolol Hydrochloride
n=29 Participants
Propranolol Hydrochloride: Propranolol will be taken for a total of 14 days. On the morning of the surgery, prior to entry into the operating room, patients will receive the first dose of the study drug (the PDR recommended starting dose of Propranolol XL- Extended Release). Patients will take one 60 mg pill on the morning of surgery. On post operative day #1, patients will take one pill of receive propranolol XL 80 mg (once daily by mouth). On post operative days #2-#9, patients will take one pill of propranolol XL 120 mg (once daily by mouth). On post operative days #10-11, patients will take one pill of propranolol XL 80 mg (once daily by mouth). On post operative days #12-13, patients will take one pill of propranolol XL 60 mg (once daily by mouth). This will complete the course of propranolol.
Placebo Group
n=30 Participants
Placebo: The placebo pill will be taken for a total of 14 days. On the morning of the surgery, prior to entry into the operating room, patients will receive the first placebo pill to be taken once daily by mouth. On post operative days #1-13, patients will take one placebo pill (once daily by mouth). This will complete the course of the placebo.
Required Mechanical Ventilation
1 Participants
1 Participants

SECONDARY outcome

Timeframe: Baseline and 12 months

The Posttraumatic Diagnostic Scale (PDS) Scale includes a PTSD Symptoms Severity Score ranging from 0 to 51, with higher scores indicating more severe depression.

Outcome measures

Outcome measures
Measure
Propranolol Hydrochloride
n=14 Participants
Propranolol Hydrochloride: Propranolol will be taken for a total of 14 days. On the morning of the surgery, prior to entry into the operating room, patients will receive the first dose of the study drug (the PDR recommended starting dose of Propranolol XL- Extended Release). Patients will take one 60 mg pill on the morning of surgery. On post operative day #1, patients will take one pill of receive propranolol XL 80 mg (once daily by mouth). On post operative days #2-#9, patients will take one pill of propranolol XL 120 mg (once daily by mouth). On post operative days #10-11, patients will take one pill of propranolol XL 80 mg (once daily by mouth). On post operative days #12-13, patients will take one pill of propranolol XL 60 mg (once daily by mouth). This will complete the course of propranolol.
Placebo Group
n=15 Participants
Placebo: The placebo pill will be taken for a total of 14 days. On the morning of the surgery, prior to entry into the operating room, patients will receive the first placebo pill to be taken once daily by mouth. On post operative days #1-13, patients will take one placebo pill (once daily by mouth). This will complete the course of the placebo.
Change in Posttraumatic Diagnostic Scale (PDS) PTSD Symptoms Severity Score
-7.1 score on a scale
Standard Deviation 11.3
2.1 score on a scale
Standard Deviation 6.0

SECONDARY outcome

Timeframe: Participants will be followed from preoperative baseline to 1 year postoperative

The Mental Component Summary (MCS) score is derived from the Short Form-36 Questionnaire (SF-36), a validated measure of health-related quality of life. Scores range from 0 to 100, with higher scores indicating better mental health and lower scores indicating worse mental health.

Outcome measures

Outcome measures
Measure
Propranolol Hydrochloride
n=14 Participants
Propranolol Hydrochloride: Propranolol will be taken for a total of 14 days. On the morning of the surgery, prior to entry into the operating room, patients will receive the first dose of the study drug (the PDR recommended starting dose of Propranolol XL- Extended Release). Patients will take one 60 mg pill on the morning of surgery. On post operative day #1, patients will take one pill of receive propranolol XL 80 mg (once daily by mouth). On post operative days #2-#9, patients will take one pill of propranolol XL 120 mg (once daily by mouth). On post operative days #10-11, patients will take one pill of propranolol XL 80 mg (once daily by mouth). On post operative days #12-13, patients will take one pill of propranolol XL 60 mg (once daily by mouth). This will complete the course of propranolol.
Placebo Group
n=13 Participants
Placebo: The placebo pill will be taken for a total of 14 days. On the morning of the surgery, prior to entry into the operating room, patients will receive the first placebo pill to be taken once daily by mouth. On post operative days #1-13, patients will take one placebo pill (once daily by mouth). This will complete the course of the placebo.
Change in Mental Component Summary (MCS) Scores From the Short Form-36 Questionnaire (SF-36)
4.5 Score on a scale
Standard Deviation 9.3
-4.7 Score on a scale
Standard Deviation 7.0

SECONDARY outcome

Timeframe: Participants will be followed from preoperative baseline to 1 year postoperative

The Physical Component Summary (PCS) score is derived from the Short Form-36 Questionnaire (SF-36), a validated measure of health-related quality of life. Scores range from 0 to 100, with higher scores indicating better physical health and lower scores indicating worse physical health.

Outcome measures

Outcome measures
Measure
Propranolol Hydrochloride
n=14 Participants
Propranolol Hydrochloride: Propranolol will be taken for a total of 14 days. On the morning of the surgery, prior to entry into the operating room, patients will receive the first dose of the study drug (the PDR recommended starting dose of Propranolol XL- Extended Release). Patients will take one 60 mg pill on the morning of surgery. On post operative day #1, patients will take one pill of receive propranolol XL 80 mg (once daily by mouth). On post operative days #2-#9, patients will take one pill of propranolol XL 120 mg (once daily by mouth). On post operative days #10-11, patients will take one pill of propranolol XL 80 mg (once daily by mouth). On post operative days #12-13, patients will take one pill of propranolol XL 60 mg (once daily by mouth). This will complete the course of propranolol.
Placebo Group
n=13 Participants
Placebo: The placebo pill will be taken for a total of 14 days. On the morning of the surgery, prior to entry into the operating room, patients will receive the first placebo pill to be taken once daily by mouth. On post operative days #1-13, patients will take one placebo pill (once daily by mouth). This will complete the course of the placebo.
Change in Physical Component Summary (PCS) Scores From the Short Form-36 Questionnaire (SF-36)
6.9 Score on a scale
Standard Deviation 9.0
2.7 Score on a scale
Standard Deviation 7.3

SECONDARY outcome

Timeframe: Participants will be followed from preoperative baseline to 1 year postoperative

The Pittsburgh Sleep Quality Index (PSQI) is a validated self-reported questionnaire assessing sleep quality. Total scores range from 0 to 21, with higher scores indicating worse sleep quality and lower scores indicating better sleep quality

Outcome measures

Outcome measures
Measure
Propranolol Hydrochloride
n=14 Participants
Propranolol Hydrochloride: Propranolol will be taken for a total of 14 days. On the morning of the surgery, prior to entry into the operating room, patients will receive the first dose of the study drug (the PDR recommended starting dose of Propranolol XL- Extended Release). Patients will take one 60 mg pill on the morning of surgery. On post operative day #1, patients will take one pill of receive propranolol XL 80 mg (once daily by mouth). On post operative days #2-#9, patients will take one pill of propranolol XL 120 mg (once daily by mouth). On post operative days #10-11, patients will take one pill of propranolol XL 80 mg (once daily by mouth). On post operative days #12-13, patients will take one pill of propranolol XL 60 mg (once daily by mouth). This will complete the course of propranolol.
Placebo Group
n=15 Participants
Placebo: The placebo pill will be taken for a total of 14 days. On the morning of the surgery, prior to entry into the operating room, patients will receive the first placebo pill to be taken once daily by mouth. On post operative days #1-13, patients will take one placebo pill (once daily by mouth). This will complete the course of the placebo.
Change in Pittsburgh Sleep Quality Index (PSQI) Score
0.5 Score on a scale
Standard Deviation 3.6
-2.2 Score on a scale
Standard Deviation 3.5

SECONDARY outcome

Timeframe: Participants will be followed from preoperative baseline to 1 year postoperative

The Beck Depression Inventory (BDI) is a validated self-report measure of depressive symptoms. Total scores range from 0 to 63, with higher scores indicating more severe depressive symptoms (worse outcome) and lower scores indicating fewer or minimal symptoms (better outcome).

Outcome measures

Outcome measures
Measure
Propranolol Hydrochloride
n=14 Participants
Propranolol Hydrochloride: Propranolol will be taken for a total of 14 days. On the morning of the surgery, prior to entry into the operating room, patients will receive the first dose of the study drug (the PDR recommended starting dose of Propranolol XL- Extended Release). Patients will take one 60 mg pill on the morning of surgery. On post operative day #1, patients will take one pill of receive propranolol XL 80 mg (once daily by mouth). On post operative days #2-#9, patients will take one pill of propranolol XL 120 mg (once daily by mouth). On post operative days #10-11, patients will take one pill of propranolol XL 80 mg (once daily by mouth). On post operative days #12-13, patients will take one pill of propranolol XL 60 mg (once daily by mouth). This will complete the course of propranolol.
Placebo Group
n=15 Participants
Placebo: The placebo pill will be taken for a total of 14 days. On the morning of the surgery, prior to entry into the operating room, patients will receive the first placebo pill to be taken once daily by mouth. On post operative days #1-13, patients will take one placebo pill (once daily by mouth). This will complete the course of the placebo.
Change in Beck Depression Inventory (BDI) Score
-8.6 Score on a scale
Standard Deviation 9.3
0.6 Score on a scale
Standard Deviation 7.1

SECONDARY outcome

Timeframe: Participants will be followed from preoperative baseline to 1 year postoperative

Population: There were 5 participants with data available for this outcome measure at 1 year.

The Mini-Mental State Examination (MMSE) is a widely used screening tool for cognitive function. Total scores range from 0 to 30, with higher scores indicating better cognitive function and lower scores indicating greater cognitive impairment.

Outcome measures

Outcome measures
Measure
Propranolol Hydrochloride
n=2 Participants
Propranolol Hydrochloride: Propranolol will be taken for a total of 14 days. On the morning of the surgery, prior to entry into the operating room, patients will receive the first dose of the study drug (the PDR recommended starting dose of Propranolol XL- Extended Release). Patients will take one 60 mg pill on the morning of surgery. On post operative day #1, patients will take one pill of receive propranolol XL 80 mg (once daily by mouth). On post operative days #2-#9, patients will take one pill of propranolol XL 120 mg (once daily by mouth). On post operative days #10-11, patients will take one pill of propranolol XL 80 mg (once daily by mouth). On post operative days #12-13, patients will take one pill of propranolol XL 60 mg (once daily by mouth). This will complete the course of propranolol.
Placebo Group
n=3 Participants
Placebo: The placebo pill will be taken for a total of 14 days. On the morning of the surgery, prior to entry into the operating room, patients will receive the first placebo pill to be taken once daily by mouth. On post operative days #1-13, patients will take one placebo pill (once daily by mouth). This will complete the course of the placebo.
Postoperative Neurocognitive Dysfunction Score
27 score on a scale
Standard Deviation 1.41
29.33 score on a scale
Standard Deviation 0.58

SECONDARY outcome

Timeframe: Participants will be followed from preoperative baseline to 1 year postoperative

Measured using patient medical records

Outcome measures

Outcome measures
Measure
Propranolol Hydrochloride
n=29 Participants
Propranolol Hydrochloride: Propranolol will be taken for a total of 14 days. On the morning of the surgery, prior to entry into the operating room, patients will receive the first dose of the study drug (the PDR recommended starting dose of Propranolol XL- Extended Release). Patients will take one 60 mg pill on the morning of surgery. On post operative day #1, patients will take one pill of receive propranolol XL 80 mg (once daily by mouth). On post operative days #2-#9, patients will take one pill of propranolol XL 120 mg (once daily by mouth). On post operative days #10-11, patients will take one pill of propranolol XL 80 mg (once daily by mouth). On post operative days #12-13, patients will take one pill of propranolol XL 60 mg (once daily by mouth). This will complete the course of propranolol.
Placebo Group
n=30 Participants
Placebo: The placebo pill will be taken for a total of 14 days. On the morning of the surgery, prior to entry into the operating room, patients will receive the first placebo pill to be taken once daily by mouth. On post operative days #1-13, patients will take one placebo pill (once daily by mouth). This will complete the course of the placebo.
30-day, 3-month, and 1-year Mortality
30 days
0 Participants
0 Participants
30-day, 3-month, and 1-year Mortality
3 months
0 Participants
0 Participants
30-day, 3-month, and 1-year Mortality
1 year
0 Participants
0 Participants

SECONDARY outcome

Timeframe: Participants will be followed to 1 year postoperative

Population: There were 5 missing values for this measure 2 from the Propranolol group and 3 from the Placebo group.

Measured using patient medical records - Composite outcome measure that included, delirium, stroke, myocardial infarction, acute kidney injury, new atrial fibrilation, infection, or congestive heart failure between the surgery and 1-yr.

Outcome measures

Outcome measures
Measure
Propranolol Hydrochloride
n=27 Participants
Propranolol Hydrochloride: Propranolol will be taken for a total of 14 days. On the morning of the surgery, prior to entry into the operating room, patients will receive the first dose of the study drug (the PDR recommended starting dose of Propranolol XL- Extended Release). Patients will take one 60 mg pill on the morning of surgery. On post operative day #1, patients will take one pill of receive propranolol XL 80 mg (once daily by mouth). On post operative days #2-#9, patients will take one pill of propranolol XL 120 mg (once daily by mouth). On post operative days #10-11, patients will take one pill of propranolol XL 80 mg (once daily by mouth). On post operative days #12-13, patients will take one pill of propranolol XL 60 mg (once daily by mouth). This will complete the course of propranolol.
Placebo Group
n=27 Participants
Placebo: The placebo pill will be taken for a total of 14 days. On the morning of the surgery, prior to entry into the operating room, patients will receive the first placebo pill to be taken once daily by mouth. On post operative days #1-13, patients will take one placebo pill (once daily by mouth). This will complete the course of the placebo.
Postoperative Complications
5 Participants
13 Participants

Adverse Events

Propranolol Hydrochloride

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Placebo Group

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Marek Brzezinski, MD, PhD

University of California, San Francisco

Phone: 415-221-4810

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place