Beta Blockers for the Prevention of Acute Exacerbations of COPD

Abstract

We conducted a multicenter, randomized, placebo-controlled trial to definitively assess the impact of metoprolol succinate on the rate and severity of COPD exacerbations. We completed the primary project early, and the New England Journal of Medicine published our finding in October 2019. The results strongly indicate that patients with COPD and at risk for exacerbation should not be prescribed beta-blockers in the absence of an established indication for the drugs such as recent myocardial infarction or heart failure. These results raise important questions about the use of beta- blockers in patients with COPD and myocardial infarction. To address these questions and bolster the findings of the primary project, we are conducting an observational study of beta-blockers in patients with COPD and myocardial infarction as an additional task to the approved statement of work. Major activities for this reporting period centered on concluding enrollment and follow-up at all clinical sites.

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Document Details

Document Type
Technical Report
Publication Date
Oct 01, 2022
Accession Number
AD1194708

Entities

People

  • Mark T Dransfield

Organizations

  • University of Alabama

Tags

DTIC Thesaurus Topics

  • Biomedical Research
  • Cardiovascular Diseases
  • Clinical Trials
  • Computer Networks
  • Data Transmission Systems
  • Death
  • Department Of Defense
  • Diseases
  • Education
  • Electrocardiography
  • Electronic Mail
  • Health Services
  • Heart Failure
  • Institutional Review Board
  • Lung Diseases
  • Maryland
  • Medical Personnel
  • Myocardial Ischemia
  • Therapy

Fields of Study

  • Medicine

Readers

  • Cardiovascular Physiology
  • Clinical Trial Research.
  • Educational Psychology