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Atenolol Exposure as Risk for Adverse Metabolic Responses to Beta Blockers

Information source: University of Florida
Information obtained from ClinicalTrials.gov on October 19, 2009
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: Hypertension

Intervention: Glucose (Other)

Phase: N/A

Status: Recruiting

Sponsored by: University of Florida

Official(s) and/or principal investigator(s):
Julie A. Johnson, PharmD, Principal Investigator, Affiliation: University of Florida

Overall contact:
Julie A. Johnson, Pharm D., Phone: 352-273-6007, Email: johnson@cop.ufl.edu

Summary

The researchers hypothesize that the impact of increasing systemic exposure to atenolol leads to increased risk for adverse metabolic effects from atenolol therapy in hypertension. This will be accomplished through a 24-hour pharmacokinetic (PK) study and oral glucose tolerance test in hypertensive patients taking chronic atenolol 100 mg daily.

Clinical Details

Official title: Atenolol Exposure as Risk for Adverse Metabolic Responses to Beta Blockers

Study design: Prevention, Open Label, Single Group Assignment, Pharmacokinetics Study

Primary outcome: Correlation of area under curve (AUC) up to 24 hour time point of atenolol plasma drug concentrations and glucose/insulin values obtained from OGTT and triglycerides

Secondary outcome: HDL-cholesterol, fatty acids, total cholesterol

Detailed description: The current study is a sub-study of Pharmacogenomic Evaluation of Antihypertensive Responses

(PEAR - NCT00246519). The primary objective of this pharmacokinetic (PK) study is to

investigate the correlation of atenolol Cp with hypertriglyceridemia and insulin sensitivity in mild to moderate hypertensive patients after 6-8 weeks of atenolol treatment.

Participants will undergo the PK study when they have been on atenolol 100 mg once daily for at least 4 weeks and on atenolol therapy (50 mg or 100 mg) for ≥ 7 weeks. They will undergo a two hour Oral Glucose Tolerance Test (OGTT), 1 hour after atenolol dosing. Blood will be drawn at 12 time points for 24 hours. Atenolol Cp will be measured in all 12 blood samples and will be correlated with the glucose/insulin measured during the OGTT.

Eligibility

Minimum age: 18 Years. Maximum age: 65 Years. Gender(s): Both.

Criteria:

Inclusion Criteria:

- Subjects from PEAR who are on atenolol 100 mg once daily will be invited to

participate

- Other inclusion criteria from PEAR

Exclusion Criteria:

- Patients with BMI >35 kg/m2 will be excluded

- Other exclusion criteria from PEAR

Locations and Contacts

Julie A. Johnson, Pharm D., Phone: 352-273-6007, Email: johnson@cop.ufl.edu

University of Florida, Gainesville, Florida 32610, United States; Recruiting
Hrishikesh A. Navare, MS, Sub-Investigator
Reginald Frye, PharmD, PhD, Sub-Investigator
Whit Curry, MD, Sub-Investigator
Karen Hall, MD, Sub-Investigator
Crystal Comeau, MD, Sub-Investigator
Stephan Schmidt, MD, Sub-Investigator
Additional Information

Starting date: February 2008
Ending date: January 2010
Last updated: January 9, 2009

Page last updated: October 19, 2009

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