Nebivolol for the Prevention of Left Ventricular Systolic Dysfunction in Patients With Duchenne Muscular Dystrophy (NEBIDYS)
A Randomized, Double-Blind, Placebo-Controlled, Multi-center Study to Examine the Effect of Nebivolol, a Beta-Blockade Drug, for the Prevention of Ventricular Systolic Dysfunction in Patients With Duchenne Muscular Dystrophy
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
-
-
-
Paris, France, 75012
- Armand Trousseau Hospital
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Duchenne muscular dystrophy genetically proven
- Age between 10 and 15 years
- Left ventricular ejection fraction assessed by radionuclide angiography or echocardiography ≥50% and measured within 3 months
- Systolic blood pressure ≥80 mmHg
- Diastolic blood pressure ≥70 mmHg
Exclusion Criteria:
- Heart rate <50 bpm
- 2nd or 3rd degree atrioventricular blocks, sinus node dysfunction
- Asthma or bronchospasm
- Severe peripheral circulatory disease
- Hypersensitivity to nebivolol or excipients
- Metabolic acidosis
- Blood urea >7 mmol/l
- Liver transaminases enzymes >6 fold the upper limit of normal
- Formal indication for beta-blockade treatment
- Cardiac treatments except angiotensin-converting enzyme inhibitors
- Participation to another clinical trial within 3 months
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Placebo Comparator: Placebo
|
A 1.25mg-test dose of nebivolol will be administrated to assess the treatment tolerance before randomization.
A forced titration of placebo will be performed with 2 weeks periods.
Full dose of placebo is 5mg/day (7.5mg/day for patients whose weight is>60kg)
|
|
Experimental: Nebivolol
|
A 1.25mg-test dose will be administrated to assess the treatment tolerance before randomization.
A forced titration of nebivolol will be performed with 2 weeks periods.
Full dose of nebivolol is 5mg/day (7.5mg/day for patients whose weight is>60kg)
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Left ventricular systolic dysfunction
Time Frame: at 5 years
|
Development of left ventricular systolic dysfunction with an ejection fraction < 45%
|
at 5 years
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Right ventricular ejection fraction
Time Frame: at 5 years
|
Right ventricular ejection fraction assessed by radionuclide angiography or echocardiography
|
at 5 years
|
|
NT-ProBNP
Time Frame: at 1, 2, 3, 4, and 5 years
|
NT-ProBNP
|
at 1, 2, 3, 4, and 5 years
|
|
Left ventricular dysfunction
Time Frame: at 10 years
|
Development of left ventricular dysfunction
|
at 10 years
|
|
Hospitalizations
Time Frame: at 10 years
|
hospitalizations for heart failure
|
at 10 years
|
|
Mortality
Time Frame: at 10 years ((5-years open label extension)
|
Cardiovascular mortality
|
at 10 years ((5-years open label extension)
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Henri-Marc BECANE, MD,PhD, Armand Trousseau Hospital
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimated)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Musculoskeletal Diseases
- Nervous System Diseases
- Cardiovascular Diseases
- Muscular Diseases
- Heart Diseases
- Neuromuscular Diseases
- Genetic Diseases, Inborn
- Genetic Diseases, X-Linked
- Muscular Disorders, Atrophic
- Muscular Dystrophies
- Congenital, Hereditary, and Neonatal Diseases and Abnormalities
- Heart Failure
- Cardiomyopathies
- Muscular Dystrophy, Duchenne
- Organic Chemicals
- Heterocyclic Compounds, 1-Ring
- Heterocyclic Compounds
- Heterocyclic Compounds, 2-Ring
- Heterocyclic Compounds, Fused-Ring
- Pyrans
- Amines
- Alcohols
- Amino Alcohols
- Ethanolamines
- Benzopyrans
- Nebivolol
Other Study ID Numbers
Other Study ID Numbers
- P090202
- 2010-020047-12 (EudraCT Number)
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