Could many heart patients ditch Beta-Blockers? new trial investigates
NCT ID NCT05081999
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looks at whether people with stable ischemic heart disease (but with normal heart pumping function and no ongoing chest pain or arrhythmias) can safely stop taking beta-blockers. About 59 participants will either continue or stop their beta-blocker and be followed for up to 4 years to compare heart events and quality of life. The goal is to see if stopping the drug reduces side effects without increasing risk.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- beta-blocker discontinuation
- What this could lead to
- If successful, this could show that many stable heart disease patients can safely stop taking beta-blockers, reducing side effects and medication burden.
- What could go wrong
- This is a small, early-phase pragmatic trial with only 59 participants, so results may not apply broadly. There is a risk that stopping beta-blockers could increase heart events.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
-
59 people
The number who actually took part.
- Started
-
Jan 2023
- Expected to finish
-
Dec 2026
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
21 years and older
- Sex
-
Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Age \>21 years 2. Documented Coronary Artery Disease (CAD) defined as: * Myocardial Infarction at least 6 months prior; or * Stable ischemic heart disease (defined using one of the following tests suggestive of significant coronary artery disease): i. Positive exercise stress test ii. Positive Nuclear perfusion scan iii. Positive exercise or pharmacologic echocardiographic stress test iv. Positive magnetic resonance imaging coronary perfusion scan v. Coronary computed tomographic angiography Angiogram with stenosis ≥ 70% (or left main coronary artery ≥ 50%) or significant function disease based or positive fractional flow reserve testing by CT (FFRCT); vi. Invasive coronary angiography with ≥ 70% (or left main coronary artery ≥ 50%) or significant function disease based or positive fractional flow reserve testing (FFR) or instant wave free ratio (IFR), * Previous Percutaneous Coronary Intervention (PCI, at least 6 months prior if revascularization is performed for an MI); or * Previous Coronary Artery Bypass Grafting (CABG, at least 6 months prior if revascularization is performed for an MI) 3. Able and willing to provide informed consent Exclusion Criteria: 1. Left Ventricular Ejection Fraction \< 40% or current hospitalization for heart failure 2. Myocardial infarction \<6 months prior to randomization 3. Indication for β-blocker as determined by the treating physician (such as atrial or ventricular arrhythmias or ongoing angina not controlled by another agent) 4. Uncontrolled hypertension or uncontrolled angina symptoms (per the Investigator's discretion) 5. Non-compliance with medical therapy 6. Life expectancy \<1 year 7. Participation in another trial related to β-blockers or other anti-anginal drugs
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
University of Alberta Hospital
Edmonton, Alberta, T6G 2B7, Canada
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