Could ditching Beta-Blockers boost quality of life for seniors with heart failure?
NCT ID NCT07298993
First seen Jun 24, 2026 · Last updated Jul 16, 2026 · Updated 3 times
Summary
This study looks at whether gradually stopping beta-blockers (medicines often used for heart failure) can improve symptoms and daily function in adults aged 60 and older with a specific type of heart failure called HFpEF. About 240 participants will either taper off their beta-blocker or continue it, and researchers will track hospitalizations, quality of life, and mood over 4 months. The goal is to see if removing these medications, when they may no longer be needed, leads to better outcomes.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- beta-blockers (atenolol, bisoprolol, carvedilol, metoprolol succinate, metoprolol tartrate)
- What this could lead to
- If successful, this could show that stopping unnecessary beta-blockers helps older adults with HFpEF feel better and have fewer hospitalizations.
- What could go wrong
- This is a small, early-phase study (240 participants) focused on symptom improvement, not a cure. Results may not apply to all patients, and stopping beta-blockers could carry risks like increased heart rate or blood pressure.
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
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Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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About 240 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Feb 2026
- Expected to finish
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Apr 2029
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
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60 years and older
- Sex
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Anyone
- Healthy volunteers
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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. Ambulatory adults age ≥60 years with HFpEF (EF ≥50% based on most recent transthoracic echocardiogram) 2. Hospitalized with HF in the past 24 months (defined by diagnostic codes in any position) 3. Taking any of the following ß-blockers: atenolol, bisoprolol, carvedilol, metoprolol succinate, or metoprolol tartrate (i.e., pharmacy prescription data) 4. Kaiser Permanence Northern California Membership Exclusion Criteria: 1. Alternative etiologies of HFpEF syndrome 2. Compelling guideline indication for ß-blocker: * Prior EF \<50% (i.e., based on the structured data field on transthoracic echocardiogram) * Current anginal symptoms (i.e., based on the Rose Angina single-question screener for angina) * MI (i.e., diagnostic codes) and/or coronary revascularization (i.e., procedure codes) within 3 years * Hospitalization for a primary discharge diagnosis of atrial fibrillation or atrial flutter in the prior 12 months * Other documented reason in the opinion of the treating provider and/or enrolling clinician-investigator 3. Evidence of recent decompensated HF * Hospitalization for a primary discharge diagnosis of HF within the past 30 days * Change in loop diuretic pharmacy prescription in the past 30 days (i.e. pharmacy prescription data) (Note: This definition is based on documented prescription changes and does not include short-term dose adjustments that were verbally communicated to the patient by their provider.) 4. Estimated life expectancy \<6 months (i.e., diagnostic codes) 5. Diagnosed dementia (i.e.., diagnostic codes) 6. Unable to provide informed consent 7. Loss of Kaiser Permanence Northern California Membership
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
The full official record for this study. This one lists no contact details, but it is the first place any would appear.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Kaiser Permanente Northern California (KPNC)
Pleasanton, California, 94588, United States
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