Trial Outcomes & Findings for Metoprolol to Reduce Perioperative Myocardial Injury (NCT NCT03138603)

NCT ID: NCT03138603

Last Updated: 2026-01-28

Results Overview

Measured effectiveness of post-operative beta-blocker therapy to reduce myocardial injury by monitoring daily biomarkers (High-Sensitivity cardiac Troponin \[HS-cTn\]). Daily post-operative biomarker (hs-cTn) measurements to determine myocardial injury. Myocardial injury is defined as a new hscTn elevation \>99th percentile, or a 50% increase if the baseline hscTn is already elevated \>99th percentile

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

72 participants

Primary outcome timeframe

0-3 days, following surgery

Results posted on

2026-01-28

Participant Flow

Participant milestones

Participant milestones
Measure
Metoprolol
Metoprolol group, 3-intravenous doses of 5mg metoprolol tartrate (over 15-minutes), and oral dose(s) of 25mg metoprolol approximately every 8 hours postoperatively for up to 3-days (or 72 hrs). Metoprolol Tartrate: Patients will be randomly assigned to receive up-to-three intravenous doses of 5mg metoprolol tartrate (over 15-minutes) at the end of their surgical procedure, and a scheduled oral dose regimen of 25mg metoprolol approximately every 8-hours postoperatively for up to 3-days (or 72 hrs).
Placebo
Placebo comparator group, up-to-three intravenous doses of placebo comparator (over 15-minutes), and oral dose(s) of a placebo comparator approximately every 8 hours postoperatively for up to 3-days (or 72 hrs). Placebo: Patients will be randomly assigned to receive up-to-three intravenous doses of a placebo-comparator (over 15-minutes) at the end of their surgical procedure, and scheduled oral dose regimen of a placebo-comparator approximately every 8-hours postoperatively for up to 3-days (or 72 hrs).
Overall Study
STARTED
34
38
Overall Study
COMPLETED
34
38
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Metoprolol to Reduce Perioperative Myocardial Injury

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Metoprolol
n=34 Participants
Metoprolol group, 3-intravenous doses of 5mg metoprolol tartrate (over 15-minutes), and oral dose(s) of 25mg metoprolol approximately every 8 hours postoperatively for up to 3-days (or 72 hrs). Metoprolol Tartrate: Patients will be randomly assigned to receive up-to-three intravenous doses of 5mg metoprolol tartrate (over 15-minutes) at the end of their surgical procedure, and a scheduled oral dose regimen of 25mg metoprolol approximately every 8-hours postoperatively for up to 3-days (or 72 hrs).
Placebo
n=38 Participants
Placebo comparator group, up-to-three intravenous doses of placebo comparator (over 15-minutes), and oral dose(s) of a placebo comparator approximately every 8 hours postoperatively for up to 3-days (or 72 hrs). Placebo: Patients will be randomly assigned to receive up-to-three intravenous doses of a placebo-comparator (over 15-minutes) at the end of their surgical procedure, and scheduled oral dose regimen of a placebo-comparator approximately every 8-hours postoperatively for up to 3-days (or 72 hrs).
Total
n=72 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=158 Participants
0 Participants
n=157 Participants
0 Participants
n=315 Participants
Age, Categorical
Between 18 and 65 years
4 Participants
n=158 Participants
6 Participants
n=157 Participants
10 Participants
n=315 Participants
Age, Categorical
>=65 years
30 Participants
n=158 Participants
32 Participants
n=157 Participants
62 Participants
n=315 Participants
Sex: Female, Male
Female
24 Participants
n=158 Participants
19 Participants
n=157 Participants
43 Participants
n=315 Participants
Sex: Female, Male
Male
10 Participants
n=158 Participants
19 Participants
n=157 Participants
29 Participants
n=315 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=158 Participants
0 Participants
n=157 Participants
1 Participants
n=315 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
33 Participants
n=158 Participants
38 Participants
n=157 Participants
71 Participants
n=315 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=158 Participants
0 Participants
n=157 Participants
0 Participants
n=315 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=158 Participants
0 Participants
n=157 Participants
0 Participants
n=315 Participants
Race (NIH/OMB)
Asian
0 Participants
n=158 Participants
2 Participants
n=157 Participants
2 Participants
n=315 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=158 Participants
0 Participants
n=157 Participants
0 Participants
n=315 Participants
Race (NIH/OMB)
Black or African American
7 Participants
n=158 Participants
5 Participants
n=157 Participants
12 Participants
n=315 Participants
Race (NIH/OMB)
White
26 Participants
n=158 Participants
30 Participants
n=157 Participants
56 Participants
n=315 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=158 Participants
1 Participants
n=157 Participants
1 Participants
n=315 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=158 Participants
0 Participants
n=157 Participants
1 Participants
n=315 Participants
Region of Enrollment
United States
34 participants
n=158 Participants
38 participants
n=157 Participants
72 participants
n=315 Participants

PRIMARY outcome

Timeframe: 0-3 days, following surgery

Population: Analysis is comprised of participants meeting criteria for randomization to receive intervention, with biomarker (hs-cTn) showing increased value(s).

Measured effectiveness of post-operative beta-blocker therapy to reduce myocardial injury by monitoring daily biomarkers (High-Sensitivity cardiac Troponin \[HS-cTn\]). Daily post-operative biomarker (hs-cTn) measurements to determine myocardial injury. Myocardial injury is defined as a new hscTn elevation \>99th percentile, or a 50% increase if the baseline hscTn is already elevated \>99th percentile

Outcome measures

Outcome measures
Measure
Metoprolol
n=34 Participants
Metoprolol group, 3-intravenous doses of 5mg metoprolol tartrate (over 15-minutes), and oral dose(s) of 25mg metoprolol approximately every 8 hours postoperatively for up to 3-days (or 72 hrs). Metoprolol Tartrate: Patients will be randomly assigned to receive up-to-three intravenous doses of 5mg metoprolol tartrate (over 15-minutes) at the end of their surgical procedure, and a scheduled oral dose regimen of 25mg metoprolol approximately every 8-hours postoperatively for up to 3-days (or 72 hrs). Post-operative analysis to determine Myocardial Injury (hs-cTnT) in randomized metoprolol group.
Placebo
n=38 Participants
Placebo comparator group, up-to-three intravenous doses of placebo comparator (over 15-minutes), and oral dose(s) of a placebo comparator approximately every 8 hours postoperatively for up to 3-days (or 72 hrs). Placebo: Patients will be randomly assigned to receive up-to-three intravenous doses of a placebo-comparator (over 15-minutes) at the end of their surgical procedure, and scheduled oral dose regimen of a placebo-comparator approximately every 8-hours postoperatively for up to 3-days (or 72 hrs). Post-operative analysis to determine Myocardial Injury (hs-cTnT) in randomized placebo group.
Effectiveness of Beta-blocker Therapy Reducing Post-operative Myocardial Injury
9 participants
11 participants

SECONDARY outcome

Timeframe: 0-3 days, following surgery

Population: MACE analysis is comprised of eligible participants meeting criteria for randomization to receive intervention, having myocardial ischemia, cardiac death, or coronary revascularization.

MACE are defined as myocardial ischemia (MI), cardiac death or coronary revascularization

Outcome measures

Outcome measures
Measure
Metoprolol
n=34 Participants
Metoprolol group, 3-intravenous doses of 5mg metoprolol tartrate (over 15-minutes), and oral dose(s) of 25mg metoprolol approximately every 8 hours postoperatively for up to 3-days (or 72 hrs). Metoprolol Tartrate: Patients will be randomly assigned to receive up-to-three intravenous doses of 5mg metoprolol tartrate (over 15-minutes) at the end of their surgical procedure, and a scheduled oral dose regimen of 25mg metoprolol approximately every 8-hours postoperatively for up to 3-days (or 72 hrs). Post-operative analysis to determine Myocardial Injury (hs-cTnT) in randomized metoprolol group.
Placebo
n=38 Participants
Placebo comparator group, up-to-three intravenous doses of placebo comparator (over 15-minutes), and oral dose(s) of a placebo comparator approximately every 8 hours postoperatively for up to 3-days (or 72 hrs). Placebo: Patients will be randomly assigned to receive up-to-three intravenous doses of a placebo-comparator (over 15-minutes) at the end of their surgical procedure, and scheduled oral dose regimen of a placebo-comparator approximately every 8-hours postoperatively for up to 3-days (or 72 hrs). Post-operative analysis to determine Myocardial Injury (hs-cTnT) in randomized placebo group.
Effectiveness in Reduction of Major Adverse Cardiac Events (MACE)
0 participants
0 participants

SECONDARY outcome

Timeframe: 0-3 days, following surgery

Population: Analysis is comprised of eligible participants meeting criteria for randomization to receive intervention, with post-operative cardiac monitoring (ECG), showing myocardial ischemia is present. Myocardial Ischemia is defined as ST depression or elevation of ≥0.2 mV in one lead or ≥0.1 mV in two contiguous leads lasting ≥10 min

Post-operative cardiac monitoring via ECG to evaluate if myocardial ischemia is present. Myocardial Ischemia is defined as ST depression or elevation of ≥0.2 mV in one lead or ≥0.1 mV in two contiguous leads lasting ≥10 min

Outcome measures

Outcome measures
Measure
Metoprolol
n=34 Participants
Metoprolol group, 3-intravenous doses of 5mg metoprolol tartrate (over 15-minutes), and oral dose(s) of 25mg metoprolol approximately every 8 hours postoperatively for up to 3-days (or 72 hrs). Metoprolol Tartrate: Patients will be randomly assigned to receive up-to-three intravenous doses of 5mg metoprolol tartrate (over 15-minutes) at the end of their surgical procedure, and a scheduled oral dose regimen of 25mg metoprolol approximately every 8-hours postoperatively for up to 3-days (or 72 hrs). Post-operative analysis to determine Myocardial Injury (hs-cTnT) in randomized metoprolol group.
Placebo
n=38 Participants
Placebo comparator group, up-to-three intravenous doses of placebo comparator (over 15-minutes), and oral dose(s) of a placebo comparator approximately every 8 hours postoperatively for up to 3-days (or 72 hrs). Placebo: Patients will be randomly assigned to receive up-to-three intravenous doses of a placebo-comparator (over 15-minutes) at the end of their surgical procedure, and scheduled oral dose regimen of a placebo-comparator approximately every 8-hours postoperatively for up to 3-days (or 72 hrs). Post-operative analysis to determine Myocardial Injury (hs-cTnT) in randomized placebo group.
Monitor Post-operative Myocardial Ischemia
0 Participants
0 Participants

SECONDARY outcome

Timeframe: 0-3 days, following surgery

Population: Analysis is comprised of eligible participants meeting criteria for randomization to receive intervention, with post-operative sudden onset of neurological effects from cerebral dysfunction.

Stroke will be defined as focal or global cerebral, spinal, or retinal dysfunction of sudden onset

Outcome measures

Outcome measures
Measure
Metoprolol
n=34 Participants
Metoprolol group, 3-intravenous doses of 5mg metoprolol tartrate (over 15-minutes), and oral dose(s) of 25mg metoprolol approximately every 8 hours postoperatively for up to 3-days (or 72 hrs). Metoprolol Tartrate: Patients will be randomly assigned to receive up-to-three intravenous doses of 5mg metoprolol tartrate (over 15-minutes) at the end of their surgical procedure, and a scheduled oral dose regimen of 25mg metoprolol approximately every 8-hours postoperatively for up to 3-days (or 72 hrs). Post-operative analysis to determine Myocardial Injury (hs-cTnT) in randomized metoprolol group.
Placebo
n=38 Participants
Placebo comparator group, up-to-three intravenous doses of placebo comparator (over 15-minutes), and oral dose(s) of a placebo comparator approximately every 8 hours postoperatively for up to 3-days (or 72 hrs). Placebo: Patients will be randomly assigned to receive up-to-three intravenous doses of a placebo-comparator (over 15-minutes) at the end of their surgical procedure, and scheduled oral dose regimen of a placebo-comparator approximately every 8-hours postoperatively for up to 3-days (or 72 hrs). Post-operative analysis to determine Myocardial Injury (hs-cTnT) in randomized placebo group.
Number of Stroke Related Events Following Surgery
0 Participants
0 Participants

SECONDARY outcome

Timeframe: 0-3 days, following surgery

Population: Analysis is comprised of eligible participants meeting criteria for randomization to receive intervention, having significant post-operative hypotension (systolic BP \< 90 mmHg), requiring therapeutic intervention (vasopressor).

Monitor participants with vasopressor requirements for blood pressure regulation due to symptomatic hypotension (rate/duration time). Symptomatic hypotension (systolic BP \< 90 mmHg) can be determined by clinical intervention due to low blood pressure and/or patient developed clinical symptoms due to hypotension.

Outcome measures

Outcome measures
Measure
Metoprolol
n=34 Participants
Metoprolol group, 3-intravenous doses of 5mg metoprolol tartrate (over 15-minutes), and oral dose(s) of 25mg metoprolol approximately every 8 hours postoperatively for up to 3-days (or 72 hrs). Metoprolol Tartrate: Patients will be randomly assigned to receive up-to-three intravenous doses of 5mg metoprolol tartrate (over 15-minutes) at the end of their surgical procedure, and a scheduled oral dose regimen of 25mg metoprolol approximately every 8-hours postoperatively for up to 3-days (or 72 hrs). Post-operative analysis to determine Myocardial Injury (hs-cTnT) in randomized metoprolol group.
Placebo
n=38 Participants
Placebo comparator group, up-to-three intravenous doses of placebo comparator (over 15-minutes), and oral dose(s) of a placebo comparator approximately every 8 hours postoperatively for up to 3-days (or 72 hrs). Placebo: Patients will be randomly assigned to receive up-to-three intravenous doses of a placebo-comparator (over 15-minutes) at the end of their surgical procedure, and scheduled oral dose regimen of a placebo-comparator approximately every 8-hours postoperatively for up to 3-days (or 72 hrs). Post-operative analysis to determine Myocardial Injury (hs-cTnT) in randomized placebo group.
Number of Participants Having Vasopressor Therapy to Regulate Symptomatic Hypotension
0 Participants
0 Participants

SECONDARY outcome

Timeframe: 0-3 days, following surgery

Monitored participants with cumulative events of bradycardia (rate/duration time). Bradycardia is defined as low heart rate (HR \< 50/min).

Outcome measures

Outcome measures
Measure
Metoprolol
n=34 Participants
Metoprolol group, 3-intravenous doses of 5mg metoprolol tartrate (over 15-minutes), and oral dose(s) of 25mg metoprolol approximately every 8 hours postoperatively for up to 3-days (or 72 hrs). Metoprolol Tartrate: Patients will be randomly assigned to receive up-to-three intravenous doses of 5mg metoprolol tartrate (over 15-minutes) at the end of their surgical procedure, and a scheduled oral dose regimen of 25mg metoprolol approximately every 8-hours postoperatively for up to 3-days (or 72 hrs). Post-operative analysis to determine Myocardial Injury (hs-cTnT) in randomized metoprolol group.
Placebo
n=38 Participants
Placebo comparator group, up-to-three intravenous doses of placebo comparator (over 15-minutes), and oral dose(s) of a placebo comparator approximately every 8 hours postoperatively for up to 3-days (or 72 hrs). Placebo: Patients will be randomly assigned to receive up-to-three intravenous doses of a placebo-comparator (over 15-minutes) at the end of their surgical procedure, and scheduled oral dose regimen of a placebo-comparator approximately every 8-hours postoperatively for up to 3-days (or 72 hrs). Post-operative analysis to determine Myocardial Injury (hs-cTnT) in randomized placebo group.
Number of Participant Incidence of Clinically Relevant Bradycardia
0 Participants
1 Participants

SECONDARY outcome

Timeframe: 0-3 days following surgery

Population: Analysis is comprised of eligible participants meeting criteria for randomization to receive intervention, with post-operative length of hospital stay in days.

Measurement of participants number of days spent hospitalized (0-3 days) following surgery.

Outcome measures

Outcome measures
Measure
Metoprolol
n=34 Participants
Metoprolol group, 3-intravenous doses of 5mg metoprolol tartrate (over 15-minutes), and oral dose(s) of 25mg metoprolol approximately every 8 hours postoperatively for up to 3-days (or 72 hrs). Metoprolol Tartrate: Patients will be randomly assigned to receive up-to-three intravenous doses of 5mg metoprolol tartrate (over 15-minutes) at the end of their surgical procedure, and a scheduled oral dose regimen of 25mg metoprolol approximately every 8-hours postoperatively for up to 3-days (or 72 hrs). Post-operative analysis to determine Myocardial Injury (hs-cTnT) in randomized metoprolol group.
Placebo
n=38 Participants
Placebo comparator group, up-to-three intravenous doses of placebo comparator (over 15-minutes), and oral dose(s) of a placebo comparator approximately every 8 hours postoperatively for up to 3-days (or 72 hrs). Placebo: Patients will be randomly assigned to receive up-to-three intravenous doses of a placebo-comparator (over 15-minutes) at the end of their surgical procedure, and scheduled oral dose regimen of a placebo-comparator approximately every 8-hours postoperatively for up to 3-days (or 72 hrs). Post-operative analysis to determine Myocardial Injury (hs-cTnT) in randomized placebo group.
Participants Number of Days Spent Post-operative Hospitalization
Participant post-operative Intensive Care Unit (ICU) hospitalization in days
2 days
Interval 2.0 to 3.0
3 days
Interval 2.0 to 3.0
Participants Number of Days Spent Post-operative Hospitalization
Participant post-operative hospitalization in days
2.5 days
Interval 2.0 to 3.0
2.5 days
Interval 2.0 to 3.0

SECONDARY outcome

Timeframe: 30-days from surgery

Population: Analysis is comprised of eligible participants meeting criteria for randomization to receive intervention, with post-operative 1-month follow up showing readmission since surgical discharge.

Measured number of participant post-operative recovery events, 30-days following the surgical procedure.

Outcome measures

Outcome measures
Measure
Metoprolol
n=34 Participants
Metoprolol group, 3-intravenous doses of 5mg metoprolol tartrate (over 15-minutes), and oral dose(s) of 25mg metoprolol approximately every 8 hours postoperatively for up to 3-days (or 72 hrs). Metoprolol Tartrate: Patients will be randomly assigned to receive up-to-three intravenous doses of 5mg metoprolol tartrate (over 15-minutes) at the end of their surgical procedure, and a scheduled oral dose regimen of 25mg metoprolol approximately every 8-hours postoperatively for up to 3-days (or 72 hrs). Post-operative analysis to determine Myocardial Injury (hs-cTnT) in randomized metoprolol group.
Placebo
n=38 Participants
Placebo comparator group, up-to-three intravenous doses of placebo comparator (over 15-minutes), and oral dose(s) of a placebo comparator approximately every 8 hours postoperatively for up to 3-days (or 72 hrs). Placebo: Patients will be randomly assigned to receive up-to-three intravenous doses of a placebo-comparator (over 15-minutes) at the end of their surgical procedure, and scheduled oral dose regimen of a placebo-comparator approximately every 8-hours postoperatively for up to 3-days (or 72 hrs). Post-operative analysis to determine Myocardial Injury (hs-cTnT) in randomized placebo group.
Patient Recovery Progress Events at 30-days Post-operative.
0 Participants
0 Participants

SECONDARY outcome

Timeframe: 1-Year from surgery

Population: Analysis is comprised of eligible participants meeting criteria for randomization to receive intervention, deceased within 1-year of post-operative discharge.

Measured number of patient post-operative mortality at 1-year. Measured by 'living', 'deceased', 'date of death'.

Outcome measures

Outcome measures
Measure
Metoprolol
n=34 Participants
Metoprolol group, 3-intravenous doses of 5mg metoprolol tartrate (over 15-minutes), and oral dose(s) of 25mg metoprolol approximately every 8 hours postoperatively for up to 3-days (or 72 hrs). Metoprolol Tartrate: Patients will be randomly assigned to receive up-to-three intravenous doses of 5mg metoprolol tartrate (over 15-minutes) at the end of their surgical procedure, and a scheduled oral dose regimen of 25mg metoprolol approximately every 8-hours postoperatively for up to 3-days (or 72 hrs). Post-operative analysis to determine Myocardial Injury (hs-cTnT) in randomized metoprolol group.
Placebo
n=38 Participants
Placebo comparator group, up-to-three intravenous doses of placebo comparator (over 15-minutes), and oral dose(s) of a placebo comparator approximately every 8 hours postoperatively for up to 3-days (or 72 hrs). Placebo: Patients will be randomly assigned to receive up-to-three intravenous doses of a placebo-comparator (over 15-minutes) at the end of their surgical procedure, and scheduled oral dose regimen of a placebo-comparator approximately every 8-hours postoperatively for up to 3-days (or 72 hrs). Post-operative analysis to determine Myocardial Injury (hs-cTnT) in randomized placebo group.
Participant Post-operative Mortality at 1-year Following Surgery
0 Participants
0 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Post-operatively, 0-3 days, and day-30

Population: Analysis is comprised of eligible participants meeting criteria for randomization to receive intervention, having post-operative adverse events.

Number of measured participant adverse events and severity associated with low blood pressure (hypotension), low heart heart (bradycardia), nausea and vomiting; or other symptoms determined 'probably', 'possibly', 'unrelated', or 'related' to the study intervention. This includes any unplanned escalation of care admissions (e.g., Intensive Care Unit \[ICU\]). Study patient safety is monitored by the investigators (MD) with experience in critical care anesthesia, as well as an experienced clinical research team responsible for data collection and reporting of events.

Outcome measures

Outcome measures
Measure
Metoprolol
n=34 Participants
Metoprolol group, 3-intravenous doses of 5mg metoprolol tartrate (over 15-minutes), and oral dose(s) of 25mg metoprolol approximately every 8 hours postoperatively for up to 3-days (or 72 hrs). Metoprolol Tartrate: Patients will be randomly assigned to receive up-to-three intravenous doses of 5mg metoprolol tartrate (over 15-minutes) at the end of their surgical procedure, and a scheduled oral dose regimen of 25mg metoprolol approximately every 8-hours postoperatively for up to 3-days (or 72 hrs). Post-operative analysis to determine Myocardial Injury (hs-cTnT) in randomized metoprolol group.
Placebo
n=38 Participants
Placebo comparator group, up-to-three intravenous doses of placebo comparator (over 15-minutes), and oral dose(s) of a placebo comparator approximately every 8 hours postoperatively for up to 3-days (or 72 hrs). Placebo: Patients will be randomly assigned to receive up-to-three intravenous doses of a placebo-comparator (over 15-minutes) at the end of their surgical procedure, and scheduled oral dose regimen of a placebo-comparator approximately every 8-hours postoperatively for up to 3-days (or 72 hrs). Post-operative analysis to determine Myocardial Injury (hs-cTnT) in randomized placebo group.
Measured Number of Patient Adverse Events
Hypotension
7 Participants
2 Participants
Measured Number of Patient Adverse Events
Bradycardia
0 Participants
1 Participants
Measured Number of Patient Adverse Events
Death
0 Participants
0 Participants
Measured Number of Patient Adverse Events
Cardiac Arrest
0 Participants
0 Participants

Adverse Events

Metoprolol

Serious events: 0 serious events
Other events: 8 other events
Deaths: 0 deaths

Placebo

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Metoprolol
n=34 participants at risk
Metoprolol group, 3-intravenous doses of 5mg metoprolol tartrate (over 15-minutes), and oral dose(s) of 25mg metoprolol approximately every 8 hours postoperatively for up to 3-days (or 72 hrs). Metoprolol Tartrate: Patients will be randomly assigned to receive up-to-three intravenous doses of 5mg metoprolol tartrate (over 15-minutes) at the end of their surgical procedure, and a scheduled oral dose regimen of 25mg metoprolol approximately every 8-hours postoperatively for up to 3-days (or 72 hrs). Post-operative analysis to determine Myocardial Injury (hs-cTnT) in randomized metoprolol group.
Placebo
n=38 participants at risk
Placebo comparator group, up-to-three intravenous doses of placebo comparator (over 15-minutes), and oral dose(s) of a placebo comparator approximately every 8 hours postoperatively for up to 3-days (or 72 hrs). Placebo: Patients will be randomly assigned to receive up-to-three intravenous doses of a placebo-comparator (over 15-minutes) at the end of their surgical procedure, and scheduled oral dose regimen of a placebo-comparator approximately every 8-hours postoperatively for up to 3-days (or 72 hrs). Post-operative analysis to determine Myocardial Injury (hs-cTnT) in randomized placebo group.
Cardiac disorders
MACE events
0.00%
0/34 • Adverse events (AEs) were collected and assessed during study phase participation, e.g., intervention administration, and daily post-operative follow-up, up to 30-days post-operative.
0.00%
0/38 • Adverse events (AEs) were collected and assessed during study phase participation, e.g., intervention administration, and daily post-operative follow-up, up to 30-days post-operative.

Other adverse events

Other adverse events
Measure
Metoprolol
n=34 participants at risk
Metoprolol group, 3-intravenous doses of 5mg metoprolol tartrate (over 15-minutes), and oral dose(s) of 25mg metoprolol approximately every 8 hours postoperatively for up to 3-days (or 72 hrs). Metoprolol Tartrate: Patients will be randomly assigned to receive up-to-three intravenous doses of 5mg metoprolol tartrate (over 15-minutes) at the end of their surgical procedure, and a scheduled oral dose regimen of 25mg metoprolol approximately every 8-hours postoperatively for up to 3-days (or 72 hrs). Post-operative analysis to determine Myocardial Injury (hs-cTnT) in randomized metoprolol group.
Placebo
n=38 participants at risk
Placebo comparator group, up-to-three intravenous doses of placebo comparator (over 15-minutes), and oral dose(s) of a placebo comparator approximately every 8 hours postoperatively for up to 3-days (or 72 hrs). Placebo: Patients will be randomly assigned to receive up-to-three intravenous doses of a placebo-comparator (over 15-minutes) at the end of their surgical procedure, and scheduled oral dose regimen of a placebo-comparator approximately every 8-hours postoperatively for up to 3-days (or 72 hrs). Post-operative analysis to determine Myocardial Injury (hs-cTnT) in randomized placebo group.
Cardiac disorders
Bradycardia Event
0.00%
0/34 • Adverse events (AEs) were collected and assessed during study phase participation, e.g., intervention administration, and daily post-operative follow-up, up to 30-days post-operative.
2.6%
1/38 • Number of events 1 • Adverse events (AEs) were collected and assessed during study phase participation, e.g., intervention administration, and daily post-operative follow-up, up to 30-days post-operative.
Cardiac disorders
Hypotension event
23.5%
8/34 • Number of events 8 • Adverse events (AEs) were collected and assessed during study phase participation, e.g., intervention administration, and daily post-operative follow-up, up to 30-days post-operative.
5.3%
2/38 • Number of events 2 • Adverse events (AEs) were collected and assessed during study phase participation, e.g., intervention administration, and daily post-operative follow-up, up to 30-days post-operative.

Additional Information

Peter Nagele, MD, MSc

University of Chicago Medicine

Phone: 773-795-3544

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place