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Nebivolol or Metoprolol in Arterial Occlusive Disease
ISRCTN ISRCTN06278310
ClinicalTrials.gov identifier
Public title Nebivolol or Metoprolol in Arterial Occlusive Disease
Scientific title Nebivolol or Metoprolol in Arterial Occlusive Disease: A double-blind, randomised controlled trial
Acronym NORMA
Serial number at source BCBe/05/Neb-Pao/088
Study hypothesis To assess the effects of nebivolol compared to metoprolol on endothelial function by means of flow mediated dilation
Lay summary
Ethics approval The local research ethics board approved on the 23rd of February 2006 (ref: 837.025.06[5123])
Study design Double blind randomised active controlled parallel group trial
Countries of recruitment Germany
Disease/condition/study domain Peripheral arterial occlusive disease
Participants - inclusion criteria 1. Male patients 30 years to 80 years or female postmenopausal patients up to 80 years
2. Arterial occlusive disease Fontaine´s stage II A or B
3. Stage I hypertension according to Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC) with or without hypertensive treatment
Participants - exclusion criteria 1. Arterial occlusive disease with rest pain or leg ulcer
2. Any concomitant disease limiting the exercise capacity of the patient
3. Poorly controlled diabetes HbA1c > 10%
4. Acute myocardial infarction during the last 6 month
5. Treatment with COX-2 inhibitors
6. Previous treatment with nebivolol or carvedilol
7. Concomitant treatment with drugs that may influence endothelial function
8. Contraindication to the study drug
9. Participation in an other clinical trail the last 6 month
10. Acute pathologic haemorrhage
11. Known hyperthyoidism
12. Psychiatric diseases
13. Known hypersensivity to nebivolol or metoprolol
14. Prior or active malignancy in the previous 5 years
15. History of drug or alcohol abuse
16. Unwilling or unable to provide informed consent
Anticipated start date 01/02/2006
Anticipated end date 01/04/2010
Status of trial Completed
Patient information material Not available in web format, please use contact details below to request a patient information sheet
Target number of participants 128
Interventions Patients randomised to receive either:
1. Nebivolol (Nebilet 5mg po once daily)
2. Metoprolol (Metoprolol succ. 95mg po once daily)
Total duration 52 weeks for all arms.
Primary outcome measure(s) Flow mediated dilation
All outcomes were measured at screening, baseline and the end of the intervention period (52 weeks).
Secondary outcome measure(s) 1. Walking distance
2. Ankle brachial index
3. Systolic and diastolic blood pressure
4. Quality of Life
5. Laboratory parameters
6. Cludation Scale (CLAU-S) questionnaire
All outcomes were measured at screening, baseline and the end of the intervention period (52 weeks).
Sources of funding Berlin-Chemie (Germany) (part of Menarini Group [Italy])
Trial website
Publications
Contact name Mr  Gerhard  Weisser
  Address II. Med. Klinik; Angiologie
Langenbeckstr. 1
Gebäude 701; 2.OG
  City/town Mainz
  Zip/Postcode 55131
  Country Germany
Sponsor Berlin-Chemie (Germany) (part of Menarini Group [Italy])
  Address Glienicker Weg 125
  City/town Berlin
  Zip/Postcode 12489
  Country Germany
Date applied 08/06/2010
Last edited 24/06/2010
Date ISRCTN assigned 24/06/2010
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