Cardiomyopathy, Duchenne Muscular Dystrophy, Heart Failure
Conditions
Keywords
Nebivolol, beta-blockade treatment
Brief summary
The objective is to determine whether nebivolol, a beta-blockade drug, can prevent the development of heart disease in patients with Duchenne muscular dystrophy aged 10 to 15 year-old.
Detailed description
A 1.25 mg-test dose will be administrated to assess the treatment tolerance before randomization. A forced titration of nebivolol and placebo will be performed with 2 weeks periods. Full dose of nebivolol and placebo is 5mg/day (7.5mg/day for patients whose weight is\>60kg).
Interventions
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)
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)
Sponsors
Study design
Eligibility
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Left ventricular systolic dysfunction | at 5 years | Development of left ventricular systolic dysfunction with an ejection fraction \< 45% |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Right ventricular ejection fraction | at 5 years | Right ventricular ejection fraction assessed by radionuclide angiography or echocardiography |
| NT-ProBNP | at 1, 2, 3, 4, and 5 years | NT-ProBNP |
| Left ventricular dysfunction | at 10 years | Development of left ventricular dysfunction |
| Hospitalizations | at 10 years | hospitalizations for heart failure |
| Mortality | at 10 years ((5-years open label extension) | Cardiovascular mortality |
Countries
France