Evidence map›Paper›PMID 18542839›Full record

Trial reportClinical research in cardiology : official journal of the German Cardiac Society2008

Bisoprolol vs. carvedilol in elderly patients with heart failure: rationale and design of the CIBIS-ELD trial.

Hans-Dirk Düngen, Svetlana Apostolović, Simone Inkrot, Elvis Tahirović, Florian Krackhardt, Milan Pavlović, Biljana Putniković, Mitja Lainscak, Götz Gelbrich, Frank Edelmann and 9 more

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Clinical research in cardiology : official journal of the German Cardiac Society, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03644446 (Bisoprolol Plasma Residual Concentrations for the Optimization of Drug Management in Heart Failure With Mild to Reduced Ejection Fraction), which is not on this map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
4.5field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03644446 unknown statusnot on this mapstarted 2017, after this paper: background citation

Bisoprolol Plasma Residual Concentrations for the Optimization of Drug Management in Heart Failure With Mild to Reduced Ejection Fraction

Typeobservational_patient_registrySponsorUniversity Hospital, CaenRan2017 to 2020Enrolled81ConditionsHeart Failure With Reduced Ejection FractionArmsBisoprolol plasma residual concentration dosage
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 53 citations in OpenAlex.

  1. Pooled it
  2. Regional differences in health-related quality of life in elderly heart failure patients: results from the CIBIS-ELD trial.Clinical research in cardiology : official journal of the German Cardiac Society · 2017
    Trial
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  4. Observational
  5. Article
  6. Article
  7. Article
  8. Observational
  9. Observational
  10. Observational
  11. Article
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  14. Individuals at risk of beta-blocker discontinuation: a cohort study in 19,177 Chinese patients.Clinical research in cardiology : official journal of the German Cardiac Society · 2010
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  15. Clinical variables affecting survival in patients with decompensated diastolic versus systolic heart failure.Clinical research in cardiology : official journal of the German Cardiac Society · 2009
    Article
  16. Article
  17. Heart failure, aging and beta-blockers: the need for more data on tolerability and efficacy.Clinical research in cardiology : official journal of the German Cardiac Society · 2008
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors at 10 institutions in 6 countries.

Hans-Dirk DüngenDepartment of Cardiology, Competence Network Heart Failure, Campus Virchow-Klinkum, Charité-Universitätsmedizin, Berlin, Germany. hans-dirk.duengen@charite.de
Svetlana Apostolović
Simone Inkrot
Elvis Tahirović
Florian Krackhardt
Milan Pavlović
Biljana Putniković
Mitja Lainscak
Götz Gelbrich
Frank Edelmann
Rolf Wachter
Thomas Eschenhagen
Finn Waagstein
Ferenc Follath
Mathias Rauchhaus
Wilhelm Haverkamp
Karl-Josef Osterziel
Rainer Dietz
CIBIS-ELD Investigators, Subproject Multicenter Trials in the Competence Network Heart Failure
Charité - Universitätsmedizin Berlin · DEUniversity of Göttingen · DEUniversity of Nis · RSCenter for Clinical Studies · USKlinikum St. Marien Amberg · DEUniversität Hamburg · DEUniversity Clinic of Pulmonary and Allergic Diseases Golnik · SIUniversity Hospital of Zurich · CHUniversity of Gothenburg · SEZemun Hospital · RS

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChronic heart failure (CHF) is a widespread disease with severe quality of life impairment and a poor prognosis. Beta-blockers are the mainstay of CHF therapy; yet they are under-prescribed and under-dosed in clinical practice. This is particularly evident in elderly patients, which may be due to a fear of side-effects or intolerance. Beta-blockers have further not been adequately tested in patients with diastolic CHF, which is particularly common in elderly patients. Finally, comparative data on the use of different beta-blockers in patients with CHF is scarce.

aimTo compare the tolerance of bisoprolol and carvedilol in elderly patients with CHF.

methodsCIBIS-ELD is an investigator-initiated, multi-centre, 1:1 randomised, double-blind, phase III trial comparing bisoprolol and carvedilol in patients >or=65 years with systolic or diastolic CHF. Recruitment started in April 2005 and is anticipated to be completed by April 2008 with at least 800 patients enrolled. PERSPECTIVE: This is the first large scale head to head beta-blockers trial in an elderly population with CHF. Besides determining which of two standard beta-blockers is best tolerated in elderly patients with systolic or diastolic CHF, we expect to gain further insight into the treatment of the particular population of patients with diastolic CHF.

Indexed as

Randomized Controlled Trials as TopicAdrenergic beta-AntagonistsAgedAge DistributionBisoprololCarbazolesCarvedilolDouble-Blind MethodDrug ToleranceFemaleHeart FailureHumansMalePropanolaminesResearch DesignTreatment OutcomeAdrenergic beta-AntagonistsBisoprololCarbazolesCarvedilolPropanolamines

Identifiers

PMID18542839
OpenAlexW2118057012

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.