Celiprolol Treatment in Patients with Vascular Ehlers-Danlos Syndrome.

European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery
Hassan BaderkhanMartin Björck

Abstract

Vascular Ehlers-Danlos syndrome (vEDS) is a rare monogenetic disease caused by pathogenic variants in procollagen 3A1. Arterial rupture is the most serious clinical manifestation. A randomised controlled trial, the Beta-Blockers in Ehlers-Danlos Syndrome Treatment (BBEST) trial, reported a significant protective effect of the beta blocker celiprolol. The aim was to study the outcome of celiprolol treatment in a cohort of Swedish patients with vEDS. Uppsala is a national referral centre for patients with vEDS. They are assessed by vascular surgeons, angiologists, and clinical geneticists. Family history, previous and future clinical events, medication, and side effects are registered. Celiprolol was administered twice daily and titrated up to a maximum dose of 400 mg daily. Logistic regression was used to analyse predictors of vascular events. Forty patients with pathogenic sequence variants in COL3A1 were offered treatment with celiprolol in the period 2011-2019. The median follow up was 22 months (range 1-98 months); total follow up was 106 patient years. In two patients, uptitration of the dose is ongoing. Of the remaining 38, 26 (65%) patients reached the target dose of 400 mg daily. Dose uptitration was unsuccessful in six ...Continue Reading

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Citations

Nov 24, 2020·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·James Kelly, Oliver Lyons

Related Concepts

Teens
Adult
Elderly (population group)
Dose-Response Relationship, Drug
Drug Administration Schedule
Ehlers-Danlos Syndrome, Type IV
Feasibility Studies
Females
Follow-Up Studies
Homo sapiens

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