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September 20, 2023Expert Review of Clinical PharmacologyOpen Access

Clinical pharmacology of β-3 adrenergic receptor agonists for cardiovascular diseases

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Why the study?

Because β3-adrenoreceptors are expressed in human cardiac and vascular tissues, it is important to understand the beneficial or adverse cardiovascular effects of β3-agonists.

Do β-3 adrenergic receptor agonists improve cardiovascular outcomes and demonstrate safety in patients at high cardiovascular risk?

Design

Review

Key result

The β3-agonist mirabegron appears safe in patients at high cardiovascular risk but produces benefits on selected cardiovascular outcomes only at higher than standard doses.

Authors

JBJean‐Luc BalligandLMLauriane Y. M. Michel

Discussion

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Overview

β3-agonists may be safe with dose-related benefits in high-risk patients; hypothesis-generating and should not yet change practice.

Structured PICO

Do β-3 adrenergic receptor agonists improve cardiovascular outcomes and demonstrate safety in patients at high cardiovascular risk?

P
Population
Patients at high cardiovascular risk
I
Intervention
β-3 adrenergic receptor agonists (e.g., mirabegron, vibegron)
O
Outcome
Cardiovascular outcomes and safety

β3-adrenoreceptor agonists like mirabegron appear safe in high cardiovascular risk patients but may require higher than standard doses for cardiovascular benefits, warranting testing of more potent agonists like vibegron.

Limitations

  • Evidence from small clinical trials is limited so far

Cite This Study

Balligand et al. (2023) conducted a review in cardiovascular diseases. β-3 adrenergic receptor agonists (e.g., mirabegron) was evaluated on cardiovascular outcomes. The β3-agonist mirabegron appears safe in patients at high cardiovascular risk but produces benefits on selected cardiovascular outcomes only at higher than standard doses.

synapsesocial.com/papers/6a5c09d2a9e125bdcc6b39cahttps://doi.org/10.1080/17512433.2023.2193681
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