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Bisoprolol DEA controlled substance

Alias: CL297,939; CL-297,939; Bisoprolol; CL 297,939
Cat No.:V10379 Purity: ≥98%
Bisoprolol (also known as EMD33512)is a potent and selective type β1 adrenergic receptor blocker.
Bisoprolol
Bisoprolol Chemical Structure CAS No.: 66722-44-9
Product category: Adrenergic Receptor
This product is for research use only, not for human use. We do not sell to patients.
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100mg
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Other Forms of Bisoprolol:

  • Bisoprolol-d5 (Bisoprolol-d5)
  • Bisoprolol-d5 hemifumarate
  • Bisoprolol fumarate
  • Bisoprolol fumarate
Official Supplier of:
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Top Publications Citing lnvivochem Products
Purity & Quality Control Documentation

Purity: ≥98%

Product Description

Bisoprolol (also known as EMD33512) is a potent and selective type β1 adrenergic receptor blocker. It works well for treating angina pectoris and hypertension. Hemifumarate, or bisoprolol, has antihypertensive and possibly cardioprotective properties. Bisoprolol, which lacks intrinsic sympathomimetic activity, selectively and competitively binds to and blocks beta-1 adrenergic receptors in the heart, lowering blood pressure, cardiac output, and contractility and rate.

Biological Activity I Assay Protocols (From Reference)
Targets
Beta-1 adrenergic receptor
ln Vitro
Bisoprolol (2 μM, 1 h) shields myocardial cells (H9c2) from ischemia/reperfusion (I/R) injury[2].
Bisoprolol (2 μM, 1 h) decreases ROS production and apoptosis caused by H/R in H9c2 cells[2].
Bisoprolol (2 μM, 1 h) raises AKT and GSK3β phosphorylation in H9c2 cells[2].
Bisoprolol (100 μM, 24 h) increases β-arrestin 2, CCR7, and PI3K phosphorylation, which reverses the effects of epinephrine-inhibited emigration in cholesterol-loaded DCs (dendritic cells)[3].
ln Vivo
Bisoprolol (oral administration, 5 mg/kg, for 1 week) lowers heart rate and raises left ventricular ejection fraction (LVEF)[2].
Bisoprolol (oral gavage, 8 mg/kg, daily for four weeks) protects against cadmium-induced myocardial toxicity in rats[4].
Bisoprolol (oral gavage, 1 mg/kg, daily for 6 weeks) (oral gavage, 1 mg/kg, daily for 6 weeks) reverses small conductance calcium-activated potassium channel (SK) remodeling in a volume-overload rat model[5].
Cell Assay
Cell Line: H9c2 cells
Concentration: 0.2, 2, 20 μM
Incubation Time: 1 h
Result: Elevated the survival rates of cardiomyocytes subjected to H/R (hypoxia/reoxygenation) to 73.20%, 90.38%, 81.25% respectively.
Animal Protocol
Ischemia/reperfusion (I/R) injury rats
0.5, 5, 10 mg/kg
Oral administration, for 1 week, prior to 0.5 h ischemia/4 h reperfusion.
ADME/Pharmacokinetics
Absorption, Distribution and Excretion
Bisoprolol is well absorbed from the gastrointestinal tract. The AUC is 642.87 g·hr/mL. Due to a minimal first-pass effect, the bioavailability of bisoprolol is approximately 90%. Food intake does not affect its absorption. Peak plasma concentrations of bisoprolol are reached within 2–4 hours after administration, and steady-state concentrations are reached within 5 days. In a pharmacokinetic study, the mean peak concentration of bisoprolol was 52 μg/L. At a daily dose of 10 mg bisoprolol, the Cmax at steady-state concentration is 64 ± 21 ng/mL. Bisoprolol is primarily excreted via the kidneys and liver, and the excretion rates are equal. Approximately 50% of the oral dose is excreted unchanged in the urine, and the remainder is excreted as inactive bisoprolol metabolites. Less than 2% of the ingested dose is excreted in the feces. The volume of distribution of bisoprolol is 3.5 L/kg. The mean volume of distribution in patients with heart failure was 230 L/kg, similar to that in healthy patients. Bisoprolol is known to cross the placenta. The total clearance in healthy patients was 14.2 L/h. Clearance decreased to 7.8 L/h in patients with renal insufficiency. Hepatic dysfunction also reduces bisoprolol clearance. Beagle dogs were treated with bisoprolol (a β1-selective adrenergic receptor antagonist) for 30 days at the following daily doses: oral: 30 mg/kg; conjunctival administration: 0.5% solution (approximately 0.04 mg/kg) and 5% solution (approximately 0.4 mg/kg). Plasma and various ocular tissue concentrations were measured on days 1, 16, and 30, and on day 59 (i.e., day 29 of the follow-up period). Following oral administration, plasma and most ocular tissue concentrations of bisoprolol were significantly higher than those following conjunctival administration. The highest tissue concentrations were observed in the iris (+ ciliary body) and retina (+ choroid), with tissue/plasma concentration ratios of 100 to 150 after oral administration and 1000 to 3000 after conjunctival instillation (5% solution). No drug accumulation was observed in plasma, consistent with its 4 to 5-hour plasma half-life. In contrast, drug concentrations in the iris and retina increased 3 to 8-fold from day 1 to day 16 and day 30, with an estimated half-life of bisoprolol in these tissues of 3 to 5 days. The pharmacokinetic properties of bisoprolol-(14)C were investigated in Wistar rats, beagles, and cynomolgus monkeys. Bisoprolol was well absorbed in these animals; 70–90% of the (14)C dose was recovered in urine regardless of the route of administration (intravenous or oral). Fecal excretion in rats was approximately 20%, while in dogs and monkeys it was less than 10%. Following intravenous and oral administration in rats, approximately 10% of the dose was excreted via bile. The plasma half-lives of the parent drug in rats, monkeys, and dogs were approximately 1 hour, 3 hours, and 5 hours, respectively. The bioavailability of the drug was 40-50% in monkeys, approximately 80% in dogs, and 10% in rats. Rat studies showed rapid tissue absorption of the drug. High concentrations of radioactivity were detected in the lungs, kidneys, liver, adrenal glands, spleen, pancreas, and salivary glands after intravenous injection. The highest drug concentrations were observed in the liver and kidneys after oral administration. Except for plasma and liver, unmetabolized bisoprolol was the predominant radioactive component in all tissues studied. The drug can cross the blood-brain barrier and placental barrier, but to a low degree. No accumulation of radioactive material in tissues was observed after repeated administration (1 mg/kg/day). The metabolism of bisoprolol was studied in the above three animal groups and in humans. The major metabolites are products of O-dealkylation and subsequent oxidation to the corresponding carboxylic acids. In humans, 50-60% of the administered dose of bisoprolol is excreted unchanged in urine; 30-40% in dogs; and approximately 10% in rats and monkeys. This study investigated the pharmacokinetics of bisoprolol (I) after oral administration of 20 mg (14)C-labeled iodine-131 solution, 10 mg tablets, and intravenous administration of 10 mg iodine-131 in 23 healthy volunteers (aged 37-53 years). The mean elimination half-life of unchanged iodine-131 was observed to be 11 hours, and the mean elimination half-life of total radioactivity was 12 hours. Iodine-131 is almost completely absorbed from the intestine. 50% of the dose is excreted unchanged iodine-131 via the kidneys, and the remaining 50% is metabolized, with the metabolites subsequently excreted via the kidneys as well. Less than 2% of the dose is recovered in feces. Intra-individual comparisons of pharmacokinetic data obtained after oral or intravenous administration yielded an absolute bioavailability of 90%. The total clearance and renal clearance were 15.6 L/h and 9.6 L/h, respectively. The volume of distribution was 226 L. Food intake did not affect the bioavailability of the drug. We have previously reported that renal function is partly responsible for inter-individual variability in bisoprolol pharmacokinetics. This study aimed to investigate the variability of bisoprolol bioavailability (F) and the intestinal absorption characteristics of the drug in Japanese patients receiving standard treatment. We first analyzed bisoprolol plasma concentration data from 52 Japanese patients using a nonlinear mixed-effects model. Furthermore, we investigated cellular uptake of bisoprolol using human intestinal epithelial cells LS180. The clearance (CL/F) of orally administered bisoprolol in Japanese patients was positively correlated with the apparent volume of distribution (V/F), suggesting inter-individual variability in F values. LS180 cell uptake of bisoprolol was temperature-dependent and saturated, and significantly reduced in the presence of quinidine and diphenhydramine. Furthermore, cellular uptake of bisoprolol dissolved in acidic buffer was significantly lower than that dissolved in neutral buffer. These results indicate that the rate/expansion of bisoprolol's intestinal absorption is another reason for inter-individual pharmacokinetic variability, and that bisoprolol absorption in intestinal epithelial cells is highly pH-dependent and exhibits significant inter-individual variability. For more complete data on absorption, distribution, and excretion of bisoprolol (9 items), please visit the HSDB record page. Metabolism/Metabolites Approximately 50% of the bisoprolol dose is eliminated via non-renal routes. Bisoprolol is metabolized via oxidative metabolism without subsequent binding reactions. Bisoprolol metabolites are polar molecules and are therefore efficiently eliminated. The major metabolites found in plasma and urine are inactive. Bisoprolol is primarily metabolized by CYP3A4 (95%), with less activity from CYP2D6. CYP3A4-mediated bisoprolol metabolism does not appear to be stereoselective.
...In the human body, known metabolites are unstable or lack known pharmacological activity. ...Bisoprolol fumarate is not metabolized by cytochrome P450 II D6 (debromoquinolone hydroxylase).
This study evaluated the plasma enantiomer concentrations and urinary excretion of bisoprolol after a single oral dose of 20 mg racemic bisoprolol in four healthy Japanese male volunteers. In all subjects, the AUC and elimination half-life of (S)-(-)-bisoprolol were slightly greater than those of (R)-(+)-bisoprolol. The metabolic clearance of (R)-(+)-bisoprolol was significantly higher than that of (S)-(-)-bisoprolol (P < 0.05) (S/R ratio: 0.79 ± 0.03), although the difference was small. Conversely, no stereoselective in vitro protein binding of bisoprolol in human plasma was observed. In vitro metabolic studies using recombinant human cytochrome P450 (CYP) isoenzymes showed that the oxidation of both bisoprolol enantiomers could be catalyzed by two isoenzymes, CYP2D6 and CYP3A4. CYP2D6 exhibited stereoselective metabolism of bisoprolol (R > S), while CYP3A4 did not. The mean S/R ratio of renal tubular clearance was 0.68, indicating moderate stereoselective renal tubular secretion. These results suggest that the small differences in pharmacokinetics between (S)-(-)- and (R)-(+)- bisoprolol are primarily attributable to the intrinsic metabolic clearance of CYP2D6 and the stereoselectivity of renal tubular secretion.
The pharmacokinetic properties of bisoprolol-(14)C were investigated in Wistar rats, beagle dogs, and cynomolgus monkeys. …The metabolism of bisoprolol was studied in these three animals and in humans. The major metabolites were products of O-dealkylation and subsequent oxidation to the corresponding carboxylic acids. ...
Biological Half-Life
A pharmacokinetic study in 12 healthy subjects determined the mean plasma half-life of bisoprolol to be 10–12 hours. Another study in healthy patients determined its elimination half-life to be approximately 10 hours. Renal impairment prolongs the half-life to 18.5 hours.
In patients with cirrhosis, the clearance rate of Zebeta (bisoprolol fumarate) fluctuated considerably and was significantly slower than in healthy subjects, with plasma half-lives ranging from 8.3 to 21.7 hours.
Subjects with creatinine clearance below 40 mL/min had plasma half-lives approximately three times that of healthy subjects.
The plasma elimination half-life was 9–12 hours, with a slightly longer half-life in elderly patients, partly due to decreased renal function in this population.
The pharmacokinetic properties of bisoprolol-(14)C were investigated in Wistar rats, beagles, and cynomolgus monkeys. ...The plasma half-life of the parent drug is approximately 1 hour in rats, approximately 3 hours in monkeys, and approximately 5 hours in dogs. In dogs, the half-life of bisoprolol is 4 hours.
Toxicity/Toxicokinetics
Toxicity Summary
Identification and Uses: Bisoprolol is a beta-adrenergic blocker, sometimes marketed under the brand name Zebeta, used to treat hypertension. It can be used alone or in combination with other antihypertensive medications. Human Exposure and Toxicity: The most common symptoms of beta-blocker overdose include bradycardia, hypotension, congestive heart failure, bronchospasm, and hypoglycemia. At least two cases have been reported showing worsening arrhythmia control after switching from propranolol to bisoprolol. One elderly patient died in the hospital from uncontrolled bradycardia due to an accidental overdose of bisoprolol fumarate. However, it was determined that the patient had a cytochrome P2D6 gene mutation, which affects drug metabolism. Animal Studies: In rats, fetal toxicity occurred at doses up to 125 times the maximum recommended human dose (MRHD) based on body weight, and maternal toxicity occurred at doses up to 375 times the MRHD. In rabbits, bisoprolol fumarate did not show teratogenicity at doses up to 12.5 mg/kg/day (31 times the MRHD on a weight-based basis), but increased early embryonic resorption. The mutagenicity of bisoprolol fumarate was assessed using the Ames assay, point mutation and chromosomal aberration assays in Chinese hamster V79 cells, unplanned DNA synthesis assays, mouse micronucleus assays, and rat cytogenetic assays. No evidence of mutagenicity was found in these in vitro and in vivo studies. Long-term studies were conducted in mice and rats with bisoprolol fumarate added to their diets. No carcinogenicity was observed in mice at doses up to 250 mg/kg daily and in rats at doses up to 123 mg/kg daily.
Hepatotoxicity
Bisoprolol treatment was associated with a low incidence of mild to moderate elevations in serum transaminase levels, which were usually asymptomatic and transient, returning to normal with continued treatment. There are currently no documented cases of clinically significant acute liver injury caused by bisoprolol. Therefore, hepatotoxicity caused by bisoprolol, even if present, is certainly very rare. The most commonly used beta-blockers are associated with rare cases of clinically significant liver injury, typically onset within 2 to 12 weeks of use, manifested as elevated hepatocellular liver enzymes, which recover rapidly upon discontinuation, with little evidence of hypersensitivity reactions (rash, fever, eosinophilia) or autoantibody formation.
Probability Score: E (Unlikely to be the cause of clinically significant liver injury).
Pregnancy and Lactation Effects
◉ Overview of Use During Lactation
Limited information suggests that when mothers take 5 mg of bisoprolol daily, the drug concentration in breast milk is low, and some follow-up data indicate no adverse long-term effects on breastfed infants. If the mother needs to take bisoprolol, this is not a reason to stop breastfeeding. Other beta-blockers with more comprehensive safety data may be considered.
◉ Effects on Breastfed Infants
A woman was diagnosed with Cushing's disease during pregnancy. Postpartum, she took metoprolol 250 mg three times daily, bisoprolol 10 mg twice daily, and captopril 12.5 mg twice daily. She fed her premature infant approximately 50% breast milk and 50% formula. Five weeks postpartum, the pediatric team assessed the infant's growth and development as normal. A prospective study followed 11 women who took bisoprolol while breastfeeding, with a median dose of 2.5 mg daily (range 1–5 mg) (eight of whom were exclusively breastfed). At follow-up, the median age of the infants was 49 months (interquartile range 25.5–58.5 months). Two infants reported adverse events: one lethargic and one with poor weight gain. No abnormal results were found on the Denver Developmental Scales. According to the PEDsQL scores, the median total psychomotor development score was 97.5, the psychosocial health score was 97.9, and the physical health score was 100, all representing normal development.
◉ Effects on Lactation and Breast Milk
A study of six patients with hyperprolactinemia and galactorrhea found no change in serum prolactin levels after β-adrenergic blockade with propranolol. As of the revision date, no published information was found regarding the effects of β-blockers or bisoprolol during normal lactation.
Protein Binding
The binding rate to serum proteins is approximately 30%.
Interactions
Concomitant use of rifampin increases the metabolic clearance of Zebeta, resulting in a shortened elimination half-life of Zebeta. However, no adjustment of the initial dose is usually required. Pharmacokinetic studies have shown no clinically relevant interactions between Zebeta and other concurrently administered drugs, including thiazide diuretics and cimetidine. In patients taking a stable dose of warfarin, Zebeta had no effect on prothrombin time.
Digitillosides and β-blockers can both slow atrioventricular conduction and decrease heart rate. Concomitant use with Zebeta may increase the risk of bradycardia. Zebeta should be used with caution when concomitantly with myocardial depressants or atrioventricular conduction inhibitors (such as certain calcium channel blockers, particularly phenylalkylamines (verapamil) and benzothiazides (diltiazem)) or antiarrhythmic drugs (such as disopyramide). Zebeta should not be used concomitantly with other beta-blockers. Patients taking catecholamine-depleting drugs such as reserpine or guanethidine should be closely monitored, as the beta-adrenergic blocking effect of zebeta may lead to excessive reduction of sympathetic nerve activity. For patients taking clonidine concurrently, if discontinuation of zebeta is necessary, it is recommended to discontinue zebeta a few days before discontinuing clonidine. Beta-blockers may exacerbate rebound hypertension that may occur after discontinuing clonidine. If both drugs are taken concurrently, the beta-blocker should be discontinued a few days before discontinuing clonidine. If a beta-blocker is used as a substitute for clonidine, the beta-blocker should be started several days after clonidine has been discontinued.
Non-human toxicity values
Canine intravenous LD50: 24 mg/kg
Canine oral LD50: 90 mg/kg
Rat intravenous LD50: 50 mg/kg
Rat oral LD50: 1112 mg/kg
For more complete non-human toxicity data for bisoprolol (out of 6), please visit the HSDB records page.
References

[1]. The selectivity of beta-adrenoceptor antagonists at the human beta1, beta2 and beta3 adrenoceptors. Br J Pharmacol. 2005 Feb;144(3):317-22.

[2]. Bisoprolol, a β 1 antagonist, protects myocardial cells from ischemia-reperfusion injury via PI3K/AKT/GSK3β pathway. Fundam Clin Pharmacol. 2020 Dec;34(6):708-720.

[3]. Bisoprolol reverses epinephrine-mediated inhibition of cell emigration through increases in the expression of β-arrestin 2 and CCR7 and PI3K phosphorylation, in dendritic cells loaded with cholesterol. Thromb Res. 2013 Mar;131(3):230-7.

[4]. Protective Effects of Bisoprolol Against Cadmium-induced Myocardial Toxicity Through Inhibition of Oxidative Stress and NF-κΒ Signalling in Rats. J Vet Res. 2021 Oct 20;65(4):505-511.

[5]. Bisoprolol reversed small conductance calcium-activated potassium channel (SK) remodeling in a volume-overload rat model. Mol Cell Biochem. 2013 Dec;384(1-2):95-103.

Additional Infomation
Bisoprolol is a secondary alcohol and secondary amine. It has various pharmacological effects, including antihypertensive, β-adrenergic antagonist, antiarrhythmic, and sympathetic blocking. Bisoprolol is a cardiac-selective β1-adrenergic blocker used to treat hypertension. It is a potent drug with a long half-life, allowing for once-daily dosing and reducing the need for multiple doses of antihypertensive medication. Bisoprolol is generally well-tolerated, possibly due to its selectivity for β1-adrenergic receptors, making it an effective alternative to non-selective β-blockers for hypertension, such as carvedilol and labetalol. Bisoprolol can be used alone or in combination with other drugs to control hypertension and is also effective in patients with chronic obstructive pulmonary disease (COPD) due to its receptor selectivity. Bisoprolol is a β-adrenergic blocker. The mechanism of action of bisoprolol is as a β-adrenergic antagonist. Bisoprolol is a cardiac-selective β-blocker used to treat hypertension. Currently, no clinically significant cases of drug-induced liver injury have been found associated with bisoprolol. Bisoprolol fumarate is the fumarate salt of a synthetic phenoxy-2-propanol-derived cardiac selective β1-adrenergic receptor antagonist with hypotensive and potential cardioprotective effects. Bisoprolol itself does not possess sympathomimetic activity; it selectively and competitively binds to and blocks β1-adrenergic receptors in the heart, thereby reducing myocardial contractility and heart rate, decreasing cardiac output, and lowering blood pressure. Furthermore, this drug may also exert its hypotensive effect by inhibiting renin secretion from juxtaglomerular epithelioid cells (JGE cells) in the kidneys, thereby inhibiting the activation of the renin-angiotensin system (RAS). Animal model studies have shown that bisoprolol has cardioprotective effects. Bisoprolol is a selective β1-adrenergic receptor antagonist with hypotensive effects and does not possess sympathomimetic activity itself. Bisoprolol selectively and competitively binds to and blocks β1-adrenergic receptors in the heart, thereby reducing myocardial contractility and heart rate. This leads to a decrease in cardiac output, thus lowering blood pressure. Additionally, bisoprolol inhibits the release of renin, a hormone secreted by the kidneys that causes vasoconstriction. Bisoprolol is a cardiac-selective β1-adrenergic blocker. It is effective in treating hypertension and angina. See also: Bisoprolol fumarate (in saline form). Indications: Bisoprolol is indicated for the treatment of mild to moderate hypertension. It can also be used to treat heart failure, atrial fibrillation, and angina (off-label use). Mechanism of Action: Although the mechanism of action of bisoprolol in hypertension is not fully understood, it is generally believed that its therapeutic effect is achieved by antagonizing β1-adrenergic receptors to reduce cardiac output. Bisoprolol is a competitive, cardiac-selective β1-adrenergic antagonist. When β1 receptors (primarily located in the heart) are activated by adrenergic neurotransmitters such as Adrenosterone, blood pressure and heart rate increase, leading to increased cardiovascular work and thus increased oxygen demand. Bisoprolol reduces cardiac workload by competitively inhibiting β1 adrenergic receptors, thereby decreasing myocardial contractility and oxygen demand. Bisoprolol is also thought to reduce renin secretion in the kidneys, which typically raises blood pressure. Furthermore, some central nervous system effects of bisoprolol may include reducing the output of the brain's sympathetic nervous system, thereby lowering blood pressure and heart rate.
Therapeutic Uses
Adrenergic β1 receptor antagonists; antihypertensive drugs; sympathomimetic drugs
/Clinical Trials/ ClinicalTrials.gov is a registry and results database that tracks human clinical studies funded by public and private sources worldwide. This website is maintained by the National Library of Medicine (NLM) and the National Institutes of Health (NIH). Each record on ClinicalTrials.gov contains summary information about the study protocol, including: the disease or condition; the intervention (e.g., the medical product, behavior, or procedure being investigated); the study title, description, and design; participation requirements (eligibility criteria); the location of the study; contact information for the study location; and links to relevant information from other health websites, such as the NLM's MedlinePlus (which provides patient health information) and PubMed (which provides citations and abstracts of academic articles in the medical field). Bisoprolol is included in this database.
Zebeta is indicated for the treatment of hypertension. It can be used alone or in combination with other antihypertensive medications. /US product label includes/
Drug (Veterinary): Bisoprolol is a β1-receptor blocker with some cardiac selectivity, and is therefore indicated for conditions requiring a reduction in heart rate, cardiac conduction, or contractility. These conditions include tachyarrhythmias and atrial fibrillation. In humans, it is used to treat hypertension, but no studies have been conducted in animals.
For more complete data on the therapeutic uses of bisoprolol (6 types), please visit the HSDB record page.
Drug Warnings
Zebeta is contraindicated in patients with cardiogenic shock, significant heart failure, second- or third-degree atrioventricular block, and significant sinus bradycardia.
Veterinary Use: Use with caution in animals with airway disease, myocardial failure, and cardiac conduction disorders. Use with caution in animals with impaired cardiac reserve.
Extra caution should be exercised when using bisoprolol fumarate in patients with a history of severe heart failure. The safety and efficacy of bisoprolol at daily doses exceeding 10 mg in patients with heart failure have not been established. Sympathetic nerve excitation is an important component of maintaining circulatory function in patients with congestive heart failure, and the use of beta-blockers to inhibit sympathetic nerve excitation always carries the potential risk of further inhibiting myocardial contractility and inducing heart failure. Generally, beta-blockers should be avoided in patients with significant congestive heart failure. However, beta-blockers may be necessary in some patients with compensated heart failure. In such cases, caution must be exercised. Bisoprolol fumarate has selective action and does not eliminate the effects of digitalis. However, when the two drugs are used concomitantly, the negative inotropic effect of bisoprolol fumarate may reduce the positive inotropic effect of digitalis. Beta-blockers and digitalis have an additive effect on inhibiting atrioventricular conduction. In patients with coronary artery disease, abrupt discontinuation of beta-blockers has been observed to worsen angina, and in some cases, myocardial infarction or ventricular arrhythmias. Therefore, such patients should be advised not to interrupt or stop treatment without a doctor's guidance. Even in patients without significant coronary artery disease, it is recommended to gradually reduce the dosage of zebeta over approximately one week under close observation. If withdrawal symptoms occur, zebeta treatment should be restarted at least temporarily.
For more complete data on bisoprolol (17 total), please visit the HSDB records page.
Pharmacodynamics
Bisoprolol can reduce heart rate (positive chronotropic effect), reduce myocardial contractility (positive inotropic effect), and lower blood pressure. Multiple clinical studies have shown that bisoprolol can reduce heart failure and ejection fraction (EF), thus reducing cardiovascular mortality and all-cause mortality in patients.
These protocols are for reference only. InvivoChem does not independently validate these methods.
Physicochemical Properties
Molecular Formula
C18H31NO4
Molecular Weight
325.44
Exact Mass
325.225
Elemental Analysis
C, 66.43; H, 9.60; N, 4.30; O, 19.66
CAS #
66722-44-9
Related CAS #
Bisoprolol-d5; 1189881-87-5; Bisoprolol hemifumarate; 104344-23-2; Bisoprolol fumarate; 105878-43-1
PubChem CID
2405
Appearance
Colorless to light yellow liquid
Density
1.0±0.1 g/cm3
Boiling Point
445.0±45.0 °C at 760 mmHg
Melting Point
100-103
100 °C
Flash Point
222.9±28.7 °C
Vapour Pressure
0.0±1.1 mmHg at 25°C
Index of Refraction
1.500
LogP
2.14
Hydrogen Bond Donor Count
2
Hydrogen Bond Acceptor Count
5
Rotatable Bond Count
12
Heavy Atom Count
23
Complexity
278
Defined Atom Stereocenter Count
0
SMILES
CC(OCCOCC1=CC=C(OCC(CNC(C)C)O)C=C1)C
InChi Key
VHYCDWMUTMEGQY-UHFFFAOYSA-N
InChi Code
InChI=1S/C18H31NO4/c1-14(2)19-11-17(20)13-23-18-7-5-16(6-8-18)12-21-9-10-22-15(3)4/h5-8,14-15,17,19-20H,9-13H2,1-4H3
Chemical Name
1-(propan-2-ylamino)-3-[4-(2-propan-2-yloxyethoxymethyl)phenoxy]propan-2-ol
Synonyms
CL297,939; CL-297,939; Bisoprolol; CL 297,939
HS Tariff Code
2934.99.9001
Storage

Powder      -20°C    3 years

                     4°C     2 years

In solvent   -80°C    6 months

                  -20°C    1 month

Shipping Condition
Room temperature (This product is stable at ambient temperature for a few days during ordinary shipping and time spent in Customs)
Solubility Data
Solubility (In Vitro)
May dissolve in DMSO (in most cases), if not, try other solvents such as H2O, Ethanol, or DMF with a minute amount of products to avoid loss of samples
Solubility (In Vivo)
Note: Listed below are some common formulations that may be used to formulate products with low water solubility (e.g. < 1 mg/mL), you may test these formulations using a minute amount of products to avoid loss of samples.

Injection Formulations
(e.g. IP/IV/IM/SC)
Injection Formulation 1: DMSO : Tween 80: Saline = 10 : 5 : 85 (i.e. 100 μL DMSO stock solution 50 μL Tween 80 850 μL Saline)
*Preparation of saline: Dissolve 0.9 g of sodium chloride in 100 mL ddH ₂ O to obtain a clear solution.
Injection Formulation 2: DMSO : PEG300Tween 80 : Saline = 10 : 40 : 5 : 45 (i.e. 100 μL DMSO 400 μLPEG300 50 μL Tween 80 450 μL Saline)
Injection Formulation 3: DMSO : Corn oil = 10 : 90 (i.e. 100 μL DMSO 900 μL Corn oil)
Example: Take the Injection Formulation 3 (DMSO : Corn oil = 10 : 90) as an example, if 1 mL of 2.5 mg/mL working solution is to be prepared, you can take 100 μL 25 mg/mL DMSO stock solution and add to 900 μL corn oil, mix well to obtain a clear or suspension solution (2.5 mg/mL, ready for use in animals).
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Injection Formulation 4: DMSO : 20% SBE-β-CD in saline = 10 : 90 [i.e. 100 μL DMSO 900 μL (20% SBE-β-CD in saline)]
*Preparation of 20% SBE-β-CD in Saline (4°C,1 week): Dissolve 2 g SBE-β-CD in 10 mL saline to obtain a clear solution.
Injection Formulation 5: 2-Hydroxypropyl-β-cyclodextrin : Saline = 50 : 50 (i.e. 500 μL 2-Hydroxypropyl-β-cyclodextrin 500 μL Saline)
Injection Formulation 6: DMSO : PEG300 : castor oil : Saline = 5 : 10 : 20 : 65 (i.e. 50 μL DMSO 100 μLPEG300 200 μL castor oil 650 μL Saline)
Injection Formulation 7: Ethanol : Cremophor : Saline = 10: 10 : 80 (i.e. 100 μL Ethanol 100 μL Cremophor 800 μL Saline)
Injection Formulation 8: Dissolve in Cremophor/Ethanol (50 : 50), then diluted by Saline
Injection Formulation 9: EtOH : Corn oil = 10 : 90 (i.e. 100 μL EtOH 900 μL Corn oil)
Injection Formulation 10: EtOH : PEG300Tween 80 : Saline = 10 : 40 : 5 : 45 (i.e. 100 μL EtOH 400 μLPEG300 50 μL Tween 80 450 μL Saline)


Oral Formulations
Oral Formulation 1: Suspend in 0.5% CMC Na (carboxymethylcellulose sodium)
Oral Formulation 2: Suspend in 0.5% Carboxymethyl cellulose
Example: Take the Oral Formulation 1 (Suspend in 0.5% CMC Na) as an example, if 100 mL of 2.5 mg/mL working solution is to be prepared, you can first prepare 0.5% CMC Na solution by measuring 0.5 g CMC Na and dissolve it in 100 mL ddH2O to obtain a clear solution; then add 250 mg of the product to 100 mL 0.5% CMC Na solution, to make the suspension solution (2.5 mg/mL, ready for use in animals).
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Oral Formulation 3: Dissolved in PEG400
Oral Formulation 4: Suspend in 0.2% Carboxymethyl cellulose
Oral Formulation 5: Dissolve in 0.25% Tween 80 and 0.5% Carboxymethyl cellulose
Oral Formulation 6: Mixing with food powders


Note: Please be aware that the above formulations are for reference only. InvivoChem strongly recommends customers to read literature methods/protocols carefully before determining which formulation you should use for in vivo studies, as different compounds have different solubility properties and have to be formulated differently.

 (Please use freshly prepared in vivo formulations for optimal results.)
Preparing Stock Solutions 1 mg 5 mg 10 mg
1 mM 3.0728 mL 15.3638 mL 30.7276 mL
5 mM 0.6146 mL 3.0728 mL 6.1455 mL
10 mM 0.3073 mL 1.5364 mL 3.0728 mL

*Note: Please select an appropriate solvent for the preparation of stock solution based on your experiment needs. For most products, DMSO can be used for preparing stock solutions (e.g. 5 mM, 10 mM, or 20 mM concentration); some products with high aqueous solubility may be dissolved in water directly. Solubility information is available at the above Solubility Data section. Once the stock solution is prepared, aliquot it to routine usage volumes and store at -20°C or -80°C. Avoid repeated freeze and thaw cycles.

Calculator

Molarity Calculator allows you to calculate the mass, volume, and/or concentration required for a solution, as detailed below:

  • Calculate the Mass of a compound required to prepare a solution of known volume and concentration
  • Calculate the Volume of solution required to dissolve a compound of known mass to a desired concentration
  • Calculate the Concentration of a solution resulting from a known mass of compound in a specific volume
An example of molarity calculation using the molarity calculator is shown below:
What is the mass of compound required to make a 10 mM stock solution in 5 ml of DMSO given that the molecular weight of the compound is 350.26 g/mol?
  • Enter 350.26 in the Molecular Weight (MW) box
  • Enter 10 in the Concentration box and choose the correct unit (mM)
  • Enter 5 in the Volume box and choose the correct unit (mL)
  • Click the “Calculate” button
  • The answer of 17.513 mg appears in the Mass box. In a similar way, you may calculate the volume and concentration.

Dilution Calculator allows you to calculate how to dilute a stock solution of known concentrations. For example, you may Enter C1, C2 & V2 to calculate V1, as detailed below:

What volume of a given 10 mM stock solution is required to make 25 ml of a 25 μM solution?
Using the equation C1V1 = C2V2, where C1=10 mM, C2=25 μM, V2=25 ml and V1 is the unknown:
  • Enter 10 into the Concentration (Start) box and choose the correct unit (mM)
  • Enter 25 into the Concentration (End) box and select the correct unit (mM)
  • Enter 25 into the Volume (End) box and choose the correct unit (mL)
  • Click the “Calculate” button
  • The answer of 62.5 μL (0.1 ml) appears in the Volume (Start) box
g/mol

Molecular Weight Calculator allows you to calculate the molar mass and elemental composition of a compound, as detailed below:

Note: Chemical formula is case sensitive: C12H18N3O4  c12h18n3o4
Instructions to calculate molar mass (molecular weight) of a chemical compound:
  • To calculate molar mass of a chemical compound, please enter the chemical/molecular formula and click the “Calculate’ button.
Definitions of molecular mass, molecular weight, molar mass and molar weight:
  • Molecular mass (or molecular weight) is the mass of one molecule of a substance and is expressed in the unified atomic mass units (u). (1 u is equal to 1/12 the mass of one atom of carbon-12)
  • Molar mass (molar weight) is the mass of one mole of a substance and is expressed in g/mol.
/

Reconstitution Calculator allows you to calculate the volume of solvent required to reconstitute your vial.

  • Enter the mass of the reagent and the desired reconstitution concentration as well as the correct units
  • Click the “Calculate” button
  • The answer appears in the Volume (to add to vial) box
In vivo Formulation Calculator (Clear solution)
Step 1: Enter information below (Recommended: An additional animal to make allowance for loss during the experiment)
Step 2: Enter in vivo formulation (This is only a calculator, not the exact formulation for a specific product. Please contact us first if there is no in vivo formulation in the solubility section.)
+
+
+

Calculation results

Working concentration mg/mL;

Method for preparing DMSO stock solution mg drug pre-dissolved in μL DMSO (stock solution concentration mg/mL). Please contact us first if the concentration exceeds the DMSO solubility of the batch of drug.

Method for preparing in vivo formulation:Take μL DMSO stock solution, next add μL PEG300, mix and clarify, next addμL Tween 80, mix and clarify, next add μL ddH2O,mix and clarify.

(1) Please be sure that the solution is clear before the addition of next solvent. Dissolution methods like vortex, ultrasound or warming and heat may be used to aid dissolving.
             (2) Be sure to add the solvent(s) in order.

Clinical Trial Information
Exercise as an Immune Adjuvant for Allogeneic Cell Therapies
CTID: NCT06643221
PhaseEarly Phase 1    Status: Recruiting
Date: 2024-10-16
STunning in Acute Myocardial Infarction - BAS
CTID: NCT06562582
Phase: Phase 4    Status: Not yet recruiting
Date: 2024-08-23
Treatment Effects of Bisoprolol and Verapamil in Symptomatic Patients With Non-obstructive Hypertrophic Cardiomyopathy
CTID: NCT05569382
Phase: Phase 4    Status: Recruiting
Date: 2024-06-14
Activation of Brown Adipose Tissue Metabolism Using Mirabegron
CTID: NCT04823442
Phase: N/A    Status: Completed
Date: 2024-05-08
Oral Bisoprolol Vs IV Diltiazem in Atrial Fibrillation or Flutter With Rapid Ventricular Rate.
CTID: NCT06276127
Phase: Phase 3    Status: Not yet recruiting
Date: 2024-03-05
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Evaluation of Decreased Usage of Betablockers After Myocardial Infarction in the SWEDEHEART Registry (REDUCE-SWEDEHEART)
CTID: NCT03278509
Phase: Phase 4    Status: Active, not recruiting
Date: 2024-03-05


Preventing Adverse Cardiac Events in COPD
CTID: NCT03917914
Phase: Phase 3    Status: Active, not recruiting
Date: 2024-01-18
Determination of Drug Levels for Pharmacotherapy of Heart Failure
CTID: NCT06035978
Phase: Phase 4    Status: Not yet recruiting
Date: 2024-01-18
Danish Trial of Beta Blocker Treatment After Myocardial Infarction Without Reduced Ejection Fraction
CTID: NCT03778554
Phase: Phase 4    Status: Recruiting
Date: 2023-12-06
Once Versus Twice Bisoprolol Dosage Regimen in Prevention of Atrial Fibrillation Post Coronary Artery Bypass Graft Surgery
CTID: NCT05730413
Phase: Phase 4    Status: Recruiting
Date: 2023-07-28
Potential Drug Interactions With Bisoprolol in Egyptian Patients With ACS
CTID: NCT05536284
Phase: Phase 2    Status: Completed
Date: 2023-06-07
Pharmacogenetic Study of Bisoprolol in Egyptian Patients With Acute Coronary Syndrome
CTID: NCT05536271
Phase: Phase 2    Status: Completed
Date: 2023-06-07
Bisoprolol in DMD Early Cardiomyopathy
CTID: NCT03779646
Phase: Phase 2/Phase 3    Status: Unknown status
Date: 2022-09-28
Left Atrium Reservoir Function Modulation in Patients With Atrial Fibrillation: Digoxin Versus Beta Blocker
CTID: NCT05540600
Phase: Phase 3    Status: Unknown status
Date: 2022-09-16
Evaluation of the Clinical Efficacy and Safety of Amlodipine 5mg/ Bisoprolol Fumarate 5mg /Perindopril Arginine 5mg Fixed-dose Combination in Capsule and Free Monotherapy at the Same Dose in Patients With Uncontrolled Essential Hypertension.
CTID: NCT05288400
Phase: Phase 3    Status: Completed
Date: 2022-08-05
Randomized Trial to Examine a Differential Therapeutic Response in Symptomatic Patients With Non-obstructive Coronary Artery Disease
CTID: NCT05294887
Phase: Phase 4    Status: Unknown status
Date: 2022-03-24
Effect of Pioglitazone on Insulin Resistance, Atherosclerosis Progression and Clinical Course of Coronary Heart Disease
CTID: NCT03011775
Phase: Phase 4    Status: Completed
Date: 2022-03-10
Cardiotoxicity Prevention in Breast Cancer Patients Treated With Anthracyclines and/or Trastuzumab
CTID: NCT02236806
Phase: Phase 3    Status: Unknown status
Date: 2022-02-01
Bisoprolol Administration to Prevent Anthracycline-induced Cardiotoxicity
CTID: NCT05175066
Phase: Phase 3    Status: Completed
Date: 2022-01-03
Comparative Study Between the Efficacy of Verapamil and Bisoprolol on Reduction of Bleeding During Endoscopic Sinus Surgery Under General Anaesthesia.
CTID: NCT04356196
PhaseEarly Phase 1    Status: Unknown status
Date: 2021-12-03
Comparative Effects of Moxonidine on Bone Metabolism, Vascular and Cellular Aging in Hypertensive Postmenopausal Women
CTID: NCT02355821
Phase: N/A    Status: Completed
Date: 2021-09-01
HaemoDYNAMICs in Primary and Secondary Hypertension
CTID: NCT01742702
Phase:    Status: Recruiting
Date: 2021-08-19
Rate Control Therapy Evaluation in Permanent Atrial Fibrillation (RATE-AF)
CTID: NCT02391337
Phase: Phase 4    Status: Completed
Date: 2021-06-18
Effect of Amlodipine Versus Bisoprolol on Hypertensive Patients With End-stage Renal Disease on Maintenance Hemodialysis.
CTID: NCT04085562
Phase: Phase 4    Status: Completed
Date: 2021-02-17
BRAVE Study With Uncontrolled Essential Hypertension (BRAVE Study)
CTID: NCT02398929
Phase: Phase 4    Status: Completed
Date: 2021-01-06
Preoperative Gabapentin Versus Bisoprolol for Hemodynamic Optimization During Sinus Surgery
CTID: NCT03850093
Phase: Phase 4    Status: Completed
Date: 2020-02-07
Efficacy of Oral Bisoprolol on Heart Rate Reduction in Chinese Chronic Heart Failure Participants
CTID: NCT03026088
Phase: Phase 4    Status: Terminated
Date: 2020-01-29
Chronic Beta-blockade and Cardiopulmonary Exercise in COPD
CTID: NCT02380053
Phase: Phase 4    Status: Completed
Date: 2019-06-24
Beta Blocker Therapy in Moderate to Severe COPD
CTID: NCT01656005
Phase: Phase 4    Status: Completed
Date: 2019-04-23
Sequential Nephron Blockade vs. Dual Blockade Renin-angiotensin System + Bisoprolol in Resistant Arterial Hypertension
CTID: NCT02832973
Phase: Phase 4    Status: Completed
Date: 2019-04-05
Bioequivalence Trial of Concor AM® vs Bisoprolol and Amlodipine in Chinese Participants
CTID: NCT03226275
Phase: Phase 1    Status: Completed
Date: 2019-02-20
Bisoprolol Versus Corticosteroid and Bisoprolol Combination for Prophylaxis Against Atrial Fibrillation After on Pump Coronary Artery Bypass Surgery
CTID: NCT03800264
Phase: Phase 4    Status: Completed
Date: 2019-01-15
Early Use of Ivabradine in Heart Failure
CTID: NCT03701880
Phase: N/A    Status: Unknown status
Date: 2018-10-11
Effect of Bisoprolol on Progression of Aortic Stenosis
CTID: NCT01579058
Phase: Phase 4    Status: Terminated
Date: 2018-06-27
Effect of Medical Treatment and Prognosis of Postural Orthostatic Tachycardia Syndrome (POTS)
CTID: NCT02171988
Phase: Phase 4    Status: Completed
Date: 2018-04-18
Pharmacokinetic Drug-Drug Interaction Between Bisoprolol and Ivabradine in Healthy Volunteers
CTID: NCT03485482
Phase: Phase 3    Status: Completed
Date: 2018-04-02
A Study on Molecular Genetics of Drug Responsiveness in Essential Hypertension
CTID: NCT03276598
Phase: Phase 4    Status: Completed
Date: 2017-09-11
A Randomized Controlled Study to Assess the
Repolarization study in LQTS patients
CTID: null
Phase: Phase 4    Status: Completed
Date: 2018-09-24
The RIME-IVF study
CTID: null
Phase: Phase 4    Status: Trial now transitioned
Date: 2018-07-03
A randomised, double-blind placebo controlled trial of the effectiveness of the beta-blocker bisoprolol in preventing exacerbations of chronic obstructive pulmonary disease.
CTID: null
Phase: Phase 3    Status: GB - no longer in EU/EEA
Date: 2018-06-12
treatment with beta-blockers after myocardial infarction without reduced ejection fraction
CTID: null
Phase: Phase 4    Status: Ongoing
Date: 2018-03-22
Improving cardiac function in high-risk surgical patients: exercise testing, biomarkers and beta-blockade
CTID: null
Phase: Phase 4    Status: Prematurely Ended
Date: 2017-09-20
Randomized Evaluation of Decreased Usage of betablocCkErs
CTID: null
Phase: Phase 4    Status: Ongoing, Completed
Date: 2017-08-06
Impact of self-measurement of blood pressure and self-adjustment of antihypertensive medication in the control of hypertension and adherence to treatment. A pragmatic, randomized, controlled clinical trial (ADAMPA Study)
CTID: null
Phase: Phase 4    Status: Prematurely Ended
Date: 2017-05-05
Evaluating different rate control therapies in permanent atrial fibrillation: A prospective, randomised, open-label, blinded endpoint study comparing digoxin and beta-blockers as initial rate control therapy.
CTID: null
Phase: Phase 4    Status: Completed
Date: 2016-08-11
Cardiac toxicity prevention in non-metastatic breast cancer patients treated with anthracycline-based chemotherapy: a randomized, placebo controlled, phase 3 trial - SAFE trial.
CTID: null
Phase: Phase 3    Status: Ongoing
Date: 2016-08-05
NT-proBNP selected prevention of cardiac events in a population of diabetic patients without a history of cardiac disease (Pontiac II); a prospective randomized trial
CTID: null
Phase: Phase 4    Status: Ongoing, GB - no longer in EU/EEA
Date: 2015-12-30
Can Ivabradine attenuate post-revascularisation microcirculatory dysfunction in flow limiting coronary artery disease?
CTID: null
Phase: Phase 4    Status: GB - no longer in EU/EEA
Date: 2015-10-22
Proof of concept study to assess the differential effects of chronic beta-blockade (celiprolol versus bisoprolol) on cardiopulmonary outcomes at rest and during exercise in chronic obstructive pulmonary disease.
CTID: null
Phase: Phase 4    Status: Completed
Date: 2015-09-17
Long term effects of selective beta1-adrenoceptor blockade with bisoprolol on hospital readmissions of elderly patients with coexisting heart failure and chronic obstructive pulmonary disease: a multicentre randomized controlled trial
CTID: null
Phase: Phase 4    Status: Ongoing
Date: 2013-09-15
Prevention of anthracycline-induced cardiotoxicity: a multicentre randomizedtrial comparing two therapeutic strategies.
CTID: null
Phase: Phase 3    Status: Ongoing
Date: 2012-10-16
Evaluation of effects of chronic dose exposure to cardioselective and non-cardioselective beta blockers on measures of cardiopulmonary function in moderate to severe COPD.
CTID: null
Phase: Phase 4    Status: Completed
Date: 2012-08-22
Catheter Ablation Versus Antiarrhythmic Drug Therapy for Atrial Fibrillation Trial (CABANA)
CTID: null
Phase: Phase 4    Status: Completed
Date: 2011-10-27
Ensayo aleatorizado controlado sobre la terapia guiada por el antígeno carbohidrato 125 en los pacientes dados de alta por insuficiencia cardiaca aguda: efecto sobre la mortalidad a 1 año.
CTID: null
Phase: Phase 4    Status: Ongoing
Date: 2011-08-02
EFFECTS OF BETA 2 RECEPTOR BLOCKADE ON PULMONARY FUNCTION IN A HUMAN MODEL OF ACUTE HYDRIC OVERLOAD
CTID: null
Phase: Phase 3    Status: Ongoing
Date: 2011-05-16
Effects of beta-blockers on exercise performance in uncomplicated hypertension
CTID: null
Phase: Phase 3    Status: Ongoing
Date: 2011-04-28
Instrumental and clinical effects of withdrawal of beta blockers therapy in patients with heart failure and right ventricular dysfunction''
CTID: null
Phase: Phase 4    Status: Ongoing
Date: 2011-03-28
Betablocker Therapy in Pulmonary Arterial Hypertension
CTID: null
Phase: Phase 4    Status: Ongoing
Date: 2011-01-10
A double-blind randomised multi-centre, placebo-controlled trial of combined ACE-inhibitor and beta-blocker therapy in preventing the development of cardiomyopathy in genetically characterised males with DMD without echo-detectable left ventricular dysfunction
CTID: null
Phase: Phase 3    Status: Completed
Date: 2009-03-30
Optimal Treatment of Drug Resistant Hypertension
CTID: null
Phase: Phase 4    Status: Completed
Date: 2009-01-14
Comparison of Bisoprolol and Carvedilol in elderly patients with
CTID: null
Phase: Phase 3    Status: Completed
Date: 2007-11-22
COMPARED EFFECTS OF THREE DIFFERENT BETA BLOCKERS (CARVEDILOL, BISOPROLOL AND NEBIVOLOL) ON EXERCISE CAPACITY, PULMONARY FUNCTION AND RESPONSE TO HYPOXIA IN CHRONIC HEART FAILURE
CTID: null
Phase: Phase 2    Status: Completed
Date: 2007-07-16
Does the underlying haemodynamic abnormality determine response to antihypertensive therapy in patients with hypertension?
CTID: null
Phase: Phase 4    Status: Completed
Date: 2007-05-03
Effects of Telmisartan on Early Markers of Atherosclerosis in Hypertension with and without Hyperlipidemia
CTID: null
Phase: Phase 4    Status: Prematurely Ended
Date: 2006-11-02
INFLUENCE OF NEBIVOLOL ON OCULAR PERFUSION IN PATIENTS WITH ARTERIAL HYPERTENSION AND GLAUCOMA
CTID: null
Phase: Phase 4    Status: Prematurely Ended
Date: 2006-05-23
Use of clembuterol in patients affected by valvular hearth disease and dilated cardiomyopathy
CTID: null
Phase: Phase 2    Status: Completed
Date: 2006-03-01
Blood Pressure Optimisation In Patients With Polycystic Kidney Disease And Hypertension By Rotation Through The Main Therapeutic Classes Of Antihypertensive Drugs.
CTID: null
Phase: Phase 4    Status: Completed
Date: 2005-08-26
A Pilot study to assess the effects of beta-blockade on exercise capacity and BNP levels in patients with predominantly diastolic heart failure
CTID: null
Phase: Phase 4    Status: Prematurely Ended
Date: 2005-05-19
PRevention of Atherosclerosis In High-Risk Patients: Aggressive Risk Modification including NiAspan
CTID: null
Phase: Phase 4    Status: Completed
Date:
Phase III clinical study of TY-0201 in patients with chronic atrial fibrillation -Confirmatory Study-
CTID: jRCT2080222737
Phase:    Status: completed
Date: 2015-02-02
The efficacy and safety of a bisoprolol transdermal patch in patients with cerebral hemorrhage
CTID: UMIN000016023
PhaseNot applicable    Status: Complete: follow-up complete
Date: 2015-01-01
Phase III clinical study of TY-0201 in patients with chronic atrial fibrillation -long-term study-
CTID: jRCT2080222649
Phase:    Status: completed
Date: 2014-11-11
Phase II clinical study of TY-0201 in patients with chronic heart failure
CTID: jRCT2080222593
Phase:    Status:
Date: 2014-08-29
The Cardiac Insufficiency BIsoprolol Study in Japanese Patients with Chronic Heart Failure
CTID: UMIN000011274
Phase:    Status: Complete: follow-up complete
Date: 2013-07-25
Comparison of the effects of two beta blockers, bisoprolol and carvedilol on chronic heart failure Bisoprolol Improvement Group for Chronic Heart Failure Treatment Study in Dokkyo Medical University:BRIGHT-D
CTID: UMIN000011261
PhaseNot applicable    Status: Complete: follow-up complete
Date: 2013-07-24
Bisoprolol fumarate; for prevention of atrial fibrillation after coronary artery bypass grafting: randomized, prospective, open-label study
CTID: UMIN000010907
PhaseNot applicable    Status: Complete: follow-up complete
Date: 2013-06-10
Methyldigoxin versus bisoprolol fumarate against chronic heart failure and permanent atrial fibrillation : a prospective randomized trial
CTID: UMIN000009601
PhaseNot applicable    Status: Recruiting
Date: 2012-12-24
Comparison of the effects of celiprolol and bisoprolol on central BP and measures of atherosclerosis in hypertensive patients.
CTID: UMIN000008913
PhaseNot applicable    Status: Complete: follow-up complete
Date: 2012-09-13
Comparative effects of amiodarone vs bisoprolol for postoperative atrial fibrillation
CTID: UMIN000006348
Phase:    Status: Complete: follow-up complete
Date: 2011-09-20
Evaluation of the preventive effect of bisoprolol fumarate on postoperative hypertension and atrial fibrillation in in eldery patient on acute and chronic phase.
CTID: UMIN000004600
Phase: Phase IV    Status: Pending
Date: 2010-12-01
Effects of beta-blockers for prevention of atrial fibrillation after open heart surgery
CTID: UMIN000004418
Phase:    Status: Complete: follow-up complete
Date: 2010-10-20
The effects of betablocker for treatment of chronic atrial fibrillation in patients with hypertension.
CTID: UMIN000003857
Phase:    Status: Recruiting
Date: 2010-07-01
Clinical study on the resistance to antihypertensive therapy in patients with diabetes mellitus
CTID: UMIN000003195
Phase:    Status: Complete: follow-up complete
Date: 2010-02-17
Effect of beta blockers for prevention of atrial fibrillation after CABG: a randomised controlled trial
CTID: UMIN000002489
Phase: Phase III    Status: Complete: follow-up complete
Date: 2009-09-15

Biological Data
  • Serum creatine kinase-MB (CK-MB) levels in rats treated with cadmium and bisoprolol (BIS) (2 and 8 mg/kg/day). J Vet Res . 2021 Oct 20;65(4):505-511.
  • Serum lactic acid dehydrogenase (LDH) levels in rats treated with cadmium and bisoprolol (BIS) (2 and 8 mg/kg/day). J Vet Res . 2021 Oct 20;65(4):505-511.
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