Page last updated: 2024-10-23

atenolol and Facial Neoplasms

atenolol has been researched along with Facial Neoplasms in 4 studies

Atenolol: A cardioselective beta-1 adrenergic blocker possessing properties and potency similar to PROPRANOLOL, but without a negative inotropic effect.
atenolol : An ethanolamine compound having a (4-carbamoylmethylphenoxy)methyl group at the 1-position and an N-isopropyl substituent.

Facial Neoplasms: New abnormal growth of tissue in the FACE.

Research Excerpts

ExcerptRelevanceReference
"Propranolol, a lipophilic non-selective beta-blocker, has proven to be effective in the treatment of infantile haemangioma (IH)."7.79Treatment of infantile haemangiomas with atenolol: comparison with a historical propranolol group. ( Breugem, CC; Breur, JM; Bruijnzeel-Koomen, CA; de Graaf, M; Knol, MJ; Kon, M; Pasmans, SG; Raphael, MF, 2013)
"Propranolol, a lipophilic non-selective beta-blocker, has proven to be effective in the treatment of infantile haemangioma (IH)."3.79Treatment of infantile haemangiomas with atenolol: comparison with a historical propranolol group. ( Breugem, CC; Breur, JM; Bruijnzeel-Koomen, CA; de Graaf, M; Knol, MJ; Kon, M; Pasmans, SG; Raphael, MF, 2013)
"Propranolol has revolutionized the treatment of infantile hemangiomas, and other beta-blockers provide promising alternatives."2.52Beta-blockers for childhood vascular tumors. ( Bayart, CB; Brandling-Bennett, HA, 2015)

Research

Studies (4)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's0 (0.00)29.6817
2010's4 (100.00)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
de Graaf, M2
Raphael, MF2
Breugem, CC2
Knol, MJ2
Bruijnzeel-Koomen, CA2
Kon, M2
Breur, JM2
Pasmans, SG2
Raju, A1
Khundkar, R1
Bayart, CB1
Brandling-Bennett, HA1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Efficacy and Safety of Propranolol Versus Atenolol on the Proliferative Phase of Infantile Hemangioma[NCT02342275]Phase 3377 participants (Actual)Interventional2013-10-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Complete Ulceration Healing Time

The complete healing time of the ulceration was defined as the time from the first dosage of propranolol or atenolol until complete healing of the hemangioma ulceration (assessed up to 6 months). Ulceration is defined as a break in the integrity of the hemangioma surface epithelium (or skin) with or without infection. The information included the extent of ulceration, complications of ulceration, prior duration of ulceration (before treatment), concurrent treatments, and complete healing time. Prior duration of ulceration was defined as the time from the first sign of ulceration until before β-blocker treatment. The complete healing time of the ulceration was defined as the time from the first dosage of propranolol or atenolol until complete healing of the hemangioma ulceration. Concurrent treatments, including oral pain medication, oral antibiotics, topical ointment antibiotics and/or wound dressings, were permitted to treat ulcerated IH and were recorded. (NCT02342275)
Timeframe: from the first dosage of propranolol or atenolol until complete healing ofthe hemangioma ulceration.

Interventionweeks (Mean)
Propranolol4.94
Atenolol4.82

Number of Participants With Complete/Nearly Complete Response (96 Week)

A complete/nearly complete response at week 96 was considered median-term efficacy. (NCT02342275)
Timeframe: 96 week

InterventionParticipants (Count of Participants)
Propranolol156
Atenolol149

Rebound Rate

Regrowth of more than 20% in hemangioma appearance (including changes in color and/or volume) after stopping the medication was considered significant rebound. The inclusion criteria for rebound analysis were as follows: (1) patients who completed 6 months of treatment and (2) patients who discontinued therapy or were tapering treatment after achieving an any response. The exclusion criteria were as follows: (1) patients who were noncompliant with treatment and (2) patients who did not respond to treatment. Whether a patient had hemangioma rebound was based on the site investigators' assessments after the week 24 treatment. In patients with significant rebound, reinitiation of systemic therapy (either propranolol or atenolol) was recommended. Minor rebound, which was defined as those patients in whose rebound was noted but no reinitiation of systemic therapy or further treatment was necessary, was not included in the analysis. (NCT02342275)
Timeframe: between weeks 24 and 96

InterventionParticipants (Count of Participants)
Propranolol19
Atenolol12

Successful Initial Response

"A successful initial response was defined as a HAS score decrease at 1 week after treatment.~A successful initial response was assessed by using HAS in the intention-to-treat population. Previous studies demonstrated that HAS decreases over time after β-blocker treatment, with a dramatic drop occurring in the first week, indicating an immediate therapeutic response. HAS can reflect the rapid effect of β-blocker (either propranolol or atenolol) therapy shortly after initiation." (NCT02342275)
Timeframe: 1 week after treatment

InterventionParticipants (Count of Participants)
Propranolol171
Atenolol163

The Primary Outcome Measure Was Any Response at 6 Months

"Changes in IH size and color were classified as a complete response, nearly complete response, partial response or no response. The primary outcome measure was any response at 6 months in the intention-to-treat population of all patients who underwent randomization. The any response included compete, nearly complete and partial responses.~A complete response was defined as no redundant tissue or telangiectasia was identified.~A nearly complete response was defined as a minimal degree of telangiectasis, erythema and skin thickening.~A partial response was defined as a size reduction or change in color that did not meet the nearly complete resolution criteria." (NCT02342275)
Timeframe: 6 month

InterventionParticipants (Count of Participants)
Propranolol178
Atenolol173

Hemangioma Activity Score (HAS)

"HAS was measured at baseline and at 1, 4, 12, and 24 weeks, including the degree of deep swelling, the color of the hemangioma, and the ulceration assessment:~Assessment of the degree of swelling. It was scored as follows:~6 points if the swelling was tense;~4 points if the swelling was'neutral;~2 points when the swelling was reduced by 50% or more at follow-up; or~0 point when there was no more visible swelling at a follow-up.~Assessment of the color of the IH.~5 points if the hemangioma lesion was bright red all over;~3 points if the hemangioma lesion was matte red or reddish-purple;~1 point if the hemangioma lesion was totally or partially gray;~0 points if the hemangioma lesion was totally or partially skin-colored after involution.~(2) Assessment of the ulceration. -0.5 point for an ulcer ≤1.0 cm2;~One point for an ulcer >1.0 cm2 but <25 cm2;~Two points for an ulcer ≥25 cm2. The HAS score= (Swelling score + color score)/2 +Ulceration score." (NCT02342275)
Timeframe: Baseline and at 1, 4, 12, and 24 weeks

,
Interventionscore on a scale (Mean)
BaselineWeek 1Week 4Week 12Week 24
Atenolol4.543.472.331.540.82
Propranolol4.613.312.421.540.82

Reviews

1 review available for atenolol and Facial Neoplasms

ArticleYear
Beta-blockers for childhood vascular tumors.
    Current opinion in pediatrics, 2015, Volume: 27, Issue:4

    Topics: Administration, Oral; Administration, Topical; Adrenergic beta-Antagonists; Atenolol; Child, Prescho

2015

Other Studies

3 other studies available for atenolol and Facial Neoplasms

ArticleYear
Treatment of infantile haemangiomas with atenolol: comparison with a historical propranolol group.
    Journal of plastic, reconstructive & aesthetic surgery : JPRAS, 2013, Volume: 66, Issue:12

    Topics: Adrenergic beta-1 Receptor Antagonists; Adrenergic beta-Antagonists; Atenolol; Facial Neoplasms; Fem

2013
Reply to 'Treatment of infantile haemangiomas with atenolol: comparison with a historical propranolol group.'.
    Journal of plastic, reconstructive & aesthetic surgery : JPRAS, 2014, Volume: 67, Issue:3

    Topics: Atenolol; Facial Neoplasms; Female; Hemangioma; Humans; Male

2014
Response from the authors of 'Treatment of infantile haemangiomas with atenolol: comparison with a historical propranolol group'.
    Journal of plastic, reconstructive & aesthetic surgery : JPRAS, 2014, Volume: 67, Issue:3

    Topics: Atenolol; Facial Neoplasms; Female; Hemangioma; Humans; Male

2014