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Trial · NCT02342275

Efficacy and Safety of Propranolol Versus Atenolol on the Proliferative Phase of Infantile Hemangioma

NCT02342275, Phase 3, Completed, West China Hospital; results first posted 2022-06-16

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Efficacy and Safety of Propranolol Versus Atenolol on the Proliferative Phase of Infantile Hemangioma. Trials, record NCT02342275. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT02342275

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Efficacy and Safety of Propranolol Versus Atenolol on the Proliferative Phase of Infantile Hemangioma
NCT number
NCT02342275
Status
Completed
Phases
Phase 3
Enrollment
377 participants, actual
Lead sponsor
West China Hospital
Conditions
Hemangioma
Interventions
Propranolol, Atenolol
First posted
2015-01-19
Last updated
2022-06-16
Results first posted
2022-06-16

Source ClinicalTrials.gov

Registered outcomes6

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryThe Primary Outcome Measure Was Any Response at 6 Months6 month
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.
SecondaryHemangioma Activity Score (HAS)Baseline and at 1, 4, 12, and 24 weeks
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: 1. 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. 2. 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.
SecondarySuccessful Initial Response1 week after treatment
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.
SecondaryComplete Ulceration Healing Timefrom the first dosage of propranolol or atenolol until complete healing ofthe hemangioma ulceration.
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.
SecondaryRebound Ratebetween weeks 24 and 96
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.
SecondaryNumber of Participants With Complete/Nearly Complete Response (96 Week)96 weekA complete/nearly complete response at week 96 was considered median-term efficacy.

Outcomes6

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYThe Primary Outcome Measure Was Any Response at 6 Months6 monthParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYHemangioma Activity Score (HAS)Baseline and at 1, 4, 12, and 24 weeksscore on a scaleMEAN
SECONDARYSuccessful Initial Response1 week after treatmentParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYComplete Ulceration Healing Timefrom the first dosage of propranolol or atenolol until complete healing ofthe hemangioma ulceration.weeksMEAN
SECONDARYRebound Ratebetween weeks 24 and 96Data only included patients who attempted to discontinue β-blockers according to the treatment plan between weeks 24 and 96ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants With Complete/Nearly Complete Response (96 Week)96 weekParticipantsCOUNT_OF_PARTICIPANTS

Results by group20

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
The Primary Outcome Measure Was Any Response at 6 MonthsPropranolol178Participants
The Primary Outcome Measure Was Any Response at 6 MonthsAtenolol173Participants
Hemangioma Activity Score (HAS)PropranololBaseline4.61Standard Deviation 0.82score on a scale
Hemangioma Activity Score (HAS)AtenololBaseline4.54Standard Deviation 0.76score on a scale
Hemangioma Activity Score (HAS)PropranololWeek 13.31Standard Deviation 0.72score on a scale
Hemangioma Activity Score (HAS)AtenololWeek 13.47Standard Deviation 0.75score on a scale
Hemangioma Activity Score (HAS)PropranololWeek 42.42Standard Deviation 0.60score on a scale
Hemangioma Activity Score (HAS)AtenololWeek 42.33Standard Deviation 0.65score on a scale
Hemangioma Activity Score (HAS)PropranololWeek 121.54Standard Deviation 0.79score on a scale
Hemangioma Activity Score (HAS)AtenololWeek 121.54Standard Deviation 0.72score on a scale

Participant flow6

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDPropranolol190
Overall StudySTARTEDAtenolol187
Overall StudyCOMPLETEDPropranolol184
Overall StudyCOMPLETEDAtenolol182
Overall StudyNOT COMPLETEDPropranolol6
Overall StudyNOT COMPLETEDAtenolol5

Adverse events34

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherDiarrheaGastrointestinal disordersPropranolol25190
otherDiarrheaGastrointestinal disordersAtenolol27187
otherSleep disturbanceNervous system disordersPropranolol25190
otherSleep disturbanceNervous system disordersAtenolol9187
otherAgitationPsychiatric disordersPropranolol16190
otherAgitationPsychiatric disordersAtenolol5187
otherCool extremitiesBlood and lymphatic system disordersPropranolol14190
otherCool extremitiesBlood and lymphatic system disordersAtenolol6187
otherBradycardiaCardiac disordersPropranolol13190
otherBradycardiaCardiac disordersAtenolol9187

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityPropranolol0190
Total, all-cause mortalityAtenolol0187
Total, other adverse eventsPropranolol128190
Total, other adverse eventsAtenolol80187
Total, serious adverse eventsPropranolol5190
Total, serious adverse eventsAtenolol3187

Papers7

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
21763565BACKGROUNDPubMed
24011909BACKGROUNDPubMed
24033364BACKGROUNDPubMed
24374526BACKGROUNDPubMed
24479731BACKGROUNDPubMed
25196392BACKGROUNDPubMed
33856430DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons6

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Propranolol vs Atenolol: Rebound RateTrial comparisons
Propranolol vs Atenolol: Successful Initial ResponseTrial comparisons
Propranolol vs Atenolol: The Primary Outcome Measure Was Any Response at 6 MonthsTrial comparisons
Propranolol vs Atenolol: deaths from any causeTrial comparisons
Propranolol vs Atenolol: Number of Participants With Complete/Nearly Complete Response (96 Week)Trial comparisons
Propranolol vs Atenolol: serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT02342275

GET https://conductscience.org/api/trials/v1/NCT02342275/events?page=2