Effects of beta-blockers on stress-related inflammation and brain responses

Beta-Blocker Influences on Inflammatory and Neural Responses to Stress

Phase 4 Interventional University of North Carolina, Chapel Hill · NCT06263452

This study tests if the heart medication propranolol can help reduce stress-related inflammation and improve brain responses in people dealing with psychological stress.

Quick facts

PhasePhase 4
Study typeInterventional
Enrollment120 (estimated)
Ages18 Years to 30 Years
SexAll
SponsorUniversity of North Carolina, Chapel Hill Academic / other
Locations1 site (Chapel Hill, North Carolina)
Trial IDNCT06263452 on ClinicalTrials.gov

What this trial studies

This clinical trial investigates how the beta-adrenergic receptor blocker propranolol influences neural and inflammatory responses to psychological stress. By examining the role of beta-adrenergic signaling, the study aims to uncover the mechanisms that link stress to cardiovascular disease through inflammation. Participants will undergo neuroimaging to assess changes in brain activity and inflammation levels when administered propranolol compared to a placebo. This approach combines pharmacological manipulation with advanced imaging techniques to provide causal evidence of the effects of stress on cardiovascular health.

Who should consider this trial

Good fit: Ideal candidates for this study are healthy right-handed individuals aged 18-30 with a body mass index of 35 kg/m² or less who are fluent in English.

Not a fit: Patients with a history of cardiovascular disease, mental illness, or those currently taking prescription medications are unlikely to benefit from this study.

Why it matters

Potential benefit: If successful, this study could lead to new interventions that reduce inflammation and lower the risk of cardiovascular disease in individuals experiencing psychological stress.

How similar studies have performed: While the specific approach of this study is novel, previous research has indicated that beta-blockers can influence stress responses and inflammation, suggesting potential for success.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Ages 18-30 years
* Right-handed
* Fluent in English reading, writing, and speaking at least at a 10th grade level
* Body mass index (BMI) less than or equal to 35 kg/m\^2

Exclusion Criteria:

Assessed as screening, reassessed at Session I:

* Non-removeable metal devices/implants/objects in the body
* Severe claustrophobia (assessed by self-report)
* Currently pregnant
* Left-handed
* Body mass index (BMI) greater than 35 kg/m\^2
* History of fainting spells or any heart condition
* History of or present low resting heart rate (\< 60 BPM) and/or low blood pressure (systolic blood pressure \< 80mmHg)
* Self-reported physical illnesses: diabetes, cardiovascular diseases, high blood pressure, inflammatory bowel diseases, rheumatoid arthritis, asthma, autoimmune disease, Crohn's disease, ulcerative colitis, lupus
* Any self-reported diagnosed mental illness
* Current use of prescription medications (except hormonal contraceptives)
* Current or recent regular nicotine/tobacco use (cigarettes, e-cigarettes, vape, chewing tobacco, nicotine gum)
* Current regular (daily or almost daily) recreational drug use = 4 or more times per week

Instructed against during Session I, reassessed at Session II:

* Received any vaccine within the past two weeks
* Severe sleep disturbance (3-4 hours of sleep loss) the night before Session II
* Vigorous physical activity on the day of Session II
* Acute illness or allergy symptoms on the day of Session II
* Usage of over-the-counter medications on the day of Session II
* Usage of recreational drugs within 48 hours of Session II
* Usage of alcohol on the day of Session II

Where this trial is running

Chapel Hill, North Carolina

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Cardiovascular DiseaseBeta-BlockadeInflammationNeuroimaging
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.