Table 2

Comparison of the BLOCK COPD and PACE in COPD trial eligibility criteria

BLOCK COPD trial (18)PACE in COPD trial
Inclusion
40–85 years old40–85 years old
FEV1<80% predicted postbronchodilatorFEV1 ≥30% and ≤70% predicted postbronchodilator
FEV1/FVC ratio <0.7 postbronchodilatorFEV1/FVC ratio <0.7 postbronchodilator
Antibiotic/systemic glucocorticoids OR Emergency Department (ED)/hospitalisation OR prescription/or use of supplemental oxygen in previous 12 monthsHave had a COPD exacerbation in the previous 24 months requiring oral corticosteroids, antibiotics or both
HR 65–120 bpmHR ≥60 bpm
SBP >100 mm HgSBP ≥100 mm Hg
Baseline FEV1 must not fall ≥12% and ≥200 mL at 2 hours after a test dose of 1.25 mg bisoprolol, and participant must have SBP ≥100 mm Hg at 1-hour and 2-hour post-test dose.
Exclusion
Proven indication for use of a β-blocker, including history of myocardial infarction or revascularisation within 36 months or heart failure with a left ventricular ejection fraction <40%Unstable left heart failure, clinically significant pulmonary hypertension, severe end-stage peripheral vascular disease, second or third-degree heart block
Currently using or have been prescribed long-term oxygen therapy, or resting saturated oxygen level <90% when stable
  • BLOCK COPD, Beta-Blockers for the Prevention of Acute Exacerbations of COPD; COPD, chronic obstructive pulmonary disease; FEV1, forced expiratory volume in 1 s; FVC, forced vital capacity; PACE, preventing adverse cardiac events; SBP, systolic blood pressure.