MedPath

Carvedilol

Generic Name
Carvedilol
Brand Names
Coreg
Drug Type
Small Molecule
Chemical Formula
C24H26N2O4
CAS Number
72956-09-3
Unique Ingredient Identifier
0K47UL67F2
Background

Carvedilol is a racemic mixture where the S(-) enantiomer is both a beta and alpha-1 adrenoceptor blocker, and the R(+) enantiomer is an alpha-1 adrenoceptor blocker. It is currently used to treat heart failure, left ventricular dysfunction, and hypertension. The dual action of carvedilol is advantageous in combination therapies as moderate doses of 2 drugs have a decreased incidence of adverse effects compared to high dose monotherapy in the treatment of moderate hypertension.

Carvedilol was granted FDA approval on 14 September 1995.

Indication

Carvedilol is indicated to treat mild to severe heart failure, left ventricular dysfunction after myocardial infarction with ventricular ejection fraction ≤40%, or hypertension.

Associated Conditions
Atrial Fibrillation, Chronic Stable Angina Pectoris, Hypertension, LVEF ≤40% Left ventricular dysfunction, NYHA Class I or II heart failure, Chronic heart failure with reduced ejection fraction (NYHA Class III), Chronic heart failure with reduced ejection fraction (NYHA Class IV)

Comparative Effectiveness of Carvedilol Versus Metoprolol Succinate in Heart Failure Patients With an Implantable Cardioverter Defibrillator

Phase 4
Not yet recruiting
Conditions
Heart Failure With Reduced Ejection Fraction (HFrEF)
Sudden Cardiac Death
Ventricular Arrhythmia
Implantable Cardioverter Defibrillator (ICD)
Beta-blocker Therapy
Cardiomyopathy
Interventions
First Posted Date
2025-05-09
Last Posted Date
2025-05-09
Lead Sponsor
University of Rochester
Target Recruit Count
2000
Registration Number
NCT06964464

Evaluating the Impact of Adjuvant Use of Beta Blockers on Clinical Outcomes in Patients With Traumatic Brain Injury

Phase 1
Recruiting
Conditions
TBI Traumatic Brain Injury
Interventions
First Posted Date
2025-03-25
Last Posted Date
2025-04-02
Lead Sponsor
Mansoura University
Target Recruit Count
100
Registration Number
NCT06836856
Locations
🇪🇬

Zagazig University Hospitals, Zagazig,, Zagazig, Egypt

🇪🇬

Zagazig University Hospitals, Zagazig, Egypt

CARPEUS : Effect of Carvedilol on the Portosystemic Gradient As Measured by Endoscopic Ultrasound

Not Applicable
Not yet recruiting
Conditions
Cirrhosis
Portal Hypertension Related to Cirrhosis
Interventions
First Posted Date
2025-03-06
Last Posted Date
2025-03-06
Lead Sponsor
University Hospital, Clermont-Ferrand
Target Recruit Count
30
Registration Number
NCT06861075
Locations
🇫🇷

Lise Laclautre, Clermont-Ferrand, France

HER2HEART-US: Prevention of Cardiotoxicity in Breast Cancer Patients Receiving HER2-directed Therapy

Phase 2
Recruiting
Conditions
HER2-positive Breast Cancer
HER2+ Breast Cancer
Interventions
First Posted Date
2025-02-25
Last Posted Date
2025-04-22
Lead Sponsor
Washington University School of Medicine
Target Recruit Count
40
Registration Number
NCT06844669
Locations
🇺🇸

Washington University School of Medicine, Saint Louis, Missouri, United States

Carvedilol and Alverine in Portal Hypertension

Phase 2
Not yet recruiting
Conditions
Hypertension, Portal
Interventions
First Posted Date
2024-11-20
Last Posted Date
2024-11-20
Lead Sponsor
Shanghai Changzheng Hospital
Target Recruit Count
30
Registration Number
NCT06696248

Exercise as an Immune Adjuvant for Allogeneic Cell Therapies

Early Phase 1
Recruiting
Conditions
Leukemia
Hematopoetic Stem Cell Transplantation
Donor Lymphocyte Infusion
CAR T-Cell Therapy
Lymphoma
Cell Therapy
Interventions
First Posted Date
2024-10-16
Last Posted Date
2024-10-16
Lead Sponsor
University of Arizona
Target Recruit Count
100
Registration Number
NCT06643221
Locations
🇺🇸

The University of Arizona, Tucson, Arizona, United States

Endoscopic Variceal Ligation vs Carvedilol for the Prevention of First Esophageal Variceal Bleeding in Patients With HCC

Phase 4
Recruiting
Conditions
Hepatocellular Carcinoma (HCC)
Esophageal Varices
Interventions
Procedure: Endoscopic variceal ligation
First Posted Date
2024-09-19
Last Posted Date
2025-02-13
Lead Sponsor
Taipei Veterans General Hospital, Taiwan
Target Recruit Count
120
Registration Number
NCT06594744
Locations
🇨🇳

Taipei Veterans General Hospital, Taipei, Taiwan

Carvedilol Plus EVL or Not for the Primary Prevention of Esophageal Variceal Bleeding in Carvedilol Non-responders

Phase 4
Recruiting
Conditions
Cirrhosis
Esophageal Varices
Interventions
Other: Carvedilol plus endoscopic variceal ligation
First Posted Date
2024-09-19
Last Posted Date
2025-02-11
Lead Sponsor
Taipei Veterans General Hospital, Taiwan
Target Recruit Count
80
Registration Number
NCT06594783
Locations
🇨🇳

Taipei Veterans General Hospital, Taipei, Taiwan

KF2022#4-trial: Effects of a Beta Blocker and NSAID on CYP Mediated Drug Metabolism

First Posted Date
2024-08-22
Last Posted Date
2024-08-22
Lead Sponsor
Helsinki University Central Hospital
Target Recruit Count
12
Registration Number
NCT06566794
Locations
🇫🇮

Department of Clinical Pharmacology, Helsinki, Finland

The Efficacy and Safety of Alverine in the Treatment of Portal Hypertension in Patients With Liver Cirrhosis

Phase 2
Not yet recruiting
Conditions
Hypertension, Portal
Interventions
First Posted Date
2024-06-24
Last Posted Date
2024-06-24
Lead Sponsor
Shanghai Changzheng Hospital
Target Recruit Count
178
Registration Number
NCT06470386
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