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)
Associated Therapies
-

Ramipril Versus Carvedilol in Duchenne and Becker Patients

Phase 4
Conditions
Duchenne Muscular Dystrophy
Becker Muscular Dystrophy
Interventions
First Posted Date
2009-01-09
Last Posted Date
2016-01-28
Lead Sponsor
Catholic University, Italy
Target Recruit Count
194
Registration Number
NCT00819845
Locations
🇮🇹

Unione Italiana lotta Distrofia Muscolare, Rome, Italy

Coreg CR, Blood Vessel Stiffness and Blood Vessel Function

Phase 4
Conditions
Endothelial Function
Diabetes Mellitus
Hypertension
Interventions
First Posted Date
2008-08-12
Last Posted Date
2011-02-10
Lead Sponsor
State University of New York - Downstate Medical Center
Target Recruit Count
40
Registration Number
NCT00732511
Locations
🇺🇸

SUNY Downstate Medical Center, Brooklyn, New York, United States

The Effect of Nebivolol in Hypertensive Patients With Coronary Artery Disease

Phase 4
Completed
Conditions
Hypertension
Coronary Artery Disease
Interventions
First Posted Date
2008-05-07
Last Posted Date
2010-09-28
Lead Sponsor
Forest Laboratories
Target Recruit Count
39
Registration Number
NCT00673075
Locations
🇺🇸

Forest Investigative Site, Carrollton, Texas, United States

🇺🇸

Forest Investigator Site, Florence, South Carolina, United States

Comparison of Blood Pressure Medications on Metabolism

Phase 4
Completed
Conditions
Diabetes
Interventions
First Posted Date
2008-03-25
Last Posted Date
2023-12-26
Lead Sponsor
University of New Mexico
Target Recruit Count
22
Registration Number
NCT00642434
Locations
🇺🇸

UNMHSC, Albuquerque, New Mexico, United States

The Preventive Efficacy of Carvedilol on Cardiac Dysfunction in Duchenne Muscular Dystrophy

Phase 4
Conditions
Duchenne Muscular Dystrophy
Cardiomyopathies
Interventions
First Posted Date
2008-02-05
Last Posted Date
2008-02-05
Lead Sponsor
Suzuka Hospital
Target Recruit Count
60
Registration Number
NCT00606775
Locations
🇯🇵

Suzuka Hospial, Suzuka, Mie, Japan

Nebivolol Versus Bisoprolol Versus Carvedilol in Heart Failure

Phase 4
Completed
Conditions
Chronic Heart Failure
Interventions
First Posted Date
2007-08-17
Last Posted Date
2010-09-16
Lead Sponsor
Centro Cardiologico Monzino
Target Recruit Count
60
Registration Number
NCT00517725
Locations
🇮🇹

Centro Cardiologico Monzino, University of Milan, Milan, Italy

Danish Carvedilol Study in Portal Hypertension

Phase 3
Completed
Conditions
Cirrhosis
Portal Hypertension
Interventions
First Posted Date
2007-06-28
Last Posted Date
2009-08-10
Lead Sponsor
Hvidovre University Hospital
Target Recruit Count
40
Registration Number
NCT00493480
Locations
🇩🇰

Hvidovre Hospital, Hvidovre, Denmark

A Study of Controlled-Release Carvedilol Compared to Immediate-Release Carvedilol in Patients With Primary Hypertension

Phase 2
Terminated
Conditions
Hypertension
Interventions
First Posted Date
2007-03-08
Last Posted Date
2016-08-29
Lead Sponsor
Egalet Ltd
Target Recruit Count
14
Registration Number
NCT00444834
Locations
🇩🇰

Site 02, Esbjerg, Denmark

🇩🇰

Site 01, Frederiksberg, Denmark

"The Evaluation of Stimulant Withdrawal"

Phase 2
Withdrawn
Conditions
Anxiety
Substance Addiction
Relapse
Interventions
First Posted Date
2007-03-05
Last Posted Date
2019-01-31
Lead Sponsor
Aaron J. Janowsky
Registration Number
NCT00442923
Locations
🇺🇸

US Veterans Hospital, Portland, Oregon, United States

Evaluation of Heart Failure Treatment Guided by N-terminal Pro B-type Natriuretic Peptide (NTproBNP) vs Clinical Symptoms and Signs Alone

Phase 4
Completed
Conditions
Heart Failure
Ventricular Dysfunction, Left
Interventions
Drug: Captopril
Drug: Enalapril
Drug: Lisinopril
Drug: Ramipril
Drug: Trandolapril
Drug: Bisoprolol
Drug: Carvedilol
Drug: Metoprolol succinate
Drug: Candesartan
Drug: Valsartan
Drug: Eplerenone
Drug: Spironolactone
Drug: Diuretics
Drug: HF treatment according to Swedish guidelines
Procedure: Blood samples
Procedure: The Kansas City Cardiomyopathy Questionnaire (KCCQ)
First Posted Date
2006-10-25
Last Posted Date
2012-06-25
Lead Sponsor
AstraZeneca
Target Recruit Count
252
Registration Number
NCT00391846
Locations
🇸🇪

Research Site, Vaxjo, Sweden

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