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
-

Study on B-blockers to Prevent Decompensation of Cirrhosis With HTPortal

Phase 4
Completed
Conditions
Esophageal Varices
Portal Hypertension Gastropathy
Spontaneous Bacterial Peritonitis
Hepatic Encephalopathy
Ascites
Interventions
First Posted Date
2010-01-29
Last Posted Date
2017-08-22
Lead Sponsor
Fundació Institut de Recerca de l'Hospital de la Santa Creu i Sant Pau
Target Recruit Count
201
Registration Number
NCT01059396
Locations
🇪🇸

Hospital Arnau de Vilanova, Lérida, Spain

🇪🇸

Hospital Clinic i Provincial de Barcelona, Barcelona, Spain

🇪🇸

Hospital German Trias i Pujol, Badalona, Spain

and more 5 locations

Pilot Study of the Safety and Efficacy of Carvedilol in Pulmonary Arterial Hypertension

Phase 1
Completed
Conditions
Pulmonary Arterial Hypertension
Interventions
First Posted Date
2009-08-25
Last Posted Date
2017-06-08
Lead Sponsor
Virginia Commonwealth University
Target Recruit Count
10
Registration Number
NCT00964678
Locations
🇺🇸

Virginia Commonwealth University, Richmond, Virginia, United States

Effects of Nebivolol Versus Carvedilol on Cardiopulmonary Function at High Altitude in Healthy Subjects.

Phase 4
Completed
Conditions
Hypoxia
Altitude
Heart Failure
Interventions
First Posted Date
2009-06-19
Last Posted Date
2009-09-02
Lead Sponsor
Istituto Auxologico Italiano
Target Recruit Count
27
Registration Number
NCT00924833
Locations
🇮🇹

Laboratorio Ricerche Cardiologiche. Istituto Auxologico Italiano. Ospedale S. Luca. Via Spagnoletto, 3. Regina Margherita Hut (Monte Rosa, Italian Alps, 4559 m), Milan, Italy

Mechanisms and Treatment of Intradialytic Hypertension

Phase 4
Completed
Conditions
Intradialytic Hypertension
Interventions
First Posted Date
2009-01-23
Last Posted Date
2020-11-03
Lead Sponsor
University of Texas Southwestern Medical Center
Target Recruit Count
55
Registration Number
NCT00827775
Locations
🇺🇸

UTS Dallas Dialysis (Elmbrook), Dallas, Texas, United States

🇺🇸

UTSW Oakcliff Davita Dialysis, Dallas, Texas, United States

🇺🇸

UTSW Dallas East Davita Dialysis (Buckner unit), Dallas, Texas, United States

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

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