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)

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: 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

A Comparison of the Effect of Carvedilol and Metoprolol on Airways Tone in Patients With Heart Failure

Phase 4
Withdrawn
Conditions
Heart Failure
Chronic Obstructive Airway Disease
Interventions
First Posted Date
2006-10-06
Last Posted Date
2015-06-24
Lead Sponsor
The Alfred
Registration Number
NCT00384566
Locations
🇦🇺

Alfred Hospital, Melbourne, Victoria, Australia

Effects of Carvedilol on Health Outcomes in Heart Failure

Phase 4
Completed
Conditions
Heart Failure, Congestive
First Posted Date
2006-09-27
Last Posted Date
2006-09-27
Lead Sponsor
Denver Health and Hospital Authority
Target Recruit Count
100
Registration Number
NCT00381030
Locations
🇺🇸

Denver Health Medical Center, Denver, Colorado, United States

Therapy With Verapamil or Carvedilol in Chronic Heart Failure

Phase 4
Conditions
Dilated Cardiomyopathy
First Posted Date
2006-09-11
Last Posted Date
2006-09-11
Lead Sponsor
Medical University of Silesia
Target Recruit Count
100
Registration Number
NCT00374465
Locations
🇵🇱

Silesian Centre for Heart Disease, 3rd Department of Cardiology, Zabrze, Szpitalna 2 st., Poland

The COREG And Lisinopril Combination Therapy In Hypertensive Subjects (COSMOS) Trial

Phase 3
Completed
Conditions
Hypertension
Interventions
First Posted Date
2006-07-04
Last Posted Date
2016-12-26
Lead Sponsor
GlaxoSmithKline
Target Recruit Count
654
Registration Number
NCT00347360
Locations
🇺🇸

GSK Investigational Site, Milwaukee, Wisconsin, United States

Organized Program To Initiate Lifesaving Treatment In Hospitalized Patients With Heart Failure (OPTIMIZE-HF)

Phase 4
Completed
Conditions
Heart Failure, Congestive
First Posted Date
2006-06-26
Last Posted Date
2020-11-24
Lead Sponsor
GlaxoSmithKline
Target Recruit Count
50000
Registration Number
NCT00344513

A Study to Compare the Effects of Coreg CR and Coreg IR on Heart Function in Subjects With Stable Chronic Heart Failure

Phase 3
Completed
Conditions
Congestive Heart Failure
Interventions
First Posted Date
2006-05-09
Last Posted Date
2023-03-28
Lead Sponsor
CTI-1, LLC
Target Recruit Count
318
Registration Number
NCT00323037
Locations
🇺🇸

Hennepin County Medical Center, Minneapolis, Minnesota, United States

🇺🇸

The Lindner Clinical Trial Center, Cincinnati, Ohio, United States

🇺🇸

University Hospital, Cincinnati, Ohio, United States

and more 72 locations

RATe Control in Atrial Fibrillation

Phase 3
Completed
Conditions
Atrial Fibrillation
Interventions
First Posted Date
2006-04-12
Last Posted Date
2014-05-13
Lead Sponsor
Asker & Baerum Hospital
Target Recruit Count
80
Registration Number
NCT00313157
Locations
🇳🇴

Vestre Viken Hospital Trust, Baerum Hospital, Rud, Akershus, Norway

COREG MR Versus TOPROL-XL On The Lipid Profile Of Normolipidemic Or Mildly Dyslipidemic Patients With Hypertension

First Posted Date
2006-01-09
Last Posted Date
2018-06-25
Lead Sponsor
GlaxoSmithKline
Target Recruit Count
514
Registration Number
NCT00273052
Locations
🇵🇷

GSK Investigational Site, Rio Piedras, Puerto Rico

Drug Compliance and Quality of Life in Patients With Heart Failure Dosed With Either Once-daily or Twice-daily Coreg

Phase 3
Completed
Conditions
Chronic Heart Failure
First Posted Date
2006-01-09
Last Posted Date
2013-02-18
Lead Sponsor
Cardiovascular Clinical Studies
Target Recruit Count
400
Registration Number
NCT00272805
Locations
🇺🇸

Idaho Cardiology Associates, Boise, Idaho, United States

🇺🇸

St. Francis Hospital and Medical Center, Hartford, Connecticut, United States

🇺🇸

Charlotte Heart Group Research Center, Port Charlotte, Florida, United States

and more 48 locations
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