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
-

Danish Trial of Beta Blocker Treatment After Myocardial Infarction Without Reduced Ejection Fraction

Phase 4
Active, not recruiting
Conditions
Acute Myocardial Infarction
Non-ST Elevation Myocardial Infarction (nSTEMI)
ST Elevation Myocardial Infarction
Interventions
First Posted Date
2018-12-19
Last Posted Date
2024-12-11
Lead Sponsor
Bispebjerg Hospital
Target Recruit Count
2760
Registration Number
NCT03778554
Locations
🇩🇰

Bispebjerg Hospital, Dept. of Cardiology Y builing 67, 1.floor, Bispebjerg Bakke 23, Copenhagen, Denmark

Beta-blockers for Oesophageal Varices

Phase 4
Recruiting
Conditions
Cirrhoses, Liver
Oesophageal Varices
Interventions
First Posted Date
2018-12-17
Last Posted Date
2019-10-03
Lead Sponsor
King's College Hospital NHS Trust
Target Recruit Count
1200
Registration Number
NCT03776955
Locations
🇬🇧

Queen Elizabeth Hospital, Birmingham, United Kingdom

🇬🇧

Royal London Hospital (Barts), London, United Kingdom

🇬🇧

King's College Hosptial NHS Foundation Trust (Denmark Hill), London, United Kingdom

and more 1 locations

Adrenergic Blockers for Cardiac Changes in Early Parkinson's Disease (Protocol 53136)

Phase 2
Recruiting
Conditions
Symptomatic Parkinson Disease
Pre-motor Parkinson Disease
REM Sleep Behavior Disorder
Interventions
First Posted Date
2018-12-13
Last Posted Date
2024-01-12
Lead Sponsor
Michele Tagliati, MD
Target Recruit Count
15
Registration Number
NCT03775096
Locations
🇺🇸

Michele L Lima Gregorio, Los Angeles, California, United States

Carvedilol for Prevention of Esophageal Varices Progression

Not Applicable
Conditions
Cirrhosis, Liver
Portal Hypertension
Interventions
First Posted Date
2018-11-09
Last Posted Date
2022-12-01
Lead Sponsor
Beijing Friendship Hospital
Target Recruit Count
240
Registration Number
NCT03736265
Locations
🇨🇳

Beijing Ditan Hospital Capital Medical University, Beijing, Beijing, China

🇨🇳

The First Affiliated Hospital of Shanghai Jiao Tong University, Shanghai, Shanghai, China

🇨🇳

Beijing Friendship Hospital, Beijing, Beijing, China

and more 3 locations

Propranolol, Carvedilol and Rosuvastatin in the Prevention of Variceal Bleeding in Cirrhotic Portal Hypertension

Phase 2
Conditions
Cirrhosis
Portal Hypertension
Variceal Hemorrhage
Interventions
First Posted Date
2018-10-25
Last Posted Date
2019-05-14
Lead Sponsor
Universidade Federal do Rio de Janeiro
Target Recruit Count
80
Registration Number
NCT03720067
Locations
🇧🇷

Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil

Effects of Carvedilol on Suppressing the Premature Ventricular Complex/Ventricular Tachycardia From Outflow Tract

Phase 4
Conditions
Outflow Tract
Ventricular Premature Complexes
Carvedilol
Interventions
First Posted Date
2018-07-16
Last Posted Date
2018-07-18
Lead Sponsor
Keimyung University Dongsan Medical Center
Target Recruit Count
104
Registration Number
NCT03587558
Locations
🇰🇷

Division of Cardiology, Department of Internal Medicine, Kyungpook National University Hospital, Daegu, Korea, Republic of

🇰🇷

Seoul Asan Medical Center, Seoul, Korea, Republic of

🇰🇷

Severance Cardiovascular Hospital, Seoul, Korea, Republic of

and more 8 locations

Detecting and Treating Subclinical Anthracycline Therapy Related Cardiac Dysfunction in Low Income Country.

Phase 3
Conditions
Chemotherapy Related Cardiac Dysfunction
Interventions
First Posted Date
2018-05-31
Last Posted Date
2018-05-31
Lead Sponsor
Makerere University
Target Recruit Count
50
Registration Number
NCT03542058

S1501 Carvedilol in Preventing Cardiac Toxicity in Patients With Metastatic HER-2-Positive Breast Cancer

Phase 3
Recruiting
Conditions
Stage IV Breast Cancer AJCC v6 and v7
Recurrent Breast Carcinoma
HER2/Neu Positive
Metastatic Malignant Neoplasm in the Brain
Cardiotoxicity
Interventions
Other: Laboratory Biomarker Analysis
Drug: Carvedilol
Other: Patient Observation
First Posted Date
2018-02-01
Last Posted Date
2024-04-12
Lead Sponsor
SWOG Cancer Research Network
Target Recruit Count
817
Registration Number
NCT03418961
Locations
🇺🇸

USC / Norris Comprehensive Cancer Center, Los Angeles, California, United States

🇺🇸

John H Stroger Jr Hospital of Cook County, Chicago, Illinois, United States

🇺🇸

Cleveland Clinic Cancer Center/Fairview Hospital, Cleveland, Ohio, United States

and more 587 locations

Tolerability of Metoprolol-Succinate-ER and Carvedilol in COPD

Phase 4
Completed
Conditions
Pulmonary Disease, Chronic Obstructive
Adverse Effect of Beta-adrenoreceptor Antagonists
Asthma
Interventions
First Posted Date
2017-12-12
Last Posted Date
2017-12-12
Lead Sponsor
VA Greater Los Angeles Healthcare System
Target Recruit Count
21
Registration Number
NCT03370835
Locations
🇺🇸

VA West Los Angeles Medical Center, Los Angeles, California, United States

WFA+M2BP in Evaluation of Portal Hypertension and Clinical Outcome in Patients With Liver Cirrhosis

Conditions
Cirrhosis
Portal Hypertension
Interventions
First Posted Date
2017-06-22
Last Posted Date
2017-06-22
Lead Sponsor
Shanghai Changzheng Hospital
Target Recruit Count
80
Registration Number
NCT03195634
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