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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)

Cytochrome P450 2D6 Genotype on the Clinical Effect of Carvedilol

Phase 1
Completed
Conditions
Healthy
Interventions
Other: Isoproterenol Sensitivity Test
First Posted Date
2014-11-10
Last Posted Date
2015-06-04
Lead Sponsor
Seoul National University Hospital
Target Recruit Count
24
Registration Number
NCT02286934
Locations
🇰🇷

Seoul National University Bundang Hospital, Seongnam, Gyounggi, Korea, Republic of

Rate Control in Atrial Fibrillation

Phase 4
Conditions
Atrial Fibrillation
Interventions
First Posted Date
2014-09-29
Last Posted Date
2016-06-16
Lead Sponsor
Creighton University
Target Recruit Count
20
Registration Number
NCT02251509
Locations
🇺🇸

Creighton University, Omaha, Nebraska, United States

Biomarker Guided Therapies in Stage A/B Heart Failure

Phase 2
Completed
Conditions
Diabetes
Cardiovascular Disease
Hypertension
Interventions
First Posted Date
2014-09-03
Last Posted Date
2022-10-21
Lead Sponsor
VA Office of Research and Development
Target Recruit Count
58
Registration Number
NCT02230891
Locations
🇺🇸

Michael E. DeBakey VA Medical Center, Houston, TX, Houston, Texas, United States

Carvedilol for the Prevention of Anthracycline/Anti-HER2 Therapy Associated Cardiotoxicity Among Women With HER2-Positive Breast Cancer Using Myocardial Strain Imaging for Early Risk Stratification

Phase 2
Completed
Conditions
Breast Cancer
Interventions
Other: placebo
First Posted Date
2014-06-27
Last Posted Date
2022-07-12
Lead Sponsor
Memorial Sloan Kettering Cancer Center
Target Recruit Count
82
Registration Number
NCT02177175
Locations
🇺🇸

Memorial Sloan Kettering West Harrison, Harrison, New York, United States

🇺🇸

Memorial Sloan Kettering Cancer Center, New York, New York, United States

The Cardiac Insufficiency BIsoprolol Study in Japanese Patients With Chronic Heart Failure (CIBIS-J)

Not Applicable
Conditions
Chronic Heart Failure
Interventions
First Posted Date
2014-05-14
Last Posted Date
2014-05-14
Lead Sponsor
Mebix Inc
Target Recruit Count
220
Registration Number
NCT02137733
Locations
🇯🇵

Chukyo Hospital, Nagoya, Aichi, Japan

🇯🇵

Takezawa Clinic, Nagoya, Aichi, Japan

🇯🇵

St. Marianna University School of Medicine, Kawasaki, Kanagawa, Japan

and more 107 locations

Carvedilol PAH A Pilot Study of Efficacy and Safety

Phase 1
Terminated
Conditions
Pulmonary Hypertension
Cardiac MRI <40
Interventions
First Posted Date
2014-04-22
Last Posted Date
2019-07-12
Lead Sponsor
University of Minnesota
Target Recruit Count
5
Registration Number
NCT02120339
Locations
🇺🇸

University of Minnesota, Minneapolis, Minnesota, United States

Carvedilol vs Band Ligation vs Combination Therapy for Primary Prophylaxis of Variceal Bleeding

Phase 3
Withdrawn
Conditions
Portal Hypertension Related to Cirrhosis
Interventions
Procedure: Variceal band ligation
First Posted Date
2014-02-19
Last Posted Date
2018-07-24
Lead Sponsor
Rutgers, The State University of New Jersey
Registration Number
NCT02066649
Locations
🇺🇸

Rutgers NJ Medical School, Newark, New Jersey, United States

Conditioned Pharmacotherapeutic Effects in Hypertension

Phase 4
Completed
Conditions
Hypertension
Interventions
First Posted Date
2014-02-06
Last Posted Date
2019-07-09
Lead Sponsor
University of Rochester
Target Recruit Count
44
Registration Number
NCT02056626
Locations
🇺🇸

University of Rochester, Rochester, New York, United States

A Phase Ⅲ Study of Extended-Release Carvedilol Sulfate for the Treatment of Heart Failure

First Posted Date
2013-12-16
Last Posted Date
2013-12-16
Lead Sponsor
Jiangsu HengRui Medicine Co., Ltd.
Target Recruit Count
316
Registration Number
NCT02012075
Locations
🇨🇳

Gansu Provincial Hospital, Lanzhou, Gansu, China

🇨🇳

Tongji Hospital, Wuhan, Hubei, China

🇨🇳

The Second Xiangya Hospital of Central South University, Changsha, Hunan, China

and more 9 locations

A Phase Ⅲ Study of Extended-Release Carvedilol Sulfate for the Treatment of Hypertension

First Posted Date
2013-10-25
Last Posted Date
2013-10-25
Lead Sponsor
Jiangsu HengRui Medicine Co., Ltd.
Target Recruit Count
302
Registration Number
NCT01970059
Locations
🇨🇳

Qilu Hospital of Shandong University, Jinan, Shandong, China

🇨🇳

Beijing Tongren hospital affiliated to Capital Medical University, Beijing, China

🇨🇳

Gansu Provincial Hospital, Lanzhou, Gansu, China

and more 8 locations
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