CARPEUS : Effect of Carvedilol on the Portosystemic Gradient as Measured by Endoscopic Ultrasound

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorUniversity Hospital, Clermont-Ferrand

About this trial

The purpose of this study is to assess the efficacy after one month of treatment with Carvedilol (12.5 mg daily) in primary prophylaxis of digestive haemorrhage due to portal hypertension in cirrhosis, by endoscopic ultrasound-guided portal pressure gradient measurement.

Eligibility criteria

Qualifiers

Patients ≥ 18 years

and/or the presence of a radiological sign of portal hypertension : Portosystemic shunts: rectal varices, splenorenal shunts, repermeabilization of the umbilical vein.

and/or splenic elasticity > 50 kPa.

Patients naive to treatment with cardioselective beta blockers

Disqualifiers

hypersensitivity to the active substance (carvedilol) or to any of the excipients listed in section 6.1 of the summary of product characteristics

patients with severe decompensated heart failure, with signs of fluid overload (oedema, ascites, pulmonary stasis rales), and/or requiring treatment with a positive inotrope or venous vasodilator

second and third-degree atrioventricular blocks (unless presence of a permanent pacemaker)

severe bradycardia (≤ 50 bpm)

Trial design

Treatments tested in this trial

  • Carvedilol

Treatment groups

30 Participants
are divided into 1 treatment group