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