Features of the trialsU.S. Carvedilol Heart Failure Program
Number of patients1,094
Mean age58 years
GenderMen: 77 percent
Women: 23 percent
RaceNot reported
Ejection fractionLess than 35 percent
New York Heart Association classificationClass II: 53 percent
Class III: 44 percent
Class IV: 3 percent
Etiology of heart failureIdiopathic and ischemic
Starting dosage3.125 or 6.25 mg twice daily
Target dosage25 to 50 mg twice daily
Average duration of studySix and one-half months
Primary end points*Exercise tolerance
Quality of life
Progression of disease
ResultsNo improvement in exercise tolerance
No improvement in quality of life
48 percent reduction in progression of disease (P = 0.008)
Mortality rate: placebo, 7.8 percent; carvedilol, 3.2 percent
CommentsThe trials were stopped early because of outcome.
Benefit was across all subgroups.