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Comparative Effectiveness of Carvedilol Versus Metoprolol Succinate in Heart Failure Patients With an Implantable Cardioverter Defibrillator

NCT06964464

This study is recruiting at 13 US sites in 11 states, according to its ClinicalTrials.gov record last updated .

Summary

This prospective, multicenter, open-label, randomized comparative effectiveness trial, titled CARVTOP-ICD, evaluates the impact of carvedilol versus metoprolol succinate in patients with heart failure with reduced ejection fraction (HFrEF) and an implantable cardioverter defibrillator (ICD). The study will enroll 2,000 participants across 100 U.S. sites and includes an 18-month feasibility phase with 100 participants from 15 sites. Eligible participants must be currently treated with metoprolol succinate and willing to switch to carvedilol, with randomization in a 1:1 ratio.

Shortened from the sponsor's brief summary. View official record on ClinicalTrials.gov

Conditions studied

  • Heart Failure With Reduced Ejection Fraction (HFrEF)
  • Sudden Cardiac Death
  • Ventricular Arrhythmia
  • Implantable Cardioverter Defibrillator (ICD)
  • Beta-blocker Therapy
  • Cardiomyopathy

Eligibility basics and study details

Study type
Interventional
Phase
Phase 4
Ages
18 years and older
Sex
All
Healthy volunteers
Not accepted
Sponsor
University of Rochester
Last updated on ClinicalTrials.gov
September 18, 2025

These are the basic criteria only. The full inclusion and exclusion criteria are on the official record, and the study team decides who can take part.

US recruiting sites

Arizona · 1

  • HonorHealth · Scottsdale, AZ

Georgia · 1

  • AdventHealth Redmond · Rome, GA

Kansas · 1

  • AdventHealth Shawnee Mission · Shawnee Mission, KS

Michigan · 1

  • Henry Ford Health System · Detroit, MI

Missouri · 1

  • University of Mossouri · Columbia, MO

Nebraska · 1

  • Creighton University Medical Center · Omaha, NE

New York · 3

  • New York-Presbyterian Brooklyn Methodist Hospital · Brooklyn, NY
  • Suny Downstate · Brooklyn, NY
  • University of Rochester Medical Center · Rochester, NY

Texas · 1

  • CHRISTUS Trinity Mother Frances Health System · Tyler, TX

Utah · 1

  • Health University of Utah · Salt Lake City, UT

Virginia · 1

  • Virginia Commonwealth University · Richmond, VA

Wisconsin · 1

  • University of Wisconsin Hospital and Clinics · Madison, WI

Source: ClinicalTrials.gov, data processed . Recruiting US sites filtered by distance and site status; summaries shortened.