Title
Carvedilol for Pre-primary Prophylaxis of Esophageal Varices in Cirrhosis
A Prospective, Double-blind, Randomized Placebo-controlled Trial of Carvedilol for Pre-primary Prophylaxis of Esophageal Varices in Cirrhosis
Phase
N/ALead Sponsor
Institute of Liver and Biliary Sciences, IndiaStudy Type
InterventionalStatus
Unknown statusIndication/Condition
CirrhosisIntervention/Treatment
carvedilol ...Study Participants
132Patients of cirrhosis aged 18 to 75 years who have no esophageal varices will be enrolled. After baseline evaluation, the participants will be randomized to receive either Placebo or Carvedilol 12.5 mg BD. After randomization they will be followed up for one year.
Carvedilol will be administered orally at a start dose of 3.125 mg twice daily. After 1 week, this will increased if systolic blood pressure does not fall below 90 mm Hg. The patient will receive the maximum tolerated dose of carvedilol with a maximum of 6.25 BD.
The placebo tablets will be identical to the carvedilol tablets. First the patients will receive placebo in the dose of 1 BD. Then depending on his tolerance it will be increased to a maximum of 2 BD.
Inclusion Criteria: Patients of cirrhosis aged 18 to 75 years who have no esophageal or gastric varices. Exclusion Criteria: Any contra-indication to beta-blockers Any past EVL or sclerotherapy Any past history of surgery for portal hypertension Significant cardio or pulmonary co-morbidity Any malignancy Refusal to participate in the study