Evidence map›Paper›PMID 41028410›Full record

Trial reportInflammopharmacology2025

Clinical study evaluating the gastroprotective effect of carvedilol in patients with ischemic heart disease on aspirin therapy.

Sarah M Elkablawy, Aliaa E Shaban, Tarek M Mostafa

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Inflammopharmacology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05553717 (Clinical Study Evaluating the Gastroprotective Effect of Carvedilol in Patients With Ischemic Heart Disease on Aspirin Therapy), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05553717 naunknown statusnot on this map

Clinical Study Evaluating the Gastroprotective Effect of Carvedilol in Patients With Ischemic Heart Disease on Aspirin Therapy

TypeinterventionalSponsorTanta UniversityRan2022 to 2023Enrolled66ConditionsIHD, Gastro-Intestinal Disorder, Aspirin Induced Esophageal UlcerArmsCarvedilol
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. The Effects ofJournal of clinical medicine · 2026
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Sarah M ElkablawyClinical Pharmacy Department, Faculty of Pharmacy, Tanta University, Tanta, 31527, Egypt. skablawy@yahoo.com.ORCID http://orcid.org/0000-0001-9101-6195
Aliaa E ShabanCardiovascular Department, Faculty of Medicine, Tanta University, Tanta, Egypt.ORCID http://orcid.org/0000-0002-2163-7006
Tarek M MostafaClinical Pharmacy Department, Faculty of Pharmacy, Tanta University, Tanta, 31527, Egypt.ORCID http://orcid.org/0000-0003-1071-5416

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeDespite its therapeutic benefits in ischemic heart disease (IHD) patients, using aspirin represents a significant risk of gastric ulcers. Therefore, this study aimed to inspect the gastroprotective potential of carvedilol in IHD patients undergoing aspirin treatment. PATIENTS AND

methodsIn this randomized, controlled parallel trial, 66 patients with IHD on aspirin therapy were assigned to group 1 (control, n = 33), received aspirin 150 mg plus captopril 12.5 mg twice daily and standard IHD medications, and group 2 (carvedilol group, n = 33), received aspirin 150 mg plus carvedilol 12.5 mg twice daily and standard IHD medications for three months. All patients were subjected to assessments for demographic data, anthropometric measurements, and biochemical measurements of the serum levels of malondialdehyde (MDA), 4-hydroxynonenal (4-HNE), prostaglandin E2 (PGE2), and gastrin-17 (GAS-17). The researchers also evaluated the Structured Assessment of Gastrointestinal Symptoms (SAGIS) questionnaire and the Seattle Angina Questionnaire (SAQ-7) to assess changes in the quality of life (QOL).

resultsThree months post-treatment and relative to the control group, the carvedilol group exhibited significantly reduced serum levels of MDA (P2 = 0.003), 4-HNE (P2 < 0.001), and GAS-17 (P2 = 0.015), which was associated with significantly higher serum levels of PGE2 (P2 < 0.001). Additionally, the carvedilol group showed a significantly higher SAQ-7 score (P2 = 0.033) and a significantly lower SAGIS questionnaire score (P2 = 0.04) than the control group.

conclusionCarvedilol could represent a potential gastroprotective agent for patients with IHD on aspirin therapy secondary to its efficacy and safety. CLINICALTRIAL: gov ID: NCT05553717.

Indexed as

AspirinCarvedilolMyocardial IschemiaStomach UlcerAgedCaptoprilFemaleHumansMaleMalondialdehydeMiddle AgedQuality of LifeAspirinCaptoprilCarvedilolMalondialdehyde4-HNECarvedilolGAS-17GastroprotectivePGE2SAG-7

Identifiers

PMID41028410
PMCPMC12618279

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.