We discuss briefly the new drug carvedilol (Coreg(R)), a beta-blocker, alph
a-blocker, and antioxidant. This drug was developed for congestive heart fa
ilure in a series of trials, four in the United States and one in Australia
and New Zealand, briefly summarized in this document. We also summarize th
e classical paradigm of the U.S. Food and Drug Administration (FDA) for dru
g approval and the FDA's use of advisory committees. This document serves a
s background to the discussion of carvedilol's approval. (C) Elsevier Scien
ce Inc. 1999.