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Fludrocortisone

Generic Name
Fludrocortisone
Brand Names
Florinef
Drug Type
Small Molecule
Chemical Formula
C21H29FO5
CAS Number
127-31-1
Unique Ingredient Identifier
U0476M545B
Background

Fludrocortisone is a synthetic mineralocorticoid used in conjunction with hydrocortisone to replace missing endogenous corticosteroids in patients with adrenal insufficiency. It is functionally similar to aldosterone, the body's primary endogenous mineralocorticoid, and is structurally analogous to cortisol, differing only by a fluorine atom at the 9-position of the steroid structure - this fluorination is thought to be crucial to fludrocortisone's significant mineralocorticoid potency.

Indication

Fludrocortisone is indicated as partial replacement therapy for primary or secondary adrenocortical insufficiency in Addison's disease. It is also indicated for the treatment of salt-losing androgenital syndrome.

Associated Conditions
Otitis Externa, Otitis Media (OM), Primary adrenocortical insufficiency, Secondary adrenocortical insufficiency, Salt-losing Androgenital syndrome

Androgen Reduction in Congenital Adrenal Hyperplasia

Phase 2
Withdrawn
Conditions
Congenital Adrenal Hyperplasia
Interventions
First Posted Date
2018-06-07
Last Posted Date
2023-02-01
Lead Sponsor
University of Texas Southwestern Medical Center
Registration Number
NCT03548246
Locations
🇺🇸

Children's Medical Center, Dallas, Texas, United States

🇺🇸

Children's Hospital of Los Angeles, Los Angeles, California, United States

🇺🇸

National Institutes of Health, Bethesda, Maryland, United States

and more 1 locations

Mineralocorticoid Receptor, NMDA Receptor and Cognitive Function in Depression

Not Applicable
Completed
Conditions
Major Depression
Interventions
First Posted Date
2017-02-23
Last Posted Date
2020-06-23
Lead Sponsor
Charite University, Berlin, Germany
Target Recruit Count
232
Registration Number
NCT03062150
Locations
🇩🇪

Charité Universitätsmedizin Berlin, Berlin, Germany

Impact of the Administration of Fludrocortisone in Very Premature Infants

Phase 2
Completed
Conditions
Partial Mineralocorticoid Deficiency
Interventions
Drug: Placebo Oral Tablet
First Posted Date
2016-12-22
Last Posted Date
2021-02-16
Lead Sponsor
Assistance Publique - Hôpitaux de Paris
Target Recruit Count
66
Registration Number
NCT03001089
Locations
🇫🇷

Hôpital Robert Debré, Paris, France

The Role of Minerelocorticoid Receptor on Modulating Aldosterone Production

Phase 1
Completed
Conditions
Healthy Volunteers
Interventions
First Posted Date
2016-08-18
Last Posted Date
2021-06-08
Lead Sponsor
Brigham and Women's Hospital
Target Recruit Count
23
Registration Number
NCT02871648
Locations
🇺🇸

Brigham and Women's Hospital, Boston, Massachusetts, United States

Fludrocortisone in Healthy Volunteers (AFLUCO4)

Phase 2
Completed
Conditions
Healthy Volunteers
Interventions
First Posted Date
2014-05-16
Last Posted Date
2018-08-29
Lead Sponsor
Rennes University Hospital
Target Recruit Count
16
Registration Number
NCT02140918
Locations
🇫🇷

Rennes University Hospital, Rennes, France

Effects of Fludrocortisone on Norepinephrine-mean Arterial Pressure Dose-response in Septic Shock

Phase 3
Withdrawn
Conditions
Septic Shock
Interventions
First Posted Date
2014-02-24
Last Posted Date
2014-02-24
Lead Sponsor
Rennes University Hospital
Registration Number
NCT02069288
Locations
🇫🇷

Service de Réanimation Chirurgicale - Hôpital de Pontchaillou, Rennes, France

Orthostatic Dysregulation and Associated Gastrointestinal Dysfunction in Parkinson's Disease -Treatment

Phase 2
Completed
Conditions
Autonomic Disturbances in Parkinson's Disease
Interventions
First Posted Date
2013-11-25
Last Posted Date
2021-01-25
Lead Sponsor
Christian Baumann
Target Recruit Count
18
Registration Number
NCT01993680
Locations
🇨🇭

University Hospital Zurich, Division of Neurology, Zurich, ZH, Switzerland

Fludrocortisone and Information Processing in Healthy Volunteers

Phase 1
Completed
Conditions
Depression
Interventions
First Posted Date
2012-07-25
Last Posted Date
2014-02-25
Lead Sponsor
Leiden University Medical Center
Target Recruit Count
40
Registration Number
NCT01648998
Locations
🇳🇱

Leiden University - Institute of Psychology, Leiden, Zuid-Holland, Netherlands

Fludrocortisone's Test in Salt Sensitivity

Phase 4
Conditions
Hypertension
Interventions
Other: Diet cycles
First Posted Date
2011-10-18
Last Posted Date
2011-10-21
Lead Sponsor
Fundação de Amparo à Pesquisa do Estado de São Paulo
Target Recruit Count
40
Registration Number
NCT01453959
Locations
🇧🇷

General Hospital of School of Medicine - Universiy of Sao Paulo, Sao Paulo, SP, Brazil

Fludrocortisone for Sudden Hearing Loss

Early Phase 1
Terminated
Conditions
Hearing Loss, Sensorineural
Interventions
First Posted Date
2010-08-23
Last Posted Date
2019-10-18
Lead Sponsor
Oregon Health and Science University
Target Recruit Count
5
Registration Number
NCT01186185
Locations
🇺🇸

Oregon Health & Science University, Portland, Oregon, United States

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