Eplerenone, an aldosterone receptor antagonist similar to spironolactone, has been shown to produce sustained increases in plasma renin and serum aldosterone, consistent with inhibition of the negative regulatory feedback of aldosterone on renin secretion. The resulting increased plasma renin activity and aldosterone circulating levels do not overcome the effects of eplerenone. Eplerenone selectively binds to recombinant human mineralocorticoid receptors relative to its binding to recombinant human glucocorticoid, progesterone and androgen receptors.
For improvement of survival of stable patients with left ventricular systolic dysfunction (ejection fraction <40%) and clinical evidence of congestive heart failure after an acute myocardial infarction.
Brigham and Women's Hospital, Boston, Massachusetts, United States
British Columbia Cancer Agency, Vancouver Centre, Vancouver, British Columbia, Canada
St. Michael's Hospital, Toronto, Ontario, Canada
St. Joseph's Healthcare, Hamilton, Ontario, Canada
Montreal Heart Institute, Montreal, Quebec, Canada
Mattel Children's Hospital and David Geffen School of Medicine at UCLA, Los Angeles, California, United States
Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, United States
The Ohio State University Medical Center, Columbus, Ohio, United States
For additional information regarding investigative sites for this trial, contact 1-877-CTLILLY (1-877-285-4559, 1-317-615-4559) Mon - Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician., Pretoria, South Africa
Brigham and Women's Hospital, Boston, Massachusetts, United States
Comprehensive Phase I, Fort Myers, Florida, United States
Clinical Research Atlanta, Stockbridge, Georgia, United States
Internal Medicine Physicians, Omaha, Nebraska, United States
Clinical Research Unit, Department of Nephrology and Hypertension, University of Erlangen-Nürnberg, Nürnberg, Germany
Clinical Research Unit, Department of Nephrology and Hypertension, University of Erlangen-Nurnberg, Erlangen, Germany
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