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.
The Cleveland Clinic, Cleveland, Ohio, United States
Pfizer Investigational Site, Caracas, Estado Miranda, Venezuela
Vanderbilt University, Nashville, Tennessee, United States
Brigham and Women's Hospital, Boston, Massachusetts, United States
University of Florida, Gainesville, Florida, United States
Pfizer Investigational Site, Cape Town, South Africa
Pfizer Investigational Site, Montreal, Quebec, Canada
Pfizer Investigational Site, St. Petersburg, Russian Federation
CRC Medical Department IV, Erlangen, Germany
Western Infirmary, Glasgow, Scotland, United Kingdom
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