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Spironolactone

Generic Name
Spironolactone
Brand Names
Aldactazide, Aldactone, Carospir, Qaialdo
Drug Type
Small Molecule
Chemical Formula
C24H32O4S
CAS Number
52-01-7
Unique Ingredient Identifier
27O7W4T232
Background

Spironolactone is a potassium-sparing diuretic. It binds to mineralocorticoid receptors and functions as aldosterone antagonists. It promotes sodium and water excretion and potassium retention. Spironolactone was originally developed purely for this ability before other pharmacodynamic properties of the drug were discovered. It is indicated to treat several conditions, including heart failure, edema, hyperaldosteronism, and hypertension. Off-label uses of spironolactone include hirsutism, female pattern hair loss, and adult acne vulgaris.

Spironolactone was developed in 1957, marketed in 1959, and approved by the FDA on January 21, 1960.

Indication

Spironolactone is indicated for the treatment of the following conditions:

As spironolactone has antiandrogenic activity, its off-label uses include the treatment of hirsutism, female pattern hair loss, and adult acne vulgaris.

Associated Conditions
Edema, Hypertension, Primary Aldosteronism, Primary Hyperaldosteronism, Secondary hyperaldosteronism, Chronic heart failure with reduced ejection fraction (NYHA Class III), Chronic heart failure with reduced ejection fraction (NYHA Class IV), Idiopathic hyperaldosteronism, Refractory Edema
Associated Therapies
Perioperative drug treatment, Maintenance therapy

Spironolactone in Diabetic Nephropathy

Phase 4
Completed
Conditions
Diabetic Nephropathy
First Posted Date
2006-04-25
Last Posted Date
2006-04-25
Lead Sponsor
Steno Diabetes Center Copenhagen
Target Recruit Count
48
Registration Number
NCT00317954
Locations
🇩🇰

Steno Diabetes Center, Gentofte, Denmark

Examining the Effect of Different Diuretics on Fluid Retention in Diabetics Treated With Rosiglitazone.

Phase 4
Completed
Conditions
Diabetes Mellitus
First Posted Date
2006-03-24
Last Posted Date
2016-09-15
Lead Sponsor
GlaxoSmithKline
Target Recruit Count
388
Registration Number
NCT00306696
Locations
🇬🇧

GSK Investigational Site, London, United Kingdom

Mineralocorticoid Receptor in the Treatment of Severe Depression

Not Applicable
Completed
Conditions
Major Depression
First Posted Date
2006-02-23
Last Posted Date
2017-05-30
Lead Sponsor
Universitätsklinikum Hamburg-Eppendorf
Target Recruit Count
65
Registration Number
NCT00295347
Locations
🇩🇪

University Hospital Hamburg-Eppendorf, Hamburg, Germany

Is Spironolactone Safe and Effective in the Treatment of Cardiovascular Disease in Mild Chronic Renal Failure?

Phase 2
Completed
Conditions
Chronic Kidney Disease
Cardiovascular Disease
Interventions
First Posted Date
2006-02-14
Last Posted Date
2008-05-21
Lead Sponsor
University Hospital Birmingham
Target Recruit Count
120
Registration Number
NCT00291720
Locations
🇬🇧

University Hospital Birmingham, Birmingham, West Midlands, United Kingdom

Cardiovascular Protective Effect of Spironolactone in Hemodialysis

Phase 4
Conditions
Hemodialysis
First Posted Date
2006-01-16
Last Posted Date
2006-01-16
Lead Sponsor
Universidad de los Andes, Chile
Registration Number
NCT00277693
Locations
🇨🇱

Clinica Davila, Santiago, Chile

Spironolactone to Decrease Potassium Wasting in Hypercalciurics on Thiazides Diuretics

Not Applicable
Completed
Conditions
Idiopathic Hypercalciuria
Hypokalemia Caused by Thiazide Diuretics
First Posted Date
2006-01-13
Last Posted Date
2009-12-03
Lead Sponsor
Indiana University School of Medicine
Target Recruit Count
10
Registration Number
NCT00276289
Locations
🇺🇸

Indiana University Department of Medicine, Division of Nephrology, Indianapolis, Indiana, United States

Spironolactone Combined With Captopril and Carvedilol for the Treatment of Pulmonary Arterial Hypertension

Phase 1
Completed
Conditions
Hypertension, Pulmonary
First Posted Date
2005-10-18
Last Posted Date
2008-06-30
Lead Sponsor
Hebei Medical University
Registration Number
NCT00240656
Locations
🇨🇳

The First Hospital of Hebei Medical University, Shijiazhuang, Hebei, China

Clinical Trial Studying the Effects of Spironolactone on Heart and Skeletal Muscle Function in Chronic Alcoholics

Phase 4
Suspended
Conditions
Cardiomyopathy, Alcoholic
Alcoholism
Interventions
First Posted Date
2005-09-26
Last Posted Date
2010-10-20
Lead Sponsor
University of Aarhus
Target Recruit Count
40
Registration Number
NCT00226109
Locations
🇩🇰

Department of Medicine V (gastroenterology and hepatology), Aarhus, Denmark

Impact of Medical and Surgical Therapy on Functional Mitral Regurgitation

Not Applicable
Completed
Conditions
Heart Diseases
Cardiovascular Diseases
Coronary Disease
First Posted Date
2005-09-23
Last Posted Date
2014-02-19
Lead Sponsor
Baylor Research Institute
Target Recruit Count
250
Registration Number
NCT00224809
Locations
🇺🇸

Baylor Research Institute, Dallas, Texas, United States

Spironolactone in Patients With Single Ventricle Heart

Not Applicable
Completed
Conditions
Congenital Disorders
Interventions
First Posted Date
2005-09-21
Last Posted Date
2017-11-06
Lead Sponsor
Emory University
Target Recruit Count
12
Registration Number
NCT00211081
Locations
🇺🇸

Emory Clinic, Atlanta, Georgia, United States

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