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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 for the Treatment of Melasma

First Posted Date
2019-05-16
Last Posted Date
2020-07-07
Lead Sponsor
Medical University of South Carolina
Registration Number
NCT03953209
Locations
🇺🇸

Medical University of SC, Charleston, South Carolina, United States

Efficacy of Aldosterone Antagonist Therapy for Prevention of New Atrial Fibrillation

Early Phase 1
Active, not recruiting
Conditions
AFib
Interventions
First Posted Date
2019-04-29
Last Posted Date
2023-11-18
Lead Sponsor
Piedmont Healthcare
Target Recruit Count
50
Registration Number
NCT03929718
Locations
🇺🇸

Piedmont Heart Institute, Atlanta, Georgia, United States

Drug-drug Interaction (DDI) Study of Spironolactone (Perpetrator) and Digoxin (Substrate Drug)

Phase 1
Completed
Conditions
Drug Drug Interaction
Interventions
First Posted Date
2019-04-10
Last Posted Date
2023-05-01
Lead Sponsor
CMP Development, LLC
Target Recruit Count
28
Registration Number
NCT03909529
Locations
🇮🇳

ClinSync Clinical Research Pvt. Ltd., Hyderabad,, Telangana, India

Venetoclax and Lintuzumab-Ac225 in AML Patients

Phase 1
Recruiting
Conditions
Acute Myeloid Leukemia
Relapsed Adult AML
Interventions
Biological: Lintuzumab-Ac225
First Posted Date
2019-03-08
Last Posted Date
2023-08-04
Lead Sponsor
Actinium Pharmaceuticals
Target Recruit Count
38
Registration Number
NCT03867682
Locations
🇺🇸

University of California, Los Angeles, California, United States

🇺🇸

Weill Cornell Medicine, New York, New York, United States

🇺🇸

University of Louisville, Louisville, Kentucky, United States

and more 2 locations

Spironolactone Versus Prednisolone in DMD

Phase 1
Terminated
Conditions
Muscular Dystrophy, Duchenne
Interventions
First Posted Date
2018-12-17
Last Posted Date
2023-10-23
Lead Sponsor
Kevin Flanigan
Target Recruit Count
2
Registration Number
NCT03777319
Locations
🇺🇸

The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, United States

🇺🇸

University of Iowa, Iowa City, Iowa, United States

🇺🇸

Nationwide Children's Hospital, Columbus, Ohio, United States

and more 1 locations

Adjuvant Anti-Mineralocorticoid-Receptor Treatment in Anti-VEGF Refractory Neovascular Age-Related Macular Degeneration

Phase 2
Completed
Conditions
Neovascular Age-related Macular Degeneration
Interventions
First Posted Date
2018-11-16
Last Posted Date
2018-11-16
Lead Sponsor
Dr Irmela MANTEL
Target Recruit Count
20
Registration Number
NCT03744767

Study in HFpEF Patients to Compare the Effect of AZD9977 and Spironolactone on Serum Potassium

Phase 1
Terminated
Conditions
Heart Failure
Interventions
First Posted Date
2018-09-24
Last Posted Date
2020-05-01
Lead Sponsor
AstraZeneca
Target Recruit Count
68
Registration Number
NCT03682497
Locations
🇬🇧

Research Site, Sheffield, United Kingdom

Spironolactone Versus Indapamide in Obese and Hypertensive Patients

Not Applicable
Conditions
Hypertension
Interventions
First Posted Date
2018-08-13
Last Posted Date
2019-12-03
Lead Sponsor
Peking University Third Hospital
Target Recruit Count
400
Registration Number
NCT03626506
Locations
🇨🇳

Peking University Third Hospital, Beijing, Beijing, China

Mineralocorticoid Receptor Antagonism Clinical Evaluation in Atherosclerosis Add-On

Phase 4
Terminated
Conditions
Type2 Diabetes
Hyperkalemia
Interventions
First Posted Date
2018-07-24
Last Posted Date
2022-05-16
Lead Sponsor
University Hospitals Cleveland Medical Center
Target Recruit Count
8
Registration Number
NCT03597035
Locations
🇺🇸

University Hospitals Cleveland Medical Center, Cleveland, Ohio, United States

Blockade of the Renin-angiotensin-aldosterone System in Patients with ARVD

Phase 2
Recruiting
Conditions
Arrhythmogenic Right Ventricular Dysplasia
Interventions
First Posted Date
2018-07-20
Last Posted Date
2025-02-24
Lead Sponsor
Hospices Civils de Lyon
Target Recruit Count
120
Registration Number
NCT03593317
Locations
🇫🇷

CHU Amiens Picardie, Amiens, France

🇫🇷

Hôpital Cardiologique Louis Pradel, Bron, France

🇫🇷

Hôpital Gabriel Montpied, Clermont-ferrand, France

and more 10 locations
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