MedPath

Acetazolamide

Generic Name
Acetazolamide
Drug Type
Small Molecule
Chemical Formula
C4H6N4O3S2
CAS Number
59-66-5
Unique Ingredient Identifier
O3FX965V0I
Background

One of the carbonic anhydrase inhibitors that is sometimes effective against absence seizures. It is sometimes useful also as an adjunct in the treatment of tonic-clonic, myoclonic, and atonic seizures, particularly in women whose seizures occur or are exacerbated at specific times in the menstrual cycle. However, its usefulness is transient often because of rapid development of tolerance. Its antiepileptic effect may be due to its inhibitory effect on brain carbonic anhydrase, which leads to an increased transneuronal chloride gradient, increased chloride current, and increased inhibition. (From Smith and Reynard, Textbook of Pharmacology, 1991, p337)

Indication

For adjunctive treatment of: edema due to congestive heart failure; drug-induced edema; centrencephalic epilepsies; chronic simple (open-angle) glaucoma

Associated Conditions
Acute angle-closure glaucoma, Edema, Familial periodic paralysis, Generalized Tonic-Clonic Seizures, Metabolic Alkalosis, Open Angle Glaucoma (OAG), Other and unspecified effects of high altitude, Cystine renal calculi, Drug-induced edema, Nonuveitic secondary glaucoma, Salicylate intoxication
Associated Therapies
Urine alkalinization therapy

Rescue Pharmacotherapy for OSA

Phase 1
Recruiting
Conditions
Obstructive Sleep Apnea
Interventions
First Posted Date
2022-03-24
Last Posted Date
2024-06-04
Lead Sponsor
Brigham and Women's Hospital
Target Recruit Count
70
Registration Number
NCT05293600
Locations
🇺🇸

Sleep Disorders Research Program Brigham and Women's Hospital, Boston, Massachusetts, United States

Comparison of Combined Intravitreal Bevacizumab and Oral Acetazolamide Versus Intravitreal Bevacizumab Alone for the Treatment of Macular Edema Secondary to Retinal Vein Occlusions

First Posted Date
2022-03-22
Last Posted Date
2022-03-22
Lead Sponsor
Shahid Beheshti University of Medical Sciences
Target Recruit Count
57
Registration Number
NCT05290948
Locations
🇮🇷

Ophthalmic Research center, Tehran, Iran, Islamic Republic of

Optimization Strategy for the Prevention of AMS by RIPC Combined With Acetazolamide

Phase 4
Completed
Conditions
Acute Mountain Sickness
Interventions
Device: Doctormate® (twice daily for 6 days)
Device: Doctormate® (forth daily for 3 days)
First Posted Date
2021-08-27
Last Posted Date
2022-10-03
Lead Sponsor
Ji Xunming,MD,PhD
Target Recruit Count
252
Registration Number
NCT05023941
Locations
🇨🇳

Xuanwu Hospital, Capital Medical University, Beijing, Beijing, China

Acetazolamide Trial in Normal Pressure Hydrocephalus

Phase 2
Active, not recruiting
Conditions
Idiopathic Normal Pressure Hydrocephalus (INPH)
Interventions
Drug: Placebo
First Posted Date
2021-07-23
Last Posted Date
2025-03-27
Lead Sponsor
Uppsala University Hospital
Target Recruit Count
50
Registration Number
NCT04975269
Locations
🇸🇪

Department of Clinical Neurophysiology, Neurosurgery and Neurology, Uppsala University Hospital, Uppsala, Sweden

Effect of Acetazolamide on Right Heart Function at Rest in Lowlanders With COPD Traveling to High Altitude

Phase 3
Recruiting
Conditions
Altitude Sickness
Right Heart Function
Chronic Obstructive Pulmonary Disease
Interventions
Drug: Placebo
First Posted Date
2021-06-07
Last Posted Date
2022-11-02
Lead Sponsor
University of Zurich
Target Recruit Count
100
Registration Number
NCT04915365
Locations
🇰🇬

National Center of Cardiology and Internal Medicine, Bishkek, Kyrgyzstan

Acetazolamide to Prevent Impending Altitude-illness in Patients With COPD

Phase 3
Active, not recruiting
Conditions
Altitude Sickness
Chronic Obstructive Pulmonary Disease
Altitude Hypoxia
Interventions
Drug: Placebo
First Posted Date
2021-06-04
Last Posted Date
2023-03-03
Lead Sponsor
University of Zurich
Target Recruit Count
100
Registration Number
NCT04913389
Locations
🇰🇬

National Center of Cardiology and Internal Medicine, Bishkek, Kyrgyzstan

Acetazolamide for Treatment Resistant Schizophrenia

Phase 1
Recruiting
Conditions
Schizophrenia
Schizo Affective Disorder
Interventions
Drug: Placebo
First Posted Date
2021-05-14
Last Posted Date
2025-04-03
Lead Sponsor
Vishwajit Nimgaonkar, MD PhD
Target Recruit Count
60
Registration Number
NCT04887792
Locations
🇺🇸

University of Pittsburgh, Pittsburgh, Pennsylvania, United States

🇮🇳

St John's Medical College Hospital, Bangalore, India

Optimal Dosage of Acetazolamide for OSA Treatment

Phase 4
Conditions
Obstructive Sleep Apnea
Interventions
Other: Placebo
First Posted Date
2021-01-27
Last Posted Date
2021-05-19
Lead Sponsor
University Hospital, Antwerp
Target Recruit Count
100
Registration Number
NCT04726982
Locations
🇧🇪

Antwerp University Hospital, Edegem, Antwerp, Belgium

Acetazolamide Efficacy in Ataxia in PMM2-CDG

Phase 2
Terminated
Conditions
CDG1A
Pmm2-CDG
Interventions
Drug: Placebo
First Posted Date
2020-12-22
Last Posted Date
2025-03-20
Lead Sponsor
Mayo Clinic
Target Recruit Count
25
Registration Number
NCT04679389
Locations
🇺🇸

Seattle Children's Hospital, Seattle, Washington, United States

🇺🇸

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

🇺🇸

Mayo Clinic, Rochester, Minnesota, United States

Combination Drug-Therapy for Patients With Untreated Obstructive Sleep Apnea

Phase 2
Completed
Conditions
OSA
Obstructive Sleep Apnea
Interventions
First Posted Date
2020-11-20
Last Posted Date
2024-05-29
Lead Sponsor
University of California, San Diego
Target Recruit Count
20
Registration Number
NCT04639193
Locations
🇺🇸

Altman Clinical and Translational Research Institute Building, La Jolla, California, United States

🇺🇸

UCSD Health - Pulmonary and Sleep Clinic, La Jolla, California, United States

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