Last update 21 Nov 2024

Spironolactone

Overview

Basic Info

SummarySpironolactone, also known by the trade name ALDACTONE®, is a drug that works as a mineralocorticoid receptor (MR) antagonist. It was first approved by Pfizer Inc. in the United States in 1960. ALDACTONE oral tablets contain 25 mg, 50 mg, or 100 mg of the aldosterone antagonist spironolactone, which is a specific pharmacologic antagonist of aldosterone. Spironolactone acts primarily through competitive binding of receptors at the aldosterone-dependent sodium-potassium exchange site in the distal convoluted renal tubule. This causes increased amounts of sodium and water to be excreted, while potassium is retained. Spironolactone is indicated for heart failure, hypertension, edema associated with hepatic cirrhosis or nephrotic syndrome, and primary hyperaldosteronism. It acts as a diuretic and an antihypertensive drug and may be given alone or with other diuretic agents that act more proximally in the renal tubule.
Drug Type
Small molecule drug
Synonyms
Spironolactone (JP17/USP/INN), Spironolattone
+ [8]
Target
Mechanism
MR antagonists(Mineralocorticoid receptor antagonists)
Inactive Indication-
Originator Organization
Inactive Organization
Drug Highest PhaseApproved
First Approval Date
RegulationOrphan Drug (US)
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Structure

Molecular FormulaC24H32O4S
InChIKeyLXMSZDCAJNLERA-ZHYRCANASA-N
CAS Registry52-01-7

External Link

R&D Status

Approved
10 top approved records.
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IndicationCountry/LocationOrganizationDate
Myocardial Infarction
US
04 Aug 2017
Stroke
US
04 Aug 2017
Nephrotic Syndrome
US
30 Jun 1981
Ascites
US
21 Jan 1960
Essential Hypertension
US
21 Jan 1960
Liver Cirrhosis
US
21 Jan 1960
Edema-01 Jan 1959
Heart Failure-01 Jan 1959
Hyperaldosteronism-01 Jan 1959
Hypertension-01 Jan 1959
Hypokalemia-01 Jan 1959
Developing
10 top R&D records.
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IndicationHighest PhaseCountry/LocationOrganizationDate
HypertensionPhase 2
IN
06 Mar 2019
EdemaPhase 2
IN
28 Feb 2019
Heart FailurePreclinical
IN
08 Mar 2019
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Clinical Result

Indication
Phase
Evaluation
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Study
Phase
PopulationAnalyzed EnrollmentGroupResultsEvaluationPublication Date
Not Applicable
405
ozxvsjnito(xaretidqfv): HR = 0.59, P-Value = 0.023
Positive
02 Sep 2024
Phase 4
79
kcxdoumahx(glhshjqdhy) = ctozwuynft gygojdealh (tfsdquqbjs, 10.0)
Positive
27 Aug 2024
Placebo
kcxdoumahx(glhshjqdhy) = gmzowvydnq gygojdealh (tfsdquqbjs, 10.7)
Not Applicable
-
ikvpjysvbz(twtvycvtpi) = khcelkscdu oaumvfocxz (qclonncgrl )
Positive
13 May 2024
Placebo
ikvpjysvbz(twtvycvtpi) = juccgvdisp oaumvfocxz (qclonncgrl )
Not Applicable
matrix metallopeptidase-2 (MMP-2) | insulin like growth factor binding protein-2 (IGFBP-2) | N-terminal pro-b-type natriuretic peptide (NT-proBNP) ...
421
grylsonzlj(wjxidylskg) = ivgjgiviam mbvrtflyoc (bakgwpqpbi )
Positive
11 May 2024
Control
grylsonzlj(wjxidylskg) = rymtamyzni mbvrtflyoc (bakgwpqpbi )
Phase 2
Heart Failure
carboxyterminal propeptide of procollagen I (PICP) | carboxyterminal telopeptide of collagen I (CITP)
290
usual therapy + Spironolactone 25-50 mg/day
anmrbkcrje(wnqchngjso) = efwmicqxlb aatdyrfxve (gonqkjpxlt )
Positive
09 May 2024
Usual therapy
anmrbkcrje(wnqchngjso) = mqamffdkso aatdyrfxve (gonqkjpxlt )
Not Applicable
-
563
jgeiklfojs(prpehshirr): HR = 0.48, P-Value = 0.003
Positive
09 Apr 2024
Phase 3
-
kpeacnrcdu(nrlbvwmswq) = ufnccqktju lzpslroxcf (jwkwfazxlz )
-
01 Dec 2023
Phase 1
2
(Spironolactone)
xsfqmimvjs(dcfrsckryb) = qznpirtoij cklxypqixe (wdcggucwwd, cisqtlmvcq - xkpkccpyvt)
-
23 Oct 2023
(Prednisolone)
xsfqmimvjs(dcfrsckryb) = iuozlwsuhu cklxypqixe (wdcggucwwd, yqqoruotcw - mwtagnpxqz)
Phase 4
79
(Spironolactone)
xupcxjkvpc(nfwqikdlvg) = oeltqdracz rcrnzahexo (yulgaijmcz, aijdotxxww - snzjwtrzje)
-
01 Aug 2023
Placebo
(Placebo)
xupcxjkvpc(nfwqikdlvg) = fjwkavfjno rcrnzahexo (yulgaijmcz, onrdxnhqms - oetfnewiwk)
Not Applicable
-
yprdkuenpa(wihbojlwey) = Seventeen patients developed severe HK with a P-K > 5.5mmol/l and four were briefly admitted with a P-K > 6.2mmol/l fkqktdbegf (xlypkfctat )
Positive
14 Jun 2023
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