Page last updated: 2024-12-05

canrenoic acid

Description Research Excerpts Clinical Trials Roles Classes Pathways Study Profile Bioassays Related Drugs Related Conditions Protein Interactions Research Growth

Description

Canrenoic Acid: A synthetic pregnadiene derivative with anti-aldosterone activity. [Medical Subject Headings (MeSH), National Library of Medicine, extracted Dec-2023]

Cross-References

ID SourceID
PubMed CID656615
CHEMBL ID1616951
CHEBI ID50156
SCHEMBL ID636758
MeSH IDM0330907

Synonyms (40)

Synonym
BRD-K46556543-237-03-0
3-[(8r,9s,10r,13s,14s,17r)-17-hydroxy-10,13-dimethyl-3-oxo-2,3,8,9,10,11,12,13,14,15,16,17-dodecahydro-1h-cyclopenta[a]phenanthren-17-yl]propanoic acid
4138-96-9
CHEBI:50156 ,
17beta-hydroxy-3-oxo-21a-homopregna-4,6-dien-21a-oic acid
acidum canrenoicum
acide canrenoique
acido canrenoico
BPBIO1_000282
BSPBIO_000256
PRESTWICK2_000148
PRESTWICK3_000148
canrenoic acid [inn:ban]
einecs 223-963-0
acide canrenoique [inn-french]
aladiene
acido canrenoico [inn-spanish]
canrenoic acid
acidum canrenoicum [inn-latin]
PRESTWICK1_000148
PRESTWICK0_000148
SPBIO_002195
LMST02030154
3-[(8r,9s,10r,13s,14s,17r)-17-hydroxy-10,13-dimethyl-3-oxo-2,8,9,11,12,14,15,16-octahydro-1h-cyclopenta[a]phenanthren-17-yl]propanoic acid
CHEMBL1616951
unii-87ug89va9k
87ug89va9k ,
SCHEMBL636758
PBKZPPIHUVSDNM-WNHSNXHDSA-N
canrenoic acid [who-dd]
canrenoic acid [inn]
DTXSID5022726
DB09015
3-((8r,9s,10r,13s,14s,17r)-17-hydroxy-10,13-dimethyl-3-oxo-2,3,8,9,10,11,12,13,14,15,16,17-dodecahydro-1h-cyclopenta[a]phenanthren-17-yl)propanoic acid
Q39045292
BRD-K46556543-001-01-4
potassium-canrenoate
EN300-19767622
3-[(1r,3as,3br,9ar,9bs,11as)-1-hydroxy-9a,11a-dimethyl-7-oxo-1h,2h,3h,3ah,3bh,7h,8h,9h,9ah,9bh,10h,11h,11ah-cyclopenta[a]phenanthren-1-yl]propanoic acid
pregna-4,6-diene-21-carboxylic acid, 17-hydroxy-3-oxo-, (17alpha)-

Research Excerpts

Pharmacokinetics

ExcerptReferenceRelevance
"1 The pharmacodynamic profile of single oral doses of prorenoate potassium (40 mg) and spironolactone (100 mg), as judged by reversal of the effects of fludrocostisone on the urinary electrolyte composition, was compared to that of placebo in a double-blind crossover study in six healthy subjects."( The pharmacodynamics of single doses of prorenoate potasssium and spironolactone in fludrocortisone treated normal subjects.
Ramsay, LE; Shelton, JR; Tidd, MJ, 1976
)
0.26
" Simultaneous computer multi-line fitting of plasma concentration-time data was carried out and the adequacy of pharmacokinetic parameters in this model was tested using the iterative nonlinear least-squares regression program, MULTI."( Reversible pharmacokinetic profiles of canrenoic acid and its biotransformed product. Canrenone in the rat.
Asada, S; Nakae, H; Ohtawa, T, 1990
)
0.28
" Plasma concentrations of III were significantly higher after administration of II than I, Cmax and AUC from II being 3--5 times larger than those from I by means of HPLC assay, while the fluorometrically determined values for III in plasma after administration of I and II did not differ as much from each other."( Pharmacokinetics of spironolactone and potassium canrenoate in humans.
Fujioka, H; Kaneko, H; Kojima, K; Yamamoto, K, 1985
)
0.27
"A population pharmacokinetic model has been developed to evaluate the pharmacokinetics of canrenone in paediatric patients who received potassium canrenoate as part of their therapy in the intensive care unit."( Population pharmacokinetic model of canrenone after intravenous administration of potassium canrenoate to paediatric patients.
Collier, PS; Halliday, HL; Hawwa, AF; Kole, P; McElnay, JC; Millar, M; Millership, JS; Shields, MD; Suyagh, M, 2012
)
0.38
" Plasma samples were analyzed by HPLC for determination of canrenone (the major metabolite and pharmacologically active moiety) and the data subjected to pharmacokinetic analysis using NONMEM."( Population pharmacokinetic model of canrenone after intravenous administration of potassium canrenoate to paediatric patients.
Collier, PS; Halliday, HL; Hawwa, AF; Kole, P; McElnay, JC; Millar, M; Millership, JS; Shields, MD; Suyagh, M, 2012
)
0.38
"4 l, respectively, resulting in an elimination half-life of 11."( Population pharmacokinetic model of canrenone after intravenous administration of potassium canrenoate to paediatric patients.
Collier, PS; Halliday, HL; Hawwa, AF; Kole, P; McElnay, JC; Millar, M; Millership, JS; Shields, MD; Suyagh, M, 2012
)
0.38
" Dried blood spot (DBS) samples (n=213) from these were analysed for canrenone content and the data subjected to pharmacokinetic analysis using nonlinear mixed-effects modelling."( Potassium canrenoate treatment in paediatric patients: a population pharmacokinetic study using novel dried blood spot sampling.
Collier, PS; Halliday, HL; Hawwa, AF; Kole, P; McElnay, JC; Millar, M; Millership, JS; Shields, MD; Suyagh, M, 2013
)
0.39
" Estimated half-life of canrenone based on DBS concentrations was similar to that based on matched plasma concentrations (19."( Potassium canrenoate treatment in paediatric patients: a population pharmacokinetic study using novel dried blood spot sampling.
Collier, PS; Halliday, HL; Hawwa, AF; Kole, P; McElnay, JC; Millar, M; Millership, JS; Shields, MD; Suyagh, M, 2013
)
0.39

Dosage Studied

ExcerptRelevanceReference
" The steroids in urine collected for 24 hr after dosage were isolated on XAD-2 resin, and purified and fractionated into groups by lipophilic gel chromatography before and after hydrolysis of conjugates."( Identification of some human urinary metabolites of orally administered potassium canrenoate by stable isotope-labeling techniques.
Boreham, DR; Ford, GC; Haskins, NJ; Palmer, RF; Vose, CW,
)
0.13
" Applying a fluorimetric method to both canrenone and canrenoate--the major biologically active metabolites of spironolactone--the two brands were compared in 11 volunteers for the 50 mg, and in 10 volunteers for the 100 mg dosage form."( [Comparative study of relative biovailability of several spironolactone formulations in a steady-state test (author's transl)].
Jaeger, H; Rosenthal, J; Specker, M, 1979
)
0.26
" In the latter group the daily dosage reported by the patients failed to correlate with the plasma-digoxin concentration by radioimmunoassay."( [Plasma-digoxin concentration in patients at time of hospital admission (author's transl)].
Lichey, J; Rietbrock, N; Schröder, R, 1977
)
0.26
" The authors' results showed that CAK may act as a topical antiandrogen on the hamster flank organ when applied in concentrations four times greater than the minimal active dosage of SP."( Topical canrenoic acid. Quantification of the antiandrogenic activity in the hamster flank organ.
Aricó, M; Bongiorno, MR; Bosco, M; Noto, G; Pravatá, G, 1991
)
0.28
" We conclude that aldosterone antagonists in the dosage used had no effect on the course of postoperative hyperaldosteronism."( Hyperaldosteronism after heart surgery in children. Part I: Treatment with aldosterone antagonists.
Haschke, F; Parth, K; Wimmer, M, 1981
)
0.26
"In order to clarify debated issues of the medical treatment of ascites in cirrhosis--the usefulness of a low sodium diet and washout period preceding diuretic administration, maximal dosage of antimineralocorticoid to be reached before the addition of a loop diuretic, identifications of factors influencing treatment efficacy--115 hospitalized patients with non-azotemic cirrhosis and ascites were recruited and randomized to receive a diet providing either 40 or 120 mmol of sodium daily."( Efficacy and safety of the stepped care medical treatment of ascites in liver cirrhosis: a randomized controlled clinical trial comparing two diets with different sodium content.
Azzena, G; Bernardi, M; Bonato, S; Gasbarrini, G; Gentilini, P; Laffi, G; Marra, F; Naccarato, R; Salvagnini, M; Trevisani, F, 1993
)
0.29
" for K-Can: dosing was doubled after 1 month if seated diastolic BP was > or = 95 mmHg."( Different sensitivity to hydrochlorothiazide and to potassium-canrenoate among essential hypertensive patients.
Cusi, D; Glorioso, N; Madeddu, P; Manunta, P; Melis, MG; Pala, F; Pazzola, A; Soro, A; Tonolo, G; Troffa, C, 1993
)
0.29
" The serum concentration of the aminoterminal propeptide of type III procollagen was used to measure the collagen synthesis rate; dosage was obtained before enrollment, at hospital discharge, and after 3, 6, and 12 months of follow-up."( Aldosterone inhibition limits collagen synthesis and progressive left ventricular enlargement after anterior myocardial infarction.
Aveta, P; Menozzi, A; Modena, MG; Rossi, R, 2001
)
0.31
"A clear reduction of BP values was recorded after both the first and the second month of treatment with kanrenoate, with the maximal effect obtained when the dosage titration at 100 mg/day was accomplished."( Menopause not aldosterone-to-renin ratio predicts blood pressure response to a mineralocorticoid receptor antagonist in primary care hypertensive patients.
Blengio, GS; Ciacciarelli, A; Corrocher, R; Falcone, S; Olivieri, O; Pizzolo, F; Signorelli, D, 2008
)
0.35
" The data suggest that adjustment of K-canrenoate dosage according to body weight is appropriate in paediatric patients."( Population pharmacokinetic model of canrenone after intravenous administration of potassium canrenoate to paediatric patients.
Collier, PS; Halliday, HL; Hawwa, AF; Kole, P; McElnay, JC; Millar, M; Millership, JS; Shields, MD; Suyagh, M, 2012
)
0.38
"62 l/h; hence, bodyweight-based dosage adjustment of K-canrenoate appears necessary."( Potassium canrenoate treatment in paediatric patients: a population pharmacokinetic study using novel dried blood spot sampling.
Collier, PS; Halliday, HL; Hawwa, AF; Kole, P; McElnay, JC; Millar, M; Millership, JS; Shields, MD; Suyagh, M, 2013
)
0.39
[information is derived through text-mining from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Drug Classes (3)

ClassDescription
steroid acidAny steroid substituted by at least one carboxy group.
monocarboxylic acidAn oxoacid containing a single carboxy group.
3-oxo-Delta(4) steroidA 3-oxo steroid conjugated to a C=C double bond at the alpha,beta position.
[compound class information is derived from Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Research

Studies (276)

TimeframeStudies, This Drug (%)All Drugs %
pre-1990151 (54.71)18.7374
1990's43 (15.58)18.2507
2000's42 (15.22)29.6817
2010's33 (11.96)24.3611
2020's7 (2.54)2.80
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Study Types

Publication TypeThis drug (%)All Drugs (%)
Trials56 (19.18%)5.53%
Reviews6 (2.05%)6.00%
Case Studies8 (2.74%)4.05%
Observational0 (0.00%)0.25%
Other222 (76.03%)84.16%
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Clinical Trials (4)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
MINeralocorticoid Receptor Antagonist Pretreatment to MINIMISE Reperfusion Injury After ST-Elevation Myocardial Infarction (STEMI) [NCT01882179]Phase 361 participants (Actual)Interventional2013-11-30Completed
MINECRAFT Study: MINEralcorticoid Receptor Antagonism With CanRenone As eFfective Treatment in Moderate to Severe ARDS in COVID-19, a Phase 2 Clinical Trial. [NCT04977960]Phase 2180 participants (Anticipated)Interventional2022-09-30Not yet recruiting
Evaluation of the Hemodynamic Stability of Potassium Canrenoate in Brain-dead Organ Donors: Randomized Controlled Clinical Trial [NCT04714710]Phase 236 participants (Anticipated)Interventional2021-08-26Recruiting
The Use of a Mineralocorticoid Receptor Antagonist (Spironolactone) in the Treatment of Pulmonary Fibrosis Associated With SARS-CoV-2 Infection [NCT04912011]Phase 450 participants (Anticipated)Interventional2021-01-01Recruiting
[information is prepared from clinicaltrials.gov, extracted Sep-2024]