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spironolactone

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Description

Spironolactone: A potassium sparing diuretic that acts by antagonism of aldosterone in the distal renal tubules. It is used mainly in the treatment of refractory edema in patients with congestive heart failure, nephrotic syndrome, or hepatic cirrhosis. Its effects on the endocrine system are utilized in the treatments of hirsutism and acne but they can lead to adverse effects. (From Martindale, The Extra Pharmacopoeia, 30th ed, p827) [Medical Subject Headings (MeSH), National Library of Medicine, extracted Dec-2023]

spironolactone : A steroid lactone that is 17alpha-pregn-4-ene-21,17-carbolactone substituted by an oxo group at position 3 and an alpha-acetylsulfanyl group at position 7. [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]

Cross-References

ID SourceID
PubMed CID5833
CHEMBL ID1393
CHEBI ID9241
SCHEMBL ID20939
MeSH IDM0020352

Synonyms (197)

Synonym
MLS001074672
smr000471892
BIDD:PXR0071
MLS002207058
AC-4214
MLS002153245
AB01275520-01
BRD-K90027355-001-03-4
spirotone
gtpl2875
BPBIO1_000194
spironolactone, 97.0-103.0%
cas-52-01-7
BSPBIO_000176
PRESTWICK2_000128
PRESTWICK3_000128
17alpha-pregn-4-ene-21-carboxylic acid, 17-hydroxy-7alpha-mercapto-3-oxo-, gamma-lactone, acetate
einecs 200-133-6
7-alpha-(acetylthio)-17-alpha-hydroxy-3-oxopregn-4-ene-21-carboxylic acid, gamma-lactone
3-(3-keto-7-alpha-acetylthio-17-beta-hydroxy-4-androsten-17-alpha-yl)propionic acid lactone
pregn-4-ene-21-carboxylic acid, 7-(acetylthio)-17-hydroxy-3-oxo-, gamma-lactone, (7alpha,17alpha)-
spiro(17h-cyclopenta(a)phenauthrene-17,2'-(3'h)-furan)
3'-(3-oxo-7-alpha-acetylthio-17-beta-hydroxyandrost-4-en-17-beta-yl)propionic acid lactone
c24h32o4s
spironolattone [dcit]
17-alpha-pregn-4-ene-21-carboxylic acid, 17-hydroxy-7-alpha-mercapto-3-oxo-, gamma-lactone acetate
hsdb 3184
nsc 150399
spironolactonum [inn-latin]
espironolactona [inn-spanish]
veroshpiron
17-hydroxy-7alpha-mercapto-3-oxo-17alpha-pregn-4-ene-21-carboxylic acid, gamma-lactone acetate
brn 0057767
7-alpha-acetylthio-3-oxo-17-alpha-pregn-4-ene-21,17-beta-carbolactone
CHEBI:9241 ,
MLS001333253
espironolactona
7alpha-(acetylsulfanyl)-3-oxo-17alpha-pregn-4-ene-21,17-carbolactone
MLS001333254
spironolactonum
aldactide
sc-9420
AB00513806
52-01-7
spironolactone
C07310
aldactone
spiresis
pregn-4-ene-21-carboxylic acid, .gamma.-lactone, (7.alpha.,17.alpha.)-
spiro[17h-cyclopenta[a]phenauthrene-17,2'-(3'h)-furan]
melarcon
nsc-150399
3-(3-keto-7.alpha.-acetylthio-17.beta.-hydroxy-4-androsten-17.alpha.-yl)propionic acid lactone
spiro-tablinen
acelat
verospiron
verospirone
spironolactone a
spirone
17.alpha.-pregn-4-ene-21-carboxylic acid, .gamma.-lactone acetate
7-.alpha.-(acetylthio)-17-.alpha.-hydroxy-3-oxopregn-4-ene-21-carboxylic acid, .gamma.-lactone
spirolactone
aldactone a
xenalon
spirolang
spiridon
uractone
urusonin
dira
nsc150399
alderon
euteberol
wln: l e5 b666 fx ov mutj a1 e1 ksv1 f-& ct5voxtj
17.alpha.-pregn-4-ene-21-carboxylic acid, .gamma.-lactone, acetate
spironocompren
sc 9420
spiroctan
spironolattone
DB00421
aldactone (tn)
D00443
spironolactone (jp17/usp/inn)
NCGC00164397-01
PRESTWICK0_000128
PRESTWICK1_000128
SPBIO_002115
NCGC00164397-02
aquareduct
sc9420
s-[(7r,8r,9s,10r,13s,14s,17r)-10,13-dimethyl-3,5'-dioxo-1,2,3,4',5',6,7,8,9,10,11,12,13,14,15,16-hexadecahydro-3'h-spiro[cyclopenta[a]phenanthrene-17,2'-furan]-7-yl] ethanethioate
HMS2090N21
2'',15''-dimethyl-5,5''-dioxo-(9''r)-spiro[tetrahydrofuran-2,14''-tetracyclo[8.7.0.02,7.011,15]heptadec-6''-ene]-9-yl ethanethioate
2'',15''-dimethyl-5,5''-dioxospiro[tetrahydrofuran-2,14''-tetracyclo[8.7.0.02,7.011,15]heptadec-6''-ene]-9-yl ethanethioate
2'',15''-dimethyl-5,5''-dioxospiro[tetrahydrofuran-2,14''-tetracyclo[8.7.0.02,7.011,15]heptadec-6''-ene]-9-yl ethanethioate(spiranolactone)
bdbm50228080
spiranolactone
s-(2''r,7r,8r,9s,10r,13s,14s)-10,13-dimethyl-3,5''-dioxo-1,2,3,4'',5'',6,7,8,9,10,11,12,13,14,15,16-hexadecahydro-3''h-spiro[cyclopenta[a]phenanthrene-17,2''-furan]-7-yl ethanethioate
CHEMBL1393 ,
spironolactone ceva
S0260
HMS1568I18
s-[(7r,8r,9s,10r,13s,14s,17r)-10,13-dimethyl-3,5'-dioxospiro[2,6,7,8,9,11,12,14,15,16-decahydro-1h-cyclopenta[a]phenanthrene-17,2'-oxolane]-7-yl] ethanethioate
cpd000471892
NCGC00164397-03
HMS2095I18
HMS3259G11
diatense
aldopur
altex
spironolactone [usp:inn:ban:jan]
27o7w4t232 ,
spiro(17h-cyclopenta(a)phenanthrene-17,2'(5'h)-furan), pregn-4-ene-21-carboxylic acid deriv.
4-18-00-01601 (beilstein handbook reference)
carospir
unii-27o7w4t232
berlactone
almatol
aldace
deverol
NCGC00255229-01
tox21_302154
dtxcid4014186
dtxsid6034186 ,
tox21_113047
MLS002548846
abbolactone
HMS2236E06
S4054
2OAX
AKOS015896401
spironolactone [vandf]
spironolactone [inci]
spironolactone [iarc]
spironolactone component of aldactazide
spironolactonum [who-ip latin]
spironolactone [who-ip]
spironolactone [usp monograph]
spironolactone component cardalis
aldactazide component spironolactone
spironolactone [mart.]
spironolactone [hsdb]
spironolactone [usp-rs]
spironolactone [orange book]
spironolactone [who-dd]
pregn-4-ene-21-carboxylic acid, 7-(acetylthio)-17-hydroxy-3-oxo-,.gamma.-lactone, (7.alpha.,17.alpha.)-
spironolactone [ep monograph]
spironolactone [jan]
cardalis component spironolactone
spironolactone [ema epar veterinary]
spironolactone [inn]
spironolactone [mi]
CCG-220128
HY-B0561
LXMSZDCAJNLERA-ZHYRCANASA-N
NC00482
SCHEMBL20939
3VHU
KS-5234
NCGC00164397-05
Q-201737
(7?,17?)-7-(acetylthio)-17-hydroxy-3-oxopregn-4-ene-21-carboxylic acid ?-lactone
HB2799
(7alpha,17alpha)-7-(acetylthio)-17-hydroxy-3- oxopregn-4-ene-21-carboxylic acid gamma-lactone
AB01275520_02
mfcd00082250
(1's,2r,2'r,9'r,10'r,11's,15's)-9'-(acetylsulfanyl)-2',15'-dimethylspiro[oxolane-2,14'-tetracyclo[8.7.0.0^{2,7}.0^{11,15}]heptadecan]-6'-ene-5,5'-dione
sr-01000765419
SR-01000765419-2
SR-05000000452-2
sr-05000000452
spironolactone, united states pharmacopeia (usp) reference standard
spironolactone for system suitability, european pharmacopoeia (ep) reference standard
spironolactone, european pharmacopoeia (ep) reference standard
spironolactone 1.0 mg/ml in acetonitrile
HMS3712I18
s-((7r,8r,9s,10r,13s,14s,17r)-10,13-dimethyl-3,5'-dioxo-1,2,3,4',5',6,7,8,9,10,11,12,13,14,15,16-hexadecahydro-3'h-spiro[cyclopenta[a]phenanthrene-17,2'-furan]-7-yl) ethanethioate
Q422188
Z1546616196
17-hydroxy-7-alpha-mercapto-3-oxo-17-alpha-pregn-4-ene-21-carboxylic acid-gamma-lactone-7-acetate
BRD-K90027355-001-19-0
AMY40521
C75438
BS166385
EN300-123035
(1r,3as,3br,4r,9ar,9bs,11as)-4-(acetylsulfanyl)-9a,11a-dimethyl-2,3,3a,3b,4,5,7,8,9,9a,9b,10,11,11a-tetradecahydrospiro[cyclopenta[a]phenanthrene-1,2'-oxolane]-5',7-dione
espironolactona (inn-spanish)
spironolactone (iarc)
spironolactone (usp-rs)
spironolactone (ep monograph)
7alpha-acetylsulfanyl-3-oxo-17alpha-pregn-4-ene-21,17-carbolactone
spironolactone (ema epar veterinary)
spironolactone (mart.)
spironolactone (usp monograph)
spiro(17h-cyclopenta(a)phenauthrene-17,2'-(3'h)-furan
c03da01
spironolactonum (inn-latin)
spironolactone (usp:inn:ban:jan)

Research Excerpts

Overview

Spironolactone (SP) is a potassium sparing diuretic with antiandrogenic properties. It is a competitive antagonist of aldosterone that is widely employed in the treatment of hypertension and heart failure.

ExcerptReferenceRelevance
"Spironolactone is a competitive antagonist of aldosterone that is widely employed in the treatment of hypertension and heart failure."( Spironolactone Attenuates Methylglyoxal-induced Cellular Dysfunction in MC3T3-E1 Osteoblastic Cells.
Chin, SO; Jung, WW; Park, SY; Suh, KS, 2021
)
2.79
"Spironolactone (SP) is a potassium sparing diuretic with antiandrogenic properties. "( Spironolactone hyaluronic acid enriched cerosomes (HAECs) for topical management of hirsutism:
Albash, R; Darwish, KM; El-Dahmy, RM; Fahmy, AM; Hamed, MIA, 2021
)
3.51
"Spironolactone is a drug, similar in structure to aldosterone and acts as an aldosterone receptor antagonist with an anti-androgenic effect. "( Spironolactone in dermatology.
Aguilar Medina, DA; Cazarín, J; Magaña, M, 2022
)
3.61
"Spironolactone is a commonly used antiandrogen, especially in women who are not sexually active or have contraindications to hormonal contraceptives."( Long-Lasting Effects of Spironolactone after its Withdrawal in Patients with Hyperandrogenic Skin Disorders.
Andrisani, A; Armanini, D; Barbot, M; Beggiao, F; Belloni Fortina, A; Bordin, L; Ceccato, F; Donà, G; Keiko Vedolin, C; Orlando, G; Ragazzi, E; Sabbadin, C; Scaroni, C, 2023
)
1.94
"Spironolactone is an effective and safe treatment for hyperandrogenic skin disorders, showing long-lasting effects even several months after its discontinuation."( Long-Lasting Effects of Spironolactone after its Withdrawal in Patients with Hyperandrogenic Skin Disorders.
Andrisani, A; Armanini, D; Barbot, M; Beggiao, F; Belloni Fortina, A; Bordin, L; Ceccato, F; Donà, G; Keiko Vedolin, C; Orlando, G; Ragazzi, E; Sabbadin, C; Scaroni, C, 2023
)
2.66
"Spironolactone is a useful alternative to oral antibiotics for women with acne."( Effectiveness of spironolactone for women with acne vulgaris (SAFA) in England and Wales: pragmatic, multicentre, phase 3, double blind, randomised controlled trial.
Eminton, Z; Francis, N; Griffiths, G; Lawrence, M; Layton, AM; Little, P; Muller, I; Nuttall, J; Permyakova, N; Pyne, S; Renz, S; Ridd, MJ; Sach, TH; Santer, M; Soulsby, I; Stuart, B; Thomas, K; Thomas, KS, 2023
)
1.97
"Spironolactone is an effective and safe treatment for RH in patients with baseline eGFR ≥30ml/min/1.73m"( Renal safety outcomes of spironolactone in patients with resistant hypertension.
Durán, X; Galceran, I; Oliveras, A; Outón, S; Pascual, J; Vázquez, S,
)
1.16
"Spironolactone (SPL) is a mineralocorticoid receptor (MR) blocker that has been in wide clinical use for some decades."( Spironolactone reversed hepato-ovarian triglyceride accumulation caused by letrozole-induced polycystic ovarian syndrome: tissue uric acid-a familiar foe.
Adeyanju, OA; Agbana, RD; Falodun, TO; Michael, OS; Oyewole, AL; Soetan, OA, 2020
)
2.72
"Spironolactone is a safe and effective treatment of acne for women."( Treatment of acne with spironolactone: a retrospective review of 395 adult patients at Mayo Clinic, 2007-2017.
Davis, MDP; McEvoy, MT; Newman, CC; Nowsheen, S; Roberts, EE; Sartori Valinotti, JC; Sciallis, GF; Torgerson, RR; Wetter, DA, 2020
)
2.31
"Spironolactone is an economical potassium-sparing diuretic with an anti-androgenic effect and a good safety profile. "( Spironolactone in Dermatology: Uses in Acne, Hidradenitis Suppurativa, Female Pattern Baldness, and Hirsutism.
Morgado-Carrasco, D; Vargas-Mora, P, 2020
)
3.44
"Spironolactone is a synthetic aldosterone receptor antagonist, with a role off-label in various dermatological conditions. "( Spironolactone in dermatology: uses in acne and beyond.
Al-Niaimi, F; Ali, FR; Searle, TN, 2020
)
3.44
"Spironolactone is an aldosterone antagonist used for managing chronic heart failure (HF) with known antiandrogenic effects."( Impact of spironolactone exposure on prostate cancer incidence amongst men with heart failure: A Pharmacoepidemiological study.
Feldman, RD; Hiebert, BM; Janzen, BW; Kim, JO; Ong, AD; Sanjanwala, RM, 2021
)
1.75
"Spironolactone acts as an androgen antagonist by competitively blocking androgen receptors."( A novel topical combination of minoxidil and spironolactone for androgenetic alopecia: Clinical, histopathological, and physicochemical study.
Abdel-Aziz, RTA; Abdel-Raouf, H; Ahmed, SS; Aly, UF; Medhat, W, 2021
)
1.6
"Spironolactone (SPL) is a reversible mineralocorticoid receptor (MR) and androgen receptor (AR) antagonist which attracts pharmacotherapeutic interest not only because of its beneficial effects in heart failure but also because of the pathogenetic roles of MR and AR activities in neuropsychiatric diseases. "( High-dose spironolactone lacks effectiveness in treatment of fibromyalgia (RCT).
Böhm, R; Cascorbi, I; Gleim, M; Gruenewald, M; Herdegen, T; Ohnesorge, H; Westermann, P, 2021
)
2.47
"Spironolactone (Aldactone) is a potassium-sparing diuretic used to treat hypertension and heart failure and may also be used to treat edema resulting from kidney disease, low potassium levels, or excess aldosterone. "( Stability of Spironolactone Oral Suspension in PCCA Base, SuspendIt.
Bostanian, LA; Graves, R; Mandal, TK; Phan, KV; Pramar, YV,
)
1.94
"Spironolactone is an effective antihypertensive drug, especially for patients with resistant hypertension, and is considered by the World Health Organization as an essential medication."( Pannexin 1 Channels as an Unexpected New Target of the Anti-Hypertensive Drug Spironolactone.
Barrett, E; Bayliss, DA; Butcher, JT; Chiu, YH; DeLalio, LJ; Desai, BN; Good, ME; Isakson, BE; Jaffe, IZ; Leitinger, N; Lohman, AW; Lorenz, UM; Medina, CB; Mendu, SK; Poon, IKH; Ravichandran, KS, 2018
)
1.43
"Spironolactone (SPR) is a poorly water-soluble drug widely used for the treatment of various diseases. "( Solid-State Characterization of Spironolactone 1/3 Hydrate.
Benjamim de Araújo, M; Bonfilio, R; Doriguetto, AC; Lemos Barbosa, TW, 2019
)
2.24
"Spironolactone is a pharmaceutical that in humans is used to treat conditions like hirsutism, various dermatologic afflictions, and female-pattern hair loss through antagonism of the androgen receptor. "( Cross-species sensitivity to a novel androgen receptor agonist of potential environmental concern, spironolactone.
Ankley, GT; Berninger, JP; Blanksma, CA; Cavallin, JE; Durhan, EJ; Flynn, KM; Hartig, PC; Jensen, KM; Johnson, RD; Kahl, MD; LaLone, CA; Makynen, EA; Norberg-King, TJ; Severson, MN; Stevens, KE; Villeneuve, DL; Woodard, JS, 2013
)
2.05
"Spironolactone (SL) is a poorly water-soluble drug. "( Design of freeze-dried Soluplus/polyvinyl alcohol-based film for the oral delivery of an insoluble drug for the pediatric use.
Elkasabgy, N; Shamma, R, 2016
)
1.88
"Spironolactone is a medicinally important molecule that is clinically used in the treatment and management of many diseases such as oedema and ascites in cirrhosis of the liver, malignant ascites, nephrotic syndrome, chronic lung disease, resistant hypertension, congestive heart failure, and primary hyperaldosteronism. "( Synthesis of two new hydroxylated derivatives of spironolactone by microbial transformation.
Mei, J; Wang, L; Wang, S; Zhan, J, 2014
)
2.1
"Spironolactone (SL) is a US Food and Drug Administration-approved drug for the treatment of hypertension and various edematous conditions. "( Follicular delivery of spironolactone via nanostructured lipid carriers for management of alopecia.
Aburahma, MH; Shamma, RN, 2014
)
2.16
"Spironolactone is an aldosterone receptor antagonist used to control fluid overload in cirrhotic patients although recent studies suggest that it also inhibits angiogenesis."( The Impact of Spironolactone on the Severity of Portal-Systemic Collaterals and Hepatic Encephalopathy in Cirrhotic Rats.
Chang, CC; Ho, HL; Hsin, IF; Hsu, SJ; Huang, HC; Huo, TI; Lee, FY; Lee, SD; Lin, HC; Wang, SS, 2015
)
1.5
"Spironolactone is an antagonist of aldosterone that has shown benefits over IR injury in several tissues, but its effects in hepatic IR are unknown."( Spironolactone Effect in Hepatic Ischemia/Reperfusion Injury in Wistar Rats.
Chavira, HZ; de la Garza, FJ; Espinosa, LE; Galván, GA; Garza, NE; González, LT; Lemarroy, CR; Pérez, JC; Pérez, PC; Quintana, MM; Ramírez, AC; Rodríguez, EP, 2016
)
2.6
"Spironolactone is a potassium-sparing diuretic and is a competitive antagonist of aldosterone, which is widely used in the treatment of primary aldosteronism, essential hypertension, congestive cardiac failure, and various edematous states. "( Pharmacokinetic properties and bioequivalence of spironolactone tablets in fasting and fed healthy Chinese male subjects.
Cai, HL; Deng, Y; Guo, ZH; Hou, ZY; Li, ZH; Wu, G; Yan, M; Zhang, BK, 2016
)
2.13
"Spironolactone (SP) is an effective treatment for polycystic ovary syndrome (PCOS), but it is often associated with menstrual abnormalities whose mechanism is still under investigation. "( Spironolactone and intermenstrual bleeding in polycystic ovary syndrome with normal BMI.
Ambrosini, G; Andrisani, A; Armanini, D; Bordin, L; Boscaro, M; Donà, G; Ragazzi, E; Sabbadin, C; Zermiani, M, 2016
)
3.32
"Spironolactone, which is a potent mineralocorticoid receptor antagonist, represents the first line medical treatment of primary aldosteronism (PA). "( SFE/SFHTA/AFCE consensus on primary aldosteronism, part 7: Medical treatment of primary aldosteronism.
Herpin, D; Lefebvre, H; Pechère-Bertschi, A, 2016
)
1.88
"Spironolactone is a well-known multi-target drug and is specifically used for the treatment of high blood pressure and heart failure. "( Synthetic approaches towards the multi target drug spironolactone and its potent analogues/derivatives.
Channar, PA; El-Seedi, H; Faisal, M; Larik, FA; Mehfooz, H; Saeed, A; Shahzad, D, 2017
)
2.15
"Spironolactone is a promising therapeutic option for alleviating remodeling after left ventricular restoration."( Spironolactone alleviates late cardiac remodeling after left ventricular restoration surgery.
Ikeda, T; Kanemitsu, H; Komeda, M; Marui, A; Nishina, T; Tsukashita, M; Wang, J; Yoshikawa, E, 2008
)
2.51
"Spironolactone is an aldosterone antagonist that promotes natriuresis and may attenuate such hypernatraemia, but its effect in this setting has not been previously studied."( Pilot randomised double-blind controlled trial of high-dose spironolactone in critically ill patients receiving a frusemide infusion.
Apte, Y; Bellomo, R; Gillies, M; Goldsmith, D; McGain, F; Warrillow, S, 2008
)
1.31
"Spironolactone is an antiandrogen and aldosterone antagonist used to treat hirsutism."( Spironolactone versus placebo or in combination with steroids for hirsutism and/or acne.
Brown, J; Farquhar, C; Jepson, RG; Lee, O; Toomath, R, 2009
)
2.52
"Spironolactone is thought to be an important addition to resistant hypertension (RH) treatment."( Aldosterone excess or escape: Treating resistant hypertension.
Adriana de Souza, L; Coca, A; Coelho, OR; Ferreira-Melo, S; Martins, LC; Moreno, H; Pimenta, E; Sierra, C; Ubaid-Girioli, S; Yugar-Toledo, JC, 2009
)
1.07
"The spironolactone is a diuretic of potassium savings. "( [PSA and spironolactone].
Coulange, C; Delaporte, V; Deturmeny, J; Lechevallier, E; Maurin, C; Rybikowski, S, 2010
)
1.34
"Spironolactone is a synthetic steroid structurally related to aldosterone."( Innovative use of spironolactone as an antiandrogen in the treatment of female pattern hair loss.
Rathnayake, D; Sinclair, R, 2010
)
1.42
"Spironolactone is an effective form of treatment for ARDS at an early stage, as reflected by an increased blood O2 /FiO2 ratio, decreased BNP and NT-proBNP levels, and ALI score."( The efficacy of spironolactone in the treatment of acute respiratory distress syndrome-induced rats.
Atalay, C; Aykan, S; Dogan, N; Gundogdu, C; Keles, MS, 2010
)
2.15
"Spironolactone is an aldosterone antagonist, considered fourth line therapy for hypertension in patients already treated with multiple medications."( Spironolactone for hypertension.
Batterink, J; Fowkes, CT; Stabler, SN; Tejani, AM, 2010
)
3.25
"Spironolactone is a potassium-sparing diuretic with anti-aldosterone effects that are beneficial in the management of hypertension. "( Spironolactone management of resistant hypertension.
Marrs, JC, 2010
)
3.25
"Spironolactone is an appropriate antihypertensive medication to add to treatment of patients with resistant hypertension (≥3 antihypertensive medications at optimal doses) not at their blood pressure goal. "( Spironolactone management of resistant hypertension.
Marrs, JC, 2010
)
3.25
"Spironolactone is a potassium-sparing diuretic marketed since the 1960s that is known to cause the same adverse effects as other diuretics as well as some effects of its own, such as hyperkalaemia, gynaecomastia and menstrual disturbances. "( Upper gastrointestinal bleeding and spironolactone.
, 2011
)
2.09
"Spironolactone is a potassium-sparing diuretic that also acts as an androgen receptor antagonist."( Improvement of cognitive impairment in female type 2 diabetes mellitus mice by spironolactone.
Horiuchi, M; Ito, M; Iwanami, J; Jing, F; Min, LJ; Mogi, M; Ohshima, K; Sakata, A; Tsukuda, K, 2012
)
1.33
"Spironolactone is an antifibrotic medication commonly used in heart failure to reduce mortality."( Spironolactone and colitis: increased mortality in rodents and in humans.
Gillespie, BW; Govani, SM; Higgins, PD; Johnson, LA; Joyce, JC; Waljee, AK, 2012
)
2.54
"Spironolactone is a drug derived from sterols that exhibits an incomplete oral absorption due to its low water solubility and slow dissolution rate. "( Functional assessment of four types of disintegrants and their effect on the spironolactone release properties.
Guisao, S; Rojas, J; Ruge, V, 2012
)
2.05
"Like spironolactone, it is a compound that can be associated with the development of hyperkalemia."( Eplerenone: a new aldosterone receptor antagonist--are the FDAs restrictions appropriate?
Sica, DA,
)
0.59
"Spironolactone is a common cause of hyperkalaemia when used in combination with either an ACE inhibitor or an AT2 antagonist. "( The safety of spironolactone treatment in patients with heart failure.
Anton, C; Cox, AR; Ferner, RE; Watson, RD, 2003
)
2.12
"Spironolactone, however, is a nonselective antagonist of the aldosterone receptor, binding also to other steroid receptors and causing a significant percentage of patients to have sex hormone-related adverse effects such as gynecomastia."( Eplerenone: a selective aldosterone receptor antagonist for hypertension and heart failure.
Anderson, JR; Moore, TD; Nawarskas, JJ,
)
0.85
"Spironolactone is an antiandrogen and aldosterone antagonist used to treat hirsutism."( Spironolactone versus placebo or in combination with steroids for hirsutism and/or acne.
Farquhar, C; Jepson, R; Lee, O; Toomath, R, 2003
)
2.48
"Spironolactone is a mineralocorticoid receptor (MR) antagonist in clinical use. "( Determinants of spironolactone binding specificity in the mineralocorticoid receptor.
Dimopoulos, N; Fuller, PJ; Rogerson, FM; Smith, BJ; Yao, YZ, 2003
)
2.11
"Spironolactone is a safe and effective medication for women with acne vulgaris. "( Effects and side-effects of spironolactone therapy in women with acne.
Gorgulu, A; Piskin, S; Yemisci, A, 2005
)
2.07
"Spironolactone is an effective therapy for BAH and it is an adequate option for APA treatment when an adrenalectomy is not viable."( [Primary aldosteronism: analysis of a series of 54 patients].
Aliaga, L; Fernández-Torres, C; Jaén, F; Jiménez-Alonso, J; Mediavilla-García, JD; Sabio, JM, 2005
)
1.05
"Spironolactone is a non-selective mineralocorticoid receptor antagonist with moderate affinity for both progesterone and androgen receptors."( Pharmacokinetics and pharmacodynamics of mineralocorticoid blocking agents and their effects on potassium homeostasis.
Sica, DA, 2005
)
1.05
"Spironolactone is a steroidal diuretic showing incomplete oral behaviour because of its low solubility and slow dissolution rate. "( Preparation and characterization of spironolactone-loaded nanocapsules for paediatric use.
Charcosset, C; Fessi, H; Limayem Blouza, I; Sfar, S, 2006
)
2.05
"Spironolactone is an aldosterone antagonist and potassium-sparing diuretic with a desirable safety profile."( Spironolactone might be a desirable immunologic and hormonal intervention in autism spectrum disorders.
Bradstreet, JJ; El-Dahr, JM; Granpeesheh, D; Rossignol, D; Smith, S, 2007
)
2.5
"Spironolactone is a diuretic steroid which is capable of blocking the binding of aldosterone to its cytosol receptor at the distal convoluted tubule. "( [Direct action of mineralocorticoid antagonists on biosynthesis of aldosterone: comparative activities of several new compounds].
Capron, MH; Delarue, C; Leboulenger, F; Netchitailo, P; Perroteau, I; Vaudry, H, 1983
)
1.71
"Spironolactone (SL) is a renal aldosterone antagonist that is used clinically in the treatment of hypertension and congestive heart failure. "( Identification of spironolactone metabolites in plasma and target organs of guinea pigs.
Coddington, AB; Colby, HD; Los, LE; Ramjit, HG,
)
1.91
"Spironolactone (SL) is a mineralocorticoid antagonist used clinically to treat hypertension and congestive heart failure. "( Binding of spironolactone metabolites in vivo to renal mineralocorticoid receptors in guinea pigs.
Colby, HD; Los, LE, 1994
)
2.12
"Spironolactone therapy is a well-known cause of hyperkalaemia, but in susceptible patient, it may also be associated with metabolic acidosis. "( Type IV renal tubular acidosis and spironolactone therapy in the elderly.
Colledge, NR; O'Connell, JE, 1993
)
2.01
"Spironolactone appears to be an effective therapy for the negative mood changes and somatic symptoms in PMS."( Treatment of premenstrual syndrome by spironolactone: a double-blind, placebo-controlled study.
Bäckström, T; Hammarbäck, S; Lindhe, BA; Wang, M, 1995
)
2
"Spironolactone is an antiandrogen and aldosterone antagonist used to treat hirsutism."( Spironolactone versus placebo or in combination with steroids for hirsutism and/or acne.
Farquhar, C; Jepson, R; Lee, O; Toomath, R, 2000
)
2.47
"Spironolactone is an aldosterone antagonist which has been used as a mild potassium-sparing diuretic and in treatment of ascites in liver failure. "( Spironolactone in heart failure--a revived role for an old drug.
Bradley, C, 2000
)
3.19
"Spironolactone is an antiandrogen and aldosterone antagonist used to treat hirsutism."( Spironolactone versus placebo or in combination with steroids for hirsutism and/or acne.
Farquhar, C; Jepson, R; Lee, O; Toomath, R, 2001
)
2.47
"Spironolactone is a safe, effective therapy for patients with refractory hypertension."( The role of spironolactone in the treatment of patients with refractory hypertension.
Carré, E; Lincoff, AM; Mertes, M; Ouzan, J; Pérault, C, 2002
)
2.14
"Spironolactone functions as an agonist for aldosterone for the stimulation of urinary acidification."( Spironolactone. An aldosterone agonist in the stimulation of H+ secretion by turtle urinary bladder.
Mueller, A; Steinmetz, PR, 1978
)
2.42
"Spironolactone (Aldactone) acts as an antiandrogen by blocking testosterone synthesis and competing with testosterone for the androgen receptor. "( Spironolactone stimulation of gonadotropin secretion in boys with delayed adolescence.
Friend, J; Kulin, HE; Loriaux, DL; Santen, RJ, 1976
)
3.14
"Spironolactone is a diuretic, selective aldosterone, antagonist with its own antihypertensive action which prevents body loss of potassium. "( [Double-blind therapeutic trial of spironolactone in arterial hypertension].
Chávez-Domínguez, R; Sánchez-Torres, G; Serrano, P,
)
1.85
"If spironolactone is proven to be an inhibitor of cis-dichlorodiammineplatinum (II) nephrotoxicity, it will become a valuable addition to the treatment of human neoplasia with this platinum compound."( Action of Cis-dichlorodiammineplatinum(II) (NSC-119875) at ehe cellular level.
Drewinko, B; Gottlieb, JA,
)
0.65
"Spironolactone is a useful alternative therapy for women with acne vulgaris."( Oral spironolactone: an effective treatment for acne vulgaris in women.
Carter, GD; Cream, JJ; Muhlemann, MF; Wise, P, 1986
)
1.51
"Spironolactone is a steroid that has some feminizing actions but that lacks the phenolic A ring necessary for estrogens to cause cholestasis."( Role of liver plasma membrane fluidity in the pathogenesis of estrogen-induced cholestasis.
Gordon, ER; Smith, DJ, 1988
)
1

Effects

Spironolactone has an anti androgenic effect, inhibiting the binding of androgens to their receptor. It has a lesser effect on lipids than do thiazides.

Spironolactone has been shown to reduce cardiovascular death in patients with mild-to-moderate chronic kidney disease (CKD), but its risks and benefits in advanced CKD remain unsettled. SpironolActone (S) has been used successfully for the treatment of hirsutism.

ExcerptReferenceRelevance
"Spironolactone has an anti androgenic effect, inhibiting the binding of androgens to their receptor. "( [Treatment of hirsutism with spironolactone and with spironolactone plus dexamethasone].
Aravena, L; Devoto, E; Ríos, R, 2000
)
2.04
"Spironolactone has a lesser effect on lipids than do thiazides."( Effects of diuretic drugs on the lipid profile.
Ames, R, 1988
)
1
"Spironolactone has been shown to improve outcomes in patients with heart failure (HF) with reduced ejection fraction (EF). "( Spironolactone use is associated with improved outcomes in heart failure with mid-range ejection fraction.
Enzan, N; Higo, T; Ide, T; Kaku, H; Matsushima, S; Tsuchihashi-Makaya, M; Tsutsui, H, 2020
)
3.44
"Spironolactone has been demonstrated to reduce heart failure (HF) hospitalization in patients with HF with preserved ejection fraction in the Americas region of the TOPCAT trial (Treatment of Preserved Cardiac Function Heart Failure With an Aldosterone Antagonist Trial). "( Mechanistic Effects of Spironolactone on Cardiovascular and Renal Biomarkers in Heart Failure With Preserved Ejection Fraction: A TOPCAT Biorepository Study.
Anand, IS; Claggett, BL; de Denus, S; Desai, AS; Jarolim, P; Myhre, PL; O'Meara, E; Pfeffer, MA; Pitt, B; Rouleau, JL; Solomon, SD; Vaduganathan, M, 2020
)
2.31
"Spironolactone (SP) has been widely used as a diuretic in clinical practice."( Spironolactone Ameliorates Senescence and Calcification by Modulating Autophagy in Rat Tendon-Derived Stem Cells via the NF-
Chen, M; He, Y; Lin, C; Ma, C; Ma, D; Moqbel, SAA; Wu, L; Xu, K; Zhou, X, 2021
)
2.79
"Spironolactone has the best evidence as add-on pharmacologic therapy in patients with RH, but data are limited."( A Systematic Review of Add-on Pharmacologic Therapy in the Treatment of Resistant Hypertension.
Barry, AR; Tataru, AP, 2017
)
1.9
"Spironolactone has been shown to reduce cardiovascular death in patients with mild-to-moderate chronic kidney disease (CKD), but its risks and benefits in advanced CKD remain unsettled. "( Effect of spironolactone on the risks of mortality and hospitalization for heart failure in pre-dialysis advanced chronic kidney disease: A nationwide population-based study.
Chen, YH; Hsu, CC; Hung, SC; Kuo, KL; Liu, JS; Tarng, DC; Tseng, WC, 2017
)
2.3
"Spironolactone (SPL) has been proven to improve cardiovascular outcomes in clinical trials and its protective effect on VC has been reported recently; however, the underlying mechanisms are not completely understood and require further investigation."( Spironolactone dose‑dependently alleviates the calcification of aortic rings cultured in hyperphosphatemic medium with or without hyperglycemia by suppressing phenotypic transition of VSMCs through downregulation of Pit‑1.
Chen, W; Luo, D; Peng, D; Quan, Z; Wang, P, 2019
)
2.68
"Spironolactone has no antinociceptive effects in thermal models of pain, but it enhances the antinociceptive effects of morphine mainly by increasing morphine central nervous system concentrations, probably by inhibiting P-gp."( The mineralocorticoid receptor antagonist spironolactone enhances morphine antinociception.
Jokinen, V; Kalso, EA; Lilius, TO; Neuvonen, MS; Niemi, M; Rauhala, PV; Väänänen, AJ, 2014
)
2.11
"Spironolactone has been reported to supress the transcription of proinflamatory cytokines that are considered to be of importance in immunoinflammatory diseases."( A study comparing the efficacy of antimicrobial agents versus enzyme (P-gp) inducers in the treatment of 2,4,6 trinitrobenzenesulfonic acid-induced colitis in rats.
Celikel, C; Cetinel, S; Dulger, GA; Imeryuz, N; Kabasakal, L; Kan, B; Orun, O; Toklu, HZ; Yuksel, M, 2013
)
1.11
"Spironolactone has been shown to be an effective treatment option for hormonally mediated acne but can cause hyperkalemia. "( Low Usefulness of Potassium Monitoring Among Healthy Young Women Taking Spironolactone for Acne.
Mostaghimi, A; Plovanich, M; Weng, QY, 2015
)
2.09
"Spironolactone has endocrine effects that could influence cancer risks and historical reports suggest possible links with increased risk of certain types of cancer."( Spironolactone use and risk of incident cancers: a retrospective, matched cohort study.
MacDonald, TM; Mackenzie, IS; Morant, SV; Thompson, AM; Wei, L, 2017
)
2.62
"Spironolactone has several nonspecific actions including inhibition of androgen receptor and steroid hormone biosynthesis."( Contrasting effects of eplerenone and spironolactone on adrenal cell steroidogenesis.
Pollock, DM; Rainey, WE; Sasano, H; Yamashita, T; Ye, P, 2009
)
1.35
"Spironolactone has been shown to exert positive effects in human patients with heart failure; however, the mechanisms and effects in human atrial fibrosis and AF remain undetermined."( Extracellular matrix remodeling in atrial fibrosis: mechanisms and implications in atrial fibrillation.
Lyon, RC; Pellman, J; Sheikh, F, 2010
)
1.08
"Spironolactone has been noted to attenuate cardiac fibrosis. "( Spironolactone attenuates experimental uremic cardiomyopathy by antagonizing marinobufagenin.
Bagrov, AY; Cooper, CJ; El-Okdi, N; Elkareh, J; Fedorova, OV; Gohara, S; Gupta, S; Haller, S; Malhotra, D; Periyasamy, SM; Shapiro, JI; Shidyak, A; Taleb, M; Tian, J; Xie, Z, 2009
)
3.24
"Spironolactone has been used for 30 years as a potassium-sparing diuretic."( Innovative use of spironolactone as an antiandrogen in the treatment of female pattern hair loss.
Rathnayake, D; Sinclair, R, 2010
)
1.42
"Spironolactone has long been the drug of choice while epleronone represents a newer more expensive alternative with fewer side effects."( [Preoperative and postoperative management of adrenal masses].
Corsello, SM; De Rosa, A; Gallo, F; Ianni, F; Locantore, P; Paragliola, RM; Pontecorvi, A; Ricciato, MP; Senes, P,
)
0.85
"Spironolactone has shown improvement in 5 prospective studies and 1 retrospective study evaluating its blood pressuring-lowering abilities in patients with resistant hypertension."( Spironolactone management of resistant hypertension.
Marrs, JC, 2010
)
2.52
"Spironolactone has been used as a potassium-sparing diuretic for more than 30 years. "( Use of spironolactone in dermatology.
Rathnayake, D; Sinclair, R,
)
2.03
"Spironolactone has been used for over 20 years as an antiandrogen in the treatment of acne and hirsutism. "( Long-term safety of spironolactone in acne: results of an 8-year followup study.
Shaw, JC; White, LE,
)
1.9
"Spironolactone has been used for nearly 2 decades for the treatment of hypertension, and more recently, has become a standard agent for the treatment of systolic heart failure."( Eplerenone: a selective aldosterone receptor antagonist for hypertension and heart failure.
Anderson, JR; Moore, TD; Nawarskas, JJ,
)
0.85
"Spironolactone has undesirable side effects that have limited its clinical use; the most significant are impotence, gynecomastia, and hirsutism."( The resurrection of spironolactone on its golden anniversary.
Futterman, LG; Lemberg, L, 2004
)
1.37
"Spironolactone has been demonstrated to display agonist activity only to the progesterone receptor (PR), and we additionally show that spironolactone and progesterone, but not eplerenone, inhibit mitochondrial cytochrome c release and cleavage of nuclear poly (ADP-ribose) polymerase (PARP) and increase cell viability."( Protective effect of spironolactone on endothelial cell apoptosis.
Milan, A; Mulatero, P; Veglio, F; Verhovez, A; Williams, TA, 2006
)
1.37
"Spironolactone (SPIR) has been described to suppress accumulation of pro-inflammatory cytokines. "( Spironolactone induces apoptosis in human mononuclear cells. Association between apoptosis and cytokine suppression.
Bendtzen, K; Mikkelsen, M; Nersting, J; Sønder, SU, 2006
)
3.22
"Spironolactone has recently been shown to have suppressive effects on several immunoactive and proinflammatory cytokines. "( Effects of spironolactone on corneal allograft survival in the rat.
Gong, N; Mergler, S; Otasevic, L; Pleyer, U; Ritter, T, 2007
)
2.17
"Spironolactone (SPIR) has been shown in numerous clinical studies to produce sexual disorders. "( Metabolism of spirolactones by the rat testis in vitro.
Erbler, HC; Weissenborn, U, 1983
)
1.71
"Spironolactone has been reported to diminish the hypoprothrombinemic effect of oral anticoagulants in animals and digitoxin blood levels in man by induction of hepatic enzymes. "( Spironolactone and warfarin interaction.
O'Reilly, RA, 1980
)
3.15
"Spironolactone, which has been shown to lower HVPG in patients with cirrhosis, produces a reduction in plasma volume that attenuates the increased cardiac output associated with cirrhosis and triggers vasoactive mechanisms that decrease splanchnic blood flow."( New approaches in the pharmacologic treatment of portal hypertension.
Bosch, J; Fernández, M; Feu, F; García-Pagán, JC; Luca, A; Pizcueta, P; Rodés, J, 1993
)
1.01
"Spironolactone has long been a standard for the treatment of cirrhotic ascites because it directly antagonizes aldosterone."( Medical treatment of ascites in cirrhosis.
Gerbes, AL, 1993
)
1.01
"If spironolactone has beneficial effects on HRV, this would contribute to favorable results."( Effects of spironolactone on heart rate variability and left ventricular systolic function in severe ischemic heart failure.
Korkmaz, ME; Müderrisoğlu, H; Ozin, B; Uluçam, M, 2000
)
1.21
"Spironolactone has an anti androgenic effect, inhibiting the binding of androgens to their receptor. "( [Treatment of hirsutism with spironolactone and with spironolactone plus dexamethasone].
Aravena, L; Devoto, E; Ríos, R, 2000
)
2.04
"Spironolactone has been shown to decrease mortality in such patients who are New York Heart Association class IV."( Spironolactone in left-sided heart failure: how does it fit in?
Luttermoser, G; Margo, KL; Shaughnessy, AF, 2001
)
2.47
"Spironolactone has been found to increase life expectancy and to reduce hospitalisation frequency when added to the conventional therapeutic regimen of patients with advanced congestive heart failure and systolic dysfunction."( Diuretics in the treatment of patients who present congestive heart failure and hypertension.
Reyes, AJ, 2002
)
1.04
"Spironolactone has progestational activity in the rabbit and rhesus monkey. "( Oral progestational activity of spironolactone.
Potts, GO; Schane, HP, 1978
)
1.98
"Spironolactone has been shown to affect both gonadal and adrenal steroidogenesis, to elevate plasma gonadotrophin levels in children, and to act as an antiandrogen at the target tissue level."( Spironolactone and endocrine dysfunction.
, 1976
)
2.42
"Spironolactone, which has been shown to have antiandrogen action in mature male rats, was given to pregnant rats from day 14 of pregnancy until delivery in a dose equivalent to the 400-mg adult human regimen. "( Lack of effect of spironolactone on male genital development.
Reckler, JM; Regestein, Q; Rose, LI, 1975
)
2.03
"Spironolactone also has been used as an antiandrogenic agent in managing hirsutism."( Spironolactone: a re-examination.
Gums, JG; Skluth, HA, 1990
)
2.44
"Spironolactone has a lesser effect on lipids than do thiazides."( Effects of diuretic drugs on the lipid profile.
Ames, R, 1988
)
1
"Spironolactone has beneficial effects on ovarian function and few side effects, so it may prove to be an effective anti-androgen, especially for hyperandrogenic anovulatory patients."( Spironolactone therapy for hyperandrogenic anovulatory women--clinical and endocrinological study.
Asai, M; Hanai, K; Ichikawa, Y; Kikkawa, H; Masahashi, T; Mizutani, S; Narita, O; Ohsawa, M; Tomoda, Y; Wu, MC, 1986
)
2.44
"Spironolactone (S) has been used successfully for the treatment of hirsutism. "( The effects of two doses of spironolactone on serum androgens and anagen hair in hirsute women.
Brinton, D; Horton, R; Lobo, RA; Serafini, P; Shoupe, D, 1985
)
2.01

Actions

Spironolactone is a common cause of hyperkalaemia when used in combination with either an ACE inhibitor or an AT2 antagonist. It can also be a cause of Hormonally Associated Vestibulodynia and Female Sexual Arousal Disorder.

ExcerptReferenceRelevance
"Spironolactone did not increase the odds of weight loss but reduced the odds of weight gain."( Weight changes in heart failure with preserved ejection fraction: findings from TOPCAT.
Claggett, BL; Ferreira, JP; Pfeffer, M; Pitt, B; Rossignol, P; Solomon, SD; Zannad, F, 2022
)
1.44
"Spironolactone May be a Cause of Hormonally Associated Vestibulodynia and Female Sexual Arousal Disorder."( Spironolactone May be a Cause of Hormonally Associated Vestibulodynia and Female Sexual Arousal Disorder.
Barela, K; Goldstein, AT; Govind, V; Mitchell, L, 2019
)
2.68
"Spironolactone did not inhibit the formation of morphine-3-glucuronide."( The mineralocorticoid receptor antagonist spironolactone enhances morphine antinociception.
Jokinen, V; Kalso, EA; Lilius, TO; Neuvonen, MS; Niemi, M; Rauhala, PV; Väänänen, AJ, 2014
)
1.39
"Spironolactone can inhibit high glucose-induced renal tubular epithelial cells EMT, which may be an important mechanism for the inhibition of renal interstitial fibrosis."( [Effect of aldosterone and its antagonist spironolactone on epithelial-mesenchymal transition of normal rat kidney epithelial cells in high glucose].
Ao, X; Hong, X; Liu, K; Pouranan, V; Xiao, Z; Yuan, M; Zhou, Q, 2010
)
1.35
"Spironolactone can inhibit the activation of L-Arg/iNOS/NO pathway."( [Effect of spironolactone on L-arginine/iNOS/NO pathway of aortic adventitia in spontaneously hypertensive rats].
Deng, CN; Shen, LH; Tang, CS, 2010
)
1.47
"Spironolactone can enhance the analgesic effects of dexamethasone via complex mechanisms."( The respective and interaction effects of spinal GRs and MRs on radicular pain induced by chronic compression of the dorsal root ganglion in the rat.
Gu, X; Liu, C; Ma, Q; Ma, Z; Peng, L; Song, L; Sun, X; Yang, D; Zheng, Y; Zhu, B, 2011
)
1.09
"Spironolactone can inhibit hepatic sinusoid angiogenesis in rats with BDL-induced hepatic fibrosis by inhibiting the expression of VEGF-A."( [Spironolactone inhibits hepatic sinusoid angiogenesis in rats with hepatic fibrosis].
Cai, S; Li, X; Li, Y; Ning, Z; Zhang, L; Zhang, W, 2012
)
2.73
"Spironolactone is a common cause of hyperkalaemia when used in combination with either an ACE inhibitor or an AT2 antagonist. "( The safety of spironolactone treatment in patients with heart failure.
Anton, C; Cox, AR; Ferner, RE; Watson, RD, 2003
)
2.12
"Spironolactone did not produce significant changes in ECF during either the high-Na or low-Na diets."( Effect of spironolactone on fluid volumes and adrenal steroids in primary aldosteronism.
Hirano, Y; Ichikawa, S; Kogure, M; Matsuo, H; Murata, K; Sakamaki, T; Tajima, Y; Yagi, S, 1984
)
1.39
"As spironolactone can cause gastric irritation, the present findings support the recommendation that spironolactone always be prescribed for once-daily intake together with breakfast."( Influence of food intake on antihypertensive drugs: spironolactone.
Liedholm, H; Lindholm, L; Melander, A; Thulin, T; Wåhlin-Boll, E, 1983
)
1.03
"Spironolactone did not produce any marked changes in electrolyte balance and hypotensive effect."( [Changes in the electrolyte balance and the transmural differential in the potentials of the blood vessel wall during the administration of spironolactone and its combination with euphylline].
Erikov, VM,
)
1.05
"Spironolactone appears to increase digoxin levels measured by radioimmunoassay."( Spironolactone interference with digoxin radioimmunoassay in cirrhotic patients.
Bustrack, JA; Cote, JR; DiPiro, CR; DiPiro, JT, 1980
)
2.43
"Spironolactone prevented the increase in body weight and the decrease in serum potassium but did not affect the increase in blood pressure produced by cortisol."( Dose-response relationships and mineralocorticoid activity in cortisol-induced hypertension in humans.
Kelly, JJ; Whitworth, JA; Williamson, PM, 1996
)
1.02
"Spironolactone did not enhance water and electrolyte excretion."( Mineralocorticoid blockade reduces vascular injury in stroke-prone hypertensive rats.
Chander, PN; Khanna, K; Rocha, R; Stier, CT; Zuckerman, A, 1998
)
1.02
"Spironolactone promotes magnesium and potassium retention, increases uptake of myocardial norepinephrine, attenuates formation of myocardial fibrosis, and decreases mortality associated with both progressive ventricular dysfunction and malignant ventricular arrhythmias."( Spironolactone in congestive heart failure.
Soberman, JE; Weber, KT, 2000
)
2.47

Treatment

Spironolactone treatment significantly reduced urinary albumin excretion and ameliorated glomerulosclerosis. The drug remains the treatment of choice for patients with heart failure and incapacitating dyspnea despite ACE inhibitor and diuretic therapy.

ExcerptReferenceRelevance
"Spironolactone treatment was maintained as it was considered beneficial due to the cardiac condition. "( Potential negative pharmacodynamic interaction of spironolactone and abiraterone in two prostate cancer patients.
Collado-Borrell, R; Escudero-Vilaplana, V; Herranz, A; López-López, C; Revuelta-Herrero, JL; Ruiz-Briones, P; Sanjurjo, M; Somoza-Fernández, B; Vicente-Valor, J; Villanueva-Bueno, C, 2022
)
2.42
"Spironolactone treatment was associated with a reduced risk of the primary outcome only in phenotype 1 (HR: 0.63; 95% CI: 0.40-0.98; P = 0.042)."( Phenotypes of heart failure with preserved ejection fraction and effect of spironolactone treatment.
Choy, M; Dong, Y; Fu, M; He, J; He, X; Liang, W; Liu, C, 2022
)
1.67
"Spironolactone treatment could improve clinical outcome in a phenotype of relatively young patients with low burden of co-morbidities."( Phenotypes of heart failure with preserved ejection fraction and effect of spironolactone treatment.
Choy, M; Dong, Y; Fu, M; He, J; He, X; Liang, W; Liu, C, 2022
)
1.67
"Spironolactone treatment demonstrated significant attenuation of cardiac fibrosis and apoptosis in left ventricular tissue compared to furosemide."( Mineralocorticoid Receptor Antagonists Mitigate Mitral Regurgitation-Induced Myocardial Dysfunction.
Chang, WT; Chen, CY; Chen, ZC; Lin, YW; Liu, PY; Luo, CY; Shih, JY; Wu, CC, 2022
)
1.44
"Spironolactone treatment resulted in significantly reduced loss of mass during the first week, however, over the following weeks, no differences in mass loss were observed in the groups implanted with blockers, while cortisol-treated fish showed the highest decrease in body mass over time."( Combined antagonist treatment of glucocorticoid and mineralocorticoid receptor does not affect weight loss of fasting rainbow trout but inhibits a fasting-induced elevation of cortisol secretion.
Pfalzgraff, T; Skov, PV, 2022
)
1.44
"Spironolactone use as a treatment for hirsutism and other dermatological conditions among polycystic ovary syndrome (PCOS) and idiopathic hirsutism shows varied results."( Do Pleiotropic Effects of Spironolactone in Women with PCOS Make it More than an Anti-androgen? Evidence from a Systematic Review and Meta-analysis.
Asrar, MM; Bashir, R; Ganie, MA; Shah, IA; Wani, IA, 2023
)
2.65
"spironolactone. Treatment was more frequently withdrawn, and daily drug dosage was lower among patients treated with spironolactone."( Initiation of eplerenone or spironolactone, treatment adherence, and associated outcomes in patients with new-onset heart failure with reduced ejection fraction: a nationwide cohort study.
Denholt, CS; Fosbøl, E; Gustafsson, F; Kristensen, SL; Køber, L; Larsson, JE; Nielsen, OW; Raja, AA; Schou, M; Thune, JJ, 2023
)
1.93
"Spironolactone treatment might increase insulin resistance in patients with PA. "( Changes in Glucose Metabolism after Adrenalectomy or Treatment with a Mineralocorticoid Receptor Antagonist for Primary Aldosteronism.
Chang, CH; Chung, SD; Hu, YH; Lin, YF; Peng, KY; Wu, VC, 2020
)
2
"Spironolactone treatment reduces mortality in haemodialysis (HD) patients. "( Effects of spironolactone on extrasystoles and heart rate variability in haemodialysis patients: a randomised crossover trial.
Cao, Y; Eklund, M; Furuland, H; Hellberg, O; Nilsson, E, 2021
)
2.45
"Spironolactone treatment increases PVCs in HD, indicating a possible proarrhythmic effect. "( Effects of spironolactone on extrasystoles and heart rate variability in haemodialysis patients: a randomised crossover trial.
Cao, Y; Eklund, M; Furuland, H; Hellberg, O; Nilsson, E, 2021
)
2.45
"Spironolactone treatment reverted hyperphosphorylation of activated Erbb4 in these mice."( Spironolactone is an antagonist of NRG1-ERBB4 signaling and schizophrenia-relevant endophenotypes in mice.
Brzózka, MM; Falkai, P; Herholt, A; Hinrichs, W; Kravchenko, M; Nave, KA; Papiol, S; Rossner, MJ; Schwab, MH; Soto-Bernardini, MC; Unterbarnscheidt, T; Wehr, MC; Wichert, SP; Wintgens, JP; Zhang, M; Zhang, W, 2017
)
2.62
"Spironolactone treatment significantly decreased coronary TRPC expression and dysfunctions in MetS pigs."( Long-term spironolactone treatment reduces coronary TRPC expression, vasoconstriction, and atherosclerosis in metabolic syndrome pigs.
Alloosh, M; Beli, E; Chakraborty, S; Chen, X; Grant, MB; Hiett, SC; Li, W; Long, X; Obukhov, AG; Riley, AM; Sturek, M; Temm, CJ; White, FA, 2017
)
1.58
"Spironolactone treatment (7 days) was started following 3-day habituation to intragastric vehicle administration."( Marinobufagenin in Urine: A Potential Marker of Predisposition to Ethanol and a Target for Spironolactone.
Bagrov, AY; Egorov, AY; Kashkin, VA; Shekunova, EV, 2018
)
1.42
"Spironolactone treatment might benefit long-term cardiovascular outcome of such patients."( Spironolactone improves endothelial and cardiac autonomic function in non heart failure hemodialysis patients.
Drakou, A; Flevari, P; Kalogeropoulou, S; Kremastinos, D; Leftheriotis, D; Lekakis, J; Panou, F; Vlahakos, DV, 2013
)
2.55
"The spironolactone treatment group demonstrated significant increases in heart rate and cardiac output and a decrease in cardiac index compared to SHR controls."( Echocardiographic effects of eplerenone and aldosterone in hypertensive rats.
Dostal, DE; Jewell, C; Song, J; Watson, LE, 2013
)
0.87
"Spironolactone treatment (25mg/day) was added and was well tolerated, with no change in renal function and kaliemia within normal (4.1mmol/l) following the treatment."( Resistant hypertension.
Armario, P; de la Sierra, A; Oliveras, A, 2013
)
1.11
"Spironolactone treatment in humans is associated with an increased risk of hyperkalemia and renal dysfunction."( Safety of spironolactone in dogs with chronic heart failure because of degenerative valvular disease: a population-based, longitudinal study.
Atkins, CE; Baduel, L; Combes, B; Concordet, D; Kaltsatos, V; Lefebvre, HP; Ollivier, E,
)
1.98
"Spironolactone treatment alone significantly increased KLOTHO and CYP27B1 transcript levels in HEK293 cells (24 hours) and mice (8 hours or 5 days)."( 25-Hydroxyvitamin D3 1-α-hydroxylase-dependent stimulation of renal klotho expression by spironolactone.
Ahmed, MS; Alesutan, I; Feger, M; Lang, F; Mia, S; Pakladok, T; Voelkl, J, 2013
)
1.33
"Spironolactone treatment prevented Th17 cell activation and increased numbers of forkhead box P3-positive cells relative to DOCA-salt rats."( Spironolactone decreases DOCA-salt-induced organ damage by blocking the activation of T helper 17 and the downregulation of regulatory T lymphocytes.
Alzamora, R; Amador, CA; Barrientos, V; Carrasco, L; Figueroa, F; González, M; Herrada, AA; Kalergis, AM; Michea, L; Peña, J; Valdés, S, 2014
)
2.57
"Spironolactone treatment caused a very small reduction in the damage caused by permanent focal cerebral ischemia."( Temporary mineralocorticoid receptor antagonism during the development of hypertension improves cerebral artery dilation.
Dorrance, AM; McClain, JL, 2014
)
1.12
"Spironolactone (20mg/kg/day)-treated experimental left varicocele group."( Angiogenesis inhibition impairs testicular morphology in experimental left varicocele rat model.
Çaylak, B; Erdem, ŞR; Gökhan-Köse, M; Peşkircioğlu, ÇL, 2014
)
1.12
"Spironolactone treatment, probably by inhibiting angiogenesis, impairs testicular morphology."( Angiogenesis inhibition impairs testicular morphology in experimental left varicocele rat model.
Çaylak, B; Erdem, ŞR; Gökhan-Köse, M; Peşkircioğlu, ÇL, 2014
)
1.12
"Spironolactone treatment and K-RAS suppression both led to a reduction in cell number in vitro."( Evidence for aldosterone-dependent growth of renal cell carcinoma.
Bray, S; Christie, L; Fleming, S; Galbraith, S; King, S, 2014
)
1.12
"Spironolactone treatment resolved the CSC."( Central serous chorioretinopathy treatment with spironolactone: a challenge-rechallenge case.
Pulido, CM; Ryan, EH, 2015
)
1.39
"Spironolactone treatment blocked the fibrogenic response of HIOs to TGFβ."( Intestinal organoids: a model of intestinal fibrosis for evaluating anti-fibrotic drugs.
Higgins, PD; Huang, S; Johnson, LA; Rodansky, ES; Spence, JR, 2015
)
1.14
"Spironolactone treatment did not affect blood pressure, fasting glucose levels or weight gain, but increased serum potassium and total cholesterol in both, diabetic and control mice."( Mineralocorticoid receptor blockade prevents vascular remodelling in a rodent model of type 2 diabetes mellitus.
Bruder-Nascimento, T; Cau, SB; Lopes, RA; Manzato, CP; Mestriner, FL; Montezano, AC; Neves, KB; Nguyen Dinh Cat, A; Silva, MA; Tostes, RC; Touyz, RM, 2015
)
1.14
"Spironolactone treatment in hemodialysis patients was secure and effective in regression of left ventricular hypertrophy, a major risk factor for cardiovascular events in these patients. "( Spironolactone is secure and reduces left ventricular hypertrophy in hemodialysis patients.
Barretti, P; Caramori, JC; Castro, AD; De Stefano, LM; Feniman-De-Stefano, GM; Franco, RJ; Martin, LC; Xavier, PS; Zanati-Basan, SG, 2015
)
3.3
"Spironolactone treatment immediately or 1.5-h after the ischemic insult prevented the onset of these disorders."( Mild ischemic injury leads to long-term alterations in the kidney: amelioration by spironolactone administration.
Barrera-Chimal, J; Bobadilla, NA; Durand, M; Jaisser, F; Ortega, JA; Pérez-Villalva, R; Rodríguez-Romo, R; Sánchez, A, 2015
)
1.36
"Spironolactone pretreatment markedly reduced intestinal I/R-induced lung injury as indicated by histology and MDA and MPO levels. "( Reduction of Acute Lung Injury by Administration of Spironolactone After Intestinal Ischemia and Reperfusion in Rats.
Aktunc, E; Barut, F; Ozacmak, VH; Sayan-Ozacmak, H; Turan, I, 2016
)
2.13
"Spironolactone treatment resulted in decreased blood pressure and rise in serum potassium levels."( Apparent mineralocorticoid excess and the long term treatment of genetic hypertension.
Khattab, A; New, MI; Razzaghy-Azar, M; Yau, M, 2017
)
1.18
"Spironolactone treatment was associated with the improvement of chronic CSC."( The relation of the serum aldosterone level and central serous chorioretinopathy - a pilot study.
Gong, Q; Liu, QH; Sun, XH; Yuan, ST, 2017
)
1.18
"Spironolactone treatment markedly suppressed osteopontin expression."( Spironolactone suppresses inflammation and prevents L-NAME-induced renal injury in rats.
Hayashida, H; Hirakata, H; Iida, M; Ikeda, H; Masutani, K; Toyonaga, J; Tsuruya, K, 2009
)
2.52
"Spironolactone treatment prevents renal damage induced by ischemia-reperfusion (I/R), suggesting that renoprotection conferred by spironolactone is mediated by mineralocorticoid receptor (MR) blockade. "( Adrenalectomy prevents renal ischemia-reperfusion injury.
Bobadilla, NA; Cruz, C; Gamba, G; Ramírez, V; Trujillo, J; Uribe, N; Valdes, R, 2009
)
1.8
"Spironolactone treatment decreased collagen content in the media of thoracic aortas from prehypertensive SHR, whereas losartan decreased collagen content in the media of aortas from hypertensive SHR."( Changes in the composition of the thoracic aortic wall in spontaneously hypertensive rats treated with losartan or spironolactone.
Che, ZQ; Gao, PJ; Han, WQ; Liu, JJ; Wu, LY; Wu, YJ; Zhang, J; Zhou, HY; Zhu, DL, 2009
)
1.28
"Spironolactone treatment reversed the increased expression of caspase-3, bax, calpain I and MMP-9 and the decreased level of Bcl-2, calpastatin and TIMP-1, induced by chronic atrial pacing."( Effects of spironolactone on atrial structural remodelling in a canine model of atrial fibrillation produced by prolonged atrial pacing.
Gong, Y; Li, J; Li, W; Li, Y; Shan, H; Yang, B; Zhao, J, 2010
)
1.47
"Spironolactone treatment (19 patients in the high aldosterone group and 15 patients from the normal aldosterone group participated in the follow-up) resulted in a significant decrease in clinic systolic blood pressure, right and left ventricular end diastolic volumes, left atrial volume, left ventricular mass, and brain natriuretic peptide at 3 and 6 months of follow-up in patients with high aldosterone, whereas in those with normal aldosterone status, spironolactone decreased blood pressure and left ventricular mass without changes in ventricular or atrial volumes or plasma brain natriuretic peptide."( Rapid reversal of left ventricular hypertrophy and intracardiac volume overload in patients with resistant hypertension and hyperaldosteronism: a prospective clinical study.
Aban, I; Ahmed, M; Calhoun, DA; Corros, C; Dell'Italia, LJ; Denney, T; Gaddam, K; Gupta, H; Husain, A; Inusah, S; Lloyd, SG; Oparil, S; Pimenta, E, 2010
)
1.08
"The spironolactone treatment group had significantly reduced IL-6 and TNF-alpha expression compared with the high glucose group."( [Effect of spironolactone on the expression of Toll-like receptor 4 in renal tubular epithelia cells exposed to high glucose].
Ao, X; Bao, RL; Hong, XM; Liu, KH; Tang, TF; Zhou, QL, 2010
)
1.23
"Spironolactone treatment did not alter SBP."( The glucocorticoid receptor is required for experimental adrenocorticotrophic hormone-induced hypertension in mice.
Cole, TJ; McKenzie, KU; Schyvens, CG; Vickers, JJ; Whitworth, JA; Zhang, Y, 2010
)
1.08
"Spironolactone treatment was associated with higher androstenedione concentrations measured by the CAC assay that reverted to normal on treatment withdrawal. "( Spironolactone interference in the immunoassay of androstenedione.
Conway, GS; Dawnay, A; Honour, JW; Tsilchorozidou, T, 2010
)
3.25
"Spironolactone treatment also improved cognitive function in ovariectomized-KKAy mice, but failed to improve it in those with administration of estradiol (200 µg/kg per day)."( Improvement of cognitive impairment in female type 2 diabetes mellitus mice by spironolactone.
Horiuchi, M; Ito, M; Iwanami, J; Jing, F; Min, LJ; Mogi, M; Ohshima, K; Sakata, A; Tsukuda, K, 2012
)
1.33
"Spironolactone treatment reversed all the above effects."( A role for cardiotrophin-1 in myocardial remodeling induced by aldosterone.
Cachofeiro, V; Díez, J; Fortuno, MA; Lahera, V; López-Andrés, N; Martin-Fernandez, B; Rossignol, P; Zannad, F, 2011
)
1.09
"Spironolactone treatment improves CSNA and prevents LV remodeling in patients with CHF. "( Effects of mineralocorticoid receptor antagonist spironolactone on cardiac sympathetic nerve activity and prognosis in patients with chronic heart failure.
Ichikawa, S; Kasama, S; Kumakura, H; Kurabayashi, M; Matsumoto, N; Minami, K; Sato, Y; Sumino, H; Takayama, Y; Toyama, T, 2013
)
2.09
"Spironolactone treatment significantly increased aldosterone levels in males and females independent of the sodium content of the diet."( Sex-specific effects of spironolactone on blood pressure in gonadectomized male and female Wistar rats.
Bartel, C; Götz, F; Hofmann, PJ; Kienitz, T; Michaelis, M; Quinkler, M, 2012
)
1.41
"Spironolactone treatment in addition to standard renoprotective treatment lowers urinary albumin excretion in microalbuminuric patients with Type 1 diabetes, and thus may offer additional renoprotection independent of blood pressure."( Spironolactone diminishes urinary albumin excretion in patients with type 1 diabetes and microalbuminuria: a randomized placebo-controlled crossover study.
Frandsen, E; Hess, G; Nielsen, SE; Parving, HH; Persson, F; Rossing, P; Shjoedt, KJ; Sugaya, T; Zdunek, D, 2012
)
3.26
"Spironolactone treatment decreased the total heart weight. "( Effects of spironolactone treatment on an experimental model of chronic aortic valve regurgitation.
Arsenault, M; Couet, J; Lachance, D; Roussel, E; Zendaoui, A, 2012
)
2.21
"Spironolactone treatment is effective to a similar extent both in patients with and without a secondary cause of hypertension and regardless of the baseline value of systolic BP. "( The effect of spironolactone in patients with resistant arterial hypertension in relation to baseline blood pressure and secondary causes of hypertension.
Jarkovsky, J; Kocianova, E; Sedlak, R; Taborsky, M; Vaclavik, J, 2013
)
2.19
"Spironolactone treatment resulted in a significant increase in cortisol secretion levels in both groups. "( Mineralocorticoid receptor function in major depression.
Akil, H; Lopez, JF; Murphy-Weinberg, V; Watson, SJ; Young, EA, 2003
)
1.76
"The spironolactone treatment either attenuated or prevented the tendency for increased blood pressure."( The effects of spironolactone monotherapy on blood pressure and myocardial remodeling in spontaneously hypertensive rats: a stereological study.
Mandarim-de-Lacerda, CA; Pereira, LM,
)
0.97
"In spironolactone treated chambers, the numbers of peripheral and central vessels were significantly reduced compared to control (p < 0.001)."( [Anti-angiogenic effects of aldosterone antagonists in the fibrin chamber in rats].
Guggino, S; Imbs, JL; Mechine Neuville, A; Stephan, D; Weltin, D,
)
0.65
"Spironolactone treatment decreased PAI-1 immunoreactivity and reduced in a dose-dependent fashion cardiac and renal damage."( Aldosterone and not plasminogen activator inhibitor-1 is a critical mediator of early angiotensin II/NG-nitro-L-arginine methyl ester-induced myocardial injury.
Adler, GK; Jonasson, L; Martinez-Vasquez, D; Mukasa, K; Oestreicher, EM; Roubsanthisuk, W; Stone, JR, 2003
)
1.04
"Spironolactone-treated plants were also nearly restored to the wild-type phenotype by treatment with additional BRs."( A mammalian steroid action inhibitor spironolactone retards plant growth by inhibition of brassinosteroid action and induces light-induced gene expression in the dark.
Asami, T; Fujioka, S; Jikumaru, Y; Kaneko, I; Nakano, T; Oh, K; Shimada, Y; Takatsuto, S; Yoshida, S, 2004
)
1.32
"Spironolactone treatment induced an insignificant reversible reduction in GFR of 3 ml/min per 1.73 m2 (-0.3 to 6) (P = 0.08)."( Beneficial effects of adding spironolactone to recommended antihypertensive treatment in diabetic nephropathy: a randomized, double-masked, cross-over study.
Boomsma, F; Parving, HH; Rossing, K; Schjoedt, KJ; Smidt, UM, 2005
)
1.34
"Spironolactone treatment did not induce any significant change in blood glucose levels and blood pressure."( Role of aldosterone in diabetic nephropathy.
Cha, DR; Han, JY; Han, KH; Han, SY; Jee, YH; Kang, YS; Kim, HK; Kim, YS, 2005
)
1.05
"The spironolactone treatment did not block normal glucocorticoid receptor-mediated immune-suppression functions because mice receiving prednisolone, either with or without spironolactone, maintained normal body weights, hematocrits, and serum immune complexes."( Mineralocorticoid receptor mediates glucocorticoid treatment effects in the autoimmune mouse ear.
Gross, ND; Kempton, JB; Trune, DR, 2006
)
0.81
"On spironolactone treatment, one patient was excluded due to hyperkalemia (plasma potassium 5.7 mmol/L) and one due to orthostatic dizziness."( Beneficial impact of spironolactone in diabetic nephropathy.
Boomsma, F; Juhl, TR; Parving, HH; Rossing, K; Rossing, P; Schjoedt, KJ; Tarnow, L, 2005
)
1.16
"Spironolactone treatment, however, significantly prevented the development of histopathologic and functional changes (BUN 31.2 +/- 2.5 mg/dL; p <0.001 vs."( Mitigation of radiation nephropathy after internal alpha-particle irradiation of kidneys.
Hyjek, E; Jaggi, JS; McDevitt, MR; Scheinberg, DA; Seshan, SV; Sgouros, G, 2006
)
1.06
"Spironolactone treatment significantly reduced urinary albumin excretion and ameliorated glomerulosclerosis."( Spironolactone prevents diabetic nephropathy through an anti-inflammatory mechanism in type 2 diabetic rats.
Cha, DR; Han, JY; Han, KH; Han, SY; Jee, YH; Kang, YS; Kim, CH; Kim, HK; Kim, HS; Kim, YS; Lee, MH; Song, HK, 2006
)
2.5
"(8) Spironolactone remains the treatment of choice for patients with heart failure and incapacitating dyspnea despite ACE inhibitor and diuretic therapy."( Eplerenone: new drug. Recent myocardial infarction with heart failure: a spironolactone me too.
, 2006
)
1.05
"Spironolactone treatment did not induce any significant differences in body weight, kidney/body weight ratio, serum creatinine concentration, blood glucose levels, or systolic blood pressure."( Spironolactone ameliorates renal injury and connective tissue growth factor expression in type II diabetic rats.
Cha, DR; Han, JY; Han, KH; Han, SY; Jee, YH; Kang, YS; Kim, HK; Kim, YS; Lee, MH, 2006
)
2.5
"Spironolactone-treated mice exhibited decreased histopathologic evidence of inflammation and tissue damage, as compared with control mice."( The role of aldosterone blockade in murine lupus nephritis.
Anderson, MR; Bradke, A; Kaplan, MJ; Killen, PD; Monrad, SU, 2008
)
1.07
"Spironolactone treatment did not alter AERP duration, but this medicine dramatically decreased AERPd (P < 0.05), shortened intra- and inter-atrium conduction time (P < 0.05), and increased atrium CV."( Effects of spironolactone on electrical and structural remodeling of atrium in congestive heart failure dogs.
Cao, Y; Dong, G; Han, W; Huo, H; Li, WM; Wang, BC; Wei, N; Xiu, CH; Yang, SS; Zhou, G; Zhou, HY, 2008
)
1.46
"Spironolactone treatment normalized the arterial pressure in patients with primary aldosteronism at all Na intakes."( Effect of spironolactone on fluid volumes and adrenal steroids in primary aldosteronism.
Hirano, Y; Ichikawa, S; Kogure, M; Matsuo, H; Murata, K; Sakamaki, T; Tajima, Y; Yagi, S, 1984
)
1.39
"Spironolactone pretreatment (10mg/100g, twice daily for 4 days, orally) caused a significant decrease in cytochrome P-450 levels in the liver microsomes in female rats but male rats were unaffected. "( Effect of spironolactone on hepatic microsomal monooxygenase and azoreductase activities.
Fujita, S; Kitani, K; Ohta, M; Uesugi, T, 1982
)
2.11
"The spironolactone-treated group had a significantly higher excretion of aldosterone, whilst the excretion of other adrenocorticoid metabolites did not differ."( Long term spironolactone and the adrenal cortex in essential hypertension.
Gorchein, A; Horth, CE; James, VH; Lewis, PS; May, CN, 1980
)
1.14
"In spironolactone-treated patients, a 40% increase in elimination rate constant of antipyrine (P less than 0.01) was due both to a decrease in apparent volume of distribution by 11% (P less than 0.01) and to a 20% rise in metabolic clearance rate (P less than 0.01)."( Spironolactone and enzyme induction in patients with alcoholic cirrhosis.
Dhumeaux, D; Joanne, C; Miguet, JP; Thebault-Lucas, A; Vuitton, D, 1980
)
2.22
"Spironolactone-treated and non-treated subjects experienced similar increases in total serum protein content sufficient to increase the plasma volume by approximately 290 ml."( Spironolactone administration and training-induced hypervolemia.
Flowers, KM; Lamb, DR; Luetkemeier, MJ, 1994
)
2.45
"Spironolactone treatment (50 mg/kg per day) for 7 days in deficient rats restored blood pressure and heart rate to normal levels and significantly reduced sodium levels in erythrocytes and cerebrospinal fluid."( Hypertension induced by a nonpressor dose of angiotensin II in kininogen-deficient rats.
Katori, M; Kuribayashi, Y; Majima, M; Mizogami, S; Oh-ishi, S, 1994
)
1.01
"Spironolactone treatment (100 mg/daily) completely reversed the syndrome of mineralocorticoid excess."( Unilateral adrenal hypersecretion of both aldosterone and cortisol in two first cousins with a syndrome of mineralocorticoid excess but without signs of hypercortisolism.
Balsano, F; Bonavita, MS; Carlomagno, A; Coassin, S; De Siati, L; Falaschi, P; Ferri, C; Gualdi, G, 1994
)
1.01
"Spironolactone treatment didn't duplicate the effects of captopril."( Effect of poststroke captopril treatment on mortality associated with hemorrhagic stroke in stroke-prone rats.
King, SR; Smeda, J; Vasdev, S, 1999
)
1.02
"Spironolactone treatment for one week also resulted in a significant reduction in mean systolic blood pressure during the development of diabetic hypertension."( Effects of spironolactone on systolic blood pressure in experimental diabetic rats.
Liu, YJ; Nakagawa, Y; Nakanishi, T; Ohzeki, T; Saegusa, H; Toya, K; Wang, Y, 2000
)
1.42
"Spironolactone-treated rats were not different from untreated rats except with regard to function beyond the superficial late distal tubule, where U rats reabsorbed over 50% of the delivered sodium."( Natriuresis after adrenal enucleation: effect of spironolactone and dexamethasone.
Alexander, EA; Bengele, HH; McNamara, ER, 1977
)
1.23
"In spironolactone-treated rats blood pressure and total aortic renin concentrations were comparable with those in the control rats."( Effects of aldosterone and spironolactone on arterial renin in rats.
Rosenthal, J, 1976
)
1.07
"Spironolactone treatment caused a decrease in sigma radioligand binding in membranes prepared from liver and brain but not in adrenals or testes."( Spironolactone causes a rapid down regulation of sigma recognition sites in guinea pig brain and liver.
Knight, AR; Middlemiss, DN; Wyatt, C, 1991
)
2.45
"Spironolactone treatment caused large changes in the excretion of acidic and sulfate derivatives of aldosterone, as well as discrete alterations in the HPLC patterns of the polar NMA (particularly those metabolites in regions A and B)."( Effects of adrenalectomy and spironolactone on urinary metabolites of aldosterone in rats.
Gorsline, J; Morris, DJ,
)
1.14
"Spironolactone treatment resulted in the improvement or disappearance of acne in 4 of 5 patients who suffered from this ailment."( Spironolactone therapy for hyperandrogenic anovulatory women--clinical and endocrinological study.
Asai, M; Hanai, K; Ichikawa, Y; Kikkawa, H; Masahashi, T; Mizutani, S; Narita, O; Ohsawa, M; Tomoda, Y; Wu, MC, 1986
)
2.44
"Pretreatment with spironolactone also increased the level of reduced GSH and the activity of glyoxalase I."( Spironolactone Attenuates Methylglyoxal-induced Cellular Dysfunction in MC3T3-E1 Osteoblastic Cells.
Chin, SO; Jung, WW; Park, SY; Suh, KS, 2021
)
2.39
"Treatment with spironolactone had only minor effects on this proteomic profile."( The Effect of Spironolactone in Patients With Obesity at Risk for Heart Failure: Proteomic Insights from the HOMAGE Trial.
Brunner La Rocca, HP; Clark, AL; Cleland, JGF; Cosmi, F; Cuthbert, J; Ferreira, JP; Girerd, N; Hazebroek, MR; Henkens, MHTM; Heymans, SRB; Mariottoni, B; Pellicori, P; Petutschnigg, J; Pizard, A; Rossignol, P; Verdonschot, JAJ; Waring, OJ; Zannad, F, 2022
)
1.42
"Treatment with spironolactone resulted in significant reduction in EH in the second cochlear turn 7 days postimplantation. "( Spironolactone Ameliorates Cochlear Implant Induced Endolymphatic Hydrops.
Bester, CW; Chambers, SA; Creber, NJ; Eastwood, HT; Hampson, AJ; Lo, J; O'Leary, SJ; Thorne, PR; Zhang, D, 2022
)
2.52
"Treatment with spironolactone did not affect the association significantly."( Time-averaged cumulative blood pressure and cardiovascular outcomes in heart failure with preserved ejection fraction: analysis from the Treatment of Preserved Cardiac Function Heart Failure with an Aldosterone Antagonist trial.
Huang, R; Liao, X; Lin, Y; Wu, R; Ye, X; Zhong, X; Zhuang, X, 2022
)
1.06
"Treatment with spironolactone aims to attenuate androgen-mediated conditions including acne, hidradenitis suppurativa, female pattern hair loss and hirsutism."( Spironolactone in dermatology: uses in acne and beyond.
Al-Niaimi, F; Ali, FR; Searle, TN, 2020
)
2.34
"Treatment with spironolactone was the only risk factor associated with PAC >30 ng/dL (odds ratio, 5.2; 95% confidence interval [CI], 2.7 to 10; P<0.001) and conferred a 2.48-fold risk of insulin resistance after 1 year compared with surgery (95% CI, 1.3 to 4.8; P=0.007)."( Changes in Glucose Metabolism after Adrenalectomy or Treatment with a Mineralocorticoid Receptor Antagonist for Primary Aldosteronism.
Chang, CH; Chung, SD; Hu, YH; Lin, YF; Peng, KY; Wu, VC, 2020
)
0.9
"Treatment with spironolactone and ACEI/ARB combination therapy compared to ACEI/ARB therapy alone increased the mean serum potassium concentration by 0.19 mEq/L (95% CI, 0.12-0.26 mEq/L), with intermediate heterogeneity across studies (Q statistic = 46.5, P = 0.004; I2 = 59)."( Serum potassium changes due to concomitant ACEI/ARB and spironolactone therapy: A systematic review and meta-analysis.
Carhart, BS; Gephart, S; Hansten, PD; Horn, JR; Malone, DC; Romero, A; Subbian, V; Tan, M; Villa-Zapata, L, 2021
)
1.21
"Treatment with spironolactone in combination with ACEI/ARB therapy increases the mean serum potassium concentration by less than 0.20 mEq/L compared to ACEI/ARB therapy alone. "( Serum potassium changes due to concomitant ACEI/ARB and spironolactone therapy: A systematic review and meta-analysis.
Carhart, BS; Gephart, S; Hansten, PD; Horn, JR; Malone, DC; Romero, A; Subbian, V; Tan, M; Villa-Zapata, L, 2021
)
1.22
"Treatment with spironolactone did not affect the biomarker of fibrosis Gal-3 in AF patients."( Galectin-3 in patients with atrial fibrillation and restored sinus rhythm.
Angelov, A; Bocheva, Y; Chervenkov, T; Kisheva, A; Yotov, Y, 2021
)
0.96
"Treatment with spironolactone in diabetic patients did not lead to large changes in biomarkers."( Proteomic mechanistic profile of patients with diabetes at risk of developing heart failure: insights from the HOMAGE trial.
Brunner-La Rocca, HP; Clark, AL; Cleland, JGF; Cosmi, F; Cuthbert, J; Ferreira, JP; Girerd, N; Heymans, SRB; Mariottoni, B; Pellicori, P; Petutschnigg, J; Rossignol, P; Verdonschot, JAJ; Zannad, F, 2021
)
0.96
"Treatment with spironolactone was associated with a reduction in serum biomarkers of collagen synthesis independently of blood pressure in patients with hypertension, suggesting that spironolactone might exert favourable effects on myocardial collagen synthesis and fibrosis. "( Potential spironolactone effects on collagen metabolism biomarkers in patients with uncontrolled blood pressure.
Cleland, JG; Collier, T; Diez, J; Ferreira, JP; Girerd, N; Gonzalez, A; Huby, AC; López, B; Machu, JL; Pizard, A; Rossignol, P; Sattar, N; Sever, PS; Zannad, F, 2019
)
1.27
"Treatment with spironolactone led to increases in serum aldosterone (7.6 ± 6.6 vs."( Effect of mineralocorticoid receptor antagonist on insulin resistance and endothelial function in obese subjects.
Adler, GK; Garg, R; Kneen, L; Williams, GH, 2014
)
0.74
"Treatment with spironolactone was associated with increased serum creatinine levels and a doubling of the rate of hyperkalemia (18.7%, vs."( Spironolactone for heart failure with preserved ejection fraction.
Anand, IS; Assmann, SF; Boineau, R; Claggett, B; Clausell, N; Desai, AS; Diaz, R; Fleg, JL; Gordeev, I; Harty, B; Heitner, JF; Kenwood, CT; Lewis, EF; McKinlay, SM; O'Meara, E; Pfeffer, MA; Pitt, B; Probstfield, JL; Shaburishvili, T; Shah, SJ; Solomon, SD; Sweitzer, NK; Yang, S, 2014
)
2.18
"Treatment with spironolactone improved coronary microvascular function, raising the possibility that MR blockade could have beneficial effects in preventing cardiovascular disease in patients with T2DM."( Mineralocorticoid receptor blockade improves coronary microvascular function in individuals with type 2 diabetes.
Adler, GK; Baimas-George, M; Di Carli, MF; Foster, C; Garg, R; Hurwitz, S; Jerosch-Herold, M; Kwong, RY; Rao, AD; Shah, RV, 2015
)
0.76
"Treatment with spironolactone reversed the effect of hyperoxaluria."( Involvement of renin-angiotensin-aldosterone system in calcium oxalate crystal induced activation of NADPH oxidase and renal cell injury.
Khan, SR; Peck, AB; Shimizu, N; Sunil, J; Tsuji, H; Uemura, H; Wang, W; Yoshimura, K, 2016
)
0.77
"Treatment with spironolactone inhibited Akt/AS160 phosphorylation, reduced Rab-dependent Kv1.5 recycling, normalized AERP and atrial Kv currents to the wild-type level, and reduced arrhythmia induction in Kcne3(-/-) mice."( Increased aldosterone-dependent Kv1.5 recycling predisposes to pacing-induced atrial fibrillation in Kcne3-/- mice.
Buschmeyer, B; Koehncke, C; Lisewski, U; Pieske, B; Roepke, TK; Wilck, N, 2016
)
0.77
"Treatment with spironolactone or potassium supplements alone significantly increased serum potassium concentration by 0.36 ± 0.37 and 0.45 ± 0.35 mmol/l, respectively (both P < 0.05), and combined therapy with spironolactone and potassium increased serum potassium concentration by 0.69 ± 0.64 mmol/l (P < 0.05)."( Mutation profile and treatment of Gitelman syndrome in Chinese patients.
Cui, Y; Li, C; Shi, C; Tong, A; Wang, F, 2017
)
0.79
"Treatment with spironolactone significantly prevented these renal changes, whereas treatment with hydralazine had no effect."( Spironolactone suppresses inflammation and prevents L-NAME-induced renal injury in rats.
Hayashida, H; Hirakata, H; Iida, M; Ikeda, H; Masutani, K; Toyonaga, J; Tsuruya, K, 2009
)
2.14
"Treatment with spironolactone elicited a minor ( approximately 1.5-fold) reduction in pulse size, as did aldosterone treatment, suggesting that the anti-mineralocorticoid spironolactone has an agonistic effect in a piscine system."( The regulatory role of glucocorticoid and mineralocorticoid receptors in pulsatile urea excretion of the gulf toadfish, Opsanus beta.
Gilmour, KM; McDonald, MD; Rodela, TM; Walsh, PJ, 2009
)
0.69
"Treatment with spironolactone prevented myocardial apoptosis, myolysis, atrial fibrosis and dilatation, suggesting a possible beneficial effect of aldosterone antagonism on atrial structural remodelling in AF."( Effects of spironolactone on atrial structural remodelling in a canine model of atrial fibrillation produced by prolonged atrial pacing.
Gong, Y; Li, J; Li, W; Li, Y; Shan, H; Yang, B; Zhao, J, 2010
)
1.1
"The treatment with spironolactone generated the significant decrease of the septal myocardial hypertrophy and of the tricuspidien insufficiency, with the normalization of the LV diastolic function."( [Aspects of practical diagnosis in perinatal post-hypoxic cardiomiopathy].
Dimitriu, AG; Mitrea, G; Stamatin, M,
)
0.45
"Pretreatment with spironolactone, 10 .M, blocked the effects of testosterone, decreased cell viability (P< .01) and increased caspase activation (P< .01)."( Differential actions of eplerenone and spironolactone on the protective effect of testosterone against cardiomyocyte apoptosis in vitro.
Lax, A; Pascual-Figal, DA; Ruipérez, JA; Sánchez-Más, J; Turpín, MC; Valdés Chávarri, M, 2010
)
0.95
"The treatment with spironolactone decreased proliferating myocytes by 32% (P<0.05), and reduced myocytes apoptosis by 29% (P<0.05)."( Aldosterone modulates cell proliferation and apoptosis in the neonatal rat heart.
Bae, IS; Choi, BM; Jang, GY; Lee, JH; Lee, JW; Sohn, HJ; Son, CS; Yim, HE; Yoo, KH, 2010
)
0.68
"Treatment with spironolactone was evaluated to prove mineralocorticoid mediation."( Structural, functional, and molecular alterations produced by aldosterone plus salt in rat heart: association with enhanced serum and glucocorticoid-regulated kinase-1 expression.
Ballesteros, S; Cachofeiro, V; de las Heras, N; Delgado, C; Hintze, T; Lahera, V; Martín-Fernández, B; Miana, M; Song, S, 2011
)
0.71
"Treatment with spironolactone normalized endothelial function and improved cholesterol levels in non-obese PCOS patients."( Influence of spironolactone treatment on endothelial function in non-obese women with polycystic ovary syndrome.
Pfeifer, M; Prezelj, J; Sebestjen, M; Studen, KB, 2011
)
1.09
"Treatment with spironolactone prevented the MI-induced increase of HCN4 protein levels (1.47 ± 0.16 vs."( Spironolactone diminishes spontaneous ventricular premature beats by reducing HCN4 protein expression in rats with myocardial infarction.
Chen, Y; Huang, C; Li, H; Song, T; Yang, J; Yao, Y; Zhang, J,
)
1.91
"Treatment with spironolactone normalized the increased left ventricular end-diastolic pressure observed in isoproterenol-treated rats."( Spironolactone prevents alterations associated with cardiac hypertrophy produced by isoproterenol in rats: involvement of serum- and glucocorticoid-regulated kinase type 1.
Ballesteros, S; Cachofeiro, V; Davel, AP; de las Heras, N; Lahera, V; Martín-Fernández, B; Miana, M; Rossoni, LV; Valero-Muñoz, M; Vassallo, D, 2012
)
2.16
"Treatment with spironolactone significantly lowered portal pressure. "( Spironolactone lowers portal hypertension by inhibiting liver fibrosis, ROCK-2 activity and activating NO/PKG pathway in the bile-duct-ligated rat.
Cui, K; Huang, S; Ji, HL; Li, X; Luo, W; Meng, Y; Ni, SY; Pan, CQ; Xiao, LM; Yu, CH; Zhang, ZS, 2012
)
2.17
"Treatment with spironolactone either before or after ischemia prevented subsequent CKD by avoiding the activation of fibrotic and inflammatory pathways."( Spironolactone prevents chronic kidney disease caused by ischemic acute kidney injury.
Barrera-Chimal, J; Bobadilla, NA; Gamba, G; Pérez-Villalva, R; Reyna, J; Rodríguez-Romo, R; Uribe, N, 2013
)
2.17
"Treatment with spironolactone (SPL) is beneficial in patients with severe congestive heart failure (CHF). "( How prevalent is hyperkalemia and renal dysfunction during treatment with spironolactone in patients with congestive heart failure?
Atar, D; Galatius, S; Gustafsson, F; Hildebrandt, PR; Svensson, M, 2004
)
0.91
"Treatment with spironolactone in HD patients reduced alpha subunit mRNA expression to values similar to those of normal subjects."( Effect of spironolactone on K(+) homeostasis and ENaC expression in lymphocytes from chronic hemodialysis patients.
González, M; Marusic, ET; Michea, L; Vukusich, A; Zehnder, C, 2004
)
1.07
"Cotreatment with spironolactone completely blocked the aldosterone-induced decrease in plasma K(+)."( Maintained ENaC trafficking in aldosterone-infused rats during mineralocorticoid and glucocorticoid receptor blockade.
Frøkiaer, J; Knepper, MA; Kwon, TH; Nielsen, J; Nielsen, S, 2007
)
0.67
"Pretreatment with spironolactone led to higher baseline cortisol levels compared to placebo whereas no differences in stimulated cortisol, baseline ACTH, and stimulated ACTH emerged."( Blockade of the mineralocorticoid receptor in healthy men: effects on experimentally induced panic symptoms, stress hormones, and cognition.
Kellner, M; Koop, M; Madrischewski, AM; Moritz, S; Otte, C; Wiedemann, K; Yassouridis, A, 2007
)
0.66
"Treatment with spironolactone was well tolerated by the mice throughout the course of their disease progression, with no significant differences in azotemia or serum potassium levels between vehicle-treated and spironolactone-treated animals. "( The role of aldosterone blockade in murine lupus nephritis.
Anderson, MR; Bradke, A; Kaplan, MJ; Killen, PD; Monrad, SU, 2008
)
0.7
"Treatment with spironolactone has been given before the removal of some of the adenomas studied in vitro, and it can blunt increases in plasma aldosterone concentrations that occur in response to increases in renin activity."( In vitro responses of aldosterone-producing adenomas to angiotensin II and ACTH after treatment with spironolactone before adrenalectomy.
Wisgerhof, M, 1984
)
0.82
"Treatment with spironolactone, mitotane, or aminoglutethimide had transient clinical effects."( Aldosterone-producing adrenocortical carcinoma. Preoperative recognition and course in three cases.
Arteaga, E; Biglieri, EG; Kater, CE; Lopez, JM; Schambelan, M, 1984
)
0.61
"Treatment with spironolactone (200 mg daily for one week in 9 subjects) did not change the steroid binding capacity of human serum."( [Binding capacity of sex hormone binding globulin and corticosteroid binding globulin in serum of male patients with liver cirrhosis (author's transl)].
Breuer, H; Kaulhausen, H; Lafosse, M; Rohner, HG; Siedek, M, 1980
)
0.6
"Treatment with spironolactone at a dose of 200 mg/day resulted in a clear beneficial effect on the quantity and quality of facial hair growth in 19 of 20 patients with moderate to severe hirsutism."( Treatment of hirsutism with spironolactone.
Cumming, DC; Rebar, RW; Yang, JC; Yen, SS, 1982
)
0.9
"Treatment with spironolactone alone prolonged the mean digitoxin t 1/2 to 192.2 hr."( Cholestyramine and spironolactone and their combination in digitoxin elimination.
Carruthers, SG; Dujovne, CA, 1980
)
0.93
"The treatment with spironolactone was associated with an improvement in PMS symptoms compared to placebo as judged by significant decrease in negative mood symptom scores (p < 0.001) and somatic symptom scores (p < 0.001). "( Treatment of premenstrual syndrome by spironolactone: a double-blind, placebo-controlled study.
Bäckström, T; Hammarbäck, S; Lindhe, BA; Wang, M, 1995
)
0.89
"Treatment with spironolactone decreased NHE in PA patients but did not change the mean NHE in essential hypertensives."( Spironolactone prevents Na+/H+ exchange enhancement in primary aldosteronism.
Koldanov, R; Koren, W; Postnov, IY; Postnov, YV, 1997
)
2.08
"1. Treatment with spironolactone is reported to be useful when combined with loop diuretics and an angiotensin-converting enzyme (ACE) inhibitor in severe congestive heart failure (CHF). "( Effects of spironolactone on exercise capacity and neurohormonal factors in patients with heart failure treated with loop diuretics and angiotensin-converting enzyme inhibitor.
Endo, A; Furuse, Y; Hisatome, I; Kato, M; Kato, T; Kinugawa, T; Miyakoda, H; Mori, M; Ogino, K; Omodani, H; Osaki, S; Shigemasa, C; Shimoyama, M, 1998
)
1.02
"Treatment with spironolactone caused a significant increase in post-dexamethasone cortisol concentrations (75.1+/-56.7 vs."( Increased activity of the hypothalamus-pituitary-adrenal system after treatment with the mineralocorticoid receptor antagonist spironolactone.
Deuschle, M; Heuser, I; Holsboer, F; Stalla, GK; Weber, B, 2000
)
0.85
"The treatment with spironolactone in combination with enalapril or verapamil prevented these alterations."( Myocardial changes after spironolactone in spontaneous hypertensive rats. A laser scanning confocal microscopy study.
Mandarim-de-Lacerda, CA; Pereira, LM,
)
0.75
"Treatment with spironolactone for one month was followed by a normalization of both serum and muscle electrolytes."( Effects on muscle electrolytes of potassium and magnesium infusions, spironolactone medication and operation in a case of primary aldosteronism.
Dyckner, T; Wester, PO, 1979
)
0.83
"Treatment with spironolactone did not significantly alter the natriuretic response of the spontaneously hypertensive rats (43 +/- 8 mueq/h) to another salt load, but increased the natriuretic response of the normotensive rats (55 +/- 7 mueq/h) to that of the hypertensive rats."( Aldosterone in the exaggerated natriuresis of spontaneously hypertensive rats.
Bauer, JH; Willis, LR, 1978
)
0.6
"Treatment with spironolactone resulted in more marked hyperreninism (47.0 +/- 14.3 ng-ml-1-3 hours-1) and hyperaldosteronism (61.9 +/-11.8 ng-100 ml-1)."( Intrapatient comparison of treatment with chlorthalidone, spironolactone and propranolol in normoreninemic essential hypertension.
Benraad, TJ; Drayer, JI; Festen, J; Kloppenborg, PW; van't Laar, A, 1975
)
0.84
"Treatment with spironolactone alone, or in combination with either intravenous dopamine or ibopamine orally, amiloride, enalapril, hydralazine or clonidine corrected serum potassium values but failed to normalize blood pressure and to correct plasma renin activity and plasma aldosterone."( A neonate with idiopathic hyperaldosteronism.
Derkx, FH; Donckerwolcke, RA; Griffiven, AW; Schalekamp, MA; Vande Walle, JG; Veenhoven, RH; Wit, JM, 1991
)
0.62
"Treatment with spironolactone, pregnenolone-16_-carbonitrile or triamcinolone reduced only slightly SGPT and triglycerides, but restored the reduced resistance to drugs, and the impairment of the liver drug metabolism in vitro."( Effect of adaptive steroids on the impairment of hepatic drug metabolic activity caused by hepatotoxic agents.
Kourounakis, PN; Rekka, E, 1991
)
0.62
"Treatment with spironolactone (100 mg twice daily for 4 weeks) produced significant decreases in systolic and diastolic blood pressure without significantly affecting heart rate."( Peripheral action of spironolactone: plethysmographic studies.
Clement, DL, 1990
)
0.94
"Treatment with spironolactone alone for 2 months corrected hypertension, hypokalemic alkalosis, and all laboratory and radiologic evidence of rickets and hyperparathyroidism, resulting in acceleration of growth rate."( Spironolactone-reversible rickets associated with 11 beta-hydroxysteroid dehydrogenase deficiency syndrome.
Arnhold, IJ; Batista, MC; Bloise, W; Kater, CE; Mendonça, BB; Nicolau, W; Rocha, A, 1986
)
2.05
"Treatment with spironolactone together with potassium led to impressive catch-up growth."( Growth from birth to adulthood in a patient with the neonatal form of Bartter syndrome.
Massa, G; Proesmans, W; Vanderschueren-Lodeweyckx, M, 1988
)
0.61
"Treatment with spironolactone alone was inferior to our previous experience with the cyproterone acetate--estrogen combination."( Spironolactone in the treatment of hirsutism.
Chapman, MG; Dewhurst, CJ; Dowsett, M; Hague, W; Jeffcoate, SL; Katz, M, 1986
)
2.05

Toxicity

Spironolactone can be a safe alternative to control post-transplant proteinuria, especially in patients with mild to moderate allograft dysfunction with proteinuria ≥1 g/day. It is safe to initiate in hospitalized patients with HF and CKD.

ExcerptReferenceRelevance
" To develop an effective but safe regimen for treatment of cirrhotic ascites, a two-part crossover study was done."( An optimal diuretic regimen for cirrhotic ascites. A controlled trial evaluating safety and efficacy of spironolactone and furosemide.
Fuller, RK; Gobezie, GC; Khambatta, PB, 1977
)
0.47
"Comparative experiments were performed on female rats given pregnenolone-16 alpha-carbonitrile (PCN), spironolactone, triamcinolone, estradiol or diethylstilbestrol to study correlations between the toxic effect of cocaine, its blood clearance and its urinary excretion."( Effect of steroids and diethylstilbestrol on cocaine toxicity, plasma concentrations and urinary excretion.
Kourounakis, P; Rapp, U; Selye, H, 1979
)
0.48
"6%), and a low rate of adverse effects."( Aldactazine/captopril combination, safe and effective in mild to moderate systemic hypertension: report on a multicenter study of 967 patients.
Capron, MH; Pelletier, B; Schohn, DC; Spiesser, R; Wehrlen, M, 1990
)
0.28
" There were no untoward adverse reactions with torasemide, and no significant changes in serum electrolytes, liver, renal, or haematological variables."( Liver cirrhosis with ascites: pathogenesis of resistance to diuretics and long-term efficacy and safety of torasemide.
Knauf, H; Mutschler, E, 1994
)
0.29
"Effects of water-soluble beta-cyclodextrins (beta CDs) on intestinal epithelial integrity were investigated, to establish the safe use of these beta CDs as solubilizers of spironolactone in paediatric enteral solutions."( Intestinal safety of water-soluble beta-cyclodextrins in paediatric oral solutions of spironolactone: effects on human intestinal epithelial Caco-2 cells.
Mannermaa, JP; Schipper, NG; Thompson, DO; Tötterman, AM, 1997
)
0.71
" Diuretic effect and menstrual irregularities were the most common adverse effects."( Long-term safety of spironolactone in acne: results of an 8-year followup study.
Shaw, JC; White, LE,
)
0.45
"In the treatment of moderate ascites, spironolactone alone seems to be as safe and effective as spironolactone associated with furosemide."( Spironolactone alone or in combination with furosemide in the treatment of moderate ascites in nonazotemic cirrhosis. A randomized comparative study of efficacy and safety.
Cabré, E; Durández, R; Gassull, MA; Granada, ML; Jiménez, JA; Morillas, RM; Pardo, A; Planas, R; Quintero, E; Santos, J, 2003
)
2.03
"We found that a higher proportion of patients in our cohort stopped taking spironolactone compared with the Randomised Aldactone Evaluation Study and a higher proportion developed hyperkalaemia, a predicted adverse effect of spironolactone combination with an ACE inhibitor or an AT2 antagonist."( The safety of spironolactone treatment in patients with heart failure.
Anton, C; Cox, AR; Ferner, RE; Watson, RD, 2003
)
0.91
" However, since haemodialysis patients are prone to hyperkalaemia, a known side effect of spironolactone, this treatment is not used in this population."( Safety of low-dose spironolactone administration in chronic haemodialysis patients.
Fumeaux, Z; Mach, F; Martin, PY; Perneger, T; Rossier, M; Saudan, P; Schnetzler, B; Stoermann, C, 2003
)
0.87
" More studies are required, however, before concluding that spironolactone administration is safe in the chronic haemodialysis population."( Safety of low-dose spironolactone administration in chronic haemodialysis patients.
Fumeaux, Z; Mach, F; Martin, PY; Perneger, T; Rossier, M; Saudan, P; Schnetzler, B; Stoermann, C, 2003
)
0.89
"8%) were withdrawn due to treatment-emergent adverse events."( Long-term safety and efficacy of the selective aldosterone blocker eplerenone in patients with essential hypertension.
Burgess, ED; Kleiman, JH; Krause, S; Lacourcière, Y; Maurath, C; Oparil, S; Roniker, B; Ruilope-Urioste, LM, 2003
)
0.32
"5 million adverse drug reaction (ADR) reports for 8620 drugs/biologics that are listed for 1191 Coding Symbols for Thesaurus of Adverse Reaction (COSTAR) terms of adverse effects."( Assessment of the health effects of chemicals in humans: II. Construction of an adverse effects database for QSAR modeling.
Benz, RD; Contrera, JF; Kruhlak, NL; Matthews, EJ; Weaver, JL, 2004
)
0.32
" Up to date, many articles evaluating beneficial and adverse effects of CsA have been published."( [Novel action of aldosterone in CsA nephrotoxicity].
Bobadilla, NA; Pérez-Rojas, JM,
)
0.13
" Eleven patients discontinued the treatment because of adverse events other than hyperkalemia or for other reasons."( Long-term low-dose spironolactone therapy is safe in oligoanuric hemodialysis patients.
Arihara, K; Kageyama, S; Matsumoto, Y; Mori, Y; Ohmura, H; Shio, N; Sugiyama, H; Sugiyama, T; Yakushigawa, T, 2009
)
0.68
" Eplerenone was well tolerated, with a rate of adverse events comparable to that of placebo."( The efficacy and safety of the novel aldosterone antagonist eplerenone in children with hypertension: a randomized, double-blind, dose-response study.
Davis, I; Flynn, JT; Li, JS; Ogawa, M; Portman, R; Pressler, ML; Shi, H, 2010
)
0.36
" An understanding of structure-activity relationships (SARs) of chemicals can make a significant contribution to the identification of potential toxic effects early in the drug development process and aid in avoiding such problems."( Developing structure-activity relationships for the prediction of hepatotoxicity.
Fisk, L; Greene, N; Naven, RT; Note, RR; Patel, ML; Pelletier, DJ, 2010
)
0.36
"Six prospective trials demonstrated that spironolactone use was safe in ESRD patients on hemodialysis."( Spironolactone use in heart failure patients with end-stage renal disease on hemodialysis: is it safe?
Chua, D; Lo, A; Lo, C, 2010
)
2.07
"Spironolactone is effective at treating difficult to control hypertension in the general population, and it is unknown if it is safe or effective for those with chronic kidney disease (CKD) and difficult-to-control hypertension."( Spironolactone for difficult to control hypertension in chronic kidney disease: an analysis of safety and efficacy.
Heshka, J; Hiremath, S; McCormick, BB; Ruzicka, M,
)
3.02
" Safety assessments included adverse events (AEs) and clinical laboratory tests."( Evaluation of the efficacy and safety of RLY5016, a polymeric potassium binder, in a double-blind, placebo-controlled study in patients with chronic heart failure (the PEARL-HF) trial.
Anker, SD; Bushinsky, DA; Huang, IZ; Kitzman, DW; Pitt, B; Zannad, F, 2011
)
0.37
" The incidence of hyperkalaemia, significant renal dysfunction (reduction eGFR ≥25%) and adverse effects was assessed."( The safety and tolerability of spironolactone in patients with mild to moderate chronic kidney disease.
Chue, CD; Edwards, NC; Ferro, CJ; Steeds, RP; Stewart, PM; Townend, JN, 2012
)
0.66
"To evaluate the literature supporting the safe use of mineralocorticoid antagonists (MRAs) in patients with end-stage renal disease who are receiving hemodialysis."( Safety of mineralocorticoid receptor antagonists in patients receiving hemodialysis.
Baker, WL; White, WB, 2012
)
0.38
" However, it is feared that an intensified, NT-proBNP-guided therapy carries a risk of adverse effects."( Safety and tolerability of intensified, N-terminal pro brain natriuretic peptide-guided compared with standard medical therapy in elderly patients with congestive heart failure: results from TIME-CHF.
Brunner-La Rocca, HP; Erne, P; Estlinbaum, W; Kiencke, S; Maeder, M; Mayer, K; Muzzarelli, S; Neuhaus, M; Pfisterer, ME; Sanders-van Wijk, S; Tobler, D, 2013
)
0.39
" All adverse events (AEs) were recorded during the 18-month trial period."( Safety and tolerability of intensified, N-terminal pro brain natriuretic peptide-guided compared with standard medical therapy in elderly patients with congestive heart failure: results from TIME-CHF.
Brunner-La Rocca, HP; Erne, P; Estlinbaum, W; Kiencke, S; Maeder, M; Mayer, K; Muzzarelli, S; Neuhaus, M; Pfisterer, ME; Sanders-van Wijk, S; Tobler, D, 2013
)
0.39
"NT-proBNP-guided therapy is safe in elderly and highly co-morbid HF patients."( Safety and tolerability of intensified, N-terminal pro brain natriuretic peptide-guided compared with standard medical therapy in elderly patients with congestive heart failure: results from TIME-CHF.
Brunner-La Rocca, HP; Erne, P; Estlinbaum, W; Kiencke, S; Maeder, M; Mayer, K; Muzzarelli, S; Neuhaus, M; Pfisterer, ME; Sanders-van Wijk, S; Tobler, D, 2013
)
0.39
"0 mmol/l, and of hospitalization for hyperkalemia or discontinuation of study medication due to adverse events."( Safety and efficacy of eplerenone in patients at high risk for hyperkalemia and/or worsening renal function: analyses of the EMPHASIS-HF study subgroups (Eplerenone in Mild Patients Hospitalization And SurvIval Study in Heart Failure).
Eschalier, R; Krum, H; McMurray, JJ; Pitt, B; Pocock, SJ; Rossignol, P; Shi, H; Swedberg, K; van Veldhuisen, DJ; Vincent, J; Zannad, F, 2013
)
0.39
"0 mmol/l, eplerenone was both efficacious and safe when carefully monitored, even in subgroups at high risk of developing hyperkalemia or WRF."( Safety and efficacy of eplerenone in patients at high risk for hyperkalemia and/or worsening renal function: analyses of the EMPHASIS-HF study subgroups (Eplerenone in Mild Patients Hospitalization And SurvIval Study in Heart Failure).
Eschalier, R; Krum, H; McMurray, JJ; Pitt, B; Pocock, SJ; Rossignol, P; Shi, H; Swedberg, K; van Veldhuisen, DJ; Vincent, J; Zannad, F, 2013
)
0.39
"Dogs with cardiac disease treated with spironolactone, in addition to conventional therapy, are not at higher risk for adverse events (AEs) than those receiving solely conventional therapy."( Safety of spironolactone in dogs with chronic heart failure because of degenerative valvular disease: a population-based, longitudinal study.
Atkins, CE; Baduel, L; Combes, B; Concordet, D; Kaltsatos, V; Lefebvre, HP; Ollivier, E,
)
0.8
" Clinical experience with Spironolactone is well established, as is its adverse effects profile."( Converging indications of aldosterone antagonists (spironolactone and eplerenone): a narrative review of safety profiles.
Danjuma, MI; Makaronidis, J; Mukherjee, I; Osula, S, 2014
)
0.95
" The range of adverse effects experienced with spironolactone has led to its modification and the consequent synthesis of eplerenone."( Efficacy and safety of mineralocorticoid receptors in mild to moderate arterial hypertension.
Gaudio, C; Greco, C; Patti, G; Pelliccia, F; Rosano, G; Volterrani, M, 2015
)
0.67
" Randomized studies comparing eplerenone with placebo or other antihypertensive drugs for net reduction of systolic and diastolic blood pressures (SBP; DBP) from baseline and for incidence of adverse events were considered."( Efficacy and safety of eplerenone in the management of mild to moderate arterial hypertension: systematic review and meta-analysis.
Gaudio, C; Greco, C; Patti, G; Pelliccia, F; Rosano, G, 2014
)
0.4
" Also, spironolactone is safe and protective in arterial hypertension, particularly in patients with so-called resistant hypertension."( Safety profile of mineralocorticoid receptor antagonists: Spironolactone and eplerenone.
Gaudio, C; Greco, C; Lainscak, M; Pelliccia, F; Rosano, G; Schiariti, M; Speziale, G; Vitale, C, 2015
)
1.12
" The secondary outcome measures include acne scores, prevalence of dysglycaemia, BMI, lipid profile, total testosterone level, and adverse events."( The effectiveness and safety of treatments used for polycystic ovarian syndrome management in adolescents: a systematic review and network meta-analysis protocol.
Al Khalifah, RA; Bassilious, E; Dennis, B; Flórez, ID; Neupane, B; Thabane, L, 2015
)
0.42
" Mineralocorticoid receptor antagonists could improve kidney survival but are not commonly used during renal impairment and in association with several immunosuppressive drugs due to a supposed higher risk of adverse events."( Safety of Eplerenone for Kidney-Transplant Recipients with Impaired Renal Function and Receiving Cyclosporine A.
Barbe, C; Bertocchio, JP; Jaisser, F; Lavaud, S; Nazeyrollas, P; Rieu, P; Toupance, O, 2016
)
0.43
" Serum potassium, renal function and expected adverse events were closely monitored."( Safety of Eplerenone for Kidney-Transplant Recipients with Impaired Renal Function and Receiving Cyclosporine A.
Barbe, C; Bertocchio, JP; Jaisser, F; Lavaud, S; Nazeyrollas, P; Rieu, P; Toupance, O, 2016
)
0.43
" Randomised controlled trials investigating the effect of additional spironolactone on office blood pressure (BP), ambulatory BP or adverse events in RH patients were included for analysis."( Efficacy and Safety of Spironolactone in Patients with Resistant Hypertension: A Meta-analysis of Randomised Controlled Trials.
Huang, J; Wang, C; Xiong, B, 2016
)
0.98
"Spironolactone combined with triple-drug therapy may be an effective and relatively safe strategy for the management of RH patients."( Efficacy and Safety of Spironolactone in Patients with Resistant Hypertension: A Meta-analysis of Randomised Controlled Trials.
Huang, J; Wang, C; Xiong, B, 2016
)
2.19
" We describe how the TOPCAT DSMB detected, investigated, and adjudicated an unexpectedly large renal adverse event signal midway through the trial, and offer general guidelines for dealing with similar unanticipated occurrences in future trials."( Data and Safety Monitoring Board evaluation and management of a renal adverse event signal in TOPCAT.
Assmann, SF; Boineau, R; Bristow, MR; Gersh, BJ; Grady, C; Greenberg, BH; Linas, S; McKinlay, SM; Rice, MM; Sharma, K; Singh, S, 2017
)
0.46
" Adverse events were not severe to withdrawal therapy."( Spironolactone in Post-Transplant Proteinuria: A Safe Alternative Therapy.
Camargo, LF; de Sousa, MV; do Valle, CF; Guida, JP; Mazzali, M; Rivelli, GG, 2017
)
1.9
"Spironolactone can be a safe alternative to control post-transplant proteinuria, especially in patients with mild to moderate allograft dysfunction with proteinuria ≥1 g/day."( Spironolactone in Post-Transplant Proteinuria: A Safe Alternative Therapy.
Camargo, LF; de Sousa, MV; do Valle, CF; Guida, JP; Mazzali, M; Rivelli, GG, 2017
)
3.34
" Mineralocorticoid receptor antagonists administered at high doses may relieve congestion, overcome diuretic resistance, and mitigate the effects of adverse neurohormonal activation in AHF."( Efficacy and Safety of Spironolactone in Acute Heart Failure: The ATHENA-HF Randomized Clinical Trial.
Anstrom, KJ; Braunwald, E; Butler, J; Desvigne-Nickens, P; Felker, GM; Givertz, MM; Hernandez, AF; Kalogeropoulos, AP; Konstam, MA; Mann, DL; Margulies, KB; McNulty, SE; Mentz, RJ; Redfield, MM; Shah, M; Tang, WHW; Whellan, DJ, 2017
)
0.77
"018), the discontinuation rates due to adverse events were similar in the two groups (p = 0."( Comparison of effects of aldosterone receptor antagonists spironolactone and eplerenone on cardiovascular outcomes and safety in patients with acute decompensated heart failure.
Aonuma, K; Baba, M; Hamada-Harimura, Y; Higuchi, H; Ishizu, T; Machino-Ohtsuka, T; Nakatsukasa, T; Nishi, I; Obara, K; Sai, S; Seo, Y; Sugano, A; Yamamoto, M, 2019
)
0.76
"The concomitant use of TLV and conventional diuretics is safe and effective for fluid management after TAR using cardiopulmonary bypass, selective cerebral perfusion, and hypothermic circulatory arrest."( Safety and Effectiveness of Tolvaptan Administration after Total Arch Replacement.
Iida, Y; Shimizu, H; Yoshitake, A, 2019
)
0.51
" Spironolactone appears safe in carefully monitored maintenance hemodialysis patients, but did not affect cardiovascular parameters in this small study."( Safety and cardiovascular efficacy of spironolactone in dialysis-dependent ESRD (SPin-D): a randomized, placebo-controlled, multiple dosage trial.
Anderson, AH; Charytan, DM; Dember, LM; DiCarli, M; Himmelfarb, J; Hsu, JY; Hung, AM; Ikizler, TA; Kimmel, PL; Kliger, AS; Landis, JR; Mehrotra, R; Raj, DS; Sharma, S; Skali, H; Weiner, DE; Williams, M, 2019
)
1.7
"This investigation analyzed data from patients enrolled in the TOPCAT (Treatment of Preserved Cardiac Function Heart Failure With an Aldosterone Antagonist Trial) Americas study (N = 1,767) to examine the association between the baseline estimated glomerular filtration rate (eGFR) and the primary composite outcome of cardiovascular death, HF hospitalization, or aborted cardiac arrest, as well as safety outcomes, including hyperkalemia, worsening renal function, and permanent drug discontinuation for adverse events (AEs)."( Efficacy and Safety of Spironolactone in Patients With HFpEF and Chronic Kidney Disease.
Beldhuis, IE; Claggett, B; Damman, K; Desai, AS; Fang, JC; Lewis, EF; Myhre, PL; O'Meara, E; Pfeffer, MA; Pitt, B; Shah, SJ; Solomon, SD; Voors, AA, 2019
)
0.82
"Tolvaptan exerts, a strong diuretic effect compared with conventional diuretics (furosemide and spironolactone) during the postoperative period after an operation using cardiopulmonary bypass without adverse effects on electrolyte balance and renal function."( Efficacy and Safety Evaluation of Tolvaptan on Management of Fluid Balance after Cardiovascular Surgery Using Cardiopulmonary Bypass.
Hirai, H; Hosono, M; Kaku, D; Kubota, Y; Nakahira, A; Sasaki, Y; Shibata, T; Suehiro, S; Suehiro, Y, 2016
)
0.65
" Compared with spironolactone and eplerenone, finerenone 10 mg was associated with low risk in the occurrence of cardiovascular mortality, hospitalization, and adverse events (P < 0."( Comparative efficacy and safety of mineralocorticoid receptor antagonists in heart failure: a network meta-analysis of randomized controlled trials.
Chen, X; Shen, W; Wu, Q; Wu, T; Xu, G; Xu, X; Yang, P; Zhu, D, 2019
)
0.87
" The final result is a ready-to-use compounding vehicle, containing minimal excipients, safe for children's use and stable for 6 months."( Development of a safe and versatile suspension vehicle for pediatric use: Formulation development.
Alarie, H; Leclair, G; Roullin, VG, 2019
)
0.51
"In this post hoc, exploratory analysis of the TOPCAT trial data from the Americas region, although there was no effect of age on efficacy, there were considerable effects of age on increased rates of adverse safety outcomes."( Influence of Age on Efficacy and Safety of Spironolactone in Heart Failure.
Anand, IS; Beldhuis, I; Claggett, B; Desai, AS; Fang, JC; Lewis, EF; O'Meara, E; Pfeffer, MA; Pitt, B; Rouleau, J; Shah, SJ; Solomon, SD; Sweitzer, NK; Vaduganathan, M; Vardeny, O, 2019
)
0.78
" Spironolactone is an effective and safe treatment for RH in patients with baseline eGFR ≥30ml/min/1."( Renal safety outcomes of spironolactone in patients with resistant hypertension.
Durán, X; Galceran, I; Oliveras, A; Outón, S; Pascual, J; Vázquez, S,
)
1.34
" Randomized controlled trials randomized controlled trials meeting inclusion criteria were included to assess the effect of the addition of spironolactone on office blood pressure (BP), 24-hour ambulatory BP or adverse events in RH patients."( Clinical efficacy and safety of spironolactone in patients with resistant hypertension: A systematic review and meta-analysis.
Chen, C; Li, D; Lin, Q; Zhou, K; Zhu, XY, 2020
)
1.04
"Spironolactone may be safe to initiate in hospitalized patients with HF and CKD; however, appropriateness of therapy must be assessed upon admission to the hospital."( Evaluation of the safety and tolerability of spironolactone in patients with heart failure and chronic kidney disease.
Armbruster, AL; Buckallew, AR; Mbachu, G; Miller, W; Seltzer, JR; Tellor, KB; Watson, R; Whitlock, C, 2021
)
2.32
" A combination of short-term low-dose SPL and ARB is safe for patients with stage 1-3a CKD, but blood potassium must be regularly monitored."( Efficacy and safety of a low-sodium diet and spironolactone in patients with stage 1-3a chronic kidney disease: a pilot study.
Chang, L; Chen, H; He, L; Tian, R; Wang, Y; Ye, X; Yu, D; Zhang, H; Zhu, B, 2022
)
0.98

Pharmacokinetics

Herbal-drug pharmacokinetic and pharmacodynamic interactions between YCHT and spironolactone were observed. Based on Chinese Food and Drug Administration's guidance and regulatory criteria for bioequivalence, the test and reference formulations of spironlacton were bioequivalent under both fasting and fed condition.

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
)
0.72
" The biological half-life of labeled material in plasma was longer than that of fluorigenic compounds."( Pharmacokinetics of spironolactone in man.
Abshagen, U; Luszpinski, G; Rennekamp, H, 1976
)
0.58
") caused elevation of plasma digoxin levels primarily because the alpha half-life was prolonged (t1/2 alpha)."( Changes in the plasma levels and basic pharmacokinetic parameters of digoxin used in combination with gentamicin, amiodarone and spironolactone.
Krusteva, E, 1992
)
0.49
"The intent of this study was to identify pharmacokinetic and pharmacodynamic characteristics for spironolactone (SP) and its metabolites (canrenone, 6 beta-hydroxy-7 alpha-thiomethylspirolactone, 7 alpha-thiomethylspirolactone) in cirrhotics under steady state conditions."( Spironolactone pharmacokinetics and pharmacodynamics in patients with cirrhotic ascites.
Bartle, WR; DeAngelis, C; Pappas, C; Sungaila, I; Uetrecht, J; Vidins, E; Walker, SE, 1992
)
1.94
" A significant difference in the tmax values indicates sustained release of furosemide from one of the formulations."( Bioequivalence between two furosemide-spironolactone formulations: a pharmacokinetic and pharmacodynamic approach.
Blöchl-Daum, B; Eichler, HG; Freissmuth, M; Loew, D; Schütz, W; Tuisl, E, 1991
)
0.55
" Main pharmacokinetic parameters have been calculated using a biexponential (ALT and SPI) or a triexponential model (7TM and CAN)."( [Pharmacokinetics in healthy subjects of althiazide and spironolactone in a fixed combination for 2 doses].
Caplain, M; Capron, MH; Doignon, JL; Grognet, JM; Istin, M; Pelletier, B; Thébault, JJ; Wehrlen, M,
)
0.38
" administration, mespirenone exhibited a short half-life and a high plasma clearance; after oral administration the unchanged compound was not detectable."( Pharmacokinetics and metabolism of mespirenone, a new aldosterone antagonist, in rat and cynomolgus monkey.
Hildebrand, M; Hoyer, GA; Krause, W; Kühne, G, 1987
)
0.27
" A 2-compartment model was taken as the basis for the calculation of the steady-state plasma concentration curves and the pharmacokinetic parameters of Bft, canrenone and the sum of the fluorogenic spironolactone metabolites."( [Pharmacokinetic studies and bioavailability of bendroflumethiazide in combination with spironolactone].
Nuss, U; Strobel, K; Vergin, H, 1986
)
0.68
" 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
)
0.59
" Pharmacokinetic parameters were derived from the serum concentration-time course of each compound."( New insights into the pharmacokinetics of spironolactone.
Hermens, WA; Merkus, FW; Overdiek, HW, 1985
)
0.53
" On comparison of the pharmacokinetic parameters with the respective values of a control group of younger healthy female subjects, the serum concentrations in the elderly patients were found to be twice as high."( The influence of age and multimorbidity on the pharmacokinetics and metabolism of spironolactone.
Abshagen, U; Horn, HJ; Mühlberg, W; Platt, D; Schmitt-Rüth, R; Vollmar, J, 1984
)
0.49
" Analysis of the pharmacokinetics of digoxin was accomplished using a simple steady-state pharmacokinetic model."( Population-based investigation of relative clearance of digoxin in Japanese neonates and infants by multiple-trough screen analysis.
Goto, Y; Higuchi, S; Minemoto, M; Ohdo, S; Suematsu, F; Yukawa, E; Yukawa, M, 2001
)
0.31
" formulations were tested in an in vivo pharmacokinetic study in rats with the aim of characterizing the bioavailability of spironolactone on the basis of its metabolites canrenone and 7-alpha-thiomethylspirolactone."( Nanosuspension formulations for low-soluble drugs: pharmacokinetic evaluation using spironolactone as model compound.
Frenzel, D; Grenier, P; Hanafy, A; Langguth, P; Nhamias, A; Ohlig, T; Spahn-Langguth, H; Vergnault, G, 2005
)
0.76
" These results indicated that not only plasma but also blood and serum samples in rat pharmacokinetic studies should be cooled to 0 degrees C, the temperature maintained, and treated as soon as possible."( Stability of spironolactone in rat plasma: strict temperature control of blood and plasma samples is required in rat pharmacokinetic studies.
Machida, Y; Masutomi, T; Muraoka, A; Tokumura, T, 2005
)
0.7
" The method has been successfully applied in the pharmacokinetic study of the EP tablets."( Establishment of HPLC-ESI-MS method for the determination of eplerenone in human plasma and its pharmacokinetics.
Ding, L; Gong, B; Leng, Y; Qian, WJ; Wen, AD; Yang, L; Yun, CH, 2009
)
0.35
" A maximal possible effect (E(max)) model was employed to determine the basic pharmacodynamic parameters of spironolactone, measured by high-performance liquid chromatography, in antagonizing the renal effects of aldosterone."( A preclinical pharmacokinetic and pharmacodynamic approach to determine a dose of spironolactone for treatment of congestive heart failure in dog.
Elliott, J; Guyonnet, J; Kaltsatos, V, 2010
)
0.8
" The pharmacokinetic parameters were estimated using previously developed barrier-limited and space-distributed models."( Liver fibrosis impairs hepatic pharmacokinetics of liver transplant drugs in the rat model.
Asadian, P; Crawford, DH; Fletcher, LM; Khlentzos, AM; Li, P; Liu, X; Roberts, MS; Robertson, TA; Thorling, CA; Zou, YH, 2010
)
0.36
" A population pharmacokinetic model incorporating protein binding and the reversible relationship between eplerenone and SC-70303 was developed."( A population approach to eplerenone pharmacokinetics and saturable protein binding.
Chiba, K; Mori, Y; Ogata, H; Takahashi, H, 2010
)
0.36
" The method was successfully applied to the pharmacokinetic study after an intravenous administration of isoforskolin in beagle dogs."( A sensitive and specific HPLC-MS/MS analysis and preliminary pharmacokinetic characterization of isoforskolin in beagle dogs.
Chen, J; Huang, J; Ling, Y; Tian, L; Wang, Y; Yin, J, 2011
)
0.37
" Spironolactone was only detected in a few plasma samples; hence, metabolite levels were employed for the pharmacokinetic analysis."( Fate of nanostructured lipid carriers (NLCs) following the oral route: design, pharmacokinetics and biodistribution.
Beloqui, A; Delgado, A; Evora, C; Isla, A; Rodríguez-Gascón, A; Solinís, MÁ, 2014
)
1.31
" The present study was to investigate the effects of giving N-acetylcysteine (NAC) alone and in combination with either glycyrrhizin (GL), silibinin (SIB) or spironolactone (SL) on the plasma pharmacokinetic (PK) profiles, hepatic exposure, biliary excretion and urinary excretion of acetaminophen (APAP) and its major metabolite, acetaminophen glucuronide (AG)."( Changes in pharmacokinetic profiles of acetaminophen and its glucuronide after pretreatment with combinations of N-acetylcysteine and either glycyrrhizin, silibinin or spironolactone in rat.
Liu, X; Wang, Q; Xu, R; Yang, J; Zang, M; Zhang, J, 2014
)
0.79
" The pharmacokinetic study of multiple-dose of eplerenone was also conducted."( Dose Proportionality and Pharmacokinetics of Eplerenone in Healthy Chinese Subjects.
Chen, J; Jiang, B; Lou, H; Ruan, Z; Shao, R; Xu, Y, 2016
)
0.43
" The purpose of this study was to compare the pharmacokinetic properties and bioequivalence of the two formulations of spironolactone tablets in healthy Chinese male subjects under fasting and fed condition."( Pharmacokinetic properties and bioequivalence of spironolactone tablets in fasting and fed healthy Chinese male subjects.
Cai, HL; Deng, Y; Guo, ZH; Hou, ZY; Li, ZH; Wu, G; Yan, M; Zhang, BK, 2016
)
0.9
" The pharmacokinetic parameters including AUC0-tlast, AUC0-∞, tmax, and Cmax were employed to test bioequivalence."( Pharmacokinetic properties and bioequivalence of spironolactone tablets in fasting and fed healthy Chinese male subjects.
Cai, HL; Deng, Y; Guo, ZH; Hou, ZY; Li, ZH; Wu, G; Yan, M; Zhang, BK, 2016
)
0.69
"Based on pharmacokinetic parameters and the Chinese Food and Drug Administration's guidance and regulatory criteria for bioequivalence, the test and reference formulations of spironolactone were bioequivalent under both fasting and fed condition."( Pharmacokinetic properties and bioequivalence of spironolactone tablets in fasting and fed healthy Chinese male subjects.
Cai, HL; Deng, Y; Guo, ZH; Hou, ZY; Li, ZH; Wu, G; Yan, M; Zhang, BK, 2016
)
0.88
" A validated high-performance liquid chromatography-mass spectrometry (HPLC-MS) method was established to determine the eplerenone in plasma, and the portal vein absorption model was applied to conduct the pharmacokinetic study."( Pharmacokinetic study of eplerenone in rats after long-term coadministration with buckwheat tea.
Chen, HJ; Jia, K; Li, R; Lin, JZ; Peng, LX; Wang, P; Zhao, G; Zou, L, 2016
)
0.43
" These results demonstrated that stabilizers in NCs played an important role for the in vivo pharmacokinetic behaviors."( Spironolactone nanocrystals for oral administration: Different pharmacokinetic performances induced by stabilizers.
Fu, Q; Guo, M; He, Z; Li, J; Li, M; Mu, S; Wang, Y; Yang, W, 2016
)
1.88
"To characterize eplerenone pharmacokinetics (PK) in Japanese chronic heart failure (CHF) patients and to estimate the impact of factors that may affect eplerenone PK, population pharmacokinetic (PPK) analysis was conducted."( Population Pharmacokinetics of Eplerenone in Japanese Patients With Chronic Heart Failure.
Oishi, M; Sweeney, K; Tomono, Y; Zhao, Q, 2017
)
0.46
" All paediatric population pharmacokinetic studies of digoxin that utilized the nonlinear mixed-effect modelling approach were incorporated in this review, and data were synthesized descriptively."( A systematic review of population pharmacokinetic analyses of digoxin in the paediatric population.
Abdel Jalil, MH; Abdullah, N; Abu-Hammour, K; Alsous, MM; Saleh, M, 2020
)
0.56
"This study aimed to utilize a population pharmacokinetic method to obtain information about the influence of covariates on the in vivo behavior of digoxin in patients with cardiac insufficiency."( Impact of SLCO4C1 Genotypes, Creatinine, and Spironolactone on Digoxin Population Pharmacokinetic Variables in Patients With Cardiac Insufficiency.
Du, P; Jia, A; Li, X; Li, Y; Ma, Y; Wang, A, 2020
)
0.82
" The first-order absorption one-compartment model was used to develop a population pharmacokinetic model from a nonlinear mixed effects modeling approach."( Impact of SLCO4C1 Genotypes, Creatinine, and Spironolactone on Digoxin Population Pharmacokinetic Variables in Patients With Cardiac Insufficiency.
Du, P; Jia, A; Li, X; Li, Y; Ma, Y; Wang, A, 2020
)
0.82
" This study investigated the pharmacokinetic and pharmacodynamic herb-drug interactions between the herbal formula Yin-Chen-Hao-Tang (YCHT) and spironolactone."( Preclinical study of simultaneous pharmacokinetic and pharmacodynamic herb-drug interactions between Yin-Chen-Hao-Tang and spironolactone.
Hsueh, TP; Tsai, TH, 2020
)
0.97
" Urine pharmacokinetic parameters and urinary sodium, potassium, volume, and weight were analyzed."( Preclinical study of simultaneous pharmacokinetic and pharmacodynamic herb-drug interactions between Yin-Chen-Hao-Tang and spironolactone.
Hsueh, TP; Tsai, TH, 2020
)
0.77
"Herb-drug pharmacokinetic and pharmacodynamic interactions between YCHT and spironolactone were observed in the study."( Preclinical study of simultaneous pharmacokinetic and pharmacodynamic herb-drug interactions between Yin-Chen-Hao-Tang and spironolactone.
Hsueh, TP; Tsai, TH, 2020
)
0.99

Compound-Compound Interactions

Spironolactone alone or in combination with cilazapril, an angiotensin converting enzyme (ACE) inhibitor, ameliorates proteinuria and renal lesions in an immune-initiated progressive nephritis model.

ExcerptReferenceRelevance
" Subsequently, 10 patients received 20 mg enalapril per day and 10 patients 15 mg altizide combined with 25 mg spironolactone in the same tablet."( [Efficacy and tolerability of enalapril compared to altizide combined with spironolactone in patients with moderate arterial hypertension].
Baudouy, M; Camous, JP; Durand, P; Gibelin, P; Morand, P, 1986
)
0.71
" It is concluded that in a clinical daily practice of a hypertension clinic low doses of spironolactone or of thiazides combined with potassium-sparing agents reduced BP without alteration in lipid or carbohydrate metabolism on long-term follow-up."( Long-term metabolic effects of spironolactone and thiazides combined with potassium-sparing agents for treatment of essential hypertension.
Charru, A; Chatellier, G; Corvol, P; Degoulet, P; Jeunemaitre, X; Julien, J; Ménard, J; Plouin, PF, 1988
)
0.78
"It has been demonstrated in experiments on normotensive cats that during chronic administration of spironolactone alone or combined with euphylline there occur inconclusive variations in the transmural potential difference and electrolyte balance in the vascular wall."( [Changes in the electrolyte balance and the transmural differential in the potentials of the blood vessel wall during the administration of spironolactone and its combination with euphylline].
Erikov, VM,
)
0.55
"The objective of this review was to investigate the effectiveness of spironolactone and/or in combination with steroids (oral contraceptive pill included) in reducing excess hair growth and/or acne in women."( Spironolactone versus placebo or in combination with steroids for hirsutism and/or acne.
Farquhar, C; Jepson, R; Lee, O; Toomath, R, 2000
)
1.98
"All publications of randomised controlled trials of spironolactone versus placebo and/or in combination with steroids (oral contraceptive pill included) were identified."( Spironolactone versus placebo or in combination with steroids for hirsutism and/or acne.
Farquhar, C; Jepson, R; Lee, O; Toomath, R, 2000
)
2
" One trial investigated spironolactone versus placebo; one trial was a dosage studies of spironolactone; one trial compared spironolactone with spironolactone in combination with dexamethasone; the remaining trial used topical spironolactone for the treatment of acne."( Spironolactone versus placebo or in combination with steroids for hirsutism and/or acne.
Farquhar, C; Jepson, R; Lee, O; Toomath, R, 2000
)
2.06
"The objective of this review was to investigate the effectiveness of spironolactone and/or in combination with steroids (oral contraceptive pill included) in reducing excess hair growth and/or acne in women."( Spironolactone versus placebo or in combination with steroids for hirsutism and/or acne.
Farquhar, C; Jepson, R; Lee, O; Toomath, R, 2001
)
1.99
"All publications of randomised controlled trials of spironolactone versus placebo and/or in combination with steroids (oral contraceptive pill included) were identified."( Spironolactone versus placebo or in combination with steroids for hirsutism and/or acne.
Farquhar, C; Jepson, R; Lee, O; Toomath, R, 2001
)
2
" Two trials investigated spironolactone versus placebo; one trial was a dosage studies of spironolactone; one trial compared spironolactone with spironolactone in combination with dexamethasone; the remaining trial used topical spironolactone for the treatment of acne."( Spironolactone versus placebo or in combination with steroids for hirsutism and/or acne.
Farquhar, C; Jepson, R; Lee, O; Toomath, R, 2001
)
2.06
"The most rational treatment of moderate ascites is spironolactone alone or in combination with furosemide."( Spironolactone alone or in combination with furosemide in the treatment of moderate ascites in nonazotemic cirrhosis. A randomized comparative study of efficacy and safety.
Cabré, E; Durández, R; Gassull, MA; Granada, ML; Jiménez, JA; Morillas, RM; Pardo, A; Planas, R; Quintero, E; Santos, J, 2003
)
2.01
"The objective of this review was to investigate the effectiveness of spironolactone and/or in combination with steroids (oral contraceptive pill included) in reducing excess hair growth and/or acne in women."( Spironolactone versus placebo or in combination with steroids for hirsutism and/or acne.
Farquhar, C; Jepson, R; Lee, O; Toomath, R, 2003
)
2
" Two trials investigated spironolactone versus placebo; one trial was a dosage studies of spironolactone; one trial compared spironolactone with spironolactone in combination with dexamethasone; one trial used topical spironolactone for the treatment of acne, one trial compared three treatments; spironolactone, finasteride, cyproterone acetate."( Spironolactone versus placebo or in combination with steroids for hirsutism and/or acne.
Farquhar, C; Jepson, R; Lee, O; Toomath, R, 2003
)
2.07
" The present study was conducted to examine whether spironolactone, a mineralocorticoid receptor antagonist, alone or in combination with cilazapril, an angiotensin converting enzyme (ACE) inhibitor, ameliorates proteinuria and renal lesions in an immune-initiated progressive nephritis model."( Spironolactone in combination with cilazapril ameliorates proteinuria and renal interstitial fibrosis in rats with anti-Thy-1 irreversible nephritis.
Asai, M; Fukuda, S; Hayashi, M; Kawachi, H; Marumo, T; Monkawa, T; Saruta, T; Shimizu, F; Tsuji, M; Yoshino, J, 2004
)
2.02
"To observe the clinical efficacy of Chibixiao Recipe (CBX) in combination with minocycline and spironolactone in treating rosacea in females."( Effect of treatment of rosacea in females by Chibixiao Recipe in combination with minocycline and spironolactone.
Guo, W; Yu, TG; Zheng, YZ; Zhu, JT, 2006
)
0.77
"CBX in combination with Western medicine has effect in treating rosacea superior to that of Western medicine alone, and could effectively reduce recurrent rate and the serum level of testosterone."( Effect of treatment of rosacea in females by Chibixiao Recipe in combination with minocycline and spironolactone.
Guo, W; Yu, TG; Zheng, YZ; Zhu, JT, 2006
)
0.55
" This increase was most likely caused by an increase in use of spironolactone combined with renin-angiotensin-aldosterone system inhibitors."( Increasing exposure to drug-drug interactions between 1992 and 2005 in people aged > or = 55 years.
Becker, ML; Hofman, A; Stricker, BH; van Gelder, T; Visser, LE, 2008
)
0.59
" In addition, the Y5 antagonist combined with either food restriction or sibutramine tended to produce greater body weight loss, as compared with single treatment."( Effects of a novel Y5 antagonist in obese mice: combination with food restriction or sibutramine.
Fukami, T; Gomori, A; Ishihara, A; Ito, J; Iwaasa, H; Kanatani, A; Kitazawa, H; MacNeil, DJ; Mashiko, S; Matsushita, H; Mitobe, Y; Moriya, R; Takahashi, T; Van der Ploeg, LH, 2008
)
0.35
"NSAID are frequently prescribed in elderly patients treated with ACEI or ARB in combination with diuretics."( Exposure of the elderly to potential nephrotoxic drug combinations in Belgium.
De Haes, JF; De Swaef, A; Jorens, PG; Smets, HL; Verpooten, GA, 2008
)
0.35
"The objective was to investigate the effectiveness of spironolactone and/or in combination with steroids (oral contraceptive pill included) in reducing excess hair growth and/or acne in women."( Spironolactone versus placebo or in combination with steroids for hirsutism and/or acne.
Brown, J; Farquhar, C; Jepson, RG; Lee, O; Toomath, R, 2009
)
2.04
" Thus, the primary objective of this study was to assess the effects on arterial function and structure of an OC containing chlormadinone acetate (2 mg) and ethinylestradiol (30 mcg), alone or combined with spironolactone (OC+SPL), in patients with PCOS."( The effects of 2 mg chlormadinone acetate/30 mcg ethinylestradiol, alone or combined with spironolactone, on cardiovascular risk markers in women with polycystic ovary syndrome.
de Sá, MF; dos Reis, RM; Fernandes, JB; Ferriani, RA; Martins, WP; Soares, GM; Vieira, CS, 2012
)
0.79
"The hepatic organic anion transporting polypeptides (OATPs) influence the pharmacokinetics of several drug classes and are involved in many clinical drug-drug interactions."( Classification of inhibitors of hepatic organic anion transporting polypeptides (OATPs): influence of protein expression on drug-drug interactions.
Artursson, P; Haglund, U; Karlgren, M; Kimoto, E; Lai, Y; Norinder, U; Vildhede, A; Wisniewski, JR, 2012
)
0.38
"We evaluated the effects of RU28318 (RU), a selective mineralocorticoid receptor (MR) antagonist, Captopril (Capt), an angiotensin converting enzyme inhibitor, and Losartan (Los), an angiotensin receptor blocker, alone or in combination with ischemia/reperfusion- (I/R-) induced cardiac dysfunction in hearts obtained from normal and diabetic rats."( RU28318, an aldosterone antagonist, in combination with an ACE inhibitor and angiotensin receptor blocker attenuates cardiac dysfunction in diabetes.
Akhtar, S; Al-Rashdan, I; Babiker, F; Benter, IF; Yousif, M, 2013
)
0.39
" The ATHENA-HF (Aldosterone Targeted Neurohormonal Combined with Natriuresis Therapy in Heart Failure) trial is a randomized, double-blind, placebo-controlled study of the safety and efficacy of 100 mg/day spironolactone versus placebo (or continued low-dose spironolactone use in participants who are already receiving spironolactone at baseline) in 360 patients hospitalized for AHF."( Rationale and Design of the ATHENA-HF Trial: Aldosterone Targeted Neurohormonal Combined With Natriuresis Therapy in Heart Failure.
Anstrom, KJ; Braunwald, E; Butler, J; Felker, GM; Hernandez, AF; Kalogeropoulos, A; Konstam, MA; Redfield, MM; Shah, MR; Tang, WH, 2016
)
0.62
"There is a lack of research on the effect of low dose of angiotensin receptor blockers combined with spironolactone, and the effect of high dose of angiotensin receptor blockers alone on the urinary albumin excretion rate (UAER) in elderly patients with early type 2 diabetic nephropathy (DN)."( Effects of Different Doses of Irbesartan Combined With Spironolactone on Urinary Albumin Excretion Rate in Elderly Patients With Early Type 2 Diabetic Nephropathy.
Chen, X; Chen, Y; Li, Y; Liu, P; Wang, Y; Zhang, F, 2018
)
0.94
" Patients were randomly divided into 4 groups: low-dose irbesartan (group A), high-dose irbesartan (group B), low-dose irbesartan combined with spironolactone (group C) and high-dose irbesartan combined with spironolactone (group D)."( Effects of Different Doses of Irbesartan Combined With Spironolactone on Urinary Albumin Excretion Rate in Elderly Patients With Early Type 2 Diabetic Nephropathy.
Chen, X; Chen, Y; Li, Y; Liu, P; Wang, Y; Zhang, F, 2018
)
0.93
"Our results indicate high-dose irbesartan combined with spironolactone may be more efficient in reducing UAER in elderly patients with early DN, but this treatment could cause hyperkalemia."( Effects of Different Doses of Irbesartan Combined With Spironolactone on Urinary Albumin Excretion Rate in Elderly Patients With Early Type 2 Diabetic Nephropathy.
Chen, X; Chen, Y; Li, Y; Liu, P; Wang, Y; Zhang, F, 2018
)
0.97
" We determined the effects of SR alone or in combination with the antioxidant α-glycosyl isoquercitrin (AGIQ) on hyperlipidemia- and steatosis-related precancerous lesions in high-fat diet (HFD)-fed rats subjected to a two-stage hepatocarcinogenesis model."( Spironolactone in Combination with α-glycosyl Isoquercitrin Prevents Steatosis-related Early Hepatocarcinogenesis in Rats through the Observed NADPH Oxidase Modulation.
Eguchi, A; Hayashi, SM; Kawashima, M; Kimura, M; Koyanagi, M; Makino, E; Maronpot, RR; Mizukami, S; Murayama, H; Nagahara, R; Nakamura, M; Ohtsuka, R; Shibutani, M; Takahashi, N; Yoshida, T, 2018
)
1.92
" There are only a few reports on GS combined with growth hormone deficiency (GHD)."( Gitelman syndrome combined with growth hormone deficiency: Three cases report.
Dai, YL; Dong, GP; Fei, Y; Fu, JF; Huang, K; Ullah, R; Wu, W; Zhang, JW; Zhang, L, 2019
)
0.51
" The interaction study was conducted by collecting urine samples after oral administration of spironolactone alone or in combination with YCHT for 5 days."( Preclinical study of simultaneous pharmacokinetic and pharmacodynamic herb-drug interactions between Yin-Chen-Hao-Tang and spironolactone.
Hsueh, TP; Tsai, TH, 2020
)
0.98
"In comparison with reference methods, the attained results demonstrated that SBME combined with HPLC-DAD was proved to be simple, inexpensive, and promising analytical technology for the simultaneous determination of furosemide and spironolactone in urine and plasma samples."( Solvent Bar Microextraction Combined with HPLC-DAD for Simultaneous Determination of Diuretics in Human Urine and Plasma Samples.
Al-Hashimi, NN; Alruwad, MI; El-Sheikh, AH; Odeh, MM, 2022
)
0.9
"At present, the question of whether radiofrequency ablation (RFA) combined with spironolactone can reduce the levels of plasma angiotensin II (AngII) and aldosterone (ALD) in patients with atrial fibrillation (AF) and reduce the recurrence of AF has not been reported."( Radiofrequency catheter ablation combined with spironolactone in the treatment of atrial fibrillation: A single-center randomized controlled study.
Chen, J; Chen, L; Chen, Q; Chen, X; Li, J; Sun, X; Wang, W; Xu, Z; Zhang, F, 2021
)
1.11
"Mineralocorticoid receptor antagonist (MRA) when combined with either angiotensin-converting enzyme inhibitors (ACEIs) or angiotensin receptor blockers (ARBs) may provide additional benefits of cardiovascular and kidney disease risk reduction in patients with diabetic kidney disease (DKD) and hypertension."( Cardiovascular and kidney outcomes of spironolactone or eplerenone in combination with ACEI/ARBs in patients with diabetic kidney disease.
An, J; Niu, F; Sim, JJ, 2021
)
0.89
"Among patients with DKD and hypertension, the short-term use of MRAs, either spironolactone or eplerenone, in combination with ACEI/ARBs, was not associated with lower risk of cardiovascular or kidney outcomes compared with ACEI/ARB monotherapy."( Cardiovascular and kidney outcomes of spironolactone or eplerenone in combination with ACEI/ARBs in patients with diabetic kidney disease.
An, J; Niu, F; Sim, JJ, 2021
)
1.12
" Metformin, as an insulin sensitizer, combined with spironolactone, an antiandrogen medication, may exert complementary effects on PCOS."( Metformin combined with spironolactone vs. metformin alone in polycystic ovary syndrome: a meta-analysis.
Huang, L; Huang, S; Ren, W; Wu, J; Ye, Y; Zeng, H; Zhang, Y; Zhou, L, 2023
)
1.47
"We retrieved the PubMed, Embase, Scopus, Cochrane Library, CNKI, CBM, Wangfang, and VIP databases for literatures published from their inception to December 16, 2022 on the effects of metformin combined with spironolactone in the treatment of PCOS."( Metformin combined with spironolactone vs. metformin alone in polycystic ovary syndrome: a meta-analysis.
Huang, L; Huang, S; Ren, W; Wu, J; Ye, Y; Zeng, H; Zhang, Y; Zhou, L, 2023
)
1.4
"Our results revealed that metformin combined with spironolactone significantly reduced BMI and TT, but that it exerted no significant effects on hirsutism score, or on FSH or LH concentrations."( Metformin combined with spironolactone vs. metformin alone in polycystic ovary syndrome: a meta-analysis.
Huang, L; Huang, S; Ren, W; Wu, J; Ye, Y; Zeng, H; Zhang, Y; Zhou, L, 2023
)
1.47
"Compared with metformin alone, metformin combined with spironolactone therapy may be more effective in reducing BMI and serum androgen levels, but the combination showed no significant effect on the hirsutism score or gonadotropin hormone levels, and was not associated with an elevation in side-effects."( Metformin combined with spironolactone vs. metformin alone in polycystic ovary syndrome: a meta-analysis.
Huang, L; Huang, S; Ren, W; Wu, J; Ye, Y; Zeng, H; Zhang, Y; Zhou, L, 2023
)
1.46

Bioavailability

Tablet formulations of spironolactone with hydrochlorothiazide were studied in vitro and in vivo. The influence of food intake on the bioavailability of canrenone was explored in 8 healthy male volunteers. SpironolActone restored NO bioavailability in association with lower endothelial nitric oxide synthase-derived superoxide production.

ExcerptReferenceRelevance
" The absolute bioavailability of a pharmacologically active metabolite, canrenone, was 57% in the dog and 48% in the monkey."( Species differences in the metabolism and disposition of spironolactone.
Campion, J; Doherty, M; Karim, A; Kook, C; Zagarella, J; Zitzewitz, DJ,
)
0.38
"The effect of oral neomycin sulfate on the bioavailability of oral spironolactone in humans was studied."( Effect of neomycin on the bioavailability of spironolactone: a single-dose study.
Bartle, WR; Coates, PE; Fisher, MM; Louman, FJ, 1979
)
0.76
"The bioavailability of spironolactone from 10 tablet formulations, selected to provide a wide range of specifications and in vitro dissolution rates, was assessed from the plasma and urinary levels of its major unconjugated metabolite, canrenone, in a study of balanced incomplete block design using 11 healthy subjects."( Factors influencing comparative bioavailability of spironolactone tablets.
Clarke, JM; Murray, S; Palmer, RF; Ramsay, LE; Shelton, JR; Tidd, MJ, 1977
)
0.82
"The investigations have been performed to determine the relative bioavailability of canrenon from Acelat 100 capsules in comparison with canrenon from a spironolactone standard preparation available on the German market."( [Relative bioavailability of a new spironolactone preparation (author's transl)].
Erking, W; Lücker, PW; Stöcker, KP; Wetzelsberger, K, 1979
)
0.73
"The influence of food intake on the bioavailability of canrenone, the major and active metabolite of spironolactone, was explored in 8 healthy male volunteers."( Enhancement by food of canrenone bioavailability from spironolactone.
Danielson, K; Melander, A; Scherstén, B; Thulin, T; Wåhlin, E, 1977
)
0.72
"Data showing a linear relationship between spironolactone dose and the levels of canrenone in plasma and urine are presented to support the use of canrenone levels as a measure of the bioavailability of spironolactone."( Validation of plasma and urinary canrenone for determination of bioavailability of spironolactone--comparison of tablets with solution/suspension.
Palmer, RF; Ramsay, LE; Shelton, JR; Tidd, MJ, 1977
)
0.74
"Tablet formulations of spironolactone with hydrochlorothiazide were studied in vitro and in vivo to evaluate the effect of formulation parameters on the bioavailability of spironolactone."( In vitro and in vivo availability of spironolactone from oral dosage forms.
Chao, AY; Karim, A; Mattes, K; Nicholova, B; Sanvordeker, DR; Zagarella, J, 1976
)
0.84
"The bioavailability of commercial 25-mg spironolactone tablets and a new tablet preparation containing 100 mg of the drug has been determined in 12 healthy male subjects."( Spironolactone. II. Bioavailability.
Baltes, BJ; Chao, A; Hutsell, TC; Karim, A; Zagarella, J, 1976
)
1.97
" Relative bioavailability was assessed by the measurement of serum canrenone concentrations."( Improved bioavailability from a spironolactone beta-cyclodextrin complex.
Bramley, PN; Chrystyn, H; Losowsky, MS; Swallow, RD; Tuladhar, BR; York, P; Yusuff, NT, 1991
)
0.56
" Such effects depend not only on increased androgen production by the ovary or adrenal gland but also on the bioavailability of androgen to peripheral tissues."( Anti-androgens in gynaecological practice.
Franks, S; Reed, MJ, 1988
)
0.27
"Investigations have been performed to determine the relative bioavailability of canrenone from an improved spironolactone preparation, Deverol drgs."( [Studies of biological availability. A critical assessment based on a study of spironolactone preparations].
Bacher, S; Rameis, H, 1988
)
0.72
"An intraindividual comparative multiple-dose study (6 days) was carried out under controlled conditions on 10 healthy volunteers in order to establish the bioavailability of bendroflumethiazide (Bft; 3-benzyl-6-trifluoromethyl-7-sulfamyl-3,4-dihydro-1,2,4-benzoth iad iazine-1, 1-oxide), the sum of the fluorogenic metabolites of spironolactone (3-[3-oxo-7-alpha-acetylthio-17 beta-hydroxy-4-androstene-17-alpha-yl]-propionic acid-gamma-lactone) and canrenone, the main spironolactone metabolite from a fixed combination of Bft with spironolactone vs."( [Pharmacokinetic studies and bioavailability of bendroflumethiazide in combination with spironolactone].
Nuss, U; Strobel, K; Vergin, H, 1986
)
0.67
"The capacity of the statistical moments for detecting bioavailability changes in bioequivalence studies of drugs with high disposition mean residence time (MRT) is analysed."( Limitations of the MANOVA of statistical moments in bioequivalence trials of drugs with slow elimination rate: a study with spironolactone.
Concheiro, A; Llabres, M; Martinez, R; Vila, JL,
)
0.34
"The unbound fraction of plasma testosterone (T) can freely enter tissues, whereas the bioavailability of the albumin-bound T is controversial."( Bioavailability of albumin-bound testosterone.
Bardin, CW; Cefalu, W; Manni, A; Nisula, BC; Pardridge, WM; Santen, RJ; Santner, SJ, 1985
)
0.27
" Also it appears that individual differences in CPA bioavailability do not satisfactorily explain the lack of therapeutic response in about 30% of the cases."( Antiandrogens in the treatment of acne and hirsutism.
Hammerstein, J; Moltz, L; Schwartz, U, 1983
)
0.27
"Two new preparations of spironolactone tablets containing 25 and 100 mg of spironolactone have been characterized by their disintegration time, tablet spironolactone content, dissolution profile and bioavailability in comparison with two known spironolactone preparations as reference material."( The bioavailability of two new preparations of spironolactone tablets.
De Vos, D; Imanse, M; Nijkerk, AJ; Vermeer, JM, 1983
)
0.83
" The absolute bioavailability of canrenone was 25 +/- 9%."( Pharmacokinetics of canrenone after oral administration of spironolactone and intravenous injection of canrenoate-K in healthy man.
Karras, J; Krause, W; Seifert, W, 1983
)
0.51
"In a single-blind, randomized cross-over study the bioavailability of Spironothiazid (50 mg spironolactone, 50 mg hydrochlorothiazide) was investigated in six healthy male volunteers by comparing the same dose of the well-established drugs Aldactone dragees, 50 mg, and Esidrex tablets, 25 mg."( The bioavailability of spironolactone hydrochlorothiazide combination preparation.
Hitzenberger, G; Horwatitsch, H; Rameis, H, 1982
)
0.8
"The mean (95% confidence limits) relative bioavailability for SP-COMP (compared with ALD) from steady state serum concentrations of canrenone, 6beta-hydroxyl 7alpha-thiomethyl spironolactone and 7alpha-thiomethyl spironolactone was 310."( Improved bioavailability and clinical response in patients with chronic liver disease following the administration of a spironolactone: beta-cyclodextrin complex.
Abosehmah-Albidy, AZ; Chrystyn, H; Losowsky, MS; Wong, V; York, P, 1997
)
0.7
" For each drug, micronization improved their digestive absorption, and consequently their bioavailability and clinical efficacy."( Micronization: a method of improving the bioavailability of poorly soluble drugs.
Chaumeil, JC, 1998
)
0.3
" Both cyclodextrin formulations enhanced spironolactone bioavailability to a similar extent despite some deacetylation of spironolactone in the presence of SBE7."( Water-soluble beta-cyclodextrins in paediatric oral solutions of spironolactone: preclinical evaluation of spironolactone bioavailability from solutions of beta-cyclodextrin derivatives in rats.
Kaukonen, AM; Lennernäs, H; Mannermaa, JP, 1998
)
0.8
"The quantitative structure-bioavailability relationship of 232 structurally diverse drugs was studied to evaluate the feasibility of constructing a predictive model for the human oral bioavailability of prospective new medicinal agents."( QSAR model for drug human oral bioavailability.
Topliss, JG; Yoshida, F, 2000
)
0.31
" This difference was not pronounced in the relative bioavailability of spironolactone administered in two different particle sizes."( Direct estimation of the in vivo dissolution of spironolactone, in two particle size ranges, using the single-pass perfusion technique (Loc-I-Gut) in humans.
Bønløkke, L; Hovgaard, L; Knutson, L; Kristensen, HG; Lennernäs, H, 2001
)
0.8
" Pharmacokinetic studies reveal that eplerenone has good bioavailability with low protein binding, good plasma exposure, and is highly metabolized to inactive metabolites and excreted principally in the bile."( Eplerenone: a selective aldosterone receptor antagonist (SARA).
Cook, CS; Delyani, JA; Levin, S; Rocha, R; Roniker, B; Sing, YL; Tobert, DS; Whelihan, B; Workman, DL, 2001
)
0.31
" Increased nitric oxide bioavailability can only partially explain the reduced platelet activation by eplerenone and ACE inhibition."( Inhibition of platelet activation in congestive heart failure by aldosterone receptor antagonism and ACE inhibition.
Bauersachs, J; Christ, M; Eigenthaler, M; Fraccarollo, D; Hildemann, S; Kobsar, A; Schäfer, A; Walter, U, 2003
)
0.32
" formulations were tested in an in vivo pharmacokinetic study in rats with the aim of characterizing the bioavailability of spironolactone on the basis of its metabolites canrenone and 7-alpha-thiomethylspirolactone."( Nanosuspension formulations for low-soluble drugs: pharmacokinetic evaluation using spironolactone as model compound.
Frenzel, D; Grenier, P; Hanafy, A; Langguth, P; Nhamias, A; Ohlig, T; Spahn-Langguth, H; Vergnault, G, 2005
)
0.76
" The release of spironolactone from nanocapsules was rapid and complete in a simulated gastric fluid, therefore recourse to spironolactone nanoencapsulation should enhance its oral bioavailability and probably its efficiency."( Preparation and characterization of spironolactone-loaded nanocapsules for paediatric use.
Charcosset, C; Fessi, H; Limayem Blouza, I; Sfar, S, 2006
)
0.95
" Human oral bioavailability is an important pharmacokinetic property, which is directly related to the amount of drug available in the systemic circulation to exert pharmacological and therapeutic effects."( Hologram QSAR model for the prediction of human oral bioavailability.
Andricopulo, AD; Moda, TL; Montanari, CA, 2007
)
0.34
" We investigated the effect of a combination of eplerenone, a selective aldosterone antagonist, and enalapril, an angiotensin-converting enzyme inhibitor, on NO bioavailability and spontaneous atherosclerotic changes."( Addition of eplerenone to an angiotensin-converting enzyme inhibitor effectively improves nitric oxide bioavailability.
Akasaka, T; Goto, M; Ikejima, H; Imanishi, T; Kobayashi, K; Kuroi, A; Mochizuki, S; Muragaki, Y; Tsujioka, H; Yoshida, K, 2008
)
0.35
"The bioavailability of a new spironolactone ((7alpha,17alpha)-7-(acetylthio)-17-hydroxy-3-oxopregn-4-ene-21-carboxylic acid gamma-lactone, CAS 52-01-7) formulation (test) was compared with a commercially available original formulation (reference) of the drug in 20 Chinese healthy male volunteers, aged between 21 and 27."( Bioequivalence assessment of two formulations of spironolactone in Chinese healthy male volunteers.
Chen, Y; Dong, HJ; Liu, Y; Tian, Y; Xu, FG; Zhang, ZJ, 2008
)
0.89
" Our results suggest that reduced nitric oxide bioavailability caused renal inflammation and fibrosis through an aldosterone receptor-dependent mechanism associated with osteopontin expression independent of its systemic hemodynamic effects."( Spironolactone suppresses inflammation and prevents L-NAME-induced renal injury in rats.
Hayashida, H; Hirakata, H; Iida, M; Ikeda, H; Masutani, K; Toyonaga, J; Tsuruya, K, 2009
)
1.8
" Eplerenone also increases nitric oxide bioavailability and improves impaired endothelial function by decreasing oxidative stress."( Effects of eplerenone, a selective mineralocorticoid receptor antagonist, on clinical and experimental salt-sensitive hypertension.
Takeda, Y, 2009
)
0.35
"Melatonin was shown to reduce blood pressure, oxidative load and to increase nitric oxide bioavailability predisposing melatonin to have antiremodelling potential."( Effect of melatonin, captopril, spironolactone and simvastatin on blood pressure and left ventricular remodelling in spontaneously hypertensive rats.
Adamcova, M; Bednarova, K; Krajcirovicova, K; Mullerova, M; Paulis, L; Pechanova, O; Pelouch, V; Simko, F, 2009
)
0.64
"The transformation of the stable crystalline form can enhance the bioavailability of poorly water soluble drugs."( [Solubility enhancement with extrusion technology].
Antal, I; Bódis, A; Marosi, G; Patyi, G, 2009
)
0.35
" Eplerenone improves endothelial function by reducing superoxide formation and increasing NO bioavailability in diabetic rats."( Eplerenone improves vascular function and reduces platelet activation in diabetic rats.
Bauersachs, J; Ertl, G; Flierl, U; Fraccarollo, D; Hildemann, SK; Schafer, A; Vogt, C; Widder, J, 2010
)
0.36
" Therefore, the mechanism of aldosterone prothrombotic action is multiple and involves primary haemostasis activation, procoagulative and antifibrinolytic action, NO bioavailability impairment and oxidative stress augmentation."( [Prothrombotic aldosterone action--a new side of the hormone].
Chabielska, E; Gromotowicz, A; Mantur, M; Osmólska, U; Szemraj, J; Szoka, P; Zakrzeska, A, 2010
)
0.36
" However, so far no small molecule inhibitors of CatA with oral bioavailability have been described to allow further pharmacological profiling."( Novel β-amino acid derivatives as inhibitors of cathepsin A.
Buning, C; Hiss, K; Horstick, G; Hübschle, T; Kannt, A; Kohlmann, M; Kroll, K; Linz, D; Linz, W; Olpp, T; Pernerstorfer, J; Ruf, S; Rütten, H; Sadowski, T; Schmidt, T; Schreuder, H; Wirth, K, 2012
)
0.38
" The absolute bioavailability of 7α-TMS was significantly higher with the syrup than those obtained with the SPN-NLCs (0."( Fate of nanostructured lipid carriers (NLCs) following the oral route: design, pharmacokinetics and biodistribution.
Beloqui, A; Delgado, A; Evora, C; Isla, A; Rodríguez-Gascón, A; Solinís, MÁ, 2014
)
0.4
"The aim of this study was to improve the oral bioavailability of spironolactone (SP)."( In-vitro and in-vivo study of amorphous spironolactone prepared by adsorption method using supercritical CO2.
Fu, Q; Geng, Y; Jiang, Q; Li, Y; Ma, P; Zhang, T; Zhao, J, 2015
)
0.92
"It is a promising method in improving dissolution and bioavailability by adsorbing SP, a poorly soluble drug, on the fumed silica using rapid expansion of supercritical solutions."( In-vitro and in-vivo study of amorphous spironolactone prepared by adsorption method using supercritical CO2.
Fu, Q; Geng, Y; Jiang, Q; Li, Y; Ma, P; Zhang, T; Zhao, J, 2015
)
0.68
" Our results showed a marked increase in aortic malondialdehyde (MDA) level and upregulation of the catalytic NADPH oxidase subunit, NOX2 gene expression alongside reducing catalase enzyme capacity, and the serum nitric oxide (NO) bioavailability in diabetic rats."( Spironolactone improves endothelial dysfunction in streptozotocin-induced diabetic rats.
Adel, H; Khalifa, MM; Taye, A, 2014
)
1.85
" There was a marked decrease in nitric oxide (NO) bioavailability and antioxidant enzyme capacity."( Combination therapy with spironolactone and candesartan protects against streptozotocin-induced diabetic nephropathy in rats.
El-Moselhy, MA; Hofni, A; Khalifa, MM; Taye, A, 2014
)
0.71
"The relative bioavailability was 99."( Pharmacokinetic properties and bioequivalence of spironolactone tablets in fasting and fed healthy Chinese male subjects.
Cai, HL; Deng, Y; Guo, ZH; Hou, ZY; Li, ZH; Wu, G; Yan, M; Zhang, BK, 2016
)
0.69
"Lipo-SP enhanced bioavailability of SP with significant amelioration in lung pathology."( Inflammatory monocyte/macrophage modulation by liposome-entrapped spironolactone ameliorates acute lung injury in mice.
Ji, WJ; Li, YM; Lin, ZC; Ma, YQ; Su, CC; Wang, PP; Wei, LQ; Xiang, GA; Zhang, L; Zhang, MP; Zhang, X; Zhang, YD; Zhang, Z; Zhou, X, 2016
)
0.67
" Spironolactone, but not losartan, restored NO bioavailability in association with lower endothelial nitric oxide synthase-derived superoxide production, increased endothelial nitric oxide synthase dimerization, and aortic HSP90 upregulation."( Spironolactone Prevents Endothelial Nitric Oxide Synthase Uncoupling and Vascular Dysfunction Induced by β-Adrenergic Overstimulation: Role of Perivascular Adipose Tissue.
Alonso, MJ; Clerici, SP; Davel, AP; Jaffe, IZ; Palacios, R; Rossoni, LV; Vassallo, DV; Victorio, JA, 2016
)
2.79
"Nanocrystal (NC) technology is an effective strategy to enhance the oral bioavailability for poorly water-soluble drugs."( Spironolactone nanocrystals for oral administration: Different pharmacokinetic performances induced by stabilizers.
Fu, Q; Guo, M; He, Z; Li, J; Li, M; Mu, S; Wang, Y; Yang, W, 2016
)
1.88
" Furthermore, the in vivo pharmacokinetic results suggested that these cubosomes led to a considerable increase in the systemic oral bioavailability of the drugs compared with pure dispersions of the same materials."( Enhancing the Solubility and Oral Bioavailability of Poorly Water-Soluble Drugs Using Monoolein Cubosomes.
Ali, MA; Itai, S; Iwao, Y; Kataoka, N; Noguchi, S; Oka, T; Ranneh, AH, 2017
)
0.46
"The ATP-binding cassette transporter P-glycoprotein (P-gp) is known to limit both brain penetration and oral bioavailability of many chemotherapy drugs."( A High-Throughput Screen of a Library of Therapeutics Identifies Cytotoxic Substrates of P-glycoprotein.
Ambudkar, SV; Brimacombe, KR; Chen, L; Gottesman, MM; Guha, R; Hall, MD; Klumpp-Thomas, C; Lee, OW; Lee, TD; Lusvarghi, S; Robey, RW; Shen, M; Tebase, BG, 2019
)
0.51
" This present work reports application of DNA microarrays as a high throughput screening tool identifying markers for prediction of bioavailability and formulation driven physiological responses."( Profiling gene expression dynamics underpinning conventional testing approaches to better inform pre-clinical evaluation of an age appropriate spironolactone formulation.
Huen, D; Hussain, M; Mohammed, AR; Rahman, AS; Russell, C, 2021
)
0.82

Dosage Studied

Both spironolactone and minoxidil as a 5% topical solution might be used safely in a twice-daily dosage to treat AGA in both genders. The long-term cumulative survival rates in patients with cirrhosis and ascites were significantly higher than those receiving a mean dosage of more than 25 mg per day.

ExcerptRelevanceReference
" It produced glandular development in the endometrium of the estrogen-primed immature female rabbit over the dosage range of 50 to 200 mg/kg and, at 400 mg/monkey, it delayed estrogen-withdrawal bleeding in ovariectomized monkeys and it inhibited menstruation in regularly cycling monkeys."( Oral progestational activity of spironolactone.
Potts, GO; Schane, HP, 1978
)
0.54
" The data shows that this dosage of spironolactone gave minor adjustments of the systemic and renal circulation in spite of the consistent changes in BW, PV, PRA and PA."( Haemodynamic effects of treatment and withdrawal of spironolactone in essential hypertension.
Falch, DK; Johansson, R; Norman, N; Odegaard, AE, 1979
)
0.79
"The stability of liquid dosage forms of ethacrynic acid (1 mg/ml), indomethacin (2 mg/ml), methyldopate hydrochloride (25 mg/ml), prednisone (0."( Stability of pediatric liquid dosage forms of ethacrynic acid, indomethacin, methyldopate hydrochloride, prednisone and spironolactone.
Das Gupta, V; Ghanekar, AG; Gibbs, CW, 1978
)
0.47
" 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
)
0.72
" Spirolactone (SC-26304), a potent anti-mineralocorticoid, abolished the effect of aldosterone on amino acid incorporation into medullary proteins when administered at a 100-fold higher dosage [i."( Effect of aldosterone on incorporation of amino acids into renal medullary proteins.
Edelman, IS; Law, PY, 1978
)
0.26
" Near maximal capacity for the tubular secretion of digoxin was found when normal digoxin dosage was used."( Spironolactone-induced changes in digoxin kinetics.
Andersen, JD; Heebøll-Nielsen, N; Moltke, E; Nielsen, OG; Steiness, E; Sørensen, U; Waldorff, S, 1978
)
1.7
" 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
"Administration spironolactone at a dosage of 400 mg/day to healthy male volunteers for 5 days resulted in a significant rise in plasma progesterone and 17alpha-hydroxyprogesterone which persisted throughout the study."( Effect of spironolactone on sex hormones in man.
Bartter, FC; Easley, R; Gillette, JR; Loriaux, DL; Menard, RH; Stripp, B; Taylor, AA, 1975
)
1.01
"A clear, stable, oral liquid dosage form of spironolactone has been developed."( Development of a stable oral liquid dosage form of spironolactone.
Bethea, C; Das Gupta, V; Pramar, Y, 1992
)
0.8
"The effect of dosing guinea pigs with spironolactone (100 mg/kg twice daily for 3 days) upon the sigma recognition site labelled with [3H]-DTG was investigated."( Spironolactone causes a rapid down regulation of sigma recognition sites in guinea pig brain and liver.
Knight, AR; Middlemiss, DN; Wyatt, C, 1991
)
2
" 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
" This data will be used to develop a stable oral liquid dosage form of the drug."( Preformulation studies of spironolactone: effect of pH, two buffer species, ionic strength, and temperature on stability.
Gupta, VD; Pramar, Y, 1991
)
0.58
" However, variability of plasma potassium within the dose interval was not increased markedly, and 12 hourly dosing is probably satisfactory for both potassium chloride and spironolactone at the doses studied."( Adequacy of twice daily dosing with potassium chloride and spironolactone in thiazide treated hypertensive patients.
Brawn, LA; Ramsay, LE; Toner, JM; Yeo, WW, 1991
)
0.72
" We investigated the dose-response relationship for suppression of dehydroepiandrosterone sulfate (DHEAS) with the use of dexamethasone."( Treatment of androgenic disorders with dexamethasone: dose-response relationship for suppression of dehydroepiandrosterone sulfate.
Bedocs, NM; Bergfeld, W; Gidwani, GP; Gupta, MK; Parker, R; Redmond, GP; Skibinski, C, 1990
)
0.28
" This system is applied to the analysis of dosage forms containing spironolactone in both single-component formulation and in combination with hydrochlorothiazide."( HPLC-photolysis-electrochemical detection in pharmaceutical analysis: application to the determination of spironolactone and hydrochlorothiazide in tablets.
Bachman, WJ; Stewart, JT, 1990
)
0.73
" There was a marked dose-response relation between NE and AII administration and mean (NE) or diastolic (AII) blood pressure (BP)."( Effects of a potassium-sparing/thiazide diuretic combination on cardiovascular reactivity to vasopressor agents.
Jahn, HA; Schohn, DC, 1990
)
0.28
" In elderly patients reduction or correction of the dosage seems to be necessary for all three diuretics investigated in our studies."( Pharmacokinetics of diuretics in geriatric patients.
Mühlberg, W,
)
0.13
"A 19 yr-old female patient with the diagnosis of late onset adrenal hyperplasia was treated since age 15 with different glucocorticoid preparations and dosage schedules plus spironolactone."( [Adrenal hyperplasia of late onset: optimization of therapy by measuring the circadian variation of serum 17-OH-progesterone].
Contreras, P; Rojas, A; Vega, I, 1989
)
0.47
" These cases demonstrate that ACE inhibitors should not be instituted during extracellular volume depletion and their initial dosage should be low."( [Severe complications during enalapril therapy for heart insufficiency].
Stäubli, M; Wieland, T, 1988
)
0.27
" Cyproterone acetate allows differentiated treatment according to the various grades of hirsutism by modification of dosage and application."( [The concept of the causal therapy of hirsutism].
Schmidt, JB, 1986
)
0.27
" The drug was administered twice daily from the 4th to the 22nd day of six cycles (total dosage was 200 mg per day)."( Spironolactone in the treatment of hirsutism.
Akyürek, C; Köksal, A; Pabuçcu, R, 1987
)
1.72
"The quantities and temporal sequences of appearance of aldosterone metabolites in the urine of adrenalectomized rats, and adrenalectomized rats treated with spironolactone, were compared following subcutaneous administration of a physiological dosage (0."( Effects of adrenalectomy and spironolactone on urinary metabolites of aldosterone in rats.
Gorsline, J; Morris, DJ,
)
0.62
" In 11 women (68%), the dosage had to be decreased or the medication discontinued due to side-effects."( Side-effects of spironolactone therapy in the hirsute woman.
Helfer, EL; Miller, JL; Rose, LI, 1988
)
0.62
" The antiglucocorticoid RU 38486 administered subcutaneously (1 and 10 mg/kg) inhibited the dexamethasone effect and caused a parallel shift in the dose-response curve of dexamethasone."( Antiglucocorticoid RU 38486 attenuates retention of a behaviour and disinhibits the hypothalamic-pituitary adrenal axis at different brain sites.
De Kloet, ER; De Kock, S; Schild, V; Veldhuis, HD, 1988
)
0.27
" One should, however, be aware that Diane contains only 2 mg cyproterone acetate (CPA) and a better effect would most probably have been obtained using a higher dosage of CPA."( A comparative study of Aldactone and Diane in the treatment of hirsutism.
Djøseland, O; Lunde, O, 1987
)
0.27
" On dose-response studies RU 28362 proved to be as active as dexamethasone, cortisol was active at intermediate concentrations and aldosterone was the least active."( Binding and action of glucocorticoids and mineralocorticoids in rabbit mammary gland. Exclusive participation of glucocorticoid type II receptors for stimulation of casein synthesis.
Djiane, J; Houdebine, LM; Jahn, GA; Moguilewsky, M, 1987
)
0.27
" Dose-related increases in thyroid-stimulating hormone (TSH) levels were observed in treated animals of both sexes during the dosing period and the changes were statistically significant and correlated with an increased thyroid weight in females at 13 weeks."( The pathologic response of the liver and thyroid of the rat to potassium prorenoate (SC-23992).
Lumb, GD; Rust, JH, 1985
)
0.27
" Initial dosage of two tablets could be reduced to one tablet daily following normalization (less than 90 mm Hg) of diastolic blood pressure in one third of patients."( [Treatment of medium-severe essential hypertension with beta-Aldopur under practice conditions].
Guberner, G; Hitzenberger, G; Nitsch-Fitz, R; Rheindorf, H; Tutsch, G; Ziegler, KT, 1985
)
0.27
" Suitable techniques for the investigation of secondary aldosteronism of unknown cause and for primary and secondary hypoaldosteronism are described, as well as the adjustment of dosage for replacement therapy where mineralocorticoid secretion is deficient."( Disorders of mineralocorticoid activity.
Drury, PL, 1985
)
0.27
" Our findings are contrary to the widely accepted belief that spironolactone is metabolized too rapidly to be detected in serum after oral dosing and that canrenone is the principal metabolite of spironolactone."( New insights into the pharmacokinetics of spironolactone.
Hermens, WA; Merkus, FW; Overdiek, HW, 1985
)
0.77
" Triamterene seemed ineffective in the dosage used (50 mg twice daily)."( Potassium-sparing agents during diuretic therapy in hypertension.
Brien, TG; Canning, BS; Donohoe, JF; Healy, JJ; McKenna, TJ; Muldowney, FP, 1971
)
0.25
" A simple clinical method using the urinary Na/K ratio as a guide to spironolactone dosage is outlined."( Spironolactone diuresis in patients with cirrhosis and ascites.
Eggert, RC, 1970
)
1.93
" The following experiments were performed: I) A relationship was observed between the amount of insulin dosage and the levels of serum potassium, blood sugar, and plasma cyclic AMP or plasma cyclic GMP in normal controls and rats."( [The mechanism of the decrease in serum potassium during insulin-induced hypoglycemia (author's transl)].
Aikawa, T, 1982
)
0.26
" In the cortex, they were found only in glomerulosa cells, and their presence appeared unrelated to dosage or duration of treatment."( Factors affecting the frequency of occurrence of spironolactone bodies in aldosteronomas and non-tumorous cortex.
Cohn, D; Gordon, RD; Jackson, RV, 1983
)
0.52
" Dexamethasone and aldosterone had identical dose-response curves, maximal and half-maximal activity being evident at concentrations of approximately 100 nM and 10 nM respectively."( Steroid-induced protein synthesis in giant-toad (Bufo marinus) urinary bladders. Correlation with natriferic activity.
Alvis, R; Cox, M; Geheb, M; Hercker, E; Owen, A, 1984
)
0.27
" However, these differences between the two age groups diminished after multiple dosing on Day 8, and the steady state pre-dose plasma levels of canrenone and 'total metabolites' were significantly higher in the elderly subjects."( Comparison of plasma levels of canrenone and metabolites after base hydrolysis in young and elderly subjects following single and multiple doses of spironolactone.
Bourne, DW; Ho, PC; Smithurst, BA; Triggs, EJ, 1984
)
0.47
" They had simultaneously started therapy with, or increased the dosage of, chlorthalidone or hydrochlorothiazide for the treatment of hypertension."( Serum cholesterol during treatment of hypertension with diuretic drugs.
Ames, RP; Peacock, PB, 1984
)
0.27
"Thirteen anovulatory oligomenorrheic, hyperandrogenic, and normoprolactinemic women were treated with spironolactone (aldactone) throughout six consecutive menstrual cycles in a dosage of 100 to 150 mg/day."( Induction of ovulation with spironolactone (Aldactone) in anovulatory oligomenorrheic and hyperandrogenic women.
Diamant, YZ; Evron, S; Shapiro, G, 1981
)
0.77
" Corticosterone and progesterone significantly inhibited the renal synthesis of the polar metabolites of aldosterone, but the inhibition was not significant at this dosage of spironolactone."( The metabolism of aldosterone in kidney.
Latif, S; McDermott, M; Morris, DJ, 1983
)
0.46
" Twice-a-day therapy provided slightly better blood pressure control than the once-a-day dosing schedule."( Comparison of a single-dose and twice-a-day spironolactone therapy in mild hypertension.
Dynon, M; Louis, WJ; Ludbrook, A; Mendelsohn, FA, 1980
)
0.52
"Spironolactone alone in full dosage failed to correct hypertension in a patient with Conn's syndrome and renal impairment, although the previously increased total exchangeable sodium fell to normal and the previously suppressed plasma angiotensin II did not rise above the normal range."( Combined captopril and spironolactone treatment in Conn's syndrome with renal impairment and refractory hypertension.
Atkinson, AB; Brown, JJ; Davies, DL; Lever, AF; Robertson, JI, 1981
)
2.02
" For up to 20 hr amiloride induced linear log dose-urinary electrolyte response relationships but spironolactone dose-response trends were demonstrated only in the period from 10 to 20 hr after treatment."( Relative potency of amiloride and spironolactone in healthy man.
McInnes, GT, 1982
)
0.76
" However, azosemide appeared to be more effective than furosemide in those patients in whom a dose-response curve was established."( Comparison of azosemide and furosemide in ascitic patients without and during administration of spironolactone.
Gercsák, G; Hartai, A; Molnár, Z; Radó, JP, 1982
)
0.48
" multiple dosing of 100 mg spironolactone with tau = 12 h, Study II) can lead to slightly increased t 1/2 values for both canrenone (18."( [Bioavailability studies of two spironolactone-preparations (author's transl)].
Hitzenberger, G; Nuss, U; Schwarzländer, F; Strobel, K; Vergin, H; Weigand, W, 1981
)
0.84
" Log fludrocortisone dose-response relationships in the presence or absence of antagonists did not differ from linearity and parallelism, supporting the theoretical basis of the method."( Steady-state relative potency of aldosterone antagonists: spironolactone and prorenoate.
Harrison, IR; McInnes, GT; Shelton, JR, 1981
)
0.51
" 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
"1 years) female persons after multiple oral dosing of 100 mg Spironolactone during steady-state."( [On the pharmacokinetics of spironolactone in the elderly].
Abshagen, U; Horn, HJ; Platt, D, 1981
)
0.8
" In a smaller study potassium chloride induced a significant log dose-response on plasma potassium, but the effect was small in absolute terms."( Amiloride, spironolactone, and potassium chloride in thiazide-treated hypertensive patients.
Fraser, R; Hettiarachchi, J; Morton, JJ; Ramsay, LE, 1980
)
0.65
" This therapeutic association is very logical, effective and allows reduction in the dosage of the diuretic."( [Classic treatment of chronic heart insufficiency. What if new?].
Agnola, D; Aumont, MC; Juliard, JM; Karrillon, G, 1995
)
0.29
" On long term evaluation in an open design (Phase II), wherein Phase I participants continued Terminalia Arjuna in fixed dosage (500 mg 8-hourly) in addition to flexible diuretic, vasodilator and digitalis dosage for 20-28 months (mean 24 months) on outpatient basis, patients showed continued improvement in symptoms, signs, effort tolerance and NYHA Class, with improvement in quality of life."( Salutary effect of Terminalia Arjuna in patients with severe refractory heart failure.
Bharani, A; Bhargava, KD; Ganguly, A, 1995
)
0.29
" We guess that SP can be used in well regulated dosed with least side effects to arrest preterm labor on human being in the future."( The effect of spironolactone on the rat uterus.
Coksevim, B; Tayyar, M, 1994
)
0.65
" The dosage of both drugs was individually adjusted in time according to the results of serum potassium and renal function."( Combined therapy of captopril and spironolactone for refractory congestive heart failure.
Han, YL; Hu, XL; Jing, QM; Liu, JQ; Tong, M, 1994
)
0.57
"This study evaluated the dose-response relationship of torsemide, the first pyridine-sulphonylurea loop diuretic, in patients with ascites due to cirrhosis."( A dose-response study of orally administered torsemide in patients with ascites due to cirrhosis.
Applefeld, JJ; Dukes, GE; Hak, LJ; Kasmer, RJ; McClain, CJ; Wermeling, DP, 1994
)
0.29
" Spironolactone was administered during a 6-week period at a dosage of 100 mg/d."( The effect of long-term treatment with spironolactone on variceal pressure in patients with portal hypertension without ascites.
Fevery, J; Lijnen, P; Nevens, F; VanBilloen, H, 1996
)
1.47
"The stability of drugs commonly prescribed for use in oral liquid dosage forms but not commercially available as such was studied."( Stability of ketoconazole, metolazone, metronidazole, procainamide hydrochloride, and spironolactone in extemporaneously compounded oral liquids.
Allen, LV; Erickson, MA, 1996
)
0.52
"The stability of drugs commonly prescribed for use in oral liquid dosage forms but not commercially available as such was studied."( Stability of labetalol hydrochloride, metoprolol tartrate, verapamil hydrochloride, and spironolactone with hydrochlorothiazide in extemporaneously compounded oral liquids.
Allen, LV; Erickson, MA, 1996
)
0.52
"This study was designed to define the dose-response relationships for cortisol-induced hypertension in humans and to test the hypothesis that cortisol-induced hypertension is a consequence of classical mineralocorticoid actions using the mineralocorticoid antagonist spironolactone."( Dose-response relationships and mineralocorticoid activity in cortisol-induced hypertension in humans.
Kelly, JJ; Whitworth, JA; Williamson, PM, 1996
)
0.47
" Competition studies performed with 1 x 10(-7)-1 x 10(-5) M spironolactone, a competitive mineralocorticoid antagonist, showed a dose-response reduction of [3H]aldosterone binding, implying that in the olfactory mucosa this compound behaves as an aldosterone antagonist."( Mineralocorticoid (type I) receptors in the olfactory mucosa of the mammal: studies with [3H]aldosterone and the anti-mineralocorticoid spironolactone.
Foster, JD; Kern, RC; Pitovski, DZ, 1997
)
0.74
" Several factors have been identified that may increase a patient's risk for developing agranulocytosis, including increased age, hepatic or renal impairment, drug dosage and duration, and concurrent medications."( Spironolactone-induced agranulocytosis.
Pérgola, PE; Sang, JL; Talbert, RL; Whitling, AM, 1997
)
1.74
"Better absorption of spironolactone from the spironolactone: beta-cyclodextrin complex formulation should lead to a reduction in dosage and perhaps a more consistent effect in patients with chronic liver disease."( Improved bioavailability and clinical response in patients with chronic liver disease following the administration of a spironolactone: beta-cyclodextrin complex.
Abosehmah-Albidy, AZ; Chrystyn, H; Losowsky, MS; Wong, V; York, P, 1997
)
0.82
" For investigation of bioequivalence of 2 oral spironolactone formulations, Spironolacton 50 Heumann and Aldactone 50, the pharmacokinetics and bioequivalence of the parent drug and 2 predominant active metabolites, canrenone and 7 alpha-thiomethylspirolactone, were determined in a 2-way crossover study in 24 young healthy male volunteers after multiple oral dosing of 100 mg once daily."( Analysis of metabolites--a new approach to bioequivalence studies of spironolactone formulations.
Eichinger, A; Mahr, G; Martens, H; Metz, R; Nitsche, V; Vergin, H, 1997
)
0.79
" The oral absorption of spironolactone was studied in rats to evaluate the need to adjust spironolactone dosage in prospective clinical studies."( Water-soluble beta-cyclodextrins in paediatric oral solutions of spironolactone: preclinical evaluation of spironolactone bioavailability from solutions of beta-cyclodextrin derivatives in rats.
Kaukonen, AM; Lennernäs, H; Mannermaa, JP, 1998
)
0.84
" Spironolactone affected digoxin clearance and needs to be considered when dosing paediatric subjects."( Population analysis for the optimization of digoxin treatment in Japanese paediatric patients.
Higuchi, S; Minemoto, M; Suematsu, F; Yukawa, E, 1999
)
1.21
" Misleading subtarget concentrations were repeatedly reported, and falsely guided drug dosing resulted in a case of digoxin intoxication."( Intoxication due to negative canrenone interference in digoxin drug monitoring.
Eber, B; Emmanuilidis, K; Müller, C; Steimer, W, 1999
)
0.3
" One trial investigated spironolactone versus placebo; one trial was a dosage studies of spironolactone; one trial compared spironolactone with spironolactone in combination with dexamethasone; the remaining trial used topical spironolactone for the treatment of acne."( Spironolactone versus placebo or in combination with steroids for hirsutism and/or acne.
Farquhar, C; Jepson, R; Lee, O; Toomath, R, 2000
)
2.06
" New interest in therapy with aldosterone antagonists was stimulated by results of a 2-year study of 1663 patients with heart failure that showed a 30% relative risk reduction of death among patients given a subhemodynamic dosage of spironolactone, a nonselective aldosterone antagonist, compared with placebo, in addition to standard therapy of diuretics, angiotensin-converting enzyme inhibitors, beta-blockers, and digitalis."( Aldosterone, a new appreciation of its role in heart failure.
Cha, AJ; Judge, KW; Malecha, SE, 2000
)
0.49
" These cases illustrate that spironolactone dosage must be kept low in the setting of chronic congestive heart failure treatment, as well as the need for close monitoring of frail elderly patients who are given this combination."( Elderly heart failure patients with drug-induced serious hyperkalemia.
Swine, CH; Vanpee, D, 2000
)
0.6
", oral, and rectal dosing (15 mg/kg) and following intragastric, intraduodenal, intrajejunal, and intracolonic dosing (7."( Absorption and disposition of a selective aldosterone receptor antagonist, eplerenone, in the dog.
Cook, CS; Fischer, JS; Zhang, L, 2000
)
0.31
" The average starting dosage of spironolactone was 55 mg."( Long-term therapy with spironolactone.
Bouvy, ML; Heerdink, ER; Herings, RM, 2001
)
0.9
" Two trials investigated spironolactone versus placebo; one trial was a dosage studies of spironolactone; one trial compared spironolactone with spironolactone in combination with dexamethasone; the remaining trial used topical spironolactone for the treatment of acne."( Spironolactone versus placebo or in combination with steroids for hirsutism and/or acne.
Farquhar, C; Jepson, R; Lee, O; Toomath, R, 2001
)
2.06
" Not only may toxic concentrations remain unidentified, but intoxication could occur should dosage be increased because of falsely low results."( Digoxin assays: frequent, substantial, and potentially dangerous interference by spironolactone, canrenone, and other steroids.
Eber, B; Müller, C; Steimer, W, 2002
)
0.54
" Optimal dosing will become increasingly difficult to judge."( BNP in hormone-guided treatment of heart failure.
Lainchbury, JG; Nicholls, MG; Richards, AM; Troughton, RW; Yandle, TG,
)
0.13
" Spironolactone was added to the previous regimen at a dosage of 1 mg/kg/day while any angiotensin converting enzyme inhibitor was suppressed."( The role of spironolactone in the treatment of patients with refractory hypertension.
Carré, E; Lincoff, AM; Mertes, M; Ouzan, J; Pérault, C, 2002
)
1.6
" For all measurements, the antihypertensive effect of eplerenone increased in a dose-response fashion."( Eplerenone, a selective aldosterone blocker, in mild-to-moderate hypertension.
Krause, SL; Roniker, B; Weinberger, MH; Weiss, RJ, 2002
)
0.31
" Daily dosage of ACE inhibitors and particularly of beta-blockers was on average below the recommended target dose."( The EuroHeart Failure Survey programme--a survey on the quality of care among patients with heart failure in Europe. Part 2: treatment.
Aguilar, JC; Cleland, J; Cohen-Solal, A; Dietz, R; Eastaugh, J; Follath, F; Freemantle, N; Gavazzi, A; Hobbs, R; Komajda, M; Korewicki, J; Madeira, HC; Mason, J; Moiseyev, VS; Preda, I; Swedberg, K; Van Gilst, WH; Widimsky, J, 2003
)
0.32
"Our results suggest that the prescription of recommended medications including ACE inhibitors and beta-blockers remains limited and that the daily dosage remains low, particularly for beta-blockers."( The EuroHeart Failure Survey programme--a survey on the quality of care among patients with heart failure in Europe. Part 2: treatment.
Aguilar, JC; Cleland, J; Cohen-Solal, A; Dietz, R; Eastaugh, J; Follath, F; Freemantle, N; Gavazzi, A; Hobbs, R; Komajda, M; Korewicki, J; Madeira, HC; Mason, J; Moiseyev, VS; Preda, I; Swedberg, K; Van Gilst, WH; Widimsky, J, 2003
)
0.32
" The pharmacokinetics of eplerenone (EP) were examined in rats following single or repeated dosing with (14)C-labelled or unlabelled EP to characterize absorption, metabolism and excretion."( Single- and repeated-dose pharmacokinetics of eplerenone, a selective aldosterone receptor blocker, in rats.
Ames, GB; Cook, CS; Fischer, J; Levin, S; Zhang, J; Zhang, L, 2003
)
0.32
" In cases with an excessive response, the dosage of diuretics was reduced."( Spironolactone alone or in combination with furosemide in the treatment of moderate ascites in nonazotemic cirrhosis. A randomized comparative study of efficacy and safety.
Cabré, E; Durández, R; Gassull, MA; Granada, ML; Jiménez, JA; Morillas, RM; Pardo, A; Planas, R; Quintero, E; Santos, J, 2003
)
1.76
" The need to reduce the diuretic dosage was significantly higher in Group 1 than Group 2 (68% vs."( Spironolactone alone or in combination with furosemide in the treatment of moderate ascites in nonazotemic cirrhosis. A randomized comparative study of efficacy and safety.
Cabré, E; Durández, R; Gassull, MA; Granada, ML; Jiménez, JA; Morillas, RM; Pardo, A; Planas, R; Quintero, E; Santos, J, 2003
)
1.76
" The variable dosage requirement of spironolactone in patients with cirrhosis and ascites is discussed in relation to these observations."( A comparison of the use of Aldactone and Aldactone A in the treatment of hepatic ascites.
GARSENSTEIN, M; RYDER, JA; SHALDON, S, 1963
)
0.52
" Two trials investigated spironolactone versus placebo; one trial was a dosage studies of spironolactone; one trial compared spironolactone with spironolactone in combination with dexamethasone; one trial used topical spironolactone for the treatment of acne, one trial compared three treatments; spironolactone, finasteride, cyproterone acetate."( Spironolactone versus placebo or in combination with steroids for hirsutism and/or acne.
Farquhar, C; Jepson, R; Lee, O; Toomath, R, 2003
)
2.07
"Fifty African-American and 67 Caucasian patients with heart failure who were receiving a stable dosage of spironolactone in addition to standard heart failure therapy with an angiotensin-converting enzyme (ACE) inhibitor or angiotensin receptor blocker."( Racial differences in patients' potassium concentrations during spironolactone therapy for heart failure.
Beitelshees, AL; Cavallari, LH; Dunlap, SH; Fashingbauer, LA; Groo, VL; Southworth, MR; Viana, MA; Williams, RE, 2004
)
0.78
"This study prepared an extemporaneously formulated liquid suspension dosage form (5 mg/ml) from commercially available 25 mg tablets."( An improved high-performance liquid chromatography assay for spironolactone analysis.
Alexander, KS; Dollimore, D; Vangala, SS, 1998
)
0.54
" Patient demographic information was collected, as well as dosing regimens, use of other medications, and potassium concentrations."( Clinical experience with spironolactone in pediatrics.
Buck, ML, 2005
)
0.63
" Additional research is needed to define the pharmacokinetics and optimal dosing interval of spironolactone, as well as determine its long-term effects on potassium."( Clinical experience with spironolactone in pediatrics.
Buck, ML, 2005
)
0.85
"The influence of renal impairment on the pharmacokinetics of eplerenone following single and multiple dosing was evaluated."( Pharmacokinetics of eplerenone after single and multiple dosing in subjects with and without renal impairment.
Ravis, WR; Reid, S; Sica, DA; Tolbert, DS, 2005
)
0.33
" Blockade of MR with spironolactone increases baseline cortisol secretion and impairs cognitive function but has no effect on experimentally induced panic symptoms in humans, for the study design and dosage of spironolactone used."( Blockade of the mineralocorticoid receptor in healthy men: effects on experimentally induced panic symptoms, stress hormones, and cognition.
Kellner, M; Koop, M; Madrischewski, AM; Moritz, S; Otte, C; Wiedemann, K; Yassouridis, A, 2007
)
0.66
"5 mg/day, with the dosage titrated to 25 mg/day if tolerated."( Association of beta-blocker dose with serum procollagen concentrations and cardiac response to spironolactone in patients with heart failure.
Camp, JR; Cavallari, LH; Groo, VL; Momary, KM; Stamos, TD; Viana, MA, 2007
)
0.56
" Group 1 (G1) received vehicle only (V); G2, CsA (15 mg/kg/d; CsA) by intraperitoneal (IP) injection; and G3, a similar CsA dosage + spironolactone (20 mg/kg/d; CsA + Ald."( Effects of spironolactone in an experimental model of chronic cyclosporine nephrotoxicity.
Akoglu, E; Arikan, H; Atakan, A; Cakalagaoglu, F; Macunluoglu, B; Ozener, C; Tuglular, S; Ulfer, G,
)
0.73
" However, the dose-response curve of noradrenaline was shifted to the left when the strip preparation was treated with aldosterone (1 x 10(-5)M) for 20 min before administering noradrenaline."( Effect of aldosterone on isolated human penile corpus cavernosum tissue.
Anzai, H; Kagawa, J; Kanayama, HO; Kawanishi, Y; Kishimoto, T; Kojima, K; Muguruma, H; Numata, A; Sugiyama, H; Tanimoto, S; Yamanaka, M, 2008
)
0.35
" In all patients, diuretics were administered according to a standardized dosing algorithm."( The effects of nesiritide on renal function and diuretic responsiveness in acutely decompensated heart failure patients with renal dysfunction.
Burnett, JC; Chen, HH; Frantz, RP; Hodge, DO; Karon, BL; Miller, WL; Owan, TE; Redfield, MM; Rodeheffer, RJ, 2008
)
0.35
"Male Wistar rats fed with an unrestricted sodium diet received CsA 15 mg/kg/day or CsA at the same dosage plus 20 mg/kg/day of spironolactone."( The effect of aldosterone antagonist in experimental nephropathy induced by cyclosporine A.
Miorin, LA; Sens, YA; Silva, FM, 2008
)
0.55
" Minimum effective dosage is recommented to reduce side-effects."( [Ascites].
Maier, KP, 2008
)
0.35
"The Impact-Reco programme found an improvement in prescription rates and in the dosage of neurohumoral antagonists in French outpatients with stable CHF."( Improvement in the management of chronic heart failure since the publication of the updated guidelines of the European Society of Cardiology. The Impact-Reco Programme.
Assyag, P; Clerson, P; de Groote, P; Demil, N; Ducardonnet, A; Galinier, M; Isnard, R; Jondeau, G; Komajda, M; Thebaut, JF, 2009
)
0.35
"5 mEq/l on appropriately dosed diuretics."( Predictors of hyperkalemia risk following hypertension control with aldosterone blockade.
Bakris, GL; Kalaitzidis, R; Khosla, N, 2009
)
0.35
"Aldosterone antagonism is effective and safe for achieving a BP goal among people with diabetic nephropathy when added to a triple antihypertensive regimen that includes a blocker of the renin-angiotensin system and an appropriately selected and dosed diuretic."( Predictors of hyperkalemia risk following hypertension control with aldosterone blockade.
Bakris, GL; Kalaitzidis, R; Khosla, N, 2009
)
0.35
"8 mm Hg; no dose-response relationship was demonstrated."( The efficacy and safety of the novel aldosterone antagonist eplerenone in children with hypertension: a randomized, double-blind, dose-response study.
Davis, I; Flynn, JT; Li, JS; Ogawa, M; Portman, R; Pressler, ML; Shi, H, 2010
)
0.36
" Oral dosing of 3S,3aR-27d (PF-3882845) in the Dahl salt sensitive preclinical model of salt-induced hypertension and nephropathy showed blood pressure attenuation significantly greater than that with eplerenone, reduction in urinary albumin, and renal protection."( Discovery of (3S,3aR)-2-(3-chloro-4-cyanophenyl)-3-cyclopentyl-3,3a,4,5-tetrahydro-2H-benzo[g]indazole-7-carboxylic acid (PF-3882845), an orally efficacious mineralocorticoid receptor (MR) antagonist for hypertension and nephropathy.
Arhancet, GB; Blinn, JR; Chen, X; Collins, JT; Dietz, JD; Garland, DJ; Heron, MI; Hockerman, SL; Homer, BL; Hu, X; Huang, HC; Long, SA; Mahoney, MW; McGee, KF; Meyers, MJ; Payne, MA; Reitz, DB; Rico, JR; Wendling, JM; Yang, S, 2010
)
0.36
" Despite the universal inclusion of asparaginase in such treatment protocols, debate on the optimal formulation and dosage of these agents continues."( L-asparaginase treatment in acute lymphoblastic leukemia: a focus on Erwinia asparaginase.
Baruchel, A; Boos, J; Goekbuget, N; Hunger, SP; Pieters, R; Pui, CH; Rizzari, C; Schrappe, M; Silverman, L, 2011
)
0.37
" A dose-response study measured the effects of SPL on anal fin ray elongation, an androgen-dependent secondary sex trait, and expression of the vitellogenin gene, an estrogen-dependent trait, in female western mosquitofish, Gambusia affinis."( Endocrine-disrupting effects of spironolactone in female western mosquitofish, Gambusia affinis.
Angus, RA; Howell, WM; Raut, SA, 2011
)
0.65
" We proposed a systematic classification scheme using FDA-approved drug labeling to assess the DILI potential of drugs, which yielded a benchmark dataset with 287 drugs representing a wide range of therapeutic categories and daily dosage amounts."( FDA-approved drug labeling for the study of drug-induced liver injury.
Chen, M; Fang, H; Liu, Z; Shi, Q; Tong, W; Vijay, V, 2011
)
0.37
" The effect of MR antagonism on urinary Na+/K+ was not sustained chronically; thus we studied the effect of the compounds on plasma aldosterone following chronic dosing in SHR."( The use of plasma aldosterone and urinary sodium to potassium ratio as translatable quantitative biomarkers of mineralocorticoid receptor antagonism.
Banker, ME; Boustany-Kari, CM; Eudy, RJ; King-Ahmad, A; Loria, P; Near, K; Piotrowski, DW; Sahasrabudhe, V; Sweeney, K; Tugnait, M, 2011
)
0.37
" At equal dosage by weight potassium canrenoate yielded peak levels and areas under the curve for canrenone in plasma which were significantly lower than those for spironolactone, and the peak level of canrenone was reached significantly later."( Canrenone--the principal active metabolite of spironolactone?
Ramsay, LE; Shelton, JR; Tidd, MJ; Wilkinson, D, 1976
)
0.71
"Patients are diagnosed as having resistant hypertension when they have blood pressure readings that remain above goal despite the concomitant use of 3 optimally dosed antihypertensive agents from different classes, with 1 of the agents being a diuretic."( Evaluation and pharmacologic approach to patients with resistant hypertension.
Adams, M; Bellone, JM; Rutecki, GW; Wright, BM, 2012
)
0.38
"The objective of the current study was to develop and validate a simple, precise and accurate isocratic stability-indicating reversed-phase high-performance liquid chromatography (RP-HPLC) assay method for the determination of spironolactone and furosemide in solid pharmaceutical dosage forms."( Development and validation of a stability-indicating HPLC assay method for simultaneous determination of spironolactone and furosemide in tablet formulation.
Dave, PN; Joshi, HS; Ram, VR, 2012
)
0.78
" This work aimed to prepare freeze-dried SL-Soluplus/polyvinyl alcohol (PVA) oral thin film in an attempt to enhance the drug solubility on one hand and at the same time prepare a solid dosage form convenient for the pediatric use."( Design of freeze-dried Soluplus/polyvinyl alcohol-based film for the oral delivery of an insoluble drug for the pediatric use.
Elkasabgy, N; Shamma, R, 2016
)
0.43
" The dose-response relationship for natriuresis with spironolactone has not been explored completely as to its combination therapy responses."( Aldosterone and volume management in hypertensive heart disease.
Sica, DA, 2014
)
0.65
"In a dosage of 50 mg bid, eplerenone does not augment extracellular adenosine formation in healthy human subjects."( The effect of eplerenone on adenosine formation in humans in vivo: a double-blinded randomised controlled study.
Bilos, A; Deinum, J; Donders, AR; Riksen, NP; Rongen, GA; van den Berg, TN, 2014
)
0.4
" Studies investigating the optimal spironolactone dosage in such a setting recommend starting with a low dose and careful uptitration."( Heart failure and chronic kidney disease: should we use spironolactone?
Agrawal, N; Agrawal, S; Garg, J; Gupta, T; Mohandas, R; Segal, M, 2015
)
0.94
"026) while the dose-response relationship became borderline significant."( Spironolactone is associated with reduced risk of new-onset atrial fibrillation in patients receiving renal replacement therapy.
Chen, PC; Chiang, FT; Chung, YW; Hwang, JJ; Juang, JM; Lai, LP; Lin, JL; Lin, LY; Tsai, CT; Wang, YC; Wu, CK; Yang, YH; Yu, CC, 2016
)
1.88
" Spironolactone dissolved in ddH2O was administered via gavage at a dosage of 20 mg·kg(-1)·day(-1)."( Inhibitory effects of spironolactone on myocardial fibrosis in spontaneously hypertensive rats.
Ge, QF; Gu, DW; Li, GP; Li, HT; Zhao, H, 2015
)
1.64
" The main difficulty in choosing the proper therapeutic regimen consists in the lack of suitable dosing guidelines with adapted therapeutic targets for the older multimorbid population, usually not represented in the large controlled trials forming the basis of general recommendations."( [Cardiovascular drugs in aged and multimorbid patients].
Follath, F, 2015
)
0.42
" Treatment with eplerenone should be initiated at a dosage of 25mg once daily and titrated to a target dosage of 50mg once daily preferably within 4 weeks."( Safety profile of mineralocorticoid receptor antagonists: Spironolactone and eplerenone.
Gaudio, C; Greco, C; Lainscak, M; Pelliccia, F; Rosano, G; Schiariti, M; Speziale, G; Vitale, C, 2015
)
0.66
" The aim of this study was to assess whether appropriate dosage adjustments were made in hospitalized patients with renal impairment."( Drug dosage adjustment in hospitalized patients with renal impairment at Tikur Anbessa specialized hospital, Addis Ababa, Ethiopia.
Getachew, H; Shibeshi, W; Tadesse, Y, 2015
)
0.42
" Data regarding serum creatinine level, age, sex and prescribed drugs and their dosage was collected from the patients' medical records."( Drug dosage adjustment in hospitalized patients with renal impairment at Tikur Anbessa specialized hospital, Addis Ababa, Ethiopia.
Getachew, H; Shibeshi, W; Tadesse, Y, 2015
)
0.42
"The findings indicate that dosing errors were common among hospitalized patients with renal impairment."( Drug dosage adjustment in hospitalized patients with renal impairment at Tikur Anbessa specialized hospital, Addis Ababa, Ethiopia.
Getachew, H; Shibeshi, W; Tadesse, Y, 2015
)
0.42
" According to the results, the dosage of eplerenone should be adjusted in hypertension treatment trials when administered with Tartary buckwheat or Tartary buckwheat-containing dietary supplements to avoid potential drug interactions."( Pharmacokinetic study of eplerenone in rats after long-term coadministration with buckwheat tea.
Chen, HJ; Jia, K; Li, R; Lin, JZ; Peng, LX; Wang, P; Zhao, G; Zou, L, 2016
)
0.43
"03), although there was no obvious dose-response relationship."( The effect of medications which cause inflammation of the gastro-oesophageal tract on cancer risk: a nested case-control study of routine Scottish data.
Busby, J; Cardwell, CR; Iversen, L; Lee, AJ; Murchie, P; Murray, L; Spence, A; Watson, MC, 2017
)
0.46
" Longer duration or higher dosage of spironolactone seems to be more effective in improving cardiovascular system status in PD patients."( Aldosterone antagonist therapy and its relationship with inflammation, fibrosis, thrombosis, mineral-bone disorder and cardiovascular complications in peritoneal dialysis (PD) patients.
Donderski, R; Grajewska, M; Manitius, J; Miśkowiec, I; Odrowąż-Sypniewska, G; Siódmiak, J; Stefańska, A; Stróżecki, P; Sulikowska, B, 2017
)
0.73
" No commercial liquid dosage form of spironolactone exists."( Stability of Spironolactone Oral Suspension in PCCA Base, SuspendIt.
Bostanian, LA; Graves, R; Mandal, TK; Phan, KV; Pramar, YV,
)
0.77
" Stratification of patients by age or spironolactone dosage revealed no significant difference in testosterone levels achieved."( TESTOSTERONE LEVELS ACHIEVED BY MEDICALLY TREATED TRANSGENDER WOMEN IN A UNITED STATES ENDOCRINOLOGY CLINIC COHORT.
Chan, KJ; Jolly, D; Liang, JJ; Safer, JD, 2018
)
0.75
"Estradiol levels, testosterone levels, prolactin levels, body mass index (BMI), and prescribed spironolactone dosage were extracted from the electronic medical records of 98 de-identified transgender women treated with estrogen therapy at the Endocrinology Clinic at Boston Medical Center (BMC)."( PROLACTIN LEVELS DO NOT RISE AMONG TRANSGENDER WOMEN TREATED WITH ESTRADIOL AND SPIRONOLACTONE.
Bisson, JR; Chan, KJ; Safer, JD, 2018
)
0.93
" The patients were dosed with eplerenone according to the scheme: first 25 mg/day for a week, then 50 mg/day for 3 months."( The use of mineralocorticoid receptor antagonists in chronic central serous chorioretinopathy.
Filemonowicz-Skoczek, A; Karska-Basta, I; Kubicka-Trzaska, A; Ozog-Baran, J; Pociej-Marciak, W; Romanowska-Dixon, B, 2016
)
0.43
"This study compared a high dosage of spironolactone (50 mg daily), a low dosage of spironolactone (25 mg daily), and an untreated group for the prevention of major adverse cardiovascular events (MACE) in 279 patients admitted to hospital diagnosed with HFmrEF."( Outcomes of spironolactone treatment in patients in Northeast China suffering from heart failure with mid-range ejection fraction.
Chen, X; Hu, J; Hu, WY; Sun, Y; Xin, YG; Zhao, YN, 2019
)
1.17
"In patients with HFmrEF, treatment with spironolactone significantly reduced the incidence of the primary composite outcomes of all-cause death, and rehospitalization for the management of heart failure compared with placebo, and a high dosage of spironolactone did not show trends of reduction in MACE."( Outcomes of spironolactone treatment in patients in Northeast China suffering from heart failure with mid-range ejection fraction.
Chen, X; Hu, J; Hu, WY; Sun, Y; Xin, YG; Zhao, YN, 2019
)
1.16
"5 mg (n=27), 25 mg (n=26), or 50 mg (n=25) daily for 36 weeks in a double-blind, placebo-controlled, multiple dosage trial to assess safety, tolerability and feasibility and to explore cardiovascular efficacy."( Safety and cardiovascular efficacy of spironolactone in dialysis-dependent ESRD (SPin-D): a randomized, placebo-controlled, multiple dosage trial.
Anderson, AH; Charytan, DM; Dember, LM; DiCarli, M; Himmelfarb, J; Hsu, JY; Hung, AM; Ikizler, TA; Kimmel, PL; Kliger, AS; Landis, JR; Mehrotra, R; Raj, DS; Sharma, S; Skali, H; Weiner, DE; Williams, M, 2019
)
0.78
" Angiotensin-converting enzyme inhibitor dosage and RAAS inhibition were greater in stage D, compared to stage C dogs."( Role of electrolyte concentrations and renin-angiotensin-aldosterone activation in the staging of canine heart disease.
Adin, D; Atkins, C; Kurtz, K; Papich, MG; Vaden, S, 2020
)
0.56
" Poor furosemide dosage correlation to serum concentration may indicate variable and poor absorption, especially at higher dosages, advanced disease, or both."( Role of electrolyte concentrations and renin-angiotensin-aldosterone activation in the staging of canine heart disease.
Adin, D; Atkins, C; Kurtz, K; Papich, MG; Vaden, S, 2020
)
0.56
" The long-term cumulative survival rates in patients who received a mean dosage of spironolactone < 23 mg/day during tolvaptan treatment were significantly higher than those receiving a mean dosage of ≥ 23 mg/day (P = 0."( Analysis of factors associated with the prognosis of cirrhotic patients who were treated with tolvaptan for hepatic edema.
Abe, H; Arai, T; Atsukawa, M; Chuma, M; Fukunishi, S; Hattori, N; Hiraoka, A; Iio, E; Ikegami, T; Itokawa, N; Iwakiri, K; Iwasa, M; Kato, K; Kondo, C; Kumada, T; Michitaka, K; Nakagawa-Iwashita, A; Nozaki, A; Okubo, H; Okubo, T; Senoh, T; Tada, T; Takaguchi, K; Takei, Y; Tanaka, Y; Tani, J; Toyoda, H; Tsubota, A; Tsutsui, A; Uojima, H; Watanabe, T; Yokohama, K; Yoshida, Y, 2020
)
0.78
" Co-supplementation of high dosage VD with spironolactone or pioglitazone are more effective in reducing plasma leptin levels than metformin, and thus might prove to be better therapeutic strategies for women with PCOS."( Differential Impact of Insulin Sensitizers vs. Anti-Androgen on Serum Leptin Levels in Vitamin D Replete PCOS Women: A Six Month Open Labeled Randomized Study.
Bhat, GA; Ganie, MA; Rashid, A; Shah, ZA; Shaheen, F; Shrivastava, M; Wani, IA, 2020
)
0.82
" We discuss the indications for spironolactone, dosing in dermatology, precautions to consider, and adverse effects."( Spironolactone in Dermatology: Uses in Acne, Hidradenitis Suppurativa, Female Pattern Baldness, and Hirsutism.
Morgado-Carrasco, D; Vargas-Mora, P, 2020
)
2.28
" The final population model may be useful for the individualized dosing of digoxin for patients with cardiac insufficiency."( Impact of SLCO4C1 Genotypes, Creatinine, and Spironolactone on Digoxin Population Pharmacokinetic Variables in Patients With Cardiac Insufficiency.
Du, P; Jia, A; Li, X; Li, Y; Ma, Y; Wang, A, 2020
)
0.82
" Rates of objective, as assessed by Comprehensive Acne Severity Scale scores, and subjective acne clearance were evaluated, as well as rates of treatment discontinuation, dosage changes, and drug survival."( Long-term use of spironolactone for acne in women: A case series of 403 patients.
Barbieri, JS; Choi, JK; Garg, V; James, WD, 2021
)
0.96
" Cardiac endpoint was defined as cardiac death or euthanasia, recurrence of pulmonary edema, necessity for nonauthorized cardiac drug(s) or a furosemide dosage >8 mg/kg/d."( Clinical efficacy of a benazepril and spironolactone combination in dogs with congestive heart failure due to myxomatous mitral valve disease: The BEnazepril Spironolactone STudy (BESST).
Atkins, CE; Blondel, T; Coffman, M; Feng, S; Garelli-Paar, C; Guillot, E; Heartsill, S, 2021
)
0.89
" There was a significant dose-response relationship between spironolactone dosage and change in drinks/week."( Effectiveness of spironolactone dispensation in reducing weekly alcohol use: a retrospective high-dimensional propensity score-matched cohort study.
Chi, FW; Elson, J; Farokhnia, M; Kline-Simon, AH; Leggio, L; Palzes, VA; Sterling, S; Weisner, C, 2021
)
1.2
" In this review, we discuss the use of spironolactone in different skin diseases that are common in our environment, dosage according to different studies, treatment recommendations and adverse effects; all of the above mentioned in order to use this drug in a daily clinical practice."( Spironolactone in dermatology.
Aguilar Medina, DA; Cazarín, J; Magaña, M, 2022
)
2.43
"Both spironolactone as a 5% topical solution and minoxidil as a 5% topical solution might be used safely in a twice-daily dosage to treat AGA in both genders."( Dermoscopic evaluation of the efficacy of combination of topical spironolactone 5% and minoxidil 5% solutions in the treatment of androgenetic alopecia: A cross sectional-comparative study.
Abdel-Dayem, HA; Ammar, AM; Elsaie, ML; Elshahid, AR; Mohamed, AA, 2022
)
1.47
" Treatment was more frequently withdrawn, and daily drug dosage was lower among patients treated with spironolactone."( Initiation of eplerenone or spironolactone, treatment adherence, and associated outcomes in patients with new-onset heart failure with reduced ejection fraction: a nationwide cohort study.
Denholt, CS; Fosbøl, E; Gustafsson, F; Kristensen, SL; Køber, L; Larsson, JE; Nielsen, OW; Raja, AA; Schou, M; Thune, JJ, 2023
)
1.42
[information is derived through text-mining from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Roles (5)

RoleDescription
diureticAn agent that promotes the excretion of urine through its effects on kidney function.
aldosterone antagonistnull
antihypertensive agentAny drug used in the treatment of acute or chronic vascular hypertension regardless of pharmacological mechanism.
environmental contaminantAny minor or unwanted substance introduced into the environment that can have undesired effects.
xenobioticA xenobiotic (Greek, xenos "foreign"; bios "life") is a compound that is foreign to a living organism. Principal xenobiotics include: drugs, carcinogens and various compounds that have been introduced into the environment by artificial means.
[role 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]

Drug Classes (4)

ClassDescription
steroid lactone
oxaspiro compoundA spiro compound in which at least one of the cyclic components is an oxygen heterocyle.
thioesterA compound of general formula RC(=O)SR'. Compare with thionoester, RC(=S)OR'.
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]

Pathways (1)

PathwayProteinsCompounds
Spironolactone Action Pathway319

Protein Targets (57)

Potency Measurements

ProteinTaxonomyMeasurementAverage (µ)Min (ref.)Avg (ref.)Max (ref.)Bioassay(s)
glp-1 receptor, partialHomo sapiens (human)Potency10.00000.01846.806014.1254AID624417
pregnane X receptorRattus norvegicus (Norway rat)Potency12.58930.025127.9203501.1870AID651751
RAR-related orphan receptor gammaMus musculus (house mouse)Potency22.66790.006038.004119,952.5996AID1159521; AID1159523
SMAD family member 2Homo sapiens (human)Potency19.49620.173734.304761.8120AID1346859
SMAD family member 3Homo sapiens (human)Potency19.49620.173734.304761.8120AID1346859
TDP1 proteinHomo sapiens (human)Potency7.48540.000811.382244.6684AID686978; AID686979
GLI family zinc finger 3Homo sapiens (human)Potency10.76980.000714.592883.7951AID1259369; AID1259392
AR proteinHomo sapiens (human)Potency7.02000.000221.22318,912.5098AID1259243; AID1259247; AID1259381; AID588515; AID588516; AID743035; AID743036; AID743040; AID743042; AID743053; AID743054; AID743063
Smad3Homo sapiens (human)Potency35.48130.00527.809829.0929AID588855
estrogen receptor 2 (ER beta)Homo sapiens (human)Potency30.63790.000657.913322,387.1992AID1259378
nuclear receptor subfamily 1, group I, member 3Homo sapiens (human)Potency48.26600.001022.650876.6163AID1224838; AID1224893
progesterone receptorHomo sapiens (human)Potency29.12310.000417.946075.1148AID1346784; AID1346795
glucocorticoid receptor [Homo sapiens]Homo sapiens (human)Potency13.70510.000214.376460.0339AID588533; AID720692
retinoic acid nuclear receptor alpha variant 1Homo sapiens (human)Potency42.78300.003041.611522,387.1992AID1159552; AID1159553; AID1159555
retinoid X nuclear receptor alphaHomo sapiens (human)Potency10.47650.000817.505159.3239AID1159527; AID1159531; AID588544; AID588546
estrogen-related nuclear receptor alphaHomo sapiens (human)Potency19.23670.001530.607315,848.9004AID1224841; AID1224842; AID1224848; AID1224849; AID1259401; AID1259403
farnesoid X nuclear receptorHomo sapiens (human)Potency10.97810.375827.485161.6524AID588526; AID588527; AID743217; AID743220
pregnane X nuclear receptorHomo sapiens (human)Potency54.20010.005428.02631,258.9301AID1346982; AID720659
estrogen nuclear receptor alphaHomo sapiens (human)Potency30.98470.000229.305416,493.5996AID1259244; AID743069; AID743075; AID743078; AID743080; AID743091
67.9K proteinVaccinia virusPotency28.18380.00018.4406100.0000AID720579
peroxisome proliferator-activated receptor deltaHomo sapiens (human)Potency28.84340.001024.504861.6448AID588534; AID588535; AID743212; AID743215
peroxisome proliferator activated receptor gammaHomo sapiens (human)Potency25.50180.001019.414170.9645AID588536; AID588537; AID743094; AID743140; AID743191
vitamin D (1,25- dihydroxyvitamin D3) receptorHomo sapiens (human)Potency20.34980.023723.228263.5986AID588541; AID588543; AID743222; AID743223; AID743241
IDH1Homo sapiens (human)Potency18.35640.005210.865235.4813AID686970
cytochrome P450, family 19, subfamily A, polypeptide 1, isoform CRA_aHomo sapiens (human)Potency26.95460.001723.839378.1014AID743083
activating transcription factor 6Homo sapiens (human)Potency48.96620.143427.612159.8106AID1159516
nuclear factor of kappa light polypeptide gene enhancer in B-cells 1 (p105), isoform CRA_aHomo sapiens (human)Potency30.899419.739145.978464.9432AID1159509
Histone H2A.xCricetulus griseus (Chinese hamster)Potency126.79300.039147.5451146.8240AID1224845
thyroid hormone receptor beta isoform aHomo sapiens (human)Potency28.18380.010039.53711,122.0200AID588547
parathyroid hormone/parathyroid hormone-related peptide receptor precursorHomo sapiens (human)Potency8.91253.548119.542744.6684AID743266
thyroid hormone receptor beta isoform 2Rattus norvegicus (Norway rat)Potency28.77200.000323.4451159.6830AID743065; AID743067
nuclear factor erythroid 2-related factor 2 isoform 1Homo sapiens (human)Potency31.78220.000627.21521,122.0200AID651741; AID743202
gemininHomo sapiens (human)Potency2.51190.004611.374133.4983AID624297
VprHuman immunodeficiency virus 1Potency3.16231.584919.626463.0957AID651644
Voltage-dependent calcium channel gamma-2 subunitMus musculus (house mouse)Potency30.63790.001557.789015,848.9004AID1259244
Cellular tumor antigen p53Homo sapiens (human)Potency20.34220.002319.595674.0614AID651631; AID720552
Glutamate receptor 2Rattus norvegicus (Norway rat)Potency30.63790.001551.739315,848.9004AID1259244
Spike glycoproteinSevere acute respiratory syndrome-related coronavirusPotency39.81070.009610.525035.4813AID1479145
ATPase family AAA domain-containing protein 5Homo sapiens (human)Potency27.81240.011917.942071.5630AID651632; AID720516
Ataxin-2Homo sapiens (human)Potency9.78950.011912.222168.7989AID651632
[prepared from compound, protein, and bioassay information from National Library of Medicine (NLM), extracted Dec-2023]

Inhibition Measurements

ProteinTaxonomyMeasurementAverageMin (ref.)Avg (ref.)Max (ref.)Bioassay(s)
Chain A, Mineralocorticoid receptorHomo sapiens (human)IC50 (µMol)0.04900.04900.04900.0490AID977608
Chain A, Mineralocorticoid receptorHomo sapiens (human)IC50 (µMol)0.04900.04900.04900.0490AID977608
Estrogen receptorHomo sapiens (human)IC50 (µMol)12.85100.00000.723732.7000AID499928; AID761378
Estrogen receptorHomo sapiens (human)Ki1.10000.00000.42297.9070AID304370
Glucocorticoid receptorHomo sapiens (human)IC50 (µMol)4.07450.00000.495310.0000AID1880431; AID499933; AID625263; AID635463; AID761383
Glucocorticoid receptorHomo sapiens (human)Ki0.44870.00010.38637.0010AID304367; AID625263
Progesterone receptorHomo sapiens (human)IC50 (µMol)3.34000.00000.580710.0000AID1162566; AID1162567; AID499927; AID635465; AID761374
Progesterone receptorHomo sapiens (human)Ki0.39970.00030.03160.3997AID304369
Glycine receptor subunit alpha-1Rattus norvegicus (Norway rat)IC50 (µMol)1.90250.00150.76005.0740AID625263
Glycine receptor subunit alpha-1Rattus norvegicus (Norway rat)Ki0.86480.00070.76537.0010AID625263
ATP-dependent translocase ABCB1Homo sapiens (human)IC50 (µMol)23.60000.00022.318510.0000AID681153
Mineralocorticoid receptor Homo sapiens (human)IC50 (µMol)0.03150.00030.748410.0000AID1130076; AID1162564; AID1162568; AID1623470; AID1711869; AID1852231; AID1880426; AID1880440; AID469719; AID499924; AID635462; AID635470; AID761384
Mineralocorticoid receptor Homo sapiens (human)Ki0.00370.00030.17380.8510AID1623467; AID304366
Androgen receptorHomo sapiens (human)IC50 (µMol)0.35850.00000.875310.0000AID1162565; AID1226688; AID1880429; AID499926; AID635464; AID761381
Androgen receptorHomo sapiens (human)Ki0.03940.00020.42407.2000AID304368
Androgen receptorRattus norvegicus (Norway rat)IC50 (µMol)0.40600.00101.979414.1600AID255211; AID625228
Androgen receptorRattus norvegicus (Norway rat)Ki0.09060.00031.21858.9270AID625228
Glycine receptor subunit betaRattus norvegicus (Norway rat)IC50 (µMol)1.90250.00150.76005.0740AID625263
Glycine receptor subunit betaRattus norvegicus (Norway rat)Ki0.86480.00070.78467.0010AID625263
Glycine receptor subunit alpha-2Rattus norvegicus (Norway rat)IC50 (µMol)1.90250.00150.80445.0740AID625263
Glycine receptor subunit alpha-2Rattus norvegicus (Norway rat)Ki0.86480.00070.78467.0010AID625263
Glycine receptor subunit alpha-3Rattus norvegicus (Norway rat)IC50 (µMol)1.90250.00150.76005.0740AID625263
Glycine receptor subunit alpha-3Rattus norvegicus (Norway rat)Ki0.86480.00070.78467.0010AID625263
Sodium-dependent serotonin transporterRattus norvegicus (Norway rat)IC50 (µMol)6.92000.00030.81978.4900AID499933
Cytochrome P450 2C19Homo sapiens (human)IC50 (µMol)3.00000.00002.398310.0000AID625247
Estrogen receptor betaHomo sapiens (human)IC50 (µMol)46.66670.00010.529432.7000AID1226683; AID1880423; AID761375
Multidrug and toxin extrusion protein 1Homo sapiens (human)IC50 (µMol)18.60000.01002.765610.0000AID721754
[prepared from compound, protein, and bioassay information from National Library of Medicine (NLM), extracted Dec-2023]

Activation Measurements

ProteinTaxonomyMeasurementAverageMin (ref.)Avg (ref.)Max (ref.)Bioassay(s)
Estrogen receptorHomo sapiens (human)EC50 (µMol)20.00000.00000.53054.4000AID761379
Glucocorticoid receptorHomo sapiens (human)EC50 (µMol)20.00000.00040.05401.0000AID761382
Progesterone receptorHomo sapiens (human)EC50 (µMol)20.00000.00010.40478.2000AID761376
Androgen receptorHomo sapiens (human)EC50 (µMol)20.00000.00000.20794.3000AID761380
Estrogen receptor betaHomo sapiens (human)EC50 (µMol)3.30000.00000.47954.8900AID761377
[prepared from compound, protein, and bioassay information from National Library of Medicine (NLM), extracted Dec-2023]

Other Measurements

ProteinTaxonomyMeasurementAverageMin (ref.)Avg (ref.)Max (ref.)Bioassay(s)
Mineralocorticoid receptor Homo sapiens (human)Kb0.01770.01770.01770.0177AID304363
[prepared from compound, protein, and bioassay information from National Library of Medicine (NLM), extracted Dec-2023]

Biological Processes (281)

Processvia Protein(s)Taxonomy
positive regulation of transcription by RNA polymerase IIEstrogen receptorHomo sapiens (human)
negative regulation of transcription by RNA polymerase IIEstrogen receptorHomo sapiens (human)
antral ovarian follicle growthEstrogen receptorHomo sapiens (human)
epithelial cell developmentEstrogen receptorHomo sapiens (human)
chromatin remodelingEstrogen receptorHomo sapiens (human)
regulation of DNA-templated transcriptionEstrogen receptorHomo sapiens (human)
signal transductionEstrogen receptorHomo sapiens (human)
phospholipase C-activating G protein-coupled receptor signaling pathwayEstrogen receptorHomo sapiens (human)
positive regulation of cytosolic calcium ion concentrationEstrogen receptorHomo sapiens (human)
androgen metabolic processEstrogen receptorHomo sapiens (human)
male gonad developmentEstrogen receptorHomo sapiens (human)
negative regulation of gene expressionEstrogen receptorHomo sapiens (human)
positive regulation of phospholipase C activityEstrogen receptorHomo sapiens (human)
intracellular steroid hormone receptor signaling pathwayEstrogen receptorHomo sapiens (human)
intracellular estrogen receptor signaling pathwayEstrogen receptorHomo sapiens (human)
response to estradiolEstrogen receptorHomo sapiens (human)
regulation of toll-like receptor signaling pathwayEstrogen receptorHomo sapiens (human)
negative regulation of smooth muscle cell apoptotic processEstrogen receptorHomo sapiens (human)
negative regulation of canonical NF-kappaB signal transductionEstrogen receptorHomo sapiens (human)
negative regulation of DNA-binding transcription factor activityEstrogen receptorHomo sapiens (human)
response to estrogenEstrogen receptorHomo sapiens (human)
positive regulation of DNA-templated transcriptionEstrogen receptorHomo sapiens (human)
positive regulation of transcription by RNA polymerase IIEstrogen receptorHomo sapiens (human)
fibroblast proliferationEstrogen receptorHomo sapiens (human)
positive regulation of fibroblast proliferationEstrogen receptorHomo sapiens (human)
stem cell differentiationEstrogen receptorHomo sapiens (human)
regulation of inflammatory responseEstrogen receptorHomo sapiens (human)
positive regulation of DNA-binding transcription factor activityEstrogen receptorHomo sapiens (human)
RNA polymerase II preinitiation complex assemblyEstrogen receptorHomo sapiens (human)
uterus developmentEstrogen receptorHomo sapiens (human)
vagina developmentEstrogen receptorHomo sapiens (human)
prostate epithelial cord elongationEstrogen receptorHomo sapiens (human)
prostate epithelial cord arborization involved in prostate glandular acinus morphogenesisEstrogen receptorHomo sapiens (human)
regulation of branching involved in prostate gland morphogenesisEstrogen receptorHomo sapiens (human)
mammary gland branching involved in pregnancyEstrogen receptorHomo sapiens (human)
mammary gland alveolus developmentEstrogen receptorHomo sapiens (human)
epithelial cell proliferation involved in mammary gland duct elongationEstrogen receptorHomo sapiens (human)
protein localization to chromatinEstrogen receptorHomo sapiens (human)
cellular response to estradiol stimulusEstrogen receptorHomo sapiens (human)
negative regulation of miRNA transcriptionEstrogen receptorHomo sapiens (human)
regulation of epithelial cell apoptotic processEstrogen receptorHomo sapiens (human)
regulation of transcription by RNA polymerase IIEstrogen receptorHomo sapiens (human)
cellular response to estrogen stimulusEstrogen receptorHomo sapiens (human)
negative regulation of transcription by RNA polymerase IIGlucocorticoid receptorHomo sapiens (human)
regulation of gluconeogenesisGlucocorticoid receptorHomo sapiens (human)
chromatin organizationGlucocorticoid receptorHomo sapiens (human)
regulation of DNA-templated transcriptionGlucocorticoid receptorHomo sapiens (human)
apoptotic processGlucocorticoid receptorHomo sapiens (human)
chromosome segregationGlucocorticoid receptorHomo sapiens (human)
signal transductionGlucocorticoid receptorHomo sapiens (human)
glucocorticoid metabolic processGlucocorticoid receptorHomo sapiens (human)
gene expressionGlucocorticoid receptorHomo sapiens (human)
microglia differentiationGlucocorticoid receptorHomo sapiens (human)
adrenal gland developmentGlucocorticoid receptorHomo sapiens (human)
regulation of glucocorticoid biosynthetic processGlucocorticoid receptorHomo sapiens (human)
synaptic transmission, glutamatergicGlucocorticoid receptorHomo sapiens (human)
maternal behaviorGlucocorticoid receptorHomo sapiens (human)
intracellular glucocorticoid receptor signaling pathwayGlucocorticoid receptorHomo sapiens (human)
glucocorticoid mediated signaling pathwayGlucocorticoid receptorHomo sapiens (human)
positive regulation of neuron apoptotic processGlucocorticoid receptorHomo sapiens (human)
negative regulation of DNA-templated transcriptionGlucocorticoid receptorHomo sapiens (human)
positive regulation of transcription by RNA polymerase IIGlucocorticoid receptorHomo sapiens (human)
astrocyte differentiationGlucocorticoid receptorHomo sapiens (human)
cell divisionGlucocorticoid receptorHomo sapiens (human)
mammary gland duct morphogenesisGlucocorticoid receptorHomo sapiens (human)
motor behaviorGlucocorticoid receptorHomo sapiens (human)
cellular response to steroid hormone stimulusGlucocorticoid receptorHomo sapiens (human)
cellular response to glucocorticoid stimulusGlucocorticoid receptorHomo sapiens (human)
cellular response to dexamethasone stimulusGlucocorticoid receptorHomo sapiens (human)
cellular response to transforming growth factor beta stimulusGlucocorticoid receptorHomo sapiens (human)
neuroinflammatory responseGlucocorticoid receptorHomo sapiens (human)
positive regulation of miRNA transcriptionGlucocorticoid receptorHomo sapiens (human)
intracellular steroid hormone receptor signaling pathwayGlucocorticoid receptorHomo sapiens (human)
regulation of transcription by RNA polymerase IIGlucocorticoid receptorHomo sapiens (human)
negative regulation of cell population proliferationCellular tumor antigen p53Homo sapiens (human)
regulation of cell cycleCellular tumor antigen p53Homo sapiens (human)
regulation of cell cycle G2/M phase transitionCellular tumor antigen p53Homo sapiens (human)
DNA damage responseCellular tumor antigen p53Homo sapiens (human)
ER overload responseCellular tumor antigen p53Homo sapiens (human)
cellular response to glucose starvationCellular tumor antigen p53Homo sapiens (human)
intrinsic apoptotic signaling pathway in response to DNA damage by p53 class mediatorCellular tumor antigen p53Homo sapiens (human)
regulation of apoptotic processCellular tumor antigen p53Homo sapiens (human)
positive regulation of transcription by RNA polymerase IICellular tumor antigen p53Homo sapiens (human)
positive regulation of miRNA transcriptionCellular tumor antigen p53Homo sapiens (human)
negative regulation of transcription by RNA polymerase IICellular tumor antigen p53Homo sapiens (human)
mitophagyCellular tumor antigen p53Homo sapiens (human)
in utero embryonic developmentCellular tumor antigen p53Homo sapiens (human)
somitogenesisCellular tumor antigen p53Homo sapiens (human)
release of cytochrome c from mitochondriaCellular tumor antigen p53Homo sapiens (human)
hematopoietic progenitor cell differentiationCellular tumor antigen p53Homo sapiens (human)
T cell proliferation involved in immune responseCellular tumor antigen p53Homo sapiens (human)
B cell lineage commitmentCellular tumor antigen p53Homo sapiens (human)
T cell lineage commitmentCellular tumor antigen p53Homo sapiens (human)
response to ischemiaCellular tumor antigen p53Homo sapiens (human)
nucleotide-excision repairCellular tumor antigen p53Homo sapiens (human)
double-strand break repairCellular tumor antigen p53Homo sapiens (human)
regulation of DNA-templated transcriptionCellular tumor antigen p53Homo sapiens (human)
regulation of transcription by RNA polymerase IICellular tumor antigen p53Homo sapiens (human)
protein import into nucleusCellular tumor antigen p53Homo sapiens (human)
autophagyCellular tumor antigen p53Homo sapiens (human)
DNA damage responseCellular tumor antigen p53Homo sapiens (human)
DNA damage response, signal transduction by p53 class mediator resulting in cell cycle arrestCellular tumor antigen p53Homo sapiens (human)
DNA damage response, signal transduction by p53 class mediator resulting in transcription of p21 class mediatorCellular tumor antigen p53Homo sapiens (human)
transforming growth factor beta receptor signaling pathwayCellular tumor antigen p53Homo sapiens (human)
Ras protein signal transductionCellular tumor antigen p53Homo sapiens (human)
gastrulationCellular tumor antigen p53Homo sapiens (human)
neuroblast proliferationCellular tumor antigen p53Homo sapiens (human)
negative regulation of neuroblast proliferationCellular tumor antigen p53Homo sapiens (human)
protein localizationCellular tumor antigen p53Homo sapiens (human)
negative regulation of DNA replicationCellular tumor antigen p53Homo sapiens (human)
negative regulation of cell population proliferationCellular tumor antigen p53Homo sapiens (human)
determination of adult lifespanCellular tumor antigen p53Homo sapiens (human)
mRNA transcriptionCellular tumor antigen p53Homo sapiens (human)
rRNA transcriptionCellular tumor antigen p53Homo sapiens (human)
response to salt stressCellular tumor antigen p53Homo sapiens (human)
response to inorganic substanceCellular tumor antigen p53Homo sapiens (human)
response to X-rayCellular tumor antigen p53Homo sapiens (human)
response to gamma radiationCellular tumor antigen p53Homo sapiens (human)
positive regulation of gene expressionCellular tumor antigen p53Homo sapiens (human)
cardiac muscle cell apoptotic processCellular tumor antigen p53Homo sapiens (human)
positive regulation of cardiac muscle cell apoptotic processCellular tumor antigen p53Homo sapiens (human)
glial cell proliferationCellular tumor antigen p53Homo sapiens (human)
viral processCellular tumor antigen p53Homo sapiens (human)
glucose catabolic process to lactate via pyruvateCellular tumor antigen p53Homo sapiens (human)
cerebellum developmentCellular tumor antigen p53Homo sapiens (human)
negative regulation of cell growthCellular tumor antigen p53Homo sapiens (human)
DNA damage response, signal transduction by p53 class mediatorCellular tumor antigen p53Homo sapiens (human)
negative regulation of transforming growth factor beta receptor signaling pathwayCellular tumor antigen p53Homo sapiens (human)
mitotic G1 DNA damage checkpoint signalingCellular tumor antigen p53Homo sapiens (human)
negative regulation of telomere maintenance via telomeraseCellular tumor antigen p53Homo sapiens (human)
T cell differentiation in thymusCellular tumor antigen p53Homo sapiens (human)
tumor necrosis factor-mediated signaling pathwayCellular tumor antigen p53Homo sapiens (human)
regulation of tissue remodelingCellular tumor antigen p53Homo sapiens (human)
cellular response to UVCellular tumor antigen p53Homo sapiens (human)
multicellular organism growthCellular tumor antigen p53Homo sapiens (human)
positive regulation of mitochondrial membrane permeabilityCellular tumor antigen p53Homo sapiens (human)
cellular response to glucose starvationCellular tumor antigen p53Homo sapiens (human)
intrinsic apoptotic signaling pathway in response to DNA damage by p53 class mediatorCellular tumor antigen p53Homo sapiens (human)
positive regulation of apoptotic processCellular tumor antigen p53Homo sapiens (human)
negative regulation of apoptotic processCellular tumor antigen p53Homo sapiens (human)
entrainment of circadian clock by photoperiodCellular tumor antigen p53Homo sapiens (human)
mitochondrial DNA repairCellular tumor antigen p53Homo sapiens (human)
regulation of DNA damage response, signal transduction by p53 class mediatorCellular tumor antigen p53Homo sapiens (human)
positive regulation of neuron apoptotic processCellular tumor antigen p53Homo sapiens (human)
transcription initiation-coupled chromatin remodelingCellular tumor antigen p53Homo sapiens (human)
negative regulation of proteolysisCellular tumor antigen p53Homo sapiens (human)
negative regulation of DNA-templated transcriptionCellular tumor antigen p53Homo sapiens (human)
positive regulation of DNA-templated transcriptionCellular tumor antigen p53Homo sapiens (human)
positive regulation of RNA polymerase II transcription preinitiation complex assemblyCellular tumor antigen p53Homo sapiens (human)
positive regulation of transcription by RNA polymerase IICellular tumor antigen p53Homo sapiens (human)
response to antibioticCellular tumor antigen p53Homo sapiens (human)
fibroblast proliferationCellular tumor antigen p53Homo sapiens (human)
negative regulation of fibroblast proliferationCellular tumor antigen p53Homo sapiens (human)
circadian behaviorCellular tumor antigen p53Homo sapiens (human)
bone marrow developmentCellular tumor antigen p53Homo sapiens (human)
embryonic organ developmentCellular tumor antigen p53Homo sapiens (human)
positive regulation of peptidyl-tyrosine phosphorylationCellular tumor antigen p53Homo sapiens (human)
protein stabilizationCellular tumor antigen p53Homo sapiens (human)
negative regulation of helicase activityCellular tumor antigen p53Homo sapiens (human)
protein tetramerizationCellular tumor antigen p53Homo sapiens (human)
chromosome organizationCellular tumor antigen p53Homo sapiens (human)
neuron apoptotic processCellular tumor antigen p53Homo sapiens (human)
regulation of cell cycleCellular tumor antigen p53Homo sapiens (human)
hematopoietic stem cell differentiationCellular tumor antigen p53Homo sapiens (human)
negative regulation of glial cell proliferationCellular tumor antigen p53Homo sapiens (human)
type II interferon-mediated signaling pathwayCellular tumor antigen p53Homo sapiens (human)
cardiac septum morphogenesisCellular tumor antigen p53Homo sapiens (human)
positive regulation of programmed necrotic cell deathCellular tumor antigen p53Homo sapiens (human)
protein-containing complex assemblyCellular tumor antigen p53Homo sapiens (human)
intrinsic apoptotic signaling pathway in response to endoplasmic reticulum stressCellular tumor antigen p53Homo sapiens (human)
thymocyte apoptotic processCellular tumor antigen p53Homo sapiens (human)
positive regulation of thymocyte apoptotic processCellular tumor antigen p53Homo sapiens (human)
necroptotic processCellular tumor antigen p53Homo sapiens (human)
cellular response to hypoxiaCellular tumor antigen p53Homo sapiens (human)
cellular response to xenobiotic stimulusCellular tumor antigen p53Homo sapiens (human)
cellular response to ionizing radiationCellular tumor antigen p53Homo sapiens (human)
cellular response to gamma radiationCellular tumor antigen p53Homo sapiens (human)
cellular response to UV-CCellular tumor antigen p53Homo sapiens (human)
stem cell proliferationCellular tumor antigen p53Homo sapiens (human)
signal transduction by p53 class mediatorCellular tumor antigen p53Homo sapiens (human)
intrinsic apoptotic signaling pathway by p53 class mediatorCellular tumor antigen p53Homo sapiens (human)
reactive oxygen species metabolic processCellular tumor antigen p53Homo sapiens (human)
cellular response to actinomycin DCellular tumor antigen p53Homo sapiens (human)
positive regulation of release of cytochrome c from mitochondriaCellular tumor antigen p53Homo sapiens (human)
cellular senescenceCellular tumor antigen p53Homo sapiens (human)
replicative senescenceCellular tumor antigen p53Homo sapiens (human)
oxidative stress-induced premature senescenceCellular tumor antigen p53Homo sapiens (human)
intrinsic apoptotic signaling pathwayCellular tumor antigen p53Homo sapiens (human)
oligodendrocyte apoptotic processCellular tumor antigen p53Homo sapiens (human)
positive regulation of execution phase of apoptosisCellular tumor antigen p53Homo sapiens (human)
negative regulation of mitophagyCellular tumor antigen p53Homo sapiens (human)
regulation of mitochondrial membrane permeability involved in apoptotic processCellular tumor antigen p53Homo sapiens (human)
regulation of intrinsic apoptotic signaling pathway by p53 class mediatorCellular tumor antigen p53Homo sapiens (human)
positive regulation of miRNA transcriptionCellular tumor antigen p53Homo sapiens (human)
negative regulation of G1 to G0 transitionCellular tumor antigen p53Homo sapiens (human)
negative regulation of miRNA processingCellular tumor antigen p53Homo sapiens (human)
negative regulation of glucose catabolic process to lactate via pyruvateCellular tumor antigen p53Homo sapiens (human)
negative regulation of pentose-phosphate shuntCellular tumor antigen p53Homo sapiens (human)
intrinsic apoptotic signaling pathway in response to hypoxiaCellular tumor antigen p53Homo sapiens (human)
regulation of fibroblast apoptotic processCellular tumor antigen p53Homo sapiens (human)
negative regulation of reactive oxygen species metabolic processCellular tumor antigen p53Homo sapiens (human)
positive regulation of reactive oxygen species metabolic processCellular tumor antigen p53Homo sapiens (human)
negative regulation of stem cell proliferationCellular tumor antigen p53Homo sapiens (human)
positive regulation of cellular senescenceCellular tumor antigen p53Homo sapiens (human)
positive regulation of intrinsic apoptotic signaling pathwayCellular tumor antigen p53Homo sapiens (human)
ovulation from ovarian follicleProgesterone receptorHomo sapiens (human)
glandular epithelial cell maturationProgesterone receptorHomo sapiens (human)
regulation of DNA-templated transcriptionProgesterone receptorHomo sapiens (human)
signal transductionProgesterone receptorHomo sapiens (human)
G protein-coupled receptor signaling pathwayProgesterone receptorHomo sapiens (human)
cell-cell signalingProgesterone receptorHomo sapiens (human)
positive regulation of gene expressionProgesterone receptorHomo sapiens (human)
negative regulation of gene expressionProgesterone receptorHomo sapiens (human)
paracrine signalingProgesterone receptorHomo sapiens (human)
negative regulation of phosphorylationProgesterone receptorHomo sapiens (human)
positive regulation of transcription by RNA polymerase IIProgesterone receptorHomo sapiens (human)
lung alveolus developmentProgesterone receptorHomo sapiens (human)
regulation of epithelial cell proliferationProgesterone receptorHomo sapiens (human)
progesterone receptor signaling pathwayProgesterone receptorHomo sapiens (human)
maintenance of protein location in nucleusProgesterone receptorHomo sapiens (human)
tertiary branching involved in mammary gland duct morphogenesisProgesterone receptorHomo sapiens (human)
regulation of transcription by RNA polymerase IIProgesterone receptorHomo sapiens (human)
intracellular steroid hormone receptor signaling pathwayProgesterone receptorHomo sapiens (human)
G2/M transition of mitotic cell cycleATP-dependent translocase ABCB1Homo sapiens (human)
xenobiotic metabolic processATP-dependent translocase ABCB1Homo sapiens (human)
response to xenobiotic stimulusATP-dependent translocase ABCB1Homo sapiens (human)
phospholipid translocationATP-dependent translocase ABCB1Homo sapiens (human)
terpenoid transportATP-dependent translocase ABCB1Homo sapiens (human)
regulation of response to osmotic stressATP-dependent translocase ABCB1Homo sapiens (human)
transmembrane transportATP-dependent translocase ABCB1Homo sapiens (human)
transepithelial transportATP-dependent translocase ABCB1Homo sapiens (human)
stem cell proliferationATP-dependent translocase ABCB1Homo sapiens (human)
ceramide translocationATP-dependent translocase ABCB1Homo sapiens (human)
export across plasma membraneATP-dependent translocase ABCB1Homo sapiens (human)
transport across blood-brain barrierATP-dependent translocase ABCB1Homo sapiens (human)
positive regulation of anion channel activityATP-dependent translocase ABCB1Homo sapiens (human)
carboxylic acid transmembrane transportATP-dependent translocase ABCB1Homo sapiens (human)
xenobiotic detoxification by transmembrane export across the plasma membraneATP-dependent translocase ABCB1Homo sapiens (human)
xenobiotic transport across blood-brain barrierATP-dependent translocase ABCB1Homo sapiens (human)
regulation of chloride transportATP-dependent translocase ABCB1Homo sapiens (human)
signal transductionMineralocorticoid receptor Homo sapiens (human)
positive regulation of non-canonical NF-kappaB signal transductionMineralocorticoid receptor Homo sapiens (human)
regulation of transcription by RNA polymerase IIMineralocorticoid receptor Homo sapiens (human)
intracellular steroid hormone receptor signaling pathwayMineralocorticoid receptor Homo sapiens (human)
negative regulation of transcription by RNA polymerase IIAndrogen receptorHomo sapiens (human)
MAPK cascadeAndrogen receptorHomo sapiens (human)
in utero embryonic developmentAndrogen receptorHomo sapiens (human)
regulation of systemic arterial blood pressureAndrogen receptorHomo sapiens (human)
epithelial cell morphogenesisAndrogen receptorHomo sapiens (human)
transcription by RNA polymerase IIAndrogen receptorHomo sapiens (human)
signal transductionAndrogen receptorHomo sapiens (human)
G protein-coupled receptor signaling pathwayAndrogen receptorHomo sapiens (human)
cell-cell signalingAndrogen receptorHomo sapiens (human)
spermatogenesisAndrogen receptorHomo sapiens (human)
single fertilizationAndrogen receptorHomo sapiens (human)
positive regulation of cell population proliferationAndrogen receptorHomo sapiens (human)
negative regulation of cell population proliferationAndrogen receptorHomo sapiens (human)
positive regulation of gene expressionAndrogen receptorHomo sapiens (human)
male somatic sex determinationAndrogen receptorHomo sapiens (human)
intracellular estrogen receptor signaling pathwayAndrogen receptorHomo sapiens (human)
androgen receptor signaling pathwayAndrogen receptorHomo sapiens (human)
intracellular receptor signaling pathwayAndrogen receptorHomo sapiens (human)
positive regulation of intracellular estrogen receptor signaling pathwayAndrogen receptorHomo sapiens (human)
Leydig cell differentiationAndrogen receptorHomo sapiens (human)
multicellular organism growthAndrogen receptorHomo sapiens (human)
positive regulation of phosphorylationAndrogen receptorHomo sapiens (human)
positive regulation of MAPK cascadeAndrogen receptorHomo sapiens (human)
positive regulation of insulin-like growth factor receptor signaling pathwayAndrogen receptorHomo sapiens (human)
positive regulation of cell differentiationAndrogen receptorHomo sapiens (human)
negative regulation of integrin biosynthetic processAndrogen receptorHomo sapiens (human)
positive regulation of integrin biosynthetic processAndrogen receptorHomo sapiens (human)
positive regulation of DNA-templated transcriptionAndrogen receptorHomo sapiens (human)
positive regulation of transcription by RNA polymerase IIAndrogen receptorHomo sapiens (human)
positive regulation of transcription by RNA polymerase IIIAndrogen receptorHomo sapiens (human)
insulin-like growth factor receptor signaling pathwayAndrogen receptorHomo sapiens (human)
regulation of developmental growthAndrogen receptorHomo sapiens (human)
animal organ formationAndrogen receptorHomo sapiens (human)
male genitalia morphogenesisAndrogen receptorHomo sapiens (human)
epithelial cell proliferationAndrogen receptorHomo sapiens (human)
negative regulation of epithelial cell proliferationAndrogen receptorHomo sapiens (human)
positive regulation of NF-kappaB transcription factor activityAndrogen receptorHomo sapiens (human)
activation of prostate induction by androgen receptor signaling pathwayAndrogen receptorHomo sapiens (human)
morphogenesis of an epithelial foldAndrogen receptorHomo sapiens (human)
lateral sprouting involved in mammary gland duct morphogenesisAndrogen receptorHomo sapiens (human)
prostate gland growthAndrogen receptorHomo sapiens (human)
prostate gland epithelium morphogenesisAndrogen receptorHomo sapiens (human)
epithelial cell differentiation involved in prostate gland developmentAndrogen receptorHomo sapiens (human)
tertiary branching involved in mammary gland duct morphogenesisAndrogen receptorHomo sapiens (human)
mammary gland alveolus developmentAndrogen receptorHomo sapiens (human)
positive regulation of epithelial cell proliferation involved in prostate gland developmentAndrogen receptorHomo sapiens (human)
cellular response to steroid hormone stimulusAndrogen receptorHomo sapiens (human)
cellular response to estrogen stimulusAndrogen receptorHomo sapiens (human)
cellular response to testosterone stimulusAndrogen receptorHomo sapiens (human)
seminiferous tubule developmentAndrogen receptorHomo sapiens (human)
non-membrane-bounded organelle assemblyAndrogen receptorHomo sapiens (human)
positive regulation of miRNA transcriptionAndrogen receptorHomo sapiens (human)
regulation of protein localization to plasma membraneAndrogen receptorHomo sapiens (human)
negative regulation of extrinsic apoptotic signaling pathwayAndrogen receptorHomo sapiens (human)
male gonad developmentAndrogen receptorHomo sapiens (human)
intracellular steroid hormone receptor signaling pathwayAndrogen receptorHomo sapiens (human)
long-chain fatty acid metabolic processCytochrome P450 2C19Homo sapiens (human)
xenobiotic metabolic processCytochrome P450 2C19Homo sapiens (human)
steroid metabolic processCytochrome P450 2C19Homo sapiens (human)
monoterpenoid metabolic processCytochrome P450 2C19Homo sapiens (human)
epoxygenase P450 pathwayCytochrome P450 2C19Homo sapiens (human)
xenobiotic catabolic processCytochrome P450 2C19Homo sapiens (human)
omega-hydroxylase P450 pathwayCytochrome P450 2C19Homo sapiens (human)
negative regulation of transcription by RNA polymerase IIEstrogen receptor betaHomo sapiens (human)
regulation of DNA-templated transcriptionEstrogen receptor betaHomo sapiens (human)
signal transductionEstrogen receptor betaHomo sapiens (human)
cell-cell signalingEstrogen receptor betaHomo sapiens (human)
negative regulation of cell growthEstrogen receptor betaHomo sapiens (human)
intracellular estrogen receptor signaling pathwayEstrogen receptor betaHomo sapiens (human)
positive regulation of DNA-templated transcriptionEstrogen receptor betaHomo sapiens (human)
positive regulation of DNA-binding transcription factor activityEstrogen receptor betaHomo sapiens (human)
cellular response to estradiol stimulusEstrogen receptor betaHomo sapiens (human)
regulation of transcription by RNA polymerase IIEstrogen receptor betaHomo sapiens (human)
cellular response to estrogen stimulusEstrogen receptor betaHomo sapiens (human)
xenobiotic transmembrane transportMultidrug and toxin extrusion protein 1Homo sapiens (human)
organic cation transportMultidrug and toxin extrusion protein 1Homo sapiens (human)
putrescine transportMultidrug and toxin extrusion protein 1Homo sapiens (human)
xenobiotic transportMultidrug and toxin extrusion protein 1Homo sapiens (human)
transmembrane transportMultidrug and toxin extrusion protein 1Homo sapiens (human)
thiamine transmembrane transportMultidrug and toxin extrusion protein 1Homo sapiens (human)
amino acid import across plasma membraneMultidrug and toxin extrusion protein 1Homo sapiens (human)
L-arginine import across plasma membraneMultidrug and toxin extrusion protein 1Homo sapiens (human)
L-alpha-amino acid transmembrane transportMultidrug and toxin extrusion protein 1Homo sapiens (human)
proton transmembrane transportMultidrug and toxin extrusion protein 1Homo sapiens (human)
L-arginine transmembrane transportMultidrug and toxin extrusion protein 1Homo sapiens (human)
xenobiotic detoxification by transmembrane export across the plasma membraneMultidrug and toxin extrusion protein 1Homo sapiens (human)
cell population proliferationATPase family AAA domain-containing protein 5Homo sapiens (human)
positive regulation of B cell proliferationATPase family AAA domain-containing protein 5Homo sapiens (human)
nuclear DNA replicationATPase family AAA domain-containing protein 5Homo sapiens (human)
signal transduction in response to DNA damageATPase family AAA domain-containing protein 5Homo sapiens (human)
intrinsic apoptotic signaling pathway in response to DNA damage by p53 class mediatorATPase family AAA domain-containing protein 5Homo sapiens (human)
isotype switchingATPase family AAA domain-containing protein 5Homo sapiens (human)
positive regulation of DNA replicationATPase family AAA domain-containing protein 5Homo sapiens (human)
positive regulation of isotype switching to IgG isotypesATPase family AAA domain-containing protein 5Homo sapiens (human)
DNA clamp unloadingATPase family AAA domain-containing protein 5Homo sapiens (human)
regulation of mitotic cell cycle phase transitionATPase family AAA domain-containing protein 5Homo sapiens (human)
negative regulation of intrinsic apoptotic signaling pathway in response to DNA damage by p53 class mediatorATPase family AAA domain-containing protein 5Homo sapiens (human)
positive regulation of cell cycle G2/M phase transitionATPase family AAA domain-containing protein 5Homo sapiens (human)
negative regulation of receptor internalizationAtaxin-2Homo sapiens (human)
regulation of translationAtaxin-2Homo sapiens (human)
RNA metabolic processAtaxin-2Homo sapiens (human)
P-body assemblyAtaxin-2Homo sapiens (human)
stress granule assemblyAtaxin-2Homo sapiens (human)
RNA transportAtaxin-2Homo sapiens (human)
[Information is prepared from geneontology information from the June-17-2024 release]

Molecular Functions (99)

Processvia Protein(s)Taxonomy
RNA polymerase II cis-regulatory region sequence-specific DNA bindingEstrogen receptorHomo sapiens (human)
DNA-binding transcription factor activity, RNA polymerase II-specificEstrogen receptorHomo sapiens (human)
TFIIB-class transcription factor bindingEstrogen receptorHomo sapiens (human)
transcription coregulator bindingEstrogen receptorHomo sapiens (human)
transcription corepressor bindingEstrogen receptorHomo sapiens (human)
transcription coactivator bindingEstrogen receptorHomo sapiens (human)
DNA-binding transcription activator activity, RNA polymerase II-specificEstrogen receptorHomo sapiens (human)
chromatin bindingEstrogen receptorHomo sapiens (human)
DNA-binding transcription factor activityEstrogen receptorHomo sapiens (human)
nuclear receptor activityEstrogen receptorHomo sapiens (human)
steroid bindingEstrogen receptorHomo sapiens (human)
protein bindingEstrogen receptorHomo sapiens (human)
calmodulin bindingEstrogen receptorHomo sapiens (human)
beta-catenin bindingEstrogen receptorHomo sapiens (human)
zinc ion bindingEstrogen receptorHomo sapiens (human)
TBP-class protein bindingEstrogen receptorHomo sapiens (human)
enzyme bindingEstrogen receptorHomo sapiens (human)
protein kinase bindingEstrogen receptorHomo sapiens (human)
nitric-oxide synthase regulator activityEstrogen receptorHomo sapiens (human)
nuclear estrogen receptor activityEstrogen receptorHomo sapiens (human)
nuclear estrogen receptor bindingEstrogen receptorHomo sapiens (human)
estrogen response element bindingEstrogen receptorHomo sapiens (human)
identical protein bindingEstrogen receptorHomo sapiens (human)
ATPase bindingEstrogen receptorHomo sapiens (human)
14-3-3 protein bindingEstrogen receptorHomo sapiens (human)
sequence-specific double-stranded DNA bindingEstrogen receptorHomo sapiens (human)
RNA polymerase II transcription regulatory region sequence-specific DNA bindingGlucocorticoid receptorHomo sapiens (human)
RNA polymerase II cis-regulatory region sequence-specific DNA bindingGlucocorticoid receptorHomo sapiens (human)
DNA-binding transcription factor activity, RNA polymerase II-specificGlucocorticoid receptorHomo sapiens (human)
core promoter sequence-specific DNA bindingGlucocorticoid receptorHomo sapiens (human)
DNA-binding transcription repressor activity, RNA polymerase II-specificGlucocorticoid receptorHomo sapiens (human)
DNA-binding transcription activator activity, RNA polymerase II-specificGlucocorticoid receptorHomo sapiens (human)
DNA-binding transcription factor activityGlucocorticoid receptorHomo sapiens (human)
RNA bindingGlucocorticoid receptorHomo sapiens (human)
nuclear receptor activityGlucocorticoid receptorHomo sapiens (human)
nuclear glucocorticoid receptor activityGlucocorticoid receptorHomo sapiens (human)
steroid bindingGlucocorticoid receptorHomo sapiens (human)
protein bindingGlucocorticoid receptorHomo sapiens (human)
zinc ion bindingGlucocorticoid receptorHomo sapiens (human)
TBP-class protein bindingGlucocorticoid receptorHomo sapiens (human)
protein kinase bindingGlucocorticoid receptorHomo sapiens (human)
identical protein bindingGlucocorticoid receptorHomo sapiens (human)
Hsp90 protein bindingGlucocorticoid receptorHomo sapiens (human)
steroid hormone bindingGlucocorticoid receptorHomo sapiens (human)
sequence-specific double-stranded DNA bindingGlucocorticoid receptorHomo sapiens (human)
estrogen response element bindingGlucocorticoid receptorHomo sapiens (human)
transcription cis-regulatory region bindingCellular tumor antigen p53Homo sapiens (human)
RNA polymerase II cis-regulatory region sequence-specific DNA bindingCellular tumor antigen p53Homo sapiens (human)
DNA-binding transcription factor activity, RNA polymerase II-specificCellular tumor antigen p53Homo sapiens (human)
cis-regulatory region sequence-specific DNA bindingCellular tumor antigen p53Homo sapiens (human)
core promoter sequence-specific DNA bindingCellular tumor antigen p53Homo sapiens (human)
TFIID-class transcription factor complex bindingCellular tumor antigen p53Homo sapiens (human)
DNA-binding transcription repressor activity, RNA polymerase II-specificCellular tumor antigen p53Homo sapiens (human)
DNA-binding transcription activator activity, RNA polymerase II-specificCellular tumor antigen p53Homo sapiens (human)
protease bindingCellular tumor antigen p53Homo sapiens (human)
p53 bindingCellular tumor antigen p53Homo sapiens (human)
DNA bindingCellular tumor antigen p53Homo sapiens (human)
chromatin bindingCellular tumor antigen p53Homo sapiens (human)
DNA-binding transcription factor activityCellular tumor antigen p53Homo sapiens (human)
mRNA 3'-UTR bindingCellular tumor antigen p53Homo sapiens (human)
copper ion bindingCellular tumor antigen p53Homo sapiens (human)
protein bindingCellular tumor antigen p53Homo sapiens (human)
zinc ion bindingCellular tumor antigen p53Homo sapiens (human)
enzyme bindingCellular tumor antigen p53Homo sapiens (human)
receptor tyrosine kinase bindingCellular tumor antigen p53Homo sapiens (human)
ubiquitin protein ligase bindingCellular tumor antigen p53Homo sapiens (human)
histone deacetylase regulator activityCellular tumor antigen p53Homo sapiens (human)
ATP-dependent DNA/DNA annealing activityCellular tumor antigen p53Homo sapiens (human)
identical protein bindingCellular tumor antigen p53Homo sapiens (human)
histone deacetylase bindingCellular tumor antigen p53Homo sapiens (human)
protein heterodimerization activityCellular tumor antigen p53Homo sapiens (human)
protein-folding chaperone bindingCellular tumor antigen p53Homo sapiens (human)
protein phosphatase 2A bindingCellular tumor antigen p53Homo sapiens (human)
RNA polymerase II-specific DNA-binding transcription factor bindingCellular tumor antigen p53Homo sapiens (human)
14-3-3 protein bindingCellular tumor antigen p53Homo sapiens (human)
MDM2/MDM4 family protein bindingCellular tumor antigen p53Homo sapiens (human)
disordered domain specific bindingCellular tumor antigen p53Homo sapiens (human)
general transcription initiation factor bindingCellular tumor antigen p53Homo sapiens (human)
molecular function activator activityCellular tumor antigen p53Homo sapiens (human)
promoter-specific chromatin bindingCellular tumor antigen p53Homo sapiens (human)
RNA polymerase II cis-regulatory region sequence-specific DNA bindingProgesterone receptorHomo sapiens (human)
DNA-binding transcription factor activity, RNA polymerase II-specificProgesterone receptorHomo sapiens (human)
transcription coactivator bindingProgesterone receptorHomo sapiens (human)
DNA-binding transcription activator activity, RNA polymerase II-specificProgesterone receptorHomo sapiens (human)
DNA bindingProgesterone receptorHomo sapiens (human)
nuclear steroid receptor activityProgesterone receptorHomo sapiens (human)
G protein-coupled receptor activityProgesterone receptorHomo sapiens (human)
steroid bindingProgesterone receptorHomo sapiens (human)
protein bindingProgesterone receptorHomo sapiens (human)
zinc ion bindingProgesterone receptorHomo sapiens (human)
enzyme bindingProgesterone receptorHomo sapiens (human)
identical protein bindingProgesterone receptorHomo sapiens (human)
ATPase bindingProgesterone receptorHomo sapiens (human)
estrogen response element bindingProgesterone receptorHomo sapiens (human)
nuclear receptor activityProgesterone receptorHomo sapiens (human)
protein bindingATP-dependent translocase ABCB1Homo sapiens (human)
ATP bindingATP-dependent translocase ABCB1Homo sapiens (human)
ABC-type xenobiotic transporter activityATP-dependent translocase ABCB1Homo sapiens (human)
efflux transmembrane transporter activityATP-dependent translocase ABCB1Homo sapiens (human)
ATP hydrolysis activityATP-dependent translocase ABCB1Homo sapiens (human)
transmembrane transporter activityATP-dependent translocase ABCB1Homo sapiens (human)
ubiquitin protein ligase bindingATP-dependent translocase ABCB1Homo sapiens (human)
ATPase-coupled transmembrane transporter activityATP-dependent translocase ABCB1Homo sapiens (human)
xenobiotic transmembrane transporter activityATP-dependent translocase ABCB1Homo sapiens (human)
carboxylic acid transmembrane transporter activityATP-dependent translocase ABCB1Homo sapiens (human)
phosphatidylcholine floppase activityATP-dependent translocase ABCB1Homo sapiens (human)
phosphatidylethanolamine flippase activityATP-dependent translocase ABCB1Homo sapiens (human)
ceramide floppase activityATP-dependent translocase ABCB1Homo sapiens (human)
floppase activityATP-dependent translocase ABCB1Homo sapiens (human)
DNA-binding transcription factor activity, RNA polymerase II-specificMineralocorticoid receptor Homo sapiens (human)
DNA-binding transcription factor activityMineralocorticoid receptor Homo sapiens (human)
nuclear steroid receptor activityMineralocorticoid receptor Homo sapiens (human)
steroid bindingMineralocorticoid receptor Homo sapiens (human)
protein bindingMineralocorticoid receptor Homo sapiens (human)
zinc ion bindingMineralocorticoid receptor Homo sapiens (human)
TBP-class protein bindingMineralocorticoid receptor Homo sapiens (human)
sequence-specific double-stranded DNA bindingMineralocorticoid receptor Homo sapiens (human)
nuclear receptor activityMineralocorticoid receptor Homo sapiens (human)
estrogen response element bindingMineralocorticoid receptor Homo sapiens (human)
transcription cis-regulatory region bindingAndrogen receptorHomo sapiens (human)
RNA polymerase II cis-regulatory region sequence-specific DNA bindingAndrogen receptorHomo sapiens (human)
DNA-binding transcription factor activity, RNA polymerase II-specificAndrogen receptorHomo sapiens (human)
RNA polymerase II general transcription initiation factor bindingAndrogen receptorHomo sapiens (human)
transcription coactivator bindingAndrogen receptorHomo sapiens (human)
DNA-binding transcription activator activity, RNA polymerase II-specificAndrogen receptorHomo sapiens (human)
chromatin bindingAndrogen receptorHomo sapiens (human)
DNA-binding transcription factor activityAndrogen receptorHomo sapiens (human)
nuclear receptor activityAndrogen receptorHomo sapiens (human)
G protein-coupled receptor activityAndrogen receptorHomo sapiens (human)
signaling receptor bindingAndrogen receptorHomo sapiens (human)
steroid bindingAndrogen receptorHomo sapiens (human)
androgen bindingAndrogen receptorHomo sapiens (human)
protein bindingAndrogen receptorHomo sapiens (human)
beta-catenin bindingAndrogen receptorHomo sapiens (human)
zinc ion bindingAndrogen receptorHomo sapiens (human)
enzyme bindingAndrogen receptorHomo sapiens (human)
ATPase bindingAndrogen receptorHomo sapiens (human)
molecular adaptor activityAndrogen receptorHomo sapiens (human)
RNA polymerase II-specific DNA-binding transcription factor bindingAndrogen receptorHomo sapiens (human)
POU domain bindingAndrogen receptorHomo sapiens (human)
molecular condensate scaffold activityAndrogen receptorHomo sapiens (human)
estrogen response element bindingAndrogen receptorHomo sapiens (human)
monooxygenase activityCytochrome P450 2C19Homo sapiens (human)
iron ion bindingCytochrome P450 2C19Homo sapiens (human)
steroid hydroxylase activityCytochrome P450 2C19Homo sapiens (human)
oxidoreductase activityCytochrome P450 2C19Homo sapiens (human)
(S)-limonene 6-monooxygenase activityCytochrome P450 2C19Homo sapiens (human)
(S)-limonene 7-monooxygenase activityCytochrome P450 2C19Homo sapiens (human)
oxygen bindingCytochrome P450 2C19Homo sapiens (human)
enzyme bindingCytochrome P450 2C19Homo sapiens (human)
heme bindingCytochrome P450 2C19Homo sapiens (human)
(R)-limonene 6-monooxygenase activityCytochrome P450 2C19Homo sapiens (human)
aromatase activityCytochrome P450 2C19Homo sapiens (human)
long-chain fatty acid omega-1 hydroxylase activityCytochrome P450 2C19Homo sapiens (human)
arachidonic acid epoxygenase activityCytochrome P450 2C19Homo sapiens (human)
oxidoreductase activity, acting on paired donors, with incorporation or reduction of molecular oxygen, reduced flavin or flavoprotein as one donor, and incorporation of one atom of oxygenCytochrome P450 2C19Homo sapiens (human)
RNA polymerase II cis-regulatory region sequence-specific DNA bindingEstrogen receptor betaHomo sapiens (human)
DNA-binding transcription factor activity, RNA polymerase II-specificEstrogen receptor betaHomo sapiens (human)
DNA bindingEstrogen receptor betaHomo sapiens (human)
nuclear steroid receptor activityEstrogen receptor betaHomo sapiens (human)
nuclear receptor activityEstrogen receptor betaHomo sapiens (human)
steroid bindingEstrogen receptor betaHomo sapiens (human)
protein bindingEstrogen receptor betaHomo sapiens (human)
zinc ion bindingEstrogen receptor betaHomo sapiens (human)
enzyme bindingEstrogen receptor betaHomo sapiens (human)
nuclear estrogen receptor activityEstrogen receptor betaHomo sapiens (human)
estrogen response element bindingEstrogen receptor betaHomo sapiens (human)
receptor antagonist activityEstrogen receptor betaHomo sapiens (human)
protein bindingMultidrug and toxin extrusion protein 1Homo sapiens (human)
organic cation transmembrane transporter activityMultidrug and toxin extrusion protein 1Homo sapiens (human)
L-amino acid transmembrane transporter activityMultidrug and toxin extrusion protein 1Homo sapiens (human)
thiamine transmembrane transporter activityMultidrug and toxin extrusion protein 1Homo sapiens (human)
antiporter activityMultidrug and toxin extrusion protein 1Homo sapiens (human)
putrescine transmembrane transporter activityMultidrug and toxin extrusion protein 1Homo sapiens (human)
transmembrane transporter activityMultidrug and toxin extrusion protein 1Homo sapiens (human)
xenobiotic transmembrane transporter activityMultidrug and toxin extrusion protein 1Homo sapiens (human)
L-arginine transmembrane transporter activityMultidrug and toxin extrusion protein 1Homo sapiens (human)
polyspecific organic cation:proton antiporter activityMultidrug and toxin extrusion protein 1Homo sapiens (human)
protein bindingATPase family AAA domain-containing protein 5Homo sapiens (human)
ATP bindingATPase family AAA domain-containing protein 5Homo sapiens (human)
ATP hydrolysis activityATPase family AAA domain-containing protein 5Homo sapiens (human)
DNA clamp unloader activityATPase family AAA domain-containing protein 5Homo sapiens (human)
DNA bindingATPase family AAA domain-containing protein 5Homo sapiens (human)
RNA bindingAtaxin-2Homo sapiens (human)
epidermal growth factor receptor bindingAtaxin-2Homo sapiens (human)
protein bindingAtaxin-2Homo sapiens (human)
mRNA bindingAtaxin-2Homo sapiens (human)
[Information is prepared from geneontology information from the June-17-2024 release]

Ceullar Components (41)

Processvia Protein(s)Taxonomy
nucleusEstrogen receptorHomo sapiens (human)
nucleoplasmEstrogen receptorHomo sapiens (human)
transcription regulator complexEstrogen receptorHomo sapiens (human)
cytoplasmEstrogen receptorHomo sapiens (human)
Golgi apparatusEstrogen receptorHomo sapiens (human)
cytosolEstrogen receptorHomo sapiens (human)
plasma membraneEstrogen receptorHomo sapiens (human)
membraneEstrogen receptorHomo sapiens (human)
chromatinEstrogen receptorHomo sapiens (human)
euchromatinEstrogen receptorHomo sapiens (human)
protein-containing complexEstrogen receptorHomo sapiens (human)
nucleusEstrogen receptorHomo sapiens (human)
nucleusGlucocorticoid receptorHomo sapiens (human)
nucleusGlucocorticoid receptorHomo sapiens (human)
nucleoplasmGlucocorticoid receptorHomo sapiens (human)
cytoplasmGlucocorticoid receptorHomo sapiens (human)
mitochondrial matrixGlucocorticoid receptorHomo sapiens (human)
centrosomeGlucocorticoid receptorHomo sapiens (human)
spindleGlucocorticoid receptorHomo sapiens (human)
cytosolGlucocorticoid receptorHomo sapiens (human)
membraneGlucocorticoid receptorHomo sapiens (human)
nuclear speckGlucocorticoid receptorHomo sapiens (human)
synapseGlucocorticoid receptorHomo sapiens (human)
chromatinGlucocorticoid receptorHomo sapiens (human)
protein-containing complexGlucocorticoid receptorHomo sapiens (human)
nuclear bodyCellular tumor antigen p53Homo sapiens (human)
nucleusCellular tumor antigen p53Homo sapiens (human)
nucleoplasmCellular tumor antigen p53Homo sapiens (human)
replication forkCellular tumor antigen p53Homo sapiens (human)
nucleolusCellular tumor antigen p53Homo sapiens (human)
cytoplasmCellular tumor antigen p53Homo sapiens (human)
mitochondrionCellular tumor antigen p53Homo sapiens (human)
mitochondrial matrixCellular tumor antigen p53Homo sapiens (human)
endoplasmic reticulumCellular tumor antigen p53Homo sapiens (human)
centrosomeCellular tumor antigen p53Homo sapiens (human)
cytosolCellular tumor antigen p53Homo sapiens (human)
nuclear matrixCellular tumor antigen p53Homo sapiens (human)
PML bodyCellular tumor antigen p53Homo sapiens (human)
transcription repressor complexCellular tumor antigen p53Homo sapiens (human)
site of double-strand breakCellular tumor antigen p53Homo sapiens (human)
germ cell nucleusCellular tumor antigen p53Homo sapiens (human)
chromatinCellular tumor antigen p53Homo sapiens (human)
transcription regulator complexCellular tumor antigen p53Homo sapiens (human)
protein-containing complexCellular tumor antigen p53Homo sapiens (human)
plasma membraneProgesterone receptorHomo sapiens (human)
nucleoplasmProgesterone receptorHomo sapiens (human)
mitochondrial outer membraneProgesterone receptorHomo sapiens (human)
cytosolProgesterone receptorHomo sapiens (human)
chromatinProgesterone receptorHomo sapiens (human)
nucleusProgesterone receptorHomo sapiens (human)
cytoplasmATP-dependent translocase ABCB1Homo sapiens (human)
plasma membraneATP-dependent translocase ABCB1Homo sapiens (human)
cell surfaceATP-dependent translocase ABCB1Homo sapiens (human)
membraneATP-dependent translocase ABCB1Homo sapiens (human)
apical plasma membraneATP-dependent translocase ABCB1Homo sapiens (human)
extracellular exosomeATP-dependent translocase ABCB1Homo sapiens (human)
external side of apical plasma membraneATP-dependent translocase ABCB1Homo sapiens (human)
plasma membraneATP-dependent translocase ABCB1Homo sapiens (human)
nucleoplasmMineralocorticoid receptor Homo sapiens (human)
endoplasmic reticulum membraneMineralocorticoid receptor Homo sapiens (human)
cytosolMineralocorticoid receptor Homo sapiens (human)
chromatinMineralocorticoid receptor Homo sapiens (human)
receptor complexMineralocorticoid receptor Homo sapiens (human)
nucleusMineralocorticoid receptor Homo sapiens (human)
plasma membraneAndrogen receptorHomo sapiens (human)
nucleusAndrogen receptorHomo sapiens (human)
nucleoplasmAndrogen receptorHomo sapiens (human)
cytoplasmAndrogen receptorHomo sapiens (human)
cytosolAndrogen receptorHomo sapiens (human)
nuclear speckAndrogen receptorHomo sapiens (human)
chromatinAndrogen receptorHomo sapiens (human)
protein-containing complexAndrogen receptorHomo sapiens (human)
nucleusAndrogen receptorHomo sapiens (human)
plasma membraneGlutamate receptor 2Rattus norvegicus (Norway rat)
plasma membraneGlycine receptor subunit betaRattus norvegicus (Norway rat)
endoplasmic reticulum membraneCytochrome P450 2C19Homo sapiens (human)
plasma membraneCytochrome P450 2C19Homo sapiens (human)
intracellular membrane-bounded organelleCytochrome P450 2C19Homo sapiens (human)
intracellular membrane-bounded organelleCytochrome P450 2C19Homo sapiens (human)
cytoplasmCytochrome P450 2C19Homo sapiens (human)
virion membraneSpike glycoproteinSevere acute respiratory syndrome-related coronavirus
nucleusEstrogen receptor betaHomo sapiens (human)
nucleoplasmEstrogen receptor betaHomo sapiens (human)
mitochondrionEstrogen receptor betaHomo sapiens (human)
intracellular membrane-bounded organelleEstrogen receptor betaHomo sapiens (human)
chromatinEstrogen receptor betaHomo sapiens (human)
nucleusEstrogen receptor betaHomo sapiens (human)
plasma membraneMultidrug and toxin extrusion protein 1Homo sapiens (human)
basolateral plasma membraneMultidrug and toxin extrusion protein 1Homo sapiens (human)
apical plasma membraneMultidrug and toxin extrusion protein 1Homo sapiens (human)
membraneMultidrug and toxin extrusion protein 1Homo sapiens (human)
Elg1 RFC-like complexATPase family AAA domain-containing protein 5Homo sapiens (human)
nucleusATPase family AAA domain-containing protein 5Homo sapiens (human)
cytoplasmAtaxin-2Homo sapiens (human)
Golgi apparatusAtaxin-2Homo sapiens (human)
trans-Golgi networkAtaxin-2Homo sapiens (human)
cytosolAtaxin-2Homo sapiens (human)
cytoplasmic stress granuleAtaxin-2Homo sapiens (human)
membraneAtaxin-2Homo sapiens (human)
perinuclear region of cytoplasmAtaxin-2Homo sapiens (human)
ribonucleoprotein complexAtaxin-2Homo sapiens (human)
cytoplasmic stress granuleAtaxin-2Homo sapiens (human)
[Information is prepared from geneontology information from the June-17-2024 release]

Bioassays (261)

Assay IDTitleYearJournalArticle
AID651635Viability Counterscreen for Primary qHTS for Inhibitors of ATXN expression
AID1745845Primary qHTS for Inhibitors of ATXN expression
AID1296008Cytotoxic Profiling of Annotated Libraries Using Quantitative High-Throughput Screening2020SLAS discovery : advancing life sciences R & D, 01, Volume: 25, Issue:1
Cytotoxic Profiling of Annotated and Diverse Chemical Libraries Using Quantitative High-Throughput Screening.
AID1346987P-glycoprotein substrates identified in KB-8-5-11 adenocarcinoma cell line, qHTS therapeutic library screen2019Molecular pharmacology, 11, Volume: 96, Issue:5
A High-Throughput Screen of a Library of Therapeutics Identifies Cytotoxic Substrates of P-glycoprotein.
AID1346986P-glycoprotein substrates identified in KB-3-1 adenocarcinoma cell line, qHTS therapeutic library screen2019Molecular pharmacology, 11, Volume: 96, Issue:5
A High-Throughput Screen of a Library of Therapeutics Identifies Cytotoxic Substrates of P-glycoprotein.
AID1162567Displacement of [3H]-Dexamethasone from glucocorticoid receptor (unknown origin) expressed in 293 cells after 16 hrs by scintillation counting2014Bioorganic & medicinal chemistry, Oct-01, Volume: 22, Issue:19
Discovery of 6-[5-(4-fluorophenyl)-3-methyl-pyrazol-4-yl]-benzoxazin-3-one derivatives as novel selective nonsteroidal mineralocorticoid receptor antagonists.
AID499930Selectivity ratio of IC50 estrogen receptor IC50 for mineralocorticoid receptor2010Journal of medicinal chemistry, Aug-26, Volume: 53, Issue:16
Discovery of (3S,3aR)-2-(3-chloro-4-cyanophenyl)-3-cyclopentyl-3,3a,4,5-tetrahydro-2H-benzo[g]indazole-7-carboxylic acid (PF-3882845), an orally efficacious mineralocorticoid receptor (MR) antagonist for hypertension and nephropathy.
AID702476Cardioprotective activity against angiotensin 2-induced cardiac hypertrophy in B6.129P2-ApoE/J mouse assessed as left ventricular end diastolic pressure at 100 mg/kg/day, po administered BID after 4 weeks (Rvb = 15.49 1.95 mmHg)2012Journal of medicinal chemistry, Sep-13, Volume: 55, Issue:17
Novel β-amino acid derivatives as inhibitors of cathepsin A.
AID191664Antiandrogenic activity in rats as weight of prostate after oral administration at 1 mg/day dose1987Journal of medicinal chemistry, Aug, Volume: 30, Issue:8
Aldosterone antagonists. 2. New 7 alpha-(acetylthio)-15,16-methylene spirolactones.
AID191655Antiandrogenic activity in rats as weight of prostate after subcutaneous administration at 4 mg/day dose1987Journal of medicinal chemistry, Aug, Volume: 30, Issue:8
Aldosterone antagonists. 2. New 7 alpha-(acetylthio)-15,16-methylene spirolactones.
AID702486Ratio of left ventricular wet weight to body weight in B6.129P2-ApoE/J mouse at 100 mg/kg/day, po administered BID after 4 weeks (Rvb = 5.99 0.28 mg/g)2012Journal of medicinal chemistry, Sep-13, Volume: 55, Issue:17
Novel β-amino acid derivatives as inhibitors of cathepsin A.
AID1079937Severe hepatitis, defined as possibly life-threatening liver failure or through clinical observations. Value is number of references indexed. [column 'MASS' in source]
AID191657Antiandrogenic activity in rats as weight of seminal vesicle after subcutaneous administration at 16 mg/day dose1987Journal of medicinal chemistry, Aug, Volume: 30, Issue:8
Aldosterone antagonists. 2. New 7 alpha-(acetylthio)-15,16-methylene spirolactones.
AID168386Aldosterone (5 ug/kg) antagonist activity for urinary Na/k at 25000 ug/kg1985Journal of medicinal chemistry, Apr, Volume: 28, Issue:4
Aldosterone antagonists. 1. Synthesis and biological activities of 11 beta,18-epoxypregnane derivatives.
AID191662Antiandrogenic activity in rats as weight of prostate after oral administration at 100 mg/day dose1987Journal of medicinal chemistry, Aug, Volume: 30, Issue:8
Aldosterone antagonists. 2. New 7 alpha-(acetylthio)-15,16-methylene spirolactones.
AID39313Relative binding affinity against androgen receptor of rat prostate at 15 degree Centigrade1985Journal of medicinal chemistry, Apr, Volume: 28, Issue:4
Aldosterone antagonists. 1. Synthesis and biological activities of 11 beta,18-epoxypregnane derivatives.
AID1880424Displacement of [3H]-progesteron from human recombinant progesterone receptor incubated overnight by liquid scintillation counting analysis2022Journal of medicinal chemistry, 06-23, Volume: 65, Issue:12
Discovery of Apararenone (MT-3995) as a Highly Selective, Potent, and Novel Nonsteroidal Mineralocorticoid Receptor Antagonist.
AID702490Toxicity in B6.129P2-ApoE/J mouse assessed as body weight at 100 mg/kg/day, po administered BID after 4 weeks (Rvb = 30.48 0.52 g)2012Journal of medicinal chemistry, Sep-13, Volume: 55, Issue:17
Novel β-amino acid derivatives as inhibitors of cathepsin A.
AID191669Antiandrogenic activity in rats as weight of seminal vesicle after oral administration at 1 mg/day dose1987Journal of medicinal chemistry, Aug, Volume: 30, Issue:8
Aldosterone antagonists. 2. New 7 alpha-(acetylthio)-15,16-methylene spirolactones.
AID191652Antiandrogenic activity as weight of prostate after subcutaneous administration at 16 mg/day dose1987Journal of medicinal chemistry, Aug, Volume: 30, Issue:8
Aldosterone antagonists. 2. New 7 alpha-(acetylthio)-15,16-methylene spirolactones.
AID197278Relative anti-androgenic activity as suppressive effect on weight increase of seminal vesicle in castrated immature rats given testosterone propionate1987Journal of medicinal chemistry, Sep, Volume: 30, Issue:9
Aldosterone antagonists. 2. Synthesis and biological activities of 11,12-dehydropregnane derivatives.
AID126421Relative binding affinity to the rat mineralocorticoid receptor determined in rat renal cytosol using [3]Ald as ligand1987Journal of medicinal chemistry, Sep, Volume: 30, Issue:9
Aldosterone antagonists. 2. Synthesis and biological activities of 11,12-dehydropregnane derivatives.
AID126424Relative binding affinity against mineralocorticoid receptor of rat kidney at 0 degree centigrade; value ranges from 2.3-8%1985Journal of medicinal chemistry, Apr, Volume: 28, Issue:4
Aldosterone antagonists. 1. Synthesis and biological activities of 11 beta,18-epoxypregnane derivatives.
AID1079934Highest frequency of acute liver toxicity observed during clinical trials, expressed as a percentage. [column '% AIGUE' in source]
AID625291Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for liver function tests abnormal2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID1880422Displacement of [3H]-estradiol from recombinant full-length human estrogen alpha receptor expressed in insect cells incubated overnight by liquid scintillation counting analysis2022Journal of medicinal chemistry, 06-23, Volume: 65, Issue:12
Discovery of Apararenone (MT-3995) as a Highly Selective, Potent, and Novel Nonsteroidal Mineralocorticoid Receptor Antagonist.
AID761381Antagonist activity at androgen receptor (unknown origin) by NH Pro assay2013Bioorganic & medicinal chemistry letters, Aug-01, Volume: 23, Issue:15
Discovery of novel oxazolidinedione derivatives as potent and selective mineralocorticoid receptor antagonists.
AID635463Displacement of [3H]dexomethasone from GR2011Journal of medicinal chemistry, Dec-22, Volume: 54, Issue:24
Identification of benzoxazin-3-one derivatives as novel, potent, and selective nonsteroidal mineralocorticoid receptor antagonists.
AID469719Antagonist activity at mineralocorticoid receptor ligand binding domain expressed in african green monkey COS7 cells co-transfected with Gal4-LBD by luciferase reporter gene assay2009Journal of natural products, Nov, Volume: 72, Issue:11
The lecanindoles, nonsteroidal progestins from the terrestrial fungus Verticillium lecanii 6144.
AID524791Antiplasmodial activity against Plasmodium falciparum 7G8 after 72 hrs by SYBR green assay2009Nature chemical biology, Oct, Volume: 5, Issue:10
Genetic mapping of targets mediating differential chemical phenotypes in Plasmodium falciparum.
AID588215FDA HLAED, alkaline phosphatase increase2004Current drug discovery technologies, Dec, Volume: 1, Issue:4
Assessment of the health effects of chemicals in humans: II. Construction of an adverse effects database for QSAR modeling.
AID29360Ionization constant (pKa)2000Journal of medicinal chemistry, Jun-29, Volume: 43, Issue:13
QSAR model for drug human oral bioavailability.
AID1864496Inhibition of OCT1 (unknown origin) overexpressed in HEK293 cells assessed as intracellular accumulation of ASP+ measured at 20 uM for 5 mins by Analyst AD plate reader method relative to control2022Journal of medicinal chemistry, 09-22, Volume: 65, Issue:18
Substrates and Inhibitors of the Organic Cation Transporter 3 and Comparison with OCT1 and OCT2.
AID625280Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for cholecystitis2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID524794Antiplasmodial activity against Plasmodium falciparum GB4 after 72 hrs by SYBR green assay2009Nature chemical biology, Oct, Volume: 5, Issue:10
Genetic mapping of targets mediating differential chemical phenotypes in Plasmodium falciparum.
AID167326Progestational activity on oral administration (30 mg) in rabbit1990Journal of medicinal chemistry, Feb, Volume: 33, Issue:2
Aldosterone antagonists. 3. Synthesis and activities of steroidal 7 alpha-(alkoxycarbonyl)-15,16-methylene spirolactones.
AID761382Agonist activity at glucocorticoid receptor (unknown origin) by NH Pro assay2013Bioorganic & medicinal chemistry letters, Aug-01, Volume: 23, Issue:15
Discovery of novel oxazolidinedione derivatives as potent and selective mineralocorticoid receptor antagonists.
AID588214FDA HLAED, liver enzyme composite activity2004Current drug discovery technologies, Dec, Volume: 1, Issue:4
Assessment of the health effects of chemicals in humans: II. Construction of an adverse effects database for QSAR modeling.
AID1880438Antagonist activity at human wild-type mineralocorticoid receptor expressed in CHO-K1 cells assessed as inhibition of aldosterone-induced transcriptional activity incubated for 24 hrs in presence of 1 nM aldosterone by Steady-Glo reagent based reporter ge2022Journal of medicinal chemistry, 06-23, Volume: 65, Issue:12
Discovery of Apararenone (MT-3995) as a Highly Selective, Potent, and Novel Nonsteroidal Mineralocorticoid Receptor Antagonist.
AID126429Relative binding affinity against mineralocorticoid receptor of rat kidney at 25 degree centigrade; value ranges from 11-24%1985Journal of medicinal chemistry, Apr, Volume: 28, Issue:4
Aldosterone antagonists. 1. Synthesis and biological activities of 11 beta,18-epoxypregnane derivatives.
AID721753Inhibition of human MATE1-mediated ASP+ uptake expressed in HEK293 cells at 20 uM after 1.5 mins by fluorescence assay2013Journal of medicinal chemistry, Feb-14, Volume: 56, Issue:3
Discovery of potent, selective multidrug and toxin extrusion transporter 1 (MATE1, SLC47A1) inhibitors through prescription drug profiling and computational modeling.
AID625287Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for hepatomegaly2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID468984Inhibition of human 17beta-HSD7 expressed in HEK293 cells assessed as inhibition of reduction of [14C]estrone into [14C]estradiol at 0.3 uM after 7 hrs2009Journal of medicinal chemistry, Dec-10, Volume: 52, Issue:23
Potent and selective steroidal inhibitors of 17beta-hydroxysteroid dehydrogenase type 7, an enzyme that catalyzes the reduction of the key hormones estrone and dihydrotestosterone.
AID588216FDA HLAED, serum glutamic oxaloacetic transaminase (SGOT) increase2004Current drug discovery technologies, Dec, Volume: 1, Issue:4
Assessment of the health effects of chemicals in humans: II. Construction of an adverse effects database for QSAR modeling.
AID635479Antihypertensive activity in DOCA-salt hypertensive Wistar rat assessed as reduction in systolic blood pressure at 100 mg/kg, po QD for 13 days measured 24 hrs post last dose by tail-cuff method2011Journal of medicinal chemistry, Dec-22, Volume: 54, Issue:24
Identification of benzoxazin-3-one derivatives as novel, potent, and selective nonsteroidal mineralocorticoid receptor antagonists.
AID721754Inhibition of human MATE1-mediated ASP+ uptake expressed in HEK293 cells after 1.5 mins by fluorescence assay2013Journal of medicinal chemistry, Feb-14, Volume: 56, Issue:3
Discovery of potent, selective multidrug and toxin extrusion transporter 1 (MATE1, SLC47A1) inhibitors through prescription drug profiling and computational modeling.
AID499929Selectivity ratio of IC50 progesteron receptor IC50 for mineralocorticoid receptor2010Journal of medicinal chemistry, Aug-26, Volume: 53, Issue:16
Discovery of (3S,3aR)-2-(3-chloro-4-cyanophenyl)-3-cyclopentyl-3,3a,4,5-tetrahydro-2H-benzo[g]indazole-7-carboxylic acid (PF-3882845), an orally efficacious mineralocorticoid receptor (MR) antagonist for hypertension and nephropathy.
AID346025Binding affinity to beta cyclodextrin2009Bioorganic & medicinal chemistry, Jan-15, Volume: 17, Issue:2
Convenient QSAR model for predicting the complexation of structurally diverse compounds with beta-cyclodextrins.
AID588219FDA HLAED, gamma-glutamyl transferase (GGT) increase2004Current drug discovery technologies, Dec, Volume: 1, Issue:4
Assessment of the health effects of chemicals in humans: II. Construction of an adverse effects database for QSAR modeling.
AID1880444Antagonist activity at human mineralocorticoid receptor S810L mutant expressed in CHO-K1 cells assessed as inhibition of aldosterone-induced transcriptional activity at 300 nM incubated for 24 hrs in presence of aldosterone at 0.5 nM by reporter gene assa2022Journal of medicinal chemistry, 06-23, Volume: 65, Issue:12
Discovery of Apararenone (MT-3995) as a Highly Selective, Potent, and Novel Nonsteroidal Mineralocorticoid Receptor Antagonist.
AID1079948Times to onset, minimal and maximal, observed in the indexed observations. [column 'DELAI' in source]
AID680641TP_TRANSPORTER: inhibition of BSP uptake (BSP: 1 uM, Spironolactone: 100 uM) in Oatp1-expressing HeLa cells1996The American journal of physiology, Feb, Volume: 270, Issue:2 Pt 2
Transient expression of oatp organic anion transporter in mammalian cells: identification of candidate substrates.
AID625292Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) combined score2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID404304Effect on human MRP2-mediated estradiol-17-beta-glucuronide transport in Sf9 cells inverted membrane vesicles relative to control2008Journal of medicinal chemistry, Jun-12, Volume: 51, Issue:11
Prediction and identification of drug interactions with the human ATP-binding cassette transporter multidrug-resistance associated protein 2 (MRP2; ABCC2).
AID191653Antiandrogenic activity in rats as weight of prostate after subcutaneous administration at 1 mg/day dose1987Journal of medicinal chemistry, Aug, Volume: 30, Issue:8
Aldosterone antagonists. 2. New 7 alpha-(acetylthio)-15,16-methylene spirolactones.
AID476929Human intestinal absorption in po dosed human2010European journal of medicinal chemistry, Mar, Volume: 45, Issue:3
Neural computational prediction of oral drug absorption based on CODES 2D descriptors.
AID702484Cardioprotective activity against angiotensin 2-induced cardiac hypertrophy in B6.129P2-ApoE/J mouse assessed as mean arterial pressure at 100 mg/kg/day, po administered BID after 4 weeks (Rvb = 99.03 6.82 mmHg)2012Journal of medicinal chemistry, Sep-13, Volume: 55, Issue:17
Novel β-amino acid derivatives as inhibitors of cathepsin A.
AID468985Inhibition of human 17beta-HSD7 expressed in HEK293 cells assessed as inhibition of reduction of [14C]estrone into [14C]estradiol at 3 uM after 7 hrs2009Journal of medicinal chemistry, Dec-10, Volume: 52, Issue:23
Potent and selective steroidal inhibitors of 17beta-hydroxysteroid dehydrogenase type 7, an enzyme that catalyzes the reduction of the key hormones estrone and dihydrotestosterone.
AID191665Antiandrogenic activity in rats as weight of prostate after oral administration at 30 mg/day dose1987Journal of medicinal chemistry, Aug, Volume: 30, Issue:8
Aldosterone antagonists. 2. New 7 alpha-(acetylthio)-15,16-methylene spirolactones.
AID167322Progestational activity in rabbit at 300 mg/kg oral dose1985Journal of medicinal chemistry, May, Volume: 28, Issue:5
Aldosterone antagonists. 1. Synthesis and activities of 6 beta,7 beta:15 beta,16 beta-dimethylene steroidal spirolactones.
AID1226696Agonist activity at human androgen receptor by cell-based assay2015ACS medicinal chemistry letters, Apr-09, Volume: 6, Issue:4
Discovery of benzimidazole oxazolidinediones as novel and selective nonsteroidal mineralocorticoid receptor antagonists.
AID705904Protein binding in plasma2012Journal of medicinal chemistry, Sep-27, Volume: 55, Issue:18
Mineralocorticoid receptor antagonists for the treatment of hypertension and diabetic nephropathy.
AID188320Weight of prostate as anti-androgenic activity in rat after oral dose of 24+0.1 mg/day with testosterone propionate(0.1 mg/day)1990Journal of medicinal chemistry, Feb, Volume: 33, Issue:2
Aldosterone antagonists. 3. Synthesis and activities of steroidal 7 alpha-(alkoxycarbonyl)-15,16-methylene spirolactones.
AID191801Antiandrogenic activity in rats as weight of seminal vesicle after oral administration at 3 mg/day dose1987Journal of medicinal chemistry, Aug, Volume: 30, Issue:8
Aldosterone antagonists. 2. New 7 alpha-(acetylthio)-15,16-methylene spirolactones.
AID1162568Antagonist activity at human mineralocorticoid receptor expressed in COS1 cells after 1 day by luciferase reporter gene assay2014Bioorganic & medicinal chemistry, Oct-01, Volume: 22, Issue:19
Discovery of 6-[5-(4-fluorophenyl)-3-methyl-pyrazol-4-yl]-benzoxazin-3-one derivatives as novel selective nonsteroidal mineralocorticoid receptor antagonists.
AID499927Antagonist activity at progesterone receptor2010Journal of medicinal chemistry, Aug-26, Volume: 53, Issue:16
Discovery of (3S,3aR)-2-(3-chloro-4-cyanophenyl)-3-cyclopentyl-3,3a,4,5-tetrahydro-2H-benzo[g]indazole-7-carboxylic acid (PF-3882845), an orally efficacious mineralocorticoid receptor (MR) antagonist for hypertension and nephropathy.
AID191670Antiandrogenic activity in rats as weight of seminal vesicle after oral administration at 30 mg/day1987Journal of medicinal chemistry, Aug, Volume: 30, Issue:8
Aldosterone antagonists. 2. New 7 alpha-(acetylthio)-15,16-methylene spirolactones.
AID162450Relative binding to progesterone receptor compared to progesterone1987Journal of medicinal chemistry, Aug, Volume: 30, Issue:8
Aldosterone antagonists. 2. New 7 alpha-(acetylthio)-15,16-methylene spirolactones.
AID977602Inhibition of sodium fluorescein uptake in OATP1B3-transfected CHO cells at an equimolar substrate-inhibitor concentration of 10 uM2013Molecular pharmacology, Jun, Volume: 83, Issue:6
Structure-based identification of OATP1B1/3 inhibitors.
AID1079935Cytolytic liver toxicity, either proven histopathologically or where the ratio of maximal ALT or AST activity above normal to that of Alkaline Phosphatase is > 5 (see ACUTE). Value is number of references indexed. [column 'CYTOL' in source]
AID681153TP_TRANSPORTER: inhibition of Daunorubicin efflux in NIH-3T3-G185 cells2001Chemical research in toxicology, Dec, Volume: 14, Issue:12
Quantitative distinctions of active site molecular recognition by P-glycoprotein and cytochrome P450 3A4.
AID761377Agonist activity at estrogen receptor beta (unknown origin) by NH Pro assay2013Bioorganic & medicinal chemistry letters, Aug-01, Volume: 23, Issue:15
Discovery of novel oxazolidinedione derivatives as potent and selective mineralocorticoid receptor antagonists.
AID635477Natriuretic activity in Wistar rat assessed as increase in urinary Na+/K+ ratio at 30 mg/kg, po administered 30 mins before aldosterone challenge measured after 5 hrs by electrolyte analyzer2011Journal of medicinal chemistry, Dec-22, Volume: 54, Issue:24
Identification of benzoxazin-3-one derivatives as novel, potent, and selective nonsteroidal mineralocorticoid receptor antagonists.
AID1864495Inhibition of OCT3 (unknown origin) overexpressed in HEK293 cells assessed as intracellular accumulation of ASP+ incubated for 2 mins by Analyst AD plate reader method relative to control2022Journal of medicinal chemistry, 09-22, Volume: 65, Issue:18
Substrates and Inhibitors of the Organic Cation Transporter 3 and Comparison with OCT1 and OCT2.
AID188321Weight of prostate as anti-androgenic activity in rat after oral dose of 48+0.1 mg/day with testosterone propionate(0.1 mg/day)1990Journal of medicinal chemistry, Feb, Volume: 33, Issue:2
Aldosterone antagonists. 3. Synthesis and activities of steroidal 7 alpha-(alkoxycarbonyl)-15,16-methylene spirolactones.
AID188445Weight of seminal vesicle as anti-androgenic activity in rat after oral dose of 48+0.1 mg/day with testosterone propionate(0.1 mg/day)1990Journal of medicinal chemistry, Feb, Volume: 33, Issue:2
Aldosterone antagonists. 3. Synthesis and activities of steroidal 7 alpha-(alkoxycarbonyl)-15,16-methylene spirolactones.
AID417688Inhibition of human 17beta-HSD5 expressed in HEK293 cells assessed as enzyme-mediated transformation of [14C]-4-androstene-3,17-dione in to [14C]-testosterone at 0.3 uM after 18 hrs2009European journal of medicinal chemistry, Feb, Volume: 44, Issue:2
Steroidal lactones as inhibitors of 17beta-hydroxysteroid dehydrogenase type 5: chemical synthesis, enzyme inhibitory activity, and assessment of estrogenic and androgenic activities.
AID588217FDA HLAED, serum glutamic pyruvic transaminase (SGPT) increase2004Current drug discovery technologies, Dec, Volume: 1, Issue:4
Assessment of the health effects of chemicals in humans: II. Construction of an adverse effects database for QSAR modeling.
AID39310Relative binding affinity against androgen receptor of rat prostate at 0 degree Centigrade1985Journal of medicinal chemistry, Apr, Volume: 28, Issue:4
Aldosterone antagonists. 1. Synthesis and biological activities of 11 beta,18-epoxypregnane derivatives.
AID499926Antagonist activity at androgen receptor2010Journal of medicinal chemistry, Aug-26, Volume: 53, Issue:16
Discovery of (3S,3aR)-2-(3-chloro-4-cyanophenyl)-3-cyclopentyl-3,3a,4,5-tetrahydro-2H-benzo[g]indazole-7-carboxylic acid (PF-3882845), an orally efficacious mineralocorticoid receptor (MR) antagonist for hypertension and nephropathy.
AID702478Cardioprotective activity against angiotensin 2-induced cardiac hypertrophy in B6.129P2-ApoE/J mouse assessed as left ventricular end systolic pressure at 100 mg/kg/day, po administered BID after 4 weeks (Rvb = 139.36 9.79 mmHg)2012Journal of medicinal chemistry, Sep-13, Volume: 55, Issue:17
Novel β-amino acid derivatives as inhibitors of cathepsin A.
AID1079931Moderate liver toxicity, defined via clinical-chemistry results: ALT or AST serum activity 6 times the normal upper limit (N) or alkaline phosphatase serum activity of 1.7 N. Value is number of references indexed. [column 'BIOL' in source]
AID191658Antiandrogenic activity in rats as weight of seminal vesicle after subcutaneous administration at 1 mg/day dose1987Journal of medicinal chemistry, Aug, Volume: 30, Issue:8
Aldosterone antagonists. 2. New 7 alpha-(acetylthio)-15,16-methylene spirolactones.
AID1623471Antagonist activity at human gal4-fused mineralocorticoid receptor LBD expressed in UAS-MR-bla HEK293 by luciferase reporter gene assay relative to control
AID1079947Comments (NB not yet translated). [column 'COMMENTAIRES' in source]
AID1162577Toxicity in DOCA-salt hypertensive Wistar rat model assessed as change in heart rate at 100 mg/kg, po qd for 18 days measured 24 hrs post 7th and 14th last dose by tail-cuff method2014Bioorganic & medicinal chemistry, Oct-01, Volume: 22, Issue:19
Discovery of 6-[5-(4-fluorophenyl)-3-methyl-pyrazol-4-yl]-benzoxazin-3-one derivatives as novel selective nonsteroidal mineralocorticoid receptor antagonists.
AID1852231Antagonist activity at mineralocorticoid receptor (unknown origin) transfected in PC-3 cells assessed as inhibition of aldosterone-stimulated transcriptional activity after 3 days by dual luciferase reporter assay2022Journal of medicinal chemistry, 10-13, Volume: 65, Issue:19
Discovery of 2-(1-(3-Chloro-4-cyanophenyl)-1
AID625286Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for hepatitis2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID1440421In vivo antagonist activity at MR in rat assessed as inhibition aldosterone-induced decrease in urinary sodium/potassium ratio at 30 mg/kg, po after 20 hrs2017Journal of medicinal chemistry, 04-13, Volume: 60, Issue:7
Modulating Mineralocorticoid Receptor with Non-steroidal Antagonists. New Opportunities for the Development of Potent and Selective Ligands without Off-Target Side Effects.
AID1162564Displacement of [3H]aldosterone from human mineralocorticoid receptor expressed in 293 cells after 16 hrs by scintillation counting2014Bioorganic & medicinal chemistry, Oct-01, Volume: 22, Issue:19
Discovery of 6-[5-(4-fluorophenyl)-3-methyl-pyrazol-4-yl]-benzoxazin-3-one derivatives as novel selective nonsteroidal mineralocorticoid receptor antagonists.
AID1711870In vivo antagonist activity at MCR in Wistar kyoto rat assessed as induction of natriuresis by measuring electrolyte output in urine at 10 to 100 mg/kg, po measured for 6 hrs2016Bioorganic & medicinal chemistry letters, 06-15, Volume: 26, Issue:12
Discovery of novel non-steroidal reverse indole mineralocorticoid receptor antagonists.
AID1079941Liver damage due to vascular disease: peliosis hepatitis, hepatic veno-occlusive disease, Budd-Chiari syndrome. Value is number of references indexed. [column 'VASC' in source]
AID29811Oral bioavailability in human2000Journal of medicinal chemistry, Jun-29, Volume: 43, Issue:13
QSAR model for drug human oral bioavailability.
AID1162565Displacement of [3H]testosterone from androgen receptor (unknown origin) expressed in 293 cells after 16 hrs by scintillation counting2014Bioorganic & medicinal chemistry, Oct-01, Volume: 22, Issue:19
Discovery of 6-[5-(4-fluorophenyl)-3-methyl-pyrazol-4-yl]-benzoxazin-3-one derivatives as novel selective nonsteroidal mineralocorticoid receptor antagonists.
AID499928Antagonist activity at estrogen receptor2010Journal of medicinal chemistry, Aug-26, Volume: 53, Issue:16
Discovery of (3S,3aR)-2-(3-chloro-4-cyanophenyl)-3-cyclopentyl-3,3a,4,5-tetrahydro-2H-benzo[g]indazole-7-carboxylic acid (PF-3882845), an orally efficacious mineralocorticoid receptor (MR) antagonist for hypertension and nephropathy.
AID499933Antagonist activity at glucocorticoid receptor2010Journal of medicinal chemistry, Aug-26, Volume: 53, Issue:16
Discovery of (3S,3aR)-2-(3-chloro-4-cyanophenyl)-3-cyclopentyl-3,3a,4,5-tetrahydro-2H-benzo[g]indazole-7-carboxylic acid (PF-3882845), an orally efficacious mineralocorticoid receptor (MR) antagonist for hypertension and nephropathy.
AID588211Literature-mined compound from Fourches et al multi-species drug-induced liver injury (DILI) dataset, effect in humans2010Chemical research in toxicology, Jan, Volume: 23, Issue:1
Cheminformatics analysis of assertions mined from literature that describe drug-induced liver injury in different species.
AID166629Ovulation inhibitory activity in rabbits after 100 mg peroral dose1987Journal of medicinal chemistry, Aug, Volume: 30, Issue:8
Aldosterone antagonists. 2. New 7 alpha-(acetylthio)-15,16-methylene spirolactones.
AID682136TP_TRANSPORTER: Western in vivo SD rat, liver2002The Journal of pharmacology and experimental therapeutics, Jan, Volume: 300, Issue:1
Induction profile of rat organic anion transporting polypeptide 2 (oatp2) by prototypical drug-metabolizing enzyme inducers that activate gene expression through ligand-activated transcription factor pathways.
AID521220Inhibition of neurosphere proliferation of mouse neural precursor cells by MTT assay2007Nature chemical biology, May, Volume: 3, Issue:5
Chemical genetics reveals a complex functional ground state of neural stem cells.
AID188326Weight of seminal vesicle as anti-androgenic activity in rat after oral dose of 24+0.1 mg/day with testosterone propionate(0.1 mg/day)1990Journal of medicinal chemistry, Feb, Volume: 33, Issue:2
Aldosterone antagonists. 3. Synthesis and activities of steroidal 7 alpha-(alkoxycarbonyl)-15,16-methylene spirolactones.
AID499924Antagonist activity at Gal4-tagged mineralocorticoid receptor expressed in human Huh7 cells by luciferase reporter gene assay2010Journal of medicinal chemistry, Aug-26, Volume: 53, Issue:16
Discovery of (3S,3aR)-2-(3-chloro-4-cyanophenyl)-3-cyclopentyl-3,3a,4,5-tetrahydro-2H-benzo[g]indazole-7-carboxylic acid (PF-3882845), an orally efficacious mineralocorticoid receptor (MR) antagonist for hypertension and nephropathy.
AID1226697Agonist activity at human estrogen receptor alpha by cell-based assay2015ACS medicinal chemistry letters, Apr-09, Volume: 6, Issue:4
Discovery of benzimidazole oxazolidinediones as novel and selective nonsteroidal mineralocorticoid receptor antagonists.
AID191667Antiandrogenic activity in rats as weight of seminal vesicle after oral administration at 100 mg/day dose1987Journal of medicinal chemistry, Aug, Volume: 30, Issue:8
Aldosterone antagonists. 2. New 7 alpha-(acetylthio)-15,16-methylene spirolactones.
AID184374Ovulation inhibitory activity in rats after 100 mg oral dose1990Journal of medicinal chemistry, Feb, Volume: 33, Issue:2
Aldosterone antagonists. 3. Synthesis and activities of steroidal 7 alpha-(alkoxycarbonyl)-15,16-methylene spirolactones.
AID761375Antagonist activity at estrogen receptor beta (unknown origin) by NH Pro assay2013Bioorganic & medicinal chemistry letters, Aug-01, Volume: 23, Issue:15
Discovery of novel oxazolidinedione derivatives as potent and selective mineralocorticoid receptor antagonists.
AID761379Agonist activity at estrogen receptor alpha (unknown origin) by NH Pro assay2013Bioorganic & medicinal chemistry letters, Aug-01, Volume: 23, Issue:15
Discovery of novel oxazolidinedione derivatives as potent and selective mineralocorticoid receptor antagonists.
AID1880423Displacement of [3H]-estradiol from recombinant full-length human estrogen beta receptor expressed in baculovirus infected insect cells incubated overnight by liquid scintillation counting analysis2022Journal of medicinal chemistry, 06-23, Volume: 65, Issue:12
Discovery of Apararenone (MT-3995) as a Highly Selective, Potent, and Novel Nonsteroidal Mineralocorticoid Receptor Antagonist.
AID702474Cardioprotective activity against angiotensin 2-induced cardiac hypertrophy in B6.129P2-ApoE/J mouse assessed as left ventricular relaxation time at 100 mg/kg/day, po administered BID after 4 weeks (Rvb = 8.73 0.41 ms)2012Journal of medicinal chemistry, Sep-13, Volume: 55, Issue:17
Novel β-amino acid derivatives as inhibitors of cathepsin A.
AID168388Aldosterone (5 ug/kg) antagonist activity for urinary Na/k at 2500 ug/kg1985Journal of medicinal chemistry, Apr, Volume: 28, Issue:4
Aldosterone antagonists. 1. Synthesis and biological activities of 11 beta,18-epoxypregnane derivatives.
AID1079933Acute liver toxicity defined via clinical observations and clear clinical-chemistry results: serum ALT or AST activity > 6 N or serum alkaline phosphatases activity > 1.7 N. This category includes cytolytic, choleostatic and mixed liver toxicity. Value is
AID74244Displacement of [3H]dexamethasone from Glucocorticoid receptor of rabbit kidney1993Journal of medicinal chemistry, Aug-06, Volume: 36, Issue:16
Synthesis of new 11 beta-substituted spirolactone derivatives. Relationship with affinity for mineralocorticoid and glucocorticoid receptors.
AID167325Progestational activity on oral administration (300 mg) in rabbit1990Journal of medicinal chemistry, Feb, Volume: 33, Issue:2
Aldosterone antagonists. 3. Synthesis and activities of steroidal 7 alpha-(alkoxycarbonyl)-15,16-methylene spirolactones.
AID588218FDA HLAED, lactate dehydrogenase (LDH) increase2004Current drug discovery technologies, Dec, Volume: 1, Issue:4
Assessment of the health effects of chemicals in humans: II. Construction of an adverse effects database for QSAR modeling.
AID172791Anogenital distance in Fetal Feminization test in rats after 50 mg/animal oral dose1990Journal of medicinal chemistry, Feb, Volume: 33, Issue:2
Aldosterone antagonists. 3. Synthesis and activities of steroidal 7 alpha-(alkoxycarbonyl)-15,16-methylene spirolactones.
AID22293Delta logD (logD6.5 - logD7.4)2000Journal of medicinal chemistry, Jun-29, Volume: 43, Issue:13
QSAR model for drug human oral bioavailability.
AID1162578Toxicity in DOCA-salt hypertensive Wistar rat model assessed as change in seminal vesicle weight at 100 mg/kg, po qd for 18 days measured 24 hrs post 7th and 14th last dose by tail-cuff method2014Bioorganic & medicinal chemistry, Oct-01, Volume: 22, Issue:19
Discovery of 6-[5-(4-fluorophenyl)-3-methyl-pyrazol-4-yl]-benzoxazin-3-one derivatives as novel selective nonsteroidal mineralocorticoid receptor antagonists.
AID189720Antialdosterone activity in rats administered intravenously compared to Spironolactone(100)1987Journal of medicinal chemistry, Aug, Volume: 30, Issue:8
Aldosterone antagonists. 2. New 7 alpha-(acetylthio)-15,16-methylene spirolactones.
AID162437Binding affinity for rat progesterone receptor compared to progesterone1985Journal of medicinal chemistry, May, Volume: 28, Issue:5
Aldosterone antagonists. 1. Synthesis and activities of 6 beta,7 beta:15 beta,16 beta-dimethylene steroidal spirolactones.
AID126299Relative binding affinity against mineralocorticoid receptor determined in rat renal cytosol using [3]Ald as ligand1987Journal of medicinal chemistry, Sep, Volume: 30, Issue:9
Aldosterone antagonists. 2. Synthesis and biological activities of 11,12-dehydropregnane derivatives.
AID588210Human drug-induced liver injury (DILI) modelling dataset from Ekins et al2010Drug metabolism and disposition: the biological fate of chemicals, Dec, Volume: 38, Issue:12
A predictive ligand-based Bayesian model for human drug-induced liver injury.
AID304369Binding affinity to human progesterone receptor2007Journal of medicinal chemistry, Dec-27, Volume: 50, Issue:26
(S)-N-{3-[1-cyclopropyl-1-(2,4-difluoro-phenyl)-ethyl]-1H-indol-7-yl}-methanesulfonamide: a potent, nonsteroidal, functional antagonist of the mineralocorticoid receptor.
AID167311Progestational activity by Clauberg test in rabbits as McPhail index after 300 mg peroral dose1987Journal of medicinal chemistry, Aug, Volume: 30, Issue:8
Aldosterone antagonists. 2. New 7 alpha-(acetylthio)-15,16-methylene spirolactones.
AID1079942Steatosis, proven histopathologically. Value is number of references indexed. [column 'STEAT' in source]
AID1079932Highest frequency of moderate liver toxicity observed during clinical trials, expressed as a percentage. [column '% BIOL' in source]
AID126294Antagonist activity against Mineralocorticoid receptor was determined after subcutaneous administration in Male Sprague Dawley rats1987Journal of medicinal chemistry, Sep, Volume: 30, Issue:9
Aldosterone antagonists. 2. Synthesis and biological activities of 11,12-dehydropregnane derivatives.
AID386623Inhibition of 4-(4-(dimethylamino)styryl)-N-methylpyridinium uptake at human OCT1 expressed in HEK293 cells at 100 uM by confocal microscopy2008Journal of medicinal chemistry, Oct-09, Volume: 51, Issue:19
Structural requirements for drug inhibition of the liver specific human organic cation transport protein 1.
AID26304Partition coefficient (logD6.5)2000Journal of medicinal chemistry, Jun-29, Volume: 43, Issue:13
QSAR model for drug human oral bioavailability.
AID191666Antiandrogenic activity in rats as weight of prostate after oral administration at 3 mg/day dose1987Journal of medicinal chemistry, Aug, Volume: 30, Issue:8
Aldosterone antagonists. 2. New 7 alpha-(acetylthio)-15,16-methylene spirolactones.
AID761384Antagonist activity at human mineralocorticoid receptor assessed as inhibition of binding to coactivator peptide by NH Pro assay2013Bioorganic & medicinal chemistry letters, Aug-01, Volume: 23, Issue:15
Discovery of novel oxazolidinedione derivatives as potent and selective mineralocorticoid receptor antagonists.
AID197654Relative anti-mineralocorticoid potency compared to Spironolactone after oral administration1987Journal of medicinal chemistry, Sep, Volume: 30, Issue:9
Aldosterone antagonists. 2. Synthesis and biological activities of 11,12-dehydropregnane derivatives.
AID588213Literature-mined compound from Fourches et al multi-species drug-induced liver injury (DILI) dataset, effect in non-rodents2010Chemical research in toxicology, Jan, Volume: 23, Issue:1
Cheminformatics analysis of assertions mined from literature that describe drug-induced liver injury in different species.
AID1880426Displacement of [3H]-aldosterone from recombinant human mineralocorticoid receptor expressed in baculovirus infected insect cells incubated overnight by liquid scintillation counting analysis2022Journal of medicinal chemistry, 06-23, Volume: 65, Issue:12
Discovery of Apararenone (MT-3995) as a Highly Selective, Potent, and Novel Nonsteroidal Mineralocorticoid Receptor Antagonist.
AID1079946Presence of at least one case with successful reintroduction. [column 'REINT' in source]
AID524795Antiplasmodial activity against Plasmodium falciparum HB3 after 72 hrs by SYBR green assay2009Nature chemical biology, Oct, Volume: 5, Issue:10
Genetic mapping of targets mediating differential chemical phenotypes in Plasmodium falciparum.
AID1162576Antihypertensive effect in DOCA-salt hypertensive Wistar rat model assessed as reduction in systolic blood pressure at 100 mg/kg, po qd for 18 days measured 24 hrs post 7th and 14th last dose by tail-cuff method2014Bioorganic & medicinal chemistry, Oct-01, Volume: 22, Issue:19
Discovery of 6-[5-(4-fluorophenyl)-3-methyl-pyrazol-4-yl]-benzoxazin-3-one derivatives as novel selective nonsteroidal mineralocorticoid receptor antagonists.
AID635467Selectivity ratio of IC50 for AR to IC50 for human MR2011Journal of medicinal chemistry, Dec-22, Volume: 54, Issue:24
Identification of benzoxazin-3-one derivatives as novel, potent, and selective nonsteroidal mineralocorticoid receptor antagonists.
AID167310Progestational activity by Clauberg test in rabbits as McPhail index after 100 mg peroral dose1987Journal of medicinal chemistry, Aug, Volume: 30, Issue:8
Aldosterone antagonists. 2. New 7 alpha-(acetylthio)-15,16-methylene spirolactones.
AID1079938Chronic liver disease either proven histopathologically, or through a chonic elevation of serum amino-transferase activity after 6 months. Value is number of references indexed. [column 'CHRON' in source]
AID168384Aldosterone (5 ug/kg) antagonist activity for urinary Na/k at 250 ug/kg1985Journal of medicinal chemistry, Apr, Volume: 28, Issue:4
Aldosterone antagonists. 1. Synthesis and biological activities of 11 beta,18-epoxypregnane derivatives.
AID1623470Antagonist activity at gal4-fused human mineralocorticoid receptor LBD expressed in UAS-MR-bla HEK293 cells by luciferase reporter gene assay
AID702488Cardioprotective activity against angiotensin 2-induced cardiac hypertrophy in B6.129P2-ApoE/J mouse assessed as left ventricular wet weight at 100 mg/kg/day, po administered BID after 4 weeks (Rvb = 182.03 8.45 g)2012Journal of medicinal chemistry, Sep-13, Volume: 55, Issue:17
Novel β-amino acid derivatives as inhibitors of cathepsin A.
AID126293Antagonist activity against Mineralocorticoid receptor after subcutaneous administration in Male Sprague Dawley rats; (+) =positive1987Journal of medicinal chemistry, Sep, Volume: 30, Issue:9
Aldosterone antagonists. 2. Synthesis and biological activities of 11,12-dehydropregnane derivatives.
AID1226683Antagonist activity at human estrogen receptor beta assessed as inhibition of agonist-induced protein interaction with steroid receptor co-activator peptide by cell-based reporter gene assay2015ACS medicinal chemistry letters, Apr-09, Volume: 6, Issue:4
Discovery of benzimidazole oxazolidinediones as novel and selective nonsteroidal mineralocorticoid receptor antagonists.
AID699539Inhibition of human liver OATP1B1 expressed in HEK293 Flp-In cells assessed as reduction in E17-betaG uptake at 20 uM by scintillation counting2012Journal of medicinal chemistry, May-24, Volume: 55, Issue:10
Classification of inhibitors of hepatic organic anion transporting polypeptides (OATPs): influence of protein expression on drug-drug interactions.
AID166631Ovulation inhibitory activity in rabbits after 40 mg peroral dose1987Journal of medicinal chemistry, Aug, Volume: 30, Issue:8
Aldosterone antagonists. 2. New 7 alpha-(acetylthio)-15,16-methylene spirolactones.
AID185360Relative potency as antialdosterone activity compared to spironolactone 1 hr after oral administration1985Journal of medicinal chemistry, May, Volume: 28, Issue:5
Aldosterone antagonists. 1. Synthesis and activities of 6 beta,7 beta:15 beta,16 beta-dimethylene steroidal spirolactones.
AID191660Antiandrogenic activity in rats as weight of seminal vesicle after subcutaneous administration at 4 mg/day1987Journal of medicinal chemistry, Aug, Volume: 30, Issue:8
Aldosterone antagonists. 2. New 7 alpha-(acetylthio)-15,16-methylene spirolactones.
AID304363Antagonist activity at human mineralocorticoid receptor expressed in COS7 cells after 24 hrs by luciferase reporter gene assay2007Journal of medicinal chemistry, Dec-27, Volume: 50, Issue:26
(S)-N-{3-[1-cyclopropyl-1-(2,4-difluoro-phenyl)-ethyl]-1H-indol-7-yl}-methanesulfonamide: a potent, nonsteroidal, functional antagonist of the mineralocorticoid receptor.
AID625288Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for jaundice2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID1140662Ratio of drug level from kidney to heart in rat2014Journal of medicinal chemistry, May-22, Volume: 57, Issue:10
Identification of (R)-6-(1-(4-cyano-3-methylphenyl)-5-cyclopentyl-4,5-dihydro-1H-pyrazol-3-yl)-2-methoxynicotinic acid, a highly potent and selective nonsteroidal mineralocorticoid receptor antagonist.
AID304368Binding affinity to human androgen receptor2007Journal of medicinal chemistry, Dec-27, Volume: 50, Issue:26
(S)-N-{3-[1-cyclopropyl-1-(2,4-difluoro-phenyl)-ethyl]-1H-indol-7-yl}-methanesulfonamide: a potent, nonsteroidal, functional antagonist of the mineralocorticoid receptor.
AID1226711Natriuretic activity in WKY rat at 30 to 100 mg/kg, po measured over 6 hrs2015ACS medicinal chemistry letters, Apr-09, Volume: 6, Issue:4
Discovery of benzimidazole oxazolidinediones as novel and selective nonsteroidal mineralocorticoid receptor antagonists.
AID126285Displacement of [3H]aldosterone from mineralocorticoid receptor of rabbit kidney1993Journal of medicinal chemistry, Aug-06, Volume: 36, Issue:16
Synthesis of new 11 beta-substituted spirolactone derivatives. Relationship with affinity for mineralocorticoid and glucocorticoid receptors.
AID39315Relative binding affinity against the androgen receptor in rat renal cytosol using [3H]DHT as ligand1987Journal of medicinal chemistry, Sep, Volume: 30, Issue:9
Aldosterone antagonists. 2. Synthesis and biological activities of 11,12-dehydropregnane derivatives.
AID126437Ratio of [3H]aldosterone binding with 8*10e-8 M aldosterone to [3H]aldosterone binding with 8*10e-8 M competitor at Mineralocorticoid receptor1981Journal of medicinal chemistry, Sep, Volume: 24, Issue:9
A structure-activity relationship study of spirolactones. Contribution of the cyclopropane ring to antimineralocorticoid activity.
AID197652Relative anti-mineralocorticoid potency compared to Spironolactone after oral administration1987Journal of medicinal chemistry, Sep, Volume: 30, Issue:9
Aldosterone antagonists. 2. Synthesis and biological activities of 11,12-dehydropregnane derivatives.
AID699541Inhibition of human liver OATP2B1 expressed in HEK293 Flp-In cells assessed as reduction in [3H]E3S uptake at 20 uM incubated for 5 mins by scintillation counting2012Journal of medicinal chemistry, May-24, Volume: 55, Issue:10
Classification of inhibitors of hepatic organic anion transporting polypeptides (OATPs): influence of protein expression on drug-drug interactions.
AID625290Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for liver fatty2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID188324Weight of seminal vesicle as anti-androgenic activity in rat after oral dose of 12+0.1 mg/day with testosterone propionate(0.1 mg/day)1990Journal of medicinal chemistry, Feb, Volume: 33, Issue:2
Aldosterone antagonists. 3. Synthesis and activities of steroidal 7 alpha-(alkoxycarbonyl)-15,16-methylene spirolactones.
AID255211Inhibitory concentration against recombinant rat androgen receptor expressed in Escherichia coli using [3H]methyltrienolone (R 1881)2005Journal of medicinal chemistry, Sep-08, Volume: 48, Issue:18
Impact of induced fit on ligand binding to the androgen receptor: a multidimensional QSAR study to predict endocrine-disrupting effects of environmental chemicals.
AID702482Cardioprotective activity against angiotensin 2-induced cardiac hypertrophy in B6.129P2-ApoE/J mouse assessed as heart rate at 100 mg/kg/day, po administered BID after 4 weeks (Rvb = 403.23 7.98 bpm)2012Journal of medicinal chemistry, Sep-13, Volume: 55, Issue:17
Novel β-amino acid derivatives as inhibitors of cathepsin A.
AID1079939Cirrhosis, proven histopathologically. Value is number of references indexed. [column 'CIRRH' in source]
AID524796Antiplasmodial activity against Plasmodium falciparum W2 after 72 hrs by SYBR green assay2009Nature chemical biology, Oct, Volume: 5, Issue:10
Genetic mapping of targets mediating differential chemical phenotypes in Plasmodium falciparum.
AID167313Progestational activity by Clauberg test in rabbits as McPhail index after 100 mg subcutaneous dose1987Journal of medicinal chemistry, Aug, Volume: 30, Issue:8
Aldosterone antagonists. 2. New 7 alpha-(acetylthio)-15,16-methylene spirolactones.
AID167314Progestational activity by Clauberg test in rabbits as McPhail index after 10 mg subcutaneous dose1987Journal of medicinal chemistry, Aug, Volume: 30, Issue:8
Aldosterone antagonists. 2. New 7 alpha-(acetylthio)-15,16-methylene spirolactones.
AID761383Antagonist activity at glucocorticoid receptor (unknown origin) by NH Pro assay2013Bioorganic & medicinal chemistry letters, Aug-01, Volume: 23, Issue:15
Discovery of novel oxazolidinedione derivatives as potent and selective mineralocorticoid receptor antagonists.
AID1079943Malignant tumor, proven histopathologically. Value is number of references indexed. [column 'T.MAL' in source]
AID162615Displacement of [3H]promegestone from progestin receptor of rat uterine cytosol at 0 degree Centigrade1987Journal of medicinal chemistry, Sep, Volume: 30, Issue:9
Aldosterone antagonists. 2. Synthesis and biological activities of 11,12-dehydropregnane derivatives.
AID1880440Antagonist activity at human wild-type mineralocorticoid receptor expressed in CHO-K1 cells assessed as inhibition of aldosterone-induced transcriptional activity incubated for 24 hrs in presence of 1 nM aldosterone by Steady-Glo reagent based reporter ge2022Journal of medicinal chemistry, 06-23, Volume: 65, Issue:12
Discovery of Apararenone (MT-3995) as a Highly Selective, Potent, and Novel Nonsteroidal Mineralocorticoid Receptor Antagonist.
AID1880431Displacement of [3H]-dexamethasone from recombinant full length human glucocorticoid receptor expressed in baculovirus infected insect cells incubated overnight by liquid scintillation counting analysis2022Journal of medicinal chemistry, 06-23, Volume: 65, Issue:12
Discovery of Apararenone (MT-3995) as a Highly Selective, Potent, and Novel Nonsteroidal Mineralocorticoid Receptor Antagonist.
AID126289Antagonist activity against Mineralocorticoid receptor after oral administration in Male Sprague Dawley rats; (+) =positive1987Journal of medicinal chemistry, Sep, Volume: 30, Issue:9
Aldosterone antagonists. 2. Synthesis and biological activities of 11,12-dehydropregnane derivatives.
AID1226698Agonist activity at human estrogen receptor beta by cell-based assay2015ACS medicinal chemistry letters, Apr-09, Volume: 6, Issue:4
Discovery of benzimidazole oxazolidinediones as novel and selective nonsteroidal mineralocorticoid receptor antagonists.
AID188446Weight of seminal vesicle as anti-androgenic activity in rat after oral dose of 96+0.1 mg/day with testosterone propionate(0.1 mg/day)1990Journal of medicinal chemistry, Feb, Volume: 33, Issue:2
Aldosterone antagonists. 3. Synthesis and activities of steroidal 7 alpha-(alkoxycarbonyl)-15,16-methylene spirolactones.
AID625277FDA Liver Toxicity Knowledge Base Benchmark Dataset (LTKB-BD) drugs of less concern for DILI2011Drug discovery today, Aug, Volume: 16, Issue:15-16
FDA-approved drug labeling for the study of drug-induced liver injury.
AID625284Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for hepatic failure2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID167312Progestational activity by Clauberg test in rabbits as McPhail index after 30 mg peroral dose1987Journal of medicinal chemistry, Aug, Volume: 30, Issue:8
Aldosterone antagonists. 2. New 7 alpha-(acetylthio)-15,16-methylene spirolactones.
AID761380Agonist activity at androgen receptor (unknown origin) by NH Pro assay2013Bioorganic & medicinal chemistry letters, Aug-01, Volume: 23, Issue:15
Discovery of novel oxazolidinedione derivatives as potent and selective mineralocorticoid receptor antagonists.
AID1474166Liver toxicity in human assessed as induction of drug-induced liver injury by measuring severity class index2016Drug discovery today, Apr, Volume: 21, Issue:4
DILIrank: the largest reference drug list ranked by the risk for developing drug-induced liver injury in humans.
AID1226695Agonist activity at human glucocorticoid receptor by cell-based assay2015ACS medicinal chemistry letters, Apr-09, Volume: 6, Issue:4
Discovery of benzimidazole oxazolidinediones as novel and selective nonsteroidal mineralocorticoid receptor antagonists.
AID588209Literature-mined public compounds from Greene et al multi-species hepatotoxicity modelling dataset2010Chemical research in toxicology, Jul-19, Volume: 23, Issue:7
Developing structure-activity relationships for the prediction of hepatotoxicity.
AID977599Inhibition of sodium fluorescein uptake in OATP1B1-transfected CHO cells at an equimolar substrate-inhibitor concentration of 10 uM2013Molecular pharmacology, Jun, Volume: 83, Issue:6
Structure-based identification of OATP1B1/3 inhibitors.
AID191654Antiandrogenic activity in rats as weight of prostate after subcutaneous administration at 2 mg/day dose1987Journal of medicinal chemistry, Aug, Volume: 30, Issue:8
Aldosterone antagonists. 2. New 7 alpha-(acetylthio)-15,16-methylene spirolactones.
AID635468Selectivity ratio of IC50 for PR to IC50 for human MR2011Journal of medicinal chemistry, Dec-22, Volume: 54, Issue:24
Identification of benzoxazin-3-one derivatives as novel, potent, and selective nonsteroidal mineralocorticoid receptor antagonists.
AID1864497Inhibition of OCT2 mediated (unknown origin) assessed as intracellular accumulation of ASP+ relative to control2022Journal of medicinal chemistry, 09-22, Volume: 65, Issue:18
Substrates and Inhibitors of the Organic Cation Transporter 3 and Comparison with OCT1 and OCT2.
AID681136TP_TRANSPORTER: inhibition of Taurocholate uptake in OAT-K2-expressing MDCK cells1999Molecular pharmacology, Apr, Volume: 55, Issue:4
Cloning and functional characterization of a new multispecific organic anion transporter, OAT-K2, in rat kidney.
AID126297Displacement of [3H]aldosterone from mineralocorticoid receptor1981Journal of medicinal chemistry, Sep, Volume: 24, Issue:9
A structure-activity relationship study of spirolactones. Contribution of the cyclopropane ring to antimineralocorticoid activity.
AID1880429Displacement of [3H]-methyltrienolene from human androgen receptor incubated overnight by liquid scintillation counting analysis2022Journal of medicinal chemistry, 06-23, Volume: 65, Issue:12
Discovery of Apararenone (MT-3995) as a Highly Selective, Potent, and Novel Nonsteroidal Mineralocorticoid Receptor Antagonist.
AID1711869Antagonist activity at human full-length MCR assessed as inhibition of receptor binding to co-activator peptide by PathHunter assay2016Bioorganic & medicinal chemistry letters, 06-15, Volume: 26, Issue:12
Discovery of novel non-steroidal reverse indole mineralocorticoid receptor antagonists.
AID191668Antiandrogenic activity in rats as weight of seminal vesicle after oral administration at 10 mg/day dose1987Journal of medicinal chemistry, Aug, Volume: 30, Issue:8
Aldosterone antagonists. 2. New 7 alpha-(acetylthio)-15,16-methylene spirolactones.
AID1079936Choleostatic liver toxicity, either proven histopathologically or where the ratio of maximal ALT or AST activity above normal to that of Alkaline Phosphatase is < 2 (see ACUTE). Value is number of references indexed. [column 'CHOLE' in source]
AID191656Antiandrogenic activity in rats as organ weight of prostate after subcutaneous administration at 8 mg/day dose1987Journal of medicinal chemistry, Aug, Volume: 30, Issue:8
Aldosterone antagonists. 2. New 7 alpha-(acetylthio)-15,16-methylene spirolactones.
AID1162569Agonist activity at human mineralocorticoid receptor expressed in COS1 cells at 10 uM after 1 day by luciferase reporter gene assay2014Bioorganic & medicinal chemistry, Oct-01, Volume: 22, Issue:19
Discovery of 6-[5-(4-fluorophenyl)-3-methyl-pyrazol-4-yl]-benzoxazin-3-one derivatives as novel selective nonsteroidal mineralocorticoid receptor antagonists.
AID761376Agonist activity at progesterone receptor beta (unknown origin) by NH Pro assay2013Bioorganic & medicinal chemistry letters, Aug-01, Volume: 23, Issue:15
Discovery of novel oxazolidinedione derivatives as potent and selective mineralocorticoid receptor antagonists.
AID234877Antiandrogenic activity after peroral administration as relative potency compared to Spironolactone1987Journal of medicinal chemistry, Aug, Volume: 30, Issue:8
Aldosterone antagonists. 2. New 7 alpha-(acetylthio)-15,16-methylene spirolactones.
AID1079949Proposed mechanism(s) of liver damage. [column 'MEC' in source]
AID167315Progestational activity by Clauberg test in rabbits as McPhail index after 30 mg subcutaneous dose1987Journal of medicinal chemistry, Aug, Volume: 30, Issue:8
Aldosterone antagonists. 2. New 7 alpha-(acetylthio)-15,16-methylene spirolactones.
AID524790Antiplasmodial activity against Plasmodium falciparum 3D7 after 72 hrs by SYBR green assay2009Nature chemical biology, Oct, Volume: 5, Issue:10
Genetic mapping of targets mediating differential chemical phenotypes in Plasmodium falciparum.
AID761378Antagonist activity at estrogen receptor alpha (unknown origin) by NH Pro assay2013Bioorganic & medicinal chemistry letters, Aug-01, Volume: 23, Issue:15
Discovery of novel oxazolidinedione derivatives as potent and selective mineralocorticoid receptor antagonists.
AID189724Antiandrogenic activity after subcutaneous administration as relative potency compared to Spironolactone1987Journal of medicinal chemistry, Aug, Volume: 30, Issue:8
Aldosterone antagonists. 2. New 7 alpha-(acetylthio)-15,16-methylene spirolactones.
AID304366Binding affinity to human mineralocorticoid receptor2007Journal of medicinal chemistry, Dec-27, Volume: 50, Issue:26
(S)-N-{3-[1-cyclopropyl-1-(2,4-difluoro-phenyl)-ethyl]-1H-indol-7-yl}-methanesulfonamide: a potent, nonsteroidal, functional antagonist of the mineralocorticoid receptor.
AID625285Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for hepatic necrosis2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID625279Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for bilirubinemia2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID625282Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for cirrhosis2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID635465Displacement of [3H]progesterone from PR2011Journal of medicinal chemistry, Dec-22, Volume: 54, Issue:24
Identification of benzoxazin-3-one derivatives as novel, potent, and selective nonsteroidal mineralocorticoid receptor antagonists.
AID1474167Liver toxicity in human assessed as induction of drug-induced liver injury by measuring verified drug-induced liver injury concern status2016Drug discovery today, Apr, Volume: 21, Issue:4
DILIrank: the largest reference drug list ranked by the risk for developing drug-induced liver injury in humans.
AID1864494Inhibition of human OCT3 overexpressed in HEK293 cells assessed as intracellularly accumulation of ASP+ at 20 uM incubated for 5 mins by HPLC-MS/MS analysis relative to control2022Journal of medicinal chemistry, 09-22, Volume: 65, Issue:18
Substrates and Inhibitors of the Organic Cation Transporter 3 and Comparison with OCT1 and OCT2.
AID625289Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for liver disease2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID1079944Benign tumor, proven histopathologically. Value is number of references indexed. [column 'T.BEN' in source]
AID1079940Granulomatous liver disease, proven histopathologically. Value is number of references indexed. [column 'GRAN' in source]
AID635464Displacement of [3H]testosterone from AR2011Journal of medicinal chemistry, Dec-22, Volume: 54, Issue:24
Identification of benzoxazin-3-one derivatives as novel, potent, and selective nonsteroidal mineralocorticoid receptor antagonists.
AID682072TP_TRANSPORTER: Western in vivo, liver of SD rat2002Toxicological sciences : an official journal of the Society of Toxicology, Jun, Volume: 67, Issue:2
Regulation of rat multidrug resistance protein 2 by classes of prototypical microsomal enzyme inducers that activate distinct transcription pathways.
AID702480Cardioprotective activity against angiotensin 2-induced cardiac hypertrophy in B6.129P2-ApoE/J mouse assessed as ejection fraction at 100 mg/kg/day, po administered BID after 4 weeks (Rvb = 51.14 2.49 %)2012Journal of medicinal chemistry, Sep-13, Volume: 55, Issue:17
Novel β-amino acid derivatives as inhibitors of cathepsin A.
AID1226688Antagonist activity at human androgen receptor expressed in CHOK1 cells assessed as inhibition of D(-)-norgestrel-induced protein interaction with steroid receptor co-activator peptide after 24 hrs by beta-galactosidase reporter gene assay2015ACS medicinal chemistry letters, Apr-09, Volume: 6, Issue:4
Discovery of benzimidazole oxazolidinediones as novel and selective nonsteroidal mineralocorticoid receptor antagonists.
AID191661Antiandrogenic activity in rats as weight of seminal vesicle after subcutaneous administration at 8 mg/day1987Journal of medicinal chemistry, Aug, Volume: 30, Issue:8
Aldosterone antagonists. 2. New 7 alpha-(acetylthio)-15,16-methylene spirolactones.
AID1226690Selectivity ratio of IC50 for human androgen receptor to IC50 for human mineralocorticoid receptor2015ACS medicinal chemistry letters, Apr-09, Volume: 6, Issue:4
Discovery of benzimidazole oxazolidinediones as novel and selective nonsteroidal mineralocorticoid receptor antagonists.
AID417689Inhibition of human 17beta-HSD5 expressed in HEK293 cells assessed as enzyme-mediated transformation of [14C]-4-androstene-3,17-dione in to [14C]-testosterone at 3 uM after 18 hrs2009European journal of medicinal chemistry, Feb, Volume: 44, Issue:2
Steroidal lactones as inhibitors of 17beta-hydroxysteroid dehydrogenase type 5: chemical synthesis, enzyme inhibitory activity, and assessment of estrogenic and androgenic activities.
AID304370Binding affinity to human estrogen receptor2007Journal of medicinal chemistry, Dec-27, Volume: 50, Issue:26
(S)-N-{3-[1-cyclopropyl-1-(2,4-difluoro-phenyl)-ethyl]-1H-indol-7-yl}-methanesulfonamide: a potent, nonsteroidal, functional antagonist of the mineralocorticoid receptor.
AID191659Antiandrogenic activity in rats as weight of seminal vesicle after subcutaneous administration at 2 mg/day1987Journal of medicinal chemistry, Aug, Volume: 30, Issue:8
Aldosterone antagonists. 2. New 7 alpha-(acetylthio)-15,16-methylene spirolactones.
AID625281Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for cholelithiasis2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID1149780Inhibition of deoxycorticosterone acetate-induced urinary electrolyte effects in sc dosed adrenalectomized rat assessed as increase in Na:K ratio1977Journal of medicinal chemistry, Oct, Volume: 20, Issue:10
Synthesis and antimineralocorticoid activities of some 6-substituted 7 alpha-carboalkoxy steroidal spirolactones.
AID1149781Inhibition of deoxycorticosterone acetate-induced urinary electrolyte effects in intragastrically dosed adrenalectomized rat assessed as increase in Na:K ratio1977Journal of medicinal chemistry, Oct, Volume: 20, Issue:10
Synthesis and antimineralocorticoid activities of some 6-substituted 7 alpha-carboalkoxy steroidal spirolactones.
AID699540Inhibition of human liver OATP1B3 expressed in HEK293 Flp-In cells assessed as reduction in [3H]E17-betaG uptake at 20 uM incubated for 5 mins by scintillation counting2012Journal of medicinal chemistry, May-24, Volume: 55, Issue:10
Classification of inhibitors of hepatic organic anion transporting polypeptides (OATPs): influence of protein expression on drug-drug interactions.
AID635470Antagonist activity at human MR transfected in human COS1 cells after 1 day by luciferase reporter gene assay2011Journal of medicinal chemistry, Dec-22, Volume: 54, Issue:24
Identification of benzoxazin-3-one derivatives as novel, potent, and selective nonsteroidal mineralocorticoid receptor antagonists.
AID588212Literature-mined compound from Fourches et al multi-species drug-induced liver injury (DILI) dataset, effect in rodents2010Chemical research in toxicology, Jan, Volume: 23, Issue:1
Cheminformatics analysis of assertions mined from literature that describe drug-induced liver injury in different species.
AID311524Oral bioavailability in human2007Bioorganic & medicinal chemistry, Dec-15, Volume: 15, Issue:24
Hologram QSAR model for the prediction of human oral bioavailability.
AID1226699Agonist activity at human progesterone receptor beta by cell-based assay2015ACS medicinal chemistry letters, Apr-09, Volume: 6, Issue:4
Discovery of benzimidazole oxazolidinediones as novel and selective nonsteroidal mineralocorticoid receptor antagonists.
AID197277Relative anti-androgenic activity as suppressive effect on weight increase of seminal vesicle in castrated immature rats given testosterone propionate1987Journal of medicinal chemistry, Sep, Volume: 30, Issue:9
Aldosterone antagonists. 2. Synthesis and biological activities of 11,12-dehydropregnane derivatives.
AID625283Drug Induced Liver Injury Prediction System (DILIps) training set; hepatic side effect (HepSE) score for elevated liver function tests2011PLoS computational biology, Dec, Volume: 7, Issue:12
Translating clinical findings into knowledge in drug safety evaluation--drug induced liver injury prediction system (DILIps).
AID1226700Agonist activity at human mineralocorticoid receptor by cell-based assay2015ACS medicinal chemistry letters, Apr-09, Volume: 6, Issue:4
Discovery of benzimidazole oxazolidinediones as novel and selective nonsteroidal mineralocorticoid receptor antagonists.
AID167324Progestational activity on oral administration (100 mg) in rabbit1990Journal of medicinal chemistry, Feb, Volume: 33, Issue:2
Aldosterone antagonists. 3. Synthesis and activities of steroidal 7 alpha-(alkoxycarbonyl)-15,16-methylene spirolactones.
AID304367Binding affinity to human glucocorticoid receptor2007Journal of medicinal chemistry, Dec-27, Volume: 50, Issue:26
(S)-N-{3-[1-cyclopropyl-1-(2,4-difluoro-phenyl)-ethyl]-1H-indol-7-yl}-methanesulfonamide: a potent, nonsteroidal, functional antagonist of the mineralocorticoid receptor.
AID39170Binding affinity for rat androgen receptor of rat compared to dihydrotestosterone1985Journal of medicinal chemistry, May, Volume: 28, Issue:5
Aldosterone antagonists. 1. Synthesis and activities of 6 beta,7 beta:15 beta,16 beta-dimethylene steroidal spirolactones.
AID39312Relative binding affinity against androgen receptor of rat prostate at 0 degree centigrade; value ranges from 2.7-7.9%1985Journal of medicinal chemistry, Apr, Volume: 28, Issue:4
Aldosterone antagonists. 1. Synthesis and biological activities of 11 beta,18-epoxypregnane derivatives.
AID188322Weight of prostate as anti-androgenic activity in rat after oral dose of 96+0.1 mg/day with testosterone propionate(0.1 mg/day)1990Journal of medicinal chemistry, Feb, Volume: 33, Issue:2
Aldosterone antagonists. 3. Synthesis and activities of steroidal 7 alpha-(alkoxycarbonyl)-15,16-methylene spirolactones.
AID1623467Displacement of [3H]-aldosterone to human mineralocorticoid receptor LBD by radiometric binding assay
AID1079945Animal toxicity known. [column 'TOXIC' in source]
AID1130076Antagonist activity at mineralocorticoid receptor (unknown origin) by PathHunter assay2014Bioorganic & medicinal chemistry letters, Apr-01, Volume: 24, Issue:7
Mineralocorticoid receptor antagonists: identification of heterocyclic amide replacements in the oxazolidinedione series.
AID1162566Displacement of [[3H]-Progesterone from progesterone receptor (unknown origin) expressed in 293 cells after 16 hrs by scintillation counting2014Bioorganic & medicinal chemistry, Oct-01, Volume: 22, Issue:19
Discovery of 6-[5-(4-fluorophenyl)-3-methyl-pyrazol-4-yl]-benzoxazin-3-one derivatives as novel selective nonsteroidal mineralocorticoid receptor antagonists.
AID167319Progestational activity in rabbit at 100 mg/kg oral dose1985Journal of medicinal chemistry, May, Volume: 28, Issue:5
Aldosterone antagonists. 1. Synthesis and activities of 6 beta,7 beta:15 beta,16 beta-dimethylene steroidal spirolactones.
AID761374Antagonist activity at progesterone receptor beta (unknown origin) by NH Pro assay2013Bioorganic & medicinal chemistry letters, Aug-01, Volume: 23, Issue:15
Discovery of novel oxazolidinedione derivatives as potent and selective mineralocorticoid receptor antagonists.
AID635462Displacement of [3H]aldosterone from cytosolic human MR expressed in HEK293 cells after 16 hrs by scintillation counting2011Journal of medicinal chemistry, Dec-22, Volume: 54, Issue:24
Identification of benzoxazin-3-one derivatives as novel, potent, and selective nonsteroidal mineralocorticoid receptor antagonists.
AID499932Selectivity ratio of IC50 glucocorticoid receptor IC50 for mineralocorticoid receptor2010Journal of medicinal chemistry, Aug-26, Volume: 53, Issue:16
Discovery of (3S,3aR)-2-(3-chloro-4-cyanophenyl)-3-cyclopentyl-3,3a,4,5-tetrahydro-2H-benzo[g]indazole-7-carboxylic acid (PF-3882845), an orally efficacious mineralocorticoid receptor (MR) antagonist for hypertension and nephropathy.
AID39450Relative binding to androgen receptor compared to dihydrotesterone1987Journal of medicinal chemistry, Aug, Volume: 30, Issue:8
Aldosterone antagonists. 2. New 7 alpha-(acetylthio)-15,16-methylene spirolactones.
AID191663Antiandrogenic activity in rats as weight of prostate after oral administration at 10 mg/day dose1987Journal of medicinal chemistry, Aug, Volume: 30, Issue:8
Aldosterone antagonists. 2. New 7 alpha-(acetylthio)-15,16-methylene spirolactones.
AID588499High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Botulinum neurotoxin light chain A protease, MLPCN compound set2010Current protocols in cytometry, Oct, Volume: Chapter 13Microsphere-based flow cytometry protease assays for use in protease activity detection and high-throughput screening.
AID588499High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Botulinum neurotoxin light chain A protease, MLPCN compound set2006Cytometry. Part A : the journal of the International Society for Analytical Cytology, May, Volume: 69, Issue:5
Microsphere-based protease assays and screening application for lethal factor and factor Xa.
AID588499High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Botulinum neurotoxin light chain A protease, MLPCN compound set2010Assay and drug development technologies, Feb, Volume: 8, Issue:1
High-throughput multiplex flow cytometry screening for botulinum neurotoxin type a light chain protease inhibitors.
AID588501High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Lethal Factor Protease, MLPCN compound set2010Current protocols in cytometry, Oct, Volume: Chapter 13Microsphere-based flow cytometry protease assays for use in protease activity detection and high-throughput screening.
AID588501High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Lethal Factor Protease, MLPCN compound set2006Cytometry. Part A : the journal of the International Society for Analytical Cytology, May, Volume: 69, Issue:5
Microsphere-based protease assays and screening application for lethal factor and factor Xa.
AID588501High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Lethal Factor Protease, MLPCN compound set2010Assay and drug development technologies, Feb, Volume: 8, Issue:1
High-throughput multiplex flow cytometry screening for botulinum neurotoxin type a light chain protease inhibitors.
AID588497High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Botulinum neurotoxin light chain F protease, MLPCN compound set2010Current protocols in cytometry, Oct, Volume: Chapter 13Microsphere-based flow cytometry protease assays for use in protease activity detection and high-throughput screening.
AID588497High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Botulinum neurotoxin light chain F protease, MLPCN compound set2006Cytometry. Part A : the journal of the International Society for Analytical Cytology, May, Volume: 69, Issue:5
Microsphere-based protease assays and screening application for lethal factor and factor Xa.
AID588497High-throughput multiplex microsphere screening for inhibitors of toxin protease, specifically Botulinum neurotoxin light chain F protease, MLPCN compound set2010Assay and drug development technologies, Feb, Volume: 8, Issue:1
High-throughput multiplex flow cytometry screening for botulinum neurotoxin type a light chain protease inhibitors.
AID588519A screen for compounds that inhibit viral RNA polymerase binding and polymerization activities2011Antiviral research, Sep, Volume: 91, Issue:3
High-throughput screening identification of poliovirus RNA-dependent RNA polymerase inhibitors.
AID540299A screen for compounds that inhibit the MenB enzyme of Mycobacterium tuberculosis2010Bioorganic & medicinal chemistry letters, Nov-01, Volume: 20, Issue:21
Synthesis and SAR studies of 1,4-benzoxazine MenB inhibitors: novel antibacterial agents against Mycobacterium tuberculosis.
AID1159607Screen for inhibitors of RMI FANCM (MM2) intereaction2016Journal of biomolecular screening, Jul, Volume: 21, Issue:6
A High-Throughput Screening Strategy to Identify Protein-Protein Interaction Inhibitors That Block the Fanconi Anemia DNA Repair Pathway.
AID977610Experimentally measured binding affinity data (Ki) for protein-ligand complexes derived from PDB2007Journal of medicinal chemistry, Dec-27, Volume: 50, Issue:26
(S)-N-{3-[1-cyclopropyl-1-(2,4-difluoro-phenyl)-ethyl]-1H-indol-7-yl}-methanesulfonamide: a potent, nonsteroidal, functional antagonist of the mineralocorticoid receptor.
AID1346902Human Mineralocorticoid receptor (3C. 3-Ketosteroid receptors)2007Journal of medicinal chemistry, Dec-27, Volume: 50, Issue:26
(S)-N-{3-[1-cyclopropyl-1-(2,4-difluoro-phenyl)-ethyl]-1H-indol-7-yl}-methanesulfonamide: a potent, nonsteroidal, functional antagonist of the mineralocorticoid receptor.
AID977608Experimentally measured binding affinity data (IC50) for protein-ligand complexes derived from PDB2011Journal of medicinal chemistry, Dec-22, Volume: 54, Issue:24
Identification of benzoxazin-3-one derivatives as novel, potent, and selective nonsteroidal mineralocorticoid receptor antagonists.
AID1159550Human Phosphogluconate dehydrogenase (6PGD) Inhibitor Screening2015Nature cell biology, Nov, Volume: 17, Issue:11
6-Phosphogluconate dehydrogenase links oxidative PPP, lipogenesis and tumour growth by inhibiting LKB1-AMPK signalling.
[information is prepared from bioassay data collected from National Library of Medicine (NLM), extracted Dec-2023]

Research

Studies (6,845)

TimeframeStudies, This Drug (%)All Drugs %
pre-19902718 (39.71)18.7374
1990's558 (8.15)18.2507
2000's1457 (21.29)29.6817
2010's1668 (24.37)24.3611
2020's444 (6.49)2.80
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Market Indicators

Research Demand Index: 120.70

According to the monthly volume, diversity, and competition of internet searches for this compound, as well the volume and growth of publications, there is estimated to be very strong demand-to-supply ratio for research on this compound.

MetricThis Compound (vs All)
Research Demand Index120.70 (24.57)
Research Supply Index9.01 (2.92)
Research Growth Index4.67 (4.65)
Search Engine Demand Index249.39 (26.88)
Search Engine Supply Index2.17 (0.95)

This Compound (120.70)

All Compounds (24.57)

Study Types

Publication TypeThis drug (%)All Drugs (%)
Trials960 (13.29%)5.53%
Reviews746 (10.33%)6.00%
Case Studies547 (7.57%)4.05%
Observational23 (0.32%)0.25%
Other4,946 (68.49%)84.16%
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Clinical Trials (222)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Phase IV Study for Effect of Intensive Blood-Pressure Control Using Anti-hypertensive Agents in Essential Hypertension With History of Stroke [NCT01198496]Phase 45,000 participants (Anticipated)Interventional2010-10-31Recruiting
A Comparison of the Effects of Selective and Non Selective Mineralocorticoid Antagonism on Glucose Homeostasis and Lipid Profile of Heart Failure Patients With Glucose Intolerance or Type 2 Diabetes. [NCT01586442]Phase 362 participants (Actual)Interventional2012-03-31Completed
Evaluation of spironolactoNe Versus Indapamide on Target Organ Damage in Patients With Obesity and hYpertension(ENVOY) [NCT03626506]400 participants (Anticipated)Interventional2019-02-13Recruiting
A Phase I/II Study of Venetoclax and Lintuzumab-Ac225 in Patients With Refractory or Relapsed AML [NCT03867682]Phase 1/Phase 238 participants (Anticipated)Interventional2020-01-15Recruiting
Blockade of the Renin-angiotensin-aldosterone System in Patients With ARVD: a Double-blind Multicentre Prospective Randomized Study. [NCT03593317]Phase 2120 participants (Anticipated)Interventional2023-11-30Not yet recruiting
South Danish Hypertension and Diabetes Study [NCT01062763]Phase 3119 participants (Actual)Interventional2010-03-31Completed
The Effect in Renal Function on Patients With Type 1 Cardiorenal Syndrome Treated With Two Strategies of Furosemide. A Randomized Controled Trial [NCT04393493]Phase 280 participants (Actual)Interventional2017-07-01Completed
Adjuvant Anti-Mineralocorticoid-Receptor Treatment in Anti-VEGF Refractory Neovascular Age-Related Macular Degeneration [NCT03744767]Phase 220 participants (Actual)Interventional2014-09-19Completed
Pilot Non Randomised Controlled Trial of Short Term Spironolactone Use for Prevention of Acute Kidney Injury After Cardiac Surgery [NCT02417896]150 participants (Anticipated)Interventional2013-04-30Recruiting
Metabolic and Neuro-Endocrine Effect of Treating PCOS in Adolescents [NCT03981861]Phase 2/Phase 312 participants (Actual)Interventional2016-07-02Completed
Spironolactone and Perioperative Atrial Fibrillation Occurrence in Cardiac Surgery Patients: a Multicenter Randomized, Double-blind Study. The ALDOCURE Trial [NCT03551548]Phase 31,500 participants (Anticipated)Interventional2019-02-26Recruiting
[NCT02047422]0 participants (Actual)Interventional2014-01-31Withdrawn(stopped due to One of the diuretic which is planned to be used in the study is no longer available.)
Safety and Efficacy of Maximally Tolerated RAAS Blockade and Spironolactone Therapy on Urinary Proteinuria and Progression of Type II Diabetic Nephropathy in African Americans and Other Patient Cohorts. [NCT03502031]Phase 472 participants (Anticipated)Interventional2018-10-01Recruiting
A Phase I, Open Label, Randomized, Parallel Group, Multicentre Study to Compare the Effect of AZD9977 and Spironolactone on Serum Potassium [sK+] During 28 Days in Patients With HFmrEF or HFpEF and eGFR in the Range of ≥40 and ≤70 mL/Min/1.73m2. [NCT03682497]Phase 168 participants (Actual)Interventional2018-11-01Terminated(stopped due to Attendance at study sites carries risk of COVID-19 infection. Non-attendance at planned study site visits has unacceptable study related patient safety risk.)
Protective Effects of Spironolactone Against Anthracycline Induced Cardiomyopathy [NCT02053974]Phase 490 participants (Actual)Interventional2011-09-30Completed
Spironolactone Administration to Prevent Ischemic Kidney Injury in Critically Ill Cancer Patients [NCT02531412]Phase 2/Phase 324 participants (Anticipated)Interventional2015-10-31Recruiting
A Phase 1, Double-Blind (Sponsor-Open), Placebo- And Active-Controlled, Single Dose, Crossover Study To Assess Antimineralocorticoid Activity Of Oral Pf-03882845 In Healthy Subjects. [NCT01314898]Phase 112 participants (Anticipated)Interventional2011-03-31Completed
Pharmacokinetic Study of Spironolactone 25 mg, 50 mg and 100 mg Tablets in Healthy Subjects Under Fasting Conditions. [NCT01083290]Phase 114 participants (Actual)Interventional2010-04-30Completed
Treatment of Preserved Cardiac Function Heart Failure With an Aldosterone Antagonist (TOPCAT) [NCT00094302]Phase 33,445 participants (Actual)Interventional2006-08-31Completed
Effect of Aldosterone Blockade on Metabolic Parameters and Arterial Compliance [NCT01089309]Phase 451 participants (Actual)Interventional2004-05-31Completed
The Effect of Selective Adrenal Artery Embolization and Spironolactone on Ventricular Remodeling in Nondominant Lateral Secretory Primary Aldosteronism: A Randomized Controlled Clinical Study [NCT05501080]112 participants (Anticipated)Interventional2022-09-01Recruiting
Use of Determination of Drug Levels to Optimize Pharmacotherapy of Heart Failure [NCT06035978]Phase 4100 participants (Anticipated)Interventional2023-11-30Not yet recruiting
Cluster and Registry Trials Of the Working Group of Heart Failure in Denmark: Are SPironolactone and Eplerenone Comparable Treatments? [NCT03984591]Phase 47,200 participants (Anticipated)Interventional2020-11-01Enrolling by invitation
Open Label Randomized Clinical Trial BromhexIne And Spironolactone For CoronаVirUs Infection Requiring HospiTalization [NCT04424134]Phase 380 participants (Anticipated)Interventional2020-05-16Recruiting
Effect of Dapagliflozin on Secondary Mitral Regurgitation in Patients With Left Ventricular Dysfunction [NCT05849766]Phase 3150 participants (Anticipated)Interventional2023-04-27Recruiting
A Randomized, Double-Blind, Placebo Controlled, Parallel Group Study of Patiromer for the Enablement of Spironolactone Use for Blood Pressure Control in Patients With Resistant Hypertension and Chronic Kidney Disease [NCT03071263]Phase 2295 participants (Actual)Interventional2017-01-23Completed
A Randomised Trial Examining Therapy to Maintain Remission in Dilated Cardiomyopathy [NCT06091475]50 participants (Anticipated)Interventional2023-10-20Not yet recruiting
Sodium-glucose Cotransporter 2 Inhibitor, Aldosterone Antagonist, or Both for Heart Failure With Preserved Ejection Fraction: a Two-centre Randomised Three-treatment Three-period Crossover Trial [NCT05676684]Phase 2/Phase 3108 participants (Anticipated)Interventional2022-09-15Recruiting
EARLY Risk Stratification in CardioMYOpathies With Unknown Etiology for Heart Failure [NCT02941315]Phase 1150 participants (Actual)Interventional2016-12-01Completed
Hemodynamic Effects of Spironolactone in Patients With Heart Failure [NCT00860340]18 participants (Actual)Interventional2003-02-28Completed
Cardiac Magnetic Resonance Imaging in Hemodialysis Patients [NCT00548912]Phase 40 participants (Actual)Interventional2007-10-31Withdrawn(stopped due to study ended)
The Effects of Losartan and Spironolactone on Residual Renal Function Preservation in Peritoneal Dialysis Patients [NCT02190318]96 participants (Anticipated)Interventional2013-11-30Recruiting
The Role of Spironolactone in Prevention of Calcineurin Inhibitor Toxicity in Kidney Transplant Recipients [NCT01021943]Phase 240 participants (Anticipated)Interventional2009-11-30Suspended
A Phase IV, Two-part, Open-label Study Assessing the Pharmacokinetics, Safety and Pharmacodynamics of Single and Multiple Doses of Spironolactone Oral Suspension in Pediatric Patients With Edema Due to Heart Failure or Cirrhosis [NCT06021860]Phase 496 participants (Anticipated)Interventional2024-06-30Not yet recruiting
SCREEN-HFI (SCReening Evaluation of the Evolution of New Heart Failure Intervention Study) [NCT00604006]Phase 320 participants (Actual)Interventional2008-09-30Completed
Role of Midodrine and Tolvaptan in Patients With Cirrhosis With Refractory or Recurrent Ascites [NCT02173288]Phase 2/Phase 350 participants (Actual)Interventional2013-07-31Completed
A Pilot Study of the Effect of Spironolactone Therapy on Exercise Capacity and Endothelial Dysfunction in Pulmonary Arterial Hypertension [NCT01712620]Phase 270 participants (Anticipated)Interventional2014-01-10Recruiting
Early Aldosterone Blockade in Acute Heart Failure: An Exploratory Safety Study [NCT02299726]Phase 20 participants (Actual)Interventional2015-05-31Withdrawn(stopped due to Study was not funded)
The Comparison Between Spironolactone and Indapamide Monotherapy or in Combination With Amlodipine to Reduce the Risk of Heart Failure [NCT04455178]Phase 4200 participants (Anticipated)Interventional2020-09-23Recruiting
Assessment of the Effects of the Combination of Spironolactone to Conventional Pharmacotherapy in Dialysis Patients [NCT01128101]Phase 460 participants (Anticipated)Interventional2011-03-31Recruiting
The Effect of Spironolactone and Vitamin E Versus Vitamin E on Serum Adipocytokines Levels in Patients With Biopsy-proven Nonalcoholic Fatty Liver Disease-A Phase II Study [NCT01147523]Phase 230 participants (Actual)Interventional2010-01-31Completed
The Effect of Amiloride and Spironolactone on Renovascular and Cardiovascular Variables in Patients With Essential Hypertension in a Doubleblinded, Randomized, Placebo-controlled, Crossover Study. [NCT01195805]25 participants (Anticipated)Interventional2010-08-31Completed
Effects of Spironolactone on Circulating MMPs in Patients With Chronic Heart Failure [NCT00663195]Phase 416 participants (Actual)Interventional2004-01-31Completed
Effect of Spironolactone Treatment on Heart- and Skeletal Muscle in Chronic Alcoholics [NCT00226109]Phase 440 participants (Anticipated)Interventional2004-04-30Suspended(stopped due to Problems recruting patients)
Spironolactone to Improve Apnea and Cardiovascular Markers in Obstructive Sleep Apnea Patients With Cardiovascular Disease Who Are Non-Adherent With Positive Airway Pressure: A Randomized Placebo-Controlled Pilot Trial [NCT04205136]Phase 40 participants (Actual)Interventional2022-03-31Withdrawn(stopped due to Was on hold due to Covid then we were not able to initiate the funding again after such a long hold and loss of team members.)
Importance of Aldosterone in the Pathogenesis of Hypertensive Heart Disease [NCT00865501]Phase 350 participants (Actual)Interventional2008-03-31Completed
A Randomised Open Label, Blinded End Point Trial to Compare the Effects of Spironolactone With Chlortalidone on LV Mass in Stage 3 Chronic Kidney Disease (SPIRO-CKD) [NCT02502981]Phase 4154 participants (Actual)Interventional2014-06-30Active, not recruiting
Effect of Spironolactone on the Progression of Coronary Calcification in Peritoneal Dialysis Patients [NCT03314493]Phase 333 participants (Actual)Interventional2014-11-07Completed
Pilot Randomized Controlled Trial of Spironolactone in Young Women With Nonalcoholic Steatohepatitis (NASH) [NCT03576755]Phase 1/Phase 220 participants (Actual)Interventional2019-01-09Completed
Spironolactone and Dexamethasone in Patients Hospitalized With Moderate-to-severe COVID-19 (SPIDEX-II): a Randomized Clinical Trial [NCT04826822]Phase 3440 participants (Anticipated)Interventional2021-02-24Recruiting
Prospective Study of Neutrophil Gelatinase Associated Lipocalin (NGAL)as a Biomarker of Mineralocorticoid Receiver Activity in Human: Proof of Concept. [NCT02129621]42 participants (Actual)Interventional2010-05-31Completed
Real Life Experience in the Management of HCV Related Decompensated Cirrhosis With Direct Antiviral Agents [NCT03547895]80 participants (Actual)Interventional2015-06-01Completed
Exercise Intolerance in Elderly Diastolic Heart Failure [NCT00123955]Phase 380 participants (Actual)Interventional2005-04-30Completed
Effect of Antifibrotic Therapy on Regression of Myocardial Fibrosis After Transcatheter Aortic Valve Implantation (TAVI) in Aortic Stenosis Patients With High Fibrotic Burden [NCT05230901]Phase 3300 participants (Anticipated)Interventional2022-02-23Recruiting
A Randomised, Single Blind, Multicentre, 9-month, Phase IV Study, Comparing Treatment Guided by Clinical Symptoms and Signs and NT-proBNP vs Treatment Guided by Clinical Symptoms and Signs Alone, in Patients With Heart Failure (HF) and Left Ventricular Sy [NCT00391846]Phase 4252 participants (Actual)Interventional2006-10-31Completed
Spironolactone for the Treatment of Melasma: a Prospective, Open-label Proof-of-concept and Dose-ranging Study [NCT03953209]Phase 10 participants (Actual)Interventional2020-03-05Withdrawn(stopped due to Conflict with funding)
A 2x2 Factorial Randomized Controlled Trial of Colchicine and Spironolactone in Patients With Myocardial Infarction / SYNERGY Stent Registry - Organization to Assess Strategies for Ischemic Syndromes 9 [NCT03048825]Phase 37,063 participants (Actual)Interventional2018-02-01Active, not recruiting
Effect of Add-on Spironolactone to Losartan Versus Losartan Alone on Peritoneal Membrane Among Continuous Ambulatory Peritoneal Dialysis Patients: An Open-Label Randomized-Controlled Trial [NCT03953950]Phase 484 participants (Anticipated)Interventional2019-10-31Not yet recruiting
Association Between Angiotensin Converting Enzyme Inhibitor or Angiotensin Receptor Blocker Use and COVID-19 Severity and Mortality Among US Veterans [NCT04467931]22,213 participants (Actual)Observational2020-01-19Completed
High-dose Aldosterone Antagonist for Acute Decompensated Heart Failure [NCT02823626]48 participants (Actual)Observational2016-09-30Completed
Regulating Blood Pressure During Recovery From Intracerebral Hemorrhage and Ischemic Stroke [NCT04760717]Phase 2200 participants (Anticipated)Interventional2021-03-19Recruiting
Effect of Spironolactone in the Prevention of Anthracycline-induced Cardiotoxicity: a Randomized Clinical Trial (SPIROTOX Trial) [NCT06005259]Phase 4264 participants (Anticipated)Interventional2023-10-01Not yet recruiting
A Randomized Open Label Trial of Spironolactone Versus Prednisolone in Corticosteroid-naïve Boys With DMD [NCT03777319]Phase 12 participants (Actual)Interventional2018-12-05Terminated(stopped due to Inability to recruit participants.)
Phase 3, Prospective, Randomized, Double-blinded, Placebo-controlled Study to Evaluate Efficacy of add-on Therapy With Spironolactone to Reduce Diffuse Myocardial Fibrosis Thus Preventing Recurrent Episodes of Atrial Fibrillation in Patients With Paroxysm [NCT02764619]Phase 3125 participants (Actual)Interventional2013-12-31Active, not recruiting
The Effect of Amiloride and Spironolactone Measured on Cardiovascular and Kidney Related Variables in Healthy Subjects in a Double-blinded, Randomised, Placebo-controlled, Cross-over Study [NCT00857909]Phase 130 participants (Actual)Interventional2009-01-31Completed
Pharmacokinetics, Pharmacodynamics, and Safety Profile of Understudied Drugs [NCT04278404]5,000 participants (Anticipated)Observational2020-03-05Recruiting
Aldosterone Lethal Effects Blocked in AMI Treated With or Without Reperfusion to Improve Outcome and Survival at Six Months Follow-up: THE ALBATROSS TRIAL [NCT01059136]Phase 31,603 participants (Actual)Interventional2010-02-28Completed
Randomized Trial of Spironolactone Versus Amiloride as an Add on Agent in Resistant Hypertension [NCT00709137]0 participants (Actual)Interventional2008-10-31Withdrawn(stopped due to lack of enrollment)
Role of Mineralocorticoid Receptor in Diabetic Cardiovascular Disease [NCT00865124]69 participants (Actual)Interventional2008-09-30Completed
Quadruple Immunotherapy for Paediatric Patients With Relapsed or Refractory Neuroblastoma [NCT05754684]Phase 229 participants (Anticipated)Interventional2022-01-01Recruiting
Body Volume Regulation in Pulmonary Arterial Hypertension With Right Ventricular Failure [NCT00811486]0 participants (Actual)Interventional2009-01-31Withdrawn(stopped due to Only 1 patient recruited, and he withdrew)
Phase 4 Study on the Comparison Between Combined Versus Sequential Diuretic Treatment of Moderate Ascites in Nonazotemic Patients With Cirrhosis [NCT00741663]Phase 4100 participants (Anticipated)Interventional2005-04-30Completed
Spironolactone Initiation Registry Randomized Interventional Trial in Heart Failure With Preserved Ejection Fraction, SPIRRIT-HFPEF [NCT02901184]Phase 32,000 participants (Anticipated)Interventional2017-11-23Recruiting
Metabolic Effects of Multiple Therapies in Polycystic Ovary Syndrome (PCOS) Women [NCT00842140]75 participants (Actual)Interventional2006-02-28Completed
Determining the Effect of Spironolactone on Electrolyte Supplementation in Preterm Infants With Chronic Lung Disease [NCT01721655]Phase 2/Phase 340 participants (Anticipated)Interventional2012-10-31Recruiting
Postoperative Cardiovascular Index Change of Primary Aldosteronism [NCT00746070]300 participants (Actual)Observational2007-01-31Enrolling by invitation
A Multicenter, Open-Label, Single-Arm Study to Evaluate a Titration Regimen for Patiromer in Heart Failure Patients With Chronic Kidney Disease [NCT01130597]Phase 263 participants (Actual)Interventional2010-05-31Completed
Effect of Aldosterone on Energy Starvation in Heart Failure [NCT00574119]Phase 416 participants (Actual)Interventional2007-12-31Completed
Vascular Effects of Mineralocorticoid Receptor Antagonism in Kidney Disease [NCT02497300]Phase 221 participants (Actual)Interventional2015-03-31Completed
Role of Renin Angiotensin Blockade in Peritoneal Fibrosis in Peritoneal Dialysis Patients [NCT00865449]Phase 320 participants (Actual)Interventional2008-07-31Completed
Benefit of Treatment With Losartan and Spironolactone on the Regulation of the Renin-angiotensin System in the Prognosis of Patients Infected With COVID-19 and Suffering From Acute Respiratory Distress Syndrome [NCT04643691]Phase 290 participants (Anticipated)Interventional2020-09-11Recruiting
Does Spironolactone Normalize Sleep-wake Luteinizing Hormone (LH) Pulse Frequency in Pubertal Girls With Hyperandrogenism? (CBS010) [NCT04723862]Early Phase 132 participants (Anticipated)Interventional2021-11-12Recruiting
Does Treatment of Androgen Excess Using Spironolactone Improve Ovulatory Rates in Girls With Androgen Excess? [NCT04075149]Early Phase 124 participants (Anticipated)Interventional2019-12-18Recruiting
Effect of Spironolactone on Adrenal or Ovarian Androgen Production in Overweight Pubertal Girls With Androgen Excess (CBS006) [NCT01422759]20 participants (Anticipated)Interventional2016-12-09Recruiting
A Phase I/II Study of Lintuzumab-Ac225 in Older Patients With Untreated Acute Myeloid Leukemia [NCT02575963]Phase 1/Phase 240 participants (Actual)Interventional2012-10-31Completed
Interest of Topical Spironolactone's Administration to Prevent Corticoid-induced Epidermal Atrophy [NCT01407471]Phase 226 participants (Actual)Interventional2011-09-30Completed
Impact of a Mineralocorticoid Receptor Antagonist on Chronic Histological Changes in Renal Allograft [NCT01510795]Phase 440 participants (Anticipated)Interventional2012-01-31Enrolling by invitation
Spironolactone in the Treatment of Hidradenitis Suppurativa: A Prospective, Open-Label Proof-of-Concept and Dose-Ranging Study [NCT04100083]Phase 40 participants (Actual)Interventional2020-09-21Withdrawn(stopped due to Lack of funding)
Aliskiren and Renin Inhibition in Diastolic Heart Failure in Mexican Americans [NCT00773084]0 participants (Actual)Interventional2008-09-30Withdrawn(stopped due to Difficulty in recruiting patients and then the PI left the institution)
Proteomic Prediction and Renin Angiotensin Aldosterone System Inhibition Prevention Of Early Diabetic nephRopathy In TYpe 2 Diabetic Patients With Normoalbuminuria [NCT02040441]Phase 2/Phase 31,777 participants (Actual)Interventional2014-03-31Completed
A Randomised Placebo Controlled Trial. The Effect of Spironolactone on Pain in Older People With Osteoarthritis [NCT02046668]Phase 486 participants (Actual)Interventional2013-11-30Completed
Effect of Aldosterone Antagonism in the Reduction of Albuminuria and Diastolic Disfunction of Patients With Diabetic Nephropathy. [NCT00870402]Phase 4160 participants (Anticipated)Interventional2009-03-31Recruiting
Renal Effects of Levosimendan in Patients Admitted With Acute Decompensated Heart Failure [NCT00527059]Phase 421 participants (Anticipated)Interventional2007-10-31Not yet recruiting
Influence of Adding Aldosterone Receptor Blocker to Dual Renin-Angiotensin-Aldosterone System Blockade on Proteinuria [NCT00528385]0 participants Interventional2005-03-31Completed
Efficacy of Therapy With the Anti-androgen Spironolactone Compared to Topical Minoxidil in Female Pattern Hair Loss [NCT00175617]Phase 240 participants (Anticipated)Interventional2005-09-30Completed
Impact of Spironolactone on Endothelial Function in Patients With Single Ventricle Heart [NCT00211081]12 participants (Actual)Interventional2004-11-30Completed
Hypoglycemia and Autonomic Nervous System Function [NCT03429946]Phase 428 participants (Actual)Interventional2013-07-17Active, not recruiting
RAAS, Inflammation, and Post-operative AF [NCT00141778]Phase 2/Phase 3455 participants (Actual)Interventional2005-04-30Completed
Novel Treatment for Diastolic Heart Failure in Women [NCT00206232]Phase 448 participants (Actual)Interventional2004-07-31Completed
Impacts of Aldosterone Blockade on Myocardial Remodeling in Hypertensive Patients With Diastolic Failing Heart [NCT01944384]Phase 440 participants (Actual)Interventional2010-08-31Completed
The Effect of Sodium-Restricted Diet and Diuretic in the Severe Sleep Apnea: a Randomized Controlled Trial - DESALT Study [NCT01945801]Phase 454 participants (Actual)Interventional2013-10-31Completed
Mineralocorticoid Receptor Antagonism Clinical Evaluation in Atherosclerosis Trial [NCT02169089]Phase 479 participants (Actual)Interventional2016-01-31Completed
Sympathetic Renal Denervation Versus Increment of Pharmacological Treatment in Resistant Arterial Hypertension [NCT02039492]38 participants (Actual)Interventional2012-09-30Completed
A Randomized, Double-Blind, Multi-Center Comparative Effectiveness Study of Spironolactone Versus Doxycycline Hyclate for the Treatment of Acne in Women [NCT04582383]Phase 4400 participants (Anticipated)Interventional2022-03-30Recruiting
Spironolactone in Alcohol Use Disorder (SAUD): A Double-Blind, Placebo-Controlled, Ascending Dose, Phase 1b Study [NCT05807139]Phase 120 participants (Anticipated)Interventional2024-01-03Recruiting
Diuretic and Natriuretic Effect of High-dose Spironolactone in Patients With Acute Heart Failure [NCT04618601]Phase 450 participants (Anticipated)Interventional2020-10-20Active, not recruiting
Evaluation of Spironolactone Efficacy in Patient With Rheumatoid Arthritis (RA) [NCT05092984]Phase 3154 participants (Anticipated)Interventional2022-06-22Recruiting
The Effects of Spironolactone on Calcineurin Inhibitor Induced Nephrotoxicity [NCT01602861]Phase 4188 participants (Actual)Interventional2013-02-28Completed
A Multicenter, Randomized, Open-Label, Dose Ranging Study to Evaluate the Efficacy and Safety of Patiromer in the Treatment of Hyperkalemia in Patients With Hypertension and Diabetic Nephropathy Receiving Angiotensin-converting Enzyme Inhibitor (ACEI) and [NCT01371747]Phase 2324 participants (Actual)Interventional2011-06-30Completed
Aldosterone and the Metabolic Syndrome: Renin Inhibition Versus Mineralocorticoid Receptor (MR) Antagonism [NCT01103245]Phase 169 participants (Actual)Interventional2010-03-31Completed
Mineralocorticoid Antagonism to Stop Progression of Atrial Fibrillation (MONITOR-AF) Study [NCT04327232]Phase 2184 participants (Anticipated)Interventional2018-05-23Recruiting
Use of Spironolactone to Treat Patients With Paroxysmal Atrial Fibrillation- A Multi-Center, Prospective, Randomized, Placebo-Controlled, Double Blind Study [NCT00689598]30 participants (Anticipated)Interventional2008-03-31Recruiting
Improved Exercise Tolerance in Participants With PReserved Ejection Fraction by Spironolactone on Myocardial Fibrosis in Atrial Fibrillation [NCT02673463]Phase 4250 participants (Anticipated)Interventional2015-01-31Active, not recruiting
Spironolactone to Prevent or Delay Calcineurin Inhibitor (CNI) Toxicity in Liver Transplant Recipients [NCT02883400]Phase 430 participants (Actual)Interventional2014-12-31Completed
Evaluation of a Primary Treatment Algorithm Using Combination Therapy for the Management of Patients With Hypertension and Hypercholesterolemia [NCT00637078]Phase 41,000 participants (Actual)Interventional2008-02-29Completed
Effects of Spironolactone on Insulin Resistance in Patients With Chronic Heart Failure [NCT00664222]Phase 416 participants (Actual)Interventional2004-01-31Completed
Resistant Hypertension On Treatment - Sequential Nephron Blockade Compared to Dual Blockade of the Renin-angiotensin-aldosterone System Plus Bisoprolol in the Treatment of Resistant Arterial Hypertension: A Randomized Trial (ResHypOT) [NCT02832973]Phase 472 participants (Actual)Interventional2015-09-30Completed
Effects of Treatment With Cyproterone Compound-spironolactone, Metformin and Pioglitazone on Serum Inflammatory Markers in Patients With Polycystic Ovary Syndrome (PCOS) [NCT02689843]Early Phase 190 participants (Actual)Interventional2018-02-01Completed
Effect of Amiloride and Spironolactone on Renophysiological and Cardiovascular Variables in Patients With Essential Hypertension in a Doublle-blinded Randomised Placebo-controlled, Cross-over Study. [NCT01388088]Phase 423 participants (Actual)Interventional2010-09-30Completed
Double Blind Crossover Comparison od Diuretics in Young Patients With Low Renin Hypertension [NCT00429897]30 participants Interventional2006-08-31Recruiting
A Randomised, Placebo Controlled Trial of the Efficacy of the Addition of Spironolactone to Modern Antihypertensive Treatment Regimens in Patients With Resistant Hypertension [NCT00430794]Phase 240 participants (Anticipated)Interventional2007-03-31Terminated(stopped due to Difficulties with recruitment.)
Spironolactone to Decrease Potassium Wasting in Hypercalciuric Patients Treated With Thiazide Diuretics [NCT00276289]10 participants (Anticipated)Interventional2006-01-31Completed
A Randomized, Controlled Trial of L-arginine and Spironolactone in Dialysis-dependant End Stage Renal Disease [NCT01855334]Phase 40 participants (Actual)Interventional2013-09-30Withdrawn(stopped due to change of funding leading to major redesign)
The Association Between Exposure to Spironolactone or Amiloride and Fracture Risk Among Subjects Treated With Thiazolidinediones [NCT01055223]98,483 participants (Actual)Observational2009-05-31Completed
Spironolactone for Reducing Proteinuria in Diabetic Nephropathy [NCT00498537]30 participants (Actual)Interventional2003-01-31Completed
Addition of Spironolactone in Patients With Resistant Arterial Hypertension [NCT00524615]Phase 4160 participants (Anticipated)Interventional2007-09-30Recruiting
Pharmacokinetics of Understudied Drugs Administered to Children Per Standard of Care [NCT01431326]3,520 participants (Actual)Observational2011-11-30Completed
Effects of Spironolactone on Fibrosis Progression and Portal Pressure in Patients With Advanced Chronic Liver Disease [NCT02907749]Phase 496 participants (Actual)Interventional2018-01-01Completed
Mineralocorticoid Receptor Antagonism Clinical Evaluation in Atherosclerosis Add-On [NCT03597035]Phase 48 participants (Actual)Interventional2018-07-17Terminated(stopped due to The study could not enroll patients owing to the inclusion exclusion criteria)
Subjects With Severe Heart Failure and End-Stage Renal Disease on Hemodialysis: A Pilot Study to Assess Safety and Tolerability of Spironolactone [NCT00328809]Phase 40 participants (Actual)Interventional2013-06-30Withdrawn(stopped due to personnel shortage)
ALdosterone Antagonist Chronic HEModialysis Interventional Survival Trial (ALCHEMIST), Phase III b [NCT01848639]Phase 3823 participants (Actual)Interventional2013-06-30Completed
Protective Mechanisms of Aldosterone Antagonists and Their Effects on Cardiovascular Damage in Chronic Renal Failure: Clinical and Experimental Studies [NCT00277693]Phase 40 participants InterventionalRecruiting
A Single-Center, Prospective Randomized, Double-Masked, Placebo-Controlled, Parallel- Group Pilot Study of the Effects and Safety of Topical Spironolactone Ophthalmic Solution, 0.005 mg/cc in Subjects With Dry Eye [NCT05995392]Early Phase 130 participants (Anticipated)Interventional2023-08-31Not yet recruiting
A Comprehensive Research of Pediatric Heart Failure--A Prospective Cohort Study of Drug Therapy for Pediatric Heart Failure [NCT06039540]200 participants (Anticipated)Observational [Patient Registry]2022-01-01Recruiting
Autoregulation of Glomerular Filtration Rate in Patients With Type 1 Diabetes During Spironolactone Therapy [NCT00335413]Phase 417 participants (Actual)Interventional2006-06-30Completed
Spironolactone In The Treatment of Heart Failure- A Double-blind, Randomized, Placebo-controlled, Parallel Group Interventional Phase III Study to Determine Efficacy and Safety of Spironolactone on the Composite Endpoint of Recurrent Heart Failure Hospita [NCT04727073]Phase 31,300 participants (Anticipated)Interventional2018-11-01Recruiting
Clinical and Therapeutic Implications of Fibrosis in Hypertrophic Cardiomyopathy [NCT00879060]Phase 453 participants (Actual)Interventional2007-11-30Completed
Study to Evaluate if Androgen-receptor Blockade (Spironolactone) Improves Progesterone-suppression of Wake Luteinizing Hormone Pulse Frequency in Pubertal Girls With Hyperandrogenism [NCT03068910]Early Phase 132 participants (Anticipated)Interventional2016-07-21Recruiting
Evaluating the Effect of Spironolactone on Hypertrophic Cardiomyopathy-- a Multicenter Randomized Control Trial [NCT02948998]Phase 4260 participants (Anticipated)Interventional2018-05-14Not yet recruiting
Hemodynamic Effects of Chronic Administration of Spironolactone, Propranolol and Their Association in Alcoholic Cirrhotic Patients [NCT00188045]Phase 454 participants Interventional1995-04-30Terminated
A Prospective, Randomized, Three-period Crossover, Interaction Study to Evaluate the Pharmacokinetics of Doravirine and Tenofovir Disoproxil Fumarate Co-administered With Cross-sex Hormonal Therapy in Adult HIV-negative Transgender Women [NCT04283656]Phase 17 participants (Actual)Interventional2022-02-14Completed
Aldosterone-blockade Randomized Controlled Trial In CHF - Diastolic [NCT00523757]Phase 38 participants (Actual)Interventional2007-08-31Completed
Spironolactone Safety in African Americans With Mild Cognitive Impairment and Early Alzheimer's Disease [NCT04522739]Phase 430 participants (Anticipated)Interventional2022-09-06Recruiting
Metformin Versus Metfotmin Plus Low-dose Spironolactone in the Treatment of Overweight/Obese Patients With Polycystic Ovary Syndrome: a Randomized Study [NCT01526616]56 participants (Actual)Interventional2010-05-31Completed
Evaluation de la Spironolactone Dans le Traitement Des choriorétinites séreuses Centrales Non résolutives à Trois Mois [NCT01552044]Phase 1/Phase 217 participants (Actual)Interventional2012-01-31Completed
A Double-Blind, Placebo-Controlled Study on the Effect of Spironolactone, in Patients With Persistent Proteinuria on Long-Term Angiotensin Converting Enzyme Inhibitor Therapy, With or With Out an Angiotensin II Receptor Blocker [NCT00106561]Phase 2/Phase 360 participants Interventional2002-01-31Completed
Spironolactone and Testolactone Treatment of Boys With Familial Isosexual Precocious Puberty [NCT00001202]Phase 280 participants Interventional1985-01-31Completed
Effectiveness and Safety of Different Estradiol Replacement Therapies in Transgender Female [NCT05010707]Phase 2100 participants (Anticipated)Interventional2021-08-02Recruiting
Safety and Efficacy of Larger Dose of Spironolactone for the Treatment of Patients With Nonischemic Cardiomyopathy [NCT00125437]200 participants (Anticipated)Interventional2005-09-30Terminated(stopped due to Poor compliance with the therapy and lot of patients were lost to follow up.)
Functional Mitral Regurgitation in STICH [NCT00224809]250 participants (Anticipated)Interventional2002-09-30Completed
Withdrawal of Spironolactone Treatment for Heart Failure With Improved Left Ventricular Ejection Fractraction: an Open-label Randomized Controlled Pilot Study (With-HF Trial) [NCT04367051]62 participants (Actual)Interventional2020-08-13Completed
A Phase II, Randomised, Multi-centric, Multi-national Clinical Trial to Evaluate the Efficacy, Tolerability, and Safety of a Fixed Dose Combination of Spironolactone, Pioglitazone & Metformin (SPIOMET) for Adolescent Girls and Young Adult Women (AYAs) Wit [NCT05394142]Phase 2364 participants (Anticipated)Interventional2022-05-24Recruiting
Therapeutic Potential for Aldosterone Inhibition in Duchenne Muscular Dystrophy [NCT02354352]Phase 352 participants (Actual)Interventional2015-03-20Completed
Official Title: Spironolactone Combined With Captopril and Carvedilol for the Treatment of Patients With Pulmonary Arterial Hypertension Associated With Congenital Heart Disease-Focus on Pulmonary Artery Remodeling [NCT00240656]Phase 10 participants Interventional2005-10-31Completed
[NCT01687699]Phase 4157 participants (Actual)Interventional2008-04-30Completed
Is Spironolactone Safe and Effective in the Treatment of Cardiovascular Disease in Mild Chronic Renal Failure? [NCT00291720]Phase 2120 participants (Actual)Interventional2005-04-30Completed
Mineralocorticoid Receptor in the Treatment of Severe Depression: A Randomized, Double Blind, and Placebo Controlled Trial [NCT00295347]65 participants (Anticipated)Interventional2005-12-31Completed
A Randomised Study Examining the Effect of Different Diuretics on Fluid Balance in Diabetics Treated With Avandia [NCT00306696]Phase 4388 participants (Actual)Interventional2002-10-31Completed
A Randomized Prospective Pilot Study to Evaluate Efficacy of Aldosterone Antagonist Therapy for Prevention of New Atrial Fibrillation (AF) in Patients With Atrial Flutter (AFL), But no Previously Detected AF, Undergoing caVOtricuspID Isthmus Ablation [NCT03929718]Early Phase 150 participants (Anticipated)Interventional2019-04-24Active, not recruiting
Effect of Betablocker or Aldosterone Antagonist Therapy on Oxygenation, Peripheral and Cardiac Hemodynamics and Humoral Systems [NCT00332904]Phase 422 participants (Actual)Interventional2006-08-31Active, not recruiting
A Double-blind, Randomized Controlled Study of Finerenone vs. Spironolactone in Hypertensive Patients With Primary Aldosteronism [NCT06164379]Phase 4150 participants (Anticipated)Interventional2023-12-16Not yet recruiting
Feasibility, Acceptability, and Preliminary Efficacy of Off-Label Medications for Alcohol Use Disorder Among Patients With HIV: An Open-Label Pilot Study [NCT06004830]30 participants (Anticipated)Interventional2023-11-06Recruiting
Multicenter Study of Patients With Hypertension Resistant to Patient Identification and Standardization of Therapeutic [NCT01643434]Phase 42,000 participants (Anticipated)Interventional2012-08-31Recruiting
Two Way Crossover Oral Drug-drug Interaction Study of Spironolactone (Perpetrator) and Digoxin (Substrate Drug) in Healthy Adult Human Subjects Under Fasting Condition [NCT03909529]Phase 128 participants (Actual)Interventional2019-03-10Completed
Phase II Trial to Evaluate the Efficacy and Safety of Spironolactone in Hemodialysis Patients [NCT01691053]Phase 2118 participants (Actual)Interventional2012-12-31Completed
Changes in Central Aortic Pressure, Endothelial Function and Biomarkers in African Americans With Cardiometabolic Syndrome: Comparison of Amlodipine/Olmesartan Versus Hydrochlorothiazide/Losartan [NCT01271374]Phase 480 participants (Anticipated)Interventional2010-04-30Active, not recruiting
[NCT01817803]0 participants (Actual)Interventional2013-03-31Withdrawn
A Study of the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of LY3045697 After Multiple Oral Dosing in Healthy Subjects [NCT01821703]Phase 124 participants (Anticipated)Interventional2013-05-31Completed
Use of Spironolactone for the Prevention of Electrolyte Abnormalities in Patients Treated With Amphotericin B [NCT01843309]Phase 436 participants (Actual)Interventional2013-05-31Terminated(stopped due to Not possible to complete the sample within the estimated time by the use of new antifungals)
Acute Imposition of Fontan Physiology in The Single Ventricle Patient: Effects on Fibrosis, Function and Drug Intervention [NCT04901975]Phase 1/Phase 2120 participants (Anticipated)Interventional2021-02-11Recruiting
A Prospective Controlled Study for the Treatment Effect of Different Intervention Strategies for Pediatric Mitral Regurgitation--A Multicenter Prospective Cohort Study of Innovative Drug Therapy in Improving Left Ventricular Function After Mitral Repair [NCT06039592]164 participants (Anticipated)Observational [Patient Registry]2022-04-01Recruiting
A Prospective Controlled Study for the Treatment Effect of Different Intervention Strategies for Pediatric Mitral Regurgitation--A Multicenter Prospective Cohort Study of Innovative Drug Therapy for Pediatric Mitral Regurgitation [NCT06037434]122 participants (Anticipated)Observational [Patient Registry]2022-04-01Recruiting
Effects of Spironolactone on Collagen Metabolism in Pulmonary Arterial Hypertension [NCT01468571]Phase 450 participants (Anticipated)Interventional2011-07-31Recruiting
Safety and Cardiovascular Efficacy of Spironolactone in Dialysis-Dependent End-Stage Renal Disease (ESRD) (SPin-D) Trial [NCT02285920]Phase 2129 participants (Actual)Interventional2014-11-30Completed
The Combination Ambrisentan Plus Spironolactone in Pulmonary Arterial Hypertension Study (The CAPS-PAH Study) [NCT02253394]Phase 42 participants (Actual)Interventional2015-09-30Terminated(stopped due to Low enrollment)
AuTophagy Activation for Cardiomyopathy Due to Anthracycline tReatment (ATACAR) Trial [NCT04190433]Phase 20 participants (Actual)Interventional2020-09-01Withdrawn(stopped due to Administratively closed due to low/no accrual)
High-Dose Aldactone for Treatment of Diuretic Resistant Heart Failure [NCT02429388]Phase 40 participants (Actual)Interventional2014-05-31Withdrawn(stopped due to Principal Investigator left institution prior to subjects being enrolled)
Mineralocorticoid Antagonism and Endothelial Dysfunction in Autosomal Dominant Polycystic Kidney [NCT01853553]Phase 361 participants (Actual)Interventional2013-07-31Completed
Randomized Double-blind Study on the Benefit of Spironolactone for Treating Acne of Adult Woman. [NCT03334682]Phase 3158 participants (Actual)Interventional2018-01-31Completed
Aldosterone bloCkade for Health Improvement EValuation in End-stage Renal Disease [NCT03020303]Phase 32,750 participants (Anticipated)Interventional2017-07-07Recruiting
Spironolactone Therapy in Chronic Stable Right HF Trial [NCT03344159]Phase 415 participants (Actual)Interventional2018-04-01Completed
Neural Mechanisms of Thiazide-induced Insulin Resistance [NCT00353652]Phase 4166 participants (Actual)Interventional2005-01-31Completed
Spironolactone in Diabetic Nephropathy [NCT00317954]Phase 448 participants Interventional2003-09-30Completed
The Impact of Fitness and Mineralocorticoid Receptor Blockade on Vascular Dysfunction in Adults With Type 1 Diabetes [NCT03174288]32 participants (Actual)Interventional2015-08-31Completed
Improving Outcomes in Diabetic Nephropathy [NCT00381134]Phase 292 participants (Anticipated)Interventional2003-07-31Completed
A Two-Part, Phase II Randomized Trial to Explore Topical Spironolactone to Prevent/Attenuate Rash From Epidermal Growth Factor Receptor Inhibitors (Panitumumab and Cetuximab) in Advanced Cancer Patients [NCT01867294]Phase 219 participants (Actual)Interventional2012-08-31Completed
Pilot Study of Natriuretic Versus Standard Doses of Mineralocorticoid Receptor Antagonists in Heart Failure and Loop Diuretic Resistance in Outpatients [NCT02585843]Phase 2/Phase 320 participants (Actual)Interventional2015-11-30Completed
Diamox/Aldactone to Increase the URinary Excretion of Sodium: an Investigational Study in Congestive Heart Failure [NCT01973335]Phase 434 participants (Actual)Interventional2013-11-30Completed
[NCT00004311]Phase 20 participants Interventional1989-07-31Completed
Antiarrhythmic Effects of Spironolactone in Patients With ICDs [NCT04495712]Phase 490 participants (Actual)Interventional2004-07-28Completed
Glucose Metabolism in Subjects With Aldosterone-Producing Adenomas [NCT02362308]10 participants (Actual)Observational2015-01-31Completed
The Use of 5mg Finasteride Versus 200mg Spironolactone and Topical 5% Minoxidil in Treating Postmenopausal Female Androgenetic Alopecia [NCT02483195]Phase 40 participants (Actual)Interventional2016-08-31Withdrawn(stopped due to PI indicating she was withdrawing her study submission due to lack of funding as of 6/20/2016)
SPironolactone Versus Amiloride for Treatment of REsistant Hypertension (SPARE Trial): A Comparison of Home Blood Pressure [NCT04331691]Phase 4118 participants (Anticipated)Interventional2020-11-16Recruiting
Effects and Safety of Sacubitril/Valsartan Versus Valsartan on Refractory Hypertension: The EOSORH Trial [NCT05545059]Phase 3138 participants (Anticipated)Interventional2022-09-24Recruiting
Prevalence and Treatment of Resistant Hypertension in Diabetic Patients in Yaounde [NCT02426099]Phase 417 participants (Actual)Interventional2011-10-31Completed
Optimum Treatment for Drug-Resistant Hypertension [NCT02369081]Phase 4348 participants (Actual)Interventional2009-05-31Active, not recruiting
Phase IV, Double-Blind, Placebo-Controlled, Randomized-Withdrawal Trial Evaluating Sodium Zirconium Cyclosilicate (SZC) for the Management of Hyperkalaemia in Patients With Symptomatic Heart Failure With Reduced Ejection Fraction and Receiving Spironolact [NCT04676646]Phase 4400 participants (Anticipated)Interventional2021-03-08Recruiting
Spironolactone in Chronic Kidney Disease Enabled by Chlorthalidone: A Pilot Randomized Control Trial [NCT05222191]Phase 224 participants (Anticipated)Interventional2022-02-01Recruiting
Non-Responsive Diabetic Macular Edema in Patients With Pachychoroid and Choroidal Hyperpermeability. [NCT04853355]Phase 40 participants (Actual)Interventional2022-07-31Withdrawn(stopped due to lack of funding)
Compare the Efficacy and Safety of Finerenone, a New Type of Mineralocorticoid Receptor Antagonist, and Spironolactone in the Treatment of Primary Aldosteronism: a Single-Center, Prospective, Randomized Controlled Study [NCT05814770]Phase 496 participants (Anticipated)Interventional2023-05-31Not yet recruiting
Radiofrequency Ablation for Atrial Fibrillation in Advanced Chronic Heart Failure [NCT00292162]41 participants (Actual)Interventional2007-01-31Completed
Randomized Controlled Trial of Spironolactone Versus Standard of Care Blood Pressure Treatment on the Severity of Obstructive Sleep Apnea in Patients With Resistant Hypertension [NCT01897727]41 participants (Actual)Interventional2009-01-31Completed
Heart Failure in Congenital Heart Disease: the Role of Myocardial Fibrosis. Treatment Sub-Study: Spironolactone vs. Placebo [NCT01069510]Phase 240 participants (Actual)Interventional2010-02-28Completed
A Randomized, Double-blind, Multi-center Study to Assess Safety and Tolerability of Different Oral Doses of BAY94-8862 in Subjects With Stable Chronic Heart Failure With Left Ventricular Systolic Dysfunction and Mild (Part A) or Moderate (Part B) Chronic [NCT01345656]Phase 2457 participants (Actual)Interventional2011-05-09Completed
Effects of Adding Hypertonic Saline Solutions and/or Etilefrine to Standard Diuretics Therapy in Egyptian Cirrhotic Patients With Ascites [NCT04785755]Phase 290 participants (Actual)Interventional2017-11-30Completed
A 2-week, Phase 1b, Randomized, Double-Blind, Placebo- Controlled, Multi-Dose, Dose-Escalating Study With PF-03882845 And One Dose Of Spironolactone To Evaluate Safety, Tolerability, Pharmacokinetics And Pharmacodynamics In Subjects With Type 2 Diabetes M [NCT01488877]Phase 16 participants (Actual)Interventional2012-01-31Terminated(stopped due to See termination reason in detailed description.)
Evaluation of Cortisol Resistance in Young Sedentary and Endurance-trained Men and Elderly Sedentary Men [NCT01294319]Phase 251 participants (Actual)Interventional2011-01-24Completed
A Phase 1, Open-label, Randomized, Crossover Study to Assess the Safety, Tolerability, and Efficacy of CLP With and Without Spironolactone in Adults With Heart Failure [NCT01598740]Phase 118 participants (Actual)Interventional2012-06-30Completed
European Alport Therapy Registry - European Initiative Towards Delaying Renal Failure in Alport Syndrome: Current and Novel Therapies [NCT02378805]500 participants (Anticipated)Observational [Patient Registry]1995-07-31Recruiting
Furosemide With Early Sequential Nephron Blockade Versus Furosemide Alone in Acute Heart Failure Patients With Furosemide-guided Diuretic Resistance: A Double-blinded, Randomized, Placebo-controlled Study [NCT04465123]Phase 3100 participants (Anticipated)Interventional2020-08-13Recruiting
The Effect of Spironolactone on Oxygenation in Covid-19 ARDS Patients [NCT04345887]60 participants (Actual)Observational [Patient Registry]2020-05-05Completed
Mineralocorticoid Receptor and Obesity Induced Cardiovascular Complications [NCT01406015]38 participants (Actual)Interventional2009-02-28Completed
Aldosterone Targeted Neurohormonal Combined With Natriuresis Therapy - HF (ATHENA-HF) [NCT02235077]Phase 2360 participants (Actual)Interventional2014-12-30Completed
Prospective Study Assessing Blood Pressure, Cardiovascular, Endothelial and Other Outcomes poSt-surgical and Medical Treatment in Patients With Primary Aldosteronism [NCT03174847]57 participants (Actual)Observational2017-02-20Completed
The Effect of Spironolactone on Acute Kidney Injury in Patients Undergoing Coronary Angiography [NCT03329443]Phase 2490 participants (Actual)Interventional2017-09-01Completed
Exploring Mechanisms and Morphology of QT Interval Prolongation - An Inheritable as Well as an Inducible Phenomenon [NCT03291145]28 participants (Actual)Interventional2017-06-27Completed
A Randomized Cross-over Trial Evaluating the Efficacy of Diuretics for Symptomatic Malignant Ascites Episodes in Advanced Palliative Stage of Cancer [NCT02501213]Phase 214 participants (Actual)Interventional2016-05-30Terminated(stopped due to Lack of enrollment)
Usefulness of Spironolactone for the Prevention of Acute Kidney Injury in Critically Ill Patients With Invasive Mechanical Ventilation [NCT03206658]Phase 390 participants (Anticipated)Interventional2017-08-01Not yet recruiting
The Effect of Selective Adrenal Artery Embolism on Vascular Endothelial Function in Patients With Primary Aldosteronism Based on Brachial Artery Flow-mediated Relaxation [NCT05561361]200 participants (Anticipated)Observational2022-10-01Recruiting
Biomarker Guided Therapies in Stage A/B Heart Failure [NCT02230891]Phase 258 participants (Actual)Interventional2014-10-01Completed
A Randomized, Placebo-Controlled, Double-Blinded, Parallel, Phase 2a Study to Evaluate the Safety and Efficacy of LY2623091 in Patients With Primary Hypertension [NCT02194465]Phase 2304 participants (Actual)Interventional2014-08-31Completed
Tissue Sodium in Pre-hypertensive Patients [NCT02236520]Phase 271 participants (Actual)Interventional2014-09-30Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

TrialOutcome
NCT00094302 (25) [back to overview]Aborted Cardiac Arrest
NCT00094302 (25) [back to overview]All-cause Mortality
NCT00094302 (25) [back to overview]Cardiovascular Mortality
NCT00094302 (25) [back to overview]Cardiovascular-related Hospitalization
NCT00094302 (25) [back to overview]Chloride
NCT00094302 (25) [back to overview]New Onset Diabetes Mellitus, Among Subjects Without a History of Diabetes Mellitus at Baseline.
NCT00094302 (25) [back to overview]Composite Outcome of Cardiovascular Mortality or Cardiovascular-related Hospitalization (i.e., Hospitalization for Myocardial Infarction(MI), Stroke, or the Management of Heart Failure), Whichever Occurred First
NCT00094302 (25) [back to overview]Composite Outcome of Cardiovascular Mortality, Aborted Cardiac Arrest, or Hospitalization for the Management of Heart Failure, Whichever Occurred First
NCT00094302 (25) [back to overview]Composite Outcome of Sudden Death or Aborted Cardiac Arrest, Whichever Occurred First
NCT00094302 (25) [back to overview]Depression Symptoms, as Measured by Patient Health Questionnaire.
NCT00094302 (25) [back to overview]Deterioration of Renal Function
NCT00094302 (25) [back to overview]Hospitalization for the Management of Heart Failure
NCT00094302 (25) [back to overview]Development of Atrial Fibrillation, Among Subjects Without a History of Atrial Fibrillation at Baseline.
NCT00094302 (25) [back to overview]Estimated Glomerular Filtration Rate (GFR)
NCT00094302 (25) [back to overview]Hospitalization for Any Reason
NCT00094302 (25) [back to overview]Total Hospitalizations (Including Repeat Hospitalizations) for the Management of Heart Failure
NCT00094302 (25) [back to overview]Stroke
NCT00094302 (25) [back to overview]Sodium
NCT00094302 (25) [back to overview]Serum Creatinine
NCT00094302 (25) [back to overview]Quality of Life, as Measured by the Kansas City Cardiomyopathy Questionnaire.
NCT00094302 (25) [back to overview]Quality of Life, as Measured by the EuroQOL Visual Analog Scale.
NCT00094302 (25) [back to overview]Quality of Life, as Measured by McMaster Overall Treatment Evaluation Questionnaire.
NCT00094302 (25) [back to overview]Potassium
NCT00094302 (25) [back to overview]Composite Outcome of Sudden Death, Aborted Cardiac Arrest, or Hospitalization for the Management of Ventricular Tachycardia, Whichever Occurred First
NCT00094302 (25) [back to overview]Myocardial Infarction
NCT00123955 (4) [back to overview]Quality of Life Measured by the Minnesota Living With Heart Failure Questionnaire-total Score
NCT00123955 (4) [back to overview]Left Ventricular Diastolic Stiffness
NCT00123955 (4) [back to overview]Exercise Intolerance
NCT00123955 (4) [back to overview]Concentric Left Ventricular Remodeling
NCT00141778 (11) [back to overview]Length of Hospital Stay (Days)
NCT00141778 (11) [back to overview]Hypotension
NCT00141778 (11) [back to overview]Stroke
NCT00141778 (11) [back to overview]Hypokalemia
NCT00141778 (11) [back to overview]Death
NCT00141778 (11) [back to overview]Acute Renal Failure
NCT00141778 (11) [back to overview]Postoperative Atrial Fibrillation
NCT00141778 (11) [back to overview]Perioperative Plasminogen Activator Inhibitor-1 (PAI-1) Concentrations
NCT00141778 (11) [back to overview]Perioperative Interleukin(IL)-6 Concentrations
NCT00141778 (11) [back to overview]Perioperative C-reactive Protein (CRP) Concentrations
NCT00141778 (11) [back to overview]Time to Tracheal Extubation
NCT00211081 (6) [back to overview]Tumor Necrosis Factor-Alpha (TNF-a) Level
NCT00211081 (6) [back to overview]Interleukin-6 (IL-6) Level
NCT00211081 (6) [back to overview]C-Reactive Protein Level
NCT00211081 (6) [back to overview]Interleukin 1 Beta (IL1b) Level
NCT00211081 (6) [back to overview]Interleukin-10 (IL10) Level
NCT00211081 (6) [back to overview]Change in Flow Mediated Dilation
NCT00292162 (6) [back to overview]Left Ventricular Ejection Fraction by Magnetic Resonance Imaging (MRI)at 6 Months
NCT00292162 (6) [back to overview]Plasma B-type Natriuretic Peptide (BNP) at Baseline
NCT00292162 (6) [back to overview]Plasma B-type Natriuretic Peptide (BNP) at 6 Months
NCT00292162 (6) [back to overview]Plasma B-type Natriuretic Peptide (BNP)
NCT00292162 (6) [back to overview]Change in Left Ventricular Ejection Fraction by Magnetic Resonance Imaging (MRI)%
NCT00292162 (6) [back to overview]Baseline Left Ventricular Ejection Fraction by Magnetic Resonance Imaging (MRI)
NCT00353652 (5) [back to overview]24-hour Ambulatory Systolic Blood Pressure
NCT00353652 (5) [back to overview]Sympathetic Baroreflex Sensitivity
NCT00353652 (5) [back to overview]Sympathetic Nerve Activity
NCT00353652 (5) [back to overview]HOMA-IR
NCT00353652 (5) [back to overview]Insulin
NCT00391846 (8) [back to overview]Changes in NT-proBNP Values Over Time in All Patients
NCT00391846 (8) [back to overview]Composite Value of 3 Variables After 9 Months: Cardiovascular Death (Days Alive), Cardiovascular Hospitalization (Days Out of Hospital), Heart Failure Symptoms (Symptom Score Subset of the Kansas City Cardiomyopathy Questionnaire - Questions 3,5,7,9)
NCT00391846 (8) [back to overview]Discontinuations
NCT00391846 (8) [back to overview]Number of CV Deaths
NCT00391846 (8) [back to overview]Number of Days in Hospital for CV Reason
NCT00391846 (8) [back to overview]Total Number of Titration Steps in Prescribed Heart Failure Treatment
NCT00391846 (8) [back to overview]Changes in Health-related Quality of Life
NCT00391846 (8) [back to overview]Changes in Heart Failure Symptoms
NCT00574119 (9) [back to overview]Left Ventricular Work-metabolic Index (WMI) at Baseline
NCT00574119 (9) [back to overview]Left Ventricular Work-metabolic Index (WMI) at 6 Months
NCT00574119 (9) [back to overview]Change in Myocardial Fibrosis (T1 Time) by Magnetic Resonance Imaging
NCT00574119 (9) [back to overview]6 Minute Walk Test (6MWT) at Baseline
NCT00574119 (9) [back to overview]6 Minute Walk Test (6MWT) at 6 Months
NCT00574119 (9) [back to overview]Myocardial Perfusion Reserve Index (MPRI) by Magnetic Resonance Imaging at Baseline
NCT00574119 (9) [back to overview]Myocardial Perfusion Index Reserve (MPRI) by Magnetic Resonance Imaging at 6 Months
NCT00574119 (9) [back to overview]Minnesota Living With Heart Failure Questionnaire.at 6 Months
NCT00574119 (9) [back to overview]Minnesota Living With Heart Failure Questionnaire,at Baseline
NCT00865124 (4) [back to overview]Change in Coronary Flow Reserve From Baseline to 6 Months
NCT00865124 (4) [back to overview]Change in Mitral Annulus Velocities on Tissue Doppler (Delta E/e' Ratio), a Measure of Diastolic Function
NCT00865124 (4) [back to overview]Change in Renal Plasma Flow
NCT00865124 (4) [back to overview]Mitral Annulus Velocities on Tissue Doppler (Delta E/e' Ratio), a Measure of Diastolic Function (With Angiotensin II)
NCT00879060 (8) [back to overview]Absolute Change in Serum Markers of Collagen Turnover (Micrograms/L) Over a One-year Follow-up Period in the Spironolactone Group Compared to Placebo.
NCT00879060 (8) [back to overview]Assessment of Cardiac Mass and Fibrosis by Cardiac Magnetic Resonance Imaging (CMR) - Left Atrial Dimension (in mm)
NCT00879060 (8) [back to overview]Assessment of Cardiac Mass and Fibrosis by Cardiac Magnetic Resonance Imaging (CMR) - Left Ventricular End-Diastolic (LVED) Cavity Size (in mm/m^2)
NCT00879060 (8) [back to overview]Assessment of Cardiac Mass and Fibrosis by Cardiac Magnetic Resonance Imaging (CMR) - Maximum Left Ventricular Wall Thickness (in mm)
NCT00879060 (8) [back to overview]Measure of Indices of Diastolic Function by Tissue Doppler Echocardiography (Septal E/e')
NCT00879060 (8) [back to overview]Measure of Heart Failure Symptoms According to the New York Heart Association Functional Class
NCT00879060 (8) [back to overview]Measure of Functional Capacity: Peak Oxygen Consumption With Exercise
NCT00879060 (8) [back to overview]Assessment of Cardiac Mass and Fibrosis by Cardiac Magnetic Resonance Imaging (CMR) - Percentage of Left Ventricular Mass (%LV)
NCT01055223 (6) [back to overview]Number of Fractures of the Hand, Foot, Upper Arm, and Wrist in Males and Females After 6 Months of Exposure to TZD
NCT01055223 (6) [back to overview]Number of Hip Fractures Combined in Males and Females After 12 Months of Exposure to TZD
NCT01055223 (6) [back to overview]Number of Low Impact Fractures in Males and Females After 12 Months of Exposure to TZD
NCT01055223 (6) [back to overview]Number of Low Impact Fractures in Males and Females After 6 Months of Exposure to TZD
NCT01055223 (6) [back to overview]Number of Fractures of the Hand, Foot, Upper Arm, and Wrist in Males and Females After 12 Months of Exposure to TZD
NCT01055223 (6) [back to overview]Number of Hip Fractures Combined in Males and Females After 6 Months of Exposure to TZD
NCT01062763 (3) [back to overview]Change of Diastolic Blood Pressure
NCT01062763 (3) [back to overview]Change of of Systolic Blood Pressure
NCT01062763 (3) [back to overview]Adverse Effects
NCT01069510 (3) [back to overview]Procollagen 3 NT Peptide
NCT01069510 (3) [back to overview]Extracellular Volume Fraction
NCT01069510 (3) [back to overview]6-minute Walk Distance
NCT01103245 (8) [back to overview]Plasma Glucose
NCT01103245 (8) [back to overview]Plasma Insulin
NCT01103245 (8) [back to overview]Plasma Insulin
NCT01103245 (8) [back to overview]Plasma Insulin
NCT01103245 (8) [back to overview]Plasma Insulin
NCT01103245 (8) [back to overview]Plasma Glucose
NCT01103245 (8) [back to overview]Plasma Glucose
NCT01103245 (8) [back to overview]Plasma Glucose
NCT01130597 (19) [back to overview]Percentage of Participants With Serum Potassium in the Range of 4.0 - 5.1 mEq/L at the End of Treatment
NCT01130597 (19) [back to overview]Percentage of Participants With Serum Potassium in the Range of 4.0 - 5.1 mEq/L at Week 4
NCT01130597 (19) [back to overview]Percentage of Participants With Serum Potassium in the Range of 4.0 - 5.1 mEq/L at Week 8
NCT01130597 (19) [back to overview]Percentage of Patients Whose Spironolactone Dose Was Increased Up to 50 mg/Day
NCT01130597 (19) [back to overview]Change in Urine Albumin to Creatinine Ratio (ACR) From Baseline to Week 4 Among Participants With ACR ≥ 30 mg/g at Baseline
NCT01130597 (19) [back to overview]Mean Dose of Patiromer at End of Treatment
NCT01130597 (19) [back to overview]Mean Patiromer Dose at Week 1
NCT01130597 (19) [back to overview]Mean Number of Patiromer Titrations
NCT01130597 (19) [back to overview]Mean Change From Baseline in Serum Potassium to End of Treatment
NCT01130597 (19) [back to overview]Mean Patiromer Dose at Week 4
NCT01130597 (19) [back to overview]Mean Patiromer Dose at Week 8
NCT01130597 (19) [back to overview]Median Time to First Patiromer Dose Titration
NCT01130597 (19) [back to overview]Percentage of Participants Discontinuing Due to Hyperkalemia (Serum Potassium > 5.5 mEq/L)
NCT01130597 (19) [back to overview]Percentage of Participants Requiring Patiromer Downtitration
NCT01130597 (19) [back to overview]Percentage of Participants Requiring Patiromer Uptitration
NCT01130597 (19) [back to overview]Percentage of Participants With Serum Potassium in the Range of 3.5 - 5.5 mEq/L at the End of Treatment
NCT01130597 (19) [back to overview]Percentage of Participants With Serum Potassium in the Range of 3.5 - 5.5 mEq/L at Week 8
NCT01130597 (19) [back to overview]Change in ACR From Baseline to Week 8 Among Participants With Urine ACR ≥ 30 mg/g at Baseline
NCT01130597 (19) [back to overview]Percentage of Participants With Serum Potassium in the Range of 3.5 - 5.5 mEq/L at Week 4
NCT01294319 (2) [back to overview]Proportion of Suppressors After Dexamethasone
NCT01294319 (2) [back to overview]Post-dexamethasone Cortisol Level
NCT01371747 (9) [back to overview]Proportion of Participants Achieving Serum Potassium Levels Within 3.5 to 5.5 mEq/L at Week 8 for Each Individual Starting Dose Group
NCT01371747 (9) [back to overview]Proportion of Participants Achieving Serum Potassium Levels Within 4.0 to 5.0 mEq/L at Week 8 for Each Individual Starting Dose Group
NCT01371747 (9) [back to overview]Proportions of Participants Achieving Serum Potassium Levels Within 3.8 to 5.0 mEq/L at Week 52 for Each Individual Starting Dose Group
NCT01371747 (9) [back to overview]Time to First Serum Potassium Measurement of 4.0 - 5.0 mEq/L During Treatment Initiation Period for Each Individual Starting Dose Group
NCT01371747 (9) [back to overview]Least Squares Mean Change in Serum Potassium From Baseline to Day 3 During the Treatment Initiation Period for Each Individual Starting Dose Group
NCT01371747 (9) [back to overview]Least Squares Mean Change in Serum Potassium From Baseline to Week 4 or Time of First Titration for Each Individual Starting Dose Group
NCT01371747 (9) [back to overview]Least Squares Mean Change in Serum Potassium From Baseline to Week 8 or Time of First Titration for Each Individual Starting Dose Group
NCT01371747 (9) [back to overview]Mean Change in Serum Potassium From Baseline to Week 52 During the Long-term Maintenance Period for Each Individual Starting Dose Group
NCT01371747 (9) [back to overview]Mean Change in Serum Potassium From Week 52 or Last Patiromer Dose (if Occurred Before Week 52) to Follow-up Visits Plus 7 Days
NCT01406015 (4) [back to overview]Change From Baseline in Insulin Sensitivity Index (ISI)
NCT01406015 (4) [back to overview]Change From Baseline in Homeostatic Model Assessment of Insulin Resistance (HOMA-IR)
NCT01406015 (4) [back to overview]Change From Baseline in Post-ischemic Dilatation
NCT01406015 (4) [back to overview]Change From Baseline in Para-aminohippurate (PAH) Clearance
NCT01488877 (5) [back to overview]Number of Participants With Confirmed and Severe Hyperkalemia
NCT01488877 (5) [back to overview]Change From Baseline in Sitting Systolic and Diastolic Blood Pressure at Day 15
NCT01488877 (5) [back to overview]Change From Baseline in Sitting Pulse Rate at Day 15
NCT01488877 (5) [back to overview]Change From Baseline in Serum Potassium at Day 15
NCT01488877 (5) [back to overview]Change From Baseline in Serum Potassium at Day 8
NCT01598740 (2) [back to overview]Change in Fecal Weight
NCT01598740 (2) [back to overview]Change in Fecal Sodium Content
NCT01853553 (2) [back to overview]Change From Baseline in Flow Mediated Dilation at 6 Months.
NCT01853553 (2) [back to overview]Change From Baseline in Vascular Stiffness at 6 Months.
NCT01867294 (4) [back to overview]Number of Patients Reporting a Grade 2+ Adverse Event Attributed to Spironolactone (Study I)
NCT01867294 (4) [back to overview]Percentage of Patients in the Spironolactone Arm Who Complete the 4-week Study Intervention (Study I)
NCT01867294 (4) [back to overview]Incidence of Truncal/Extremity Rash of Any Grade in Patients in the Spironolactone Arm (Study I)
NCT01867294 (4) [back to overview]Efficacy of Spironolactone and Placebo Measured by the Use of the Brief Pictorial Rash Incidence Questionnaire (Study I)
NCT01897727 (1) [back to overview]Severity of Obstructive Sleep Apnea
NCT01973335 (7) [back to overview]Peak Plasma Renin Activity After 72 h
NCT01973335 (7) [back to overview]Persistent Renal Impairment
NCT01973335 (7) [back to overview]Spironolactone Arm: Incidence of Hypo- (Serum Potassium <3.5 mmol/L) or Hyperkalemia (Serum Potassium >5.0 mmol/L)
NCT01973335 (7) [back to overview]NT-proBNP Change After 72 h
NCT01973335 (7) [back to overview]Number of Participants With Worsening Renal Function
NCT01973335 (7) [back to overview]Acetazolamide Arm: Natriuresis 24 h
NCT01973335 (7) [back to overview]Peak Plasma Aldosterone Concentration After 72 h
NCT02169089 (4) [back to overview]Change in 24-hour Ambulatory Systolic Blood Pressure of Spironolactone vs. Placebo
NCT02169089 (4) [back to overview]Left Ventricular Mass Index of Spironolactone vs. Placebo.
NCT02169089 (4) [back to overview]Myocardial Fibrosis (Change in Native T1) Spironolactone vs. Placebo
NCT02169089 (4) [back to overview]Percent Change in Atheroma Volume (PAV) in the Thoracic Aorta of Spironolactone vs. Placebo
NCT02194465 (5) [back to overview]Change From Baseline to 4 Weeks in 24 Hour Ambulatory Blood Pressure Monitoring (ABPM)
NCT02194465 (5) [back to overview]Change From Baseline to 4 Weeks in Seated Diastolic Blood Pressure (DBP)
NCT02194465 (5) [back to overview]Change From Baseline to 4 Weeks in Seated Systolic Blood Pressure (SBP)
NCT02194465 (5) [back to overview]Change From Baseline to 4 Weeks in Serum Potassium
NCT02194465 (5) [back to overview]Pharmacokinetics (PK): Maximum Concentration (Cmax) of LY2623091
NCT02230891 (4) [back to overview]Change in Cardiac Global Longitudinal Strain
NCT02230891 (4) [back to overview]Change in NTproBNP (Biomarker)
NCT02230891 (4) [back to overview]Change in Troponin T Measured Using a High Sensitivity Assay
NCT02230891 (4) [back to overview]Change in Pulse Wave Velocity
NCT02235077 (10) [back to overview]Presence of Outpatient Worsening Heart Failure Symptoms Through Day 30
NCT02235077 (10) [back to overview]Day 60 Mortality
NCT02235077 (10) [back to overview]Change in Loop Diuretics Requirements From Baseline to 30 Days
NCT02235077 (10) [back to overview]96 Hour Net Fluid Output
NCT02235077 (10) [back to overview]96 Hour Change in Serum Creatinine
NCT02235077 (10) [back to overview]96 Hour Change in NT-proBNP
NCT02235077 (10) [back to overview]96 Hour Change in Dyspnea Visual Analog Scale
NCT02235077 (10) [back to overview]96 Hour Change in Body Weight
NCT02235077 (10) [back to overview]96 Hour Change in Serum Potassium Levels
NCT02235077 (10) [back to overview]96 Hour Change in Clinical Congestion Score
NCT02236520 (1) [back to overview]Change in Tissue Sodium Concentration Measured Using Sodium Magnetic Resonance Imaging (NaMRI)
NCT02285920 (12) [back to overview]Efficacy - Change in Mitral Annular E' Velocity
NCT02285920 (12) [back to overview]Efficacy - Secondary Cardiac Outcome Measure - Left Ventricular Ejection Fraction (LVEF)
NCT02285920 (12) [back to overview]Efficacy - Secondary Cardiac Outcome Measures - Left Ventricular Global Longitudinal Strain (LVGLS)
NCT02285920 (12) [back to overview]Efficacy - Secondary Cardiac Outcome Measures - Ratio of Mitral Peak Velocity to Diastolic Mitral Annular Velocity (E/E')
NCT02285920 (12) [back to overview]Efficacy - Secondary Cardiac Outcome Measures Left Ventricular Mass Index (LVMI)
NCT02285920 (12) [back to overview]Safety - Cardiovascular Death
NCT02285920 (12) [back to overview]Safety - Combined Incidence of Potassium >6.5 mEq/L or Serious Hyperkalemia
NCT02285920 (12) [back to overview]Safety - Hyperkalemia Requiring Adjustment in Treatment
NCT02285920 (12) [back to overview]Safety - Number of Participants With Serious Hyperkalemia
NCT02285920 (12) [back to overview]Safety - Number of Participants With Serum Potassium >6.5 mEq/L
NCT02285920 (12) [back to overview]Safety - Participants With Serious Hypotension
NCT02285920 (12) [back to overview]Study Drug Tolerability
NCT02354352 (1) [back to overview]Left Ventricular Strain
NCT02497300 (5) [back to overview]Change in Albuminuria
NCT02497300 (5) [back to overview]Change in Serum Creatinine (Baseline - Post-medication)
NCT02497300 (5) [back to overview]Change in Serum Potassium
NCT02497300 (5) [back to overview]Difference in 24 Hour Ambulatory Systolic Blood Pressure
NCT02497300 (5) [back to overview]Change in Oxidative Stress as Measured by Urine Levels of F2-isoprostanes
NCT02585843 (5) [back to overview]Change in Score on the Visual Analogue Scale (VAS)
NCT02585843 (5) [back to overview]Change From Baseline to Day 7 on the Seven-Level Likert Scale
NCT02585843 (5) [back to overview]Change in 6-minute Walk Test Distance (6MWT)
NCT02585843 (5) [back to overview]Change in Body Weight
NCT02585843 (5) [back to overview]Change in Estimated Jugular Venous Pressure (cmH2O)
NCT02883400 (1) [back to overview]Glomerular Filtration Rate (GFR)
NCT03071263 (10) [back to overview]Participants With Central Serum Potassium <5.5 mEq/L Over Time
NCT03071263 (10) [back to overview]Participants Having Spironolactone Titrations Over Time
NCT03071263 (10) [back to overview]Number of Participants Requiring Additional New Antihypertensive Medications or Increases to Baseline Antihypertensive Medications
NCT03071263 (10) [back to overview]Number of Participants by Spironolactone Dose Prescribed at Each Visit
NCT03071263 (10) [back to overview]Central Serum Potassium Change From Baseline to Week 12 by Baseline Serum Potassium Category
NCT03071263 (10) [back to overview]Number of Participants Remaining on Spironolactone at Week 12
NCT03071263 (10) [back to overview]Change in AOBP SBP From Baseline to Week 12 Regardless of Increase in Antihypertensives
NCT03071263 (10) [back to overview]Change in AOBP SBP From Baseline to Week 12 or Last Available AOBP SBP Prior to Addition of Any New BP Medications or Increase From Any Baseline BP Medications
NCT03071263 (10) [back to overview]Spironolactone Dose Level at End of 12 Weeks of Study Treatment
NCT03071263 (10) [back to overview]Shifts in Selected Laboratory Tests From Baseline to End of Treatment
NCT03777319 (3) [back to overview]Efficacy: Dynamometry Score
NCT03777319 (3) [back to overview]Safety Will be Monitored Through Regular Review of Electrolytes.
NCT03777319 (3) [back to overview]Efficacy: Change in Time to Complete a 100 Meter Timed Test.
NCT03909529 (5) [back to overview]Digoxin Plasma Data for AUC0-96
NCT03909529 (5) [back to overview]Digoxin Plasma Data for Tmax
NCT03909529 (5) [back to overview]Dogoxin Plasma Data for Cmax
NCT03909529 (5) [back to overview]Renal Clearance (CLR)/Percent Recovered
NCT03909529 (5) [back to overview]Unchanged Drug Excreted in Urine (fe)/ Amount Recovered
NCT03981861 (5) [back to overview]Free Testosterone
NCT03981861 (5) [back to overview]Dehydroepiandrosterone Sulfate (DHEAS)
NCT03981861 (5) [back to overview]Body Mass Index (BMI)
NCT03981861 (5) [back to overview]Total Testosterone
NCT03981861 (5) [back to overview]Oral Glucose Tolerance Test
NCT04393493 (24) [back to overview]Number of Patients Whose Interventions Were Stopped Because Clinical Improvement Was Achieved Before 96 Hours as Assessed by de Clinical Judgement of the Medical Team in Charge.
NCT04393493 (24) [back to overview]Number of Patients That Achieved >30% Reduction in Brain Natriuretic Compared With Baseline Levels
NCT04393493 (24) [back to overview]Number of Participants With Renal Function Recovery Defined as a Return to Individual Baseline Serum Creatinine Values
NCT04393493 (24) [back to overview]Number of Days From the Beginning of the Intervention Until Patients Referred Dyspnea Improvement or a Reduction in Supplementary Oxygen Requirements Was Made.
NCT04393493 (24) [back to overview]Mortality During Follow up Defined as Number of Dead Patients After Discharge
NCT04393493 (24) [back to overview]In Hospital Mortality Defined as Number of Dead Patients From Day One of Intervention and Before Discharge
NCT04393493 (24) [back to overview]Change in Serum Urea Levels Measured at Day One of Intervention From Serum Urea Levels Measured at 96 Hrs After Intervention Started.
NCT04393493 (24) [back to overview]Change in Serum Sodium Levels Measured at Day One of Intervention From Serum Sodium Levels Measured at 96 Hrs After Intervention Started.
NCT04393493 (24) [back to overview]Change in Serum Potassium Levels Measured at Day One of Intervention From Serum Potassium Levels Measured at 96 Hrs After Intervention Started.
NCT04393493 (24) [back to overview]An Elevation of at Least 0.3 mg/dl of Serum Creatinine From Day One of Intervention Compared With Serum Creatinine at 96hrs After Intervention Started
NCT04393493 (24) [back to overview]Change in Serum pH Value Measured at Day One of Intervention From Serum pH Value Measured at 96 Hrs After Intervention Started.
NCT04393493 (24) [back to overview]Change in Serum Partial Pressure of Carbon Dioxide Measured at Day One of Intervention From Serum Partial Pressure of Carbon Dioxide Measured at 96 Hrs After Intervention Started.
NCT04393493 (24) [back to overview]Change in Serum Magnesium Levels Measured at Day One of Intervention From Serum Magnesium Levels Measured at 96 Hrs After Intervention Started.
NCT04393493 (24) [back to overview]Change in Serum Creatinine at Day One of Intervention From Serum Creatinine at 96 Hrs After Intervention Started
NCT04393493 (24) [back to overview]Change in Serum Copeptin Levels at Day One of Intervention From Serum Copeptin Levels Measured at 96 Hrs After Intervention Started.
NCT04393493 (24) [back to overview]Change in Serum Chloride Levels Measured at Day One of Intervention From Serum Chloride Levels Measured at 96 Hrs After Intervention Started.
NCT04393493 (24) [back to overview]Change in Serum Calcium Levels Measured at Day One of Intervention From Serum Calcium Levels Measured at 96 Hrs After Intervention Started.
NCT04393493 (24) [back to overview]Change in Serum Brain Natriuretic Peptide Levels at Baseline From Serum Brain Natriuretic Peptide Levels at 96 Hours After Intervention Started
NCT04393493 (24) [back to overview]Change in Serum Bicarbonate Levels Measured at Day One of Intervention From Serum Bicarbonate Levels Measured at 96 Hrs After Intervention Started.
NCT04393493 (24) [back to overview]Change in 24 Hour Urine Output at 96 Hours After Intervention Started From 24 Hour Urine Output One Day Before Intervention Initiation)
NCT04393493 (24) [back to overview]Number of Patients That Required Renal Replacement Therapy of Any Type During Intervention (4 Days).
NCT04393493 (24) [back to overview]Number of Patients With Dyspnea Improvement as Referred by the Patient or Reduction in Supplementary Oxygen Requirements Before Day 3 of Intervention
NCT04393493 (24) [back to overview]Number of Patients With Dyspnea Improvement as Referred by the Patient or Reduction in Supplementary Oxygen Requirements at 96 Hours After Intervention Started
NCT04393493 (24) [back to overview]Change in Serum Lactate Levels Measured at Day One of Intervention From Serum Lactate Levels Measured at 96 Hrs After Intervention Started.
NCT04495712 (6) [back to overview]Ventricular Refractoriness
NCT04495712 (6) [back to overview]Time to First Appropriate Implantable Cardioverter Defibrillator (ICD) Therapy
NCT04495712 (6) [back to overview]Short Form Health Survey Adapted for Veterans (SF36V)
NCT04495712 (6) [back to overview]Patient Concerns Assessment (PCA)
NCT04495712 (6) [back to overview]Kansas City Cardiomyopathy Questionnaire (KCCQ)
NCT04495712 (6) [back to overview]All Cause Hospitalization

Aborted Cardiac Arrest

First incidence of aborted cardiac arrest (NCT00094302)
Timeframe: Randomization through each subject's last semi-annual visit, up to a maximum of 6 years per subject.

InterventionEvents per 100 person-years (Number)
Placebo0.09
Spironolactone0.05

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All-cause Mortality

(NCT00094302)
Timeframe: Randomization through each subject's last semi-annual visit, up to a maximum of 6 years per subject.

InterventionEvents per 100 person-years (Number)
Placebo4.6
Spironolactone4.2

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Cardiovascular Mortality

(NCT00094302)
Timeframe: Randomization through each subject's last semi-annual visit, up to a maximum of 6 years per subject.

InterventionEvents per 100 person-years (Number)
Placebo3.1
Spironolactone2.8

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Chloride

Average post-baseline Chloride, taking into consideration baseline Chloride, treatment group, the time between the post-baseline measures, and the correlation between repeated measures within an individual. (NCT00094302)
Timeframe: Randomization through each subject's last semi-annual visit, up to a maximum of 6 years per subject.

InterventionmEq/L (Least Squares Mean)
Placebo102.33
Spironolactone102.26

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New Onset Diabetes Mellitus, Among Subjects Without a History of Diabetes Mellitus at Baseline.

First incidence of new onset diabetes mellitus among subjects without a history of diabetes mellitus at baseline. (NCT00094302)
Timeframe: Randomization through each subject's last semi-annual visit, up to a maximum of 6 years per subject.

InterventionEvents per 100 person-years (Number)
Placebo0.7
Spironolactone0.7

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Composite Outcome of Cardiovascular Mortality, Aborted Cardiac Arrest, or Hospitalization for the Management of Heart Failure, Whichever Occurred First

(NCT00094302)
Timeframe: Randomization through each subject's last semi-annual visit, up to a maximum of 6 years per subject.

InterventionEvents per 100 person-years (Number)
Placebo6.6
Spironolactone5.9

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Composite Outcome of Sudden Death or Aborted Cardiac Arrest, Whichever Occurred First

(NCT00094302)
Timeframe: Randomization through each subject's last semi-annual visit, up to a maximum of 6 years per subject.

InterventionEvents per 100 person-years (Number)
Placebo1.1
Spironolactone1.0

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Depression Symptoms, as Measured by Patient Health Questionnaire.

"Average post-baseline depression, taking into consideration baseline depression, treatment group, the time between the post-baseline measures, and the correlation between repeated measures within an individual.~The Patient Health Questionnaire (PHQ) is a 10-item, self-administered instrument for screening, diagnosing, monitoring and measuring the severity of depression. Scores can range from 0-27, in which lower scores reflect better mental health status. The PH-Q was administered at the following study visits: baseline, month 12 and annually thereafter. Valid translations of this questionnaire were only available for subjects enrolled in the United States and Canada." (NCT00094302)
Timeframe: Randomization through each subject's last semi-annual visit, up to a maximum of 6 years per subject.

Interventionunits on a scale (Least Squares Mean)
Placebo5.6
Spironolactone5.1

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Deterioration of Renal Function

First incidence of a deterioration of renal function. The TOPCAT protocol defines deterioration of renal function as occurring if a subject has a serum creatinine value which is at least double the baseline value for that subject, and is also above the upper limit of normal (assumed to be 1.0 mg/dL for females and 1.2 mg/dL for males.) (NCT00094302)
Timeframe: Randomization through each subject's last semi-annual visit, up to a maximum of 6 years per subject.

InterventionEvents per 100 person-years (Number)
Placebo2.2
Spironolactone3.2

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Hospitalization for the Management of Heart Failure

First incidence of a hospitalization for the management of heart failure (NCT00094302)
Timeframe: Randomization through each subject's last semi-annual visit, up to a maximum of 6 years per subject.

InterventionEvents per 100 person-years (Number)
Placebo4.6
Spironolactone3.8

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Development of Atrial Fibrillation, Among Subjects Without a History of Atrial Fibrillation at Baseline.

First incidence of atrial fibrillation among subjects without a history of atrial fibrillation at baseline (NCT00094302)
Timeframe: Randomization through each subject's last semi-annual visit, up to a maximum of 6 years per subject.

InterventionEvents per 100 person-years (Number)
Placebo1.4
Spironolactone1.4

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Estimated Glomerular Filtration Rate (GFR)

Average post-baseline GFR, taking into consideration baseline GFR, treatment group, the time between the post-baseline measures, and the correlation between repeated measures within an individual. (NCT00094302)
Timeframe: Randomization through each subject's last semi-annual visit, up to a maximum of 6 years per subject.

InterventionmL/min/1.73m2 (Least Squares Mean)
Placebo67.50
Spironolactone65.20

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Hospitalization for Any Reason

First incidence of a hospitalization for any reason (NCT00094302)
Timeframe: Randomization through each subject's last semi-annual visit, up to a maximum of 6 years per subject.

InterventionEvents per 100 person-years (Number)
Placebo20.0
Spironolactone18.8

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Total Hospitalizations (Including Repeat Hospitalizations) for the Management of Heart Failure

(NCT00094302)
Timeframe: Randomization through each subject's last semi-annual visit, up to a maximum of 6 years per subject.

InterventionEvents per 100 person-years (Number)
Placebo8.3
Spironolactone6.8

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Stroke

First incidence of stroke (NCT00094302)
Timeframe: Randomization through each subject's last semi-annual visit, up to a maximum of 6 years per subject.

InterventionEvents per 100 person-years (Number)
Placebo1.1
Spironolactone1.0

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Sodium

Average post-baseline Sodium, taking into consideration baseline Sodium, treatment group, the time between the post-baseline measures, and the correlation between repeated measures within an individual. (NCT00094302)
Timeframe: Randomization through each subject's last semi-annual visit, up to a maximum of 6 years per subject.

InterventionmEq/L (Least Squares Mean)
Placebo140.95
Spironolactone140.33

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Serum Creatinine

Average post-baseline serum creatinine, taking into consideration baseline serum creatinine, treatment group, the time between the post-baseline measures, and the correlation between repeated measures within an individual. (NCT00094302)
Timeframe: Randomization through each subject's last semi-annual visit, up to a maximum of 6 years per subject.

Interventionmg/dL (Least Squares Mean)
Placebo1.11
Spironolactone1.17

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Quality of Life, as Measured by the Kansas City Cardiomyopathy Questionnaire.

"Average post-baseline quality of life, taking into consideration baseline quality of life, treatment group, the time between the post-baseline measures, and the correlation between repeated measures within an individual.~The Kansas City Cardiomyopathy Questionnaire (KCCQ) is a 23-item, self-administered instrument that quantifies physical function, symptoms (frequency, severity and recent change), social function, self-efficacy and knowledge, and quality of life. Scores are transformed to a range of 0-100, in which higher scores reflect better health status. The KCCQ was administered at the following study visits: baseline, month 4, month 12 and annually thereafter." (NCT00094302)
Timeframe: Randomization through each subject's last semi-annual visit, up to a maximum of 6 years per subject.

Interventionunits on a scale (Least Squares Mean)
Placebo63.1
Spironolactone64.4

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Quality of Life, as Measured by the EuroQOL Visual Analog Scale.

"Average post-baseline quality of life, taking into consideration baseline quality of life, treatment group, the time between the post-baseline measures, and the correlation between repeated measures within an individual.~The EuroQOL visual analog scale (EQ5D) is a single-item, self-administered instrument that quantifies current health status. Scores can range from 0-100, in which higher scores reflect better health status. The EQ5D was administered at the following study visits: baseline, month 4, month 12 and annually thereafter." (NCT00094302)
Timeframe: Randomization through each subject's last semi-annual visit, up to a maximum of 6 years per subject.

Interventionunits on a scale (Least Squares Mean)
Placebo65.9
Spironolactone66.4

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Quality of Life, as Measured by McMaster Overall Treatment Evaluation Questionnaire.

"Average post-baseline quality of life, taking into consideration baseline quality of life and treatment group.~The McMaster Overall Treatment Evaluation questionnaire is a self-administered 3-item instrument that measures a patient's perception of change in their health-related quality of life since the start of therapy. The questionnaire consists of a single question - Since treatment started, has there been any change in your activity limitation, symptoms and/or feelings related to your heart condition? Scores can range from -7 to +7, and higher scores reflect better health status. The questionnaire was administered at the following study visits: month 4 and month 12. Valid translations of this questionnaire were only available for subjects enrolled in the United States, Canada and Argentina." (NCT00094302)
Timeframe: Randomization through each subject's last semi-annual visit, up to a maximum of 6 years per subject.

Interventionunits on a scale (Least Squares Mean)
Placebo1.2
Spironolactone1.2

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Potassium

Average post-baseline Potassium, taking into consideration baseline Potassium, treatment group, the time between the post-baseline measures, and the correlation between repeated measures within an individual. (NCT00094302)
Timeframe: Randomization through each subject's last semi-annual visit, up to a maximum of 6 years per subject.

InterventionmEq/L (Least Squares Mean)
Placebo4.32
Spironolactone4.49

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Composite Outcome of Sudden Death, Aborted Cardiac Arrest, or Hospitalization for the Management of Ventricular Tachycardia, Whichever Occurred First

(NCT00094302)
Timeframe: Randomization through each subject's last semi-annual visit, up to a maximum of 6 years per subject.

InterventionEvents per 100 person-years (Number)
Placebo1.1
Spironolactone1.0

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Myocardial Infarction

First incidence of myocardial infarction (NCT00094302)
Timeframe: Randomization through each subject's last semi-annual visit, up to a maximum of 6 years per subject.

InterventionEvents per 100 person-years (Number)
Placebo1.1
Spironolactone1.2

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Quality of Life Measured by the Minnesota Living With Heart Failure Questionnaire-total Score

"The Minnesota Living with Heart Failure Questionnaire (MLHF) is a self-administered disease-specific questionnaire for patients with Heart Failure, comprising 21 items rated on six-point Likert scales, representing different degrees of impact of HF on HRQoL, from 0 (none) to 5 (very much). It provides a total score (range 0-105, from best to worst HRQoL), as well as scores for two dimensions, physical (8 items, range 0-40) and emotional (5 items, range 0-25). The other eight items (of the total of 21) are only considered for the calculation of the total score.~Scale of 0-105:The higher the score the worse the heart failure related Quality of Life." (NCT00123955)
Timeframe: Baseline, 4 and 9 months

,
Interventionunits on a scale (Mean)
Baseline4 monthsFinal- 9 months
Placebo282925
Spironolactone322929

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Left Ventricular Diastolic Stiffness

"Echocardiography Doppler measurement of left ventricular diastolic function:~Early mitral annulus velocity (lateral) (Ea; cm/s)" (NCT00123955)
Timeframe: Baseline, 4 month and 9 month

,
Interventioncm/s (Mean)
baseline4 month9 month
Placebo6.86.86.6
Spironolactone7.07.07.4

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Exercise Intolerance

Peak exercise VO2 (NCT00123955)
Timeframe: Baseline, 4 and 9 months

,
Interventionml/kg/min (Mean)
Baseline4 months9 months
Placebo13.313.513.9
Spironolactone13.513.613.8

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Concentric Left Ventricular Remodeling

"Left ventricle measurements by MRI:~Mass/end diastolic volume ratio: g/ml" (NCT00123955)
Timeframe: Baseline, 9 month

,
Interventiong/ml (Mean)
baseline9 month
Placebo1.71.6
Spironolactone1.81.7

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Length of Hospital Stay (Days)

(NCT00141778)
Timeframe: Measured from the day of surgery until the time of hospital discharge

Interventiondays (Mean)
Placebo6.8
Ramipril5.7
Spironolactone5.8

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Hypotension

Percentage of patients with hypotension defined as a systolic blood pressure <90 mmHg and/or prolonged requirement for vasopressor use. (NCT00141778)
Timeframe: Measured during and after surgery, until discharge, from 5.7 to 6.8 days on average.

Interventionpercentage of patients (Number)
Placebo5.4
Ramipril10.6
Spironolactone10.2

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Stroke

Percentage of patients in each study group who experience a cerebrovascular event, confirmed by CT. (NCT00141778)
Timeframe: Measured until the time of hospital discharge, from 5.7 to 6.8 days on average depending on the study arm.

Interventionpercentage of patients (Number)
Placebo2.7
Ramipril1.3
Spironolactone2.0

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Hypokalemia

Percentage of patients who had a serum potassium concentrations <3.5 milliequivalents (mEq)/L (NCT00141778)
Timeframe: Measured until the time of hospital discharge, which was an average of 5.7 to 6.8 days depending on the treatment arm.

Interventionpercentage of patients (Number)
Placebo11.6
Ramipril13.8
Spironolactone6.8

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Death

The percentage of patients in each study arm who died. (NCT00141778)
Timeframe: Measured until the time of hospital discharge

Interventionpercentage of patients (Number)
Placebo1.4
Ramipril2.0
Spironolactone0

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Acute Renal Failure

Percentage of patients with a creatinine concentrations >2.5mg/dl (NCT00141778)
Timeframe: Measured until the time of hospital discharge, from 5.7 to 6.8 days on average, depending on the study group.

Interventionpercentage of patients (Number)
Placebo5.4
Ramipril0.7
Spironolactone0.7

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Postoperative Atrial Fibrillation

The primary endpoint of the study was the percentage of patients with electrocardiographically confirmed AF of at least 10 secs duration at any time following the end of surgery until hospital discharge, an average from 5.7 days in the ramipril group to 6.8 days in the placebo group. Patients were monitored continuously on telemetry throughout the postoperative period until discharge. Electrocardiograms were obtained for any rhythm changes detected on telemetry monitoring, and in addition, electrocardiograms were performed preoperatively, at admission to the intensive care unit, and daily starting on postoperative day 1. All electrocardiograms and rhythm strips were reviewed in a blinded fashion by a single cardiac electrophysiologist. (NCT00141778)
Timeframe: Measured from admission to the ICU until discharge from hospital

Interventionpercentage of patients (Number)
Placebo27.2
Ramipril27.8
Spironolactone25.9

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Perioperative Plasminogen Activator Inhibitor-1 (PAI-1) Concentrations

Plasminogen activator inhibitor-1 (PAI-1) was measured at several time points (see table) over the course of the study. (NCT00141778)
Timeframe: Perioperative period

,,
Interventionng/mL (Mean)
Initiation of surgery30min intraop60min intraopPostopPostoperative day 1Postoperative day 2
Placebo19.619.221.036.455.228.1
Ramipril16.219.722.038.947.925.7
Spironolactone17.317.320.134.048.931.0

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Perioperative Interleukin(IL)-6 Concentrations

Interleukin-6 was measured at several time points (see time points in table) over the course of the study (NCT00141778)
Timeframe: Perioperative period

,,
Interventionpg/ml (Mean)
Initiation of surgery30min intraop60min intraopPostopPostoperative day 1Postoperative day 2
Placebo4.712.015.6130.0119.0100.3
Ramipril4.620.528.8202.1171.095.5
Spironolactone6.611.317.4145.7164.9109.6

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Perioperative C-reactive Protein (CRP) Concentrations

C-reactive protein was measured at several time points (see table) over the course of the study. (NCT00141778)
Timeframe: Perioperative period

,,
Interventionug/mL (Mean)
Initiation of surgeryPostoperative day 1Postoperative day 2Postoperative day 3Postoperative day 4
Placebo4.151.4134.8128.394.1
Ramipril4.349.9131.0164.8105.2
Spironolactone3.964.3127.8189.4126.5

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Time to Tracheal Extubation

It is the time in minutes that it took to extubate the patient after surgery. (NCT00141778)
Timeframe: It is the time (in minutes) from admission to the ICU until tracheal extubation

Interventionminutes (Mean)
Placebo1091.3
Ramipril970.1
Spironolactone576.4

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Tumor Necrosis Factor-Alpha (TNF-a) Level

The normal result for TNF-a is <5.6 pg/mL. (NCT00211081)
Timeframe: Baseline, Post-Intervention (4 Weeks)

Interventionpg/mL (Median)
Baseline4 Week Follow Up
Spironolactone2.202.42

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Interleukin-6 (IL-6) Level

The normal result for IL-6 for Interleukin 6 is < 5pg/ml. (NCT00211081)
Timeframe: Baseline, Post-Intervention (4 Weeks)

Interventionpg/ml (Median)
Baseline4 Week Follow Up
Spironolactone1.961.54

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C-Reactive Protein Level

The normal reference range for C-reactive protein is as follows: CRP: 0-10mg/L (NCT00211081)
Timeframe: Baseline, Post-Intervention (4 Weeks)

Interventionmg/L (Median)
Baseline4 Week Follow Up
Spironolactone1.101.10

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Interleukin 1 Beta (IL1b) Level

The normal result for IL1b is <3.9 pg/mL. (NCT00211081)
Timeframe: Baseline, Post-Intervention (4 Weeks)

Interventionpg/mL (Median)
Baseline4 Week Follow Up
Spironolactone.38.23

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Interleukin-10 (IL10) Level

The normal result for IL-10 for Interleukin 10 is < 18pg/ml. (NCT00211081)
Timeframe: Baseline, Post-Intervention (4 Weeks)

Intervention18pg/ml (Median)
Baseline4 Week Follow Up
Spironolactone.26.13

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Change in Flow Mediated Dilation

Flow-mediated dilation of the brachial artery will be measured using high-resolution ultrasound. Arterial diameter will be measured above the small cavity in the elbow joint from ultrasound images at rest in response to an increase in blood flow to the area. (NCT00211081)
Timeframe: Baseline, Post-Intervention (4 Weeks)

InterventionPercentage of brachial artery diameter (Mean)
Spironolactone5.5

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Left Ventricular Ejection Fraction by Magnetic Resonance Imaging (MRI)at 6 Months

Left Ventricular Ejection Fraction as measured by Magnetic Resonance Imaging (MRI)at 6 months (NCT00292162)
Timeframe: 6 months

Interventionpercentage of blood ejected in one beat (Mean)
Medical Therapy46
Radiofrequency Ablation41

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Plasma B-type Natriuretic Peptide (BNP) at Baseline

Plasma B-type Natriuretic Peptide (BNP) measured at basline (NCT00292162)
Timeframe: Baseline

Interventionpicograms per millilitre (Mean)
Medical Therapy1846
Radiofrequency Ablation2550

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Plasma B-type Natriuretic Peptide (BNP) at 6 Months

Plasma B-type Natriuretic Peptide (BNP) (NCT00292162)
Timeframe: 6 months

Interventionpicograms per millilitre (Mean)
Medical Therapy1931
Radiofrequency Ablation2354

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Plasma B-type Natriuretic Peptide (BNP)

venous blood taken to assess levels of the above peptide. High evels of the peptide are associated with adverse prognosis. Blood levels are taken at baseline and 6 months. The change over 6 months is assessed, thereore it is possible to have a negative number if the level falls. (NCT00292162)
Timeframe: baseline and 6 months

Interventionpicograms per millilitre (Mean)
Medical Therapy85
Radiofrequency Ablation-196

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Change in Left Ventricular Ejection Fraction by Magnetic Resonance Imaging (MRI)%

left ventricular ejection fraction (LVEF) is a measure of the % of blood ejected from the ventricle in one heart beat. It is a measure of cardiac function. We measured LVEF at baseline and at 6 months, to assess whether there had been a change in the patients cardiac function over time. (NCT00292162)
Timeframe: baseline and 6 months

Interventionpercentage of blood ejected in one beat (Mean)
Medical Therapy2.8
Radiofrequency Ablation4.5

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Baseline Left Ventricular Ejection Fraction by Magnetic Resonance Imaging (MRI)

Baseline Left Ventricular Ejection Fraction by Magnetic Resonance Imaging (MRI)in % (NCT00292162)
Timeframe: Baseline

Interventionpercentage of blood ejected in one beat (Mean)
Medical Therapy43
Radiofrequency Ablation36

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24-hour Ambulatory Systolic Blood Pressure

(NCT00353652)
Timeframe: Measured at 3 months

InterventionmmHg (Mean)
Study#1: Chlorthalidone (CTD), Titrated Dose127.4
Study #1: Spironolactone (SP), Titrated Dose128.6
Study# 2 Chlorthalidone (CTD), Fixed Dose123.5
Study# 2 CTD Fixed Dose 25 mg/d Plus SP Fixed Dose121.6
Study# 2 CTD Fixed Dose 25 mg/d Plus IR Fixed Dose119.8

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Sympathetic Baroreflex Sensitivity

slope relating percent change in SNA (% change in total activity from baseline) to diastolic BP. (NCT00353652)
Timeframe: 3 months

Intervention% change from baseline per mmHg (Mean)
Study#1: Chlorthalidone (CTD), Titrated Dose-9.1
Drug: Study #1: Spironolactone (SP), Titrated Dose-15.2
Study# 2 Chlorthalidone (CTD), Fixed Dose-12.9
Study# 2 CTD Fixed Dose 25 mg/d Plus SP Fixed Dose-11.3
Study# 2 CTD Fixed Dose 25 mg/d Plus IR Fixed Dose-12.0

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Sympathetic Nerve Activity

(NCT00353652)
Timeframe: Measured at 3 months

Interventionbursts/min (Mean)
Study#1: Chlorthalidone (CTD), Titrated Dose46
Study #1: Spironolactone (SP), Titrated Dose40
Study# 2 Chlorthalidone (CTD), Fixed Dose49
Study# 2 CTD Fixed Dose 25 mg/d Plus SP Fixed Dose42
Study# 2 CTD Fixed Dose 25 mg/d Plus IR Fixed Dose52

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HOMA-IR

assessment of insulin resistance calculated by multiplying fasting plasma insulin (mU/l) with fasting plasma glucose (mmol/l) divided by 22.5. (NCT00353652)
Timeframe: 3 months

InterventionmU/l*mmol/l (Median)
Study#1: Chlorthalidone (CTD), Titrated Dose1.91
Study #1: Spironolactone (SP), Titrated Dose1.33
Study# 2 Chlorthalidone (CTD), Fixed Dose1.87
Study# 2 CTD Fixed Dose 25 mg/d Plus SP Fixed Dose0.85
Study# 2 CTD Fixed Dose 25 mg/d Plus IR Fixed Dose1.42

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Insulin

fasting plasma insulin (NCT00353652)
Timeframe: 3 months

InterventionmU/liter (Median)
Study#1: Chlorthalidone (CTD), Titrated Dose8.24
Study #1: Spironolactone (SP), Titrated Dose7.6
Study# 2 CTD Fixed Dose 25 mg/d7.6
Study# 2 CTD Fixed Dose 25 mg/d Plus SP Fixed Dose4.87
Study# 2 CTD Fixed Dose 25 mg/d Plus IR Fixed Dose6.8

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Changes in NT-proBNP Values Over Time in All Patients

The 95% confidential interval (CI) is given as measure of dispersion (NCT00391846)
Timeframe: 9 months and baseline

Interventionng/L (Geometric Mean)
Guided by NT-proBNP2332.1
Not Guided by NT-proBNP2063

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Composite Value of 3 Variables After 9 Months: Cardiovascular Death (Days Alive), Cardiovascular Hospitalization (Days Out of Hospital), Heart Failure Symptoms (Symptom Score Subset of the Kansas City Cardiomyopathy Questionnaire - Questions 3,5,7,9)

The non-parametric scale is constructed from 3 variables, modified after Cleland. Each patient receives a rank score from 1 to 246 (246-number of patients in the study). The lowest score receive patients who die (due to CV event), next patients still alive at end-of-study with the worst composite score, the best alive patients with 0 days in hospital and the largest improvement in the KCCQ (self-administered by patient symptom score, where the higher score reflect better health status). Scores will be summarized using non-parametric calculations. The mean of non-parametric scores is presented (NCT00391846)
Timeframe: 9 months

InterventionScores on a scale (Mean)
Guided by NT-proBNP118.6
Not Guided by NT-proBNP128.4

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Discontinuations

Number of patients discontinued due to adverse events' (NCT00391846)
Timeframe: 9 months

InterventionParticipants (Number)
Guided by NT-proBNP8
Not Guided by NT-proBNP6

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Number of CV Deaths

Number of deaths (NCT00391846)
Timeframe: 9 months

InterventionParticipants (Number)
Guided by NT-proBNP4
Not Guided by NT-proBNP5

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Number of Days in Hospital for CV Reason

Each overnight stay is counted as one day. The lower the better (NCT00391846)
Timeframe: 9 months

InterventionDays in hospital (Mean)
Guided by NT-proBNP5.79
Not Guided by NT-proBNP5.94

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Total Number of Titration Steps in Prescribed Heart Failure Treatment

Each titration step in prescribed medication is counted as one step, either up or down. One step up indicates an increase of dose in prescribed medication and one step down indicates a decrease of dose in prescribed medication. The sum of steps is given as a score. Score is given for each arm as a total number of titration steps for all patients in arm. (NCT00391846)
Timeframe: 9 months

InterventionTitration steps (Number)
Guided by NT-proBNP517
Not Guided by NT-proBNP485

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Changes in Heart Failure Symptoms

Changes from baseline in the symptom score subset (question 3, 5, 7 and 9) of KCCQ (swelling, fatigue, shortness of breath, shortness of breath night time). KCCQ is a self-administered by patient symptom score, where higher score reflect better health status. Scale scores are transformed to a 0 to 100 range by subtracting the lowest possible scale score, dividing by the range of the scale and multiplying by 100. This mean that the KCCQ scale is from 0 to 100 with the higher value showing a better health status. (NCT00391846)
Timeframe: 9 months and baseline

InterventionCategorial scale (Mean)
Guided by NT-proBNP3.67
Not Guided by NT-proBNP6.11

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Left Ventricular Work-metabolic Index (WMI) at Baseline

WMI=[left ventricular stroke work/decay rate of 11C-acetate] (NCT00574119)
Timeframe: baseline

Intervention(x10^6), mL x mm Hg/m^2 (Median)
Results With Spironolactone7.4

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Left Ventricular Work-metabolic Index (WMI) at 6 Months

WMI=[left ventricular stroke work/decay rate of 11C-acetate] (NCT00574119)
Timeframe: 6 months

Intervention(x10^6), mL x mm Hg/m^2 (Median)
Results With Spironolactone5.4

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Change in Myocardial Fibrosis (T1 Time) by Magnetic Resonance Imaging

T1=left ventricular relaxation rate on magnetic resonance imaging, which is correlated with interstitial fibrosis. (NCT00574119)
Timeframe: baseline and 6 months

Interventionmsec (Mean)
Results With Spironolactone6

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6 Minute Walk Test (6MWT) at Baseline

6MWT assesses distance walked over 6 minutes (NCT00574119)
Timeframe: baseline

Interventionmeters (Median)
Results With Spironolactone521

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6 Minute Walk Test (6MWT) at 6 Months

6MWT assesses distance walked over 6 minutes (NCT00574119)
Timeframe: 6 months

Interventionmeters (Median)
Results With Spironolactone542

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Myocardial Perfusion Reserve Index (MPRI) by Magnetic Resonance Imaging at Baseline

MPRI =calculated myocardial perfusion reserve index based on Gadolinium accretion into myocardium. MPRI was calculated as the ratio of stress/rest relative perfusion upslope, corrected for LV cavity upslope. (NCT00574119)
Timeframe: baseline

InterventionMPRI (Mean)
Results With Spironolactone1.72

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Myocardial Perfusion Index Reserve (MPRI) by Magnetic Resonance Imaging at 6 Months

MPRI =calculated myocardial perfusion reserve index based on Gadolinium accretion into myocardium. MPRI was calculated as the ratio of stress/rest relative perfusion upslope, corrected for LV cavity upslope. (NCT00574119)
Timeframe: 6 months

InterventionMPRI (Mean)
Results With Spironolactone1.80

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Minnesota Living With Heart Failure Questionnaire.at 6 Months

The questionnaire is comprised of 21 important physical, emotional and socioeconomic ways heart failure can adversely affect a patient's life. Each question is scored from 0 (none or not applicable) to 5 (very much). Total scores range from 0-105. Low scores indicate less adverse impact, while higher scores reflect more adverse impact of heart failure. (NCT00574119)
Timeframe: 6 months

Interventionscore on a scale (Median)
Results With Spironolactone22

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Minnesota Living With Heart Failure Questionnaire,at Baseline

The questionnaire is comprised of 21 important physical, emotional and socioeconomic ways heart failure can adversely affect a patient's life. Each question is scored from 0 (none or not applicable) to 5 (very much). Total scores range from 0-105. Low scores indicate less adverse impact, while higher scores reflect more adverse impact of heart failure. (NCT00574119)
Timeframe: baseline

Interventionscore on a scale (Median)
Results With Spironolactone54

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Change in Coronary Flow Reserve From Baseline to 6 Months

Coronary flow reserve (CFR), or myocardial perfusion reserve, was assessed via cardiac positron emission tomography (PET). CFR is the ratio of adenosine-stimulated blood flow through myocardium to resting blood flow through myocardium. An improvement in coronary flow reserve is beneficial. (NCT00865124)
Timeframe: Baseline and six months

Interventionratio (Mean)
Spironolactone (MR Blockade)0.33
Hydrochlorothiazide + Potassium-0.10
Placebo0.02

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Change in Mitral Annulus Velocities on Tissue Doppler (Delta E/e' Ratio), a Measure of Diastolic Function

Diastolic function was assessed via tissue doppler imaging (TDI) by echocardiography to determine left ventricular diastolic function before and after 6 months of treatment. (NCT00865124)
Timeframe: Baseline and six months

Interventionratio (Mean)
Spironolactone (MR Blockade)0.02
Hydrochlorothiazide + Potassium0.06
Placebo0.64

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Change in Renal Plasma Flow

Renal vasculature was assessed by examining renal plasma flow, or para-aminohippurate (PAH) clearance, basally and in response to acute administration (3 nanograms/kg/min for 60 min) of the vasoactive agent, Angiotensin II. (NCT00865124)
Timeframe: Baseline and six months

,,
InterventionmL/min/1.73m^2 (Mean)
Pre-treatment, PAH clearance, baselinePre-treatment, PAH clearance, Post-ANGII6 months post-treatment, PAH clearance, baseline6 months post-treatment, PAH clearance, Post-ANGII
Hydrochlorothiazide + Potassium508417500415
Placebo518436491427
Spironolactone (MR Blockade)527442518423

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Mitral Annulus Velocities on Tissue Doppler (Delta E/e' Ratio), a Measure of Diastolic Function (With Angiotensin II)

Diastolic function was assessed via tissue doppler imaging (TDI) by echocardiography to determine left ventricular diastolic function before and after 6 months of treatment; and in response to acute administration (3 nanograms/kg/min for 60 min) of the vasoactive agent, Angiotensin II. (NCT00865124)
Timeframe: Baseline and six months

,,
Interventionratio (Mean)
Pre-treatment, E/e', baselinePre-treatment, E/e', Post-ANGII6 months post-treatment, E/e', baseline6 months post-treatment, E/e', Post-ANGII
Hydrochlorothiazide + Potassium6.727.067.035.83
Placebo6.556.707.357.48
Spironolactone (MR Blockade)6.677.096.766.28

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Absolute Change in Serum Markers of Collagen Turnover (Micrograms/L) Over a One-year Follow-up Period in the Spironolactone Group Compared to Placebo.

Specific variables of collagen turnover markers that will be evaluated include markers of collagen synthesis (PINP, PIIINP), and marker of collagen degradation (ICTP). A two-sample t-test was used to compare the differences between these collagen turnover markers at baseline and the absolute differences in change from baseline to 12 months of follow-up. (NCT00879060)
Timeframe: The time points measured were at Baseline and at 12 Months (Follow-Up).

,
Interventionmicrograms/L (Mean)
Baseline (PINP)12 Months (PINP)Baseline (PIIINP)12 Months (PIIINP)Baseline (ICTP)12 Months (ICTP)
Placebo Control2.10.64.51.62.5-2.3
Spironolactone2.10.74.72.02.22.7

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Assessment of Cardiac Mass and Fibrosis by Cardiac Magnetic Resonance Imaging (CMR) - Left Atrial Dimension (in mm)

CMR will be utilized as it has superior reproducibility (as compared to 2-D echocardiography). Late Gadolinium Enhancement (LGE) Assessment of myocardial fibrosis by CMR will be expressed as a percentage of left ventricular mass (%LV), maximum left ventricular wall thickness (in mm), left ventricular end-diastolic cavity size (in mm/m^2), and left atrial dimension (in mm). (NCT00879060)
Timeframe: The time points measured were at Baseline and at 12 Months (Follow-Up)

,
Interventionmillimeters (Mean)
Left Atrial Dimension (Baseline)Left Atrial Dimension (12-Month Follow-Up)
Placebo Control4140
Spironolactone4040

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Assessment of Cardiac Mass and Fibrosis by Cardiac Magnetic Resonance Imaging (CMR) - Left Ventricular End-Diastolic (LVED) Cavity Size (in mm/m^2)

CMR will be utilized as it has superior reproducibility (as compared to 2-D echocardiography). Late Gadolinium Enhancement (LGE) Assessment of myocardial fibrosis by CMR will be expressed as a percentage of left ventricular mass (%LV), maximum left ventricular wall thickness (in mm), left ventricular end-diastolic (LVED) cavity size (in mm/m^2), and left atrial dimension (in mm). (NCT00879060)
Timeframe: The time points measured were at Baseline and at 12 Months (Follow-Up)

,
Interventionmm/m^2 (Mean)
LVED Cavity Size (Baseline)LVED Cavity Size (12-Month Follow-Up)
Placebo Control145146
Spironolactone133129

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Assessment of Cardiac Mass and Fibrosis by Cardiac Magnetic Resonance Imaging (CMR) - Maximum Left Ventricular Wall Thickness (in mm)

CMR will be utilized as it has superior reproducibility (as compared to 2-D echocardiography). Late Gadolinium Enhancement (LGE) Assessment of myocardial fibrosis by CMR will be expressed as a percentage of left ventricular mass (%LV), maximum left ventricular wall thickness (in mm), left ventricular end-diastolic cavity size (in mm/m^2), and left atrial dimension (in mm). (NCT00879060)
Timeframe: The time points measured were at Baseline and at 12 Months (Follow-Up).

,
Interventionmillimeters (Mean)
Maximum Left Ventricular Wall Thickness (Baseline)Maximum Left Ventricular Wall Thickness (12-Month Follow-Up)
Placebo Control2119
Spironolactone2222

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Measure of Indices of Diastolic Function by Tissue Doppler Echocardiography (Septal E/e')

This data was collected at baseline, prior to drug administration, and again at 12-months of follow-up to measure indices of diastolic function by Tissue Doppler Echocardiography using the Septal E/e' ratio. (NCT00879060)
Timeframe: The time points measured were at Baseline and at 12 Months (Follow-Up).

,
InterventionRatio (Mean)
Diastolic Function (Baseline)Diastolic Function (12-month Follow-Up)
Placebo Control1513
Spironolactone1413

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Measure of Heart Failure Symptoms According to the New York Heart Association Functional Class

This data was collected at baseline, prior to drug administration, and again at 12-months of follow-up to assess heart failure symptoms according to the New York Heart Association (NYHA) functional class, which is an estimate of a patients functional ability. The NYHA functional classes include: Class I (no limitation of physical activity), Class II (slight limitation of physical activity), Class III (marked limitation of physical activity), and Class IV (unable to carry out any physical acitivity without discomfort). (NCT00879060)
Timeframe: Time points were measured at Baseline and again at 12 months (follow-up)

,
Interventionscore on a scale (Mean)
NYHA Class (Baseline)NYHA Class (12-Month Follow Up)
Placebo Control1.51.6
Spironolactone1.61.7

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Measure of Functional Capacity: Peak Oxygen Consumption With Exercise

This data was collected at baseline, prior to drug administration, and again at 12-months of follow-up to determine if spironolactone improves a subject's functional capacity during exercise (peak oxygen consumption levels/peak VO2). Peak VO2 levels were measured in ml/kg/min. (NCT00879060)
Timeframe: The time points measured were at Baseline and at 12 Months (Follow-Up).

,
Interventionml/kg/min (Mean)
Peak VO2 (Baseline)Peak VO2 (12-Month Follow-Up)
Placebo Control2829
Spironolactone3029

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Assessment of Cardiac Mass and Fibrosis by Cardiac Magnetic Resonance Imaging (CMR) - Percentage of Left Ventricular Mass (%LV)

CMR will be utilized as it has superior reproducibility (as compared to 2-D echocardiography). Late Gadolinium Enhancement (LGE) Assessment of myocardial fibrosis by CMR will be expressed as a percentage of left ventricular mass (%LV), maximum left ventricular wall thickness (in mm), left ventricular end-diastolic cavity size (in mm/m^2), and left atrial dimension (in mm). (NCT00879060)
Timeframe: The time points measured were at Baseline and at 12 Months (Follow-Up).

,
InterventionPercentage of Total LV Mass (Mean)
LGE Assessment of Myocardial Fibrosis (Baseline)LGE Assessment of Myocardial Fibrosis (12-Month Follow-Up)
Placebo Control2.52.8
Spironolactone1.11.8

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Number of Fractures of the Hand, Foot, Upper Arm, and Wrist in Males and Females After 6 Months of Exposure to TZD

ICD-9 codes (815.0x, 816.0x, 817.0x, 825.0x, 825.2x, 826.0x, 812.0x, 812.2x, 812.4x, 814.0x) were captured from UB-92 records and HCFA 1500 records. Case is defined as incident cases of fracture with an ICD-9 diagnostic code for hand, foot, upper arm, and wrist fracture after the study period begin date (earliest date of the first TZD prescription). For each case, up to four controls were randomly selected from patients with type 2 diabetes exposed to TZD without a fracture diagnosis during follow-up and matched on age (+ 5 yrs), gender, and year of fracture diagnosis. (NCT01055223)
Timeframe: From the earliest date of first TZD prescription to the fracture diagnosis date (Cases) or the end of follow-up in the database (Controls) between January 1, 1997 to December 31, 2008

,,,
Interventionfractures (Number)
CaseControl
Other12
TZD Alone21638615
TZD+Amiloride218
TZD+Spironolactone48148

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Number of Hip Fractures Combined in Males and Females After 12 Months of Exposure to TZD

ICD-9 codes (820.0x, 820.2x, 820.8x) were captured from UB-92 records and HCFA 1500 records. Case is defined as incident cases of fracture with an ICD-9 diagnostic code for hip fracture after the study period begin date (earliest date of the first TZD prescription). For each case, up to four controls were randomly selected from patients with type 2 diabetes exposed to TZD without a fracture diagnosis during follow-up and matched on age (+ 5 yrs), gender, and year of fracture diagnosis. (NCT01055223)
Timeframe: From the earliest date of first TZD prescription to the fracture diagnosis date (Cases) or the end of follow-up in the database (Controls) between January 1, 1997 to December 31, 2008

,
Interventionfractures (Number)
CaseControl
TZD Alone44182
TZD+Spironolactone21

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Number of Low Impact Fractures in Males and Females After 12 Months of Exposure to TZD

ICD-9 codes (805-807.4x, 808-810.xx, 812-829.xx) were captured from Uniform Billing-92 records and Health Care Finance Administration records. Case is defined as incident cases of fracture with an ICD-9 diagnostic code for any low impact fracture occurring after the study period begin date (earliest date of the first TZD prescription). For each subject defined as case, up to four controls were randomly selected from patients with type 2 diabetes exposed to TZD without a fracture diagnosis during follow-up and matched to cases on age (+ 5 years), gender, and year of fracture diagnosis. (NCT01055223)
Timeframe: From the earliest date of first TZD prescription to the fracture diagnosis date (Cases) or the end of follow-up in the database (Controls) between January 1, 1997 to December 31, 2008

,,,
Interventionfractures (Number)
CaseControl
Other02
TZD Alone261910496
TZD+Amiloride820
TZD+Spironolactone64181

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Number of Low Impact Fractures in Males and Females After 6 Months of Exposure to TZD

ICD-9 codes (805-807.4x, 808-810.xx, 812-829.xx) were captured from Uniform Billing-92 records and Health Care Finance Administration records. Case is defined as incident cases of fracture with an ICD-9 diagnostic code for any low impact fracture occurring after the study period begin date (earliest date of the first TZD prescription). For each subject defined as case, up to four controls were randomly selected from patients with type 2 diabetes exposed to TZD without a fracture diagnosis during follow-up and matched to cases on age (+ 5 years), gender, and year of fracture diagnosis. (NCT01055223)
Timeframe: From the earliest date of first TZD prescription to the fracture diagnosis date (Cases) or the end of follow-up in the database (Controls) between January 1, 1997 and December 31, 2008

,,,
Interventionfractures (Number)
CaseControl
Other12
TZD Alone432517296
TZD+Amiloride1231
TZD+Spironolactone105292

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Number of Fractures of the Hand, Foot, Upper Arm, and Wrist in Males and Females After 12 Months of Exposure to TZD

ICD-9 codes (815.0x, 816.0x, 817.0x, 825.0x, 825.2x, 826.0x, 812.0x, 812.2x, 812.4x, 814.0x) were captured from UB-92 records and HCFA 1500 records. Case is defined as incident cases of fracture with an ICD-9 diagnostic code for hand, foot, upper arm, and wrist fracture after the study period begin date (earliest date of the first TZD prescription). For each case, up to four controls were randomly selected from patients with type 2 diabetes exposed to TZD without a fracture diagnosis during follow-up and matched on age (+ 5 yrs), gender, and year of fracture diagnosis. (NCT01055223)
Timeframe: From the earliest date of first TZD prescription to the fracture diagnosis date (Cases) or the end of follow-up in the database (Controls) between January 1, 1997 to December 31, 2008

,,,
Interventionfractures (Number)
CaseControl
Other02
TZD Alone12855115
TZD+Amiloride012
TZD+Spironolactone2994

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Number of Hip Fractures Combined in Males and Females After 6 Months of Exposure to TZD

ICD-9 codes (820.0x, 820.2x, 820.8x) were captured from UB-92 records and HCFA 1500 records. Case is defined as incident cases of fracture with an ICD-9 diagnostic code for hip fracture after the study period begin date (earliest date of the first TZD prescription). For each case, up to four controls were randomly selected from patients with type 2 diabetes exposed to TZD without a fracture diagnosis during follow-up and matched on age (+ 5 yrs), gender, and year of fracture diagnosis. (NCT01055223)
Timeframe: From the earliest date of first TZD prescription to the fracture diagnosis date (Cases) or the end of follow-up in the database (Controls) between January 1, 1997 to December 31, 2008

,
Interventionfractures (Number)
CaseControl
TZD Alone92387
TZD+Spironolactone64

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Change of Diastolic Blood Pressure

Change of diastolic blood pressure from baseline to study end at four months. (NCT01062763)
Timeframe: 4 months

Interventionmm Hg (Mean)
Addition of Spironolactone-3.9
Placebo-0.3

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Change of of Systolic Blood Pressure

Change of systolic blood pressure from baseline to study end at four months. (NCT01062763)
Timeframe: 4 months

Interventionmm Hg (Mean)
Addition of Spironolactone-9.6
Placebo-0.7

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Adverse Effects

(NCT01062763)
Timeframe: 4 months

Interventionparticipants (Number)
Addition of Spironolactone4
Placebo0

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Procollagen 3 NT Peptide

(NCT01069510)
Timeframe: 12 months

Interventionmcg/l (Mean)
Placebo3
Spironolactone4.8

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Extracellular Volume Fraction

extracellular volume fraction measured by T1 mapping with MRI (NCT01069510)
Timeframe: 12 month

Interventionpercentage of myocardium (Mean)
Placebo30.1
Spironolactone25.3

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6-minute Walk Distance

distance walked recorded in meters after 6 minutes on flat ground (NCT01069510)
Timeframe: 12 month

Interventionmeters (Mean)
Placebo516
Spironolactone492

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Plasma Glucose

Fasting plasma glucose, measured during hyperglycemic clamp (NCT01103245)
Timeframe: at the end of each 1 month study period ( 3 times in total)

Interventionmg/dl (Mean)
Baseline, HCTZ OnlyHCTZ + ALI 150HCTZ + ALI 300
HCTZ Plus ALI 150 Then ALI 300108.6119.7111.4

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Plasma Insulin

A Hyperglycemic clamp was performed once during each study period to assess glucose stimulated insulin secretion. Glucose is infused intravenously to maintain blood glucose near 200 mg/dL to stimulate insulin secretion. During this time plasma insulin levels were measured and the insulin response is reported as the incremental increase over the first 10 minutes of glucose administration. (NCT01103245)
Timeframe: at the end of each 1 month study period ( 3 times in total)

InterventionuU/ml (Mean)
Baseline, HCTZ OnlyHCTZ + SPL 25HCTZ + SPL 50
HCTZ Plus SPL 25 Then SPL 5043.553.444.3

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Plasma Insulin

A Hyperglycemic clamp was performed once during each study period to assess glucose stimulated insulin secretion. Glucose is infused intravenously to maintain blood glucose near 200 mg/dL to stimulate insulin secretion. During this time plasma insulin levels were measured and the insulin response is reported as the incremental increase over the first 10 minutes of glucose administration. (NCT01103245)
Timeframe: at the end of each 1 month study period ( 3 times in total)

InterventionuU/ml (Mean)
Baseline, HCTZ OnlyHCTZ + ALI 150HCTZ + ALI 300
HCTZ Plus ALI 150 Then ALI 30075.454.875.7

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Plasma Insulin

A Hyperglycemic clamp was performed once during each study period to assess glucose stimulated insulin secretion. Glucose is infused intravenously to maintain blood glucose near 200 mg/dL to stimulate insulin secretion. During this time plasma insulin levels were measured and the insulin response is reported as the incremental increase over the first 10 minutes of glucose administration. (NCT01103245)
Timeframe: at the end of each 1 month study period ( 3 times in total)

InterventionuU/ml (Mean)
Baseline, HCTZ OnlyHCTZ + ALI 150HCTZ + ALI 150 and SPL 25
HCTZ Plus ALI 150 Then ALI 150 and SPL 2550.143.369.1

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Plasma Insulin

A Hyperglycemic clamp was performed once during each study period to assess glucose stimulated insulin secretion. Glucose is infused intravenously to maintain blood glucose near 200 mg/dL to stimulate insulin secretion. During this time plasma insulin levels were measured and the insulin response is reported as the incremental increase over the first 10 minutes of glucose administration. (NCT01103245)
Timeframe: at the end of each 1 month study period ( 3 times in total)

InterventionuU/ml (Mean)
Baseline, HCTZ OnlyHCTZ + ALI 150 and SPL 25HCTZ + SPL 25
HCTZ Plus SPL 25 Then ALI 150 and SPL 25114.099.9113.2

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Plasma Glucose

Fasting plasma glucose, measured during hyperglycemic clamp (NCT01103245)
Timeframe: at the end of each 1 month study period ( 3 times in total)

Interventionmg/dl (Mean)
Baseline, HCTZ OnlyHCTZ + SPL 25HCTZ + SPL 50
HCTZ Plus SPL 25 Then SPL 5096.4104.8105.9

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Plasma Glucose

Fasting plasma glucose, measured during hyperglycemic clamp (NCT01103245)
Timeframe: at the end of each 1 month study period ( 3 times in total)

Interventionmg/dl (Mean)
Baseline, HCTZ OnlyHCTZ + ALI 150HCTZ + ALI 150 and SPL 25
HCTZ Plus ALI 150 Then ALI 150 and SPL 25106.1105.7102.1

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Plasma Glucose

Fasting plasma glucose, measured during hyperglycemic clamp (NCT01103245)
Timeframe: at the end of each 1 month study period ( 3 times in total)

Interventionmg/dl (Mean)
Baseline, HCTZ OnlyHCTZ + ALI 150 and SPL 25HCTZ + SPL 25
HCTZ Plus SPL 25 Then ALI 150 and SPL 25102.2107.2101.7

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Percentage of Participants With Serum Potassium in the Range of 4.0 - 5.1 mEq/L at the End of Treatment

(NCT01130597)
Timeframe: 56 Days

Interventionpercentage of participants (Number)
Patiromer84.1

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Percentage of Participants With Serum Potassium in the Range of 4.0 - 5.1 mEq/L at Week 4

(NCT01130597)
Timeframe: 28 Days

Interventionpercentage of participants (Number)
Patiromer78.7

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Percentage of Participants With Serum Potassium in the Range of 4.0 - 5.1 mEq/L at Week 8

(NCT01130597)
Timeframe: 56 Days

Interventionpercentage of participants (Number)
Patiromer86.0

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Percentage of Patients Whose Spironolactone Dose Was Increased Up to 50 mg/Day

(NCT01130597)
Timeframe: 56 Days

Interventionpercentage of participants (Number)
Patiromer100

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Change in Urine Albumin to Creatinine Ratio (ACR) From Baseline to Week 4 Among Participants With ACR ≥ 30 mg/g at Baseline

(NCT01130597)
Timeframe: Baseline and Day 28

Interventionmg/g (Mean)
Patiromer-291.01

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Mean Dose of Patiromer at End of Treatment

(NCT01130597)
Timeframe: 56 Days

Interventiongrams (Mean)
Patiromer22.5

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Mean Patiromer Dose at Week 1

(NCT01130597)
Timeframe: Up to Week 1

Interventiongrams (Mean)
Patiromer20.0

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Mean Number of Patiromer Titrations

(NCT01130597)
Timeframe: 56 Days

Interventionpatiromer titrations (Mean)
Patiromer1.3

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Mean Change From Baseline in Serum Potassium to End of Treatment

(NCT01130597)
Timeframe: 56 Days

InterventionmEq/L (Mean)
Patiromer-0.13

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Mean Patiromer Dose at Week 4

(NCT01130597)
Timeframe: Up to Week 4

Interventiongrams (Mean)
Patiromer21.9

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Mean Patiromer Dose at Week 8

(NCT01130597)
Timeframe: Up to Week 8

Interventiongrams (Mean)
Patiromer23.0

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Median Time to First Patiromer Dose Titration

(NCT01130597)
Timeframe: 56 Days

Interventiondays (Median)
Patiromer21

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Percentage of Participants Discontinuing Due to Hyperkalemia (Serum Potassium > 5.5 mEq/L)

(NCT01130597)
Timeframe: 56 Days

Interventionpercentage of participants (Number)
Patiromer1.6

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Percentage of Participants Requiring Patiromer Downtitration

(NCT01130597)
Timeframe: 56 Days

Interventionpercentage of participants (Number)
Patiromer12.7

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Percentage of Participants Requiring Patiromer Uptitration

(NCT01130597)
Timeframe: 56 Days

Interventionpercentage of participants (Number)
Patiromer33.3

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Percentage of Participants With Serum Potassium in the Range of 3.5 - 5.5 mEq/L at the End of Treatment

(NCT01130597)
Timeframe: 56 days

Interventionpercentage of participants (Number)
Patiromer90.5

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Percentage of Participants With Serum Potassium in the Range of 3.5 - 5.5 mEq/L at Week 8

(NCT01130597)
Timeframe: 56 Days

Interventionpercentage of participants (Number)
Patiromer93.0

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Change in ACR From Baseline to Week 8 Among Participants With Urine ACR ≥ 30 mg/g at Baseline

(NCT01130597)
Timeframe: Baseline and Day 56

Interventionmg/g (Mean)
Patiromer-291.06

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Percentage of Participants With Serum Potassium in the Range of 3.5 - 5.5 mEq/L at Week 4

(NCT01130597)
Timeframe: 28 Days

Interventionpercentage of participants (Number)
Patiromer96.7

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Proportion of Suppressors After Dexamethasone

"All subjects will take 0.25mg dexamethasone as an outpatient between 2300 and 2400h and will then report to the clinic by 0800h next day for the final visit.~At the final visit, cortisol response to dexamethasone suppression was assessed. The cortisol response was dichotomized (suppression vs. non-suppression, using 1.8 ug/dL as the cutoff point) and compared between the two groups,Sedentary Young Adults and Endurance-trained Young Athletes." (NCT01294319)
Timeframe: cortisol measured between 8 and 9 after dexamethasone was taken between 11 PM and midnight

InterventionParticipants (Count of Participants)
Endurance-trained Young Athletes0
Sedentary Young Adults1

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Post-dexamethasone Cortisol Level

(NCT01294319)
Timeframe: Cortisol obtained at 8-9 AM after dexamethasone taken between 11 pm and midnight

Interventionmcg/dL (Mean)
Endurance-trained Young Athletes11.98
Sedentary Young Adults9.98

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Proportion of Participants Achieving Serum Potassium Levels Within 3.5 to 5.5 mEq/L at Week 8 for Each Individual Starting Dose Group

(NCT01371747)
Timeframe: Baseline to Week 8

Interventionpercentage of participants (Number)
Stratum 1: 8.4 g/d Patiromer100
Stratum 1: 16.8 g/d Patiromer100
Stratum 1: 25.2 g/d Patiromer98.4
Stratum 2: 16.8 g/d Patiromer91.7
Stratum 2: 25.2 g/d Patiromer95.8
Stratum 2: 33.6 g/d Patiromer95.5

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Proportion of Participants Achieving Serum Potassium Levels Within 4.0 to 5.0 mEq/L at Week 8 for Each Individual Starting Dose Group

(NCT01371747)
Timeframe: Baseline to Week 8

Interventionpercentage of participants (Number)
Stratum 1: 8.4 g/d Patiromer95.2
Stratum 1: 16.8 g/d Patiromer90.8
Stratum 1: 25.2 g/d Patiromer81.3
Stratum 2: 16.8 g/d Patiromer79.2
Stratum 2: 25.2 g/d Patiromer91.7
Stratum 2: 33.6 g/d Patiromer77.3

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Proportions of Participants Achieving Serum Potassium Levels Within 3.8 to 5.0 mEq/L at Week 52 for Each Individual Starting Dose Group

(NCT01371747)
Timeframe: Baseline to Week 52

Interventionpercentage of participants (Number)
Stratum 1: 8.4 g/d Patiromer86.3
Stratum 1: 16.8 g/d Patiromer81.6
Stratum 1: 25.2 g/d Patiromer88.9
Stratum 2: 16.8 g/d Patiromer86.7
Stratum 2: 25.2 g/d Patiromer89.5
Stratum 2: 33.6 g/d Patiromer93.3

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Time to First Serum Potassium Measurement of 4.0 - 5.0 mEq/L During Treatment Initiation Period for Each Individual Starting Dose Group

(NCT01371747)
Timeframe: Baseline to Week 8

InterventionDays (Median)
Stratum 1: 8.4 g/d Patiromer4
Stratum 1: 16.8 g/d Patiromer4
Stratum 1: 25.2 g/d Patiromer4
Stratum 2: 16.8 g/d Patiromer8
Stratum 2: 25.2 g/d Patiromer7.5
Stratum 2: 33.6 g/d Patiromer8

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Least Squares Mean Change in Serum Potassium From Baseline to Day 3 During the Treatment Initiation Period for Each Individual Starting Dose Group

Least squares mean changes from Baseline to Day 3 were derived from parallel lines ANCOVA model with randomized starting dose and baseline serum potassium value as covariates. (NCT01371747)
Timeframe: Baseline to Day 3

InterventionmEq/L (Least Squares Mean)
Stratum 1: 8.4 g/d Patiromer-0.26
Stratum 1: 16.8 g/d Patiromer-0.28
Stratum 1: 25.2 g/d Patiromer-0.31
Stratum 2: 16.8 g/d Patiromer-0.65
Stratum 2: 25.2 g/d Patiromer-0.59
Stratum 2: 33.6 g/d Patiromer-0.53

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Least Squares Mean Change in Serum Potassium From Baseline to Week 4 or Time of First Titration for Each Individual Starting Dose Group

Least square mean changes from Baseline to Week 4/first titration were derived from parallel lines ANCOVA model with randomized starting dose and baseline serum potassium value as covariates. (NCT01371747)
Timeframe: Baseline to Week 4 or First Titration which could occur at any scheduled study visit after patiromer initiation.

InterventionmEq/L (Least Squares Mean)
Stratum 1: 8.4 g/d Patiromer-0.35
Stratum 1: 16.8 g/d Patiromer-0.51
Stratum 1: 25.2 g/d Patiromer-0.55
Stratum 2: 16.8 g/d Patiromer-0.87
Stratum 2: 25.2 g/d Patiromer-0.97
Stratum 2: 33.6 g/d Patiromer-0.92

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Least Squares Mean Change in Serum Potassium From Baseline to Week 8 or Time of First Titration for Each Individual Starting Dose Group

Least squares mean changes from Baseline to Week 8/first titration were derived from parallel lines ANCOVA model with randomized starting dose and baseline serum potassium value as covariates. (NCT01371747)
Timeframe: Baseline to Week 8 or First Titration which could occur at any scheduled study visit after patiromer initiation.

InterventionmEq/L (Least Squares Mean)
Stratum 1: 8.4 g/d Patiromer-0.35
Stratum 1: 16.8 g/d Patiromer-0.47
Stratum 1: 25.2 g/d Patiromer-0.54
Stratum 2: 16.8 g/d Patiromer-0.88
Stratum 2: 25.2 g/d Patiromer-0.95
Stratum 2: 33.6 g/d Patiromer-0.91

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Mean Change in Serum Potassium From Baseline to Week 52 During the Long-term Maintenance Period for Each Individual Starting Dose Group

(NCT01371747)
Timeframe: Baseline to Week 52

InterventionmEq/L (Mean)
Stratum 1: 8.4 g/d Patiromer-0.54
Stratum 1: 16.8 g/d Patiromer-0.44
Stratum 1: 25.2 g/d Patiromer-0.50
Stratum 2: 16.8 g/d Patiromer-1.00
Stratum 2: 25.2 g/d Patiromer-0.96
Stratum 2: 33.6 g/d Patiromer-1.17

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Mean Change in Serum Potassium From Week 52 or Last Patiromer Dose (if Occurred Before Week 52) to Follow-up Visits Plus 7 Days

(NCT01371747)
Timeframe: Week 52 or Last Patiromer Dose (if Occurred before Week 52) to Following up Visit Plus 7 Days

InterventionmEq/L (Mean)
Stratum 1: 8.4 g/d Patiromer0.36
Stratum 1: 16.8 g/d Patiromer0.22
Stratum 1: 25.2 g/d Patiromer0.30
Stratum 2: 16.8 g/d Patiromer0.41
Stratum 2: 25.2 g/d Patiromer0.39
Stratum 2: 33.6 g/d Patiromer0.58

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Change From Baseline in Insulin Sensitivity Index (ISI)

Insulin sensitivity was measured using the 75 gram (G) glucose tolerance test. Participants ingested 75 grams of glucose in 300-400 milliliters (mL) of water over 5 minutes. Blood samples were taken before ingesting glucose and then every 30 minutes for 120 minutes. Insulin sensitivity index was calculated by Matsuda and Defronzo's formula using the values obtained. A positive change from Baseline (increase in insulin sensitivity) indicates improvement. (NCT01406015)
Timeframe: Baseline and Week 6 (Prior to ingesting glucose and every 30 minutes for 120 minutes)

,
InterventionIS index (Mean)
BaselineChange from Baseline at Week 6
Placebo4.6-1.1
Spironolactone3.7-0.1

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Change From Baseline in Homeostatic Model Assessment of Insulin Resistance (HOMA-IR)

Insulin resistance was measured using the 75 G glucose tolerance test. Participants ingested 75 grams of glucose in 300-400 mL of water over 5 minutes. Blood samples were taken before ingesting glucose and then every 30 minutes for 120 minutes. HOMA-IR was calculated using the Insulin and glucose levels obtained. A negative change (decrease in insulin resistance) indicates improvement. (NCT01406015)
Timeframe: Baseline and Week 6 (Prior to ingesting glucose and every 30 minutes for 120 minutes)

,
InterventionIR index (Mean)
BaselineChange from Baseline at Week 6
Placebo3.40.1
Spironolactone2.70.1

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Change From Baseline in Post-ischemic Dilatation

Ultrasonography of the brachial artery was performed to evaluate endothelial function by flow mediated dilatation (FMD) studies. A blood pressure cuff was placed on the participant's upper arm and was compressed for 5 minutes. After release of compression, brachial artery diameter and blood flow velocity were measured. FMD was expressed as the percentage change in brachial artery diameter. A positive change from Baseline indicates improvement. (NCT01406015)
Timeframe: Baseline and Week 6

,
Interventionpercent dilalation (Mean)
BaselineChange from Baseline at Week 6
Placebo10.2-2.0
Spironolactone9.6-1.2

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Change From Baseline in Para-aminohippurate (PAH) Clearance

Renal plasma blood flow was determined by clearance of para-aminohippurate (PAH). A loading dose of PAH (8 mg/kg) was given intravenously followed by a 1 hour constant infusion of PAH at a rate of 12 mg/minute (min). Plasma samples were obtained at Baseline and at 50 and 60 minutes. PAH clearance was calculated from the plasma levels and infusion rates and reported in millimeters (mL)/minute (min). A positive change from Baseline indicates improvement. (NCT01406015)
Timeframe: Baseline and Week 6 (Prior to PAH infusion and at 50 and 60 minutes post PAH infusion)

,
InterventionmL/min (Mean)
BaselineChange from Baseline at Week 6
Placebo521-5.2
Spironolactone488-2.3

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Number of Participants With Confirmed and Severe Hyperkalemia

Hyperkalemia refers to the condition in which the concentration of the electrolyte potassium in the blood is elevated. Confirmed hyperkalemia is defined as serum potassium level greater than (>) upper limit of normal (ULN) of 5.4 mEq/L. Severe hyperkalemia is defined as serum potassium level >= 6.0 mEq/L. Number of participants with at least 1 confirmed or severe hyperkalemia is reported. (NCT01488877)
Timeframe: Baseline up to Day 15

,
Interventionparticipants (Number)
Confirmed HyperkalemiaSevere Hyperkalemia
PF-03882845 3 mg51
Placebo20

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Change From Baseline in Sitting Systolic and Diastolic Blood Pressure at Day 15

Systolic blood pressure (BP): BP when heart is contracting; maximum arterial pressure during contraction of left ventricle of heart. Diastolic blood pressure: BP when heart is relaxing; minimum arterial pressure during relaxation and dilation of ventricles of heart. A total of 3 measurements were performed; average of triplicate BP values collected pre-dose on Day 1 served as baseline. The same arm and same sized cuff (properly sized and calibrated) was used throughout the study, after participant sat for 5 minutes for the first measurement and 2 minutes for second and third measurements. (NCT01488877)
Timeframe: Day 1 (Baseline), 15

,
Interventionmillimeter of mercury (mmHg) (Mean)
Baseline: Systolic BPBaseline: Diastolic BPChange at Day 15: Systolic BPChange at Day 15: Diastolic BP
PF-03882845 3 mg125.5374.13-3.201.00
Placebo127.8374.92-4.83-1.08

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Change From Baseline in Sitting Pulse Rate at Day 15

Sitting pulse rate was measured in the brachial/radial artery for at least 30 seconds. A total of 3 measurements were performed; average of triplicate pulse rate values collected pre-dose on Day 1 served as baseline. (NCT01488877)
Timeframe: Day 1 (Baseline), 15

,
Interventionbeats per minute (bpm) (Mean)
BaselineChange at Day 15
PF-03882845 3 mg74.47-0.33
Placebo65.256.17

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Change From Baseline in Serum Potassium at Day 15

Baseline value calculated as the average of -24 hours (pre-dose) measurement on Day -1 and 0 hours (immediately pre-dose) measurement on Day 1. Day 15 value calculated was average of 0 hours (immediately pre-dose) measurement on Day 14 and measurement obtained prior to discharge on Day 15. Change from baseline values were presented under time point of Day 15. (NCT01488877)
Timeframe: Baseline, Day 14, 15

InterventionmEq/L (Median)
Placebo0.40
PF-03882845 3 mg0.25

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Change From Baseline in Serum Potassium at Day 8

Baseline value calculated as the average of -24 hours (pre-dose) measurement on Day -1 and 0 hours (immediately pre-dose) measurement on Day 1. Day 8 value calculated was average of 0 hours (immediately pre-dose) measurements on Day 7 and 8. Change from baseline values were presented under time point of Day 8. (NCT01488877)
Timeframe: Baseline, Day 7, 8

,
Interventionmilliequivalent/liter (mEq/L) (Median)
BaselineChange at Day 8
PF-03882845 3 mg4.900.25
Placebo4.780.20

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Change in Fecal Weight

Change = (Days 10-13/29-32 Daily Average) - (Days 3-6/22-25 Daily Average) (NCT01598740)
Timeframe: baseline average (days 3-6 or 22-25) and treatment average (days 10-13 or 29-32)

Interventiongrams (Mean)
Treatment Group: CLP Alone144.7
Treatment Group: CLP + Spironolactone119.0

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Change in Fecal Sodium Content

Change =(Days 10-13/29-32 Daily Average)-(Days 3-6/22-25 Daily Average) (NCT01598740)
Timeframe: baseline average (days 3-6 or days 22-25) and treatment average (days 10-13 or 29-32)

Interventionmg (Mean)
Treatment Group: CLP Alone635.10
Treatment Group: CLP + Spironolactone501.95

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Change From Baseline in Flow Mediated Dilation at 6 Months.

FMD will be determined using high-resolution ultrasonography (NCT01853553)
Timeframe: Baseline and 6 months.

InterventionPercent change. (Mean)
Spironolactone-0.2
Sugar Pill-0.4

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Change From Baseline in Vascular Stiffness at 6 Months.

Aortic pulse wave velocity, a measure of large elastic arterial stiffness, and carotid compliance, a measure of large artery distensibility, will be determined. A transcutaneous custom tonometers (Noninvasive Hemodynamics Workstation, Cardiovascular Engineering Inc., Norwood, MA) will be positioned at the aorta and femoral artery to measure pulse wave velocity, and carotid artery compliance (and the β-stiffness index, a more blood pressure independent measure of local arterial stiffness) will be measured non-invasively using simultaneous high-resolution ultrasonography and applanation tonometry). Higher values correspond to greater stiffness. (NCT01853553)
Timeframe: Baseline and 6 months

Interventionm/s (Median)
Spironolactone-37
Sugar Pill-1

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Number of Patients Reporting a Grade 2+ Adverse Event Attributed to Spironolactone (Study I)

Adverse events were collected at the end of one 4-week cycle and one 4-week observation period according to the Common Terminology Criteria for Adverse Events (CTCAE) CTEP Version 4.0. The number of patients reporting a grade 2+ adverse event attributed to spironolactone is reported here. (NCT01867294)
Timeframe: At 8 weeks

InterventionParticipants (Count of Participants)
Study I: Spironolactone0
Study I: Placebo0

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Percentage of Patients in the Spironolactone Arm Who Complete the 4-week Study Intervention (Study I)

The number of patients able to complete the 4-week study intervention and the 4-week observation period are reported. (NCT01867294)
Timeframe: At 4 weeks

InterventionParticipants (Count of Participants)
Study I: Spironolactone4
Study I: Placebo0

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Incidence of Truncal/Extremity Rash of Any Grade in Patients in the Spironolactone Arm (Study I)

Adverse events were collected at the end of each 4-week cycle according to the Common Terminology Criteria for Adverse Events (CTCAE) CTEP Version 4.0. The number of patients reporting a truncal/extremity adverse event is reported here. The treatment will be considered feasible if at least 50% of patients in the spironolactone arm develop a truncal/extremity rash of any grade at the end of 4 weeks. (NCT01867294)
Timeframe: At 4 weeks

InterventionParticipants (Count of Participants)
Study I: Spironolactone6
Study I: Placebo6

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Efficacy of Spironolactone and Placebo Measured by the Use of the Brief Pictorial Rash Incidence Questionnaire (Study I)

Patients will be dichotomously categorized as a success if no rash is reported and a failure if rash exists at the end of 4 weeks. The number of patients that successfully completed 4 weeks of treatment and reported no rash on the Brief Pictorial Rash Incidence Questionnaire are reported. (NCT01867294)
Timeframe: At 4 weeks

Interventionparticipants (Number)
Study I: Spironolactone1
Study I: Placebo2

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Severity of Obstructive Sleep Apnea

3 month change in apnea-hypopnea index assessed by diagnostic, full-night polysomnography. AHI values are typically categorized as 5-15/hr = mild; 15-30/hr = moderate; and > 30/h = severe. (NCT01897727)
Timeframe: baseline and 3 months

Interventionevents/hour (Mean)
Spironolactone-18.3
Standard of Care BP Treatment7.0

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Peak Plasma Renin Activity After 72 h

At three consecutive mornings after study inclusion, blood samples will be taken to assess plasma renin activity. The highest value will constitute the peak plasma renin activity (ng/mL/h). (NCT01973335)
Timeframe: 72h

Interventionµg/L/h (Median)
Acetazolamide/Low-dose Loop Diuretics, Upfront Spironolactone3.8
High-dose Loop Diuretics, Upfront Spironolactone5.0
Acetazolamide/Low-dose Loop Diuretics, no Spironolactone12.0
High-dose Loop Diuretics, no Spironolactone2.5

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Persistent Renal Impairment

Persistent renal impairment is defined as a persistently elevated serum creatine >0.3mg/dL or >20% decrease in estimated glomerular filtration rate by the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) formula, above the baseline value of the patient and will be assessed on a scheduled follow-up appointment 4 weeks after hospital discharge. (NCT01973335)
Timeframe: 4 weeks after hospital discharge

InterventionParticipants (Count of Participants)
Acetazolamide/Low-dose Loop Diuretics, Upfront Spironolactone3
High-dose Loop Diuretics, Upfront Spironolactone1
Acetazolamide/Low-dose Loop Diuretics, no Spironolactone0
High-dose Loop Diuretics, no Spironolactone1

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Spironolactone Arm: Incidence of Hypo- (Serum Potassium <3.5 mmol/L) or Hyperkalemia (Serum Potassium >5.0 mmol/L)

For the spironolactone arm of the study, the primary end-point is the incidence of either hypo- (serum potassium <3.5 mmol/L) or hyperkalemia (serum potassium >5.0 mmol/L) at any of 3 morning blood samples at consecutive days after randomization. Patients receiving upfront spironolactone (both the group receiving acetazolamide+low dose loop diuretics and the group receiving high-dose loop diuretic therapy) are compared with them receiving no spironolactone (both the group receiving acetazolamide+low dose loop diuretics and the group receiving high-dose loop diuretic therapy). (NCT01973335)
Timeframe: 72h

InterventionParticipants (Count of Participants)
Acetazolamide/Low-dose Loop Diuretics, Upfront Spironolactone1
High-dose Loop Diuretics, Upfront Spironolactone2
Acetazolamide/Low-dose Loop Diuretics, no Spironolactone5
High-dose Loop Diuretics, no Spironolactone2

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NT-proBNP Change After 72 h

Relative NT-proBNP change (%) after 72 h compared to baseline. (NCT01973335)
Timeframe: 72h

Interventionpercentage change from baseline (Mean)
Acetazolamide/Low-dose Loop Diuretics, Upfront Spironolactone-20
High-dose Loop Diuretics, Upfront Spironolactone-11
Acetazolamide/Low-dose Loop Diuretics, no Spironolactone-3
High-dose Loop Diuretics, no Spironolactone-6

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Number of Participants With Worsening Renal Function

Worsening renal function is defined as a rise in serum creatine >0.3 mg/dL or a >20% decrease in estimated glomerular filtration rate by the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) formula compared to baseline at any time point before 72 h. Serum creatinine values are assessed at three consecutive mornings after study inclusion. (NCT01973335)
Timeframe: 72h

InterventionParticipants (Count of Participants)
Acetazolamide/Low-dose Loop Diuretics, Upfront Spironolactone2
High-dose Loop Diuretics, Upfront Spironolactone0
Acetazolamide/Low-dose Loop Diuretics, no Spironolactone3
High-dose Loop Diuretics, no Spironolactone0

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Acetazolamide Arm: Natriuresis 24 h

For the acetazolamide arm of the study, the primary end-point is total natriuresis after 24 h (mmol). To assess this, urine is collected for 24 h after the first administration of diuretics according to the study protocol and natriuresis is calculated as the total amount of diuresis (L) multiplied by the urinary sodium concentration (mmol/L). Subsequently, patients receiving acetazolamide and low-dose loop diuretics (both the groups with and without upfront spironolactone together) are compared to patients not receiving acetazolamide but high-dose loop diuretics instead (both the groups with or without upfront spironolactone together) (NCT01973335)
Timeframe: 24h

Interventionmmol (Mean)
Acetazolamide/Low-dose Loop Diuretics, Upfront Spironolactone324
High-dose Loop Diuretics, Upfront Spironolactone300
Acetazolamide/Low-dose Loop Diuretics, no Spironolactone211
High-dose Loop Diuretics, no Spironolactone190

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Peak Plasma Aldosterone Concentration After 72 h

At three consecutive mornings after study inclusion, blood samples will be taken to assess plasma aldosterone levels. The highest value will constitute the peak plasma aldosterone concentration (ng/L). (NCT01973335)
Timeframe: 72h

Interventionng/L (Median)
Acetazolamide/Low-dose Loop Diuretics, Upfront Spironolactone196
High-dose Loop Diuretics, Upfront Spironolactone234
Acetazolamide/Low-dose Loop Diuretics, no Spironolactone302
High-dose Loop Diuretics, no Spironolactone204

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Change in 24-hour Ambulatory Systolic Blood Pressure of Spironolactone vs. Placebo

(NCT02169089)
Timeframe: 11 weeks

InterventionmmHg (Mean)
Spironolactone-5.95
Placebo2

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Left Ventricular Mass Index of Spironolactone vs. Placebo.

(NCT02169089)
Timeframe: 56 weeks

Interventiong/m^2 (Mean)
Spironolactone-3.5
Placebo2.1

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Myocardial Fibrosis (Change in Native T1) Spironolactone vs. Placebo

(NCT02169089)
Timeframe: 56 weeks

Interventionms (Mean)
Spironolactone-10.3
Placebo17.1

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Percent Change in Atheroma Volume (PAV) in the Thoracic Aorta of Spironolactone vs. Placebo

(NCT02169089)
Timeframe: 56 weeks

Interventionpercentage change (Mean)
Spironolactone0.5
Placebo7.3

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Change From Baseline to 4 Weeks in 24 Hour Ambulatory Blood Pressure Monitoring (ABPM)

The LS mean change in blood pressure is calculated after adjusting for baseline, treatment and race using an analysis of covariance (ANCOVA). (NCT02194465)
Timeframe: Baseline, 4 Weeks

,,,,,,
InterventionmmHg (Least Squares Mean)
SBPDBP
13 mg LY2623091-11.1-4.7
13 mg LY2623091 + 20 mg Tadalafil-10.4-6.2
20 mg Tadalafil-6.3-5.6
24.5 mg LY2623091-10.4-3.4
6 mg LY2623091-4.9-1.7
Placebo0.31.0
Spironolactone-6.4-2.0

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Change From Baseline to 4 Weeks in Seated Diastolic Blood Pressure (DBP)

Change from baseline in DBP as measured by a cuff. LS mean change from baseline was calculated using a MMRM with treatment, country, visit, and treatment-by-visit interaction as fixed effects and baseline as a covariate. (NCT02194465)
Timeframe: Baseline, 4 Weeks

InterventionmmHg (Least Squares Mean)
Placebo0.5
6 mg LY2623091-5.6
13 mg LY2623091-4.8
24.5 mg LY2623091-7.1
13 mg LY2623091 + 20 mg Tadalafil-6.8
20 mg Tadalafil-6.6
Spironolactone-1.2

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Change From Baseline to 4 Weeks in Seated Systolic Blood Pressure (SBP)

Change from baseline in SBP as measured by a cuff. Least squares (LS) mean change from baseline was calculated using a mixed model repeating measures (MMRM) with treatment, country, visit, and treatment-by-visit interaction as fixed effects and baseline as a covariate. (NCT02194465)
Timeframe: Baseline, 4 Weeks

Interventionmillimeter of mercury (mmHg) (Least Squares Mean)
Placebo-0.5
6 mg LY2623091-13.1
13 mg LY2623091-14.6
24.5 mg LY2623091-14.3
13 mg LY2623091 + 20 mg Tadalafil-11.8
20 mg Tadalafil-7.1
Spironolactone-15.4

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Change From Baseline to 4 Weeks in Serum Potassium

Potassium measurement as measured by standard laboratory tests. The LS mean change in potassium is calculated using MMRM with adjustment for baseline, treatment, visit, treatment*visit and race. (NCT02194465)
Timeframe: Baseline, 4 Weeks

Interventionmillimoles/L (mmol/L) (Least Squares Mean)
Placebo-0.04
6 mg LY26230910.10
13 mg LY26230910.11
24.5 mg LY26230910.25
13 mg LY2623091 + 20 mg Tadalafil0.10
20 mg Tadalafil-0.06
Spironolactone0.30

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Pharmacokinetics (PK): Maximum Concentration (Cmax) of LY2623091

(NCT02194465)
Timeframe: 2 hours post-dose at 4 Weeks

Interventionnanogram/milliliter (ng/ml) (Geometric Mean)
6 mg LY2623091122
13 mg LY2623091228
24.5 mg LY2623091379
13 mg LY2623091 + 20 mg Tadalafil206

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Change in Cardiac Global Longitudinal Strain

Change in myocardial speckle tracked strain (global longitudinal strain) after 18 months (baseline vs. 18 months) of therapy with carvedilol or spironolactone or usual care. The myocardial global longitudinal strain was measured using echocardiography (NCT02230891)
Timeframe: 18 months

Intervention% systolic deformation (Mean)
Carvedilol-1.4
Spironolactone-1.74
Usual Care-1.14

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Change in NTproBNP (Biomarker)

Change in levels of NT-proBNP (measured in blood samples) between baseline and 18 months after therapy with carvedilol or spironolactone or usual care (NCT02230891)
Timeframe: 18 months

Interventionpg/ml (Mean)
Carvedilol87.9
Spironolactone-16.5
Usual Care3.65

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Change in Troponin T Measured Using a High Sensitivity Assay

Change in levels of troponin T (measured with a high sensitivity assay in blood samples) between baseline and 18 months after therapy with carvedilol or spironolactone or usual care (NCT02230891)
Timeframe: 18 months

Interventionng/L (Mean)
Carvedilol-0.2
Spironolactone1.4
Usual Care0.35

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Change in Pulse Wave Velocity

Changes in arterial stiffness between baseline and 18 months after therapy with carvedilol, spironolactone or usual care. Arterial stiffness was measured by pulse wave velocity (Sphygmocor device) (NCT02230891)
Timeframe: 18 months

Interventionm/sec (Mean)
Carvedilol-0.71
Spironolactone-0.77
Usual Care-0.59

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Presence of Outpatient Worsening Heart Failure Symptoms Through Day 30

Outpatient worsening heart failure symptoms will be assessed from discharge through Day 30 (NCT02235077)
Timeframe: Hospital discharge through Day 30

InterventionParticipants (Count of Participants)
Spironolactone19
Placebo17

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Day 60 Mortality

All participants will be contacted by telephone at 60 days, +/- 3 days post randomization to assess vital status (death). (NCT02235077)
Timeframe: 60 days post randomization

InterventionParticipants (Count of Participants)
Spironolactone8
Placebo10

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Change in Loop Diuretics Requirements From Baseline to 30 Days

Medications will be reviewed to assess loop diuretic dose requirements through Day 30 following randomization (NCT02235077)
Timeframe: Randomization through Day 30

Interventionmg (Mean)
Spironolactone19.66
Placebo30.70

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96 Hour Net Fluid Output

Fluid intake and urine output will be assessed daily while in hospital through 96 hours. Net fluid output (output minus input) through 96 hours is reported. (NCT02235077)
Timeframe: Randomization through 96 hours

Interventionml (Mean)
Spironolactone5824
Placebo5507

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96 Hour Change in Serum Creatinine

Renal function via serum creatinine, will be assessed at randomization and daily through 96 hours (NCT02235077)
Timeframe: Randomization through 96 hours

Interventionmg/dl (Mean)
Spironolactone0.15
Placebo0.16

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96 Hour Change in NT-proBNP

The Core Laboratory at Vermont will determine NT-proBNP levels for calculation of the endpoint from samples obtained at randomization and 96 hours respectively. NT-proBNP was converted to log scale. (NCT02235077)
Timeframe: Randomization to 96 hours

Interventionlog pg/ml (Mean)
Spironolactone-0.58
Placebo-0.61

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96 Hour Change in Dyspnea Visual Analog Scale

Dyspnea visual analog scale change from randomization to 96 hours. Scale range 0-100 with 100 being the best possible score. (NCT02235077)
Timeframe: Randomization to 96 hours

Interventionunits on a scale (Mean)
Spironolactone17.2
Placebo17.9

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96 Hour Change in Body Weight

Baseline body weight assessment will be completed, and changes in weight documented daily through 96 hours or earlier discharge (NCT02235077)
Timeframe: Randomization through 96 hours or earlier discharge

Interventionpounds (Mean)
Spironolactone-8.1
Placebo-7.5

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96 Hour Change in Serum Potassium Levels

Change in serum potassium levels at 96 hours as compared to baseline. (NCT02235077)
Timeframe: Baseline, 96 hours

InterventionmEq/L (Mean)
Spironolactone0.31
Placebo0.15

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96 Hour Change in Clinical Congestion Score

Clinical congestion score will be assessed at randomization, 96 hours, and at discharge. Scale consisted of sum of six signs and symptoms of congestion, each scored 0-3. Zero indicates no sign/symptom and 3 indicates worst case of sign/symptom. Score range 0-18 with 18 being worst score. (NCT02235077)
Timeframe: Randomization through 96 hours

Interventionunits on a scale (Mean)
Spironolactone-5.59
Placebo-5.82

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Change in Tissue Sodium Concentration Measured Using Sodium Magnetic Resonance Imaging (NaMRI)

NaMRI is a sensitive laboratory assessment of the concentration of sodium in tissue (NCT02236520)
Timeframe: baseline and 8 weeks

Interventionmmol/L (Median)
Spironolactone-0.202
Chlorthalidone0.430
Diet-1.745
Placebo-0.407

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Efficacy - Change in Mitral Annular E' Velocity

Change in mitral annular E' velocity measured using Tissue Doppler Index (TDI) echocardiography. Efficacy outcomes were considered exploratory with a goal of detecting signals rather than clearly demonstrating efficacy. (NCT02285920)
Timeframe: Baseline to 36 weeks

,,,
Interventioncm/second (Mean)
Baseline MA E'36 Week MA E'Change between baseline - 36 weeks
Placebo7.47.50.1
Spironolactone 12.5 mg7.67.4-0.2
Spironolactone 25 mg7.87.7-0.1
Spironolactone 50 mg7.07.30.3

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Efficacy - Secondary Cardiac Outcome Measure - Left Ventricular Ejection Fraction (LVEF)

"Secondary outcome measures include other echocardiographic markers of systolic and diastolic function~• Change in left ventricular ejection fraction between Baseline and 36 weeks" (NCT02285920)
Timeframe: Baseline - 36 weeks

,,,
Interventionpercent ejection fraction (Mean)
LVEF BaselineLVEF 36-WeekLVEF Change
Placebo68.970.71.8
Spironolactone 12.5 mg65.966.91.0
Spironolactone 25 mg66.065.3-0.7
Spironolactone 50 mg68.269.51.3

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Efficacy - Secondary Cardiac Outcome Measures - Left Ventricular Global Longitudinal Strain (LVGLS)

"Secondary outcome measures include other echocardiographic markers of systolic and diastolic function,~• Change in myocardial strain and strain rate between baseline and 36 weeks" (NCT02285920)
Timeframe: Baseline - 36 weeks

,,,
Intervention% of myocardial shortening (Mean)
LVGLS BaselineLVGLS 36-weekLVGLS Change
Placebo-17.2-18.1-0.8
Spironolactone 12.5 mg-16.7-17.0-0.3
Spironolactone 25 mg-17.2-17.00.2
Spironolactone 50 mg-17.4-18.2-0.7

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Efficacy - Secondary Cardiac Outcome Measures - Ratio of Mitral Peak Velocity to Diastolic Mitral Annular Velocity (E/E')

"Secondary outcome measures include other echocardiographic markers of systolic and diastolic function,~• E/E' is the ratio of mitral peak velocity of early filling (E) to early diastolic mitral annular velocity (E')" (NCT02285920)
Timeframe: Baseline - 36 weeks

,,,
Interventionratio (Mean)
E/E' BaselineE/E' 36-WeekE/E' Change
Placebo10.711.50.9
Spironolactone 12.5 mg11.812.20.4
Spironolactone 25 mg9.210.61.4
Spironolactone 50 mg12.511.9-0.6

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Efficacy - Secondary Cardiac Outcome Measures Left Ventricular Mass Index (LVMI)

"Secondary outcome measures include other echocardiographic markers of systolic and diastolic function,~• Change in left ventricular mass index (LVMI) between baseline and 36 weeks" (NCT02285920)
Timeframe: Baseline - 36 weeks

,,,
Interventiong/m^2 (Mean)
LVMI BaselineLVMI 36-WeekLVMI Change
Placebo105.294.8-10.4
Spironolactone 12.5 mg115.5104.6-10.9
Spironolactone 25 mg116.4109.1-7.3
Spironolactone 50 mg106.396.5-9.8

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Safety - Cardiovascular Death

Number of Cardiovascular deaths defined as death due to myocardial infarction, congestive heart failure, cardiac valvular disease, arrhythmia, sudden death, stroke, or peripheral arterial disease (NCT02285920)
Timeframe: 0 - 40 weeks

InterventionParticipants (Count of Participants)
Placebo1
Spironolactone 12.5 mg0
Spironolactone 25 mg2
Spironolactone 50 mg1

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Safety - Combined Incidence of Potassium >6.5 mEq/L or Serious Hyperkalemia

The number of participants who had serum potassium >6.5 mEq/L or serious hyperkalemia was assessed by treatment arm. (NCT02285920)
Timeframe: 0 - 40 Weeks

InterventionParticipants (Count of Participants)
Placebo13
Spironolactone 12.5 mg5
Spironolactone 25 mg5
Spironolactone 50 mg10

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Safety - Hyperkalemia Requiring Adjustment in Treatment

Hyperkalemia requiring adjustment in dialysate potassium concentration, or discontinuation of study medication (NCT02285920)
Timeframe: 0 - 40 weeks

InterventionParticipants (Count of Participants)
Placebo13
Spironolactone 12.5 mg2
Spironolactone 25 mg5
Spironolactone 50 mg7

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Safety - Number of Participants With Serious Hyperkalemia

Number of patients with serious hyperkalemia requiring hospitalization, emergency/unscheduled dialysis or resin therapy (NCT02285920)
Timeframe: 0 - 40 weeks

InterventionParticipants (Count of Participants)
Placebo6
Spironolactone 12.5 mg2
Spironolactone 25 mg0
Spironolactone 50 mg7

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Safety - Number of Participants With Serum Potassium >6.5 mEq/L

The number of participants who had serum potassium >6.5 mEq/L was assessed by treatment arm. (NCT02285920)
Timeframe: 0 - 40 weeks

InterventionParticipants (Count of Participants)
Placebo9
Spironolactone 12.5 mg4
Spironolactone 25 mg4
Spironolactone 50 mg8

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Safety - Participants With Serious Hypotension

The number of participants experiencing serious hypotension, defined as hypotension requiring hospitalization or ED visit and not attributable to overt sepsis, acute myocardial infarction, or other cardiovascular event (e.g. aortic dissection). (NCT02285920)
Timeframe: 0 - 40 weeks

InterventionParticipants (Count of Participants)
Placebo0
Spironolactone 12.5 mg2
Spironolactone 25 mg0
Spironolactone 50 mg3

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Study Drug Tolerability

Tolerability is defined as number of participants who experienced permanent study drug discontinuation or dose reduction. (NCT02285920)
Timeframe: 0 - 36 weeks

InterventionParticipants (Count of Participants)
Placebo16
Spironolactone 12.5 mg5
Spironolactone 25 mg6
Spironolactone 50 mg8

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Left Ventricular Strain

a sensitive measure of heart muscle function (NCT02354352)
Timeframe: 12 months

InterventionPercent change in circumference (Median)
Eplerenone0.2
Spironolactone0.4

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Change in Albuminuria

Change of the urine albumin-to-creatinine ratio (baseline - post-study med) after 6 weeks of spironolactone vs. 6 weeks of amiloride. (NCT02497300)
Timeframe: 6 weeks

Interventionmg albumin/g creatinine (Mean)
Spironolactone129
Amiloride285

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Change in Serum Creatinine (Baseline - Post-medication)

Difference in serum creatinine (baseline - post-medication) after 6 weeks of spironolactone vs. 6 weeks of amiloride. (NCT02497300)
Timeframe: 6 weeks

Interventionmg/dL (Mean)
Spironolactone0.2
Amiloride-0.1

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Change in Serum Potassium

Difference in serum potassium levels (baseline - post-medication) after 6 weeks of spironolactone vs. 6 weeks of amiloride. (NCT02497300)
Timeframe: 6 weeks

InterventionmEq/L (Mean)
Spironolactone0.4
Amiloride-0.5

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Difference in 24 Hour Ambulatory Systolic Blood Pressure

"The study was not able to meet its recruitment goal, and participant numbers were too low to test the intended primary outcome of Difference in percent change of ultrasound-guided flow-mediated dilation between 6 weeks of spironolactone vs. 6 weeks of amiloride. The change in 24hr ABPM systolic BP (Baseline - 6 week) is reported here." (NCT02497300)
Timeframe: 6 weeks

Interventionmm Hg (Mean)
Spironolactone Exposure7.7
Amiloride Exposure12.5

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Change in Oxidative Stress as Measured by Urine Levels of F2-isoprostanes

Difference in level of urine 8-iso-prostaglandin-F2-alpha per mg of creatinine levels between 6 weeks of spironolactone vs. 6 weeks of amiloride. (NCT02497300)
Timeframe: 6 weeks

Interventionng F2 isoprostane/mg creatinine (Mean)
Spironolactone-2.77
Amiloride-0.17

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Change in Score on the Visual Analogue Scale (VAS)

Dyspnea will be assessed at baseline and at 7 days with the score on the visual analogue scale (VAS). The scores range from 0 (minimum) to 100 (maximum) with higher numbers representing improvements in dyspnea (i.e. better) and lower numbers representing worsening of dyspnea (i.e. worse). (NCT02585843)
Timeframe: 7 days

Interventionunits on a scale (Mean)
High-dose26
Standard of Care25

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Change From Baseline to Day 7 on the Seven-Level Likert Scale

Dyspnea will be assessed using a Seven-Level Likert Scale at baseline and the day 7 visit. The outcome measure will be reported as a difference between these two assessments (value at 7 days minus the value at baseline). The values on this scale range from 1 to 7 with higher numbers indicating overall better subjective assessment related to the symptom of dyspnea. Therefore, positive numbers represent an overall improvement in dyspnea during the study intervention and the higher (more positive) this difference is, the better the subject's relief of dyspnea at the conclusion of the study intervention. (NCT02585843)
Timeframe: 7 days

Interventionunits on a scale (Mean)
High-dose2.1
Standard of Care2.6

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Change in 6-minute Walk Test Distance (6MWT)

At baseline and final visit. The 6MWT will be conducted per American Thoracic Society guidelines. (NCT02585843)
Timeframe: 7 days

Interventionmeters (Mean)
High-dose36
Standard of Care36

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Change in Body Weight

change in body weight measured in kilograms between weight at baseline and weight at 7 days (NCT02585843)
Timeframe: 7 days

Interventionkilogram (Mean)
High-dose-1.9
Standard of Care-1.9

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Change in Estimated Jugular Venous Pressure (cmH2O)

Change in estimated jugular venous pressure by physical exam in cmH2O between baseline and 7 days (NCT02585843)
Timeframe: 7 days

InterventioncmH2O (Mean)
High-dose-3.2
Standard of Care-3.9

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Glomerular Filtration Rate (GFR)

The primary analyses were based on the difference between each estimated GFR measure and iothalamate scan. (NCT02883400)
Timeframe: 18 months

Interventionml/min/1.73m^2 (Mean)
SOC-Standard of Care69
Spironolactone64

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Participants With Central Serum Potassium <5.5 mEq/L Over Time

"Baseline Central Serum Potassium: BCSP.~The symbols > and ≤ included in the row titles are used to indicate the time interval [>Week1 and ≤Week2 meaning from day 8 until day 14 (included)].~If a participant's serum potassium result at baseline was not in one of the two subgroups reported below, the participant's potassium stratum at randomization was used. Therefore, participants with BCSP <4.3 mEq/L or >5.1 mEq/L at baseline (Day 0) have been classified according to their serum potassium values at the Screening period." (NCT03071263)
Timeframe: From baseline to Week 12

,
InterventionParticipants (Count of Participants)
BCSP 4.3-<4.7mEq/L: ≤Week1BCSP 4.3-<4.7mEq/L: >Week1 and ≤Week2BCSP 4.3-<4.7mEq/L: >Week 2 and ≤Week 3BCSP 4.3-<4.7mEq/L: >Week 3 and ≤Week 4BCSP 4.3-<4.7mEq/L: >Week 4 and ≤Week 6BCSP 4.3-<4.7mEq/L: >Week 6 and ≤Week 8BCSP 4.3-<4.7mEq/L: >Week 8 and ≤Week 10BCSP 4.3-<4.7mEq/L: > Week 10 and ≤ Week 12BCSP 4.7-<5.1 mEq/L: ≤Week 1BCSP 4.7-<5.1mEq/L: >Week 1 and ≤Week 2BCSP 4.7-<5.1mEq/L: >Week 2 and ≤Week 3BCSP 4.7-<5.1mEq/L: >Week 3 and ≤Week 4BCSP 4.7-<5.1 mEq/L: >Week 4 and ≤Week 6BCSP 4.7-<5.1mEq/L: >Week 6 and ≤Week 8BCSP 4.7-<5.1mEq/L: >Week 8 and ≤Week 10BCSP 4.7-<5.1mEq/L: >Week 10 and ≤Week 12Overall : ≤Week 1Overall : > Week 1 and ≤Week 2Overall : >Week 2 and ≤Week 3Overall : >Week 3 and ≤Week 4Overall : >Week 4 and ≤Week 6Overall : >Week 6 and ≤Week 8Overall : >Week 8 and ≤Week 10Overall : >Week 10 and ≤Week 12
Group 1 - Patiromer60575961616158617574747479747280135131133135140135130141
Group 2 - Placebo62576360615858616665656164666665128122128121125124124126

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Participants Having Spironolactone Titrations Over Time

"The titration was performed according to the following criteria: Spironolactone was increased in cases of hypertension, decreased or stopped in cases of hypotension and maintained if the blood pressure results were adequate~The symbols > and ≤ included in the row titles are used to indicate the time interval [>Week1 and ≤Week2 meaning from day 8 until day 14 (included)]." (NCT03071263)
Timeframe: From baseline to Week 12

,
InterventionParticipants (Count of Participants)
Up : ≤Week 1Up : >Week 1 and ≤Week 2Up : >Week 2 and ≤Week 3Up : >Week 3 and ≤Week 4Up : >Week 4 and ≤Week 6Up : >Week 6 and ≤Week 8Up : >Week 8 and ≤Week 10Up : >Week 10 and ≤Week 12Down : ≤Week 1Down : >Week 1 and ≤Week 2Down : >Week 2 and ≤Week 3Down : >Week 3 and ≤Week 4Down : >Week 4 and ≤Week 6Down : >Week 6 and ≤Week 8Down : >Week 8 and ≤Week 10Down : >Week 10 and ≤Week 12
Group 1 - Patiromer0088271066112268543
Group 2 - Placebo0077211167020257871

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Number of Participants Requiring Additional New Antihypertensive Medications or Increases to Baseline Antihypertensive Medications

"Row Titles:~AM: Antihypertensive Medication(s)~New AM: Participants who required additional new antihypertensive medication(s)~Increases to baseline AM: Participants who required increases to baseline antihypertensive medication(s)~Addition new (or increase) AM: Participants who required addition of new antihypertensive medication(s) and/or increases to baseline antihypertensive medications~At any time during the study: During study~While on study medication: On medication" (NCT03071263)
Timeframe: From baseline to Week 12/Early Termination visit

,
Interventionparticipants (Number)
New AM : At any time during the studyNew AM : On medicationIncreases to baseline AM: During studyIncreases to baseline AM: On medicationAddition new (or increases) AM: During studyAddition new (or increases) AM : On medication
Group 1 - Patiromer000000
Group 2 - Placebo312142

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Number of Participants by Spironolactone Dose Prescribed at Each Visit

"QD: Once daily~QOD: Once every other day" (NCT03071263)
Timeframe: From baseline to Week 10

,
InterventionParticipants (Count of Participants)
50 mg QD : Baseline50 mg QD : Week 150 mg QD : Week 250 mg QD : Week 350 mg QD : Week 450 mg QD : Week 650 mg QD : Week 850 mg QD : Week 1025 mg QD : Baseline25 mg QD : Week 125 mg QD : Week 225 mg QD : Week 325 mg QD : Week 425 mg QD : Week 625 mg QD : Week 825 mg QD : Week 1025 mg QOD : Baseline25 mg QOD : Week 125 mg QOD : Week 225 mg QOD : Week 325 mg QOD : Week 425 mg QOD : Week 625 mg QOD : Week 825 mg QOD : Week 10
Group 1 - Patiromer00086105106106106147145140492725261901333212
Group 2 - Placebo0007694968580148144142573428242002123244

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Central Serum Potassium Change From Baseline to Week 12 by Baseline Serum Potassium Category

"The two baseline potassium subgroups, 4.3-<4.7 mEq/L versus 4.7-5.1 mEq/L, are based on central laboratory data.~If a participant's serum potassium result at baseline was not in one of the two subgroups reported below, the participant's potassium stratum at randomization was used. Therefore, participants with BCSP <4.3 mEq/L or >5.1 mEq/L at baseline (Day 0) have been classified according to their serum potassium values at the Screening period." (NCT03071263)
Timeframe: From baseline to Week 12

,
InterventionmEq/L (Mean)
Baseline Central Serum Potassium 4.3-<4.7 mEq/LBaseline Central Serum Potassium 4.7-<5.1 mEq/LOverall
Group 1 - Patiromer0.16-0.090.02
Group 2 - Placebo0.400.030.20

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Number of Participants Remaining on Spironolactone at Week 12

The proportion of subjects remaining on spironolactone at Week 12 will be compared between treatment groups (spironolactone/patiromer versus spironolactone/placebo). Subjects who discontinued from the study early or discontinued study spironolactone prior to Week 12, for any reason, were considered as not having remained on spironolactone until Week 12. (NCT03071263)
Timeframe: At week 12

InterventionParticipants (Count of Participants)
Group 1 - Patiromer126
Group 2 - Placebo98

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Change in AOBP SBP From Baseline to Week 12 Regardless of Increase in Antihypertensives

AOBP SBP: Automated Office Systolic Blood Pressure (NCT03071263)
Timeframe: From baseline to Week 12

InterventionmmHg (Mean)
Group 1 - Patiromer-11.3
Group 2 - Placebo-11.2

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Change in AOBP SBP From Baseline to Week 12 or Last Available AOBP SBP Prior to Addition of Any New BP Medications or Increase From Any Baseline BP Medications

AOBP: Automated Office Blood Pressure SBP: Systolic Blood Pressure BP: Blood Pressure (NCT03071263)
Timeframe: From baseline to Week 12

InterventionmmHg (Mean)
Group 1 - Patiromer-11.3
Group 2 - Placebo-11.0

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Spironolactone Dose Level at End of 12 Weeks of Study Treatment

"Row title:~Participants not completing 12W of study treatment: Participants who had not completed 12 weeks of study treatment." (NCT03071263)
Timeframe: 12 Weeks of Study Treatment

,
InterventionParticipants (Count of Participants)
50 mg QD25 mg QD25 mg QODParticipants not completing 12W of study treatment
Group 1 - Patiromer10222221
Group 2 - Placebo7619350

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Shifts in Selected Laboratory Tests From Baseline to End of Treatment

"The end of treatment value is defined as the last non-missing value on or prior to the last spironolactone dose date (from End of Treatment - Case report form) + 3 days~LLN=Lower limit of the normal range. ULN=Upper limit of the normal range. EoT=End of Treatment" (NCT03071263)
Timeframe: From Baseline to End of Treatment, up to 12 weeks.

,
Interventionparticipants (Number)
Magnesium - Baseline Value Magnesium - Baseline Value Magnesium - Baseline Value ULNMagnesium - Baseline Value Normal : EoT Value Magnesium- Baseline Value Normal: EoT Value NormalMagnesium - Baseline Value Normal : EoT Value >ULNMagnesium - Baseline Value >ULN : EoT Value Magnesium - Baseline Value >ULN : EoT Value NormalMagnesium - Baseline Value >ULN : EoT Value >ULNPhosphate - Baseline Value Phosphate - Baseline Value Phosphate - Baseline Value ULNPhosphate - Baseline Value Normal : EoT Value Phosphate- Baseline Value Normal: EoT Value NormalPhosphate - Baseline Value Normal : EoT Value >ULNPhosphate - Baseline Value >ULN : EoT Value Phosphate - Baseline Value >ULN : EoT Value NormalPhosphate - Baseline Value >ULN : EoT Value >ULNCalcium - Baseline Value Calcium - Baseline Value Calcium - Baseline Value ULNCalcium - Baseline Value Normal : EoT Value Calcium - Baseline Value Normal : EoT Value NormalCalcium - Baseline Value Normal : EoT Value >ULNCalcium - Baseline Value >ULN : EoT Value Calcium - Baseline Value >ULN : EoT Value NormalCalcium - Baseline Value >ULN : EoT Value >ULN
Group 1 - Patiromer93012103601030100136205225041330020
Group 2 - Placebo4807109100631301125804541061330012

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Efficacy: Dynamometry Score

Secondary outcome measures will be Dynamometry score, which is a summation of maximum voluntary isometric contraction test values for knee flexion, knee extension, elbow flexion, and elbow extension (NCT03777319)
Timeframe: 6 months

,
Interventionkg (Number)
Elbow Flexion (Right)-BaselineElbow Flexion (Left)-BaselineElbow Extension (Right)-BaselineElbow Extension (Left)-BaselineKnee Flexion (Right)-BaselineKnee Flexion (Left)-BaselineKnee Extension (Right)-BaselineKnee Extension (Left)-BaselineElbow Flexion (Right)-Month 6Elbow Flexion (Left)-Month 6Elbow Extension (Right)-Month 6Elbow Extension (Left)-Month 6Knee Flexion (Right)-Month 6Knee Flexion (Left)-Month 6Knee Extension (Right)-Month 6Knee Extension (Left)-Month 6
Prednisolone3.64.15.34.13.33.44.85.22.93.44.33.84.13.965.1
Spironolactone00004.12.83.85.93.13.52.42.54.34.17.28.3

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Safety Will be Monitored Through Regular Review of Electrolytes.

Electrolytes (Sodium, Potassium, Cloride and Carbon dioxide, mmol/L) will be measured on a monthly basis following initiation of either spironolactone or prednisolone. (NCT03777319)
Timeframe: 6 months

,
Interventionmmol/L (Number)
Sodium-BaselineSodium-Month 1Sodium-Month 2Sodium-Month 3Sodium-Month 4Sodium-Month 5Sodium-Month 6Potassium-BaselinePotassium-Month 1Potassium-Month 2Potassium-Month 3Potassium-Month 4Potassium-Month 5Potassium-Month 6Chloride-BaselineChloride-Month 1Chloride-Month 2Chloride-Month 3Chloride-Month 4Chloride-Month 5Chloride-Month 6CO2-BaselineCO2-Month 1CO2-Month 2CO2-Month 3CO2-Month 4CO2-Month 5CO2-Month 6
Prednisolone1401401391411391391433.844.53.94.64.23.910510510410510510610522242424252626
Spironolactone1421421411421391391404.54.74.24.14.54.54.310310910710310310310129222527282826

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Efficacy: Change in Time to Complete a 100 Meter Timed Test.

The determination of whether spironolactone has similar efficacy to glucocorticoids in improving muscle strength in steroid naïve DMD patients. This will be determined by measuring the time to complete a 100 meter timed test (100M). (NCT03777319)
Timeframe: 6 months

Interventionsec (Number)
Spironolactone-0.6
Prednisolone-5.3

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Digoxin Plasma Data for AUC0-96

Area under the plasma concentration versus time curve from time 0 to the 96 hour time point concentration. (NCT03909529)
Timeframe: 4 days

Interventionpg.hr/mL (Mean)
Treatment ATreatment B
Drug-Drug Interaction Study13715.97416551.500

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Digoxin Plasma Data for Tmax

If the maximum value occurs at more than one time point, Tmax is defined as the first time point with this value. (NCT03909529)
Timeframe: 4 days

Interventionhr (Mean)
Treatment ATreatment B
Drug-Drug Interaction Study0.7440.901

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Dogoxin Plasma Data for Cmax

Primary Pharmacokinetic parameter The following pharmacokinetic parameters for Digoxin were obtained using non-compartmental method Cmax, AUC0-96, and tmax using plasma data, Renal clearance (CLR) /Percent Recovered, Unchanged drug excreted in urine (fe)/Amount Recovered using urine data. (NCT03909529)
Timeframe: 4 days

Interventionpg/mL (Mean)
Treatment ATreatment B
Drug-Drug Interaction Study1530.1882432.908

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Renal Clearance (CLR)/Percent Recovered

Summary Statistics for Untransformed Urine PK Parameters of digoxin Per Treatment-Renal clearance (CLR)/Percent Recovered (NCT03909529)
Timeframe: 04 Days

Intervention% recovered (Mean)
Treatment ATreatment B
Drug-Drug Interaction Study54.68753.378

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Unchanged Drug Excreted in Urine (fe)/ Amount Recovered

Summary of Urine Pharmacokinetic parameters for digoxin -unchanged drug excreted in urine (fe)/ Amount Recovered (NCT03909529)
Timeframe: 04 Days

Interventionnanograms (Mean)
Treatment ATreatment B
Drug-Drug Interaction Study136717.72133446.07

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Free Testosterone

Free Testosterone measured in ng/dL (NCT03981861)
Timeframe: Change Measures: Baseline & 6 Months

Interventionng/dL (Mean)
Overall Study-0.15

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Dehydroepiandrosterone Sulfate (DHEAS)

DHEAS measured in mcg/dL (NCT03981861)
Timeframe: Change Measures: Baseline & 6 Months

Interventionmcg/dL (Mean)
Overall Study-25.89

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Body Mass Index (BMI)

Body Mass Index measured in kg/m2 (NCT03981861)
Timeframe: Change Measures: Baseline & 6 Months

Interventionkg/m2 (Mean)
Overall Study-1.3

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Total Testosterone

Total Testosterone measured in ng/dL (NCT03981861)
Timeframe: Change Measures: Baseline & 6 Months

Interventionng/dL (Mean)
Overall Study-12.57

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Oral Glucose Tolerance Test

Measurement of glucose and insulin at baseline and 2 hours after 75g of glucola. (NCT03981861)
Timeframe: Change Measures: Baseline & 6 Months

Interventionmg/dL (Mean)
Overall Study0.9

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Number of Patients Whose Interventions Were Stopped Because Clinical Improvement Was Achieved Before 96 Hours as Assessed by de Clinical Judgement of the Medical Team in Charge.

Clinical improvement was referred as remission of symptoms with achievement of 24 hour urine output equal or greater than 3000 milliliters (NCT04393493)
Timeframe: From the beginning of intervention and before 96 hours after that

InterventionParticipants (Count of Participants)
Stepped Furosemide5
Diuretics Combined7

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Number of Patients That Achieved >30% Reduction in Brain Natriuretic Compared With Baseline Levels

Baseline levels were defined as the measurement at hospital admission (NCT04393493)
Timeframe: Up to 96 hours after intervention started

InterventionParticipants (Count of Participants)
Stepped Furosemide5
Diuretics Combined7

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Number of Participants With Renal Function Recovery Defined as a Return to Individual Baseline Serum Creatinine Values

Comparing patient's baseline serum creatinine (previous serum creatinine of 3 months ago and up to a year ago) with creatinine measurements every 24 hours during intervention (4 days) (NCT04393493)
Timeframe: Up to 96 hours after intervention started

InterventionParticipants (Count of Participants)
Stepped Furosemide8
Diuretics Combined5

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Number of Days From the Beginning of the Intervention Until Patients Referred Dyspnea Improvement or a Reduction in Supplementary Oxygen Requirements Was Made.

"Dyspnea improvement was referred by the patient as the clinician asked them do you feel more or less difficult to breathe? or if the liters per minute or the fraction of inspired supplementary oxygen necessary maintain an oxygen saturation >90% were diminished" (NCT04393493)
Timeframe: Up to 4 days after intervention started

Interventiondays (Mean)
Stepped Furosemide4
Diuretics Combined4

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Mortality During Follow up Defined as Number of Dead Patients After Discharge

(NCT04393493)
Timeframe: From day one after discharge up to an average of 161 days

InterventionParticipants (Count of Participants)
Stepped Furosemide9
Diuretics Combined12

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In Hospital Mortality Defined as Number of Dead Patients From Day One of Intervention and Before Discharge

(NCT04393493)
Timeframe: From day one of intervention up to discharge, an average of 1 week

InterventionParticipants (Count of Participants)
Stepped Furosemide4
Diuretics Combined4

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Change in Serum Urea Levels Measured at Day One of Intervention From Serum Urea Levels Measured at 96 Hrs After Intervention Started.

Calculated as serum urea levels at day one of intervention minus serum urea levels at 96 hrs after intervention started. (NCT04393493)
Timeframe: 96 hours after intervention started

Interventionmg/dl (Mean)
Stepped Furosemide13
Diuretics Combined18

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Change in Serum Sodium Levels Measured at Day One of Intervention From Serum Sodium Levels Measured at 96 Hrs After Intervention Started.

Calculated as serum sodium levels at day one of intervention minus serum sodium levels at 96 hrs after intervention started. (NCT04393493)
Timeframe: 96 hours after intervention started

InterventionmEq/L (Mean)
Stepped Furosemide-1.2
Diuretics Combined0.2

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Change in Serum Potassium Levels Measured at Day One of Intervention From Serum Potassium Levels Measured at 96 Hrs After Intervention Started.

Calculated as serum potassium levels at day one of intervention minus serum potassium levels at 96 hrs after intervention started. (NCT04393493)
Timeframe: 96 hours after intervention started

InterventionmEq/L (Mean)
Stepped Furosemide-0.2
Diuretics Combined-0.4

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An Elevation of at Least 0.3 mg/dl of Serum Creatinine From Day One of Intervention Compared With Serum Creatinine at 96hrs After Intervention Started

(NCT04393493)
Timeframe: 96 hours after intervention started

InterventionParticipants (Count of Participants)
Stepped Furosemide20
Diuretics Combined24

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Change in Serum pH Value Measured at Day One of Intervention From Serum pH Value Measured at 96 Hrs After Intervention Started.

Calculated as serum pH value at day one of intervention minus serum pH value at 96 hrs after intervention started. (NCT04393493)
Timeframe: 96 hours after intervention started

Interventionunits (Mean)
Stepped Furosemide0.03
Diuretics Combined0.02

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Change in Serum Partial Pressure of Carbon Dioxide Measured at Day One of Intervention From Serum Partial Pressure of Carbon Dioxide Measured at 96 Hrs After Intervention Started.

Calculated as serum partial pressure of carbon dioxide at day one of intervention minus serum partial pressure of carbon dioxide at 96 hrs after intervention started. (NCT04393493)
Timeframe: 96 hours after intervention started

InterventionmmHg (Mean)
Stepped Furosemide1
Diuretics Combined3

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Change in Serum Magnesium Levels Measured at Day One of Intervention From Serum Magnesium Levels Measured at 96 Hrs After Intervention Started.

Calculated as serum magnesium levels at day one of intervention minus serum magnesium levels at 96 hrs after intervention started. (NCT04393493)
Timeframe: 96 hours after intervention started

Interventionmg/dl (Mean)
Stepped Furosemide0.07
Diuretics Combined-0.04

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Change in Serum Creatinine at Day One of Intervention From Serum Creatinine at 96 Hrs After Intervention Started

Calculated as serum creatinine at day one minus serum creatinine at 96 hrs after intervention started (NCT04393493)
Timeframe: 96 hours after intervention started

Interventionmg/dl (Mean)
Stepped Furosemide0.02
Diuretics Combined0.2

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Change in Serum Copeptin Levels at Day One of Intervention From Serum Copeptin Levels Measured at 96 Hrs After Intervention Started.

Calculated as serum copeptin levels at day one minus serum copeptin levels measured at 96 hrs after intervention started (NCT04393493)
Timeframe: 96 hours after intervention started

Interventionng/dl (Mean)
Stepped Furosemide1.1
Diuretics Combined-16

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Change in Serum Chloride Levels Measured at Day One of Intervention From Serum Chloride Levels Measured at 96 Hrs After Intervention Started.

Calculated as serum chloride levels at day one of intervention minus serum chloride levels at 96 hrs after intervention started. (NCT04393493)
Timeframe: 96 hours after intervention started

InterventionmEq/L (Mean)
Stepped Furosemide-0.6
Diuretics Combined-0.4

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Change in Serum Calcium Levels Measured at Day One of Intervention From Serum Calcium Levels Measured at 96 Hrs After Intervention Started.

Calculated as serum calcium levels at day one of intervention minus serum calcium levels at 96 hrs after intervention started. (NCT04393493)
Timeframe: 96 hours after intervention started

Interventionmg/dl (Mean)
Stepped Furosemide0.15
Diuretics Combined-0.05

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Change in Serum Brain Natriuretic Peptide Levels at Baseline From Serum Brain Natriuretic Peptide Levels at 96 Hours After Intervention Started

Baseline levels were defined as the measurement at hospital admission. Calculated as serum brain natriuretic peptide levels at baseline minus serum brain natriuretic peptide levels at 96 hours after intervention started (NCT04393493)
Timeframe: 96 hours after intervention started

Interventionng/dl (Mean)
Stepped Furosemide-1344
Diuretics Combined-1378

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Change in Serum Bicarbonate Levels Measured at Day One of Intervention From Serum Bicarbonate Levels Measured at 96 Hrs After Intervention Started.

Calculated as serum bicarbonate levels at day one of intervention minus bicarbonate levels at 96 hrs after intervention started. (NCT04393493)
Timeframe: 96 hours after intervention started

InterventionmEq/L (Mean)
Stepped Furosemide2.9
Diuretics Combined3

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Change in 24 Hour Urine Output at 96 Hours After Intervention Started From 24 Hour Urine Output One Day Before Intervention Initiation)

Urine output was collected through an urinary catheter and measured and registered by a nurse. The sum of these registrations from 7 am from one day to 7 am of the next day was considered the 24 hour urinary output (NCT04393493)
Timeframe: 96 hours after intervention started

Interventionml (Mean)
Stepped Furosemide125
Diuretics Combined200

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Number of Patients That Required Renal Replacement Therapy of Any Type During Intervention (4 Days).

The requirement of renal replacement therapy was assessed by the nephrology team in charge (NCT04393493)
Timeframe: Up to 96 hours after intervention started

InterventionParticipants (Count of Participants)
Stepped Furosemide7
Diuretics Combined6

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Number of Patients With Dyspnea Improvement as Referred by the Patient or Reduction in Supplementary Oxygen Requirements Before Day 3 of Intervention

"Dyspnea improvement was referred by the patient as the clinician asked them do you feel more or less difficult to breathe? or if the liters per minute or the fraction of inspired supplementary oxygen necessary maintain an oxygen saturation >90% were diminished" (NCT04393493)
Timeframe: Up to 3 days after intervention started

InterventionParticipants (Count of Participants)
Stepped Furosemide2
Diuretics Combined7

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Number of Patients With Dyspnea Improvement as Referred by the Patient or Reduction in Supplementary Oxygen Requirements at 96 Hours After Intervention Started

"Dyspnea improvement was referred by the patient as the clinician asked them do you feel more or less difficult to breathe? or if the liters per minute or the fraction of inspired supplementary oxygen necessary to maintain an oxygen saturation >90% were diminished" (NCT04393493)
Timeframe: Up to 96 hours after intervention started

InterventionParticipants (Count of Participants)
Stepped Furosemide27
Diuretics Combined27

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Change in Serum Lactate Levels Measured at Day One of Intervention From Serum Lactate Levels Measured at 96 Hrs After Intervention Started.

Calculated as serum lactate levels at day one of intervention minus serum lactate levels at 96 hrs after intervention started. (NCT04393493)
Timeframe: 96 hours after intervention started

Interventionmmol/L (Mean)
Stepped Furosemide0
Diuretics Combined0.1

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Ventricular Refractoriness

The right ventricular effective refractory period (ERP) will be measured at 3 month in patients enrolled at the Portland VA Medical Center by single extra stimuli via their implanted defibrillator. The ERP is defined as the shortest paced beat coupling interval that fails to produce ventricular capture after a baseline stable pacing train. (NCT04495712)
Timeframe: measured 3 months after randomization

Interventionmilliseconds (Mean)
Spironolactone294.2
Placebo278.3

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Time to First Appropriate Implantable Cardioverter Defibrillator (ICD) Therapy

Time to first documented ICD therapy for ventricular tachycardia or ventricular fibrillation after randomization (NCT04495712)
Timeframe: through study completion, an average of 35 months

Interventionmonths (Median)
Spironolactone8.8
Placebo12.3

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Short Form Health Survey Adapted for Veterans (SF36V)

Short Form Health Survey adapted for veterans (SF36V) is a 36 item questionnaire that measures general physical and mental health [17]. The SF36V is a reliable and valid questionnaire, containing eight constructs of health status: physical functioning (PF), role limitations due to physical problems (RP), bodily pain (BP), general health perceptions (GH), energy/vitality (VT), social functioning (SF), role limitations due to emotional problems (RE), and mental health (MH). These eight dimensions can be summarized numerically into two scores, the physical component summary (PCS) and the mental component summary (MCS). Range 0-100 higher score is better Health Related Quality of Life (HRQOL). We are reporting the Mental Component Summary score at 12 months here. (NCT04495712)
Timeframe: 12 months after enrollment

Interventionscore on a scale (Mean)
Spironolactone54.87
Placebo63.31

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Patient Concerns Assessment (PCA)

Patient Concerns Assessment (PCA) is a symptom checklist that measures physical symptoms and fears that are common after ICD implantation. The PCA is a disease-specific instrument for ICD QOL, symptoms, and distress, with a reliability of ( = 0.88). Range 0-44, a higher score reflects more concerns and fears. (NCT04495712)
Timeframe: 12 months

Interventionscore on a scale (Mean)
Spironolactone22.15
Placebo18.42

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Kansas City Cardiomyopathy Questionnaire (KCCQ)

Kansas City Cardiomyopathy Questionnaire (KCCQ) is a 23-item reliable and valid questionnaire, which evaluates HRQOL in heart failure. It quantifies, in a disease-specific fashion, physical limitations, symptoms, quality of life, social interference and self-efficacy. KCCQ provides the calculation of 2 main scores, the overall score and the clinical summary score, which includes functional status, social limitation and quality of life domains scores. Range 0-100, higher scores represent higher HRQOL. (NCT04495712)
Timeframe: through study completion, an average of 35 months

Interventionscore on a scale (Mean)
Spironolactone57.35
Placebo68.67

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All Cause Hospitalization

Number of patients hospitalized for any reason during study follow-up. (NCT04495712)
Timeframe: through study completion, an average of 35 months

InterventionParticipants (Count of Participants)
Spironolactone28
Placebo24

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