Page last updated: 2024-11-07

spironolactone and Muscular Diseases

spironolactone has been researched along with Muscular Diseases in 7 studies

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)
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.

Muscular Diseases: Acquired, familial, and congenital disorders of SKELETAL MUSCLE and SMOOTH MUSCLE.

Research

Studies (7)

TimeframeStudies, this research(%)All Research%
pre-19903 (42.86)18.7374
1990's0 (0.00)18.2507
2000's3 (42.86)29.6817
2010's1 (14.29)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Chadwick, JA1
Hauck, JS1
Lowe, J1
Shaw, JJ1
Guttridge, DC1
Gomez-Sanchez, CE1
Gomez-Sanchez, EP1
Rafael-Fortney, JA1
Kinoshita, H1
Okabayashi, M1
Kaneko, M1
Yasuda, M1
Abe, K1
Machida, A1
Ohkubo, T1
Kamata, T1
Yakushiji, F1
PEARSON, CM1
Freedman, DB1
Housley, D1
Suzuki, A1
Yoshida, M1
Miura, Y1
Oiso, Y1
France, R1
Stone, WJ1
Michelakis, AM1
Island, DP1
Merrill, JM1
Tolleson, WJ1
Sambrook, MA1
Heron, JR1
Aber, GM1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
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.)
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

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

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

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

Other Studies

7 other studies available for spironolactone and Muscular Diseases

ArticleYear
Mineralocorticoid receptors are present in skeletal muscle and represent a potential therapeutic target.
    FASEB journal : official publication of the Federation of American Societies for Experimental Biology, 2015, Volume: 29, Issue:11

    Topics: Aldosterone; Animals; Cell Line; Humans; Lisinopril; Mice; Muscle Fibers, Skeletal; Muscle Proteins;

2015
Shakuyaku-kanzo-to induces pseudoaldosteronism characterized by hypokalemia, rhabdomyolysis, metabolic alkalosis with respiratory compensation, and increased urinary cortisol levels.
    Journal of alternative and complementary medicine (New York, N.Y.), 2009, Volume: 15, Issue:4

    Topics: Aged; Alkalosis; Drug Combinations; Drugs, Chinese Herbal; Electrocardiography; Female; Glycyrrhiza;

2009
THE PERIODIC PARALYSES: DIFFERENTIAL FEATURES AND PATHOLOGICAL OBSERVATIONS IN PERMANENT MYOPATHIC WEAKNESS.
    Brain : a journal of neurology, 1964, Volume: 87

    Topics: Acetazolamide; Drug Therapy; Epinephrine; Humans; Hydrochlorothiazide; Hydrocortisone; Hyperkalemia;

1964
Gitelman's syndrome presenting as intolerance to statin therapy.
    Annals of clinical biochemistry, 2005, Volume: 42, Issue:Pt 3

    Topics: Adult; Amiloride; Cholesterol; Dose-Response Relationship, Drug; Female; Humans; Hydroxymethylglutar

2005
Gitelman's syndrome with silent thyroiditis.
    Nagoya journal of medical science, 2006, Volume: 68, Issue:1-2

    Topics: Adult; Calcium; Female; Humans; Hypokalemia; Kidney Diseases; Magnesium; Muscular Diseases; Spironol

2006
Renal potassium-wasting of unknown cause in a clinical setting of chronic potassium depletion: report of a case.
    Southern medical journal, 1973, Volume: 66, Issue:1

    Topics: Aldosterone; Biopsy; Humans; Kidney; Kidney Tubules, Proximal; Magnesium; Male; Middle Aged; Muscula

1973
Myopathy in association with primary hyperaldosteronism.
    Journal of neurology, neurosurgery, and psychiatry, 1972, Volume: 35, Issue:2

    Topics: Electromyography; Humans; Hyperaldosteronism; Male; Middle Aged; Muscular Diseases; Potassium; Sodiu

1972