Spironolactone (SC9420)

别名:
目录号: V1770 纯度: ≥98%
Spironolactone(SC9420; SC-9420; SC 9420; Spiresis; Spiridon) 是一种有效的雄激素受体/AR 拮抗剂,具有潜在的抗肿瘤活性。
Spironolactone (SC9420) CAS号: 52-01-7
产品类别: Androgen Receptor
产品仅用于科学研究,不针对患者销售
规格 价格 库存 数量
500mg
1g
2g
5g
10g
Other Sizes

Other Forms of Spironolactone (SC9420):

  • 7α-Thiomethyl spironolactone-d7
  • Spironolactone-d7 (SC9420-d7)
  • 7-α-Methylthio Spironolactone-d3
  • Spironolactone-d3-1
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InvivoChem产品被CNS等顶刊论文引用
纯度/质量控制文件

纯度: ≥98%

产品描述
螺内酯(SC9420;SC-9420;SC 9420;Spiresis;Spiridon)是一种强效的雄激素受体/AR拮抗剂,具有潜在的抗肿瘤活性。它对AR的抑制IC50为77 nM。螺内酯已获准用于治疗由心力衰竭、肝硬化或肾病引起的体液潴留。它还可用于治疗高血压、补充钾后仍未改善的低血钾、性早熟、女性多毛症,以及作为跨性别女性激素替代疗法的组成部分。


螺内酯
生物活性&实验参考方法
靶点
Mineralocorticoid receptor (MR) (IC50=24±1 nM for MR-LBD in transactivation assay)
Glucocorticoid receptor (GR) (IC50=2410±260 nM)
Androgen receptor (AR) (IC50=77±4 nM)
Progesterone receptor (PR) (EC50=740±60 nM, weak agonist)
L-type calcium channel (IC50=0.26±0.004 nM) [1]
体外研究 (In Vitro)
螺内酯是一种强效的雄激素受体(AR)拮抗剂(IC50 ~ 77 nM)、弱效的糖皮质激素受体(GR)拮抗剂(IC50 ~ 2.4 μM)和弱效的孕激素受体(PR)激动剂(EC50 ~ 740 nM)。螺内酯可抑制雄甾烷醇酮与大鼠前列腺细胞核的结合以及雄甾烷醇酮与大鼠前列腺细胞质的特异性结合。螺内酯作为一种完全的盐皮质激素受体(MR)拮抗剂,可抑制醛固酮诱导的MR-LBD转录激活,IC50值为24.2 nM(图1A,表1)。它是一种强效的AR拮抗剂(IC50 ~ 77 nM)、弱效的GR拮抗剂(IC50 ~ 2.4 μM)和弱效的PR激动剂(IC50 ~ 740 nM)(表1)。螺内酯对L型钙通道具有阻断活性,IC50值为0.26 nM(表1)。螺内酯对全长MR的IC50值为50.0 nM(讨论)。螺内酯不能阻断S810L MR突变体的组成型活性,反而能激活该突变受体(引言,结果)。在哺乳动物双杂交实验中,螺内酯以剂量依赖的方式促进转录共激活因子TIF2与MR的结合(10⁻⁸至10⁻⁶ M),并抑制醛固酮诱导的MR/TIF2相互作用(图6A)。螺内酯不募集NCoR至MR,但抑制NCoR与MR-醛固酮复合物的结合(图6B)。螺内酯-MR复合物极不稳定,无法募集转录共调节因子(讨论)。[1]
体内研究 (In Vivo)
螺内酯(1 mg/天)在大鼠体内具有抗雄激素活性。单次预处理螺内酯(1 mg/只大鼠)可抑制示踪剂量[3H]睾酮诱导的前列腺特异性饱和摄取。
口服螺内酯(10 mg/kg)可显著提高清醒大鼠的尿钠/钾比值(图2)。1 mg/kg剂量下未观察到显著影响(图2)。[1]
细胞实验
本研究使用了稳定表达 GAL4-MR-LBD、GAL4-MR-S810L-LBD、GAL4-GR-LBD、GAL4-AR-LBD 或 GAL4-PR-LBD 的 CHO-K1 细胞系。细胞培养于添加了 10% 灭活胎牛血清、20 mM HEPES、1.4 mM 丙酮酸钠、1.8 mM 碳酸氢钠和 1 mg/ml 遗传霉素的 DMEM/Ham's F-12 培养基(含 GlutaMAX)。亚融合状态的细胞使用 Accutase 进行传代。在测试前 24 小时,将细胞接种于含有 2.5% FCS、2 mM 谷氨酰胺和 10 mM HEPES 的 Optimum 培养基中,并置于 96 孔或 384 孔板中。测试当天,化合物以八个稀释度给药,随后给予各激动剂相应的 EC50 浓度。孵育5-6小时后,使用发光检测视频摄像系统测定荧光素酶活性。IC50值使用GraphPad Prism软件计算,数据来自至少三个独立实验,每个实验均重复两次(实验步骤,结果)。对于瞬时转录激活实验,将编码野生型或突变型MR的表达载体、报告载体pFC31Luc和pcBgal转染至HEK-293T细胞。转染24小时后,加入配体,孵育16小时后,检测细胞提取物中的荧光素酶和β-半乳糖苷酶活性(实验步骤)。对于哺乳动物双杂交实验,将pVPMR、pGALTIF2或pGALNcoR、pg5luc和pcBgal转染至HEK-293T细胞。转染24小时后,加入醛固酮(10⁻¹⁰至10⁻⁸ M)或螺内酯(10⁻⁸至10⁻⁶ M),或进行平行实验,在10⁻⁸至10⁻⁶ M螺内酯存在下加入10⁻⁹ M醛固酮。16小时后,检测荧光素酶和β-半乳糖苷酶活性(实验方法,结果)。[1]
动物实验
1 mg/天 大鼠

雄性Wistar大鼠(约300 g)饲喂含0.02%氯化钠的低盐饮食72小时。螺内酯以1和10 mg/kg的剂量,溶于溶剂(85.8% PEG400、5.3%甘油、8.9%水,v/v/v)中,通过灌胃法以1 ml/kg的剂量进行灌胃。动物(每组n=8)置于代谢笼中8小时,自由饮水。采用火焰原子吸收光谱法分析尿液样本的体积、钠和钾浓度(实验方法,结果)。[1]
药代性质 (ADME/PK)
吸收、分布和排泄
在健康志愿者中,螺内酯及其活性代谢物坎利酮达到血浆峰浓度的平均时间分别为2.6小时和4.3小时。食物可使螺内酯的生物利用度(以AUC衡量)提高约95.4%。代谢物主要经尿液排泄,其次经胆汁排泄。螺内酯代谢物主要经尿液(42-56%)和粪便(14.2-14.6%)排泄。尿液中未检测到未代谢的螺内酯。螺内酯最初应用于临床时,其生物利用度不足,通过制成细粉或微粉剂型得以改善。其绝对生物利用度间接估计约为73%,食物可以提高其生物利用度。几乎所有吸收的螺内酯(>90%)都与血浆蛋白结合,重复给药后8天内即可达到稳态血药浓度。口服100 mg螺内酯后,其血浆半衰期为1~2小时,达峰时间为2~3.2小时,最大血浆浓度为92~148 ng/mL,浓度-时间(0~24小时)曲线下面积为1430~1541 ng/mL/小时,消除半衰期为18~20小时。在雄性大鼠、雌性犬和雌性猴中,分别静脉注射或口服5 mg/kg体重的14C标记螺内酯后,研究了其体内分布情况。大鼠、犬和猴的胃肠道吸收率估计值分别为82%、62%和103%。螺内酯在所有三组动物体内均被广泛代谢,代谢产物主要经尿液和粪便排出。静脉注射和口服给药后,三种动物尿液或粪便中放射性标记物质的排泄量相似。与人类类似,猴子尿液和粪便中排泄的量大致相等,而大鼠和狗由于胆汁排泄,主要经粪便排泄。口服给药后,大鼠、狗和猴子的尿液排泄百分比分别为4.7%、18%和46%。大鼠静脉注射后,放射性标记物质在粪便中的高排泄率(90%)表明胆汁排泄在该物种中的重要性。螺内酯的生物转化也因物种而异。……
螺内酯在胃肠道中的吸收取决于制剂。目前市售的螺内酯制剂在胃肠道吸收良好,生物利用度超过90%,与吸收最佳的聚乙二醇400螺内酯溶液相比,其生物利用度更高。单次口服后,螺内酯的血清峰浓度在1-2小时内达到,而其主要代谢物的血清峰浓度在2-4小时内达到。与空腹状态相比,与食物同服时,药物及其主要代谢物的血清峰浓度和血清浓度-时间曲线下面积(AUC)均显著增加……
螺内酯及其主要代谢物坎利酮的血浆蛋白结合率均超过90%。螺内酯或其代谢物可能通过胎盘。螺内酯的主要代谢物坎利酮会分泌到乳汁中。
代谢/代谢物
螺内酯代谢迅速且广泛,生成多种代谢物。其中一类代谢物是螺内酯脱硫后形成的,例如坎利酮。另一类代谢物保留了硫原子,包括7-α-硫甲基螺内酯(TMS)和6-β-羟基-7-α-硫甲基螺内酯(HTMS)。螺内酯首先脱乙酰化生成7-α-硫代螺内酯。7-α-硫代螺内酯经S-甲基化生成TMS(主要代谢物),或脱硫并乙酰化生成坎利酮。TMS和HTMS均可进一步代谢。在人体内,TMS 和 7-α-硫代螺内酯逆转盐皮质激素氟氢可的松合成(影响尿液电解质组成)的效力约为螺内酯的三分之一。然而,由于这些类固醇的血清浓度未被测定,因此不能排除吸收不完全和/或首过代谢是导致其体内活性降低的因素。螺内酯可迅速且广泛地代谢为经尿液和粪便排泄的化合物。它经历肠肝循环,但尿液或粪便中检测不到原形药物。螺内酯的代谢物可分为两大类:一类保留巯基,另一类通过脱硫乙酰化去除巯基。多年来,脱硫乙酰化代谢物坎利酮一直被认为是主要代谢物;然而,利用更精确的分析方法,例如高效液相色谱法(HPLC),已鉴定出7α-硫代甲基螺内酯是螺内酯的主要代谢产物。该代谢产物首先水解硫代乙酸酯基团生成7α-硫代螺内酯(作为中间体),然后S-甲基化生成7α-硫代甲基螺内酯。后者可进一步羟基化生成6β-羟基-7α-硫代甲基螺内酯,氧化生成7α-甲基亚磺酰基螺内酯和7α-甲基亚磺酰基螺内酯,或经亚砜处理生成6α-羟基-7α-甲基亚磺酰基螺内酯和6β-羟基-7α-甲基亚磺酰基螺内酯。在硫脱硫代谢物的形成过程中,7α-硫甲基螺内酯首先脱硫并乙酰化生成坎利酮,坎利酮进一步通过三条途径代谢:首先,γ-内酯环水解生成坎利酸,坎利酸以葡萄糖醛酸酯的形式从尿液中排出;其次,羟基化生成15α-羟基坎利酮;最后,还原生成各种二氢、四氢和六氢衍生物。坎利酮和坎利酸处于平衡状态。螺内酯及其各种代谢物均具有生物活性;按活性降序排列,它们分别是7α-硫代螺内酯、7α-硫甲基螺内酯和坎利酮。螺内酯的生物转化存在物种差异。在大鼠和犬的血浆中,坎利酮是主要的可提取代谢物;在猴子和人类中,坎利酮和一种高极性的未鉴定代谢物是主要成分。坎利酮是所有四组动物尿液中的主要成分。螺内酯在粪便中的代谢物存在显著的物种差异,狗粪便中的代谢物模式与大鼠、猴子或人类的显著不同。总体而言,结论是,与大鼠或狗相比,螺内酯在猴子体内的分布和代谢与人类最为相似。在接受治疗的受试者的尿液中检测到了六种螺内酯代谢物。其中之一是脱硫乙酰化化合物坎利酮,γ-内酯 3-(3-氧代-17β-羟基-4,6-雄烯二烯-17α-基)丙酸……
采用荧光法测定了一位28岁女性每日两次服用25毫克螺内酯(安体舒通)后乳汁中坎利酮的浓度。
螺内酯代谢迅速且广泛。其代谢途径复杂,可分为两条主要途径:一条是保留巯基的途径,另一条是通过脱硫乙酰化去除巯基的途径。螺内酯转化为一种活性代谢物,该代谢物可使肾上腺和睾丸细胞色素P450酶失活。它还具有抗雄激素活性。
排泄途径:代谢物主要经尿液排泄,其次经胆汁排泄。
半衰期:10分钟
生物半衰期
螺内酯的平均半衰期为1.4小时。其代谢物(包括坎利酮、TMS和HTMS)的平均半衰期分别为16.5小时、13.8小时和15小时。几乎所有吸收的螺内酯(>90%)都与血浆蛋白结合,重复给药后8天内即可达到稳态。口服100 mg后,螺内酯的血浆半衰期为1~2小时,达峰时间为2~3.2小时,最大血浆浓度为92~148 ng/mL,浓度-时间(0~24小时)曲线下面积为1430~1541 ng/mL/小时,消除半衰期为18~20小时。健康成人单次口服后,螺内酯的平均半衰期为1.3~2小时,7α-硫甲基螺内酯的平均半衰期为2.8小时。据报道,坎利酮的半衰期为13~24小时。在多次给药研究中,每日一次服用200 mg坎利酮时,其平均稳态血浆消除半衰期为19.2小时。当每日分四次服用200毫克坎利酮时,其平均稳态血浆消除半衰期为12.5小时。
毒性/毒理 (Toxicokinetics/TK)
毒性概述
螺内酯是一种特异性醛固酮拮抗剂,其主要作用机制是通过与远端肾小管醛固酮依赖性钠钾交换位点的受体竞争性结合而发挥。螺内酯可增加钠和水的排泄,同时保留钾。通过这种机制,螺内酯具有利尿和降压的双重作用。它可以单独使用,也可以与其他作用于近端肾小管的利尿剂联合使用。醛固酮与细胞质盐皮质激素受体相互作用,增强远端肾小管中参与钠钾转运的Na+,K+-ATP酶和钠通道的表达。螺内酯与这些盐皮质激素受体结合,阻断醛固酮对基因表达的影响。醛固酮是一种激素,其主要功能是在肾脏中保留钠并排泄钾。 肝毒性
螺内酯引起的具有临床意义的肝损伤罕见,仅有少数病例报告。肝损伤通常在治疗后 4 至 8 周出现,血清酶升高模式通常为肝细胞性或混合型。过敏反应(皮疹、发热、嗜酸性粒细胞增多)和自身抗体的形成罕见。停药后 1 至 3 个月内即可恢复,所有病例均为轻度自限性(病例 1)。概率评分:D(可能是引起具有临床意义的肝损伤的罕见原因)。妊娠和哺乳期影响 ◉ 哺乳期用药概述 有限的数据表明,螺内酯很少分泌到母乳中。有报道称,服用螺内酯哺乳的母亲对婴儿没有不良反应。哺乳期使用螺内酯似乎是可以接受的。 ◉ 对母乳喂养婴儿的影响 一位母亲从怀孕开始每天服用四次25毫克螺内酯,她17天大的婴儿(未说明母乳喂养程度)血清钠和钾水平正常。[1] 另一位母亲在母乳喂养期间隔天口服75毫克螺内酯。她还每8小时服用400毫克甲苯磺酸苄酯,每天服用25毫克阿替洛尔,每天三次服用20毫克普萘洛尔,并补充多种维生素、钾和镁。婴儿出生60小时后出现黄疸,这被认为与药物无关,但随后消退。婴儿出生后前四个月的体重增长和发育均正常。[2]
一位跨性别女性每天两次服用50毫克螺内酯以抑制睾酮;多潘立酮10毫克,每日三次,后增至20毫克,每日四次;口服微粒化黄体酮200毫克,每日一次;口服雌二醇8毫克,每日一次;并每天吸出母乳6次以促进泌乳。治疗3个月后,雌二醇方案改为每日使用0.025毫克贴剂,黄体酮剂量减至每日100毫克。两周后,她开始纯母乳喂养伴侣的新生儿。纯母乳喂养持续了6周,期间婴儿的生长发育和排便习惯均正常。患者继续部分母乳喂养婴儿至少6个月。[3]
一名患有吉特曼综合征的女性在母乳喂养婴儿期间服用螺内酯(剂量未说明)以及钾和镁补充剂至少4个月。未报告对婴儿的不良反应。 [4]
◉ 对泌乳和母乳的影响
强效利尿作用可抑制泌乳;[5,6]然而,单独使用螺内酯不太可能产生如此强烈的抑制作用。
螺内酯可引起男性乳房发育症。估计风险为每1000名接受治疗的患者中有52例,是基线风险的8.4倍。[7]
一位跨性别女性正在接受性别肯定治疗,她每天舌下含服4毫克雌二醇,每日两次;每天舌下含服100毫克螺内酯,每日两次;睡前服用200毫克孕酮。为了迎接伴侣的分娩,该患者将舌下含服雌二醇的剂量增加到每天两次,每次6毫克;睡前服用孕酮的剂量增加到400毫克。多潘立酮的起始剂量为每天两次,每次10毫克,以提高血清催乳素水平,之后增加到每天四次,每次20毫克。分娩前,停用孕酮,螺内酯减至每日100毫克,雌二醇改为经皮给药,每日25微克。产后第59天,雌二醇改为舌下含服,每日2毫克,螺内酯增至每日两次,每次100毫克。患者每日分泌乳汁高达240毫升,含有典型的常量营养素和寡糖水平。[8]
蛋白质结合
螺内酯及其代谢物与血浆蛋白的结合率超过其体积的90%。螺内酯和坎利酮可与血清白蛋白和α1-酸性糖蛋白结合。
毒性数据
螺内酯在小鼠、大鼠和兔中的口服LD50大于1000毫克/千克。研究表明,阿司匹林可轻微降低螺内酯在健康个体中的利钠作用,这可能是通过减少活性代谢物坎利酮的肾小管主动分泌实现的。然而,螺内酯的降压作用及其对高血压患者尿钾排泄的影响似乎不受影响。在获得更多关于这种潜在相互作用的临床数据之前,服用这两种药物的患者均应监测其对螺内酯的临床反应是否降低。据报道,螺内酯可降低血管对去甲肾上腺素的反应性;因此,服用螺内酯的患者应谨慎使用区域麻醉或全身麻醉。在一项初步研究中,70只雌性Sprague-Dawley大鼠(约50日龄,体重150-180克)经灌胃单次给予40毫克溶于2毫升玉米油的7,12-二甲基苯并[a]蒽(DMBA)。在另一项研究中,20只大鼠经灌胃给予药用级螺内酯,剂量为100毫克/公斤体重,溶于1毫升蒸馏水中,每日两次,连续7天,从DMBA给药前4天开始。DMBA治疗150天后终止研究,并通过触诊确定乳腺肿瘤的发生率。可触及的乳腺肿瘤发生率从仅DMBA组的21/24下降到DMBA-螺内酯联合组的3/14。在第二项实验中,80只雌性Sprague-Dawley大鼠于第1、4和7天,每天一次经颈静脉静脉注射2 mg DMBA(溶于0.4 mL油乳剂中)。在首次注射DMBA前两天,其中40只大鼠连续12天,每天两次经口灌胃给予药用级螺内酯,剂量为100 mg/kg体重,溶于1 mL蒸馏水中。研究结束时(DMBA治疗开始后147天),尸检结果显示,32只单独接受DMBA治疗的大鼠中有32只出现乳腺肿瘤,而36只接受DMBA联合螺内酯治疗的大鼠中仅有23只出现乳腺肿瘤(p < 0.001)。水杨酸盐可能减少肾小管对坎利酮的分泌,从而降低螺内酯的利尿作用;而螺内酯可能改变洋地黄的清除率。有关螺内酯相互作用的更完整数据(共13项),请访问HSDB记录页面。
非人类毒性值
大鼠腹腔注射LD50:277 mg/kg
小鼠腹腔注射LD50:260 mg/kg
兔腹腔注射LD50:866 mg/kg
兔口服LD50:> 1000 mg/kg
有关螺内酯类药物(共6种)更完整的非人类毒性数据,请访问HSDB记录页面。

长期使用螺内酯会因其孕激素和抗雄激素活性而引起性副作用(引言)。[1]
参考文献
J Biol Chem.2010 Sep 24;285(39):29932-40;Mol Cell Endocrinol.1974 Dec;2(1):59-67.
其他信息
治疗用途
醛固酮拮抗剂;利尿剂
/EXPL THER:/ 醛固酮在心力衰竭的病理生理过程中起着至关重要的作用。在一项双盲研究中,我们纳入了1663例严重心力衰竭患者,这些患者的左心室射血分数不超过35%,且正在接受血管紧张素转换酶抑制剂、袢利尿剂以及(大多数情况下)地高辛治疗。共有822例患者被随机分配接受每日25 mg螺内酯治疗,841例患者接受安慰剂治疗。主要终点是全因死亡率。由于中期分析确定螺内酯疗效显著,该试验在平均24个月的随访期后提前终止。安慰剂组有386例死亡(46%),螺内酯组有284例死亡(35%);死亡相对风险为 0.70(95% 置信区间 0.60 至 0.82;P < 0.001)。螺内酯组的死亡风险降低了 30%,这归因于进行性心力衰竭和猝死风险的降低。螺内酯组因心力衰竭恶化而住院的频率比安慰剂组低 35%(住院相对风险为 0.65;95% 置信区间 0.54 至 0.77;P < 0.001)。此外,根据纽约心脏协会 (NYHA) 功能分级,接受螺内酯治疗的患者心力衰竭症状显著改善(P < 0.001)。在接受螺内酯治疗的男性中,10% 报告出现男性乳房发育或乳房疼痛,而安慰剂组为 1%(P < 0.001)。两组严重高钾血症的发生率均极低。
兽用:螺内酯可与呋塞米联合使用以控制腹水。
兽用:螺内酯是最常用的药物,是醛固酮的竞争性拮抗剂。在患有充血性心力衰竭的动物中,由于低钠血症、高钾血症以及血压或心输出量下降,肾素-血管紧张素系统被激活,导致醛固酮水平升高。醛固酮负责增加肾小管对钠和氯的重吸收以及钾和钙的排泄。螺内酯与醛固酮竞争受体位点,从而导致轻度利尿和钾潴留。有关螺内酯治疗用途(共12种)的更完整数据,请访问HSDB记录页面。
药物警告
螺内酯是一种作用于盐皮质激素受体的醛固酮拮抗剂。它是一种保钾利尿剂,高钾血症是其治疗中最常见且可能最严重的并发症。肾功能受损似乎会增加这种风险,补充氯化钾也会增加风险。过度利尿还会导致脱水和低钠血症。此外,已有报道称该药会引起多种内分泌不良反应,最常见的是男性乳房发育症,其发生率在7%至52%之间,且与剂量相关。这种副作用是可逆的,停药后即可消失。其他内分泌不良反应包括男性性功能减退、月经不调、闭经、乳房胀痛以及女性黄褐斑。这些反应可能与螺内酯和雄激素受体之间的相互作用有关。已有少数特异质药物反应的病例报告,包括1例肝炎和数例粒细胞缺乏症。据报道,局部应用螺内酯治疗各种皮肤疾病(涉及其抗雄激素活性)后,约有10例发生过敏性接触性皮炎。母乳喂养期间,母亲使用螺内酯通常不受影响:婴儿报告的体征或症状或对泌乳的影响:无。(见表6)对胎儿的潜在不良影响:可能通过胎盘。尚未进行对照研究,但尚未发现已知的致畸作用。对母乳喂养婴儿的潜在副作用:活性代谢物(坎利酮)会分泌到乳汁中。 FDA 分类:C(C = 实验室动物研究显示对胎儿有不良影响(致畸性、胚胎致死性等),但尚无针对孕妇的对照研究。尽管存在潜在风险,但孕妇使用该药的益处可能可以接受,或者尚无充分的实验室动物研究或针对孕妇的研究。)/摘自表 II/
有关螺内酯药物警告(共 17 条)的更完整数据,请访问 HSDB 记录页面。
药效学
螺内酯具有保钾利尿作用。它促进钠和水的排泄以及钾的潴留。它可增加肾素和醛固酮水平。螺内酯是一种盐皮质激素受体拮抗剂,对糖皮质激素受体的亲和力较低。螺内酯具有孕激素和抗雄激素作用,因为它能与雄激素受体结合,并少量与雌激素和孕激素受体结合。螺内酯还具有抗炎作用。
螺内酯是一种甾体类盐皮质激素受体拮抗剂,由孕激素的结构元件开发而成。它抑制醛固酮与盐皮质激素受体(MR)的结合,使其转录失活,从而阻止醛固酮诱导的钠重吸收并降低血压(引言)。在随机醛固酮评估研究(RALES)中,螺内酯显著降低了心力衰竭患者的死亡率和发病率(引言)。然而,螺内酯对其他甾体激素受体缺乏选择性,表现出抗雄激素和孕激素活性(引言)。螺内酯也不能阻断S810L MR突变体的组成型活性,反而会反常地激活它,因此不适用于携带该突变的高血压患者(引言,结果)。螺内酯属于“被动”拮抗剂,无法将MR稳定在能够募集转录共调节因子的构象中,并且会迅速从受体上解离(讨论)。[1]
*注: 文献方法仅供参考, InvivoChem并未独立验证这些方法的准确性
化学信息 & 存储运输条件
分子式
C24H32O4S
分子量
416.57
精确质量
416.202
CAS号
52-01-7
相关CAS号
Spironolactone-d7;Spironolactone-d3;Spironolactone-d3-1
PubChem CID
5833
外观&性状
White to off-white solid powder
密度
1.2±0.1 g/cm3
沸点
597.0±50.0 °C at 760 mmHg
熔点
207-208 °C(lit.)
闪点
302.3±18.1 °C
蒸汽压
0.0±1.7 mmHg at 25°C
折射率
1.586
LogP
3.12
tPSA
85.74
氢键供体(HBD)数目
0
氢键受体(HBA)数目
5
可旋转键数目(RBC)
2
重原子数目
29
分子复杂度/Complexity
818
定义原子立体中心数目
7
SMILES
CC(=O)S[C@@H]1CC2=CC(=O)CC[C@@]2([C@@H]3[C@@H]1[C@@H]4CC[C@]5([C@]4(CC3)C)CCC(=O)O5)C
InChi Key
LXMSZDCAJNLERA-NMFLDQOASA-N
InChi Code
InChI=1S/C24H32O4S/c1-14(25)29-19-13-15-12-16(26)4-8-22(15,2)17-5-9-23(3)18(21(17)19)6-10-24(23)11-7-20(27)28-24/h12,17-19,21H,4-11,13H2,1-3H3/t17-,18-,19+,21+,22-,23-,24-/m0/s1
化学名
S-((7R,8R,9S,10R,13S,14S,17S)-10,13-dimethyl-3,5-dioxo-1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16-hexadecahydro-3H-spiro[cyclopenta[a]phenanthrene-17,2-furan]-7-yl) ethanethioate
别名

SC9420; SC9420; SC-9420; Spiresis; Spiridon

HS Tariff Code
2934.99.9001
存储方式

Powder      -20°C    3 years

                     4°C     2 years

In solvent   -80°C    6 months

                  -20°C    1 month

运输条件
Room temperature (This product is stable at ambient temperature for a few days during ordinary shipping and time spent in Customs)
溶解度数据
溶解度 (体外实验)
DMSO: 83 mg/mL (199.2 mM)
Water:<1 mg/mL
Ethanol: 20 mg/mL (48.0 mM)
溶解度 (体内实验)
配方 1 中的溶解度: ≥ 2.5 mg/mL (6.00 mM) (饱和度未知) in 10% DMSO + 40% PEG300 + 5% Tween80 + 45% Saline (这些助溶剂从左到右依次添加,逐一添加), 澄清溶液。
例如,若需制备1 mL的工作液,可将100 μL 25.0 mg/mL澄清DMSO储备液加入到400 μL PEG300中,混匀;然后向上述溶液中加入50 μL Tween-80,混匀;加入450 μL生理盐水定容至1 mL。
*生理盐水的制备:将 0.9 g 氯化钠溶解在 100 mL ddH₂O中,得到澄清溶液。

配方 2 中的溶解度: ≥ 2.5 mg/mL (6.00 mM) (饱和度未知) in 10% DMSO + 90% (20% SBE-β-CD in Saline) (这些助溶剂从左到右依次添加,逐一添加), 澄清溶液。
例如,若需制备1 mL的工作液,可将 100 μL 25.0 mg/mL澄清DMSO储备液加入900 μL 20% SBE-β-CD生理盐水溶液中,混匀。
*20% SBE-β-CD 生理盐水溶液的制备(4°C,1 周):将 2 g SBE-β-CD 溶解于 10 mL 生理盐水中,得到澄清溶液。

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配方 3 中的溶解度: ≥ 2.5 mg/mL (6.00 mM) (饱和度未知) in 10% DMSO + 90% Corn Oil (这些助溶剂从左到右依次添加,逐一添加), 澄清溶液。
例如,若需制备1 mL的工作液,可将 100 μL 25.0 mg/mL 澄清 DMSO 储备液加入到 900 μL 玉米油中并混合均匀。


请根据您的实验动物和给药方式选择适当的溶解配方/方案:
1、请先配制澄清的储备液(如:用DMSO配置50 或 100 mg/mL母液(储备液));
2、取适量母液,按从左到右的顺序依次添加助溶剂,澄清后再加入下一助溶剂。以 下列配方为例说明 (注意此配方只用于说明,并不一定代表此产品 的实际溶解配方):
10% DMSO → 40% PEG300 → 5% Tween-80 → 45% ddH2O (或 saline);
假设最终工作液的体积为 1 mL, 浓度为5 mg/mL: 取 100 μL 50 mg/mL 的澄清 DMSO 储备液加到 400 μL PEG300 中,混合均匀/澄清;向上述体系中加入50 μL Tween-80,混合均匀/澄清;然后继续加入450 μL ddH2O (或 saline)定容至 1 mL;

3、溶剂前显示的百分比是指该溶剂在最终溶液/工作液中的体积所占比例;
4、 如产品在配制过程中出现沉淀/析出,可通过加热(≤50℃)或超声的方式助溶;
5、为保证最佳实验结果,工作液请现配现用!
6、如不确定怎么将母液配置成体内动物实验的工作液,请查看说明书或联系我们;
7、 以上所有助溶剂都可在 Invivochem.cn网站购买。
制备储备液 1 mg 5 mg 10 mg
1 mM 2.4006 mL 12.0028 mL 24.0056 mL
5 mM 0.4801 mL 2.4006 mL 4.8011 mL
10 mM 0.2401 mL 1.2003 mL 2.4006 mL

1、根据实验需要选择合适的溶剂配制储备液 (母液):对于大多数产品,InvivoChem推荐用DMSO配置母液 (比如:5、10、20mM或者10、20、50 mg/mL浓度),个别水溶性高的产品可直接溶于水。产品在DMSO 、水或其他溶剂中的具体溶解度详见上”溶解度 (体外)”部分;

2、如果您找不到您想要的溶解度信息,或者很难将产品溶解在溶液中,请联系我们;

3、建议使用下列计算器进行相关计算(摩尔浓度计算器、稀释计算器、分子量计算器、重组计算器等);

4、母液配好之后,将其分装到常规用量,并储存在-20°C或-80°C,尽量减少反复冻融循环。

计算器

摩尔浓度计算器可计算特定溶液所需的质量、体积/浓度,具体如下:

  • 计算制备已知体积和浓度的溶液所需的化合物的质量
  • 计算将已知质量的化合物溶解到所需浓度所需的溶液体积
  • 计算特定体积中已知质量的化合物产生的溶液的浓度
使用摩尔浓度计算器计算摩尔浓度的示例如下所示:
假如化合物的分子量为350.26 g/mol,在5mL DMSO中制备10mM储备液所需的化合物的质量是多少?
  • 在分子量(MW)框中输入350.26
  • 在“浓度”框中输入10,然后选择正确的单位(mM)
  • 在“体积”框中输入5,然后选择正确的单位(mL)
  • 单击“计算”按钮
  • 答案17.513 mg出现在“质量”框中。以类似的方式,您可以计算体积和浓度。

稀释计算器可计算如何稀释已知浓度的储备液。例如,可以输入C1、C2和V2来计算V1,具体如下:

制备25毫升25μM溶液需要多少体积的10 mM储备溶液?
使用方程式C1V1=C2V2,其中C1=10mM,C2=25μM,V2=25 ml,V1未知:
  • 在C1框中输入10,然后选择正确的单位(mM)
  • 在C2框中输入25,然后选择正确的单位(μM)
  • 在V2框中输入25,然后选择正确的单位(mL)
  • 单击“计算”按钮
  • 答案62.5μL(0.1 ml)出现在V1框中
g/mol

分子量计算器可计算化合物的分子量 (摩尔质量)和元素组成,具体如下:

注:化学分子式大小写敏感:C12H18N3O4  c12h18n3o4
计算化合物摩尔质量(分子量)的说明:
  • 要计算化合物的分子量 (摩尔质量),请输入化学/分子式,然后单击“计算”按钮。
分子质量、分子量、摩尔质量和摩尔量的定义:
  • 分子质量(或分子量)是一种物质的一个分子的质量,用统一的原子质量单位(u)表示。(1u等于碳-12中一个原子质量的1/12)
  • 摩尔质量(摩尔重量)是一摩尔物质的质量,以g/mol表示。
/

配液计算器可计算将特定质量的产品配成特定浓度所需的溶剂体积 (配液体积)

  • 输入试剂的质量、所需的配液浓度以及正确的单位
  • 单击“计算”按钮
  • 答案显示在体积框中
动物体内实验配方计算器(澄清溶液)
第一步:请输入基本实验信息(考虑到实验过程中的损耗,建议多配一只动物的药量)
第二步:请输入动物体内配方组成(配方适用于不溶/难溶于水的化合物),不同的产品和批次配方组成不同,如对配方有疑问,可先联系我们提供正确的体内实验配方。此外,请注意这只是一个配方计算器,而不是特定产品的确切配方。
+
+
+

计算结果:

工作液浓度 mg/mL;

DMSO母液配制方法 mg 药物溶于 μL DMSO溶液(母液浓度 mg/mL)。如该浓度超过该批次药物DMSO溶解度,请首先与我们联系。

体内配方配制方法μL DMSO母液,加入 μL PEG300,混匀澄清后加入μL Tween 80,混匀澄清后加入 μL ddH2O,混匀澄清。

(1) 请确保溶液澄清之后,再加入下一种溶剂 (助溶剂) 。可利用涡旋、超声或水浴加热等方法助溶;
            (2) 一定要按顺序加入溶剂 (助溶剂) 。

临床试验信息
Transgender Estradiol Affirming Therapy
CTID: NCT05010707
Phase: Phase 2    Status: Completed
Date: 2024-11-26
Spironolactone for Pulmonary Arterial Hypertension
CTID: NCT01712620
Phase: Phase 2    Status: Recruiting
Date: 2024-11-19
Blockade of the Renin-angiotensin-aldosterone System in Patients With ARVD
CTID: NCT03593317
Phase: Phase 2    Status: Recruiting
Date: 2024-11-06
Spironolactone Initiation Registry Randomized Interventional Trial in Heart Failure With Preserved Ejection Fraction
CTID: NCT02901184
Phase: Phase 3    Status: Recruiting
Date: 2024-10-22
Gender-Based Differences in Heart Failure Hospitalizations Among Patients With Heart Failure Treated With Spironolactone
CTID: NCT06641284
Phase:    Status: Recruiting
Date: 2024-10-15
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Spironolactone Safety in African Americans with Mild Cognitive Impairment and Early Dementia
CTID: NCT04522739
Phase: Phase 4    Status: Active, not recruiting
Date: 2024-10-15


Colchicine and Spironolactone in Patients with MI / SYNERGY Stent Registry
CTID: NCT03048825
Phase: Phase 3    Status: Completed
Date: 2024-10-15
Quadruple Immunotherapy for Neuroblastoma
CTID: NCT05754684
Phase: Phase 2    Status: Recruiting
Date: 2024-10-03
Spironolactone in Alcohol Use Disorder (SAUD)
CTID: NCT05807139
Phase: Phase 1    Status: Recruiting
Date: 2024-09-27
Comparison of Spironolactone and Amiloride on Home Blood Pressure in Resistant Hypertension
CTID: NCT04331691
Phase: Phase 4    Status: Completed
Date: 2024-09-24
Aldosterone BloCkade for Health Improvement EValuation in End-stage Renal Disease
CTID: NCT03020303
Phase: Phase 3    Status: Recruiting
Date: 2024-09-19
Spironolactone for Hidradenitis Suppurativa
CTID: NCT04100083
Phase: Phase 4    Status: Withdrawn
Date: 2024-09-19
Spironolactone for the Treatment of Melasma
CTID: NCT03953209
Phase: Phase 1    Status: Withdrawn
Date: 2024-09-04
Finerenone for Patients With Primary Aldosteronism (FAIRY)
CTID: NCT06457074
Phase: Phase 4    Status: Recruiting
Date: 2024-08-30
Bioequivalence Study of Spironolactone Tablets in Healthy Subjects
CTID: NCT06579053
Phase: Phase 1    Status: Completed
Date: 2024-08-30
Comparative Effectiveness Study of Spironolactone Versus Doxycycline for Acne
CTID: NCT04582383
Phase: Phase 4    Status: Recruiting
Date: 2024-08-09
Evaluation of Cortisol Resistance in Young Sedentary and Endurance-Trained Men
CTID: NCT01294319
Phase: Phase 2    Status: Completed
Date: 2024-07-15
Dapagliflozin With or Without Spironolactone for HFpEF
CTID: NCT05676684
Phase: Phase 2/Phase 3    Status: Active, not recruiting
Date: 2024-07-11
Spironolactone Therapy in Chronic Stable Right HF Trial
CTID: NCT03344159
Phase: Phase 4    Status: Completed
Date: 2024-07-01
Off-Label Medications for Alcohol Use Disorder Among Patients With HIV: Pilot Study 1
CTID: NCT06004830
Phase: N/A    Status: Recruiting
Date: 2024-06-10
Pharmacogenetics of Torasemide and Spironolactone in Hypertension Treatment
CTID: NCT06413082
Phase: Phase 3    Status: Completed
Date: 2024-05-16
Fibrosis and the Fontan
CTID: NCT04901975
Phase: Phase 1/Phase 2    Status: Recruiting
Date: 2024-05-10
A Clinical Trial to Evaluate the Efficacy, Tolerability, and Safety of a Fixed Dose Combination of Spironolactone, Pioglitazone & Metformin (SPIOMET) in Polycystic Ovary Syndrome (PCOS)
CTID: NCT05394142
Phase: Phase 2    Status: Recruiting
Date: 2024-04-22
The Effect of SAAE on Ventricular Remodeling in PA Patients
CTID: NCT05501080
Phase: N/A    Status: Recruiting
Date: 2024-04-17
The Effect of SAAE on Vascular Endothelial Function in PA Patients
CTID: NCT05561361
Phase:    Status: Recruiting
Date: 2024-04-17
Determination of Drug Levels for Pharmacotherapy of Heart Failure
CTID: NCT06035978
Phase: Phase 4    Status: Not yet recruiting
Date: 2024-01-18
SPironolactONe for the Maintenance of Sinus Rhythm in Patients With Atrial Fibrillation
CTID: NCT06204640
Phase: Phase 3    Status: Not yet recruiting
Date: 2024-01-12
Efficacy and Safety of Finerenone vs. Spironolactone in Patients With Primary Aldosteronism
CTID: NCT06164379
Phase: Phase 4    Status: Not yet recruiting
Date: 2023-12-11
Efficacy of Aldosterone Antagonist Therapy for Prevention of New Atrial Fibrillation
CTID: NCT03929718
PhaseEarly Phase 1    Status: Active, not recruiting
Date: 2023-11-18
Hyperandrogenemia and Altered Day-night LH Pulse Patterns
CTID: NCT03068910
PhaseEarly Phase 1    Status: Recruiting
Date: 2023-11-02
Does Spironolactone Normalize Sleep-wake Luteinizing Hormone Pulse Frequency in Pubertal Girls With Hyperandrogenism?
CTID: NCT04723862
PhaseEarly Phase 1    Status: Recruiting
Date: 2023-10-27
Does Treatment of Androgen Excess Using Spironolactone Improve Ovulatory Rates in Girls With Androgen Excess?
CTID: NCT04075149
PhaseEarly Phase 1    Status: Recruiting
Date: 2023-10-27
Effect of Spironolactone on Adrenal or Ovarian Androgen Production in Overweight Pubertal Girls With Androgen Excess
CTID: NCT01422759
Phase: N/A    Status: Recruiting
Date: 2023-10-27
Spironolactone Versus Prednisolone in DMD
CTID: NCT03777319
Phase: Phase 1    Status: Terminated
Date: 2023-10-23
ALdosterone Antagonist Chronic HEModialysis Interventional Survival Trial
CTID: NCT01848639
Phase: Phase 3    Status: Completed
Date: 2023-10-10
Study of Innovative Drug Strategies in Improving Left Ventricular Function After Mitral Repair
CTID: NCT06039592
Phase:    Status: Recruiting
Date: 2023-09-15
Study of Innovative Drug Treatment Therapy for Pediatric Mitral Regurgitation
CTID: NCT06037434
Phase:    Status: Recruiting
Date: 2023-09-15
Study of Drug Therapy for Pediatric Heart Failure
CTID: NCT06039540
Phase:    Status: Recruiting
Date: 2023-09-15
Effect of Spironolactone in the Prevention of Anthracycline-induced Cardiotoxicity (SPIROTOX)
CTID: NCT06005259
Phase: Phase 4    Status: Not yet recruiting
Date: 2023-08-22
Spironolactone in CKD Enabled by Chlorthalidone: PILOT
CTID: NCT05222191
Phase: Phase 2    Status: Recruiting
Date: 2023-08-14
Venetoclax and Lintuzumab-Ac225 in AML Patients
CTID: NCT03867682
Phase: Phase 1/Phase 2    Status: Recruiting
Date: 2023-08-04
Mineralocorticoid Receptor Antagonism Clinical Evaluation in Atherosclerosis Trial
CTID: NCT02169089
Phase: Phase 4    Status: Completed
Date: 2023-08-01
Lintuzumab-Ac225 in Older Acute Myeloid Leukemia (AML) Patients
CTID: NCT02575963
Phase: Phase 1/Phase 2    Status: Completed
Date: 2023-07-20
Randomized Double-blind Study on the Benefit of Spironolactone for Treating Acne of Adult Woman.
CTID: NCT03334682
Phase: Phase 3    Status: Completed
Date: 2023-07-18
Spironolactone Therapy In Young Women With NASH
CTID: NCT03576755
Phase: Phase 1/Phase 2    Status: Completed
Date: 2023-07-07
Evaluating Drug Interactions Between Doravirine With Estradiol and Spironolactone in Healthy Transgender Women
CTID: NCT04283656
Phase: Phase 1    Status: Completed
Date: 2023-07-03
Autophagy Activation for the Alleviation of Cardiomyopathy Symptoms After Anthracycline Treatment, ATACAR Trial
CTID: NCT04190433
Phase: Phase 2    Status: Withdrawn
Date: 2023-05-24
Comparing the Efficacy and Safety of Finerenone and Spironolactone in the Treatment of Primary Aldosteronism
CTID: NCT05814770
Phase: Phase 4    Status: Not yet recruiting
Date: 2023-04-18
A Registry-based Cluster Randomized Trial to Compare the Effect of Spironolactone vs. Eplerenone on Clinical Outcomes in Patients With Symptomatic Systolic Heart Failure
CTID: NCT03984591
Phase: Phase 4    Status: Enrolling by invitation
Date: 2023-02-01
Vascular Effects of Mineralocorticoid Receptor Antagonism in Kidney Disease
CTID: NCT02497300
Phase: Phase 2    Status: Completed
Date: 2022-12-21
Evaluation of Spironolactone Efficacy in Patient With Rheumatoid Arthritis (RA)
CTID: NCT05092984
Phase: Phase 3    Status: Unknown status
Date: 2022-12-07
Biomarker Guided Therapies in Stage A/B Heart Failure
CTID: NCT02230891
Phase: Phase 2    Status: Completed
Date: 2022-10-21
Comparison of Eplerenone Versus Spironolactone in Heart Failure Patients With Glucose Intolerance or Type 2 Diabetes
CTID: NCT01586442
Phase: Phase 3    Status: Completed
Date: 2022-10-07
Non-Responsive Diabetic Macular Edema and Spironolactone
CTID: NCT04853355
Phase: Phase 4    Status: Withdrawn
Date: 2022-08-02
Hypoglycemia and Autonomic Nervous System Function-B
CTID: NCT03429946
Phase: Phase 4    Status: Unknown status
Date: 2022-07-20
Effect of Antifibrotic Therapy on Regression of Myocardial Fibrosis After Transcatheter Aortic Valve Implantation (TAVI) in Aortic Stenosis Patients With High Fibrotic Burden
CTID: NCT05230901
Phase: Phase 3    Status: Recruiting
Date: 2022-06-28
European Alport Therapy Registry - European Initiative Towards Delaying Renal Failure in Alport Syndrome
CTID: NCT02378805
Phase:    Status: Recruiting
Date: 2022-05-24
Mineralocorticoid Receptor Antagonism Clinical Evaluation in Atherosclerosis Add-On
CTID: NCT03597035
Phase: Phase 4    Status: Terminated
Date: 2022-05-16
Spironolactone After Liver Transplant
CTID: NCT02883400
Phase: Phase 4    Status: Completed
Date: 2022-04-21
Spironolactone to Improve Apnea and Cardiovascular Markers in Obstructive Sleep Apnea Patients
CTID: NCT04205136
Phase: Phase 4    Status: Withdrawn
Date: 2022-04-19
BAY94-8862 Dose Finding Trial in Subjects With Chronic Heart Failure and Mild (Part A) or Moderate (Part B) Chronic Kidney Disease
CTID: NCT01345656
Phase: Phase 2    Status: Completed
Date: 2022-02-10
Left Ventricular Hypertrophy and Spironolactone in End Stage Renal Disease
CTID: NCT00548912
Phase: Phase 4    Status: Withdrawn
Date: 2021-12-09
The Comparison Between Spironolactone and Indapamide Monotherapy or in Combination With Amlodipine to Reduce the Risk of Heart Failure
CTID: NCT04455178
Phase: Phase 4    Status: Unknown status
Date: 2021-12-08
Spironolactone in Covid-19 Induced ARDS
CTID: NCT04345887
Phase:    Status: Completed
Date: 2021-10-28
The Effects of Spironolactone on Calcineurin Inhibitor Induced Nephrotoxicity
CTID: NCT01602861
Phase: Phase 4    Status: Completed
Date: 2021-09-09
Patiromer in the Treatment of Hyperkalemia in Patients With Hypertension and Diabetic Nephropathy (AMETHYST-DN)
CTID: NCT01371747
Phase: Phase 2    Status: Completed
Date: 2021-06-03
Spironolactone With Patiromer in the Treatment of Resistant Hypertension in Chronic Kidney Disease
CTID: NCT03071263
Phase: Phase 2    Status: Completed
Date: 2021-05-12
Evaluation of Patiromer Titration in Heart Failure Patients With Chronic Kidney Disease
CTID: NCT01130597
Phase: Phase 2    Status: Completed
Date: 2021-05-12
Clinical and Therapeutic Implications of Fibrosis in Hypertrophic Cardiomyopathy
CTID: NCT00879060
Phase: Phase 4    Status: Completed
Date: 2021-04-27
Spironolactone and Dexamethasone in Patients Hospitalized With COVID-19
CTID: NCT04826822
Phase: Phase 3    Status: Unknown status
Date: 2021-04-01
Diuretic and Natriuretic Effect of High-dose Spironolactone in Patients With Acute Heart Failure
CTID: NCT04618601
Phase: Phase 4    Status: Unknown status
Date: 2020-11-10
Spironolactone Safety in Dialysis Patients
CTID: NCT00328809
Phase: Phase 4    Status: Withdrawn
Date:
Feasibility of Aggressive Albuminuria Reduction in Biopsy-Proven Diabetic Nephropathy - A Pilot Study
CTID: null
Phase: Phase 4    Status: Prematurely Ended
Date: 2022-02-08
Pharmacogenetics of hypertension: randomized monocentric study in patients with essential hypertension and treated with Spironolactone or Torasemide
CTID: null
Phase: Phase 3    Status: Ongoing
Date: 2020-08-13
The Measures to Optimize RAAS-blockade in Patients with Hyperkalemia and Chronic Kidney Disease
CTID: null
Phase: Phase 4    Status: Completed
Date: 2020-06-23
Losartan and spironolactone treatment for COVID-19 patients with acute respiratory failure in intensive care unit
CTID: null
Phase: Phase 2    Status: Ongoing
Date: 2020-04-29
Randomized, controlled, blinded clinical trial for the evaluator, to evaluate the efficacy and safety of treatment with cyclosporine A (CsA) associated with standard treatment versus standard treatment only in hospitalized patients with confirmed infection by COVID-19
CTID: null
Phase: Phase 4    Status: Completed
Date: 2020-04-09
The effect of spironolactone on renal hemodynamics in patients with essential hypertension
CTID: null
Phase: Phase 2    Status: Prematurely Ended
Date: 2019-07-12
Patiromer-facilitated, dose-escalation of mineralocorticoid antagonists for the management of worsening congestion in people with heart failure and hyperkalaemia.
CTID: null
Phase: Phase 4    Status: GB - no longer in EU/EEA
Date: 2019-05-13
Spironolactone for Adult Female Acne: A pragmatic multicentre double-blind randomised superiority trial to investigate the clinical and cost-effectiveness of spironolactone for moderate or severe persistent acne in women
CTID: null
Phase: Phase 3    Status: GB - no longer in EU/EEA
Date: 2019-01-23
CLEAR SYNERGY (OASIS 9)
CTID: null
Phase: Phase 3, Phase 4    Status: Ongoing, Completed
Date: 2018-12-21
SPIRonolactone In the Treatment of Heart Failure -
CTID: null
Phase: Phase 3    Status: Ongoing, Temporarily Halted
Date: 2018-08-13
Spironolactone and perioperative atrial fibrillation occurrence in cardiac surgery patients: a multicenter randomized, double-blind study
CTID: null
Phase: Phase 3    Status: Ongoing
Date: 2018-05-28
Randomized double-blind study on the benefit of spironolactone for treating acne of adult woman
CTID: null
Phase: Phase 3    Status: Prematurely Ended
Date: 2017-09-27
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: Evaluation of Safety and Efficacy (AMBER)
CTID: null
Phase: Phase 2    Status: Completed
Date: 2017-01-09
Spironolactone Initiation Registry Randomized Interventional Trial in Heart Failure with Preserved Ejection Fraction
CTID: null
Phase: Phase 3    Status: Trial now transitioned
Date: 2016-09-06
A randomised controlled pilot trial of the feasibility and safety of therapy withdrawal in asymptomatic patients with a prior diagnosis of dilated cardiomyopathy & recovered cardiac function.
CTID: null
Phase: Phase 4    Status: GB - no longer in EU/EEA
Date: 2016-02-17
A prospective, open-label, randomized, two-armed clinical trial to evaluate the efficacy and safety of a combination of ethinyl-estradiol and levonorgestrel versus a low-dose combination of pioglitazone + spironolactone + metformin in adolescents with ovarian hyperandrogenism and hyperinsulinemia: Effects on ovulatory function, parameters of chronic inflammation, treatment markers of pronostic and effectiveness and the development of type 2 diabetes
CTID: null
Phase: Phase 3    Status: Completed
Date: 2016-01-22
Bioprofiling response to mineralocorticoid receptor antagonists for the prevention of heart failure. A proof of concept clinical trial within the EU FP 7 “HOMAGE” programme « Heart OMics in AGing
CTID: null
Phase: Phase 2    Status: Completed, Prematurely Ended
Date: 2015-07-01
Add-on spironolactone for the treatment of schizophrenia
CTID: null
Phase: Phase 2    Status: Completed
Date: 2015-03-11
IMPRESS-AF: IMproved exercise tolerance in patients with PReserved Ejection fraction by Spironolactone on myocardial fibrosiS in Atrial Fibrillation
CTID: null
Phase: Phase 4    Status: Completed
Date: 2015-01-23
Effects of Aldosterone Antagonism in Heart Failure with Preserved Ejection Fraction (HF-PEF): Cardiac MRI, Echocardiography, Exercise Physiology & Quality of Life Assessment
CTID: null
Phase: Phase 4    Status: Completed
Date: 2014-02-13
Proteomic prediction and Renin angiotensin aldosterone system Inhibition prevention Of early diabetic nephRopathy In TYpe 2 diabetic patients with normoalbuminuria
CTID: null
Phase: Phase 2, Phase 3    Status: Completed
Date: 2013-11-19
The Effect of Spironolactone on Pain in Older People with Osteoarthris
CTID: null
Phase: Phase 4    Status: Completed
Date: 2013-10-21
Inhibition of aldosterone to diminish diffuse myocardial fibrosis in atrial fibrillation
CTID: null
Phase: Phase 3    Status: Completed
Date: 2013-10-08
A Randomised Multicentre Open Label Blinded End Point Trial to Compare the Effects of Spironolactone to Chlortalidone on Left Ventricular Mass and Arterial Stiffness in Stage 3 Chronic Kidney Disease
CTID: null
Phase: Phase 3    Status: Completed
Date: 2013-09-11
MINeralocorticoid receptor antagonist pretreatment to MINIMISE reperfusion injury after ST-Elevation Myocardial Infarction(STEMI).
CTID: null
Phase: Phase 3    Status: Completed
Date: 2013-07-11
Benefits of Aldosterone Receptor Antagonism in Chronic Kidney Disease (BARACK D) Trial: a prospective randomised open blinded endpoint trial to determine the effect of aldosterone receptor antagonism on mortality and cardiovascular outcomes in patients with stage 3b chronic kidney disease.
CTID: null
Phase: Phase 3    Status: GB - no longer in EU/EEA
Date: 2013-04-09
ALdosterone antagonist Chronic HEModialysis Interventional Survival Trial
CTID: null
Phase: Phase 3    Status: Ongoing
Date: 2013-03-22
A prospective, open-label, randomized, two-armed clinical trial to evaluate the efficacy and safety of a combination of ethinyl-estradiol and levonorgestrel versus a low-dose combination of pioglitazone + spironolactone + metformin in adolescents with ovarian hyperandrogenism and hyperinsulinemia: Effects on ovulatory function, parameters of chronic inflammation, on cardiovascular risk factors and on risk factors for the development of type 2 diabetes
CTID: null
Phase: Phase 3    Status: Completed
Date: 2012-12-20
Spironolactone to Prevent Cardiovascular Events in Early Stage Chronic Kidney Disease (CKD): A Pilot Trial
CTID: null
Phase: Phase 4    Status: Prematurely Ended
Date: 2012-08-01
Sympathetic renal denervation versus increment of pharmacological treatment in resistant arterial hypertension
CTID: null
Phase: Phase 4    Status: Ongoing
Date: 2012-07-17
Endovascular renal sympathetic denervation versus spironolactone for treatment-resistant hypertension: a randomized, multicentric study
CTID: null
Phase: Phase 3    Status: Ongoing
Date: 2012-02-09
Mineralocorticoid Receptor antagonists in End stage reNal DiseAse
CTID: null
Phase: Phase 2    Status: Completed
Date: 2012-01-09
Randomised, open-label, crossover clinical trial to evaluate the antiproteinuric effect of three different types of diuretics (hydrochlorothiazide, amiloride and spironolactone) in patients with chronic proteinuric nephropathies.
CTID: null
Phase: Phase 4    Status: Ongoing
Date: 2011-09-19
Routine versus Aggressive Upstream Rhythm Control for Prevention of Early Atrial Fibrillation in Heart Failure: RACE 3
CTID: null
Phase: Phase 4    Status: GB - no longer in EU/EEA, Completed
Date: 2011-08-16
Ensayo aleatorizado controlado sobre la terapia guiada por el antígeno carbohidrato 125 en los pacientes dados de alta por insuficiencia cardiaca aguda: efecto sobre la mortalidad a 1 año.
CTID: null
Phase: Phase 4    Status: Ongoing
Date: 2011-08-02
A randomized, double-blind, multi-center study to assess safety and tolerability of different oral doses of
CTID: null
Phase: Phase 2    Status: Completed
Date: 2011-05-11
The effect of Amiloride and Spironolacton on renophysiological and cardiovascular parametres in patients with hypertension
CTID: null
Phase: Phase 4    Status: Completed
Date: 2010-06-29
Blocage des effets létaux de l'aldostérone dans l'infarctus du myocarde traité ou non par la reperfusion pour améliorer le pronostic et la survie à six mois : Etude randomisée comparant un blocage spécifique de l'aldostérone en plus du traitement usuel au traitement usuel seul débuté dans les 72 premières heures après la survenue d'un infarctus aigu du myocarde'ALBATROSS'
CTID: null
Phase: Phase 3    Status: Ongoing
Date: 2009-12-04
Farmakologisk behandling af CNDI – Et ”proof-of-concept” studie.
CTID: null
Phase: Phase 2    Status: Prematurely Ended
Date: 2009-08-28
The effect of Spironolactone on memory performance under stressful circumstances.
CTID: null
Phase: Phase 4    Status: Completed
Date: 2009-05-06
The effect of Amiloride and Spironolacton on renophysiological and cardiovascular parametres in healthy patients
CTID: null
Phase: Phase 4    Status: Completed
Date: 2009-02-06
Et randomiseret, dobbeltblindet, placebokontrolleret cross-over forsøg med Hexalacton til patienter med type 1 diabetes og mikroalbuminuri.
CTID: null
Phase: Phase 4    Status: Completed
Date: 2009-02-02
Optimal Treatment of Drug Resistant Hypertension
CTID: null
Phase: Phase 4    Status: Completed
Date: 2009-01-14
PROTOCOLO DE INVESTIGACIÓN SOBRE EL PERFIL DE RIESGO CARDIOVASCULAR ASOCIADO A MUJERES CON SÍNDROME DE OVARIO POLIQUÍSTICO O HIPERANDROGENISMO OVULATORIO, Y EVOLUCIÓN DEL MISMO DURANTE EL TRATAMIENTO CON METFORMINA FRENTE A UN ANTICONCEPTIVO ORAL MÁS UN ANTIANDRÓGENO (ESPIRONOLACTONA).
CTID: null
Phase: Phase 3    Status: Ongoing
Date: 2008-11-07
Effect of Spironolactone on Exercise Capacity in functionally impaired older people without heart failure: a double blind placebo controlled trial
CTID: null
Phase: Phase 4    Status: Completed
Date: 2008-10-02
“Evaluación mediante proteómica de biomarcadores proteicos asociados con el tratamiento con Eplerenona versus espironolactona en pacientes post-infarto agudo de miocardio, diabéticos con hipertensión arterial no controlada y disfunción ventricular sistólica leve”
CTID: null
Phase: Phase 4    Status: Ongoing
Date: 2008-06-03
Addition of spironolactone in patients with resistant arterial hypertension (ASPIRANT)
CTID: null
Phase: Phase 4    Status: Completed
Date: 2007-07-30
A randomised, placebo controlled trial of the efficacy of the addition of spironolactone to modern antihypertensive treatment regimes in patients with resistant hypertension.
CTID: null
Phase: Phase 2    Status: Prematurely Ended
Date: 2007-03-16
ALDOSTERONE RECEPTOR BLOCKADE IN DIASTOLIC HEART FAILURE
CTID: null
Phase: Phase 2    Status: Completed
Date: 2007-02-01
double blind crossover compariosn of diuretics in young patients with low-renin hypertension
CTID: null
Phase: Phase 4    Status: Completed
Date: 2006-07-07
Use of clembuterol in patients affected by valvular hearth disease and dilated cardiomyopathy
CTID: null
Phase: Phase 2    Status: Completed
Date: 2006-03-01
PHARMACOKINETICS OF ORAL SPIRONOLACTONE IN CHILDREN UP TO 2 YEARS OF AGE
CTID: null
Phase: Phase 4    Status: Completed
Date:
The effects of MR and GR blockade on the reconsolidation and extinction of fear memories
CTID: null
Phase: Phase 4    Status: Ongoing
Date:

生物数据图片
  • Spironolactone

    Natriuretic in vivo activity of BR-4628 and spironolactone in conscious rats. J Biol Chem. 2010 Sep 24;285(39):29932-40.
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