Old drug, new hope? spironolactone trial targets lung blood vessel damage

NCT ID NCT01712620

First seen Jun 24, 2026 · Last updated Jul 29, 2026 · Updated 10 times

Summary

This phase 2 study tests whether spironolactone, a drug already used for fluid retention, can improve exercise capacity and blood vessel function in people with pulmonary arterial hypertension (PAH). About 70 adults with PAH will receive either spironolactone or a placebo for 24 weeks. Researchers will measure changes in walking distance and heart-lung function to see if the drug reduces inflammation and vessel damage.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance
Spironolactone
What this could lead to
If it works, this could point toward a new use for spironolactone to improve exercise ability and blood vessel health in people with pulmonary arterial hypertension.
What could go wrong
This is a small, early-phase pilot study, so results may not be definitive. Spironolactone can cause side effects like high potassium levels, kidney issues, or breast tenderness.

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Conditions

The condition(s) this trial relates to.

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • National Institutes of Health Clinical Center

    RECRUITING

    Bethesda, Maryland, 20892, United States

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