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Enalapril Maleate (MK-421)

Alias: MK-421 Maleate; Glioten; Vasotec; Baripril; Maleate, Enalapril; MK 421; MK-421; MK421; Renitec; Renitek;
Cat No.:V1788 Purity: ≥98%
Enalapril maleate (formerly MK-421; MK421; Glioten; Vasotec; Baripril; Renitec; Renitek), the maleate salt of enalapril, is a potent nonsulfhydryl angiotensin-converting enzyme (ACE) inhibitor widely used in the treatment of hypertension, diabetic nephropathy, and chronic heart failure.
Enalapril Maleate (MK-421)
Enalapril Maleate (MK-421) Chemical Structure CAS No.: 76095-16-4
Product category: RAAS
This product is for research use only, not for human use. We do not sell to patients.
Size Price Stock Qty
5g
10g
Other Sizes

Other Forms of Enalapril Maleate (MK-421):

  • Enalapril D5 maleate
  • Enalaprilat-d5 (Enalaprilat D5; MK-422 d5)
  • Enalaprilat-d5 maleate
  • Enalapril (MK-421)
Official Supplier of:
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Purity & Quality Control Documentation

Purity: ≥98%

Product Description

Enalapril maleate (formerly MK-421; MK421; Glioten; Vasotec; Baripril; Renitec; Renitek), the maleate salt of enalapril, is a potent nonsulfhydryl angiotensin-converting enzyme (ACE) inhibitor widely used in the treatment of hypertension, diabetic nephropathy, and chronic heart failure. Enalapril Maleate has been used to study diabetic angiopathy in diabetic rats and inhibition of ACE in hog plasma (I50=1.2nM). Enalapril treatment abolishes the deleterious effects of eNOS deficiency on blood pressure (BP), atherosclerosis, and kidney dysfunction in mice.

Biological Activity I Assay Protocols (From Reference)
Targets
Angiotensin-converting enzyme (ACE) [1]
ln Vitro
In vitro activity: Enalapril is rapidly converted by ester hydrolysis to enalaprilat, a potent ACE inhibitor; Enalapril itself is only a weak ACE inhibitor. Enalapril lowers peripheral vascular resistance without causing an increase in heart rate.
In a mouse model of endothelial dysfunction induced by a high-methionine diet (2% methionine in feed for 8 weeks), oral administration of Enalapril Maleate (MK-421) (10 mg/kg/day) for 8 weeks significantly improved endothelial function. Specifically:
1. Acetylcholine-induced endothelium-dependent vasodilation of aortic rings increased from 32% ± 4% (model group) to 68% ± 5% (Enalapril group), as measured by a myograph system.
2. Plasma nitric oxide (NO) levels increased by 45% ± 6% compared to the model group, while plasma malondialdehyde (MDA, a marker of oxidative stress) levels decreased by 38% ± 5%.
3. Western blot analysis showed that the expression of endothelial nitric oxide synthase (eNOS) in aortic tissue was upregulated by 52% ± 7% compared to the model group, and the expression of NADPH oxidase subunit p47phox (a key factor in oxidative stress) was downregulated by 41% ± 6% [1]
ln Vivo
MK-421, also known as enalapril, is a prodrug that is a member of the ACE inhibitor class of medicines. After oral administration, it is quickly converted by the liver to enalaprilat. ACE, the enzyme that converts angiotensin I (ATI) to angiotensin II (ATII), is strongly and competitively inhibited by enalapril (MK-421). Crucial to the renin-angiotensin-aldosterone system (RAAS) is ATII, which controls blood pressure. Clinical conditions that can be treated with enalapril include symptomatic congestive heart failure and essential or renovascular hypertension[1].
Animal Protocol
oral
Rats
Animal model establishment: Male C57BL/6 mice (8–10 weeks old, 20–25 g) were randomly divided into three groups (n=8 per group):
- Control group: Fed a standard diet (0.3% methionine) and given normal saline by oral gavage.
- High-methionine model group: Fed a high-methionine diet (2% methionine) and given normal saline by oral gavage.
- Enalapril Maleate (MK-421) treatment group: Fed a high-methionine diet (2% methionine) and given Enalapril Maleate (MK-421) dissolved in normal saline (10 mg/kg/day) by oral gavage.
- Treatment duration: All groups were treated continuously for 8 weeks, with food and water provided ad libitum.
- Sample collection and detection: After 8 weeks, mice were euthanized by cervical dislocation. The thoracic aorta was quickly isolated and used for:
1. Vascular ring experiment (to measure endothelium-dependent vasodilation using a myograph).
2. Western blot analysis (to detect eNOS and p47phox protein expression).
Plasma was collected to measure NO and MDA levels using biochemical assay kits [1]
ADME/Pharmacokinetics
Absorption, Distribution and Excretion
Following oral administration, peak plasma concentration (Cmax) of enalapril is reached within 1 hour of administration, while that of enalapril is reached 3 to 4 hours after administration. Steady-state plasma concentrations are achieved with a fourth daily dose, and repeated dosing does not lead to drug accumulation. However, patients with creatinine clearance below 30 mL/min may experience enalapril accumulation. Food intake has been reported to have little effect on drug absorption. Approximately 60% of enalapril is absorbed after oral administration. The mean bioavailability of enalapril is approximately 40% compared to intravenous enalapril. Enalapril is primarily excreted via the kidneys, with approximately 94% of the total dose excreted in urine or feces as enalapril or unchanged drug. Approximately 61% and 33% of the total dose are recovered in urine and feces, respectively. In urine, approximately 40% of the recovered dose is enalapril. The volume of distribution of enalapril has not been determined. Enalapril can penetrate most tissues, especially the kidneys and blood vessels, but its ability to cross the blood-brain barrier at therapeutic doses has not been confirmed. In canine studies, enalapril and enalapril-ladenine have poor ability to cross the blood-brain barrier. Very little of the drug enters milk, but it is significantly transported via the fetal route. The drug can cross the placental barrier in rats and hamsters. Renal clearance in healthy male volunteers after oral administration is approximately 158 ± 47 mL/min. It has been reported that enalapril and enalapril-ladenine are undetectable in plasma 4 hours after administration. This study analyzed the pharmacokinetics and pharmacodynamics of enalapril administered intravenously at 0.50 mg/kg, orally as a placebo, and orally at three different doses (0.50, 1.00, and 2.00 mg/kg) in seven healthy horses. Serum concentrations of enalapril and enalapril-ladenine were measured for pharmacokinetic analysis. Pharmacodynamic analysis was performed by measuring angiotensin-converting enzyme (ACE) activity, serum blood urea nitrogen (SUN), creatinine, and electrolyte levels, and monitoring blood pressure. Following intravenous administration of enalapril, the elimination half-lives of enalapril and enalaprilat were 0.67 hours and 2.76 hours, respectively. After oral administration of enalapril, all horses had enalapril concentrations below the limit of quantitation (10 ng/mL), and 4 out of 7 horses had enalaprilat concentrations below the limit of quantitation. The mean angiotensin-converting enzyme (ACE) inhibition rates after intravenous administration of 0.50 mg/kg enalapril, placebo, and oral administration of 0.50, 1.00, and 2.00 mg/kg enalapril were 88.38%, 3.24%, 21.69%, 26.11%, and 30.19%, respectively. Blood pressure, SUN, creatinine, and electrolyte levels remained constant throughout the experiment. Unlike enalapril, enalapril maleate is well absorbed after oral administration. Although enalapril is a more potent angiotensin-converting enzyme inhibitor than enalapril, its high polarity results in low gastrointestinal absorption, with only about 3-12% of the oral dose being absorbed. In healthy individuals and hypertensive patients, approximately 55-75% of the oral dose of enalapril maleate is rapidly absorbed by the gastrointestinal tract. Food does not appear to significantly affect the rate or extent of enalapril maleate absorption. After oral administration, enalapril maleate undergoes first-pass metabolism primarily in the liver, hydrolyzing into enalapril. Following a single oral dose of enalapril maleate, its antihypertensive effect typically appears within 1 hour and peaks within 4-8 hours. The antihypertensive effect at commonly used doses usually lasts 12-24 hours, but in some patients, the effect may diminish at the end of the dosing interval. Blood pressure reduction may be a gradual process, requiring several weeks of treatment to achieve full efficacy.
After intravenous injection of enalapril, the antihypertensive effect is usually observed within 5-15 minutes and reaches its maximum effect within 1-4 hours; the duration of the antihypertensive effect appears to be dose-related, but at the recommended dose, the duration of the antihypertensive effect is approximately 6 hours in most patients. Inhibition of plasma angiotensin-converting enzyme (ACE) and a decrease in blood pressure appear to be associated with plasma enalapril concentrations reaching 10 ng/mL, which achieves maximum blocking effect on plasma ACE. Blood pressure gradually returns to pre-treatment levels after discontinuation of enalapril or enalapril; to date, there have been no reports of rebound hypertension following abrupt discontinuation. Enalapril/
For more complete data on the absorption, distribution, and excretion of enalapril (11 in total), please visit the HSDB records page.
Metabolism/Metabolites
Approximately 60% of the absorbed dose is extensively hydrolyzed to enalapril via hepatic esterase-mediated deesterification. No further metabolism after bioactivation to enalapril has been observed in humans. Approximately 60% of the absorbed dose of enalapril is extensively hydrolyzed to enalaprilat primarily in the liver by esterases. About 20% appears to be hydrolyzed during the first pass through the liver; this hydrolysis does not appear to occur in human plasma. Enalaprilat is a more potent angiotensin-converting enzyme inhibitor than enalapril. There is no evidence of other metabolites of enalapril in humans, rats, or dogs. However, the depropanol metabolite of enalaprilat has been detected in the urine of rhesus monkeys, representing 13% of the oral dose of enalapril maleate. In patients with severe hepatic impairment, the hydrolysis of enalapril to enalaprilat may be delayed and/or impaired, but the pharmacodynamic effects of the drug do not appear to be significantly altered.
Biological Half-Life
The mean terminal half-life of enalaprilat is 35–38 hours. The effective half-life after multiple doses is 11–14 hours. The prolonged terminal half-life is due to the binding of enalapril to angiotensin-converting enzyme (ACE). After oral administration, the half-life of unmetabolized enalapril appears to be less than 2 hours in healthy individuals and patients with normal hepatic and renal function, but it may be prolonged in patients with congestive heart failure. In patients with congestive heart failure, the half-lives of enalapril after a single oral dose of 5 or 10 mg of enalapril maleate are 3.4 hours and 5.8 hours, respectively. The elimination of enalapril may also be prolonged in patients with congestive heart failure or impaired hepatic function compared to healthy individuals and hypertensive patients. Long-term observation of serum enalapril concentrations after oral or intravenous administration suggests that the mean terminal half-life of enalapril is approximately 35–38 hours (range: 30–87 hours). …It has been reported that in healthy individuals with normal renal function, the mean effective accumulation half-life of enalapril (measured based on urinary recovery) is approximately 11 hours.
Toxicity/Toxicokinetics
Toxicity Summary
Identification and Uses: Enalapril is an angiotensin-converting enzyme inhibitor and an antihypertensive drug. Human Studies: Enalapril overdose primarily produces a prolongation of its pharmacological action as an angiotensin-converting enzyme inhibitor. In two patients, plasma angiotensin-converting enzyme activity was completely inhibited within 10–15 hours following acute ingestion of 300–440 mg enalapril maleate. The most likely manifestation of enalapril overdose is hypotension, which can be severe and may be accompanied by drowsiness. The onset and duration of hypotension may be prolonged after acute overdose. Renal dysfunction, including acute renal failure, hyperkalemia, and hyponatremia, may also occur. Use of drugs acting on the renin-angiotensin system in the second and third trimesters of pregnancy can reduce fetal renal function and increase fetal and neonatal morbidity and mortality. The resulting oligohydramnios may be associated with fetal lung hypoplasia and skeletal malformations. Potential neonatal adverse reactions include craniosynostosis, anuria, hypotension, renal failure, and death. Once pregnancy is confirmed, enalapril maleate tablets should be discontinued as soon as possible. Animal studies: No tumorigenic effects were observed in male and female rats administered enalapril for 106 consecutive weeks (up to 90 mg/kg/day) or male and female mice administered enalapril for 94 consecutive weeks (up to 90 and 180 mg/kg/day, respectively). In male and female rats, treatment with enalapril at daily doses up to 90 mg/kg did not adversely affect reproductive function. Enalapril maleate and its active diacid were not mutagenic in the Ames microbial mutagen assay, with or without metabolic activation. Enalapril also showed negative results in the following genotoxicity studies: rec-assay, E. coli reverse mutation assay, sister chromatid exchange assay in cultured mammalian cells, mouse micronucleus assay, and in vivo cytogenetics studies using mouse bone marrow.
Hepatotoxicity
As with other ACE inhibitors, enalapril is associated with a low incidence of elevated serum transaminases (
Probability score: B (probably but rarely causes clinically significant liver injury)).
Effects during pregnancy and lactation
◉ Overview of use during lactation
Due to the low levels of enalapril in breast milk, the amount ingested by infants is minimal, and no adverse effects are expected on breastfed infants.
◉ Effects on breastfed infants
No adverse reactions were reported in 4 breastfed infants. Mothers took 5 to 10 mg of enalapril orally daily.
◉ Effects on lactation and breast milk
In 15 postmenopausal women with hypertension (no prior lactation status specified), serum prolactin levels were reduced by 22% after 15 days of once-daily administration of enalapril 20 mg compared to the placebo group. Prolactin levels in mothers who have established lactation may not affect their ability to breastfeed. A woman with preeclampsia was treated with 10 mg of enalapril daily at term. She began lactating on day 3 postpartum and breastfed without difficulty during a 5-week observation period. Protein Binding: Limited data from studies on the binding of enalapril in human plasma via balanced dialysis and…ultrafiltration have reported that enalapril binds to human plasma proteins at a rate of less than 50%. Interactions: The antihypertensive effect of enalapril is enhanced when used in combination with diuretics or other antihypertensive agents. This effect is often used for treatment, but dosage must be carefully adjusted when using these drugs concurrently. …Enalapril and diuretics appear to have an additive antihypertensive effect; however, severe hypotension and reversible renal insufficiency may occasionally occur, especially in patients with volume and/or sodium deficiency. Antihypertensive agents that induce renin release (such as diuretics) can enhance the antihypertensive effect of enalapril. Patients taking enalapril should use potassium-sparing diuretics (e.g., amiloride, spironolactone, triamterene), potassium supplements, or potassium-containing salt substitutes with caution, and serum potassium levels should be monitored frequently as hyperkalemia may occur. Because ACE inhibitors may promote the inhibition of kinin-mediated…prostaglandin synthesis and/or release, concomitant use of drugs that inhibit prostaglandin synthesis (e.g., aspirin, ibuprofen) may reduce the antihypertensive response of ACE inhibitors (including enalapril). Limited data suggest that concomitant use of ACE inhibitors with nonsteroidal anti-inflammatory drugs (NSAIDs) can sometimes lead to an acute decline in renal function; however, the possibility that such an effect may occur when one of these drugs is used alone cannot be ruled out. …Aspirin and other NSAIDs may also attenuate the hemodynamic effects of ACE inhibitors in patients with congestive heart failure. Because ACE inhibitors interact with and enhance the compensatory hemodynamic mechanisms of heart failure, and aspirin and other NSAIAs interact with these compensatory mechanisms rather than the ACE inhibitors themselves, these beneficial mechanisms are particularly vulnerable to this interaction, potentially leading to loss of clinical benefit. Therefore, the more severe the heart failure and the more pronounced the compensatory mechanisms, the more significant this effect. Interactions between nonsteroidal anti-inflammatory drugs (NSAIDs) and angiotensin-converting enzyme inhibitors (ACEIs). Even with optimal doses of ACEIs in the treatment of congestive heart failure, potential cardiovascular and survival benefits may not be observable if patients are concurrently taking NSAIAs. In multiple multicenter studies, concomitant administration of NSAIAs (e.g., a single dose of 350 mg aspirin) in patients with congestive heart failure has suppressed the beneficial hemodynamic effects associated with ACEIs, thereby diminishing the beneficial effects of these drugs on survival and cardiovascular disease incidence. /ACEI/
Lithium toxicity has been observed after concomitant administration of enalapril and lithium carbonate, which is reversible upon discontinuation of both drugs. In one patient, lithium poisoning was associated with elevated plasma lithium concentrations, manifesting as ataxia, dysarthria, tremor, confusion, and EEG changes, as well as bradycardia and T-wave depression. Elevated creatinine (2.2 mg/dL) or acute renal failure has also been observed in patients with moderate renal insufficiency (serum 100 mmol/L). The exact mechanism of this interaction remains to be determined, but studies suggest that enalapril may reduce renal clearance of lithium, possibly due to decreased aldosterone secretion leading to increased sodium excretion, or angiotensin-converting enzyme inhibition causing renal function changes.
Concomitant use of enalapril with certain vasodilators (e.g., nitrates) or anesthetics may lead to an excessive hypotensive response. Patients receiving enalapril concomitantly with nitrates or anesthetics that can cause hypotension should be closely monitored to prevent additive hypotensive effects. If hypotension during surgery or anesthesia is believed to be caused by enalapril's inhibition of angiotensin II production (secondary to compensatory renin release), hypotension can be corrected by volume expansion.
Non-human toxicity values
Mouse LD50: Oral 2000-3500 mg/kg /enalapril maleate/
LD50: Male rats: Oral 2000-3500 mg/kg /enalapril maleate/
LD50: Female rats: Oral 2000-3000 mg/kg /enalapril maleate/
LD50: Male rats: Subcutaneous injection 1750 mg/kg /enalapril maleate/
For more complete non-human toxicity data for enalapril (out of 10), please visit the HSDB records page.
References

[1]. Comparison of captopril and enalapril to study the role of the sulfhydryl-group in improvement of endothelial dysfunction with ACE inhibitors in high dieted methionine mice. J Cardiovasc Pharmacol, 2006. 47(1): p. 82-8.

Additional Infomation
Therapeutic Uses
Angiotensin-converting enzyme inhibitors; antihypertensive drugs. ClinicalTrials.gov is a registry and results database that indexes human clinical studies funded by public and private institutions worldwide. The website is maintained by the National Library of Medicine (NLM) and the National Institutes of Health (NIH). Each record on ClinicalTrials.gov includes a summary of the study protocol, including: the disease or condition; the intervention (e.g., the medical product, behavior, or procedure under investigation); the title, description, and design of the study; participation requirements (eligibility criteria); the location of the study; contact information for the study location; and links to relevant information from other health websites, such as the NLM's MedlinePlus (for patient health information) and PubMed (for citations and abstracts of academic articles in the medical field). Enalapril is indexed in the database. Enalapril maleate tablets are indicated for the treatment of hypertension. Enalapril maleate tablets can be used alone or in combination with other antihypertensive drugs, especially thiazide diuretics. The antihypertensive effects of enalapril maleate tablets and thiazide diuretics are roughly additive. /US product label contains/
Enalapril maleate tablets are indicated for the treatment of symptomatic congestive heart failure, usually used in combination with diuretics and digitalis. /US product label contains/
For more complete data on the therapeutic uses of enalapril (9 types), please visit the HSDB record page.
Drug Warning
/Black Box Warning/ Enalapril maleate tablets should be discontinued as soon as pregnancy is discovered. Drugs that act directly on the renin-angiotensin system can cause injury or even death to the developing fetus.
The most common cardiovascular adverse reaction of enalapril or enalaprilat is hypotension (including orthostatic hypotension and other recurrent hypotension), which occurs in approximately 1-2% of hypertensive patients and 5-7% of heart failure patients after first use or during long-term treatment. Syncope occurs in approximately 0.5% and 2% of hypertensive or heart failure patients, respectively. Approximately 0.1% and 2% of patients with hypertension or heart failure receiving enalapril treatment require discontinuation due to hypotension or syncope. Use of drugs acting on the renin-angiotensin system in the second and third trimesters of pregnancy can reduce fetal kidney function, increasing fetal and neonatal morbidity and mortality. Oligohydramnios resulting from this may be associated with fetal lung malformation and skeletal deformities. Potential neonatal adverse reactions include craniosynostosis, anuria, hypotension, renal failure, and death. Enalapril maleate tablets should be discontinued as soon as pregnancy is confirmed. These adverse reactions are commonly associated with use of such drugs in the second and third trimesters. Most epidemiological studies investigating fetal malformations following early pregnancy use of antihypertensive drugs have not differentiated between drugs affecting the renin-angiotensin system and other antihypertensive drugs. Appropriate management of maternal hypertension during pregnancy is crucial for optimizing maternal and infant outcomes. Angioedema may occur, especially after the first dose of enalapril, and can be fatal if accompanied by laryngeal edema. If stridor or angioedema of the face, extremities, lips, tongue, or glottis occurs, enalapril should be discontinued, and the patient should be closely monitored until the swelling subsides. If the swelling is limited to the face and lips, it usually resolves spontaneously without treatment; however, antihistamines can relieve symptoms. Swelling of the tongue, glottis, or larynx may lead to airway obstruction, and appropriate treatment should be initiated immediately (e.g., administration of epinephrine, maintaining an airway patency). Patients should be informed that swelling of the face, eyes, lips, or tongue, or difficulty breathing, may be signs and symptoms of angioedema, and if any of these occur, enalapril should be discontinued immediately and a doctor notified. Patients with a history of angioedema unrelated to angiotensin-converting enzyme inhibitors may have an increased risk of developing angioedema while taking enalapril. Enalapril is contraindicated in patients with a history of angioedema associated with angiotensin-converting enzyme inhibitor treatment. Enalapril is contraindicated in patients with a known hypersensitivity to enalapril or any component of its formulations. For more complete data on enalapril warnings (28 in total), please visit the HSDB record page.
Pharmacodynamics
Enalapril is an antihypertensive drug with natriuretic and uricosuric effects. Enalapril lowers blood pressure in patients with all levels of essential hypertension and renovascular hypertension, and reduces peripheral vascular resistance without increasing heart rate. It remains effective in patients with low-renin hypertension. Following the first oral single dose of enalapril, the blood pressure-lowering effect on systolic and diastolic blood pressure lasts for at least 24 hours. Repeated daily administration of enalapril can further lower blood pressure; achieving steady-state blood pressure control may take several weeks. In patients with severe congestive heart failure who do not respond well to conventional antihypertensive therapy, enalapril treatment can improve cardiac function, manifested as a reduction in both preload and afterload, and long-term improvement in clinical condition. In addition, enalapril can increase cardiac output and stroke volume in patients with congestive heart failure who are unresponsive to conventional digitalis and diuretic therapy, while reducing pulmonary capillary wedge pressure. Clinical studies have shown that enalapril can reduce left ventricular mass without affecting cardiac function or myocardial perfusion during exercise. Unlike most diuretics and beta-blockers, enalapril has a low risk of causing bradycardia and does not cause rebound hypertension after discontinuation. Enalapril has been reported not to cause hypokalemia, hyperglycemia, hyperuricemia, or hypercholesterolemia. Renally, enalapril increases renal blood flow and reduces renal vascular resistance. It also improves glomerular filtration rate in patients with a glomerular filtration rate below 80 mL/min. When used in combination with hydrochlorothiazide, enalapril can reduce drug-induced hypokalemia and enhance the antihypertensive effects of both drugs.
Enalapril maleate (MK-421) is a prodrug of angiotensin-converting enzyme inhibitor (ACEI), which is metabolized in vivo to the active form enalaprilat, which exerts its pharmacological effects by inhibiting ACE.
- In a high-methionine-induced endothelial dysfunction model, enalapril maleate (MK-421) not only improved endothelial function by inhibiting ACE (reducing the synthesis of angiotensin II), but also by reducing oxidative stress (downregulating p47phox) and enhancing NO bioavailability (upregulating eNOS expression).
- Compared with captopril (another ACEI containing a thiol group), enalapril maleate (MK-421) (which does not contain a thiol group) still significantly improved endothelial dysfunction, indicating that a thiol group is not a necessary condition for ACE inhibitors to improve endothelial dysfunction [1]
These protocols are for reference only. InvivoChem does not independently validate these methods.
Physicochemical Properties
Molecular Formula
C20H28N2O5.C4H4O4
Molecular Weight
492.52
Exact Mass
492.21
CAS #
76095-16-4
Related CAS #
Enalapril-d5 maleate;349554-02-5;Enalapril;75847-73-3
PubChem CID
5388962
Appearance
White to off-white solid powder
Boiling Point
0ºC
Melting Point
143-144.5ºC
Flash Point
0°C
LogP
1.645
Hydrogen Bond Donor Count
2
Hydrogen Bond Acceptor Count
6
Rotatable Bond Count
10
Heavy Atom Count
27
Complexity
519
Defined Atom Stereocenter Count
3
SMILES
CCOC(=O)[C@H](CCC1=CC=CC=C1)N[C@@H](C)C(=O)N2CCC[C@H]2C(=O)O
InChi Key
OYFJQPXVCSSHAI-QFPUQLAESA-N
InChi Code
InChI=1S/C20H28N2O5.C4H4O4/c1-3-27-20(26)16(12-11-15-8-5-4-6-9-15)21-14(2)18(23)22-13-7-10-17(22)19(24)25;5-3(6)1-2-4(7)8/h4-6,8-9,14,16-17,21H,3,7,10-13H2,1-2H3,(H,24,25);1-2H,(H,5,6)(H,7,8)/b;2-1-/t14-,16-,17-;/m0./s1
Chemical Name
(Z)-but-2-enedioic acid;(2S)-1-[(2S)-2-[[(2S)-1-ethoxy-1-oxo-4-phenylbutan-2-yl]amino]propanoyl]pyrrolidine-2-carboxylic acid
Synonyms
MK-421 Maleate; Glioten; Vasotec; Baripril; Maleate, Enalapril; MK 421; MK-421; MK421; Renitec; Renitek;
HS Tariff Code
2934.99.9001
Storage

Powder      -20°C    3 years

                     4°C     2 years

In solvent   -80°C    6 months

                  -20°C    1 month

Note: Please store this product in a sealed and protected environment, avoid exposure to moisture.
Shipping Condition
Room temperature (This product is stable at ambient temperature for a few days during ordinary shipping and time spent in Customs)
Solubility Data
Solubility (In Vitro)
DMSO:99 mg/mL (201.0 mM)
Water:<1 mg/mL
Ethanol:4 mg/mL (8.1 mM)
Solubility (In Vivo)
Note: Listed below are some common formulations that may be used to formulate products with low water solubility (e.g. < 1 mg/mL), you may test these formulations using a minute amount of products to avoid loss of samples.

Injection Formulations
(e.g. IP/IV/IM/SC)
Injection Formulation 1: DMSO : Tween 80: Saline = 10 : 5 : 85 (i.e. 100 μL DMSO stock solution 50 μL Tween 80 850 μL Saline)
*Preparation of saline: Dissolve 0.9 g of sodium chloride in 100 mL ddH ₂ O to obtain a clear solution.
Injection Formulation 2: DMSO : PEG300Tween 80 : Saline = 10 : 40 : 5 : 45 (i.e. 100 μL DMSO 400 μLPEG300 50 μL Tween 80 450 μL Saline)
Injection Formulation 3: DMSO : Corn oil = 10 : 90 (i.e. 100 μL DMSO 900 μL Corn oil)
Example: Take the Injection Formulation 3 (DMSO : Corn oil = 10 : 90) as an example, if 1 mL of 2.5 mg/mL working solution is to be prepared, you can take 100 μL 25 mg/mL DMSO stock solution and add to 900 μL corn oil, mix well to obtain a clear or suspension solution (2.5 mg/mL, ready for use in animals).
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Injection Formulation 4: DMSO : 20% SBE-β-CD in saline = 10 : 90 [i.e. 100 μL DMSO 900 μL (20% SBE-β-CD in saline)]
*Preparation of 20% SBE-β-CD in Saline (4°C,1 week): Dissolve 2 g SBE-β-CD in 10 mL saline to obtain a clear solution.
Injection Formulation 5: 2-Hydroxypropyl-β-cyclodextrin : Saline = 50 : 50 (i.e. 500 μL 2-Hydroxypropyl-β-cyclodextrin 500 μL Saline)
Injection Formulation 6: DMSO : PEG300 : castor oil : Saline = 5 : 10 : 20 : 65 (i.e. 50 μL DMSO 100 μLPEG300 200 μL castor oil 650 μL Saline)
Injection Formulation 7: Ethanol : Cremophor : Saline = 10: 10 : 80 (i.e. 100 μL Ethanol 100 μL Cremophor 800 μL Saline)
Injection Formulation 8: Dissolve in Cremophor/Ethanol (50 : 50), then diluted by Saline
Injection Formulation 9: EtOH : Corn oil = 10 : 90 (i.e. 100 μL EtOH 900 μL Corn oil)
Injection Formulation 10: EtOH : PEG300Tween 80 : Saline = 10 : 40 : 5 : 45 (i.e. 100 μL EtOH 400 μLPEG300 50 μL Tween 80 450 μL Saline)


Oral Formulations
Oral Formulation 1: Suspend in 0.5% CMC Na (carboxymethylcellulose sodium)
Oral Formulation 2: Suspend in 0.5% Carboxymethyl cellulose
Example: Take the Oral Formulation 1 (Suspend in 0.5% CMC Na) as an example, if 100 mL of 2.5 mg/mL working solution is to be prepared, you can first prepare 0.5% CMC Na solution by measuring 0.5 g CMC Na and dissolve it in 100 mL ddH2O to obtain a clear solution; then add 250 mg of the product to 100 mL 0.5% CMC Na solution, to make the suspension solution (2.5 mg/mL, ready for use in animals).
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Oral Formulation 3: Dissolved in PEG400
Oral Formulation 4: Suspend in 0.2% Carboxymethyl cellulose
Oral Formulation 5: Dissolve in 0.25% Tween 80 and 0.5% Carboxymethyl cellulose
Oral Formulation 6: Mixing with food powders


Note: Please be aware that the above formulations are for reference only. InvivoChem strongly recommends customers to read literature methods/protocols carefully before determining which formulation you should use for in vivo studies, as different compounds have different solubility properties and have to be formulated differently.

 (Please use freshly prepared in vivo formulations for optimal results.)
Preparing Stock Solutions 1 mg 5 mg 10 mg
1 mM 2.0304 mL 10.1519 mL 20.3037 mL
5 mM 0.4061 mL 2.0304 mL 4.0607 mL
10 mM 0.2030 mL 1.0152 mL 2.0304 mL

*Note: Please select an appropriate solvent for the preparation of stock solution based on your experiment needs. For most products, DMSO can be used for preparing stock solutions (e.g. 5 mM, 10 mM, or 20 mM concentration); some products with high aqueous solubility may be dissolved in water directly. Solubility information is available at the above Solubility Data section. Once the stock solution is prepared, aliquot it to routine usage volumes and store at -20°C or -80°C. Avoid repeated freeze and thaw cycles.

Calculator

Molarity Calculator allows you to calculate the mass, volume, and/or concentration required for a solution, as detailed below:

  • Calculate the Mass of a compound required to prepare a solution of known volume and concentration
  • Calculate the Volume of solution required to dissolve a compound of known mass to a desired concentration
  • Calculate the Concentration of a solution resulting from a known mass of compound in a specific volume
An example of molarity calculation using the molarity calculator is shown below:
What is the mass of compound required to make a 10 mM stock solution in 5 ml of DMSO given that the molecular weight of the compound is 350.26 g/mol?
  • Enter 350.26 in the Molecular Weight (MW) box
  • Enter 10 in the Concentration box and choose the correct unit (mM)
  • Enter 5 in the Volume box and choose the correct unit (mL)
  • Click the “Calculate” button
  • The answer of 17.513 mg appears in the Mass box. In a similar way, you may calculate the volume and concentration.

Dilution Calculator allows you to calculate how to dilute a stock solution of known concentrations. For example, you may Enter C1, C2 & V2 to calculate V1, as detailed below:

What volume of a given 10 mM stock solution is required to make 25 ml of a 25 μM solution?
Using the equation C1V1 = C2V2, where C1=10 mM, C2=25 μM, V2=25 ml and V1 is the unknown:
  • Enter 10 into the Concentration (Start) box and choose the correct unit (mM)
  • Enter 25 into the Concentration (End) box and select the correct unit (mM)
  • Enter 25 into the Volume (End) box and choose the correct unit (mL)
  • Click the “Calculate” button
  • The answer of 62.5 μL (0.1 ml) appears in the Volume (Start) box
g/mol

Molecular Weight Calculator allows you to calculate the molar mass and elemental composition of a compound, as detailed below:

Note: Chemical formula is case sensitive: C12H18N3O4  c12h18n3o4
Instructions to calculate molar mass (molecular weight) of a chemical compound:
  • To calculate molar mass of a chemical compound, please enter the chemical/molecular formula and click the “Calculate’ button.
Definitions of molecular mass, molecular weight, molar mass and molar weight:
  • Molecular mass (or molecular weight) is the mass of one molecule of a substance and is expressed in the unified atomic mass units (u). (1 u is equal to 1/12 the mass of one atom of carbon-12)
  • Molar mass (molar weight) is the mass of one mole of a substance and is expressed in g/mol.
/

Reconstitution Calculator allows you to calculate the volume of solvent required to reconstitute your vial.

  • Enter the mass of the reagent and the desired reconstitution concentration as well as the correct units
  • Click the “Calculate” button
  • The answer appears in the Volume (to add to vial) box
In vivo Formulation Calculator (Clear solution)
Step 1: Enter information below (Recommended: An additional animal to make allowance for loss during the experiment)
Step 2: Enter in vivo formulation (This is only a calculator, not the exact formulation for a specific product. Please contact us first if there is no in vivo formulation in the solubility section.)
+
+
+

Calculation results

Working concentration mg/mL;

Method for preparing DMSO stock solution mg drug pre-dissolved in μL DMSO (stock solution concentration mg/mL). Please contact us first if the concentration exceeds the DMSO solubility of the batch of drug.

Method for preparing in vivo formulation:Take μL DMSO stock solution, next add μL PEG300, mix and clarify, next addμL Tween 80, mix and clarify, next add μL ddH2O,mix and clarify.

(1) Please be sure that the solution is clear before the addition of next solvent. Dissolution methods like vortex, ultrasound or warming and heat may be used to aid dissolving.
             (2) Be sure to add the solvent(s) in order.

Clinical Trial Information
Efficacy and Safety of Sacubitril/Valsartan Compared With Enalapril on Morbidity, Mortality, and NT-proBNP Change in Patients With CCC
CTID: NCT04023227
Phase: Phase 4    Status: Active, not recruiting
Date: 2024-10-08
Evaluation of a Renin Inhibitor, Aliskiren, Compared to Enalapril, in C3 Glomerulopathy
CTID: NCT04183101
Phase: Phase 2    Status: Recruiting
Date: 2024-06-18
Angiotensin Receptor-Neprilysin Inhibition in Chagas Cardiomyopathy With Reduced Ejection Fraction: ANSWER-HF.
CTID: NCT04853758
Phase: Phase 3    Status: Recruiting
Date: 2024-04-04
COmparing arNi and Ace For Improving Erectile Dysfunction in mEN With reduCed Ejection Fraction Heart Failure
CTID: NCT03917459
Phase: Phase 3    Status: Completed
Date: 2024-02-29
Prevention of Diabetes and Hypertension
CTID: NCT00456963
Phase: Phase 4    Status: Terminated
Date: 2024-02-20
View More

PROACT: Can we Prevent Chemotherapy-related Heart Damage in Patients With Breast Cancer and Lymphoma?
CTID: NCT03265574
Phase: Phase 3    Status: Completed
Date: 2024-02-20


Genetic Determinants of ACEI Prodrug Activation
CTID: NCT03051282
Phase: Phase 4    Status: Active, not recruiting
Date: 2024-02-14
Study of Efficacy and Safety of LCZ696 in Japanese Patients With Chronic Heart Failure and Reduced Ejection Fraction
CTID: NCT02468232
Phase: Phase 3    Status: Completed
Date: 2023-12-08
Blood Pressure Management in Stroke Following Endovascular Treatment
CTID: NCT04484350
Phase: Phase 2    Status: Completed
Date: 2023-11-07
Prevention of Anthracycline-induced Cardiotoxicity
CTID: NCT01968200
Phase: Phase 3    Status: Active, not recruiting
Date: 2023-06-28
Pulmonary REsistance Modification Under Treatment With Sacubitril/valsartaN in paTients With Heart Failure With Reduced Ejection Fraction
CTID: NCT05487261
Phase: Phase 4    Status: Recruiting
Date: 2023-06-18
Bariatric Surgery and Pharmacokinetics of Enalapril
CTID: NCT03460366
Phase:    Status: Recruiting
Date: 2023-03-27
Study to Evaluate Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of LCZ696 Followed by a 52-week, Double-blind Study of LCZ696 Compared With Enalapril in Pediatric Patients With Heart Failure
CTID: NCT02678312
Phase: Phase 2/Phase 3    Status: Completed
Date: 2023-02-10
Comparing Nifedipine and Enalapril in Medical Resources Used in the Postpartum Period
CTID: NCT04236258
Phase: Phase 4    Status: Completed
Date: 2022-11-30
A Randomized, Double-blind Controlled Study Comparing LCZ696 to Medical Therapy for Comorbidities in HFpEF Patients
CTID: NCT03066804
Phase: Phase 3    Status: Completed
Date: 2021-10-11
Exercise Capacity Study of LCZ696 vs. Enalapril in Patients With Chronic Heart Failure and Reduced Ejection Fraction.
CTID: NCT02768298
Phase: Phase 4    Status: Completed
Date: 2021-10-08
Study on the Effects of Sacubitril/Valsartan on Physical Activity and Sleep in Heart Failure With Reduced Ejection Fraction Patients.
CTID: NCT02970669
Phase: Phase 4    Status: Completed
Date: 2021-10-07
The Effects of Sacubitril-Valsartan vs Enalapril on Left Ventricular Remodeling in ST-elevation Myocardial Infarction
CTID: NCT04912167
Phase: Phase 3    Status: Not yet recruiting
Date: 2021-09-29
Comparison of Sacubitril/Valsartan Versus Enalapril on Effect on NT-proBNP in Patients Stabilized From an Acute Heart Failure Episode.
CTID: NCT02554890
Phase: Phase 4    Status: Completed
Date: 2021-01-05
Study of Effects of Sacubitril/Valsartan vs. Enalapril on Aortic Stiffness in Patients With Mild to Moderate HF With Reduced Ejection Fraction
CTID: NCT02874794
Phase: Phase 4    Status: Completed
Date: 2021-01-05
Impact of Angiotensin Converting Enzyme Activity on Exercise Training Sensitivity
CTID: NCT03949075
Phase: N/A    Status: Completed
Date: 2020-11-05
The Effect of Neprilysin (LCZ696) on Exercise Tolerance in Patients With Heart Failure
CTID: NCT03190304
Phase: Phase 4    Status: Completed
Date: 2020-10-22
randOmized stUdy Using acceleromeTry to Compare Sacubitril/valsarTan and Enalapril in Patients With Heart Failure
CTID: NCT02900378
Phase: Phase 3    Status: Completed
Date: 2020-09-02
Mitigation of Radiation Pneumonitis and Fibrosis
CTID: NCT01754909
Phase: Phase 2    Status: Completed
Date: 2019-10-08
The Use of ACE Inhibitors in the Early Renal Post-transplant Period
CTID: NCT00270153
Phase: Phase 1    Status: Completed
Date: 2019-02-07
Comparing ARNI With ACE Inhibitor on Endothelial Function
CTID: NCT03119623
Phase: Phase 4    Status: Withdrawn
Date: 2018-10-11
H-Type Hypertension Precision Medicine Trial
CTID: NCT03472508
Phase: Phase 4    Status: Unknown status
Date: 2018-07-18
Angiotensin-II Receptor Antibodies Blockade With Losartan in Patients With Lupus Nephritis
CTID: NCT03526042
Phase: N/A    Status: Unknown status
Date: 2018-05-16
Evaluation of Enalapril Versus Placebo in Patients With Diastolic Heart Failure
CTID: NCT01411735
Phase: Phase 3    Status: Completed
Date: 2017-11-06
Bevacizumab vs Dacarbazine in Metastatic Melanoma
CTID: NCT01705392
Phase: Phase 2    Status: Terminated
Date: 2017-02-24
Prevention of Chemotherapy-induced Cardiotoxicity in High-risk Patients
CTID: NCT00292526
Phase: Phase 4    Status: Completed
Date: 2017-02-09
Efficacy and Safety of Aliskiren and Aliskiren/Enalapril Combination on Morbidity-mortality in Patients With Chronic Heart Failure
CTID: NCT00853658
Phase: Phase 3    Status: Completed
Date: 2016-11-25
Expression and Function of the Renin-Angiotensin System in the Esophagus
CTID: NCT02879721
PhaseEarly Phase 1    Status: Completed
Date: 2016-08-26
Enalapril After Anthracycline Cardiotoxicity
CTID: NCT00000547
Phase: Phase 3    Status: Completed
Date: 2016-07-12
Studies of Left Ventricular Dysfunction (SOLVD)
CTID: NCT00000516
Phase: Phase 3    Status: Completed
Date: 2016-04-15
An Extension Study to Evaluate the Long Term Safety, Tolerability and Efficacy of Aliskiren Compared to Enalapril in Pediatric Hypertensive Patients 6-17 Years of Age
CTID: NCT01151410
Phase: Phase 3    Status: Completed
Date: 2016-03-07
Treatment of Mild Hypertension Study (TOMHS)
CTID: NCT00000522
Phase: Phase 2    Status: Completed
Date: 2016-02-25
A Study to Determine the Effectiveness and Tolerability of MK8141 in Patients With High Blood Pressure (MK-8141-006)
CTID: NCT00543413
Phase: Phase 2    Status: Completed
Date: 2015-10-16
A Study to Investigate the Efficacy and Safety of Different Doses of Losartan Potassium (MK0954-011)
CTID: NCT00882440
Phase: Phase 3    Status: Completed
Date: 2015-08-27
Myocardial Fibrosis Progression in Duchenne and Becker Muscular Dystrophy - ACE Inhibitor Therapy Trial
CTID: NCT02432885
Phase: Phase 3    Status: Completed
Date: 2015-05-04
Relative Bioavailability Study With Enalapril in Healthy Volunteers
CTID: NCT02252692
Phase: Phase 1    Status: Unknown status
Date: 2014-09-30
Metabolism of Methylphenidate and Enalapril Based on CES1 Genotype
CTID: NCT02135263
Phase: Phase 4    Status: Completed
Date: 2014-07-30
BIBR 277 Capsule in Patients With Essential Hypertension
CTID: NCT02177448
Phase: Phase 3    Status: Completed
Date: 2014-07-08
Telmisartan Compared With Enalapril in Elderly Patients With Blood Hypertension
CTID: NCT02177461
Phase: Phase 4    Status: Completed
Date: 2014-07-08
Angiotensin Converting Enzyme Inhibition in Children With Mitral Regurgitation
CTID: NCT00113698
Phase: Phase 3    Status: Terminated
Date: 2014-03-13
DETAIL Study: Diabetes Exposed to Telmisartan and Enalapril
CTID: NCT00274118
Phase: Phase 3    Status: Completed
Date: 2013-11-01
Efficacy of Antioxidant Therapy Compared With Enalapril in Sickle Nephropathy
CTID: NCT01891292
Phase: N/A    Status: Unknown status
Date: 2013-07-03
Angiotensin-converting Enzyme Inhibitors and Early Sickle Cell Renal Disease in Children
CTID: NCT01096121
Phase: N/A    Status: Terminated
Date: 2012-07-26
Evaluation of Heart Failure Treatment Guided by N-terminal Pro B-type Natriuretic Peptide (NTproBNP) vs Clinical Symptoms and Signs Alone
CTID: NCT00391846
Phase: Phase 4    Status: Completed
Date: 2012-06-25
Renal Effects of an Angiotensin Converting Enzyme Inhibitor in Adults With Chronic Kidney Disease of Uncertain Aetiology
CTID: NCT01624064
Phase: Phase 1/Phase 2    Status: Unknown status
Date: 2012-06-20
Effect of Sitagliptin and an ACE Inhibitor on Blood Pressure in Metabolic Syndrome
CTID: NCT00666848
Phase: Phase 4    Status: Completed
Date: 2012-05-11
Effect of Enalapril and Losartan Association Therapy on Proteinuria and Inflammatory Biomarkers in Diabetic Nephropathy: a Clinical Trial on Type 2 Diabetes Mellitus
CTID: NCT00419835
Phase: Phase 4    Status: Completed
Date: 2011-08-04
Extension Study to Assess Long Term Safety, Tolerability, and Efficacy of Valsartan and Enalapril Combined and Alone in Children With Hypertension
CTID: NCT00446511
Phase: Phase 3    Status: Completed
Date: 2011-07-12
Primary Prevention of Cardiovascular Disease (CVD) in Pre-diabetic & Pre-hypertensive Subjects
CTID: NCT01364675
Phase: N/A    Status: Unknown status
Date: 2011-06-02
-----------
MULTICENTER RANDOMIZED STUDY ON THE EFFICACY OF IMMUNOSUPPRESSION IN PATIENTS WITH VIRUS-NEGATIVE INFLAMMATORY CARDIOMYOPATHY
CTID: null
Phase: Phase 3    Status: Ongoing
Date: 2017-10-30
Preventing cardiac damage in patients treated for breast cancer and lymphoma: a phase 3
CTID: null
Phase: Phase 3    Status: GB - no longer in EU/EEA
Date: 2017-08-08
A 24-week, randomized, double-blind, multi-center, parallel group, active controlled study to evaluate the effect of LCZ696 on NT-proBNP, exercise
CTID: null
Phase: Phase 3    Status: Completed
Date: 2017-06-05
Impact of self-measurement of blood pressure and self-adjustment of antihypertensive medication in the control of hypertension and adherence to treatment. A pragmatic, randomized, controlled clinical trial (ADAMPA Study)
CTID: null
Phase: Phase 4    Status: Prematurely Ended
Date: 2017-05-05
Multicenter, open-label, study to evaluate safety, tolerability, pharmacokinetics and, pharmacodynamics of LCZ696 followed by a 52-week randomized, double-blind, parallel group, active-controlled study to evaluate the efficacy and safety of LCZ696 compared with enalapril in pediatric patients from1 month to < 18 years of age with heart failure due to systemic left ventricle systolic dysfunction
CTID: null
Phase: Phase 2, Phase 3    Status: Ongoing, GB - no longer in EU/EEA, Completed
Date: 2017-04-06
A multi-center, prospective, randomized, double-blind study to assess the impact of sacubitril/valsartan vs. enalapril on daily physical activity using a wrist worn actigraphy device in adult chronic heart failure patients
CTID: null
Phase: Phase 3    Status: Completed
Date: 2016-11-14
A randomized, double-blind, active-controlled study to assess the effect of LCZ696 compared with enalapril to improve exercise capacity in patients with heart failure with reduced ejection fraction (HFrEF).
CTID: null
Phase: Phase 4    Status: Completed
Date: 2016-05-04
NT-proBNP selected prevention of cardiac events in a population of diabetic patients without a history of cardiac disease (Pontiac II); a prospective randomized trial
CTID: null
Phase: Phase 4    Status: Ongoing, GB - no longer in EU/EEA
Date: 2015-12-30
FOLLOW-UP SAFETY TRIAL IN CHILDREN WITH CHRONIC HEART FAILURE THERAPY RECEIVING ORODISPERSIBLE MINITABLETS OF ENALAPRIL
CTID: null
Phase: Phase 3    Status: Ongoing, GB - no longer in EU/EEA, Prematurely Ended, Completed
Date: 2015-11-30
ORODISPERSIBLE MINITABLETS OF ENALAPRIL IN CHILDREN WITH HEART
CTID: null
Phase: Phase 3    Status: GB - no longer in EU/EEA, Prematurely Ended, Completed
Date: 2015-11-30
ORODISPERSIBLE MINITABLETS OF ENALAPRIL IN YOUNG CHILDREN WITH HEART FAILURE DUE TO CONGENITAL HEART DISEASE
CTID: null
Phase: Phase 3    Status: Ongoing, Prematurely Ended, Completed
Date: 2015-11-30
The effect of sodium nitrite infusion on renal variables, brachial and central blood pressure during enzyme inhibition by allopurinol, enalapril or acetazolamid in healthy subjects. A randomized, double-blinded, placebo controlled, cross-over study
CTID: null
Phase: Phase 4    Status: Completed
Date: 2014-01-03
Prospective, randomized, open-label, blinded-endpoint, paralell groups, multicentric clinical trial to compare the efficacy of administration of enalapril 20 mg + lercanidipine 10 mg versus enalapril 20 mg + amlodipine 5 mg on proteinuria.
CTID: null
Phase: Phase 4    Status: Completed
Date: 2013-08-01
Prevention of anthracycline-induced cardiotoxicity: a multicentre randomizedtrial comparing two therapeutic strategies.
CTID: null
Phase: Phase 3    Status: Ongoing
Date: 2012-10-16
Treatment of hypertension at nigth in type 1 diabetes patients with no 24 hour variation of thier bloodpressure.
CTID: null
Phase: Phase 4    Status: Completed
Date: 2012-06-19
Individualised drug therapy based on pharmacogenomics: focus on carboxylesterase 1 (CES1)
CTID: null
Phase: Phase 4    Status: Completed
Date: 2012-01-24
A prospective study with beta-blockers and ACE-inhibitors in patients operable breast cancer experiencing mild cardiac toxicity during treatment with anthracycline and/or trastuzumab
CTID: null
Phase: Phase 2    Status: Ongoing
Date: 2011-12-27
Effects of Aliskiren on microcirculation dysfunction in patients affected by hypertension
CTID: null
Phase: Phase 4    Status: Ongoing
Date: 2011-10-20
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
Effects of a combination treatment with lercanidipine + enalapril vs. lercanidipine + hydrochlorothiazide on blood pressure and endothelial function in essential hypertensive patients
CTID: null
Phase: Phase 4    Status: Ongoing
Date: 2011-03-14
A multicenter, double-blind, randomized, 52 week extension study to evaluate the long term safety, tolerability and efficacy of aliskiren compared to enalapril in pediatric hypertensive patients 6-17 years of age
CTID: null
Phase: Phase 3    Status: Ongoing, Completed
Date: 2010-11-19
Safety of an ACE-I/CCB fixed combination (Lercanidipine/Enalapril) in elderly hypertensive patients not adequately controlled by CCB monotherapy
CTID: null
Phase: Phase 3    Status: Completed
Date: 2010-06-08
Intérêt des inhibiteurs de l'enzyme de conversion dans l'atteinte rénale précoce des enfants drépanocytaires : Etude randomisée en double aveugle énalapril versus placebo.
CTID: null
Phase: Phase 3    Status: Ongoing
Date: 2010-01-05
A multicenter, randomized, double-blind, parallel group, active-controlled study to evaluate the efficacy and safety of LCZ696 compared to enalapril on morbidity and mortality in patients with chronic heart failure and reduced ejection fraction
CTID: null
Phase: Phase 3    Status: Prematurely Ended, Completed
Date: 2010-01-01
Randomised trial on combined effects of dual blockade of the renin angiotensin system and phosphate binding in diabetic and non-diabetic patients with impaired renal function.
CTID: null
Phase: Phase 4    Status: Completed
Date: 2009-12-10
Multi-center, Open-label Study of the Safety and Efficacy of Control of Proteinuria with ACE Inhibitors and ARBS in Patients with Fabry Diseaswe Who Are receiving Farazyme : Tha Farazyme + Arbs + ACE inhibitors Treatments (FAACET) Study: The FAACET Study
CTID: null
Phase: Phase 4    Status: Completed
Date: 2009-11-09
A multicenter, randomized, double-blind, parallel group, active-controlled study to evaluate the efficacy and safety of both aliskiren monotherapy and aliskiren/enalapril combination therapy compared to enalapril monotherapy, on morbidity and mortality in patients with chronic heart failure (NYHA Class II - IV)
CTID: null
Phase: Phase 3    Status: Completed
Date: 2009-03-13
Study on the vascular effects of ACE-I + CA-antagonist (Enalapril + Lercanidipine) versus ACE-I + diuretic (Enalapril + hydrochlorothiazidE) combinations in hypertensive patients with metabolic syndrome not sufficiently controlled by ACE-I monotherapy
CTID: null
Phase: Phase 4    Status: Ongoing
Date: 2009-02-24
'Efecto del ARA-II Olmesartan sobre el metabolismo del potasio en pacientes con insuficiencia renal crónica'
CTID: null
Phase: Phase 4    Status: Completed
Date: 2008-11-27
Arterial Hypertension After Successful Aortic Decoarctation: Atenolol vs Enalapril Comparison of Efficacy and Tolerability in Pediatric Age.
CTID: null
Phase: Phase 3    Status: Completed
Date: 2008-09-26
Prevención de la disfunción ventricular con enalapril y carvedilol en pacientes sometidos a quimioterapia intensiva para el tratamiento de hemopatías malignas.
CTID: null
Phase: Phase 2, Phase 4    Status: Completed
Date: 2008-02-22
A multicenter, randomized, double-blind, parallel-group, evaluation of 12 weeks of valsartan compared to enalapril on sitting systolic blood pressure in children 6 to 17 years of age with hypertension
CTID: null
Phase: Phase 3    Status: Prematurely Ended, Completed
Date: 2007-04-23
An extension to study VAL489K2303 to evaluate the long term safety, tolerability and efficacy of valsartan in children 6 to 17 years of age with hypertension, versus enalapril treatment for 14 weeks, or combined with enalapril versus enalapril monotherapy for 66 weeks in chronic kidney disease patients.
CTID: null
Phase: Phase 3    Status: Prematurely Ended, Completed
Date: 2007-04-23
Randomized comparison of a two-month regimen of irbesartan versus enalapril on cardiovascular markers in patients with acute coronary syndrome without ST segment elevation.
CTID: null
Phase: Phase 3    Status: Completed
Date: 2006-02-08
Pulsbølgehastighed og pulsbølgemorfologi hos patienter med kronisk nyreinsufficiens: Effekten af blokade af renin-angiotensinsystemet.
CTID: null
Phase: Phase 4    Status: Completed
Date: 2005-06-22
Effect and Safety of preventive Treatment with ACE-Inhibitor and Beta-Blocker on the onset of Left Ventricular Dysfunction in Duchenne Muscular Dystrophy
CTID: null
Phase: Phase 3    Status: Completed
Date:
An international multicentre, randomized, parallel group, double-blind trial to evaluate different dose combinations of lercanidipine and enalapril in comparison with each component administered alone and with placebo in patients with essential hypertension.
CTID: null
Phase: Phase 2    Status: Completed
Date:

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