furosemide
Trade name: lasix
Approved
Jul 1, 1966
Furosemide, a sulfonamide-type loop diuretic structurally related to bumetanide, is used to manage hypertension and edema associated with congestive heart failure, cirrhosis, and renal disease, including the nephrotic syndrome. Furosemide inhibits water reabsorption in the nephron by blocking the sodium-potassium-chloride cotransporter (NKCC2) in the thick ascending limb of the loop of Henle. This is achieved through competitive inhibition at the chloride binding site on the cotransporter, thus preventing the transport of sodium from the lumen of the loop of Henle into the basolateral interstitium. Consequently, the lumen becomes more hypertonic while the interstitium becomes less hypertonic, which in turn diminishes the osmotic gradient for water reabsorption throughout the nephron. Because the thick ascending limb is responsible for 25% of sodium reabsorption in the nephron, furosemide is a very potent diuretic. Furosemide is sold under the brand name Lasix among others. — NCATS
Clinical trial activity
258 trials · 264 clinical orgs · 50 marketing orgs
Earliest trial started May 1, 1996 (NCT00175227)
Timeline
1960s
- Jul 1, 1966
Earliest FDA Approval
- Jul 1, 1966
Validus Pharmaceuticals — NDA Secondary Org
- Jul 1, 1966
Validus Pharmaceuticals — Marketing Organization
- Mar 20, 1968
Sanofi-Aventis — NDA Secondary Org
1970s
- Jan 10, 1979
International Medication — NDA Secondary Org
1980s
- May 19, 1981
West-Ward Pharmaceutical — NDA Secondary Org
- May 19, 1981
Hikma — Marketing Organization
- Aug 27, 1981
Mylan — NDA Secondary Org
- Oct 19, 1981
Epic Pharma Llc — Marketing Organization
- Oct 19, 1981
Sandoz — NDA Secondary Org
- Oct 19, 1981
Epic Pharma Llc — NDA Secondary Org
- May 14, 1982
Watson Pharmaceuticals — NDA Secondary Org
- May 28, 1982
Hospira — NDA Secondary Org
- Jul 27, 1982
DAVA Pharmaceuticals — NDA Secondary Org
- Jul 27, 1982
Strides Pharma Science — Marketing Organization
- Jul 27, 1982
Strides Pharma Science — NDA Secondary Org
- Oct 6, 1983
Sun Pharmaceuticals — NDA Secondary Org
- Nov 10, 1983
Hikma — NDA Secondary Org
- Nov 30, 1983
Heritage Pharma — NDA Secondary Org
- Nov 30, 1983
Lutipold — NDA Secondary Org
- Nov 30, 1983
Sankyo — Marketing Organization
- Nov 30, 1983
Heritage Pharma — Marketing Organization
- Nov 30, 1983
Chartwell Pharmaceuticals — Marketing Organization
- Nov 30, 1983
Sankyo — NDA Secondary Org
- Nov 30, 1983
Chartwell Pharmaceuticals — NDA Secondary Org
- May 22, 1984
Fresenius — NDA Secondary Org
- Sep 26, 1985
Sun Pharmaceuticals — Marketing Organization
- Nov 22, 1985
Teva — Marketing Organization
- Feb 26, 1986
Watson Pharmaceuticals — Marketing Organization
- Oct 29, 1986
Mylan — Marketing Organization
- Dec 15, 1986
Accord Research — Marketing Organization
- Jul 8, 1987
Hospira — Marketing Organization
- Oct 1, 1987
Xttrium Laboratories — Marketing Organization
- Feb 9, 1988
Ani Pharmaceuticals — Marketing Organization
- May 17, 1989
Superpharm — NDA Secondary Org
2000s
- Jan 1, 2003
- Mar 26, 2004
Prinston Inc — Marketing Organization
- Jan 1, 2005
Earliest Phase 1 Sponsor(trial)
- Nov 9, 2005
Leading Pharma Llc — Marketing Organization
- Sep 18, 2006
IPCA Laboratories Ltd. — Marketing Organization
- Mar 22, 2007
Wockhardt — Marketing Organization
- Jan 1, 2008
Earliest Phase 2 Sponsor(trial)
2010s
- Jan 27, 2014
Baxalta — Marketing Organization
- Aug 26, 2014
Emcure — Marketing Organization
- Aug 26, 2014
Avet Lifesciences — Marketing Organization
- Jul 20, 2016
Amneal Pharmaceuticals — Marketing Organization
- May 3, 2019
Aurobindo Pharma — Marketing Organization
- May 3, 2019
Eugia Pharma — Marketing Organization
2020s
- Jul 1, 2020
Gland Pharma Ltd — Marketing Organization
- Jul 1, 2020
Fosun — Marketing Organization
- Dec 18, 2020
Areva Med LLC — Marketing Organization
- Jan 27, 2021
Athenex, Inc. — Marketing Organization
- Jan 27, 2022
Meitheal — Marketing Organization
- Oct 7, 2022
scPharmaceuticals, Inc. — Marketing Organization
- Oct 7, 2022
scPharmaceuticals, Inc. — NDA Secondary Org
- Oct 17, 2022
Graviti Pharmaceuticals — Marketing Organization
- Dec 16, 2022
Mankind Pharma — Marketing Organization
Indications
Approved for
Studied for
- Acute Kidney Injury · Phase 4
- Acute Lung Injury · Phase 2
- Anemia, Sickle Cell · Phase 1
- Ascites · Phase 4
- Atherosclerosis · Phase 4
- Biomarkers · Early Phase 1
- Body Fluids · Phase 4
- Body Weight Changes · Phase 1
- Brain Neoplasms · Phase 3
- Breast Neoplasms · Phase 3
- Bronchiolitis · Phase 3
- Bronchopulmonary Dysplasia · Phase 4
- Carcinoma · Phase 2
- Carcinoma, Hepatocellular · Phase 3
- Cardiomyopathies · Phase 1
- Cardio-Renal Syndrome · Phase 3
- Chronic Kidney Disease-Mineral and Bone Disorder · Phase 2
- Congenital Hyperinsulinism · Phase 3
- COVID-19 · Phase 2/Phase 3
- Critical Illness · Phase 4
- Cystoscopy · Phase 4
- Delayed Graft Function · Phase 2
- Diabetes Mellitus · Phase 4
- Diabetes Mellitus, Type 2 · Phase 4
- Diabetic Nephropathies · Phase 4
- Diuresis · Phase 4
- Diuretics · Phase 4
- Drug Interactions · Phase 1
- Drug-Related Side Effects and Adverse Reactions · Phase 3
- Dyspnea · Phase 1/Phase 2
- Edema · Phase 4
- Essential Hypertension · Phase 3
- Fatty Liver · Phase 2
- Fibrosis · Phase 4
- Health · Phase 1
- Healthy Volunteers · Phase 4
- Heart Diseases · Phase 4
- Heart Failure, Diastolic · Phase 4
- Heart Failure, Systolic · Phase 4
- Hematuria · Phase 3
- Hemodialysis, Home · Phase 4
- Hemodynamics · Phase 1
- Hodgkin Disease · Phase 1/Phase 2
- Hypertension, Pregnancy-Induced · Phase 4
- Hypotension · Phase 4
- Infant, Premature · Early Phase 1
- Inflammation · Phase 1/Phase 2
- Intestinal Diseases · Phase 4
- Intra-Abdominal Hypertension · Phase 3
- Keratosis, Actinic · Phase 2
- Kidney Calculi · Phase 3
- Kidney Diseases · Phase 3
- Kidney Failure, Chronic · Phase 4
- Leukemia · Phase 1/Phase 2
- Leukemia, Myeloid, Acute · Phase 1/Phase 2
- Lewy Body Disease · Phase 3
- Liver Cirrhosis · Phase 4
- Lung Diseases · Phase 3
- Lymphoma, Non-Hodgkin · Phase 1/Phase 2
- Malabsorption Syndromes · Phase 1
- Melanoma · Phase 1
- Multiple Myeloma · Phase 1/Phase 2
- Musculoskeletal Pain · Phase 3
- Myelodysplastic Syndromes · Phase 1/Phase 2
- Myocardial Infarction · Phase 3
- Nasal Polyps · Phase 2
- Neonatology · Phase 2
- Neoplasms · Phase 2
- Nephrolithiasis · Phase 3
- Nephrotic Syndrome · Phase 4
- Neuroblastoma · Phase 3
- Neuroendocrine Tumors · Phase 3
- Non-alcoholic Fatty Liver Disease · Phase 2
- Ovarian Torsion · Early Phase 1
- Parkinson Disease · Phase 3
- Pharmacokinetics · Phase 1
- Pharmacology · Phase 4
- Pre-Eclampsia · Phase 4
- Pregnancy Complications · Phase 3
- Premature Birth · Early Phase 1
- Prostatic Hyperplasia · Phase 3
- Prostatic Neoplasms · Phase 2
- Proteinuria · Phase 4
- Pulmonary Arterial Hypertension · Phase 1
- Pulmonary Disease, Chronic Obstructive · Phase 3
- Pulmonary Edema · Phase 4
- Pulmonary Embolism · Phase 4
- Renal Insufficiency · Phase 3
- Renal Insufficiency, Chronic · Phase 4
- Respiratory Insufficiency · Phase 2/Phase 3
- Salts · Phase 1/Phase 2
- Schizophrenia · Phase 1
- Sepsis · Phase 2
- Severe Acute Respiratory Syndrome · Phase 2
- Sodium · Phase 3
- Stomach Diseases · Phase 1
- Transfusion Reaction · Early Phase 1
- Transient Tachypnea of the Newborn · Phase 3
- Ureterolithiasis · Phase 3
- Urinary Calculi · Phase 3
- Urolithiasis · Phase 3
- Warts · Phase 3
- Wounds and Injuries · Phase 2
Mechanism of action
SLC12A1 inhibitor
- Unspecified targetOTHER
Unknown
Approval history
- approvedPriority reviewJul 1, 1966
Chemistry & pharmacology
SMILES
NS(=O)(=O)C1=C(Cl)C=C(NCC2=CC=CO2)C(=C1)C(O)=O- Mol. weight
- 330.744 g/mol
- Lipinski Ro5
- Pass
- Rule of 3
- No
- Chirality
- Achiral Molecule
- Inorganic
- No
- Polymer
- No
- Availability
- Prescription Only
Oral
No
Parenteral
No
Topical
No
Sources
- WikipediaFurosemide ↗
- NCATS7LXU5N7ZO5 ↗
- ChEMBLCHEMBL35 ↗
- ChEMBLCHEMBL1097235 ↗
Also known as
- 2-chloro-5-(1h-tetrazole-5-yl)-n^4-(2-thenyl)
- 2-furfurylamino-4-chloro-5-sulfamoylbenzoic acid
- 2-furfurylamino-4-chloro-5-sulfamoylbenzoic acid
- 4-chloro-5-sulfamoyl-n-furfuryl-anthranilic acid
- 4-chloro-5-sulfamoyl-n-furfuryl-anthranilic acid
- 4-chloro-n-(2-furylmethyl)-5-sulfamoylanthranilic acid
- 4-chloro-n-(2-furylmethyl)-5-sulfamoylanthranilic acid
- 4-chloro-n-furfuryl-5-sulfamoylanthranilic acid
- 4-chloro-n-furfuryl-5-sulfamoylanthranilic acid
- 5-(4-chloro-5-sulfamyl-2-thienylaminophenyl)tetrazole
- aluzine 20
- aluzine 40
- aluzine 500
- aquamed
- azosemid
- azosemid
- azosemide
- azosemide
- azosemide
- azosemide
- azosemide
- azosemide
- azosemide
- azosemide
- benzenesulfonamide, 2-chloro-5-(1h-tetrazol-5-yl)-4-((2-thienylmethyl)amino)-
- bm 02.001
- disal
- disal
- diurapid
- diuresal
- diuresal
- dryptal
- dryptal
- froop
- frumax
- frumil
- frumil
- frumil
- frusemide
- frusemide
- frusemide
- frusemide
- frusemide
- frusemide
- frusemide
- frusetic
- frusetic
- frusid
- frusid
- frusol
- fupiram
- furosemid
- furosemid
- furosemid
- furosemida
- furosemida
- furosemide
- furosemide
- furosemide
- furosemide
- furosemide
- furosemide
- furosemide
- furosemide
- furosemide
- furosemidu
- furosemidu
- furosemidum
- furosemidum
- hydroled
- hydroled
- lasix
- lasix
- lasix
- lasix
- lasix ret
- lasix (tn)
- lasix (tn)
- lb-502
- lb-502
- ple 1053
- rusyde
- rusyde
- tenkofruse
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT06941415 | Phase 3 | Mar 1, 2026 | University of Utah |
| NCT07269496 | Phase 1 | Jan 15, 2026 | BDD Pharma Ltd, SQ Innovation, Inc. |
| NCT07263035 | Phase 4 | Jan 1, 2026 | Lakeland Regional Medical Center |
| NCT07018297 | Phase 3 | Dec 31, 2025 | The University of Texas, Dallas |
| NCT07167862 | Phase 4 | Nov 1, 2025 | University of California, Irvine |
| NCT07077772 | N/A | Oct 31, 2025 | University of Picardie Jules Verne |
| NCT07073157 | Phase 1 | Jul 15, 2025 | Hengrui Therapeutics, Inc. |
| NCT06898515 | Phase 3 | Jul 14, 2025 | Baylor Scott and White, Reprieve Cardiovascular, Inc |
| NCT06921603 | N/A | Jun 29, 2025 | American Heart Association, University of Pittsburgh |
| NCT06821594 | Early Phase 1 (Phase 1) | Apr 1, 2025 | Jinnah Postgraduate Medical Centre |
| NCT06899061 | Phase 1 | Mar 25, 2025 | AstraZeneca, Parexel |
| NCT07008365 | Phase 3 | Mar 10, 2025 | Instituto de Investigación Sanitaria Aragón |
| NCT06407401 | Phase 3 | Dec 31, 2024 | European Organisation for Research and Treatment of Cancer |
| NCT07307131 | Phase 2 | Sep 1, 2024 | Benha University |
| NCT06504862 | Phase 1 | Aug 19, 2024 | Boehringer Ingelheim |
| NCT06786728 | N/A | Aug 10, 2024 | Benha University |
| NCT06442280 | Phase 4 | Jun 30, 2024 | University of Palermo |
| NCT06362668 | N/A | May 17, 2024 | Reprieve Cardiovascular, Inc |
| NCT06273397 | N/A | May 1, 2024 | Clinica Alemana de Santiago |
| NCT06326112 | Phase 2 | May 1, 2024 | Canadian Institutes of Health Research (CIHR), Unity Health Toronto |
Organizations
Research & Development (264)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| scPharmaceuticals, Inc. | For profit | 11 | 8 | 3 | 2014 |
| Boehringer Ingelheim | For profit | 7 | 7 | 2 | 2014 |
| Cutanea Life Sciences, Inc. | For profit | 6 | 6 | 2 | 2014 |
| Duke University | Academic/Hospital | 5 | 4 | 3 | 2008 |
| Harvard University | Academic/Hospital | 5 | 2 | 3 | 2008 |
| National Heart, Lung, and Blood Institute (NHLBI) | Government | 5 | 0 | 4 | 2008 |
| University of Toronto | Academic/Hospital | 5 | 4 | 4 | 2007 |
| University of Alberta | Academic/Hospital | 4 | 4 | 3 | 1996 |
| University of Copenhagen | Academic/Hospital | 4 | 3 | 2 | 2015 |
| University of Paris | Academic/Hospital | 4 | 4 | 3 | 2007 |
| Yale University | Academic/Hospital | 4 | 4 | 3 | 2007 |
| Emory University | Academic/Hospital | 3 | 2 | 3 | 2016 |
| Mayo Clinic | Academic/Hospital | 3 | 3 | 2 | 2009 |
| National Cancer Institute (NCI) | Government | 3 | 2 | 1 | 2007 |
| National Institutes of Health (NIH) | Government | 3 | 0 | 3 | 2003 |
| SQ Innovation, Inc. | For profit | 3 | 3 | 2 | 2020 |
| Tel Aviv University | Academic/Hospital | 3 | 3 | 1 | 2009 |
| University of Cincinnati | Academic/Hospital | 3 | 3 | 2 | 2011 |
| University of North Carolina at Chapel Hill | Academic/Hospital | 3 | 3 | 2 | 2008 |
| University of Palermo | Academic/Hospital | 3 | 3 | 2 | 2011 |
Marketing (66)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Abraxis | For profit | NDA2 | — |
| Accord Research | For profit | MKTG | Dec 15, 1986 |
| American Home Products | For profit | NDA2 | — |
| Amneal Pharmaceuticals | For profit | MKTG | Jul 20, 2016 |
| Ani Pharmaceuticals | For profit | SYN | Feb 26, 1986 |
| Ani Pharmaceuticals | For profit | MKTG | Feb 9, 1988 |
| Areva Med LLC | For profit | MKTG | Dec 18, 2020 |
| AstraZeneca | For profit | MKTG | — |
| Athenex, Inc. | For profit | MKTG | Jan 27, 2021 |
| Aurobindo Pharma | For profit | MKTG | May 3, 2019 |
| Avet Lifesciences | For profit | MKTG | Aug 26, 2014 |
| Baxalta | For profit | MKTG | Jan 27, 2014 |
| Chartwell Pharmaceuticals | For profit | MKTG | Nov 30, 1983 |
| Chartwell Pharmaceuticals | For profit | NDA2 | Nov 30, 1983 |
| DAVA Pharmaceuticals | For profit | NDA2 | Jul 27, 1982 |
| Emcure | For profit | MKTG | Aug 26, 2014 |
| Epic Pharma Llc | For profit | MKTG | Oct 19, 1981 |
| Epic Pharma Llc | For profit | NDA2 | Oct 19, 1981 |
| Eugia Pharma | For profit | MKTG | May 3, 2019 |
| Fosun | For profit | MKTG | Jul 1, 2020 |
| Fresenius | For profit | NDA2 | May 22, 1984 |
| Gland Pharma Ltd | For profit | MKTG | Jul 1, 2020 |
| Graviti Pharmaceuticals | For profit | MKTG | Oct 17, 2022 |
| Heritage Pharma | For profit | NDA2 | Nov 30, 1983 |
| Heritage Pharma | For profit | MKTG | Nov 30, 1983 |
| Hikma | For profit | NDA2 | Nov 10, 1983 |
| Hikma | For profit | MKTG | May 19, 1981 |
| Hospira | For profit | NDA2 | May 28, 1982 |
| Hospira | For profit | MKTG | Jul 8, 1987 |
| IPCA Laboratories Ltd. | For profit | MKTG | Sep 18, 2006 |
| International Medication | For profit | NDA2 | Jan 10, 1979 |
| Kala Pharmaceuticals | For profit | NDA2 | — |
| Leading Pharma Llc | For profit | MKTG | Nov 9, 2005 |
| Leading Pharma Llc | For profit | SYN | Nov 9, 2005 |
| Lutipold | For profit | NDA2 | Nov 30, 1983 |
| Mankind Pharma | For profit | MKTG | Dec 16, 2022 |
| Marsam Pharmaceuticals | For profit | MKTG | — |
| Meitheal | For profit | MKTG | Jan 27, 2022 |
| Mylan | For profit | NDA2 | Aug 27, 1981 |
| Mylan | For profit | MKTG | Oct 29, 1986 |
| Prinston Inc | For profit | MKTG | Mar 26, 2004 |
| Sandoz | For profit | NDA2 | Oct 19, 1981 |
| Sankyo | For profit | MKTG | Nov 30, 1983 |
| Sankyo | For profit | NDA2 | Nov 30, 1983 |
| Sanofi | For profit | NDA | — |
| Sanofi-Aventis | For profit | NDA2 | Mar 20, 1968 |
| Smith & Nephew | For profit | MKTG | — |
| Strides Pharma Science | For profit | MKTG | Jul 27, 1982 |
| Strides Pharma Science | For profit | NDA2 | Jul 27, 1982 |
| Sun Pharmaceuticals | For profit | NDA2 | Oct 6, 1983 |
| Sun Pharmaceuticals | For profit | SYN | Sep 26, 1985 |
| Sun Pharmaceuticals | For profit | MKTG | Sep 26, 1985 |
| Superpharm | For profit | NDA2 | May 17, 1989 |
| Teligent Pharmaceuticals | For profit | MKTG | — |
| Teva | For profit | MKTG | Nov 22, 1985 |
| Validus Pharmaceuticals | For profit | NDA2 | Jul 1, 1966 |
| Validus Pharmaceuticals | For profit | MKTG | Jul 1, 1966 |
| Warner Chilcott | For profit | NDA2 | — |
| Watson Pharmaceuticals | For profit | NDA2 | May 14, 1982 |
| Watson Pharmaceuticals | For profit | MKTG | Feb 26, 1986 |
| West-Ward Pharmaceutical | For profit | NDA2 | May 19, 1981 |
| Wockhardt | For profit | MKTG | Mar 22, 2007 |
| Wockhardt | For profit | SYN | Oct 1, 1987 |
| Xttrium Laboratories | For profit | MKTG | Oct 1, 1987 |
| scPharmaceuticals, Inc. | For profit | MKTG | Oct 7, 2022 |
| scPharmaceuticals, Inc. | For profit | NDA2 | Oct 7, 2022 |