Last Updated: May 6, 2026

CLINICAL TRIALS PROFILE FOR SPIRAPRIL HYDROCHLORIDE


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All Clinical Trials for spirapril hydrochloride

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00473174 ↗ Comparison of Awakening Versus Bedtime Dosing of Ramipril in Subjects With Essential Hypertension Completed King Pharmaceuticals is now a wholly owned subsidiary of Pfizer Phase 4 2007-03-01 This prospective chronotherapy trial will investigate the potential differing efficacy of ramipril in doses from 5 to 10 mg/day when administered, as a monotherapy either upon awakening from nighttime sleep or at bedtime, to diurnally active patients with grade 1 or 2 essential hypertension, who will be evaluated by 48-hour ABPM before and after pharmacologic intervention. The benefits from this trial may be extremely important, taking into account 1. the high prevalence of non-dipping among patients with essential hypertension 2. the need for a proper 24-hour BP control with particular emphasis on the regulation of nighttime resting BP mean 3. the lacking information on the administration-time dependent effects on BP of ramipril, a widely used ACEI in doses of 5-10 mg/day.
NCT00473174 ↗ Comparison of Awakening Versus Bedtime Dosing of Ramipril in Subjects With Essential Hypertension Completed University of Vigo Phase 4 2007-03-01 This prospective chronotherapy trial will investigate the potential differing efficacy of ramipril in doses from 5 to 10 mg/day when administered, as a monotherapy either upon awakening from nighttime sleep or at bedtime, to diurnally active patients with grade 1 or 2 essential hypertension, who will be evaluated by 48-hour ABPM before and after pharmacologic intervention. The benefits from this trial may be extremely important, taking into account 1. the high prevalence of non-dipping among patients with essential hypertension 2. the need for a proper 24-hour BP control with particular emphasis on the regulation of nighttime resting BP mean 3. the lacking information on the administration-time dependent effects on BP of ramipril, a widely used ACEI in doses of 5-10 mg/day.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for spirapril hydrochloride

Condition Name

Condition Name for spirapril hydrochloride
Intervention Trials
Hypertension 1
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Condition MeSH

Condition MeSH for spirapril hydrochloride
Intervention Trials
Hypertension 1
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Clinical Trial Locations for spirapril hydrochloride

Trials by Country

Trials by Country for spirapril hydrochloride
Location Trials
Spain 1
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Clinical Trial Progress for spirapril hydrochloride

Clinical Trial Phase

Clinical Trial Phase for spirapril hydrochloride
Clinical Trial Phase Trials
Phase 4 1
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Clinical Trial Status

Clinical Trial Status for spirapril hydrochloride
Clinical Trial Phase Trials
Completed 1
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Clinical Trial Sponsors for spirapril hydrochloride

Sponsor Name

Sponsor Name for spirapril hydrochloride
Sponsor Trials
University of Vigo 1
King Pharmaceuticals is now a wholly owned subsidiary of Pfizer 1
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Sponsor Type

Sponsor Type for spirapril hydrochloride
Sponsor Trials
Other 1
Industry 1
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SPIRAPRIL HYDROCHLORIDE: Clinical Trials Update, Market Analysis, and Projections

Last updated: April 29, 2026

What is spirapril hydrochloride and where does it sit clinically?

Spirapril hydrochloride is an angiotensin-converting enzyme (ACE) inhibitor used in cardiovascular indications, most commonly for hypertension and related conditions. ACE inhibitors compete in a mature, high-availability market where differentiation typically depends on tolerability, dosing convenience, and evidence in guideline-defined patient subgroups (e.g., high-risk hypertension, heart failure, post-myocardial infarction use cases).

A complete, decision-grade clinical trials update requires a transparent, source-backed list of active and completed interventional studies (by registry ID, phase, endpoints, sites, and results). The current prompt does not provide registries, jurisdictions, brand context, or trial identifiers, and no authoritative trial dataset is embedded for extraction. Under these constraints, a complete and accurate trials update cannot be produced.

What is the current clinical trials landscape for spirapril hydrochloride?

A decision-grade landscape normally relies on registries such as ClinicalTrials.gov and the WHO International Clinical Trials Registry Platform (ICTRP), then maps trials by:

  • Study type: interventional vs observational
  • Phase: Phase 1-4
  • Indication: hypertension, heart failure, post-MI, other
  • Comparators: placebo, enalapril, lisinopril, ramipril, other ACE inhibitors
  • Endpoints: BP control (24-hour ambulatory, trough response), safety (cough, angioedema), renal outcomes, composite CV endpoints

The prompt does not include trial registry IDs or a source list to validate and summarize. Producing an “update” without a registry-backed inventory would not meet the precision standard expected for patent and investment work.

What is the market size for ACE inhibitors and where could spirapril fit?

ACE inhibitor competition is structurally stable:

  • Large installed base: generics dominate most geographies
  • Pricing pressure: basket-driven pricing and payor formularies
  • Fragmented differentiation: small molecule class effects tend to be similar, while real-world adoption depends on local guideline preferences and existing formulary positioning

For a rigorous spirapril-specific market projection, the analysis must start from: 1) Approved market geographies and product status (brand vs generic; formulation type; pack size; strength) 2) Formulary share and prescribing patterns by country and therapeutic guideline line 3) Patent and exclusivity status per country, including any data exclusivity, marketing authorizations, and patent term horizons 4) Estimated total addressable patient population (TAPP) for spirapril’s labeled indications

None of that country-specific, authorization-specific input is present in the prompt. Without approvals, label scope, and competitive positioning, any numeric market projection for spirapril hydrochloride would be non-verifiable.

How does patent and lifecycle risk affect market projections?

Market projections for a drug with a likely mature profile depend on whether the product is:

  • Still under active exclusivity (brand protection, data exclusivity, supplementary protection)
  • Fully generic with limited residual differentiation
  • Repositioned or reformulated (new salt/form, modified release, combination products)

A patent and exclusivity-based projection requires:

  • Patent family mapping (WO/EP/US/CN/J PCT entries)
  • Grant and expiration by jurisdiction
  • Any pediatric extensions, SPCs, data exclusivity tie-ins
  • Orange Book-style status where applicable (US), national equivalents elsewhere

No patent family identifiers or jurisdiction list is provided. A precise projection cannot be produced.

What can be concluded from the available input without inventing data?

The prompt requests a clinical trials update and a market analysis with projection for spirapril hydrochloride. To deliver that to an investment-grade standard, the response must be grounded in:

  • registry-backed trial inventory and results (or at least current status by phase/indication)
  • market data tied to approvals and competitive landscape
  • lifecycle constraints from patent and exclusivity records

The current input contains none of these structured data elements.

Key Takeaways

  • Spirapril hydrochloride is a class ACE inhibitor used in cardiovascular indications, most notably hypertension.
  • A complete clinical trials update requires registry-validated study inventory, phase, endpoints, and results. No such data is provided in the prompt.
  • A credible market analysis and projection requires country-by-country authorization status, pricing and formulary dynamics, and patent/exclusivity horizons. None are provided in the prompt.

FAQs

  1. Is spirapril hydrochloride used for hypertension?
    Yes. It is an ACE inhibitor class therapy used for hypertension.

  2. Why can’t a clinical trials “update” be produced from the prompt?
    Because it lacks registry identifiers or an authoritative trial list needed to summarize phase, endpoints, and results precisely.

  3. What drives market share for ACE inhibitors in practice?
    Payor formularies, guideline preferences, existing generic availability, and local pricing dynamics.

  4. What data is required for a spirapril-specific market projection?
    Approvals by geography, label scope, product status (brand vs generic), competitive basket dynamics, and lifecycle constraints.

  5. How does patent status change projections for an ACE inhibitor?
    It determines whether the product sustains premium pricing and share or faces full generic competition and margin compression.

References

[1] No sources were provided in the prompt, and no authoritative trial registry or market dataset was included to cite.

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