Clinical Trials

Numerous clinical trials, spanning Phase 1 through Phase 4, evaluate the therapeutic profile of bumetanide across diverse indications, including acute and congestive heart failure, neonatal seizures, hypokalemic periodic paralysis, chronic kidney insufficiency, and autism spectrum disorder. Sponsored by academic centers, research foundations, public health institutes such as NINDS and NIDDK, and industry partners, these studies encompass actively recruiting, completed, and terminated protocols. Together, these evaluations reflect broad clinical interest in assessing bumetanide's diuretic kinetics, safety, and neurodevelopmental potential.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT04766177 RECRUITING
Autism
Sherief Abd-Elsalam
2021-01-01 PHASE3
NCT06941415 RECRUITING
Cirrhosis
Stacy Johnson
2026-06-03 PHASE3
NCT05323487 RECRUITING
Heart Failure
Yale University
2022-06-01 PHASE1
NCT03107416 ACTIVE_NOT_RECRUITING
Unresectable Hepatocellular Carcinoma
Memorial Sloan Kettering Cancer Center
2017-04-05 PHASE1; PHASE2
NCT06052163 RECRUITING
Alzheimer Disease
Stanford University
2023-04-10 PHASE2
NCT07005414 COMPLETED
Autism Spectrum Disorder
Fei Li
2025-06-04 PHASE2
NCT07375212 WITHDRAWN
Heart Failure Congestive
Prisma Health-Upstate
2026-01-21 PHASE4
NCT06218199 RECRUITING
Heart Failure, Congestive
Heart Center Research, LLC
2021-07-08 PHASE4
NCT06465823 RECRUITING
Down Syndrome
Stefano Vicari
2023-01-11 PHASE2
NCT05171686 COMPLETED
Chronic Kidney Disease; Hypertension
VA Office of Research and Development
2023-02-01 PHASE4
NCT06036914 COMPLETED
Heart Failure; With Decompensation
Mayo Clinic
2023-11-27 PHASE2
NCT06362668 COMPLETED
Acute Decompensated Heart Failure
Reprieve Cardiovascular, Inc
2024-05-17
NCT05411991 COMPLETED
Acute Heart Failure; Diuretics Drug Reactions
Vrije Universiteit Brussel
2022-06-12 PHASE4
NCT05753059 Recruiting
Heart Failure
Yale University|National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
2023-08-10 Phase 1
NCT05503511 COMPLETED
Epilepsy; Alzheimer Disease; Epilepsy Intractable
NeuroPro Therapeutics, Inc.
2022-10-20 PHASE1
NCT05323487 Recruiting
Heart Failure
Yale University
2022-06-01 Not Applicable
NCT02593526 TERMINATED
Chronic Kidney Insufficiency
University of New Mexico
2017-01
NCT04697485 WITHDRAWN
HF - Heart Failure; Diabetes Mellitus
Northwestern University
2021-01-08 PHASE4
NCT03715153 TERMINATED
Autism Spectrum Disorder (ASD)
Institut de Recherches Internationales Servier
2018-10-04 PHASE3
NCT03715166 TERMINATED
Autism Spectrum Disorder (ASD)
Institut de Recherches Internationales Servier
2018-09-24 PHASE3
NCT03899324 UNKNOWN
Parkinson Disease
B&A Therapeutics
2019-04-26 PHASE2
NCT02546583 COMPLETED
Heart Failure
Yale University
2015-08-31 PHASE1
NCT02947880 WITHDRAWN
Autistic Disorder
University Hospital, Limoges
2016-12 PHASE2
NCT03923933 COMPLETED
Renal Insufficiency, Chronic
Hospital General de México Dr. Eduardo Liceaga
2019-06-18 PHASE2
NCT03709160 UNKNOWN
Heart Failure; Congestive Heart Failure
Centro en Insuficiencia Cardiaca, Mexico
2018-10-15 PHASE4
NCT03156153 COMPLETED
Autism Spectrum Disorder
Xinhua Hospital, Shanghai Jiao Tong University School of Medicine
2017-05-24 PHASE2
NCT00830531 COMPLETED
Seizures
Soul, Janet , M.D.
2010-01 PHASE1
NCT02582476 TERMINATED
Hypokalemic Periodic Paralysis
University College, London
2015-01 PHASE2
NCT02582476 Terminated
Hypokalemic Periodic Paralysis
University College London
2015-01 Phase 2
NCT01434225 COMPLETED
Neonatal Seizures
Great Ormond Street Hospital for Children NHS Foundation Trust
2011-08 PHASE1; PHASE2
NCT01457053 TERMINATED
Acute Decompensated Heart Failure
University of Cincinnati
2011-11
NCT00372762 WITHDRAWN
Heart Failure
London Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph's
2011-01 PHASE3
NCT01078714 COMPLETED
Autistics Children
University Hospital, Brest
2010-03 PHASE3
NCT00830531 Completed
Seizures
Soul Janet M.D.|Citizens United for Research in Epilepsy|Harvard Catalyst- Harvard Clinical and Translational Science Center|Translational Research Program Boston Children''s Hospital|Charles H. Hood Foundation|National Institute of Neurological Disorders and Stroke (NINDS)|Mooney Family Initiative for Translational Studies in Rare Diseases Boston Children''s Hospital
2010-01 Phase 1
NCT00930865 COMPLETED
Type 2 Diabetes Mellitus
AstraZeneca
2009-07 PHASE1
NCT00930865 Completed
Type 2 Diabetes Mellitus
AstraZeneca|Bristol-Myers Squibb
2009-07 Phase 1

(data from https://clinicaltrials.gov, updated on 2021-02-23)

Check the Bumetanide product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Bumetanide selectively binds to and inhibits the sodium-potassium-chloride cotransporter 1 (NKCC1) with secondary activity against NKCC2, thereby blocking intracellular chloride influx and altering transmembrane electrolyte gradients. This ion transport blockade disrupts cellular volume regulation and neuronal intracellular chloride homeostasis, promoting renal diuresis and mitigating pathological cell hyperexcitability in clinical contexts such as heart failure and seizure disorders.

Appendix RUO and cGMP Quality Standards

Quality Dimension RUO (Research Use Only) cGMP (Current Good Manufacturing Practice)
Clinical Applicability Prohibited in human clinical trials or medical diagnostics. Mandatory for human clinical trials (Phase I–III) and therapies.
Regulatory Status Non-regulated grade; exempt from drug manufacturing laws. Legally enforced by health authorities (e.g., FDA, EMA, NMPA).
Facility Environment Unclassified analytical or research laboratories. Validated Cleanrooms (ISO Class 5–8) with continuous monitoring.
Quality Control Basic purity and activity testing. Rigorous safety release testing (Sterility, Endotoxin, Mycoplasma).
Process Validation Basic equipment calibration; no process validation required. Full qualification (IQ/OQ/PQ) and complete batch records.
Quality Assurance Vendor self-declared without required formal QMS. Mandatory QA/QC unit, Change Control, CAPA, and vendor audits.
Regulatory Impact High risk of IND rejection if used as a critical raw material. Required for IND/NDA filings, supported by Drug Master Files (DMF).

Footnotes

Regulatory Note: Governed by FDA (21 CFR Parts 210/211/312), EMA (EudraLex Vol 4), ICH Guidelines (E6/Q7/Q9/Q10), and compendial standards (USP <71>/<85>/<1043>).

Note: Technical data last updated: Sep 1, 2026.