Spironolactone

Evidence Level: L5 Predicted Indications: 53

Quick Overview

Item Value
Drug Name Spironolactone
DrugBank ID DB00421
Brand Names (EU) Qaialdo
Evidence Level L5
Predicted Indications 53
Top Prediction Score 99.26%

Approved Indication (EMA)

In the management of refractory oedema associated with congestive cardiac failure; hepatic cirrhosis with ascites and oedema, malignant ascites, nephrotic syndrome, diagnosis and treatment of primary aldosteronism, essential hypertension. Neonates, children and adolescents should only be treated under guidance of a paediatric specialist (see sections 5.1 and 5.2). 


Predicted New Indications

TxGNN model predictions for potential drug repurposing:

Rank Indication Score Source
1 hypotrichosis simplex of the scalp 99.26% DL
2 congenital hypotrichosis milia 99.04% DL
3 diffuse alopecia areata 98.41% DL
4 alopecia 97.83% DL
5 hypertensive disorder 97.75% DL
6 malignant hypertensive renal disease 97.54% DL
7 malignant renovascular hypertension 97.54% DL
8 pulmonary hypertension owing to lung disease and/or hypoxia 97.33% DL
9 pulmonary hypertension with unclear multifactorial mechanism 97.33% DL
10 Braddock syndrome 96.64% DL
11 chronic pulmonary heart disease 95.55% DL
12 Waterhouse-Friderichsen syndrome 85.58% DL
13 primary hereditary glaucoma 84.05% DL
14 acute pulmonary heart disease 81.18% DL
15 pregnancy associated osteoporosis 78.56% DL
16 Worth syndrome 75.84% DL
17 autosomal dominant neovascular inflammatory vitreoretinopathy 75.68% DL
18 open-angle glaucoma 74.40% DL
19 congestive heart failure 74.04% DL
20 postmenopausal osteoporosis 73.28% DL

Showing top 20 of 53 predictions.


About TxGNN Predictions

Prediction Sources

Source Description
KG Knowledge Graph - Network topology-based associations
DL Deep Learning - Neural network score prediction

Evidence Levels

Level Definition
L1 Multiple Phase 3 RCTs / Systematic Reviews
L2 Single RCT or multiple Phase 2 trials
L3 Observational studies / Large case series
L4 Preclinical / Mechanistic / Case reports
L5 AI prediction only (current)

Clinical Validation Needed

Research Use Only: These predictions are computational hypotheses that require clinical validation. They should NOT be used for clinical decision-making.

Next Steps for Validation

  1. Literature Review: Search PubMed for existing evidence
  2. Clinical Trial Search: Check ClinicalTrials.gov for ongoing studies
  3. Mechanistic Analysis: Evaluate biological plausibility
  4. Preclinical Studies: Conduct in vitro/in vivo validation
  5. Clinical Trials: Design and conduct human studies

Data Access


Citation

If using this data, please cite:

@article{huang2023txgnn,
  title={A foundation model for clinician-centered drug repurposing},
  author={Huang, Kexin and others},
  journal={Nature Medicine},
  year={2023},
  doi={10.1038/s41591-023-02233-x}
}

Disclaimer: This report is for research purposes only and does not constitute medical advice. Drug repurposing predictions require rigorous clinical validation before any therapeutic application.

Copyright © 2026 EuTxGNN Project. For research purposes only. Not medical advice.