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Apararenone is a nonsteroidal, highly selective mineralocorticoid receptor antagonist (MRA) developed by Mitsubishi Tanabe Pharma. It acts as an antagonist of the mineralocorticoid (aldosterone) receptor, with high selectivity and potency. Apararenone was primarily investigated for the treatment of diabetic nephropathies and non-alcoholic steatohepatitis (NASH), with previous development also targeting hypertension. The drug is administered orally and has demonstrated a long half-life in clinical studies. Development for all indications appears to have been discontinued after reaching phase I/II trials[1][3][4][7].
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