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LY‑2623091 is a selective, orally active, nonsteroidal, competitive mineralocorticoid receptor antagonist developed by Eli Lilly for the treatment of essential hypertension and renal failure. It blocks the actions of aldosterone and other mineralocorticoid receptor ligands at the receptor level. The drug reached phase II clinical trials for essential hypertension but development was discontinued. Its mechanism involves antagonism of the mineralocorticoid receptor (NR3C2), which regulates genes involved in ion and water transport, thereby affecting blood pressure regulation[2][6][3].
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