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Spirapril is an inhibitor of angiotensin-converting enzyme (ACE; IC50 = 67 nM) and a prodrug form of spiraprilat.1,2 It inhibits the angiotensin I-induced pressor response in rats and dogs with half-maximal inhibitory dose (ID50) values of 16 and 262 µg/kg, respectively.1 Spirapril (5 mg/kg) decreases systolic blood pressure and left ventricular hypertrophy and induces angiogenesis in spontaneously hypertensive rats.2 Formulations containing spirapril have previously been used in the treatment of hypertension and congestive heart failure.
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1. Pharmacologic, metabolic, and toxicologic profile of spirapril (SCH 33844), a new angiotensin converting inhibitor. J. Cardiovasc. Pharmacol. 10 Suppl 7, S105-108 (1987).
2. Spirapril prevents left ventricular hypertrophy, decreases myocardial damage and promotes angiogenesis in spontaneously hypertensive rats. J. Cardiovasc. Pharmacol. 21(3), 362-370 (1993).