Nesiritide

Also known as: Natrecor

Approved, discontinued

Last verified: October 30, 2026

At a glance

FDA approval Approved, discontinued 1 application
Randomized controlled trials 87 of 565 publications on PubMed
Registered clinical trials 289 36 active
Adverse event reports 405 331 classified as serious
  • Nesiritide was approved by the FDA (Natrecor, August 10, 2001), but the products are no longer marketed.
  • PubMed lists 565 publications mentioning it, including 87 randomized controlled trials and 9 animal-only studies.
  • ClinicalTrials.gov lists 289 registered studies testing it (36 active).
  • FDA's adverse event system (FAERS) holds 405 reports mentioning it; 331 classified as serious. Reports do not prove causation.

Research topics

  • Heart Failure 142
  • Natriuretic Peptide, Brain 120
  • Natriuretic Agents 80
  • Acute Disease 60
  • Prognosis 28
  • Hospitalization 24
  • Vasodilator Agents 21
  • Diuretics 19
  • Stroke Volume 19
  • Kidney 18

Most frequent MeSH subject headings in the latest PubMed records (English, as indexed).

Regulatory status

Drugs@FDA applications

Application Product Status First approval Sponsor
NDA020920 NATRECOR Approved, discontinued August 10, 2001 SCIOS LLC

Source: Drugs@FDA (openFDA) · verified October 30, 2026 · API query

FDA compounding safety list

Not on FDA's list of bulk drug substances that may present significant safety risks in compounding.

Source: FDA.gov — Category 2 bulk drug substances · verified October 30, 2026

Removal of a substance from a regulatory list does not mean it has been approved. A "research use only" label does not make a product safe or legal for human use.

Scientific publications

  • All publications 565
  • Human (MeSH) 505
  • Animal only 9
  • Clinical trials 99
  • Randomized controlled trials 87
  • Systematic reviews & meta-analyses 18
  • Case reports 35
  • Retracted 0

Counts are PubMed records that mention the peptide in the title or abstract. Categories overlap, and a mention is not the same as testing the peptide as a treatment. Each number opens the exact PubMed search. Effects seen in laboratory or animal studies may not occur in humans. A registered clinical trial does not show that a substance is effective or safe.

Latest publications

Source: PubMed (NCBI) · verified October 30, 2026

Clinical trials

Registered
289
Active
36
With posted results
35

Conditions studied

  • Heart Failure 52
  • Congestive Heart Failure 21
  • Heart Failure, Congestive 13
  • Hypertension 10
  • Acute Heart Failure 6
  • Sepsis 6
  • Obesity 6
  • Breast Cancer 6
  • Atrial Fibrillation 6
  • Cardiopulmonary Bypass 5
  • Cardiovascular Diseases 5
  • Pulmonary Hypertension 5
Study Status Phase Start
Biomarker Testing to Predict Radiation-Related Heart Disease in Lung Cancer Patients
NCT07869329 Duke University
Not yet recruiting N/A Nov 2026
Right Heart Injury Monitoring on ECMO
NCT07880730 Papworth Hospital NHS Foundation Trust
Not yet recruiting — Nov 2026
Boston Medical Center Ultrasound Decongestion Study in Heart Failure
NCT07096726 Boston Medical Center
Not yet recruiting N/A Nov 2026
Right Ventricular Afterload Indices in Lung Surgery
NCT07812207 University of Glasgow
Not yet recruiting — Oct 2026
rhBNP for Prevention of Cardiac Surgery-Associated Acute Kidney Injury (CSA-AKI)
NCT07617675 China National Center for Cardiovascular Diseases
Not yet recruiting Phase 4 May 1, 2026
PRIMARY-HF: Heart Failure Screening in Primary Care Using Point-of- Care
NCT07711821 Universidade do Porto
Recruiting N/A March 23, 2026
Recombinant Human Brain Natriuretic Peptide for the Recovery Stage of Septic Shock
NCT06745206 Sichuan Provincial People's Hospital
Not yet recruiting N/A Dec 2025
Prospective Evaluation of AI-ECG for SHD Detection
NCT07057466 Imperial College London
Recruiting — November 4, 2025
Subclinical Myocardial Dysfunction in Children With Wilson's Disease
NCT07765472 Hebatullah Fawzy
Active, not recruiting — October 1, 2025
AQT90 FLEX NTproBNP (N-terminal Pro-brain Natriuretic Peptide) 2 Test Kit - Clinical Evaluation Study Protocol - China
NCT07208877 Radiometer Medical ApS
Not yet recruiting — Oct 2025
Show 40 more studies
Study Status Phase Start
Right Ventricular Function Changes After CIED Implantation: The RIGHT-CIED Study
NCT07272395 Istanbul University - Cerrahpasa
Recruiting — August 15, 2025
Evaluation of the Efficacy of rhBNP in Patients With Diuretic Resistance After Cardiac Surgery
NCT07086287 The First Affiliated Hospital of Anhui Medical University
Not yet recruiting N/A August 1, 2025
Effect of Losartan on the Neurohumoral Axis and Ventricular Remodeling of Patients With Severe Aortic Regurgitation Undergoing Valve Surgery.
NCT07099859 Vitor Emer Egypto Rosa
Recruiting Phase 4 July 1, 2025
AQT90 FLEX NTproBNP (N-terminal Pro-brain Natriuretic Peptide) 2 Test Kit - Reference Interval Study Protocol - China
NCT06963619 Radiometer Medical ApS
Not yet recruiting — May 2025
Cardiovascular Health in Adult Patients With Cancer Exposed to Cardiotoxic Therapies
NCT06664528 Fondazione Policlinico Universitario Agostino Gemelli IRCCS
Recruiting — February 28, 2025
Evaluation of the Role of Brain Natriuretic Peptide in Acute Coronary Syndrome .
NCT06734416 Assiut University
Not yet recruiting — January 1, 2025
Utilising AI Analysis of Sounds To prEdict heaRt failurE decOmpensation
NCT06555757 Cambridge University Hospitals NHS Foundation Trust
Recruiting — September 18, 2024
Soluble ST2 in Patients With Heart Failure"
NCT06426368 Assiut University
Not yet recruiting — July 1, 2024
Better Understanding of Fatigue After STroke
NCT06292377 Brugmann University Hospital
Recruiting N/A June 7, 2024
BNP in Pediatric Metabolic Syndrome
NCT07181733 Fondazione IRCCS Policlinico San Matteo di Pavia
Recruiting — May 8, 2024
Multidisciplinary Approach for High Risk Patients Leading to Early Diagnosis of Canadians in Heart Failure
NCT05859048 Cardiology Research UBC
Recruiting N/A March 1, 2024
Study of ALXN2220 Versus Placebo in Adults With ATTR-CM
NCT06183931 Alexion Pharmaceuticals, Inc.
Active, not recruiting Phase 3 January 11, 2024
Identification and Functional Study of Novel Biomarkers for Cardiovascular Diseases
NCT06690684 Ya-Wei Xu
Enrolling by invitation — October 17, 2023
Hospital Register of Decompensated Heart Failure With Preserved Ejection Fraction
NCT06114498 National Medical Research Center for Therapy and Preventive Medicine
Active, not recruiting — September 1, 2023
Screening for earlY Heart Failure Diagnosis and Management in Primary Care or at HOme Using Natriuretic Peptides and echocardiographY "SYMPHONY-HF"
NCT05919342 NHS Greater Glasgow and Clyde
Recruiting N/A December 22, 2022
Targeted Assessment in High-Risk paTients With dIAbetes to ideNtify Undiagnosed Heart Failure
NCT05705869 NHS Greater Glasgow and Clyde
Active, not recruiting N/A December 22, 2022
N-terminal Pro-B-type Natriuretic Peptide (NT-proBNP) in Type 2 Diabetes Mellitus
NCT05745090 Singapore General Hospital
Active, not recruiting — November 10, 2022
Cardiac Function in Swimming-Induced Pulmonary Edema (SIPE)
NCT05391737 Dalarna County Council, Sweden
Recruiting — July 6, 2022
Prediction of Vascular Events After Major Non-Cardiac Surgery : an Observational Prospective Cohort Study
NCT05812248 Nanfang Hospital, Southern Medical University
Recruiting — July 1, 2022
LOng COvid COmorbidities: Endocrine,Metabolic,Neuropsychiatric,Muscle,Cardiovascular,Pulmonary,Dermatologic Dysfunctions
NCT05293366 Federico II University
Recruiting — January 27, 2022
Association of Plasma N-terminal Pro-Brain Natriuretic Peptide Levels With the Burden of Coronary Artery Disease
NCT07013344 IRCCS Ospedale San Raffaele
Recruiting — September 1, 2021
Measurement Of NT-proBNP to Predict Outcomes in Surgery
NCT04014647 Norfolk and Norwich University Hospitals NHS Foundation Trust
Recruiting — September 5, 2019
The Cardiovascular Effect of GLP-1 Agonist, SGLT2 Inhibitor and Their Combination
NCT03878706 University of Athens
Recruiting — November 3, 2017
Evaluation and Management of Heart Failure Patients
NCT03142659 Tel-Aviv Sourasky Medical Center
Recruiting — July 1, 2017
Nesiritide in Hypertension
NCT02608996 Oslo University Hospital
Recruiting Phase 1, Phase 2 Dec 2015
Cardiac Displacement From Third Trimester to Early Childhood
NCT02583763 University Hospital, Linkoeping Results posted
Active, not recruiting — Jan 2013
Diagnostic and Prognostic Role of Troponin and Brain Natriuretic Peptide in Pediatric Patients With Cardiomyopathy in Correlation to Echocardiography Findings
NCT06348732 Assiut University
Unknown status — September 1, 2024
Serial Measurement of Pancreatic Stone Protein (PSP) for Sepsis Early Detection in ICU Patients
NCT07232784 Fapon Biotech Inc.
Completed — July 10, 2024
Evaluation of Volume Status Changes in Children on Regular Hemodialysis at Assiut University Children,s Hospital
NCT06194019 Assiut University
Unknown status — July 1, 2024
REGN5381 in Adult Participants With Heart Failure With Reduced Ejection Fraction
NCT06237309 Regeneron Pharmaceuticals
Terminated Phase 2 April 11, 2024
Venous Excess and Lung Ultrasound During Continuous Kidney Replacement Therapy in Critically Ill Patients
NCT06254703 Chulalongkorn University
Completed — March 1, 2024
Predictive Value of NT-proBNP on MACEs After Acute Coronary Syndrome
NCT06569511 Haseki Training and Research Hospital
Completed — September 1, 2023
Correlation Between Preoperative NT-proBNP and Postoperative AKI
NCT06145347 Xijing Hospital
Completed — July 10, 2023
Comparing the Diagnostic Sensitivity and Specificity of Pleural Fluid N-Terminal Pro B-type Natriuretic Peptide (NT-proBNP) and Other Biochemical Gradient Criteria in Distinguishing Heart Failure and Non-heart Failure Related Pleural Effusions (CENTRE Study)
NCT05797649 Chinese University of Hong Kong
Completed — July 1, 2023
PET/MR in Post Stroke Cardiac Inflammation Study
NCT05791617 Luciano A. Sposato
Terminated — July 1, 2023
VExUS in Patients With Acute Heart Failure
NCT06397404 I.M. Sechenov First Moscow State Medical University
Completed — May 18, 2023
Effect of Recombinant Human Brain Natriuretic Peptide on Ventricular Remodeling and Cardiac Function in Patients With Acute Anterior Myocardial Infraction Undergoing Percutaneous Coronary Intervention
NCT06463808 The First Affiliated Hospital with Nanjing Medical University
Unknown status — May 3, 2023
rhBNP in Type 3 Pulmonary Hypertension
NCT05716984 Shengjing Hospital
Unknown status Phase 4 April 15, 2023
A Cut-off Value Study of N-terminal Brain Natriuretic Peptide (Chemiluminescence Method)
NCT06691477 Beckman Coulter, Inc.
Completed — April 10, 2023
Effect of rhBNP on CMD in Patients With STEMI After PPCI
NCT05723315 Henan Institute of Cardiovascular Epidemiology
Unknown status N/A February 20, 2023

All 289 studies on ClinicalTrials.gov ↗

Source: ClinicalTrials.gov · verified October 30, 2026

Adverse event reports

Reports
405
Serious
331
With death outcome
116

Most reported reactions

  • Hypotension 104
  • Renal failure 67
  • Injury 54
  • Cardiac failure congestive 53
  • Pain 52
  • Anxiety 46
  • Unevaluable event 45
  • Death 43
  • Emotional distress 36
  • Fear 35
  • Renal impairment 34
  • Renal failure acute 31

Adverse event reports do not prove that the substance caused these effects. Side effects not listed here may still occur. Reaction terms are MedDRA terms as reported to FAERS.

Source: FDA FAERS (FAERS data as of July 30, 2026) · verified October 30, 2026 · API query

Change history

No changes since monitoring began on October 30, 2026.