Evidence map›Paper›PMID 40360832›Full record

ReviewHeart failure reviews2025

Bumetanide nasal spray: a novel approach to enhancing diuretic response and advancing ambulatory heart failure care?

Jan Biegus, Beata Ponikowska, Mario Enrico Canonico, Kevin Damman, Alberto Palazzuoli, Andrew P Ambrosy

Abstract readReview
In one paragraph

Review in Heart failure reviews, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Jan BiegusInstitute of Heart Diseases, Wroclaw Medical University, Borowska 213, 50-556, Wroclaw, Poland. jan.biegus@fulbrightmail.org.
Beata PonikowskaDepartment of Pathophysiology, Wroclaw Medical University, Wrocław, Poland.
Mario Enrico CanonicoCPC Clinical Research, Aurora, CO, USA.
Kevin DammanDepartment of Cardiology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Alberto PalazzuoliCardiovascular Diseases Unit, Cardio-Thoracic and Vascular Department, Le Scotte Hospital, University of Siena, Siena, Italy.
Andrew P AmbrosyDepartment of Cardiology, Kaiser Permanente San Francisco Medical Center, San Francisco, CA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Loop diuretics are the cornerstone of managing congestion in heart failure (HF). It is hypothesized that in heavily congested patients, gut edema may lead to lower bioavailability of oral drugs, including diuretics, which, in turn, may lead to insufficient diuresis. Intravenous (IV) loop diuretics are often required to achieve rapid diuresis due to their high plasma concentrations. However, reliance on IV administration limits options in ambulatory settings, where effective rescue therapies are needed. Bumetanide Nasal Spray (BNS) is a novel formulation designed to overcome absorption challenges and provide rapid, high bioavailability through intranasal administration. This mini-review summarizes the results of the recently presented bioavailability study of BNS conducted in healthy individuals, showing its bioequivalence to oral formulations. Lastly, the paper discusses the potential caveats and limitations of the trial and further perspectives.

Indexed as

Ambulatory CareBumetanideDiureticsHeart FailureSodium Potassium Chloride Symporter InhibitorsAdministration, IntranasalBiological AvailabilityHumansNasal SpraysBumetanideDiureticsNasal SpraysSodium Potassium Chloride Symporter InhibitorsBumetanideDecongestionDiureticsLoop diureticsNasal administration

Identifiers

PMID40360832
PMCPMC12296838

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.