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Nesiritide

Nesiritide is recombinant human B-type natriuretic peptide, historically marketed as NATRECOR for selected acute heart-failure symptoms.

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At a glance

Regulatory status
NATRECOR's FDA approval was withdrawn June 15, 2020 after marketing ceased. FDA subsequently determined that withdrawal was not for safety or effectiveness reasons.
Research context
Nesiritide is recombinant human B-type natriuretic peptide, historically marketed as NATRECOR for selected acute heart-failure symptoms.

What this is

  • Nesiritide is recombinant human B-type natriuretic peptide, historically marketed as NATRECOR for selected acute heart-failure symptoms.

What this isn't

  • A recommendation to use, prepare, combine, or administer a product
  • Evidence that a related molecule or a differently formulated product has the same effects

Key terms

Nesiritide is recombinant human B-type natriuretic peptide, historically marketed as NATRECOR for selected acute heart-failure symptoms.

Nesiritide activates natriuretic-peptide receptors and increases cyclic GMP, relaxing blood vessels and lowering cardiac filling pressures. The historical indication concerned acutely decompensated heart failure with dyspnea at rest or minimal activity. A reduction in pressure is a physiological effect, not automatic proof of fewer admissions or longer survival. Historical FDA label.

Evidence limits

How to read the evidence

NATRECOR belongs in a historical clinical reference rather than a list of currently marketed US options. The 2020 Federal Register notice withdrew the application at the applicant's request after discontinuation. A separate 2021 FDA determination found that discontinuation was not for safety or effectiveness reasons; that finding did not restore the withdrawn application or demonstrate commercial availability. Withdrawal notice; subsequent FDA determination.

Sources appraised 2026-10-28. Educational information; not medical advice. Study findings apply to the populations, preparations and outcomes described.

External sources and citations

  1. NATRECOR historical FDA prescribing information
  2. ASCEND-HF randomized outcomes
  3. FDA withdrawal of NATRECOR application, 2020
  4. FDA determination on NATRECOR discontinuation, 2021

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