OncoSignal
Live from Open Targets Platform, fetched 2026-11-11 18:12 UTC. Every row links to its source record.

SLC12A3 solute carrier family 12 member 3

ENSG00000070915 · protein coding · Open Targets profile

Electroneutral sodium and chloride ion cotransporter, which acts as a key mediator of sodium and chloride reabsorption in kidney distal convoluted tubules (PubMed:18270262, PubMed:21613606, PubMed:22009145, PubMed:36351028, PubMed:36792826). Also acts as a receptor for the pro-inflammatory cytokine IL18, thereby contributing to IL18-induced cytokine production, including IFNG, IL6, IL18 and CCL2 (By similarity). May act either independently of IL18R1, or in a complex with IL18R1 (By similarity). {ECO:0000250|UniProtKB:P59158, ECO:0000269|PubMed:18270262, ECO:0000269|PubMed:21613606, ECO:0000269|PubMed:22009145, ECO:0000269|PubMed:36351028, ECO:0000269|PubMed:36792826}.

12 of the 13 drugs recorded against SLC12A3 are approved

Each band is a group of drugs. It runs from the kind of drug on the left to the furthest stage that drug has reached in any disease on the right. Thicker bands mean more drugs.

12 small molecule drugs at Approved: TRICHLORMETHIAZIDE, CHLOROTHIAZIDE, BENZTHIAZIDE, CYCLOTHIAZIDE, HYDROFLUMETHIAZIDE, QUINETHAZONE, METHYCLOTHIAZIDE, POLYTHIAZIDE, BENDROFLUMETHIAZIDE, CHLORTHALIDONE, INDAPAMIDE, METOLAZONE1 small molecule drug at Withdrawn: HYDROCHLOROTHIAZIDESmall molecule 13Approved 12Withdrawn 1

Approved bands are highlighted. Withdrawn means the drug was pulled from the market or from development. A combined phase counts as the later one (Phase 1/2 is shown as Phase 2). Hover a band for the drug names. Source: Open Targets Platform, fetched live.

In 1 of 4 cancers, the evidence for SLC12A3 comes mainly from inherited variants

Each row is a cancer, strongest overall evidence first. The two dots show how strong the inherited (germline) and tumour-mutation (somatic) evidence is; the line between them is the gap.

Inherited (germline) variantsMutations in tumours (somatic)
00.250.50.751luminal A breast carcinomaluminal A breast carcinomaluminal A breast carcinoma: germline 0.45familial hyperaldosteronism type IIfamilial hyperaldosteronism type IIfamilial pancreatic carcinomafamilial pancreatic carcinomapancreatic neoplasmpancreatic neoplasm

Scores run from 0 (no evidence) to 1 (strongest). A missing dot at 0 means Open Targets holds no evidence of that kind. Source: Open Targets Platform, fetched live.

Tractability

Small molecule
Approved Drug, Structure with Ligand, Druggable Family
Antibody
UniProt loc high conf, GO CC high conf, UniProt loc med conf, UniProt SigP or TMHMM
PROTAC
UniProt Ubiquitination, Database Ubiquitination

gnomAD loss of function constraint: o/e 0.8593400120735168 (upper bound 1.0113999843597412). Low values mean loss of function is poorly tolerated, a safety flag for inhibition.

Who runs trials of these drugs

Principal investigators and study chairs on 121 registry trials, updated in the last three years, of the most advanced drugs against SLC12A3 (trichlormethiazide, chlorothiazide, benzthiazide, cyclothiazide, hydroflumethiazide, quinethazone, methyclothiazide, polythiazide, bendroflumethiazide, chlorthalidone, indapamide, metolazone), ranked by Phase 2+ trials. Live from ClinicalTrials.gov.

42 of 103 trials of drugs against SLC12A3 have sites only in United States

Registry trials of trichlormethiazide, chlorothiazide, benzthiazide, cyclothiazide, hydroflumethiazide, quinethazone, methyclothiazide, polythiazide, bendroflumethiazide, chlorthalidone, indapamide, metolazone updated in the last three years, counted by the country group of their listed sites. A trial with sites in several groups counts in each; 95 of 103 have all sites in one country.

Sites only in this groupSites here and elsewhere
United StatesUnited States: 42 trials with sites only hereUnited States: 4 trials with sites here and elsewhere46ChinaChina: 6 trials with sites only hereChina: 1 trials with sites here and elsewhere7EuropeEurope: 18 trials with sites only hereEurope: 5 trials with sites here and elsewhere23OtherOther: 31 trials with sites only hereOther: 6 trials with sites here and elsewhere37

Site counts are not patients per country, and trials registered only outside ClinicalTrials.gov are not covered. Where sites are is a fact about the record, not a judgement of its quality. Europe is the EU and EEA, the UK and Switzerland. 18 trials list no sites and are left out. Source: ClinicalTrials.gov, fetched live.

55 trials of drugs against SLC12A3 were stopped early; 6 give no reason

Terminated, withdrawn and suspended interventional trials of trichlormethiazide, chlorothiazide, benzthiazide, cyclothiazide, hydroflumethiazide, quinethazone, methyclothiazide, polythiazide, bendroflumethiazide, chlorthalidone, indapamide, metolazone, newest update first, live from ClinicalTrials.gov. Each reason is quoted exactly as the registry gives it; we do not sort reasons into safety, efficacy or business. Dates are the last registry update. Showing the 25 most recent of 55.

  • terminated · 2026-07-14 · The University of Texas Medical Branch, Galveston · Hydrochlorothiazide 50mg Tablet
    “Futility of the study”
  • terminated · 2026-05-08 · University of Alberta · Chlorthalidone
    “Personnel/staffing issues.”
  • terminated · 2026-01-13 · University of California, San Francisco · Anti-hypertensive agent: Chlorthalidone
    “Funding limitations.”
  • withdrawn · 2025-12-08 · EMS · Olmesartan Medoxomil 20mg + Chlorthalidone 12,5mg, Olmesartan 20mg + hydrochlorothiazide 12,5mg
    “Decided by Sponsor”
  • withdrawn · 2025-12-08 · EMS · Olmesartan medoxomil 40mg + chlorthalidone 12,5mg, Olmesartan medoxomil 40mg + chlorthalidone 25mg, Olmesartan 40mg + Hydrochlorothiazide 12,5mg, Olmesartan 40mg + Hydrochlorothiazide 25mg
    “Decided by Sponsor”
  • terminated · 2025-06-05 · Stanford University · Metolazone
    “Lack of resources”
  • terminated · 2025-02-14 · Stadtspital Zürich · Metolazone
    “Low recruitment in both centers”
  • terminated · 2024-07-29 · University of Iowa · Hydrochlorothiazide
    “Funding ended”
  • terminated · 2024-02-28 · Penn State University · Hydrochlorothiazide
    “COVID shut down human subjects research and then the grant funding expired”
  • terminated · 2023-10-24 · Novartis · Benazepril/hydrochlorothiazide 20/12.5 mg - Dose Level 1 from Day 1 to Month 1, Benazepril/hydrochlorothiazide 40/12.5 mg - Dose Level 2 from Month 1 to Month 2, Benazepril/hydrochlorothiazide 40/25 mg - Dose Level 3 from Month 2 to Month 3 and thereafter
    “The study was terminated early because of significant efficacy results for the primary endpoint in favor of benazepril/amlodipine treatment.”
  • withdrawn · 2023-10-13 · Northwestern University · Chlorthalidone
    “Screened participants did not meet inclusion criteria prior to study completion date”
  • withdrawn · 2023-05-03 · Ochsner Health System · Furosemide plus Chlorothiazide
    No reason given
  • terminated · 2023-04-14 · Gary L. Pierce · Hydrochlorothiazide
    “Funding expired”
  • withdrawn · 2022-12-01 · Scripps Health · Metolazone
    “no participants enrolled”
  • suspended · 2022-07-27 · EMS · Indapamide / Losartan
    “Substancial amendment”
  • withdrawn · 2022-07-27 · EMS · Indapamide SR 1.5 MG
    “Sponsor decision”
  • withdrawn · 2021-12-15 · University Hospital Tuebingen · Hydrochlorothiazide 25 mg
    “change in sponsor”
  • withdrawn · 2021-12-09 · VA Office of Research and Development · matched by the registry's drug synonyms
    “The project has ended prior to beginning.”
  • terminated · 2021-10-22 · University of Maryland, Baltimore · Metolazone 60 minutes prior to furosemide, Metolazone concurrently with furosemide
    “Insufficient rate of patient enrollment/accrual.”
  • withdrawn · 2021-08-30 · Ramona Gelzer Bell · matched by the registry's drug synonyms
    “Due to low enrollment, COVID-19 pandemic causing suspension of most outpatient elective procedures, and no protected research time, Dr. Gelzer Bell is unable to continue this study.”
  • terminated · 2021-05-25 · The George Institute · telmisartan 20 mg + amlodipine 2.5mg + indapamide 1.25mg
    “Not feasible to continue”
  • terminated · 2021-04-01 · The George Institute · telmisartan 20mg + amlodipine 2.5mg +indapamide 1.25mg
    “Contractual and financial issues.”
  • withdrawn · 2021-02-24 · EMS · matched by the registry's drug synonyms
    “The design of this protocol was rewritten due to regulatory recommendations.”
  • terminated · 2021-02-16 · University of Virginia · Metolazone Oral Tablet, Chlorothiazide Injection
    “Low enrollment”
  • withdrawn · 2021-02-04 · Cedars-Sinai Medical Center · matched by the registry's drug synonyms
    “Due to the Pandemic, we decided to end this study.”
Paediatric incentives and obligations for SLC12A3's drugs

For trichlormethiazide, chlorothiazide, benzthiazide, cyclothiazide, hydroflumethiazide, quinethazone, methyclothiazide, polythiazide, bendroflumethiazide, chlorthalidone, indapamide, metolazone: what EMA and FDA publish about paediatric plans, orphan status and pediatric approvals, and how many registered studies take children. Each line is a yes, no or not published fact from the record linked under it; none of it is a forecast.

  • EU paediatric investigation plan: yes · EMEA-003600-PIP01-24 (Indapamide;ramipril, Treatment of hypertension): W: decision granting a waiver in all age groups for all conditions or indications, 17 Jul 2024; EMEA-003498-PIP01-23 (ramipril;Indapamide, Treatment of hypertension): W: decision granting a waiver in all age groups for all conditions or indications, 1 Dec 2023; EMEA-003401-PIP01-23 (Candesartan cilexetil;Indapamide, Treatment of hypertension): W: decision granting a waiver in all age groups for all conditions or indications, 14 Jun 2023; EMEA-003372-PIP01-22 (ramipril;Indapamide, Treatment of hypertension): W: decision granting a waiver in all age groups for all conditions or indications, 12 May 2023; +18 more
    Rule: An EMA PIP decision (agreement, modification or waiver) lists the drug as its active substance, exact name. Source: EMA data download (dated snapshot), 2026-11-11
  • EU orphan designation: no · No EU orphan designation names trichlormethiazide, chlorothiazide, benzthiazide, cyclothiazide, hydroflumethiazide, quinethazone, methyclothiazide, polythiazide, bendroflumethiazide, chlorthalidone, indapamide, metolazone
    Rule: An EU orphan designation lists the drug as its active substance (exact name) or belongs to a medicine that does; withdrawn and expired designations are listed with their status. Source: EMA data download (dated snapshot), 2026-11-11
  • Authorised in the EU: no · EMA lists no centrally authorised medicine of trichlormethiazide, chlorothiazide, benzthiazide, cyclothiazide, hydroflumethiazide, quinethazone, methyclothiazide, polythiazide, bendroflumethiazide, chlorthalidone, indapamide, metolazone
    Rule: An EMA medicine record lists the drug as its active substance or INN, exact name; national-only authorisations are not in this file. Source: EMA data download (dated snapshot), 2026-11-11
  • FDA orphan designation: not published · FDA's orphan designation database turns away automated requests, so this app does not read it; search it by hand at the link
    Rule: Would be: an FDA orphan designation names the drug. Source: FDA orphan designations search
  • FDA pediatric oncology approval: no · FDA's table lists no pediatric approval of trichlormethiazide, chlorothiazide, benzthiazide, cyclothiazide, hydroflumethiazide, quinethazone, methyclothiazide, polythiazide, bendroflumethiazide, chlorthalidone, indapamide, metolazone
    Rule: FDA's Pediatric Oncology Drug Approvals table names the drug. Source: FDA Pediatric Oncology Drug Approvals (content current as of 2026-03-03), 2026-11-11
  • Registered studies open to children: yes · 19 interventional studies of trichlormethiazide, chlorothiazide, benzthiazide, cyclothiazide, hydroflumethiazide, quinethazone, methyclothiazide, polythiazide, bendroflumethiazide, chlorthalidone, indapamide, metolazone include patients under 18; 0 are recruiting, not yet recruiting or active
    Rule: The registry's age group includes Child (birth to 17 years), which also counts studies that set no minimum age. Source: ClinicalTrials.gov search, 2026-11-11

Rare pediatric disease voucher. FDA, content current as of 29 Apr 2026: “As of February 3, 2026, enactment of the Consolidated Appropriations Act, 2026, the rare pediatric disease PRV program will sunset after September 30, 2029. FDA may not award any PRVs under this program after September 30, 2029.” Voucher sale prices are not shown here; they appear only as company-reported news. FDA: Rare Pediatric Disease Designation and Priority Review Voucher Programs

All 13 drugs and clinical candidates as a table

Each drug, stage and indication links to its Open Targets record, where the trials and approvals behind it are listed. Salt forms (for example a mesylate) are listed as Open Targets records them, as separate entries.

DrugTypeHighest stageIndicationsSource records
TRICHLORMETHIAZIDESmall moleculeapprovalhypertensive disorder, cardiovascular disorderOpen Targets · ChEMBL
CHLOROTHIAZIDESmall moleculeapprovaledema, glomerulonephritis, nephrotic syndrome, preeclampsia, congestive heart failure, chronic kidney disease, hypertensive disorder, cardiovascular disorder, +3 moreOpen Targets · ChEMBL
BENZTHIAZIDESmall moleculeapprovalhypertensive disorderOpen Targets · ChEMBL
CYCLOTHIAZIDESmall moleculeapprovalcardiovascular disorder, congestive heart failureOpen Targets · ChEMBL
HYDROFLUMETHIAZIDESmall moleculeapprovalcardiovascular disorder, congestive heart failure, hypertensive disorderOpen Targets · ChEMBL
QUINETHAZONESmall moleculeapprovalcardiovascular disorder, hypertensive disorderOpen Targets · ChEMBL
METHYCLOTHIAZIDESmall moleculeapprovalcardiovascular disorder, edema, hypertensive disorderOpen Targets · ChEMBL
POLYTHIAZIDESmall moleculeapprovalcardiovascular disorder, edema, hypertensive disorderOpen Targets · ChEMBL
BENDROFLUMETHIAZIDESmall moleculeapprovalhypertensive disorder, cardiovascular disorder, stroke disorder, heart failure, left ventricular hypertrophyOpen Targets · ChEMBL
CHLORTHALIDONESmall moleculephase 4hypertensive disorder, chronic kidney disease, cardiovascular disorder, glomerulonephritis, congestive heart failure, preeclampsia, nephrotic syndrome, angina pectoris, +9 moreOpen Targets · ChEMBL
INDAPAMIDESmall moleculephase 4hypertensive disorder, congestive heart failure, preeclampsia, cardiovascular disorder, essential hypertension, multiple sclerosis symptom measurementOpen Targets · ChEMBL
METOLAZONESmall moleculephase 4congestive heart failure, hypertensive disorder, preeclampsia, cardiovascular disorder, edema, heart failure, chronic kidney disease, HypernatremiaOpen Targets · ChEMBL
HYDROCHLOROTHIAZIDESmall moleculewithdrawalhypertensive disorder, chronic kidney disease, edema, myocardial infarction, nephrotic syndrome, congestive heart failure, glomerulonephritis, cirrhosis of liver, +34 moreOpen Targets · ChEMBL