Status:

COMPLETED

A Study to Investigate the Efficacy and Safety of Baxdrostat in Participants With Uncontrolled Hypertension on Two or More Medications Including Participants With Resistant Hypertension

Lead Sponsor:

AstraZeneca

Conditions:

Uncontrolled Hypertension

Resistant Hypertension

Eligibility:

All Genders

18-130 years

Phase:

PHASE3

Brief Summary

This is a Phase III, multicentre, randomised, double-blinded, placebo-controlled, parallel group study to evaluate the safety, tolerability and effect of 1 or 2 mg baxdrostat versus placebo, administe...

Eligibility Criteria

Inclusion

  • Male or female participants must be ≥ 18 years old
  • Mean sitting systolic blood pressure on automated office blood pressure measurement ≥ 140 mmHg and \< 170 mmHg at Screening
  • Fulfil at least 1 of the following 2 criteria:
  • uHTN subpopulation: have a stable regimen of 2 antihypertensive medications, from different therapeutic classes (at least one must be a diuretic), at maximum tolerated dose in the judgement of the Investigator
  • rHTN subpopulation: have a stable regimen of ≥ 3 antihypertensive medications, from different therapeutic classes (at least one must be a diuretic), at maximum tolerated dose in the judgement of the Investigator
  • Estimated glomerular filtration rate ≥ 45 mL/min/1.73m2 at Screening
  • Serum potassium (K+) level ≥ 3.5 and \< 5.0 mmol/L at Screening
  • Randomisation Criterion:
  • Sitting systolic blood pressure on attended automated office blood pressure measurement of ≥ 135 mmHg at the Baseline Visit

Exclusion

  • Mean sitting systolic blood pressure on attended automated office blood pressure measurement ≥ 170 mmHg
  • Mean seated diastolic blood pressure on attended automated office blood pressure measurement ≥ 110 mmHg
  • Serum sodium level \< 135 mmol/L at Screening
  • Has the following known secondary causes of hypertension: renal artery stenosis, uncontrolled or untreated hyperthyroidism, uncontrolled or untreated hypothyroidism, pheochromocytoma, Cushing's syndrome, aortic coarctation
  • New York Heart Association functional heart failure class IV at Screening
  • Persistent atrial fibrillation

Key Trial Info

Start Date :

November 22 2023

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

October 10 2025

Estimated Enrollment :

796 Patients enrolled

Trial Details

Trial ID

NCT06034743

Start Date

November 22 2023

End Date

October 10 2025

Last Update

November 7 2025

Active Locations (263)

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Page 1 of 66 (263 locations)

1

Research Site

Saraland, Alabama, United States, 36571

2

Research Site

Scottsdale, Arizona, United States, 85054

3

Research Site

Sun City West, Arizona, United States, 85375

4

Research Site

Surprise, Arizona, United States, 85374