Status:

RECRUITING

Zilebesiran in Patients With Hypertension Not Adequately Controlled and With Either Established Cardiovascular Disease or High Risk for Cardiovascular Disease

Lead Sponsor:

Alnylam Pharmaceuticals

Collaborating Sponsors:

Hoffmann-La Roche

Conditions:

High Risk Cardiovascular Disease

Hypertension

Eligibility:

All Genders

18+ years

Phase:

PHASE3

Brief Summary

The purpose of this study is to evaluate whether zilebesiran versus placebo reduces the risk of cardiovascular (CV) death, nonfatal myocardial infarction (MI), nonfatal stroke, or heart failure (HF) e...

Eligibility Criteria

Inclusion

  • Is 18 years or older for patients with established cardiovascular disease (CVD)
  • Is 55 years or older for patients with high risk for CVD
  • Has established CVD (defined as coronary, cerebrovascular, or peripheral artery disease) or high risk for CVD
  • Has treated hypertension on stable therapy with at least 2 standard of care antihypertensive medications, one of which must be a thiazide, thiazide-like, or loop diuretic

Exclusion

  • Has known history of secondary hypertension
  • Has symptomatic orthostatic hypotension
  • Has alanine aminotransferase (ALT) or aspartate aminotransferase (AST) \>3×upper limit of normal (ULN)
  • Has total serum bilirubin \>1.5×ULN
  • Has international normalized ratio (INR) \>1.5
  • Has serum potassium \>4.8 mEq/L
  • Has estimated glomerular filtration rate (eGFR) \<30 mL/min/1.73m\^2

Key Trial Info

Start Date :

September 22 2025

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

October 29 2030

Estimated Enrollment :

11000 Patients enrolled

Trial Details

Trial ID

NCT07181109

Start Date

September 22 2025

End Date

October 29 2030

Last Update

November 4 2025

Active Locations (30)

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Page 1 of 8 (30 locations)

1

Clinical Trial Site

Phoenix, Arizona, United States, 85020

2

Clinical Trial Site

Tucson, Arizona, United States, 85741

3

Clinical Trial Site

Little Rock, Arkansas, United States, 72204

4

Clinical Trial Site

Escondido, California, United States, 92025

Zilebesiran in Patients With Hypertension Not Adequately Controlled and With Either Established Cardiovascular Disease or High Risk for Cardiovascular Disease | DecenTrialz