Trial on the Safety and Efficacy of MLS-101 in Patients With Uncontrolled Hypertension

NCT ID: NCT05001945

Last Updated: 2024-01-05

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-07-01

Study Completion Date

2022-10-07

Brief Summary

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A randomized, double-blind, placebo-controlled, dose-ranging, Phase II study to evaluate the safety, efficacy, and tolerability of MLS-101 in Subjects With Uncontrolled Hypertension

Detailed Description

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Conditions

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Hypertension, Renal

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Placebo (Part I)

Placebo tablet(s) by mouth once or twice daily.

Group Type PLACEBO_COMPARATOR

Placebo (Part I)

Intervention Type OTHER

Placebo tablet(s) by mouth once or twice daily.

Dose 1 (Part I)

MLS-101 tablet(s) by mouth once or twice daily.

Group Type EXPERIMENTAL

MLS-101 (Part I)

Intervention Type DRUG

MLS-101 tablet(s) by mouth once or twice daily.

Dose 2 (Part I)

MLS-101 tablet(s) by mouth once or twice daily.

Group Type EXPERIMENTAL

MLS-101 (Part I)

Intervention Type DRUG

MLS-101 tablet(s) by mouth once or twice daily.

Dose 3 (Part I)

MLS-101 tablet(s) by mouth once or twice daily.

Group Type EXPERIMENTAL

MLS-101 (Part I)

Intervention Type DRUG

MLS-101 tablet(s) by mouth once or twice daily.

Placebo (Part II)

Placebo tablet(s) by mouth once daily.

Group Type PLACEBO_COMPARATOR

Placebo (Part II)

Intervention Type OTHER

Placebo tablet(s) by mouth once daily.

Dose (Part II)

MLS-101 tablet(s) by mouth once daily.

Group Type EXPERIMENTAL

MLS-101 (Part II)

Intervention Type DRUG

MLS-101 tablet(s) by mouth once daily.

Interventions

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MLS-101 (Part I)

MLS-101 tablet(s) by mouth once or twice daily.

Intervention Type DRUG

Placebo (Part I)

Placebo tablet(s) by mouth once or twice daily.

Intervention Type OTHER

Placebo (Part II)

Placebo tablet(s) by mouth once daily.

Intervention Type OTHER

MLS-101 (Part II)

MLS-101 tablet(s) by mouth once daily.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Male and nonpregnant, nonlactating female subjects ≥ 18 years of age.
2. Written informed consent Health Insurance Portability and Accountability Act authorization, and local patient privacy required documentation for this study have been obtained
3. Automated office blood pressure (AOBP) with SBP ≥ 130 mm Hg
4. Background antihypertensive treatment of ≥ 2 drugs
5. Serum cortisol ≥ 18 mcg/dL

Exclusion Criteria

1\. Concomitant use of epithelial sodium channel inhibitors or mineralocorticoid receptor antagonists

3\. Subjects with hypokalemia

4\. Subjects with hyperkalemia

5\. Subjects with serum cortisol \< 3 mcg/dL

6\. Subjects with serum sodium \< 135 mEq/L

7\. Subjects with estimated glomerular filtration rate \< 60 mL/min/1.73m2

8\. Subjects with type 1 or uncontrolled (hemoglobin A1c ≥ 9%) type 2 diabetes mellitus

9\. Subjects with body mass index \> 40 kg/m2

10\. Subjects with unstable angina

11\. Subjects with SBP ≥ 175 mm Hg or DBP ≥ 100 mm Hg for Part 1 and SBP ≥ 160 mm Hg or DBP ≥ 100 mm Hg for Part 2 at Pre-Screening, Screening/Start of Placebo Run-in, or Randomization

12\. Subjects with a decrease in SBP ≥ 20 mm Hg or DBP ≥ 10 mm Hg from sitting to standing position at screening

13\. Subjects who, in the opinion of the investigator, have suspected nonadherence to antihypertensive treatment

14\. Subjects who, in the opinion of the investigator, have any major medical illness or symptoms

15\. Subjects who, in the opinion of the investigator, have any acute or chronic medical or psychiatric condition

16\. Subjects undergoing treatment with any of the following medications:

1. Topical corticoids
2. Sympathomimetic decongestants
3. Theophylline
4. Phosphodiesterase type 5 inhibitors
5. NSAIDs
6. Intramuscular steroids
7. Estrogen
8. Cytochromes
9. Strong CYP3A and CYP3A4 inducers

17\. Subjects with known hypersensitivity to MLS-101 or any of the excipients

18\. Subjects who are night-shift workers
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Mineralys Therapeutics Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Site 103

Lincoln, California, United States

Site Status

Site 129

Torrance, California, United States

Site Status

Site 135

Tustin, California, United States

Site Status

Site 131

Clearwater, Florida, United States

Site Status

Site 105

Coral Gables, Florida, United States

Site Status

Site 108

Greenacres City, Florida, United States

Site Status

Site 134

Jupiter, Florida, United States

Site Status

Site 146

Miami, Florida, United States

Site Status

Site 137

Miami, Florida, United States

Site Status

Site 139

Miami, Florida, United States

Site Status

Site 143

Miami, Florida, United States

Site Status

Site 122

Pembroke Pines, Florida, United States

Site Status

Site 102

Tampa, Florida, United States

Site Status

Site 118

Albany, Georgia, United States

Site Status

Site 109

Fayetteville, Georgia, United States

Site Status

Site 125

Lawrenceville, Georgia, United States

Site Status

Site 136

Arlington Heights, Illinois, United States

Site Status

Site 138

Bossier City, Louisiana, United States

Site Status

Site 154

Hammond, Louisiana, United States

Site Status

Site 148

Shreveport, Louisiana, United States

Site Status

Site 114

Slidell, Louisiana, United States

Site Status

Site 116

Jefferson City, Missouri, United States

Site Status

Site 121

St Louis, Missouri, United States

Site Status

Site 123

Las Vegas, Nevada, United States

Site Status

Site 141

Jamaica, New York, United States

Site Status

Site 133

Asheboro, North Carolina, United States

Site Status

Site 113

Charlotte, North Carolina, United States

Site Status

Site 130

Fayetteville, North Carolina, United States

Site Status

Site 140

Greensboro, North Carolina, United States

Site Status

Site 104

Morgantown, North Carolina, United States

Site Status

Site 150

Raleigh, North Carolina, United States

Site Status

Site 153

Cleveland, Ohio, United States

Site Status

Site 115

Rapid City, South Dakota, United States

Site Status

Site 107

Chattanooga, Tennessee, United States

Site Status

Site 120

Kingsport, Tennessee, United States

Site Status

Site 152

Nashville, Tennessee, United States

Site Status

Site 151

Arlington, Texas, United States

Site Status

Site 145

Cypress, Texas, United States

Site Status

Site 132

Dallas, Texas, United States

Site Status

Site 124

McKinney, Texas, United States

Site Status

Site 147

Mesquite, Texas, United States

Site Status

Site 126

Pearland, Texas, United States

Site Status

Site 128

Richland Hills, Texas, United States

Site Status

Site 112

Forest, Virginia, United States

Site Status

Countries

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United States

References

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Laffin LJ, Rodman D, Luther JM, Vaidya A, Weir MR, Rajicic N, Slingsby BT, Nissen SE; Target-HTN Investigators. Aldosterone Synthase Inhibition With Lorundrostat for Uncontrolled Hypertension: The Target-HTN Randomized Clinical Trial. JAMA. 2023 Sep 26;330(12):1140-1150. doi: 10.1001/jama.2023.16029.

Reference Type DERIVED
PMID: 37690061 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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MLS-101-201

Identifier Type: -

Identifier Source: org_study_id

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