A Study to Investigate the Effect of Baxdrostat on Ambulatory Blood Pressure in Participants With Resistant Hypertension

NCT ID: NCT06168409

Last Updated: 2025-10-03

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

218 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-03-01

Study Completion Date

2025-08-17

Brief Summary

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This is a Phase III, multicenter, randomized, double-blind, placebo-controlled, parallel group study to evaluate the safety, tolerability and the effect of 2 mg Baxdrostat vs. placebo, administered QD orally, on the reduction of SBP, measured by average 24-hour ABPM in 212 participants with rHTN (defined as seated SBP ≥ 140 mmHg at Screening and mean ambulatory SBP ≥ 130 mmHg at baseline, despite a stable regimen of ≥ 3 antihypertensive agents, one of which is a diuretic).

Detailed Description

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This is a Phase III, multicentre, randomised, double-blind, placebo-controlled, parallel group study to evaluate the safety, tolerability and the effect of 2 mg baxdrostat versus placebo, administered once a day (QD) orally, on the reduction of ambulatory SBP in participants with rHTN, defined as BP targets not being achieved in an individual despite the use of at least 3 antihypertensive agents of different classes (at maximum tolerated dose in the judgement of the Investigator), one of which is a diuretic.

Conditions

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Resistant Hypertension

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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2 mg baxdrostat

2 mg baxdrostat administered orally, once daily (QD).

Group Type EXPERIMENTAL

Baxdrostat

Intervention Type DRUG

Baxdrostat tablet administered orally, once daily (QD). Unit dose strength:

• 2 mg per tablet.

Placebo

Placebo administered orally, once daily (QD)

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo tablet matching baxdrostat, administered orally, once daily (QD).

Interventions

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Baxdrostat

Baxdrostat tablet administered orally, once daily (QD). Unit dose strength:

• 2 mg per tablet.

Intervention Type DRUG

Placebo

Placebo tablet matching baxdrostat, administered orally, once daily (QD).

Intervention Type DRUG

Other Intervention Names

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CIN-107

Eligibility Criteria

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Inclusion Criteria

* Participant must be ≥ 18 years old, at the time of signing the informed consent.
* Mean seated SBP on AOBPM of ≥ 140 mmHg and \< 170 mmHg at Screening.
* 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, for at least 4 weeks prior to screening. Beta blockers used to treat other conditions (ie, migraine, HF, coronary artery disease) should not be counted as an antihypertensive medication for the purpose of qualifying for this study.
* Have eGFR ≥ 45 mL/min/1.73 m2 at Screening.
* Serum potassium (K+) level ≥ 3.5 and \< 5.0 mmol/L at Screening, determined as per central laboratory
* Randomization Criteria: mean ambulatory SBP of ≥ 130 mmHg at randomisation.

Exclusion Criteria

* Mean seated SBP on AOBPM ≥ 170 mmHg.
* Mean seated DBP on AOBPM ≥ 110 mmHg.
* Serum sodium level \< 135 mmol/L at Screening, as per central laboratory.
* Participant 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 HF class IV.
* Persistent atrial fibrillation.
Minimum Eligible Age

18 Years

Maximum Eligible Age

130 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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AstraZeneca

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Research Site

Surprise, Arizona, United States

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Hollywood, Florida, United States

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Lake Worth, Florida, United States

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Port Charlotte, Florida, United States

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Fort Wayne, Indiana, United States

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Lexington, Kentucky, United States

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The Bronx, New York, United States

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Greenville, North Carolina, United States

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Jacksonville, North Carolina, United States

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Kinston, North Carolina, United States

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New Bern, North Carolina, United States

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Wilmington, North Carolina, United States

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Langhorne, Pennsylvania, United States

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Brownsville, Texas, United States

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Corpus Christi, Texas, United States

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Lampasas, Texas, United States

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CABA, , Argentina

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CABA, , Argentina

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Capital Federal, , Argentina

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Córdoba, , Argentina

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Lanús Este, , Argentina

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Rosario, , Argentina

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San Miguel de Tucumán, , Argentina

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San Vicente, , Argentina

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Clayton, , Australia

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Perth, , Australia

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Ghent, , Belgium

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Sofia, , Bulgaria

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Sofia, , Bulgaria

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Sofia, , Bulgaria

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Edmonton, Alberta, Canada

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North Vancouver, British Columbia, Canada

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Cambridge, Ontario, Canada

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Toronto, Ontario, Canada

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Waterloo, Ontario, Canada

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Chicoutimi, Quebec, Canada

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Terrebonne, Quebec, Canada

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Benešov, , Czechia

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Brandýs nad Labem, , Czechia

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Broumov, , Czechia

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Louny, , Czechia

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Bad Homburg, , Germany

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Berlin, , Germany

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Frankfurt, , Germany

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Kaiserslautern, , Germany

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Athens, , Greece

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Attica, , Greece

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Thessaloniki, , Greece

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Budapest, , Hungary

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Budapest, , Hungary

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Kalocsa, , Hungary

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Nyíregyháza, , Hungary

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Pécs, , Hungary

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Kota Bharu, , Malaysia

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Muar town, , Malaysia

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Sarawak Miri, , Malaysia

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Angeles City, , Philippines

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Iloilo City, , Philippines

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Bialystok, , Poland

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Gdansk, , Poland

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Krakow, , Poland

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Lodz, , Poland

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Poznan, , Poland

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Warsaw, , Poland

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Riyadh, , Saudi Arabia

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Riyadh, , Saudi Arabia

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Brezno, , Slovakia

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Košice, , Slovakia

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Svidník, , Slovakia

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Cape Town, , South Africa

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Durban, , South Africa

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Barcelona, , Spain

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Barcelona, , Spain

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Madrid, , Spain

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Madrid, , Spain

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Santa Coloma de Gramenet, , Spain

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Terrassa (Barcelona), , Spain

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Valencia, , Spain

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New Taipei City, , Taiwan

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Taipei, , Taiwan

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Taoyuan District, , Taiwan

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Bangkok, , Thailand

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Bangkok, , Thailand

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Bangkok, , Thailand

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Chiang Mai, , Thailand

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Muang, , Thailand

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Adana, , Turkey (Türkiye)

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Ankara, , Turkey (Türkiye)

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Kahramanmaraş, , Turkey (Türkiye)

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Kayseri, , Turkey (Türkiye)

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Odunpazari, , Turkey (Türkiye)

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Corby, , United Kingdom

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London, , United Kingdom

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London, , United Kingdom

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Prescot, , United Kingdom

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Swindon, , United Kingdom

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Thetford, , United Kingdom

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Weston-super-Mare, , United Kingdom

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Yate, , United Kingdom

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Hanoi, , Vietnam

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Ho Chi Minh City, , Vietnam

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Hochiminh City, , Vietnam

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Countries

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United States Argentina Australia Belgium Bulgaria Canada Czechia Germany Greece Hungary Malaysia Philippines Poland Saudi Arabia Slovakia South Africa Spain Taiwan Thailand Turkey (Türkiye) United Kingdom Vietnam

References

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Dwyer JP, Maklad N, Vedin O, Monyak J, Myte R, Chertow GM, Heerspink HJL, Little DJ. Efficacy and Safety of Baxdrostat in Participants with CKD and Uncontrolled Hypertension: A Randomized, Double-Blind, Placebo-Controlled Trial. J Am Soc Nephrol. 2025 Sep 6. doi: 10.1681/ASN.0000000849. Online ahead of print. No abstract available.

Reference Type DERIVED
PMID: 40913594 (View on PubMed)

Other Identifiers

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2023-507640-36-00

Identifier Type: REGISTRY

Identifier Source: secondary_id

D6970C00009

Identifier Type: -

Identifier Source: org_study_id

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