HypertensionPhase 3NCT06153693
Efficacy and Safety of Lorundrostat in Subjects With Uncontrolled and Resistant Hypertension
A Phase 3 study testing lorundrostat Dose 1 and lorundrostat Dose 2 in people with Hypertension, run by Mineralys Therapeutics Inc. at 184 sites in 13 countries.
Trial summary
This is a Phase 3 trial to evaluate the BP-lowering effect of lorundrostat (an aldosterone synthase inhibitor) in subjects with uncontrolled and resistant hypertension taking between 2 and 5 anti-hypertensive (AHT) medications. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Hypertension
- What is being tested?
- lorundrostat Dose 1 and lorundrostat Dose 2
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 1,083 participants
- Where
- 184 sitesin 13 countries
- Study dates
- 22 Nov 2023to 24 Jan 2025
- Phase
- Phase 3
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- At least 18 years of age at the time of signing the informed consent form (ICF)
- At Screening and Randomization: AOBP SBP of ≥135 and ≤180 mmHg plus AOBP DBP of ≥65 and ≤110 mmHg, or AOBP DBP of ≥90 and ≤110 mmHg
- Taking between 2 and 5 AHT medications,
- History of hypertension lasting at least 6 months prior to Screening
- Body mass index (BMI) of ≥18 kg/m2 at Screening
Who cannot join
- Women who are pregnant, plan to become pregnant, or are breastfeeding
- Participation in a study involving any investigational device or small-molecule drug within 4 weeks or 6 months for biologic (antibody) drugs prior to the Screening Visit
- eGFR <45 mL/min/1.73m2 at Screening, calculated using the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) formula
- Serum potassium >5.0 mmol/L at Screening or >4.8 mmol/L at Randomization
- Serum sodium <135 mmol/L (corrected for hyperglycemia) at Screening.
- History of heart failure, myocardial infarction, stroke, or transient ischemic attack within 6 months prior to the Screening Visit.
Trial locations and contacts
184 sites in 13 countries.
184 sites in 13 countries
United States87 sites
Advanced Cardiovascular, LLC - Alexander City Office
Alexander City, Alabama, 35010
Randolph Health Internal Medicine/ Triad Internal Medicine
Asheboro, North Carolina, 272205
Morehouse School of Medicine (MSM)
Atlanta, Georgia, 30310-1458
Valley Kidney Specialists PC - Allentown Cedar Crest
Bethlehem, Pennsylvania, 18017
Entertainment Medical Group, Inc.
Beverly Hills, California, 90211
Central Research Associates, Inc
Birmingham, Alabama, 35205
Cardiology, P.C.
Birmingham, Alabama, 35211-1309
Synexus (Radiant Research, Inc) - Alabama - Simon Williamson Clinic Location
Birmingham, Alabama, 35211
Elite Clinical Trials
Blackfoot, Idaho, 83221
Boston Clinical Trials (BCT)
Boston, Massachusetts, 02131
Investigators Research Group LLC
Brownsburg, Indiana, 46112
Burke Internal Medicine
Burke, Virginia, 22015
Diabetes & Endocrinology Associates of Stark County
Canton, Ohio, 44718
Punzi Medical Center and Trinity Hypertension Research Institute
Carrollton, Texas, 75006
Chattanooga Medical Research (CMR), LLC
Chattanooga, Tennessee, 37403
Synexus (Radiant Research, Inc) - Chicago
Chicago, Illinois, 60602
ClinCept, LLC
Columbus, Georgia, 31904
AES Dallas Fort Worth
Dallas, Texas, 75234
Accel Research Sites- Decatur
Decatur, Georgia, 30030
Healthcare Research Network-Chicago, Illinois (Flossmoor) Location
Flossmoor, Illinois, 60422
G & L Research LLC - Foley
Foley, Alabama, 36535
Amicis Research Center - Granada Hills
Granada Hills, California, 91344
Amicis Research Center - Northridge
Granada Hills, California, 91344
East Carolina University (ECU) Physicians - East Carolina Heart Institute - East Carolina University Location
Greenville, North Carolina, 27834
Physicians East, P.A. - Endocrinology
Greenville, North Carolina, 27834
CMR of Greater New Haven
Hamden, Connecticut, 06517
Healthcare Research Network-Hazelwood
Hazelwood, Missouri, 63042
Synexus (Radiant Research, Inc) - Nevada - Rita B. Chuang, MD
Henderson, Nevada, 89052
Indago Research and Health Center
Hialeah, Florida, 33012
Synergy Groups Medical
Houston, Texas, 77036
Juno Research, LLC
Houston, Texas, 77054
Marvel Clinical Research, LLC
Huntington Beach, California, 92647
Rocky Mountain Diabetes Center
Idaho Falls, Idaho, 83404-7596
Franciscan Physician Network
Indianapolis, Indiana, 46237-6345
Clinical Neuroscience Solutions (CNS Healthcare) - Jacksonville
Jacksonville, Florida, 32256
Synexus (Radiant Research, Inc) - New York
Jamaica, New York, 11432
Clinical Research Consultants (CRC) - Kansas City
Kansas City, Missouri, 64111
The Alliance for Multispecialty Research LLC (AMR) - Knoxville (Volunteer Research Group)
Knoxville, Tennessee, 37920
Sierra Clinical Research-Las Vegas
Las Vegas, Nevada, 89106
Georgia Clinical Research Center, Inc
Lawrenceville, Georgia, 30044
Louisville Metabolic and Atherosclerosis Research Center (L-MARC)
Louisville, Kentucky, 40213
Discovery Clinical Trials (DCT) - McAllen
McAllen, Texas, 78503
Clinical Neuroscience Solutions, Inc
Memphis, Tennessee, 38119
Solaris Clinical Research (SCR)
Meridian, Idaho, 83616
ActivMed Practices and Research
Methuen, Massachusetts, 01844
Nuovida Research Center Corp
Miami, Florida, 33175
Synergy Groups Medical - Missouri City
Missouri City, Texas, 35010
Carteret Medical Group - Morehead City
Morehead City, North Carolina, 28557
Koch Family Medicine, S.C.
Morton, Illinois, 61550
ASHA Clinical Research- Munster, LLC
Munster, Indiana, 46321
Lucas Research, Inc. (Diabetes & Endocrinology Consultants PC) (DEC)
New Bern, North Carolina, 28562
North Shore Diabetes and Endocrine Associates (NSDEA) - New Hyde Park
New Hyde Park, New York, 11042-1214
Tulane Doctors - Heart & Vascular - Metairie
New Orleans, Louisiana, 70112-2600
The Alliance for Multispecialty Research LLC (AMR) - Louisiana
New Orleans, Louisiana, 70119
Columbia University
New York, New York, 10032-3725
Synexus (Radiant Research, Inc) - Evansville
Newburgh, Indiana, 47630
Eastern VA Medical School
Norfolk, Virginia, 23501
Lynn Institute of Norman (LION Research)
Norman, Oklahoma, 73072
Amicis Research Center
Northridge, California, 91324
Quality Clinical Research Inc. (QCR) - Omaha
Omaha, Nebraska, 68114
Clinical Neuroscience Solutions (CNS Healthcare) - Orlando Research Center
Orlando, Florida, 32801
AES Orlando
Orlando, Florida, 32806
Pasadena Clinical Trials
Pasadena, California, 91101
Patron Medical - Andres Patron D.O. (Patron Ventures, LLC)
Pembroke Pines, Florida, 33026
Pines Care Research Center, LLC
Pembroke Pines, Florida, 33026
Hattiesburg Clinic - Medisync Clinical Research
Petal, Mississippi, 39465
Preferred Primary Care Physicians - Pleasant Hills - Curry Hollow Rd Location
Pittsburgh, Pennsylvania, 15236
North Texas Family Medicine (NTFM) - Plano Office
Plano, Texas, 75093
Empire Clinical Research (ECR)
Pomona, California, 91767
Progressive Medical Research
Port Orange, Florida, 32127
Renown Regional Medical Center (Washoe Medical Center)
Reno, Nevada, 89502
Clinical Trials Research (CTR) - Sacramento
Sacramento, California, 95821
Global AES - Salt Lake City
Salt Lake City, Utah, 84106
Sun Research Institute (SRI) - San Antonio
San Antonio, Texas, 78215
Discovery Clinical Trials (DCT) - San Antonio
San Antonio, Texas, 78258
North America Research Institute
San Dimas, California, 91773
Northwest Louisiana Nephrology, LLC - Shreveport
Shreveport, Louisiana, 71101
Grace Research, LLC
Shreveport, Louisiana, 71115
Southern Illinois University School of Medicine - SIU Clinics - SIU Internal Medicine
Springfield, Illinois, 62702
Clinical Research of West Florida (CRWF) - Clearwater
Tampa, Florida, 33606
AES The Villages
The Villages, Florida, 32162
Del Sol Research
Tucson, Arizona, 85715
Preferred Primary Care Physicians (PPCP) - Uniontown - Jacob Murphy Lane Location
Uniontown, Pennsylvania, 15401
Amicis Research Center - Valencia
Valencia, California, 91355
Accel Research Sites (ARS) - Birmingham Clinical Research Unit
Vestavia Hills, Alabama, 35216
Chase Medical Research, LLC - Hamden
Waterbury, Connecticut, 06708-3346
Velocity Clinical Research - Salt Lake City (Advanced Clinical Research)
West Jordan, Utah, 84088
Italy15 sites
Istituto Nazionale di Riposo e Cura per Anziani (INRCA)
Ancona, 60127
IRCCS Azienda Ospedaliero-Universitaria di Bologna
Bologna, 40138
Universita degli Studi Di Brescia - Azienda Ospedaliera Spedali Civili di Brescia
Brescia, 251123
Azienda Ospedaliero-Universitaria di Ferrara - Arcispedale Sant'Anna
Ferrara, 44124
IRCCS Ospedale Policlinico San Martino
Genova, 16132
Azienda Sanitaria Locale 1 (ASL 1) - Ospedale Regionale San Salvatore
L’Aquila, 67100
Universita degli Studi di Messina - Azienda Ospedaliera Universitaria Policlinico "Gaetano Martino" - Messina
Messina, 98125
ASST Grande Ospedale Metropolitano Niguarda
Milan, 20162
AOU Policlinico di Modena - UO Cardiologia
Modena, 41121
Azienda Ospedaliera Universitaria (AOU) di Napoli
Naples, 80131
Fondazione IRCCS Policlinico San Matteo, - SC Ematologia, Dipartimento Oncoematologico
Pavia, 27100
Azienda Ospedaliero Universitaria Pisana
Pisa, 56126
Azienda Ospedaliero-Universitaria Sant'Andrea Roma, Centro Ipertensione, UOC di Cardiologia
Roma, Rome, 00189
IRCCS San Raffaele
Rome, 00163
Gruppo Humanitas - Humanitas Research Hospital (Istituto Clinico Humanitas)
Rozzano, Milan, 20089
United Kingdom14 sites
Aberdeen Royal Infirmary
Aberdeen, AB25 2ZN
University Hospitals Birmingham NHS Foundation Trust - Birmingham Regional Severe Asthma Service (BRSAS)
Birmingham, B9 5SS
Cambridge University Hospitals NHS Foundation Trust - Addenbrooke's Hospital (AH)
Canterbury, Kent, CT1 3NG
East Kent Hospitals University NHS Foundation Trust
Canterbury, CT1 3NG
Epsom and St Helier University Hospitals NHS Trust
Carshalton, SM5 1AA
Rowden Surgery Rowden Medical Partnership
Chippenham, SN15 2SB
Fowey River Practice - Fowey Surgery
Fowey, Great Britain, PL23 1DT
NHS Greater Glasgow and Clyde (NHSGGC)
Glasgow, G12 8TA
Queen Mary University of London (QMUL) - Barts and The London School of Medicine and Dentistry - William Harvey Research Institute (WHRI) - William Harvey Heart Centre (WHHC)
London, Great Britain, EC1M 6BQ
Newquay Health Centre
Newquay, TR7 1RU
Knowle House Surgery
Plymouth, Great Britain, PL5 3JB
Sheffield Teaching Hospitals NHS Foundation Trust - Northern General Hospital
Sheffield, S5 7AU
FutureMeds - Stockton-on-Tees
Stockton-on-Tees, TS19 8PE
The Rame Group Practice (Dr. DAVIS & Partners) - Penntorr Health
Torpoint, Great Britain, PL11 2TB
Australia12 sites
Fusion Clinical Research
Adelaide, South Australia
Castle Hill Medical Centre
Castle Hill, New South Wales, 2154
Renal Research - Gosford
Gosford, New South Wales, 2250
Austin Health - Heidelberg Repatriation Hospital
Heidelberg Heights, 3081
Royal Hobart Hospital
Hobart, Tasmania, 7000
Dobney Hypertension Centre/ Royal Perth Hospital
Perth, Western Australia, 6000
University of the Sunshine Coast - Clinical Trials Centre
Sippy Downs, Queensland, 4556
South Coast Renal
Southport, Queensland, 4215
AusTrials - Sunshine
St Albans, VIC 3021
AusTrials - Taringa
Taringa, Queensland, 4068
AusTrials - Wellers Hill
Taringa, Queensland, 4068
University of Newcastle - John Hunter Hospital (JHH)
Waratah, New South Wales, 2298
Germany10 sites
Charite-Universitaetsmedizin Berlin - Campus Benjamin Franklin (CBF)
Berlin, 10117
emovis GmbH
Berlin, 10629
Gemeinscharftspraxis Dres Jung - Deggingen
Deggingen, 73326
kfgn Site Operations & Services GmbH (KFGN) - Klinische Forschung Dresden GmbH (KFDD)
Dresden, Saxony, 01069
kfgn Site Operations & Services GmbH (KFGN) - Klinische Forschung Hannover-Mitte GmbH (KFHM)
Hanover, Lower Saxony, 30159
kfgn Site Operations & Services GmbH (KFGN) - Klinische Forschung Karlsruhe GmbH (KFKA)
Karlsruhe
Herzzentrum Leipzig
Leipzig, Saxony, 04289
Universitaetsklinikum Leipzig - Klinik und Poliklinik fuer Pneumologie
Leipzig, 04103
Pfuetzner Science & Health Institute GmbH (PSHI) - Diabeteszentrum & Praxis
Mainz, Rhineland-Palatinate, 55116
KfH Kuratorium fuer Dialyse und Nierentransplantation e.V. - KfH-Nierenzentrum Klaus-Ketzler-Zentrum
Wiesbaden, 65191
Romania10 sites
Centrul Medical Unirea SRL Brasov (Regina Maria)
Brasov, 500091
Delta Health Care SRL Bucuresti - Spitalul Academic Ponderas (Regina Maria)
Bucharest, 014146
Spitalul Clinic Colentina
Bucharest, 020125
Angiocare S.R.L. (Spitalul Ares Cluj-Napoca)
Cluj-Napoca, 400015
Spitalul Clinic Municipal Filantropia Craiova
Craiova, 200508
Spitalul Clinic Judetean de Urgenta Bihor
Oradea, 410169
Spitalul Clinic Judetean de Urgenta Tg. Mures
Târgu Mureş, Mureș County, 540136
Centrul Medicali's Timisoara
Timișoara, Timiș County, 300362
S.C Materna Care SRL Timisoara (Regina Maria)
Timișoara, 300644
Spitalul Clinic Judetean de Urgenta "Pius Branzeu" Timisoara
Timișoara, 300723
Poland9 sites
Samodzielny Publiczny Szpital Kliniczny im. Andrzeja Mieleckiego Slaskiego Uniwersytetu Medycznego w Katowicach
Katowice, 40-027
Silmedic Sp. z o.o
Katowice, 40-282
Diamond Clinic Specjalistyczne Poradnie Lekarskie
Krakow, Lesser Poland Voivodeship, 31-559
FutureMeds Sp. z o.o. FutureMeds Lodz
Lodz
Velocity Lublin
Lubin, Polska, 20-362
Etyka OÅ>rodek BadaÅ" Klinicznych
Olsztyn, Warmian-Masurian Voivodeship, 10-117
FutureMeds Sp. z o.o. Futuremeds Olsztyn
Olsztyn, 10-010
Velocity Skierniewice Sp. z o.o
Skierniewice, Polska, 96-100
ETG Network - Warszawa (European Trial Group)
Warsaw, Polska, 02-677
Spain8 sites
Complejo Hospitalario Universitario de Badajoz (CHUB) (Hospital Infanta Cristina)
Badajoz, 6080
Hospital del Mar - Institut Hospital del Mar d'Investigacions Mediques (IMIM)
Barcelona, 8003
Hospital Universitario Reina Sofia
Córdoba, 14004
Hospital Universitario Virgen de las Nieves (HUVN)
Granada, 18014
Hospital Clínico San Carlos
Madrid, 28040
Universidad Autonoma de Madrid (UAM) - Facultad de Medicina - Hospital Universitario Fundacion Jimenez Diaz (UAM-FJD) - Instituto de Investigacion Sanitaria (IIS)
Madrid, 28040
Complejo Hospitalario Universitario de Santiago de Compostela (CHUS) - Hospital Clinico Universitario (University Clinical Hospital)
Santiago de Compostela, 15706
Instituto de Investigacion Sanitaria (INCLIVA)
Valencia, 46010
Bulgaria6 sites
Medical Center New Polyclinic Gabrovo Ltd.
Gabrovo, 5300
Medical center Exacta Medica
Pleven, 5800
Medical Center Hera EOOD - Sofia
Sofia, 1510
ASOMHIDC (Ambulatory of specialized outpatient medical help in internal diseases and cardiology)
Sofia, 1592
Medical Centre Zara-Med
Stara Zagora, 6000
DCC 1 - Veliko Tarnovo
Veliko Tarnovo, 5000
France5 sites
Centre Hospitalier Annecy Genevois (CHANGE) - Site d'Annecy -
Annecy, 74011
Centre Hospitalier Universitaire (CHU) de Bordeaux - Hospitalier Saint-Andre
Bordeaux, 33000
Centre Hospitalier Universitaire de Nimes (CHU) - Hopital Universitaire Caremeau
Nîmes, 30029
Centre Hospitalier Universitaire (CHU) de Saint-Etienne - Hopital Nord
Saint-Priest-en-Jarez, 42270
Hopitaux Universitaires de Strasbourg - Le Nouvel Hopital Civil (NHC)
Strasbourg, 67091
Netherlands4 sites
Amsterdam UMC - Locatie AMC (Academisch Medisch Centrum)
Amsterdam, North Holland, 1105 AZ
Albert Schweitzer Ziekenhuis - Sliedrecht
Dordrecht, South Holland
Radboud Universiteit - Radboud Universitair Medisch Centrum (Radboudumc)
Nijmegen, Gelderland, 6525 GA
Universitair Medisch Centrum (UMC) Utrecht - Locatie AZU
Utrecht, 3508 GA
Canada3 sites
Stephen S. Chow Medicine Professional Corporation
East York, Ontario, M4C 5T2
University of Alberta
Edmonton, Alberta, T6G 2G3
Centre Medical L'Acadie - Montreal
Montreal, Quebec, H4N 2W2
About this study
Official title: A Randomized, Double-Blind, Placebo Controlled, Parallel Arm, Multicenter Phase 3 Study to Evaluate the Efficacy and Safety of Lorundrostat in Subjects With Uncontrolled and Resistant Hypertension
This is a Phase 3 trial to evaluate the BP-lowering effect of lorundrostat (an aldosterone synthase inhibitor) in subjects with uncontrolled and resistant hypertension taking between 2 and 5 anti-hypertensive (AHT) medications.
Read the detailed description
This study is a Phase 3 trial to evaluate the BP-lowering effect of lorundrostat (an aldosterone synthase inhibitor) in subjects with uncontrolled and resistant hypertension taking between 2 and 5 anti-hypertensive (AHT) medications, one of which must be a thiazide or thiazide-like diuretic.
The study consists of a 2-week screening period with a 2-week single-blind run-in period followed by a 12-week randomized, double-blind, placebo-controlled, parallel arm period. Following the randomized period subjects will be offered an opportunity to participate in an open-label extension (OLE) study. Any subject electing to not participate in the OLE will undergo an end of study (EoS) visit, which will occur after end of treatment (EoT), to complete their participation in the study.
- Conditions
- Hypertension
- Being tested
- Placebo, lorundrostat Dose 1, lorundrostat Dose 2
- Keywords
- Blood pressure, Hypertension, Hypertensive, Resistant hypertension, Uncontrolled hypertension
- Medical subject headings
- Hypertension
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
PlaceboDrug
Placebo once daily (QD) for 12 weeks
lorundrostat Dose 1Drug
50 mg lorundrostat Dose 1 once daily (QD) for 12 weeks
lorundrostat Dose 2Drug
50 mg lorundrostat Dose 1 once daily (QD) for 6 weeks then 100 mg lorundrostat Dose 2 once daily (QD) for 6 weeks for subjects who meet prespecified criteria
| Study group | Role | What they receive |
|---|---|---|
| Placebo | Placebo comparator | Placebo once daily (QD) for 12 weeks Receives: Drug: Placebo |
| Dose 1 | Experimental | 50 mg lorundrostat Dose 1 once daily (QD) for 12 weeks Receives: Drug: lorundrostat Dose 1 |
| Dose 2 | Experimental | 50 mg lorundrostat Dose 1 once daily (QD) for 6 weeks then 100 mg lorundrostat Dose 2 once daily (QD) for 6 weeks for subjects who meet prespecified criteria Receives: Drug: lorundrostat Dose 2 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change from baseline in automated office BP (AOBP) SBP at Week 6 in subjects randomized to lorundrostat 50 mg QD compared to subjects randomized to placebo
Measured: Week 6
Secondary outcomes (6)
Proportion of subjects with AOBP SBP <130 mmHg at Week 6 in subjects randomized to lorundrostat 50 mg QD compared to subjects randomized to placebo
Measured: Week 6
Change from baseline in AOBP SBP at Week 12 in subjects randomized to lorundrostat 50 mg QD with escalation to lorundrostat 100 mg QD compared to subjects randomized to placebo
Measured: Week 12
Change from baseline in AOBP SBP at Week 6 in subjects with uncontrolled hypertension on 2 prescribed AHT medications
Change from baseline in AOBP SBP at Week 6 in subjects with uncontrolled hypertension on 2 prescribed AHT medications randomized to lorundrostat 50 mg QD compared to subjects with uncontrolled hypertension on 2 prescribed AHT medications randomized to placebo
Measured: Week 6
Change from baseline in AOBP SBP at Week 6 in subjects with uncontrolled hypertension on 3 or more prescribed AHT medications
Change from baseline in AOBP SBP at Week 6 in subjects with uncontrolled hypertension on 3 or more prescribed AHT medications (resistant hypertension) randomized to lorundrostat 50 mg QD compared to subjects with uncontrolled hypertension on 3 or more prescribed AHT medications (resistant hypertension) randomized to placebo
Measured: Week 6
Change from baseline in AOBP SBP at Week 6 by obesity status in subjects randomized to lorundrostat 50 mg QD compared to subjects randomized to placebo
Measured: Week 6
Change from baseline in AOBP SBP at Week 12 in subjects who were escalated to lorundrostat 100 mg QD at week 6 (within-subjects analysis)
Measured: Week 12
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted1 Dec 2023
- Study start22 Nov 2023
- Primary completion10 Dec 2024
- Study completion24 Jan 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for HypertensionStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 1,083 participants (actual)
Sponsor and investigators
- Lead sponsor
- Mineralys Therapeutics Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06153693
- Sponsor's protocol ID
- MLS-101-301
- Status last verified
- Apr 2026
- First submitted
- 17 Nov 2023
- Last updated
- 1 May 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Publications
Saxena M, Laffin L, Borghi C, Fernandez Fernandez B, Ghali JK, Kopjar B, Polu K, Roger SD, Slingsby BT, Strutz F, Vogt L, Weir MR, Rodman D; Launch-HTN Investigators. Lorundrostat in Participants With Uncontrolled Hypertension and Treatment-Resistant Hypertension: The Launch-HTN Randomized Clinical Trial. JAMA. 2025 Aug 5;334(5):409-418. doi: 10.1001/jama.2025.9413.
PubMed 40587141
Study at a glance
From the registry record, last updated by the sponsor on 1 May 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double-Blind, Placebo Controlled, Parallel Arm, Multicenter Phase 3 Study to Evaluate the Efficacy and Safety of Lorundrostat in Subjects With Uncontrolled and Resistant Hypertension
- ClinicalTrials.gov ID
- NCT06153693
- Acronym / sponsor ID
- MLS-101-301
- Conditions
- Hypertension
- Keywords
- Blood pressure, Hypertension, Hypertensive, Resistant hypertension, Uncontrolled hypertension
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,083 participants (actual)
- Lead sponsor
- Mineralys Therapeutics Inc.Industry (pharma, biotech, devices)
- Study start
- 22 Nov 2023 (actual)
- Primary completion
- 10 Dec 2024 (actual)
- Study completion
- 24 Jan 2025 (actual)
- First posted
- 1 Dec 2023 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a Phase 3 trial to evaluate the BP-lowering effect of lorundrostat (an aldosterone synthase inhibitor) in subjects with uncontrolled and resistant hypertension taking between 2 and 5 anti-hypertensive (AHT) medications.
Detailed description
This study is a Phase 3 trial to evaluate the BP-lowering effect of lorundrostat (an aldosterone synthase inhibitor) in subjects with uncontrolled and resistant hypertension taking between 2 and 5 anti-hypertensive (AHT) medications, one of which must be a thiazide or thiazide-like diuretic.
The study consists of a 2-week screening period with a 2-week single-blind run-in period followed by a 12-week randomized, double-blind, placebo-controlled, parallel arm period. Following the randomized period subjects will be offered an opportunity to participate in an open-label extension (OLE) study. Any subject electing to not participate in the OLE will undergo an end of study (EoS) visit, which will occur after end of treatment (EoT), to complete their participation in the study.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Placebo | Placebo comparator | Drug: PlaceboPlacebo once daily (QD) for 12 weeks |
| Dose 1 | Experimental | Drug: lorundrostat Dose 150 mg lorundrostat Dose 1 once daily (QD) for 12 weeks |
| Dose 2 | Experimental | Drug: lorundrostat Dose 250 mg lorundrostat Dose 1 once daily (QD) for 6 weeks then 100 mg lorundrostat Dose 2 once daily (QD) for 6 weeks for subjects who meet prespecified criteria |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- At least 18 years of age at the time of signing the informed consent form (ICF)
- At Screening and Randomization: AOBP SBP of ≥135 and ≤180 mmHg plus AOBP DBP of ≥65 and ≤110 mmHg, or AOBP DBP of ≥90 and ≤110 mmHg
- Taking between 2 and 5 AHT medications,
- History of hypertension lasting at least 6 months prior to Screening
- Body mass index (BMI) of ≥18 kg/m2 at Screening
Key exclusion criteria (6 listed)
- Women who are pregnant, plan to become pregnant, or are breastfeeding
- Participation in a study involving any investigational device or small-molecule drug within 4 weeks or 6 months for biologic (antibody) drugs prior to the Screening Visit
- eGFR <45 mL/min/1.73m2 at Screening, calculated using the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) formula
- Serum potassium >5.0 mmol/L at Screening or >4.8 mmol/L at Randomization
- Serum sodium <135 mmol/L (corrected for hyperglycemia) at Screening.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| PlaceboPlacebo once daily (QD) for 12 weeks | Drug | Placebo |
| lorundrostat Dose 150 mg lorundrostat Dose 1 once daily (QD) for 12 weeks | Drug | Dose 1 |
| lorundrostat Dose 250 mg lorundrostat Dose 1 once daily (QD) for 6 weeks then 100 mg lorundrostat Dose 2 once daily (QD) for 6 weeks for subjects who meet prespecified criteria | Drug | Dose 2 |
Primary outcome
Change from baseline in automated office BP (AOBP) SBP at Week 6 in subjects randomized to lorundrostat 50 mg QD compared to subjects randomized to placebo
Time frame: Week 6
6 secondary outcomes
Proportion of subjects with AOBP SBP <130 mmHg at Week 6 in subjects randomized to lorundrostat 50 mg QD compared to subjects randomized to placebo
Time frame: Week 6
Change from baseline in AOBP SBP at Week 12 in subjects randomized to lorundrostat 50 mg QD with escalation to lorundrostat 100 mg QD compared to subjects randomized to placebo
Time frame: Week 12
Change from baseline in AOBP SBP at Week 6 in subjects with uncontrolled hypertension on 2 prescribed AHT medications
Time frame: Week 6
Change from baseline in AOBP SBP at Week 6 in subjects with uncontrolled hypertension on 3 or more prescribed AHT medications
Time frame: Week 6
Change from baseline in AOBP SBP at Week 6 by obesity status in subjects randomized to lorundrostat 50 mg QD compared to subjects randomized to placebo
Time frame: Week 6
Change from baseline in AOBP SBP at Week 12 in subjects who were escalated to lorundrostat 100 mg QD at week 6 (within-subjects analysis)
Time frame: Week 12
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 1 May 2026.
- Derived from this study: PubMed 40587141Saxena M, Laffin L, Borghi C, Fernandez Fernandez B, Ghali JK, Kopjar B, Polu K, Roger SD, Slingsby BT, Strutz F, Vogt L, Weir MR, Rodman D; Launch-HTN Investigators. Lorundrostat in Participants With Uncontrolled Hypertension and Treatment-Resistant Hypertension: The Launch-HTN Randomized Clinical Trial. JAMA. 2025 Aug 5;334(5):409-418. doi: 10.1001/jama.2025.9413.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
184 sites in 13 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing lorundrostat Dose 1 and lorundrostat Dose 2 in people with Hypertension, run by Mineralys Therapeutics Inc. at 184 sites in 13 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 1 May 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 184 sites in United States, Italy, United Kingdom, Australia, Germany and 8 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change from baseline in automated office BP (AOBP) SBP at Week 6 in subjects randomized to lorundrostat 50 mg QD compared to subjects randomized to placebo (time frame: Week 6). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT06153693, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 1 May 2026.