Phase 3 study with baxdrostat in uncontrolled or treatment-resistant hypertension meets primary endpoint

15/07/2025

In the phase 3 BaxHTN trial, treatment with baxdrostat reduced systolic blood pressure (SBP) in patients with uncontrolled or treatment-resistant hypertension compared with placebo.

Positive results from the phase 3 BaxHTN trial, in which the effects of the aldosterone synthase inhibitor baxdrostat were evaluated, have been announced. Treatment with baxdrostat at two doses (2 mg and 1 mg) significantly reduced the primary outcome of mean seated SBP compared with placebo at 12 weeks. The trial also met all secondary endpoints.

BaxHTN is a multicenter, randomized, double-blinded, placebo-controlled, parallel group trial in which 796 patients with uncontrolled hypertension (treated with two different antihypertensive medications) or treatment-resistant hypertension (treated with three or more different antihypertensive medications, one being a diuretic) were randomized in a 1:1:1 ratio to baxdrostat 2 mg, 1 mg or placebo once daily, on top of standard of care.

The safety profile of baxdrostat in BaxHTN was favorable.

Full results from BaxHTN will be presented at the ESC Congress 2025.

Source: Press release AstraZeneca, July 14, 2025

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