The ANZCTR website will be unavailable from 1pm until 3pm (AEDT) on Wednesday the 30th of October for website maintenance. Please be sure to log out of the system in order to avoid any loss of data.

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been endorsed by the ANZCTR. Before participating in a study, talk to your health care provider and refer to this information for consumers
Trial details imported from ClinicalTrials.gov

For full trial details, please see the original record at https://clinicaltrials.gov/study/NCT06153693




Registration number
NCT06153693
Ethics application status
Date submitted
17/11/2023
Date registered
1/12/2023
Date last updated
30/08/2024

Titles & IDs
Public title
Efficacy and Safety of Lorundrostat in Subjects With Uncontrolled and Resistant Hypertension
Scientific 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
Secondary ID [1] 0 0
MLS-101-301
Universal Trial Number (UTN)
Trial acronym
Linked study record

Health condition
Health condition(s) or problem(s) studied:
Hypertension 0 0
Condition category
Condition code
Cardiovascular 0 0 0 0
Hypertension

Intervention/exposure
Study type
Interventional
Description of intervention(s) / exposure
Treatment: Drugs - Placebo
Treatment: Drugs - lorundrostat Dose 1
Treatment: Drugs - lorundrostat Dose 2

Placebo comparator: Placebo - Placebo once daily (QD) for 12 weeks

Experimental: Dose 1 - 50 mg lorundrostat Dose 1 once daily (QD) for 12 weeks

Experimental: Dose 2 - 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


Treatment: Drugs: Placebo
Placebo once daily (QD) for 12 weeks

Treatment: Drugs: lorundrostat Dose 1
50 mg lorundrostat Dose 1 once daily (QD) for 12 weeks

Treatment: Drugs: lorundrostat Dose 2
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

Intervention code [1] 0 0
Treatment: Drugs
Comparator / control treatment
Control group

Outcomes
Primary outcome [1] 0 0
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
Timepoint [1] 0 0
Week 6
Secondary outcome [1] 0 0
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
Timepoint [1] 0 0
Week 6
Secondary outcome [2] 0 0
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
Timepoint [2] 0 0
Week 12
Secondary outcome [3] 0 0
Change from baseline in AOBP SBP at Week 6 in subjects with uncontrolled hypertension on 2 prescribed AHT medications
Timepoint [3] 0 0
Week 6
Secondary outcome [4] 0 0
Change from baseline in AOBP SBP at Week 6 in subjects with uncontrolled hypertension on 3 or more prescribed AHT medications
Timepoint [4] 0 0
Week 6
Secondary outcome [5] 0 0
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
Timepoint [5] 0 0
Week 6
Secondary outcome [6] 0 0
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)
Timepoint [6] 0 0
Week 12

Eligibility
Key inclusion criteria
1. At least 18 years of age at the time of signing the informed consent form (ICF)
2. 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
3. Taking between 2 and 5 AHT medications,
4. History of hypertension lasting at least 6 months prior to Screening
5. Body mass index (BMI) of =18 kg/m2 at Screening
Minimum age
18 Years
Maximum age
No limit
Sex
Both males and females
Can healthy volunteers participate?
No
Key exclusion criteria
1. Women who are pregnant, plan to become pregnant, or are breastfeeding
2. 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
3. eGFR <45 mL/min/1.73m2 at Screening, calculated using the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) formula
4. Serum potassium >5.0 mmol/L at Screening or >4.8 mmol/L at Randomization
5. Serum sodium <135 mmol/L (corrected for hyperglycemia) at Screening.
6. History of heart failure, myocardial infarction, stroke, or transient ischemic attack within 6 months prior to the Screening Visit.

Study design
Purpose of the study
Treatment
Allocation to intervention
Randomised controlled trial
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Masking / blinding
Blinded (masking used)
Who is / are masked / blinded?
The people receiving the treatment/s


The people analysing the results/data
Intervention assignment
Parallel
Other design features
Phase
Phase 3
Type of endpoint/s
Statistical methods / analysis

Recruitment
Recruitment status
Recruiting
Data analysis
Reason for early stopping/withdrawal
Other reasons
Date of first participant enrolment
Anticipated
Actual
Date of last participant enrolment
Anticipated
Actual
Date of last data collection
Anticipated
Actual
Sample size
Target
Accrual to date
Final
Recruitment in Australia
Recruitment state(s)
NSW,QLD,SA,TAS,WA
Recruitment hospital [1] 0 0
Castle Hill Medical Centre - Castle Hill
Recruitment hospital [2] 0 0
Renal Research - Gosford - Gosford
Recruitment hospital [3] 0 0
University of Newcastle - John Hunter Hospital (JHH) - Waratah
Recruitment hospital [4] 0 0
University of the Sunshine Coast - Clinical Trials Centre - Sippy Downs
Recruitment hospital [5] 0 0
South Coast Renal - Southport
Recruitment hospital [6] 0 0
AusTrials - Taringa - Taringa
Recruitment hospital [7] 0 0
AusTrials - Wellers Hill - Taringa
Recruitment hospital [8] 0 0
Fusion Clinical Research - Adelaide
Recruitment hospital [9] 0 0
Royal Hobart Hospital - Hobart
Recruitment hospital [10] 0 0
Dobney Hypertension Centre/ Royal Perth Hospital - Perth
Recruitment hospital [11] 0 0
AusTrials - Sunshine - St Albans
Recruitment postcode(s) [1] 0 0
2154 - Castle Hill
Recruitment postcode(s) [2] 0 0
2250 - Gosford
Recruitment postcode(s) [3] 0 0
2298 - Waratah
Recruitment postcode(s) [4] 0 0
4556 - Sippy Downs
Recruitment postcode(s) [5] 0 0
4215 - Southport
Recruitment postcode(s) [6] 0 0
4068 - Taringa
Recruitment postcode(s) [7] 0 0
- Adelaide
Recruitment postcode(s) [8] 0 0
7000 - Hobart
Recruitment postcode(s) [9] 0 0
6000 - Perth
Recruitment postcode(s) [10] 0 0
VIC 3021 - St Albans
Recruitment outside Australia
Country [1] 0 0
United States of America
State/province [1] 0 0
Alabama
Country [2] 0 0
United States of America
State/province [2] 0 0
Arizona
Country [3] 0 0
United States of America
State/province [3] 0 0
California
Country [4] 0 0
United States of America
State/province [4] 0 0
Connecticut
Country [5] 0 0
United States of America
State/province [5] 0 0
Florida
Country [6] 0 0
United States of America
State/province [6] 0 0
Georgia
Country [7] 0 0
United States of America
State/province [7] 0 0
Idaho
Country [8] 0 0
United States of America
State/province [8] 0 0
Illinois
Country [9] 0 0
United States of America
State/province [9] 0 0
Indiana
Country [10] 0 0
United States of America
State/province [10] 0 0
Kentucky
Country [11] 0 0
United States of America
State/province [11] 0 0
Louisiana
Country [12] 0 0
United States of America
State/province [12] 0 0
Massachusetts
Country [13] 0 0
United States of America
State/province [13] 0 0
Mississippi
Country [14] 0 0
United States of America
State/province [14] 0 0
Missouri
Country [15] 0 0
United States of America
State/province [15] 0 0
Nebraska
Country [16] 0 0
United States of America
State/province [16] 0 0
Nevada
Country [17] 0 0
United States of America
State/province [17] 0 0
New York
Country [18] 0 0
United States of America
State/province [18] 0 0
North Carolina
Country [19] 0 0
United States of America
State/province [19] 0 0
Ohio
Country [20] 0 0
United States of America
State/province [20] 0 0
Oklahoma
Country [21] 0 0
United States of America
State/province [21] 0 0
Pennsylvania
Country [22] 0 0
United States of America
State/province [22] 0 0
Tennessee
Country [23] 0 0
United States of America
State/province [23] 0 0
Texas
Country [24] 0 0
United States of America
State/province [24] 0 0
Utah
Country [25] 0 0
United States of America
State/province [25] 0 0
Virginia
Country [26] 0 0
Bulgaria
State/province [26] 0 0
Gabrovo
Country [27] 0 0
Bulgaria
State/province [27] 0 0
Pleven
Country [28] 0 0
Bulgaria
State/province [28] 0 0
Sofia
Country [29] 0 0
Bulgaria
State/province [29] 0 0
Veliko Tarnovo
Country [30] 0 0
Canada
State/province [30] 0 0
Alberta
Country [31] 0 0
Canada
State/province [31] 0 0
Ontario
Country [32] 0 0
Canada
State/province [32] 0 0
Quebec
Country [33] 0 0
France
State/province [33] 0 0
Nîmes
Country [34] 0 0
France
State/province [34] 0 0
Strasbourg
Country [35] 0 0
Germany
State/province [35] 0 0
Lower Saxony
Country [36] 0 0
Germany
State/province [36] 0 0
Rhineland-Palatinate
Country [37] 0 0
Germany
State/province [37] 0 0
Saxony
Country [38] 0 0
Germany
State/province [38] 0 0
Berlin
Country [39] 0 0
Germany
State/province [39] 0 0
Deggingen
Country [40] 0 0
Germany
State/province [40] 0 0
Karlsruhe
Country [41] 0 0
Germany
State/province [41] 0 0
Leipzig
Country [42] 0 0
Germany
State/province [42] 0 0
Wiesbaden
Country [43] 0 0
Italy
State/province [43] 0 0
Ancona
Country [44] 0 0
Italy
State/province [44] 0 0
Bologna
Country [45] 0 0
Italy
State/province [45] 0 0
Brescia
Country [46] 0 0
Italy
State/province [46] 0 0
Ferrara
Country [47] 0 0
Italy
State/province [47] 0 0
Genova
Country [48] 0 0
Italy
State/province [48] 0 0
L'Aquila
Country [49] 0 0
Italy
State/province [49] 0 0
Messina
Country [50] 0 0
Italy
State/province [50] 0 0
Milan
Country [51] 0 0
Italy
State/province [51] 0 0
Napoli
Country [52] 0 0
Italy
State/province [52] 0 0
Rome
Country [53] 0 0
Netherlands
State/province [53] 0 0
Gelderland
Country [54] 0 0
Netherlands
State/province [54] 0 0
North Holland
Country [55] 0 0
Netherlands
State/province [55] 0 0
South Holland
Country [56] 0 0
Netherlands
State/province [56] 0 0
Utrecht
Country [57] 0 0
Poland
State/province [57] 0 0
Malopolskie
Country [58] 0 0
Poland
State/province [58] 0 0
Polska
Country [59] 0 0
Poland
State/province [59] 0 0
Warminsko-Mazurskie
Country [60] 0 0
Poland
State/province [60] 0 0
Katowice
Country [61] 0 0
Poland
State/province [61] 0 0
Olsztyn
Country [62] 0 0
Poland
State/province [62] 0 0
Lódz
Country [63] 0 0
Puerto Rico
State/province [63] 0 0
San Juan
Country [64] 0 0
Romania
State/province [64] 0 0
Mures
Country [65] 0 0
Romania
State/province [65] 0 0
Timis
Country [66] 0 0
Romania
State/province [66] 0 0
Brasov
Country [67] 0 0
Romania
State/province [67] 0 0
Bucharest
Country [68] 0 0
Romania
State/province [68] 0 0
Bucuresti
Country [69] 0 0
Romania
State/province [69] 0 0
Cluj-Napoca
Country [70] 0 0
Romania
State/province [70] 0 0
Craiova
Country [71] 0 0
Romania
State/province [71] 0 0
Oradea
Country [72] 0 0
Romania
State/province [72] 0 0
Timisoara
Country [73] 0 0
Spain
State/province [73] 0 0
Badajoz
Country [74] 0 0
Spain
State/province [74] 0 0
Barcelona
Country [75] 0 0
Spain
State/province [75] 0 0
Córdoba
Country [76] 0 0
Spain
State/province [76] 0 0
Granada
Country [77] 0 0
Spain
State/province [77] 0 0
Madrid
Country [78] 0 0
Spain
State/province [78] 0 0
Santiago De Compostela
Country [79] 0 0
Spain
State/province [79] 0 0
Valencia
Country [80] 0 0
United Kingdom
State/province [80] 0 0
Great Britain
Country [81] 0 0
United Kingdom
State/province [81] 0 0
Kent
Country [82] 0 0
United Kingdom
State/province [82] 0 0
Aberdeen
Country [83] 0 0
United Kingdom
State/province [83] 0 0
Birmingham
Country [84] 0 0
United Kingdom
State/province [84] 0 0
Canterbury
Country [85] 0 0
United Kingdom
State/province [85] 0 0
Carshalton
Country [86] 0 0
United Kingdom
State/province [86] 0 0
Glasgow
Country [87] 0 0
United Kingdom
State/province [87] 0 0
Newquay
Country [88] 0 0
United Kingdom
State/province [88] 0 0
Sheffield

Funding & Sponsors
Primary sponsor type
Commercial sector/industry
Name
Mineralys Therapeutics Inc.
Address
Country

Ethics approval
Ethics application status

Summary
Brief summary
Trial website
Trial related presentations / publications
Public notes

Contacts
Principal investigator
Name 0 0
Address 0 0
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for public queries
Name 0 0
Efosa Eluma
Address 0 0
Country 0 0
Phone 0 0
+1-832-614-2778
Fax 0 0
Email 0 0
Contact person for scientific queries

No information has been provided regarding IPD availability


What supporting documents are/will be available?

No Supporting Document Provided



Results publications and other study-related documents

No documents have been uploaded by study researchers.