About this trial
The goal of this trial is to learn whether adding the blood pressure medication baxdrostat (Baxfendy) to standard-of-care medical therapies will beneficially change the heart structure and function of adults who have high blood pressure, thickened left heart walls, and are at risk for heart or kidney disease.
To determine if baxdrostat improves heart structure and function, the participants will:
* take a baxdrostat or a placebo (a look-alike tablet that contains no drug) tablet once a day for 12 months * undergo a safe and non-invasive cardiac magnetic resonance imaging scan (to measure heart mass, stiffness and function) at the beginning of the study and 12 months later * visit the clinic for checkups and blood or urine tests 2 weeks, 1 month, 3 months, 6 months, 9 months and 12 months after taking the first tablet
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Individuals ≥18 years of age who are willing and able to provide signed informed consent
History of hypertension (Systolic BP >140 and <170 mmHg)
Serum K+ ≥3.5 and <5.0 mmol/L at Screening
Interventricular septal (IVS) thickness by echocardiography: Female ≥1.2 cm or Male ≥1.3 cm
Disqualifiers
None
Trial design
Parallel
Treatments tested in this trial
Baxdrostat
DrugParticipants will take 2mg baxdrostat (Baxfendy) once daily (orally), in addition to standard-of-care.
Placebo
DrugParticipants will take placebo once daily (orally), in addition to standard-of-care.
Treatment groups
Trial outcomes
Primary outcomes
Left Ventricular Mass indexed to baseline body surface area (LVMi)
Change in LVMi (g/m\^2), measured by cardiac magnetic resonance imaging (cMRI) from baseline to 12 months of treatment with baxdrostat compared to placebo.
Secondary outcomes
Left Atrial Volume indexed to baseline body surface area (LAVi)
Change in LAVi, measured by cMRI and indexed to baseline body surface area, from baseline to 12 months of treatment with baxdrostat compared to placebo.
Left Ventricular Ejection Fraction (LVEF)
Change in LVEF, measured by cMRI, from baseline to 12 months of treatment with baxdrostat compared to placebo.
Left Ventricular End-Diastolic Volume indexed to baseline body surface area (LVEDVi)
Change in LVEDVi, measured by cMRI and indexed to baseline body surface area, from baseline to 12 months of treatment with baxdrostat compared to placebo.
Left Ventricular End-Systolic Volume indexed to baseline body surface area (LVESVi)
Change in LVESVi, measured by cMRI and indexed to baseline body surface area, from baseline to 12 months of treatment with baxdrostat compared to placebo.
Sponsors and contacts
Click on the lead sponsor to view all of their trials.
Subodh Verma
Lead sponsor
Canadian Medical and Surgical Knowledge Translation Research Group
Sponsor institution
AstraZeneca
Collaborator
This trial is not recruiting at the moment. You can still explore other options: