Purpose

This study is to evaluate the long-term safety, efficacy and tolerability of lorundrostat (an aldosterone synthase inhibitor) in subjects with uncontrolled hypertension.

Condition

Eligibility

Eligible Ages
Over 18 Years
Eligible Genders
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  1. Written informed consent signed by the participant, obtained before any study-related assessment is performed 2. At least 18 years of age at the time of signing the informed consent form Participation in a lorundrostat study with the option of transitioning to the OLE study 3. Fertile male subjects and female subjects of childbearing potential, and their partners, must agree to use an acceptable method of contraception from study entry to 28 days after the last dose of study drug 4. Willing and able to comply with the study instructions and attend all scheduled study visits 5. [Randomized treatment withdrawal only] A minimum of 75% and a maximum of 125% compliance with lorundrostat from Week 32 to Week 48 of the OLE 6. [Randomized treatment withdrawal only] Taking an oral dose of lorundrostat of at least 25 mg once daily

Exclusion Criteria

  1. Women who are pregnant, plan to become pregnant, or are breast-feeding 2. In the opinion of the principal investigator, any other condition that will preclude participation in the study

Study Design

Phase
Phase 2/Phase 3
Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel Assignment
Intervention Model Description
Double
Primary Purpose
Treatment
Masking
Double (Participant, Care Provider)

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
Open-Label Arm
lorundrostat once daily for 48 weeks
  • Drug: lorundrostat
    lorundrostat once daily for 48 weeks
Experimental
Maintenance Arm
lorundrostat once daily for 4 weeks in the double-blind randomized treatment withdrawal sub-study
  • Drug: lorundrostat
    lorundrostat once daily for 4 weeks
Experimental
Taper Arm
lorundrostat and/or placebo once daily for 4 weeks in the double-blind randomized treatment withdrawal sub-study
  • Drug: lorundrostat
    lorundrostat once daily for 4 weeks
  • Drug: Placebo
    Placebo once daily for 4 weeks
Placebo Comparator
Placebo
Placebo once daily for 4 weeks in the double-blind randomized treatment withdrawal sub-study
  • Drug: Placebo
    Placebo once daily for 4 weeks

Recruiting Locations

Vanderbilt University Medical Center (VUMC)
Nashville, Tennessee 37232
Contact:
James Luther
615-322-8839
James.Luther@vumc.org

More Details

Status
Recruiting
Sponsor
Mineralys Therapeutics Inc.

Study Contact

Shannon Spires
905-626-1111
sspires@mineralystx.com

Detailed Description

This study is to evaluate the long-term safety, efficacy and tolerability of lorundrostat (an aldosterone synthase inhibitor) in subjects with uncontrolled hypertension. The study consists of an open-label dose treatment period of 48 weeks, followed by a 4-week double-blind randomized treatment withdrawal sub-study. The study will conclude with a 2-week wash-out period. To be eligible, subjects must complete the double-blind treatment phase of a respective parent study (including, but not limited to MLS-101-202 and MLS-101-301) and agree to transition immediately to this open-label extension (OLE) study (ie, will not participate in the end of study observation period of the parent study). The study will be conducted at approximately 200 centers.

Notice

Study information shown on this site is derived from ClinicalTrials.gov (a public registry operated by the National Institutes of Health). The listing of studies provided is not certain to be all studies for which you might be eligible. Furthermore, study eligibility requirements can be difficult to understand and may change over time, so it is wise to speak with your medical care provider and individual research study teams when making decisions related to participation.