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Baxdrostat

Phase 3FDA approved

Heart Failure | Small molecule | Cardiovascular |AstraZeneca PLC|Trials Updated: Oct 16, 2026

Baxdrostat development status

FDA approval on record May 15, 2026 as Baxfendy
Approval holderAstrazeneca Ab
ApplicationNDA219878
Highest phase Phase 3
Registered trials 20 across 4 sponsors since Nov 2013

Label indication BAXFENDY, in combination with other antihypertensive drugs, is indicated for the treatment of hypertension, to lower blood pressure in adults who are not adequately controlled on other agents. Lowering blood pressure reduces the risk of fatal and nonfatal cardiovascular events, primarily strokes and myocardial infarctions. FDA label

Baxdrostat target and mechanism

ModalitySmall molecule

Also known as baxdrostat (formerly CIN-107) oral solution, CIN-107

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindCONTROLLEDDMC
Total Trials22
Total Enrollment22,341

FDA Designations

No designations recorded

Baxdrostat clinical trials

Baxdrostat · 22 trials · 8 indications

Phase 3 9Phase 2 6Phase 1 7
NCT07686120A Phase IIIb Study to Investigate the Effect of Baxdrostat in Chinese Participants With Uncontrolled Hypertension.Uncontrolled Hypertension
RECRUITING286 Analytics
NCT07655362Baxdrostat and Ventricular RemodelingCardiac Remodeling
NOT YET_RECRUITING286 Analytics
NCT07007793Parent Study: A Study to Assess Efficacy and Safety of Baxdrostat in Participants With Primary Aldosteronism Sub-study: A Follow-up Substudy After Completion of the BaxPA Main Study.Primary Hyperaldosteronism
ACTIVE NOT_RECRUITING212 Analytics
NCT06677060Phase III Study Investigating Heart Failure and Cardiovascular Death With Baxdrostat in Combination With DapagliflozinHeart Failure
RECRUITING11,300 Analytics
NCT06742723A Phase III Renal Outcomes and Cardiovascular Mortality Study to Investigate the Efficacy and Safety of Baxdrostat in Combination With Dapagliflozin in Participants With Chronic Kidney Disease and High Blood PressureChronic Kidney Disease and Hypertension
RECRUITING5,000 Analytics
NCT06344104A Study to Investigate the Efficacy and Safety of Baxdrostat in Participants With Uncontrolled Hypertension on Two or More Medications Including Participants With Resistant HypertensionUncontrolled Hypertension
COMPLETED326 Analytics
NCT06268873A Phase III Study to Investigate the Efficacy and Safety of Baxdrostat in Combination With Dapagliflozin on CKD Progression in Participants With CKD and High Blood Pressure.Chronic Kidney Disease and Hypertension
ACTIVE NOT_RECRUITING2,554 Analytics
NCT06168409A Study to Investigate the Effect of Baxdrostat on Ambulatory Blood Pressure in Participants With Resistant HypertensionResistant Hypertension
COMPLETED218 Analytics
NCT06034743A Study to Investigate the Efficacy and Safety of Baxdrostat in Participants With Uncontrolled Hypertension on Two or More Medications Including Participants With Resistant HypertensionUncontrolled Hypertension
COMPLETED796 Analytics
PHASE3RECRUITING
A Phase IIIb Study to Investigate the Effect of Baxdrostat in Chinese Participants With Uncontrolled Hypertension.
Uncontrolled HypertensionUnlock trial analytics
PHASE3NOT YET_RECRUITING
Baxdrostat and Ventricular Remodeling
Cardiac RemodelingUnlock trial analytics
PHASE3ACTIVE NOT_RECRUITING
Parent Study: A Study to Assess Efficacy and Safety of Baxdrostat in Participants With Primary Aldosteronism Sub-study: A Follow-up Substudy After Completion of the BaxPA Main Study.
Primary HyperaldosteronismUnlock trial analytics
PHASE3RECRUITING
Phase III Study Investigating Heart Failure and Cardiovascular Death With Baxdrostat in Combination With Dapagliflozin
Heart FailureUnlock trial analytics
PHASE3RECRUITING
A Phase III Renal Outcomes and Cardiovascular Mortality Study to Investigate the Efficacy and Safety of Baxdrostat in Combination With Dapagliflozin in Participants With Chronic Kidney Disease and High Blood Pressure
Chronic Kidney Disease and HypertensionUnlock trial analytics
PHASE3COMPLETED
A Study to Investigate the Efficacy and Safety of Baxdrostat in Participants With Uncontrolled Hypertension on Two or More Medications Including Participants With Resistant Hypertension
Uncontrolled HypertensionUnlock trial analytics
PHASE3ACTIVE NOT_RECRUITING
A Phase III Study to Investigate the Efficacy and Safety of Baxdrostat in Combination With Dapagliflozin on CKD Progression in Participants With CKD and High Blood Pressure.
Chronic Kidney Disease and HypertensionUnlock trial analytics
PHASE3COMPLETED
A Study to Investigate the Effect of Baxdrostat on Ambulatory Blood Pressure in Participants With Resistant Hypertension
Resistant HypertensionUnlock trial analytics
PHASE3COMPLETED
A Study to Investigate the Efficacy and Safety of Baxdrostat in Participants With Uncontrolled Hypertension on Two or More Medications Including Participants With Resistant Hypertension
Uncontrolled HypertensionUnlock trial analytics

Study Endpoints

Primary Endpoints

Change from baseline in ambulatory 24-hour average Systolic blood pressure(SBP) at Week 12
Week12

To assess the effect of baxdrostat 2mg versus placebo on ambulatory 24-hour average SBP at 12 weeks

Left Ventricular Mass indexed to baseline body surface area (LVMi)
12 months

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.

Change from baseline in seated Systolic Blood Pressure (SBP) at Week 8
At week 8

To assess the effect of baxdrostat versus placebo on seated Systolic Blood Pressure (SBP) at Week 8

Achieving normalization of renin at week 8 in participants with dysregulated renin at baseline
At week 8

To assess the effect of baxdrostat vs placebo on achieving normalization of renin at week 8, in participants with dysregulated renin at baseline

To determine if baxdrostat/dapagliflozin is superior to placebo/dapagliflozin in reducing the risk of an HF event or CV death
Event driven; Up to 38 months

Time to first occurrence of any of the components of the composite of: * Hospitalisation for HF * HF without hospitalisation * CV death

To determine whether baxdrostat/dapagliflozin is superior to placebo/dapagliflozin in reducing the risk of the composite endpoint of ≥ 50% sustained decline in eGFR, kidney failure, Heart Failure events(HF), or CV death.
Up to 37 months

Time to the first occurrence of any of the components of the composite of: Kidney disease progression * ≥ 50% sustained decline in eGFR * Onset of kidney failure: * Sustained eGFR \< 15 mL/min/1.73 m2 or * Chronic dialysis treatment or * Receiving a kidney transplant or * Death with a renal primary cause (death due to kidney failure when dialysis is not given) CV events * HF with or without hospitalisation * CV death

Change from baseline in seated SBP at Week 12
At Week 12

To assess the effect of 2 mg baxdrostat versus placebo on seated SBP at Week 12

To determine whether baxdrostat/dapagliflozin is superior to dapagliflozin alone to slow CKD progression, assessed as the effect on change in eGFR over time.
Baseline - 2 years + 12 weeks

Change from baseline in eGFR to post treatment.

Least Square Mean Difference for Change From Baseline in Ambulatory 24-hour Average SBP at Week 12: Treatment Policy Strategy
Baseline to week 12
Change From Baseline in Seated Systolic Blood Pressure for 2 mg Baxdrostat
At Week 12

To assess the effect of 2 mg baxdrostat versus placebo on seated systolic blood pressure at Week 12. All available measurements were included, and missing data were multiply imputed.

Change From Baseline in Seated Systolic Blood Pressure for 1 mg Baxdrostat
At Week 12

To assess the effect of 1 mg baxdrostat versus placebo on seated systolic blood pressure at Week 12. All available measurements were included, and missing data were multiply imputed.

To determine whether baxdrostat/dapagliflozin is superior to baxdrostat/matching placebo at reducing albuminuria.
Up to 12 weeks

Change from baseline in UACR

Number of Participants With Serum Total Cortisol Level Before and After Adrenocorticotropic Hormone (ACTH) Stimulation Test
Week 8

The primary endpoint is individual participant's cortisol levels at each timepoint. Number of participants with normal stimulated serum total cortisol level at baseline are presented here. Characterisation of the serum total cortisol levels before and after ACTH stimulation test. An ACTH stimulation test using 250 μg ACTH was performed at baseline and Week 8 (End of Treatment), with serum cortisol level measured before and after ACTH stimulation test. Normal cortisol levels are defined as at least 18 μg/dL when measured 60 minutes (±10 minutes) after stimulation. If the Week 8 results show abnormal levels, a repeat test is conducted. In this repeat test, cortisol is considered abnormal only if both of the following conditions are met: the level is less than 14.8 μg/dL at 30 minutes (± 5 minutes) and less than 18 μg/dL at 60 minutes (±10 minutes).

Change From Baseline in Mean Seated Systolic Blood Pressure (SBP) of Pooled CIN-107 and Placebo
At Week 26

Mean change in seated SBP from baseline to Week 26 of pooled CIN-107 and placebo was assessed.

Number of Participants With Any Treatment-emergent Adverse Events (TEAEs)
52 weeks

An AE was defined as any untoward medical occurrence in a clinical investigation participants administered a pharmaceutical product, which does not necessarily have a causal relationship with this treatment. An AE can therefore be any unfavorable and/or unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of an investigational medicinal product, whether or not related to the investigational medicinal product. Any medical condition already present at enrollment should be recorded as medical history and not be reported as an AE unless the medical condition or signs or symptoms present at baseline changes in severity, frequency, or seriousness at any time during the study. In this case, it was be reported as an AE.

Number of Participants With Any Treatment-emergent Adverse Events of Special Interest (AESIs)
52 weeks

For this study, AESIs include the following: Events of hypotension that require clinical intervention; Abnormal potassium laboratory values that require clinical intervention; and Abnormal sodium laboratory values that require clinical intervention.

Number of Participants With Any Treatment-emergent Serious Adverse Events (TESAEs)
52 weeks

An AE was or adverse reaction is considered serious if, in the view of either the Investigator or Sponsor, it results in any of the following outcomes: Death, a life-threatening AE, a persistent or significant disability/incapacity or substantial disruption of the ability to conduct normal life functions, a congenital anomaly/birth defect, or an important medical event.

Change From Baseline in Serum Potassium
52 weeks

Mean change from baseline at Week 52 in serum potassium (mmol/L).

Change From Baseline in Serum Sodium
52 weeks

Mean change from baseline at Week 52 in serum sodium (mmol/L).

Change From Baseline in Body Weight
52 weeks

Change from baseline at 52 weeks in body weight (kg)

Change From Baseline in Temperature
52 weeks

Change from baseline at 52 weeks in temperature (C)

Change From Baseline in Seated Heart Rate
52 weeks

Change from baseline at 52 weeks in seated heart rate (beats/min)

Incidence of treatment emergent adverse events following single and multiple doses of baxdrostat in healthy Japanese and Caucasian participants versus placebo recipients.
0 to 19 days after dosing

Safety and tolerability will be assessed by comparison of number of treatment emergent adverse events between groups.

Area under the curve (AUC) for baxdrostat and the CIN-107-M metabolite after single and multiple oral doses of baxdrostat in healthy Japanese subjects.
0 to 15 days after dosing

AUC \[0 to 24 hours, 0 to last quantifiable concentration, and 0 to infinity of baxdrostat\] will be determined for baxdrostat and the CIN-107M metabolite for Japanese participants in each of each of the 3 dose groups of baxdrostat.

Maximum Plasma Concentration [Cmax] of baxdrostat and the CIN-107-M metabolite after single and multiple oral doses of baxdrostat in healthy Japanese subjects.
0 to 15 days after dosing

Cmax will be determined for baxdrostat and the CIN-107M metabolite for Japanese participants in each of each of the 3 dose groups of baxdrostat.

Plasma aldosterone levels following single and multiple oral doses of baxdrostat in healthy Japanese subjects.
0 to 15 days after dosing

Plasma aldosterone levels will be determined for baxdrostat and the CIN-107M metabolite for Japanese participants in each of each of the 3 dose groups of baxdrostat.

Time to Maximum Plasma Concentration [Tmax] of baxdrostat and the CIN-107-M metabolite after single and multiple oral doses of baxdrostat in healthy Japanese subjects.
0 to 15 days after dosing

Tmax will be determined for baxdrostat and the CIN-107M metabolite for Japanese participants in each of each of the 3 dose groups of baxdrostat.

Terminal elimination half-life of baxdrostat and the CIN-107-M metabolite after single and multiple oral doses of baxdrostat in healthy Japanese subjects.
0 to 15 days after dosing

Terminal elimination half-life will be determined for baxdrostat and the CIN-107M metabolite for Japanese participants in each of each of the 3 dose groups of baxdrostat.

Total radioactivity recovery in urine and feces following administration of [14C] baxdrostat.
1 to 15 days after dosing

Measurement of total radioactivity recovery in urine and feces to determine the routes, rates of elimination, and mass balance of total radioactivity from \[14C\] baxdrostat.

Area under the curve [AUC] of baxdrostat and its primary metabolite (CIN-107M) following administration of [14C] baxdrostat to healthy male subjects.
1 to 15 days after dosing

Area under the curve (AUC)0-∞ and AUC0-last will be determined for baxdrostat and CIN-107M in plasma.

Cumulative baxdrostat and CIN-107M excreted in urine and fraction of baxdrostat renally excreted following administration of [14C] baxdrostat to healthy subjects.
1 to 15 days after dosing

Determining cumulative amount of baxdrostat and CIN-107M excreted in urine, clearance of baxdrostat and CIN-107M, and fraction of dose excreted renally (baxdrostat only).

Maximum concentration [Cmax] for baxdrostat and CIN-107M in plasma.
1 to 15 days after dosing

Cmax will be determined based on measurement of baxdrostat and CIN-107M in plasma.

Time to maximum concentration [Tmax] for baxdrostat and CIN-107M in plasma.
1 to 15 days after dosing

Tmax will be determined based on measurement of baxdrostat and CIN-107M in plasma.

Terminal elimination half-life (t1/2) for baxdrostat and CIN-107M in plasma.
1 to 15 days after dosing

t1/2 for baxdrostat and CIN-107M in plasma will be determined based on measurement of baxdrostat and CIN-107M in plasma.

Incidence of treatment emergent adverse events following administration of a single oral dose of baxdrostat to subjects with varying degrees of hepatic function.
up to 72 hours post-dose

The safety and tolerability of baxdrostat was assessed throughout the study based on incidence of treatment emergent adverse events (AEs), following administration of a single oral dose of baxdrostat to subjects with varying degrees of hepatic function.

Area under the curve (AUC) for baxdrostat and the CIN-107-M metabolite following administration of a single oral dose of baxdrostat to subjects with varying degrees of hepatic function
up to 72 hours post-dose

Measurement of plasma concentrations of baxdrostat and its major metabolite CIN-107-M. AUC \[0 to 24 hours, 0 to last quantifiable concentration, and 0 to infinity of baxdrostat\] will be determined for baxdrostat and the CIN-107M metabolite.

Maximum Plasma Concentration [Cmax] of baxdrostat and the CIN-107-M metabolite following administration of a single oral dose of baxdrostat to subjects with varying degrees of hepatic function.
up to 72 hours post-dose

Cmax will be determined for baxdrostat and the CIN-107M metabolite

Time to Maximum Plasma Concentration [Tmax] of baxdrostat and the CIN-107-M metabolite following administration of a single oral dose of baxdrostat to subjects with varying degrees of hepatic function.
up to 72 hours post-dose

Tmax will be determined for baxdrostat and the CIN-107M metabolite

Terminal elimination half-life of baxdrostat and the CIN-107-M metabolite following administration of a single oral dose of baxdrostat to subjects with varying degrees of hepatic function.
up to 72 hours post-dose

Terminal elimination half-life will be determined for baxdrostat and the CIN-107M metabolite

Maximum plasma concentration (Cmax)
up to Day 8

This PK parameter will be determined for CIN-107, its primary metabolite (CIN-107-M), and any other measured metabolites using plasma concentration data, as the data permit.

Time to maximum plasma concentration (Tmax)
up to Day 8

This PK parameter will be determined for CIN-107, its primary metabolite (CIN-107-M), and any other measured metabolites using plasma concentration data, as the data permit.

Area under the curve from time 0 to the time of last quantifiable plasma concentration (AUC[0-last])
up to Day 8

This PK parameter will be determined for CIN-107, its primary metabolite (CIN-107-M), and any other measured metabolites using plasma concentration data, as the data permit.

Area under the curve from time 0 to infinity (AUC[0-inf])
up to Day 8

This PK parameter will be determined for CIN-107, its primary metabolite (CIN-107-M), and any other measured metabolites using plasma concentration data, as the data permit.

Percent of AUC extrapolated
up to Day 8

This PK parameter will be determined for CIN-107, its primary metabolite (CIN-107-M), and any other measured metabolites using plasma concentration data, as the data permit.

Terminal phase elimination half-life
up to Day 8

This PK parameter will be determined for CIN-107, its primary metabolite (CIN-107-M), and any other measured metabolites using plasma concentration data, as the data permit.

Apparent plasma clearance (CL/F)
up to Day 8

This PK parameter will be determined for CIN-107 using plasma concentration data.

Apparent volume of distribution
up to Day 8

This PK parameter will be determined for CIN-107 using plasma concentration data.

The cumulative amount of CIN-107 and CIN-107-M excreted in the urine (Ae)
up to Day 8

This PK parameter will be calculated using the urine concentrations of CIN-107 and its primary metabolite (CIN-107-M)

Renal clearance (CLR) of CIN-107 and CIN-107-M of CIN-107 and CIN-107-M
up to Day 8

Calculated as Ae/AUC. This PK parameter will be calculated using the urine concentrations of CIN-107 and its primary metabolite (CIN-107-M)

The fraction of the dose excreted renally
up to Day 8

This PK parameter will be calculated using the urine concentrations of CIN-107

Number of patients experiencing adverse events (AEs)
up to Day 11
Number of patients experiencing adverse drug reactions
up to Day 11
Number of patients experiencing serious adverse events (SAEs)
up to Day 11
Time to Cmax (Tmax)
Up to day 3

This plasma PK parameter will be determined for CIN-107, its primary metabolite (CIN-107-M), and any other measured metabolites.

Area under the concentration-time curve (AUC) from time 0 to 72 hours
Up to day 3

This plasma PK parameter will be determined for CIN-107, its primary metabolite (CIN-107-M), and any other measured metabolites.

Maximum plasma concentration (Cmax) of metformin
Up to day 3

This plasma PK parameter will be determined for metformin.

Time to Cmax (Tmax) of metformin
Up to day 3

This plasma PK parameter will be determined for metformin.

AUC from time 0 to the time of last quantifiable plasma concentration of metformin
Up to day 3

This plasma PK parameter will be determined for metformin.

AUC from time 0 to infinity of metformin
Up to day 3

This plasma PK parameter will be determined for metformin.

Percent of AUC extrapolated of metformin
Up to day 3

This plasma PK parameter will be determined for metformin.

Terminal phase elimination half-life of metformin
Up to day 3

This plasma PK parameter will be determined for metformin.

Cumulative amount of metformin excreted in the urine (Ae) of metformin
Up to day 3

This urine PK parameter will be determined for metformin.

Renal clearance (calculated as Ae/AUC) of metformin
Up to day 3

This urine PK parameter will be determined for metformin.

Fraction of the dose excreted renally of metformin
Up to day 3

This urine PK parameter will be determined for metformin.

Incidence of treatment emergent adverse events following single oral doses of CIN-107 tablet and oral solution.
0 to 23 days after dosing

The safety and tolerability of CIN-107 will be assessed throughout the study based on quantitation of adverse events that occur following oral doses of CIN-107 tablet and oral solution.

Maximum concentration [Cmax] following administration of a tablet formulation of CIN-107 compared to Cmax following administration of the oral solution.
0 to 21 days after dosing

Cmax will be determined for CIN-107 and any other measured metabolites for participants given each formulation of baxdrostat; relative bioavailability will be evaluated by comparing these parameters between patients given the solution versus the tablet.

Cmax of CIN-107 following administration of the tablet formulation under fed versus fasted conditions.
0 to 21 days after dosing

Cmax will be determined for CIN-107 and any other measured metabolites for participants given baxdrostat under fed versus fasted conditions; food effect will be evaluated by comparing Cmax between participants under each condition.

Area under the curve [AUC] following administration of a tablet formulation of CIN-107 compared to AUC following administration of the oral solution.
0 to 21 days after dosing

Area under the curve (AUC)0-∞ and AUC0-last will be determined for baxdrostat and any other measured metabolites for participants given each formulation of baxdrostat. Then relative bioavailability will be evaluated by comparing these AUC parameters between patients given the solution versus the tablet.

Time to maximum concentration [Tmax] of CIN-107 following administration of the tablet formulation under fed versus fasted conditions.
0 to 21 days after dosing

Tmax will be determined for CIN-107 and any other measured metabolites for participants given baxdrostat under fed versus fasted conditions, and then food effect will be evaluated by comparing Tmax between participants under each condition.

AUC of CIN-107 following administration of the tablet formulation under fed versus fasted conditions.
0 to 21 days after dosing

Area under the curve (AUC)0-∞ and AUC0-last will be determined for CIN-107 and any other measured metabolites for participants given baxdrostat under fed versus fasted conditions, and then food effect will be evaluated by comparing AUC between participants under each condition.

Tmax following administration of a tablet formulation of CIN-107 compared to Tmax following administration of the oral solution.
0 to 21 days after dosing

Tmax will be determined for CIN-107 and any other measured metabolites for participants given each formulation of baxdrostat.

Area under the curve from time 0 to infinity
up to Day 15

This PK parameter will be determined for CIN-107, its primary metabolite (CIN-107-M), and any other measured metabolites using plasma concentration data following the final dose of CIN-107, as the data permit.

Area under the curve over a dosing interval (tau)
up to Day 15

This PK parameter will be determined for CIN-107, its primary metabolite (CIN-107-M), and any other measured metabolites using plasma concentration data following the final dose of CIN-107, as the data permit.

Area under the plasma concentration-time curve (AUC) from time 0 to 24 hours
up to Day 2

This PK parameter will be determined for CIN-107, its primary metabolite (CIN-107-M), and any other measured metabolites using plasma concentration data and following the first dose of CIN-107, as the data permit.

Apparent plasma clearance
up to Day 15

This PK parameter will be determined for CIN-107 using plasma concentration data.

Renal clearance (CLR Calculated as Ae/AUC) of CIN-107 and CIN-107-M
up to Day 15

This PK parameter will be calculated using the urine concentrations of CIN-107 and its primary metabolite (CIN-107-M)

Fraction of the dose excreted renally (fe)
up to Day 15

This PK parameter will be calculated using the urine concentrations of CIN-107

Plasma concentration of aldosterone
up to Day 15
Plasma renin activity
up to Day 15
Plasma concentration of cortisol (free and total)
up to Day 15
Plasma concentration of ACTH (Adrenocorticotropic hormone)
up to Day 15

Secondary Endpoints

Change from baseline in ambulatory night-time average Systolic blood pressure(SBP) at Week 12
week12
Change from baseline in ambulatory daytime average Systolic blood pressure(SBP) at Week 12
week12
Change from baseline in seated Systolic blood pressure(SBP) at Week 12
week12
Unlock Study Endpoints

Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
baxdrostat 2 mgEXPERIMENTAL2 mg baxdrostat administered orally, once daily (QD)
Placebo 2mgPLACEBO_COMPARATOR2 mg placebo administered orally, once daily (QD)
BaxdrostatACTIVE_COMPARATORActive treatment group
PlaceboPLACEBO_COMPARATORControl treatment group
Baxdrostat/DapagliflozinEXPERIMENTALParticipants randomised to the baxdrostat/dapagliflozin arm will initially receive a dose of baxdrostat lower dose and dapagliflozin. For participants that meet the up-titration criteria, baxdrostat may be up-titrated to higher dose.
Placebo/DapagliflozinEXPERIMENTALPatients will receive a dose of dapagliflozin in combination with matching placebo
2 mg baxdrostatEXPERIMENTAL2 mg baxdrostat administered orally, once daily (QD)
1 mg baxdrostatEXPERIMENTAL1 mg baxdrostat administered orally, once daily (QD).
DapagliflozinACTIVE_COMPARATORPatients will receive one dose of dapagliflozin (active comparator) in combination with placebo matching baxdrostat daily
Baxdrostat /placeboPLACEBO_COMPARATORPatients will receive one dose of baxdrostat comparator in combination with placebo matching dapagliflozin daily
Arm 1: Baxdrostat 2 mgEXPERIMENTALParticipants will receive baxdrostat 2 mg tablet orally once daily.
Arm 2: PlaceboPLACEBO_COMPARATORParticipants will receive placebo tablet orally once daily.
Low dose CIN-107EXPERIMENTALPatients will take oral tablets of CIN-107 for 26 weeks. The dose strength may be titrated within 6 weeks.
High dose CIN-107EXPERIMENTALPatients will take oral tablets of CIN-107 for 26 weeks. The dose strength may be titrated within 6 weeks.
Experimental 2 mg CIN-107 tablets QDEXPERIMENTALTreatment with 2 mg CIN-107 tablets, by mouth, once per day. Starting at Visit 1 and concluding at EOT (Visit 7).
Cohort 1EXPERIMENTALOral tablet dose of baxdrostat 1 mg or placebo, administered as a single dose (Day 1) and multiple doses (once daily \[QD\] for 5 days, Days 6 - 10) to Japanese subjects
Cohort 2EXPERIMENTALOral tablet dose of baxdrostat 3 mg or placebo, administered as a single dose (Day 1) and multiple doses (QD for 5 days, Days 6 - 10) to Japanese subjects
Cohort 3EXPERIMENTALOral tablet dose of baxdrostat 3 mg or placebo, administered as a single dose (Day 1) and multiple doses (QD for 5 days, Days 6 - 10) to Caucasian subjects
Cohort 4EXPERIMENTALOral tablet dose of baxdrostat 10 mg or placebo, administered as a single dose (Day 1) and multiple doses (QD for 5 days, Days 6 - 10) to Japanese subjects
10 mg [14C]-bexdrostatEXPERIMENTALsingle oral dose of 10 mg baxdrostat containing 100 μCi of \[14C\] baxdrostat
Normal hepatic function groupEXPERIMENTALSubjects with normal hepatic function
Moderate hepatic impairment groupEXPERIMENTALSubjects with a Child-Pugh score of 7 to 9 (Category B) at screening
Control (normal renal function or mild renal impairment)EXPERIMENTALEstimated glomerular filtration rate (eGFR) ≥60 mL/min
Moderate to severe renal impairmentEXPERIMENTALeGFR 15 to 59 mL/min
Kidney failureEXPERIMENTALeGFR \<15 mL/min, including: * Subjects not on dialysis; and * Subjects on dialysis, with study drug administration on a non-dialysis day
Treatment A: Immediate-release metforminACTIVE_COMPARATORTreatment A: single 1000 mg dose of immediate-release metformin Subjects will be randomly assigned to 1 of 2 sequences: AB or BA. * Treatment A: a single 1000 mg dose of immediate-release metformin; and * Treatment B: a single 1000 mg dose of immediate-release metformin coadministered with a 10 mg dose of CIN-107. All study medication will be administered at 8:00 AM (±2 hours). There will be a minimum 10-day washout between administration of study drug in each treatment period.
Treatment B: Immediate-release metformin coadministered with a CIN-107EXPERIMENTALTreatment B: a single 1000 mg dose of immediate-release metformin coadministered with a 10 mg dose of CIN-107 Subjects will be randomly assigned to 1 of 2 sequences: AB or BA. * Treatment A: a single 1000 mg dose of immediate-release metformin; and * Treatment B: a single 1000 mg dose of immediate-release metformin coadministered with a 10 mg dose of CIN-107. All study medication will be administered at 8:00 AM (±2 hours). For Treatment B, the dose of CIN-107 will be administered 2 hours prior to the dose of metformin. There will be a minimum 10-day washout between administration of study drug in each treatment period.
Baxdrostat oral solutionEXPERIMENTAL5 mg CIN-107 oral solution in a fasted state
Baxdrostat tablet (fasted state)EXPERIMENTAL5 mg CIN-107 tablet(s) in a fasted state
Baxdrostat tablet (fed state)EXPERIMENTAL5 mg CIN-107 tablet(s) in a fed state (standard high fat meal)
Cohort 1: 2.5 mg CIN-107EXPERIMENTALSubjects on a low salt diet
Cohort 2: 5.0 mg CIN-107EXPERIMENTALSubjects on a low salt diet
Cohort 3: 1.5 mg CIN-107EXPERIMENTALSubjects on a normal salt diet
Cohort 4: 2.5 mg CIN-107EXPERIMENTALSubjects on a normal salt diet
Cohort 5: 0.5 mg CIN-107EXPERIMENTALSubjects on a normal salt diet
Cohort 1: 2.5 mg matching placeboPLACEBO_COMPARATORSubjects on a low salt diet
Cohort 2: 5.0 mg matching placeboPLACEBO_COMPARATORSubjects on a low salt diet
Cohort 3: 1.5 mg matching placeboPLACEBO_COMPARATORSubjects on a normal salt diet
Cohort 4: 2.5 mg matching placeboPLACEBO_COMPARATORSubjects on a normal salt diet
Cohort 5: 0.5 mg matching placeboPLACEBO_COMPARATORSubjects on a normal salt diet

Interventions

NameTypeDescription
baxdrostat 2mgDRUGbaxdrostat 2mg tablet administered orally, once daily (QD).
Placebo 2mgDRUGPlacebo 2mg tablet administered orally, once daily (QD).
BaxdrostatDRUGParticipants will take 2mg baxdrostat (Baxfendy) once daily (orally), in addition to standard-of-care.
PlaceboDRUGParticipants will take placebo once daily (orally), in addition to standard-of-care.
Baxdrostat and dapagliflozinDRUGbaxdrostat tablet and dapagliflozin tablet
Placebo and dapagliflozinOTHERplacebo tablet and dapagliflozin tablet
Baxdrostat/dapagliflozinDRUGbaxdrostat tablet dapagliflozin tablet
Placebo/dapagliflozinDRUGdapagliflozin tablet placebo tablet
Dapagliflozin in combination with placeboDRUGdapagliflozin tablet placebo tablet
CIN-107DRUGCIN-107 tablets by mouth once daily
Baxdrostat/PlaceboDRUGbaxdrostat tablet placebo tablet
MetforminDRUG1000 mg dose of immediate-release metformin
baxdrostat (formerly CIN-107) oral solutionDRUG5 mg single dose of baxdrostat given as either a solution or tablet in either the fed or fasted state, depending on the arm of the study
Matching PlaceboDRUGA repeat oral dose of matching placebo once daily for 10 days.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites51

Inclusion Criteria: Participants are eligible to be included in the study only if all of the following criteria apply: Age 1. Participant must be ≥18 years old, at the time of signing the informed consent. Type of Participant and Disease Characteristics 1. Mean seated SBP on AOBPM ≥140 mmHg and ...

Countries:ChinaCanadaUnited StatesAustraliaFranceGermanyIndiaItalyJapanSpainTaiwanUnited KingdomArgentinaBrazilBulgariaCzechiaDenmarkGreeceHungaryIsraelMalaysiaMexicoNetherlandsPeruPhilippinesPolandRomaniaSlovakiaSouth AfricaSouth KoreaSwedenThailandTurkey (Türkiye)UkraineVietnamBelgiumChileColombiaEgyptSaudi ArabiaSerbiaSingaporeHong KongRussiaAustria
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Recent Changes (Last 90 Days)

MEDIUMOct 16, 2026NCT07007793Status: RECRUITING → ACTIVE_NOT_RECRUITING
MEDIUMOct 16, 2026NCT07007793Status: RECRUITING → ACTIVE_NOT_RECRUITING
LOWOct 15, 2026NCT07686120Status: NOT_YET_RECRUITING → RECRUITING
LOWOct 15, 2026NCT07686120Status: NOT_YET_RECRUITING → RECRUITING
LOWSep 25, 2026NCT06742723lastUpdatePostDate: changed
LOWSep 25, 2026NCT06742723lastUpdatePostDate: changed
LOWSep 16, 2026NCT06677060lastUpdatePostDate: changed
LOWSep 16, 2026NCT06677060lastUpdatePostDate: changed
LOWSep 16, 2026NCT06677060lastUpdatePostDate: changed
LOWSep 16, 2026NCT06677060lastUpdatePostDate: changed
MEDIUMSep 6, 2026NCT06168409TRIAL_REMOVED: changed
MEDIUMSep 6, 2026NCT06168409TRIAL_REMOVED: changed
MEDIUMSep 6, 2026NCT06168409TRIAL_REMOVED: changed
MEDIUMSep 1, 2026NCT07222917Status: RECRUITING → ACTIVE_NOT_RECRUITING
MEDIUMSep 1, 2026NCT07222917Status: RECRUITING → ACTIVE_NOT_RECRUITING
MEDIUMAug 30, 2026NCT06034743TRIAL_REMOVED: changed
MEDIUMAug 30, 2026NCT06034743TRIAL_REMOVED: changed
MEDIUMAug 30, 2026NCT06034743TRIAL_REMOVED: changed
LOWAug 26, 2026NCT06742723lastUpdatePostDate: changed
LOWAug 26, 2026NCT06742723lastUpdatePostDate: changed

Frequently asked questions about Baxdrostat

What is baxdrostat?

Baxdrostat is an investigational oral small molecule developed by AstraZeneca PLC (ticker AZN) and is in Phase 3 clinical development. It is being studied across several cardiovascular and kidney conditions, including hypertension, resistant hypertension, heart failure, cardiac remodeling, chronic kidney disease with high blood pressure, and primary hyperaldosteronism.

What is baxdrostat used for?

Baxdrostat is being developed for hypertension, including resistant and uncontrolled hypertension, as well as heart failure, cardiac remodeling, chronic kidney disease with hypertension, and primary hyperaldosteronism. It is investigational and is being evaluated in Phase 3 and Phase 2 clinical trials rather than being an approved therapy.

Who makes baxdrostat?

Baxdrostat is developed by AstraZeneca PLC, which trades under the ticker AZN. AstraZeneca is running the clinical program, which includes Phase 3 studies in hypertension and primary hyperaldosteronism and a Phase 2b study of baxdrostat in combination with dapagliflozin in chronic kidney disease with high blood pressure.

What phase is baxdrostat in?

Baxdrostat is in Phase 3 clinical development. Its program includes Phase 3 trials in uncontrolled hypertension, cardiac remodeling, and primary hyperaldosteronism, plus a Phase 2b combination study with dapagliflozin in chronic kidney disease and high blood pressure. Baxdrostat is investigational and is not an approved medicine.

What clinical trials is baxdrostat in?

Baxdrostat trials include NCT07686120, a Phase 3b study in Chinese participants with uncontrolled hypertension; NCT07655362, a Phase 3 study of baxdrostat and ventricular remodeling in Canada; NCT07222917, a Phase 2b study of dapagliflozin plus baxdrostat in chronic kidney disease and high blood pressure; and NCT07007793, a Phase 3 study in primary aldosteronism with a follow-up substudy.