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lorundrostat

Phase 3

Hypertension | Small molecule | Cardiovascular |Mineralys Therapeutics, Inc.|Last Updated: Aug 21, 2026

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindCONTROLLEDDMC
Total Trials3
Total Enrollment2,444

FDA Designations

No designations recorded

Clinical trial landscape

lorundrostat · 4 trials · 2 indications

Phase 3 2Phase 2 2
NCT06153693Efficacy and Safety of Lorundrostat in Subjects With Uncontrolled and Resistant HypertensionHypertension
COMPLETED1,083 Analytics
NCT05968430Open-Label Extension (OLE) Study to Assess Safety, Efficacy, and Tolerability of Lorundrostat in Subjects With HypertensionHypertension
ACTIVE NOT_RECRUITING1,076 Analytics
PHASE3COMPLETED
Efficacy and Safety of Lorundrostat in Subjects With Uncontrolled and Resistant Hypertension
HypertensionUnlock trial analytics
PHASE3ACTIVE NOT_RECRUITING
Open-Label Extension (OLE) Study to Assess Safety, Efficacy, and Tolerability of Lorundrostat in Subjects With Hypertension
HypertensionUnlock trial analytics

Study Endpoints

Primary Endpoints

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
Week 6
Change from MLS-101-301 baseline automated office blood pressure
Week 36

Change from MLS-101-301 baseline automated office blood pressure (AOBP) systolic blood pressure (SBP) at MLS-101-901 Week 36 in subjects who were enrolled in the lorundrostat arms of MLS-101-301 and were not assigned to the placebo arm of the MLS-101-901 RTW substudy

Change at MLS-101-901 Week 16 (RTW Week 4) from MLS 101-901 Week 12 (RTW substudy baseline) in AOBP SBP in subjects enrolled in RTW
Week 16
Placebo-adjusted Change From Baseline in AHI at Week 4
Baseline, Week 4
Change in 24-hour average ambulatory blood pressure monitoring (ABPM) systolic blood pressure (SBP)
Baseline (Randomization) to Week 12

Secondary Endpoints

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
Week 6
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
Week 12
Change from baseline in AOBP SBP at Week 6 in subjects with uncontrolled hypertension on 2 prescribed AHT medications
Week 6
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
PlaceboPLACEBO_COMPARATORPlacebo once daily (QD) for 12 weeks
Dose 1EXPERIMENTAL50 mg lorundrostat Dose 1 once daily (QD) for 12 weeks
Dose 2EXPERIMENTAL50 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
Open-Label ArmEXPERIMENTALlorundrostat once daily for 52 weeks depending on when the subject enrolled
RTW SubstudyEXPERIMENTALlorundrostat or placebo once daily for 4 weeks starting at week 12, in the double-blind randomized treatment withdrawal substudy Optional for subjects from the MLS-101-301 parent study only
Optional Continuation PeriodEXPERIMENTALlorundrostat once daily from week 52 or until marketing authorization or early termination of the trial by the sponsor
Sequence 1: Lorundrostat then PlaceboEXPERIMENTAL -
Sequence 2: Placebo then LorundrostatEXPERIMENTAL -

Interventions

NameTypeDescription
PlaceboDRUGPlacebo once daily (QD) for 12 weeks
lorundrostat Dose 1DRUG50 mg lorundrostat Dose 1 once daily (QD) for 12 weeks
lorundrostat Dose 2DRUG50 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
lorundrostatDRUGTablet, administered orally
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites184

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 hype...

Countries:United StatesAustraliaBulgariaCanadaFranceGermanyItalyNetherlandsPolandPuerto RicoRomaniaSpainUnited Kingdom
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Recent Changes (Last 90 Days)

LOWJul 24, 2026NCT05968430lastUpdatePostDate: changed
LOWJul 24, 2026NCT05968430lastUpdatePostDate: changed
MEDIUMJul 17, 2026NCT05968430Completion: 2026-12 → 2027-05
MEDIUMJul 17, 2026NCT05968430Completion: 2026-12 → 2027-05

Frequently asked questions about lorundrostat

What is Lorundrostat used for?

Lorundrostat is an investigational small molecule being developed for hypertension and for obstructive sleep apnea with hypertension. It is a -stat class enzyme inhibitor under evaluation in clinical trials for these cardiovascular conditions.

Who makes Lorundrostat?

Lorundrostat is being developed by Mineralys Therapeutics, Inc., a biopharmaceutical company traded on the stock exchange under the ticker symbol MLYS.

What phase is Lorundrostat in?

Lorundrostat is in clinical development. It has completed Phase 2 trials in hypertension and in obstructive sleep apnea with hypertension, and it has been studied in Phase 3 trials for hypertension. It remains investigational and is not approved.

What clinical trials is Lorundrostat in?

Lorundrostat has been studied in several trials. NCT05769608 was a Phase 2 study in uncontrolled hypertension, NCT05968430 is an active Phase 3 open-label extension in hypertension, NCT06153693 was a Phase 3 study in uncontrolled and resistant hypertension, and NCT06785454 was a Phase 2 study in obstructive sleep apnea with hypertension.

Is Lorundrostat the same as any other drug?

Lorundrostat is the drug name used in clinical trials for this investigational therapy. No alternative names have been reported for this compound.