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AstraZeneca’s Baxdrostat Lowers Blood Pressure in Phase III, Setting Up 2025 Filings

The aldosterone‑synthesis inhibitor cut systolic readings by roughly 9–10 mmHg versus placebo in the BaxHTN trial, prompting plans for regulatory submissions.

Overview

  • In nearly 800 patients across 214 sites with uncontrolled or resistant hypertension, baxdrostat added to standard therapy outperformed placebo at 12 weeks.
  • About 40% of participants on baxdrostat reached guideline blood pressure targets compared with under 20% on placebo.
  • Safety findings were generally manageable, with hyperkalaemia reported in about 1.1% of treated patients and no unexpected signals.
  • Blood‑pressure reductions persisted to 32 weeks in follow‑up, while experts call for longer‑term outcomes data and clearer criteria to identify responders.
  • Results were presented at the ESC Congress and published in NEJM, as AstraZeneca says it will file before year‑end with potential approvals targeted in 2026.