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A Trial of HRS-1780 in Participants With Uncontrolled Hypertension or Resistant Hypertension.

27 augusti 2026 uppdaterad av: Shandong Suncadia Medicine Co., Ltd.

A Multicenter, Randomized, Double-blind, Placebo-controlled Phase II/III Clinical Trial to Evaluate the Efficacy and Safety of HRS-1780 in Participants With Uncontrolled Hypertension or Resistant Hypertension.

The study is being conducted to evaluate the efficacy and safety of HRS-1780 in participants with uncontrolled hypertension or resistant hypertension. To explore the optimal use of HRS-1780 in participants with uncontrolled hypertension or resistant hypertension。

Studieöversikt

Studietyp

Interventionell

Inskrivning (Beräknad)

914

Fas

  • Fas 2
  • Fas 3

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studiekontakt

Studera Kontakt Backup

Studieorter

    • Chongqing Municipality
      • Chongqing, Chongqing Municipality, Kina, 400042
        • Army Characteristic Medical Center of the People's Liberation Army
        • Huvudutredare:
          • Chunyu Zeng
    • Shanghai Municipality
      • Shanghai, Shanghai Municipality, Kina, 200080
        • Zhongshan hospital, Fudan university
        • Huvudutredare:
          • Xiaoqiang Ding

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

  • Vuxen
  • Äldre vuxen

Tar emot friska volontärer

Nej

Beskrivning

Inclusion Criteria:

  1. Male or female, aged ≥ 18 and < 80 years ;
  2. Mean trough seated SBP ≥ 140 mmHg and < 170 mmHg at both screening and randomization visits.
  3. Meet one of the following two criteria:

    1. Meet the criteria for uncontrolled hypertension;
    2. Meet the criteria for resistant hypertension;
  4. Serum potassium ≥ 3.5 mmol/L and ≤ 5.0 mmol/L ;
  5. Voluntarily sign the ICF prior to the study;
  6. Have no plan for fertility from the time of signing the ICF until 4 weeks after the last dose.

Exclusion Criteria:

  1. Mean trough seated DBP ≥ 110 mmHg at randomization.
  2. Have a known secondary cause of hypertension, including but not limited to: renal artery stenosis, coarctation of the aorta, uncontrolled or untreated hyperthyroidism/hypothyroidism, pheochromocytoma, or Cushing's syndrome.
  3. History of adrenal insufficiency at screening.
  4. Presence of severe structural heart disease at screening, including severe valvular heart disease, hypertrophic cardiomyopathy, dilated cardiomyopathy, rheumatic heart disease, or congenital heart disease.
  5. Presence of persistent atrial fibrillation or any arrhythmia requiring treatment at screening; or resting heart rate < 45 bpm or > 110 bpm.
  6. New York Heart Association (NYHA) Class III-IV heart failure at screening.
  7. Undergone CT angiography (CTA) or colonoscopy within 1 month prior to screening.
  8. Undergone percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) within 6 months prior to screening, or plan to undergo PCI, CABG, carotid or peripheral artery revascularization during the study period.
  9. History of stroke, acute coronary syndrome, hypertensive encephalopathy, or hospitalization for heart failure within 6 months prior to screening.
  10. Within 6 months prior to screening, presence of clinically significant diseases in the following systems that, in the investigator's judgment, may interfere with the study results or pose additional risk to the administration of the investigational product, including but not limited to: respiratory, digestive, endocrine, immune, urinary, hematologic, neurologic, or psychiatric disorders.
  11. History of malignancy within 5 years prior to screening.
  12. Use of strong inhibitors/inducers of cytochrome P450 3A4 (CYP3A4) within 1 week prior to screening ,or moderate inhibitors/inducers.
  13. Use of mineralocorticoid receptor antagonists (MRAs) and/or potassium-sparing diuretics (e.g., spironolactone, eplerenone, finerenone, amiloride, triamterene, etc.) within 4 weeks prior to randomization.
  14. Use of aldosterone synthase inhibitors (ASIs) within 4 weeks prior to randomization.
  15. Concomitant use of angiotensin-converting enzyme inhibitors (ACEIs) and angiotensin II receptor blockers (ARBs) within 4 weeks prior to randomization.
  16. Treatment with potassium binders within 2 months prior to screening.
  17. Presence of any of the following laboratory abnormalities:

    1. eGFR < 45 mL/min/1.73 m² ;
    2. HbA1c > 10.5%;
    3. Serum sodium < 135.0 mmol/L;
    4. ALT ≥ 3 × ULN;
    5. AST ≥ 3 × ULN;
    6. Total bilirubin ≥ 2 × ULN.
  18. Body mass index (BMI) > 35 kg/m².
  19. Run-in period placebo compliance < 80% or > 120% at randomization.
  20. Known or suspected allergy to MRAs, the investigational product, or any of its excipients.
  21. Treatment with any other investigational product within 90 days or 5 half-lives prior to screening .
  22. Women of childbearing potential (WOCBP) who are pregnant, breastfeeding, plan to become pregnant during the study, or are unable to use highly effective contraceptive measures; or male participants who are unable to use highly effective contraceptive measures.
  23. Occupation or working schedule requiring regular night shifts or similar circumstances that may interfere with study procedures.
  24. Any other condition that, in the investigator's judgment, may compromise participant safety or interfere with the assessment of study results.

Studieplan

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

  • Primärt syfte: Behandling
  • Tilldelning: Randomiserad
  • Interventionsmodell: Parallellt uppdrag
  • Maskning: Fyrdubbla

Vapen och interventioner

Deltagargrupp / Arm
Intervention / Behandling
Experimentell: Treatment group A: HRS-1780 tablet Dose 1
HRS-1780 tablet Dose 1
HRS-1780 tablet Dose 2
HRS-1780 tablet Dose 3
Experimentell: Treatment group B: HRS-1780 tablet Dose 2
HRS-1780 tablet Dose 1
HRS-1780 tablet Dose 2
HRS-1780 tablet Dose 3
Experimentell: Treatment group C: HRS-1780 tablet Dose 3
HRS-1780 tablet Dose 1
HRS-1780 tablet Dose 2
HRS-1780 tablet Dose 3
Placebo-jämförare: Treatment group D: HRS-1780 tablet placebo
HRS-1780 tablet placebo

Vad mäter studien?

Primära resultatmått

Resultatmått
Tidsram
Change from baseline in trough seated SBP at Week 12
Tidsram: baseline and Week 12
baseline and Week 12

Sekundära resultatmått

Resultatmått
Tidsram
Change from baseline in trough seated DBP at Week 12
Tidsram: baseline and Week 12
baseline and Week 12
Change from baseline in trough seated SBP at Week 8
Tidsram: baseline and Week 8
baseline and Week 8
Proportion of participants achieving trough seated blood pressure < 140/90 mmHg at Week 12
Tidsram: Week 12
Week 12
Proportion of participants achieving trough seated SBP < 130 mmHg at Week 12
Tidsram: Week 12
Week 12
Change from baseline in 24-hour ambulatory blood pressure monitoring (ABPM) mean SBP at Week 12
Tidsram: baseline and Week 12
baseline and Week 12
Change from baseline in daytime and nighttime mean SBP measured by 24-hour ABPM at Week 12
Tidsram: baseline and Week 12
baseline and Week 12
Change from baseline in daytime and nighttime mean DBP measured by 24-hour ABPM at Week 12
Tidsram: baseline and Week 12
baseline and Week 12
Change from randomized withdrawal baseline (Week 44) in trough seated SBP at Week 52
Tidsram: Week 44 and Week 52
Week 44 and Week 52
Proportion of participants with eGFR decline ≥ 30% during the treatment period
Tidsram: baseline and treatment period
baseline and treatment period
Proportion of participants with serum potassium > 6.0 mmol/L during the treatment period
Tidsram: treatment period
treatment period
Change from baseline in 24-hour ambulatory blood pressure monitoring (ABPM) mean DBP at Week 12
Tidsram: baseline and Week 12
baseline and Week 12
Proportion of participants with serum potassium > 5.5 mmol/L and ≤ 6.0 mmol/L during the treatment period
Tidsram: treatment period
treatment period

Samarbetspartners och utredare

Det är här du hittar personer och organisationer som är involverade i denna studie.

Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart (Beräknad)

1 september 2026

Primärt slutförande (Beräknad)

1 april 2029

Avslutad studie (Beräknad)

1 april 2029

Studieregistreringsdatum

Först inskickad

13 juli 2026

Först inskickad som uppfyllde QC-kriterierna

13 juli 2026

Första postat (Faktisk)

16 juli 2026

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

1 september 2026

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

27 augusti 2026

Senast verifierad

1 juli 2026

Mer information

Termer relaterade till denna studie

Andra studie-ID-nummer

  • HRS-1780-302

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