New pill targets blood pressure that resists standard drugs
NCT ID NCT07833098
First seen Sep 22, 2026 · Last updated Sep 22, 2026
Summary
Researchers are testing an experimental oral drug called VB19055 in adults whose blood pressure remains high despite taking two or more antihypertensive medications. The Phase II trial enrolls 240 participants and assigns them at random to one of three doses of VB19055 or a placebo, all taken once daily for 12 weeks. Neither participants nor doctors know which treatment each person receives. The main goal is to measure changes in seated clinic systolic blood pressure from the start of the trial to week 12.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- VB19055, an experimental oral blood pressure drug
- What this could lead to
- If VB19055 works, it could offer a new oral option for people whose blood pressure stays high despite taking two or more medications.
- What could go wrong
- This is a Phase II trial, so researchers still need to confirm whether VB19055 lowers blood pressure and whether it is safe. Many drugs fail at this stage, and the 12-week treatment period cannot show long-term benefits or risks.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 240 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Sep 2026
An estimate. Start dates often move.
- Expected to finish
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Feb 2028
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Adult male and female aged ≥18 years; * Mean seated systolic blood pressure (SBP) ≥140 mmHg and \<170 mmHg at screening, and SBP ≥135 mmHg and \<170 mmHg at randomization (Mean seated SBP/DBP is defined as the average of 3 seated SBP/DBP measurements obtained by automated office blood pressure measurement at a single clinic visit. If the trial participant has not taken routine antihypertensive medication prior to the visit, a repeat mean blood pressure measurement may be performed within 2 days after dosing.) * Meet at least one of the following two criteria: 1. Uncontrolled hypertension: At screening and randomization, as judged by the investigator, stably taking antihypertensive medications of two different therapeutic classes at maximum tolerated dose for ≥4 weeks (at least one must be a non-potassium-sparing diuretic). Beta-blockers used for other indications (e.g., migraine, heart failure, coronary artery disease) shall not count toward antihypertensive medications for eligibility; 2. Resistant hypertension: At screening and randomization, as judged by the investigator, stably taking antihypertensive medications of ≥3 different therapeutic classes at maximum tolerated dose for ≥4 weeks (at least one must be a non-potassium-sparing diuretic). Beta-blockers used for other indications (e.g., migraine, heart failure, coronary artery disease) shall not count toward antihypertensive medications for eligibility. * Serum potassium (K⁺) ≥3.5 and \<5.0 mmol/L at screening (local laboratory); * Morning (08:00 ± 2 hours) serum cortisol \>3 µg/dL (local or central laboratory); * Female participants of childbearing potential agree to no pregnancy plans and use highly effective contraception from ICF signing until 30 days after last dose; male participants agree to no fertility plans and use highly effective contraception from ICF signing until 90 days after last dose (see Appendix 2 for details); * Voluntarily participate in this clinical study and have the capacity to sign the informed consent form. Exclusion Criteria: * Known causes of secondary hypertension: renal artery stenosis, uncontrolled or untreated hyperthyroidism/hypothyroidism, hyperparathyroidism, pheochromocytoma, Cushing's syndrome, aortic coarctation, or obstructive sleep apnea syndrome being treated with continuous positive airway pressure (CPAP) (participants with primary aldosteronism may be considered for enrollment unless adrenalectomy is planned before study completion); * Have undergone coronary revascularization (percutaneous coronary intervention \[PCI\] or coronary artery bypass grafting \[CABG\]) or any major surgery (e.g., valve replacement, peripheral artery bypass surgery) within 6 months prior to ICF signing, or plan to undergo such procedures during the study; * Arrhythmia requiring treatment or left bundle branch block at screening; * Known chronic permanent atrial fibrillation; * New York Heart Association (NYHA) Class III or IV chronic heart failure at screening; * Glycated hemoglobin (HbA1c) \>9.5% at screening; * Adrenal insufficiency diagnosed within 6 months prior to ICF signing; * Any of the following abnormal laboratory/physical examination findings at screening: 1. Serum sodium \<135 mmol/L; 2. Mean seated SBP ≥170 mmHg or mean seated DBP ≥110 mmHg; 3. Aspartate aminotransferase (AST) \>3.0 × upper limit of normal (ULN) and/or alanine aminotransferase (ALT) \>3.0 × ULN; 4. Total bilirubin \>2.0 × ULN, unless the participant has a history of Gilbert's syndrome; 5. Estimated glomerular filtration rate (eGFR) \<60 mL/min/1.73 m²; 6. Body mass index (BMI) \<18 kg/m² or ≥45 kg/m²; 7. Any of the following ECG abnormalities: heart rate \<45 bpm or \>110 bpm; QT interval corrected by Fridericia's formula (QTcF) \>470 ms; 8. Clinically significant abnormal chest imaging (chest X-ray or computed tomography \[CT\]) assessed by the investigator as posing a safety risk; 9. Positive hepatitis B surface antigen (HBsAg) with possible viral replication (positive HBV DNA) as judged by the investigator based on further testing, or positive anti-hepatitis C virus (HCV) antibody, or positive human immunodeficiency virus (HIV) antibody.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
24 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Affiliated Hospital of Jining Medical University
Jining, China
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Chengdu Second People's Hospital
Chengdu, China
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China Resources WISCO General Hospital
Wuhan, China
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Daqing People's Hospital
Daqing, China
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Liaoning Provincial People's Hospital
Shenyang, China
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Panjin Liaohe Oilfield Gem Flower Hospital
Panjin, China
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Peking University People's Hospital
Beijing, China
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Qilu Hospital of Shandong University
Shandong, China
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Ruijin Hospital, Shanghai Jiao Tong University School of Medicine
Shanghai, China
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Shanxi Cardiovascular Hospital
Shaxi, China
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Shengjing Hospital of China Medical University
Shenyang, China
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Suzhou Municipal Hospital of Anhui Province
Suzhou, China
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The First Affiliated Hospital of Baotou Medical College, Inner Mongolia University of Science and Technology
Baotou, China
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The First Affiliated Hospital of University of South China
Hengyang, China
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The First Hospital of Hebei Medical University
Hebei, China
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The First People's Hospital of Xinxiang
Xinxiang, China
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The Second Affiliated Hospital of Chongqing Medical University
Chongqing, China
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The Seventh People's Hospital of Zhengzhou City
Zhengzhou, China
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The Third Hospital of Changsha
Changsha, China
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The Third People's Hospital of Luoyang
Luoyang, China
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The Third Xiangya Hospital of Central South University
Changsha, China
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Union Hospital, Tongji Medical College, Huazhong University of Science and Technology
Wuhan, China
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Zhengzhou Central Hospital
Zhengzhou, China
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Zhongda Hospital, Southeast University
Nanjing, China
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