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RecruitingHigh Risk Cardiovascular DiseaseHypertensionHigh Cardiovascular Risk

Zilebesiran in Patients With Hypertension Not Adequately Controlled and With Either Established Cardiovascular Disease or High Risk for Cardiovascular Disease

Eligible age

18+ yrs

Accepts

All genders

Locations

37 states

Healthy volunteers

No

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About this study

The purpose of this study is to evaluate whether zilebesiran versus placebo reduces the risk of cardiovascular (CV) death, nonfatal myocardial infarction (MI), nonfatal stroke, or heart failure (HF) events. This is an event-driven study that will continue until the targeted number of positively adjudicated primary endpoint clinical outcome events (COEs) have been reached.

Sponsor: Alnylam Pharmaceuticals

You may qualify if…

  • Is 18 years or older for patients with established cardiovascular disease (CVD)
  • Is 55 years or older for patients with high risk for CVD
  • Has established CVD (defined as coronary, cerebrovascular, or peripheral artery disease) or high risk for CVD
  • Has treated hypertension on stable therapy with at least 2 standard of care antihypertensive medications, one of which must be a thiazide, thiazide-like, or loop diuretic

You may not qualify if…

  • Has known history of secondary hypertension
  • Has symptomatic orthostatic hypotension
  • Has alanine aminotransferase (ALT) or aspartate aminotransferase (AST) \>3×upper limit of normal (ULN)
  • Has total serum bilirubin \>1.5×ULN
  • Has international normalized ratio (INR) \>1.5
  • Has serum potassium \>4.8 mEq/L
  • Has estimated glomerular filtration rate (eGFR) \<30 mL/min/1.73m\^2

Where it's recruiting

Alabama

Birmingham · Fairhope · Foley · Huntsville

Arizona

Chandler · Gilbert · Glendale · Mesa

Arkansas

Little Rock

California

Beverly Hills · Chula Vista · Covina · Escondido

Colorado

Wheat Ridge

Connecticut

Bridgeport · Waterbury

Florida

Boca Raton · Brandon · Fleming Island · Fort Lauderdale

Georgia

Atlanta · Brunswick · Canton · Columbus

Illinois

Arlington Heights · Chicago · Hazel Crest · Oak Brook

Indiana

Avon · Carmel · Evansville · Franklin

Kansas

Hutchinson · Topeka · Wichita

Kentucky

Bowling Green · Lexington · Versailles

Source: ClinicalTrials.gov · NCT07181109 · last updated 2026-06-12