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CompletedNCT05314439Updated Dec 22, 2023

A Study to Assess the Safety, Tolerability, and Efficacy of Monthly Subcutaneous Administration of ION904 in Participants With Uncontrolled Hypertension

A Phase 2 interventional study of ION904 and Placebo in Hypertension, sponsored by Ionis Pharmaceuticals, Inc.. Completed at 8 sites in United States. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2023-12-22.

Sponsored by Ionis Pharmaceuticals, Inc. · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Primary completion was Jan 2023, 3 years 8 months ago, and no results have been posted to the registry; the sponsor requested a delay in submitting them in Dec 2023.
Phase
Phase 2
Study type
Interventional
Enrollment
48
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

The purpose of this study is to evaluate the effect of ION904 on plasma angiotensinogen (AGT) in participants with uncontrolled hypertension.

Read the detailed description

This is a Phase 2, multicenter, double-blind, randomized, placebo-controlled study. It will include up to approximately 48 participants with mild to moderate hypertension who have uncontrolled blood pressure (˃ 130 - ≤ 170 millimeters of mercury [mmHg] systolic) and have been on one or more anti-hypertensive medications for at least one month. Following an up to 4-week screening period, eligible participants will receive multiple doses of ION904 during a 13-week treatment period, followed by a 13-week post-treatment follow-up period.

02

Conditions studied

  • Hypertension

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03

In context

Hypertension

6,689 studies on the registry are indexed under Hypertension; 965 are open to participants now.

This study's enrollment of 48 is below the median of 90 across 4,995 interventional studies indexed under Hypertension.

Browse Hypertension studies →

Lead sponsor

Ionis Pharmaceuticals, Inc. is the lead sponsor of 116 studies on the registry; 10 are open to participants now.

Of its 48 completed or terminated interventional studies of FDA-regulated products, 21 (44%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

General Inclusion Criteria:

  1. Males must be surgically sterile or, abstinent or, if engaged in sexual relations with a woman of child-bearing potential (WOCBP), she uses a highly effective contraceptive method. Aged 18 - 75 inclusive and weighing ≥ 50 kilograms (kg) at the time of informed consent
  2. Body mass index (BMI) ≤ 45.0 kilograms per square meter (kg/m\^2) at screening
  3. History of uncontrolled hypertension (HTN) on one or more antihypertensive medications without changes in antihypertensive regimen within 4 weeks of screening and will be required to maintain this regimen throughout the Treatment Period

General Exclusion Criteria:

  1. History of secondary HTN including, but not limited to any of the following: renovascular HTN (unilateral or bilateral renal artery stenosis), coarctation of the aorta, primary hyperaldosteronism, Cushing's disease, pheochromocytoma, polycystic kidney disease, and drug induced HTN
  2. Unstable/underlying known cardiovascular disease defined as:

    • Any history of congestive heart failure (New York Heart Association [NYHA] Class III-IV)
    • Any history of previous myocardial infarction, coronary revascularization, unstable or stable angina pectoris ˂ 6 months prior to screening
    • Any hemodynamically unstable atrial or ventricular arrhythmias
    • Significant uncorrected valvular heart disease
    • Any history of stroke or transient ischemic attack \< 6 months prior to screening
  3. A cardiac valve repair, cardiac device implantation, and/or a hospitalization for heart failure within 3 months of screening
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
48 participants (actual)

Study arms

  • Experimental
    ION904

    Up to 4 monthly doses of ION904 will be administered by subcutaneous (SC) injection.

    Drug: ION904

  • Placebo comparator
    Placebo

    Up to 4 monthly doses of placebo will be administered by SC injection.

    Drug: Placebo

Interventions

  • DrugION904

    ION904 will be administered by SC injection.

  • DrugPlacebo

    Placebo will be administered by SC injection.

06

What researchers measure

Primary outcomes

  1. Percent Change from Baseline in Plasma Angiotensinogen (AGT)

    Time frame: Baseline up to approximately 15 weeks

Secondary outcomes

  1. Change from Baseline in Seated Automated Office Systolic Blood Pressure (SBP)

    Time frame: Baseline up to approximately 15 weeks

  2. Change from Baseline in Seated Automated Office Diastolic Blood Pressure (DBP)

    Time frame: Baseline up to approximately 15 weeks

07

Study locations

8 sites
  • Altasciences - Los Angeles
    Cypress, California 90630, United States
  • National Research Institute
    Los Angeles, California 90057, United States
  • Clinical Trials Research
    Sacramento, California 95821, United States
  • ALL Medical Research, LLC
    Cooper City, Florida 33024, United States
  • Progressive Medical Research
    Port Orange, Florida 32127, United States
  • Altasciences
    Overland Park, Kansas 66212, United States
  • NY Scientific
    Brooklyn, New York 11235, United States
  • Juno Research, LLC
    Houston, Texas 77040, United States
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 22, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05314439
Lead sponsor
Ionis Pharmaceuticals, Inc.
Responsible party
Sponsor
First posted
Apr 6, 2022
Start date
Apr 29, 2022
Primary completion
Jan 31, 2023
Completion
Feb 15, 2023
Last update
Dec 22, 2023

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Dec 2023. You cannot join it, but the record below documents what was studied.

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