ClinicalTrials.gg
RecruitingNCT07142356Updated Nov 4, 2026

A Study of Modified Release RTN-001 In Patients With Uncontrolled Hypertension

A Phase 2 interventional study of RTN-001 and Matching placebo control in Uncontrolled Hypertension, sponsored by Retension Pharmaceuticals. Inc.. Recruiting at 44 sites in United States. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2026-11-04.

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

From the registry’s dates

  • Started Oct 2025; still recruiting 1 year later.
Updated Nov 4, 2026Eligibility revisedInterventions changed+3 moreGo to Updates ↓
Phase
Phase 2
Study type
Interventional
Enrollment
280
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

The purpose of this clinical trial is to measure the safety and efficacy of RTN-001 in adult participants with uncontrolled hypertension versus placebo.

Read the detailed description

This is a Phase 2b, randomized, double-blind, parallel group, multicenter safety and efficacy study evaluating RTN-001 in adult patients (18 to 75 years) with resistant and uncontrolled hypertension (SBP ≥135 mm Hg and a DBP ≥80 mm Hg). The study consists of 3 periods, a Screening Period, a Run-in Period, and a Treatment Period.

At the conclusion of the Run-in Period, approximately 280 eligible patients will enter the 12-week Treatment Period and be randomly assigned to a treatment group (1:1:1:1). An Off-treatment (OT) Follow-up Visit will occur 2 weeks after conclusion of the Treatment Period.

02

Conditions studied

  • Uncontrolled Hypertension

Keywords

  • hypertension
  • uncontrolled hypertension
  • RTN-001
  • blood pressure
  • systolic
  • diastolic
03

In context

Hypertension

6,114 studies on the registry are indexed under Hypertension; 912 are open to participants now.

This study's planned enrollment of 280 is above the median of 100 across 4,575 interventional studies indexed under Hypertension.

Browse Hypertension studies →

Lead sponsor

Retension Pharmaceuticals. Inc. is the lead sponsor of 3 studies on the registry; 1 is open to participants now.

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

04

Who can participate

The criteria were revised on the registry on Oct 2, 2026. See what changed

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Male or female patients age 18 to 75 years, inclusive, at the Screening Visit.
  • Uncontrolled HTN despite being on a stable regimen of 2-5 antihypertensive medications.
  • Mean BP of ≥135/80 mm Hg.
  • of 18 to 35 kg/m2.

Exclusion criteria

Exclusion Criteria:

  • Mean seated SBP >175 mm Hg and/or DBP >110 mm Hg.
  • Current or planned use of nitrates and/or alpha-blockers or other drugs known to affect BP during the study period.
  • Participants who use PDE5 inhibitors for other indications that cannot or will not refrain from use of PDE5 inhibitors for 7 days before and during their entire period of participation in the study.
  • History of hypotension, fainting spells, blackouts or autonomic dysfunction, including orthostatic hypotension.
  • Known diagnosis of secondary hypertension (e.g. Cushing's Disease or hyperaldosteronism, renal fibrodysplasia, renal artery stenosis, etc., aortic stenosis etc.).
  • Recent (within 3 months before the Screening Visit [Visit S1]) myocardial infarction; unstable angina leading to hospitalization; uncontrolled, symptomatic atrial fibrillation, or any cardiac arrhythmia that has not been clinically stable for at least 3 months prior to screening. Participants with implantable pacemakers or automatic implantable cardioverter defibrillators may be considered if deemed by the Investigator to be stable for the previous 3 months.
  • Uncontrolled hypothyroidism
  • Liver disease or dysfunction
  • Renal dysfunction (\<45 mL/min/1.73m²) or glomerulonephritis
  • Active infection or major illness
  • Gastrointestinal conditions or procedures (including weight loss surgery [eg, Lap-Band or gastric bypass]) that may affect drug absorption.
  • Hematologic or coagulation disorders
  • Active
  • Unexplained creatine kinase (CK) >3 × at any time before randomization
  • A known history of temporary or permanent partial or total vision loss
  • A known history of "crowded" optic disc.
  • A known history of retinitis pigmentosa, a rare genetic eye disease.
  • Any prescription or over-the counter drugs or herbal supplements known to be strong inhibitors of enzymes
  • NHYA class III-IV symptoms of heart failure.
  • History of diabetes or suspected diabetes with glycosylated > 10% or fasting glucose >250 mg/dl at Screening Visit (S1).
Terms in these criteria, in plain language(6)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

CYP3A (CYP3A4) inhibitors and inducers

CYP3A is a group of enzymes, mainly CYP3A4, in the liver and gut that break down many medicines. Some medicines, supplements and foods (grapefruit, St John’s wort) slow them down or speed them up, which changes how much of a study drug stays in the body.

Studies list them so they can be avoided or switched; bring a list of everything you take, including supplements.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
280 participants (estimated)

Study arms

  • Experimental
    RTN-001 (15 mg)

    Drug: RTN-001

  • Experimental
    RTN-001 (30 mg)

    Drug: RTN-001

  • Experimental
    RTN-001 (45 mg)

    Drug: RTN-001

  • Placebo comparator
    Placebo

    Drug: Matching placebo control

Interventions

  • DrugRTN-001

    Oral tablet

    Also known as: SLx-2101

  • DrugMatching placebo control

    Oral tablet with similar appearance as the RTN-001.

    Also known as: Placebo

06

What researchers measure

Primary outcomes

  1. Mean change in systolic blood pressure (SBP) at 4 weeks

    The difference in the mean change in pre-dose office-seated peripheral systolic blood pressure in patients with uncontrolled hypertension after 4 weeks of treatment with RTN-001 versus placebo.

    Time frame: 4 weeks

Secondary outcomes

  1. Mean change in pre-dose office-seated SBP at 2, 8, and 12 weeks

    Difference in the mean change in pre-dose office-seated SBP in participants with uncontrolled hypertension after 2, 8, and 12 weeks of treatment with RTN-001 versus placebo.

    Time frame: 2, 8, and 12 weeks

  2. Mean change in pre-dose central SBP at 2, 4, 8, and 12 weeks

    Difference in the mean change in pre-dose central SBP in participants with uncontrolled hypertension after 2, 4, 8, and 12 weeks of treatment with RTN-001 versus placebo.

    Time frame: 2, 4, 8, and 12 weeks

  3. Mean change in daytime ambulatory SBP at 4 and 12 weeks

    Difference in the mean change in daytime ambulatory SBP in participants with uncontrolled hypertension after 4 and 12 weeks of treatment with RTN-001 versus placebo.

    Time frame: 4 and 12 weeks

  4. Mean change in 24-hour ambulatory SBP at 4 and 12 weeks

    Difference in the mean change in 24-hour ambulatory SBP in participants with uncontrolled hypertension after 4 and 12 weeks of treatment with RTN-001 versus placebo.

    Time frame: 4 and 12 weeks

  5. Mean change in pre-dose office-seated DBP

    Difference in the mean change in pre-dose office-seated DBP in participants with uncontrolled hypertension after 2, 4, 8, and 12 weeks of treatment with RTN-001 versus placebo.

    Time frame: 2, 4, 8, and 12 weeks

  6. Mean change in predose central DBP at 2, 4, 8, and 12 weeks

    Difference in the mean change in pre-dose central DBP in participants with uncontrolled hypertension after 2, 4, 8, and 12 weeks of treatment with RTN-001 versus placebo.

    Time frame: 2, 4, 8, and 12 weeks

  7. Mean change in daytime ambulatory and 24-hour mean ambulatory DBP at 4 and 12 weeks

    Difference in the mean change in daytime ambulatory and 24-hour mean ambulatory DBP in participants with uncontrolled hypertension after 4 and 12 weeks of treatment with RTN-001 versus placebo.

    Time frame: 4 and 12 weeks

  8. Mean change in percentage of participants achieving peripheral SBP < 130 mm Hg and/or DBP < 80 mm Hg at t=0 (pre-dose) at 2, 4, 8, and 12 weeks

    Difference in the percentage of participants achieving peripheral SBP \< 130 mm Hg and/or DBP \< 80 mm Hg at t=0 (pre-dose) in participants with uncontrolled hypertension after 2, 4, 8, and 12 weeks of treatment with RTN-001 versus placebo.

    Time frame: 2, 4, 8, and 12 weeks

07

Study locations

43 of 44 sites recruiting
  • Retension Clinical Site
    Alexander City, Alabama 35010, United States
    Recruiting
  • Retension Clinical Site
    Birmingham, Alabama 35205, United States
    Recruiting
    • CRO Call Center · Contact
  • Retension Clinical Site
    Birmingham, Alabama 35222, United States
    Recruiting
  • Retension Clinical Site
    Glendale, Arizona 85304, United States
    Recruiting
  • Retension Clinical Site
    Tucson, Arizona 85715, United States
    Recruiting
  • Retension Clinical Site
    Pasadena, California 91105, United States
    Recruiting
  • Retension Clinical Site
    San Diego, California 92109, United States
    Recruiting
  • Retension Clinical Site
    San Jose, California 95128, United States
    Recruiting
  • Retension Clinical Site
    Ventura, California 93003, United States
    Recruiting
  • Retension Clinical Site
    West Hills, California 91307, United States
    Recruiting
  • Retension Clinical Site
    Waterbury, Connecticut 06708, United States
    Recruiting
  • Retension Clinical Site
    Boca Raton, Florida 33434, United States
    Recruiting
  • Retension Clinical Site
    Jacksonville, Florida 32216, United States
    Recruiting
  • Retension Clinical Site
    Leesburg, Florida 34748, United States
    Recruiting
  • Retension Clinical Site
    Maitland, Florida 32751, United States
    Recruiting
  • Retension Clinical Site
    Orlando, Florida 32801, United States
    Recruiting
  • Retension Clinical Site
    Port Orange, Florida 32127, United States
    Recruiting
  • Retension Clinical Site
    Tampa, Florida 33606, United States
    Recruiting
  • CRO Call Center
    Decatur, Georgia 30030, United States
    Recruiting
  • Retension Clinical Site
    Lawrenceville, Georgia 30044, United States
    Recruiting
  • Retension Clinical Site
    Peachtree Corners, Georgia 30092, United States
    Recruiting
  • CRO Call Center
    Indianapolis, Indiana 46202, United States
    Recruiting
  • CRO Call Center
    Munster, Indiana 46321, United States
    Recruiting
  • CRO Call Center
    New Orleans, Louisiana 70115, United States
    Recruiting
  • Retension Clincial Site
    Boston, Massachusetts 02131, United States
    Recruiting
  • CRO Call Center
    Methuen, Massachusetts 01844, United States
    Recruiting
  • Retension Clinical Site
    Bloomfield Hills, Michigan 48304, United States
    Recruiting
  • CRO Call Center
    Overland, Missouri 66209, United States
    Recruiting
  • Retension Clinical Site
    Las Vegas, Nevada 89109, United States
    Recruiting
  • Retension Clinical Site
    Las Vegas, Nevada 89121, United States
    Recruiting
  • Retension Clinical Site
    The Bronx, New York 10455, United States
    Recruiting
  • Retension Clinical Site
    Asheboro, North Carolina 27203, United States
    Recruiting
  • Retension Clinical Site
    Charlotte, North Carolina 28210, United States
    Recruiting
  • Retension Clinical Site
    Monroe, North Carolina 28112, United States
    Recruiting
  • Retension Clinical Site
    Cincinnati, Ohio 45245, United States
    Recruiting
  • CRO Call Center
    Tulsa, Oklahoma 74133, United States
    Not yet recruiting
  • Retension Clinical Site
    Charleston, South Carolina 29407, United States
    Recruiting
  • Retension Clinical Site
    North Charleston, South Carolina 29406, United States
    Recruiting
  • Retension Clinical Site
    Bellaire, Texas 77401, United States
    Recruiting
  • Retension Clinical Site
    Dallas, Texas 75230, United States
    Recruiting
  • Retension Clincal Site
    Plano, Texas 75024, United States
    Recruiting
  • Retension Clinical Site
    San Antonio, Texas 78215, United States
    Recruiting
  • Retension Clinical Site
    Sugar Land, Texas 77478, United States
    Recruiting
  • Retension Clinical Site
    Vienna, Virginia 22182, United States
    Recruiting
08

References and documents

Individual participant data

Plan to share: Undecided

09

Timeline

2 registry updates since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Oct 2025 (actual). Primary completion is estimated for Mar 2027, 17 months after the start.

Of 56 industry-sponsored phase 2 interventional studies under Hypertension, half reached primary completion within 14 months of starting (the median), counting those still running; a quarter within 9 and three quarters within 22. This study's planned 17 months is above that.

Counting every sponsor, half of 110 studies reached it within 25 months; a quarter within 11 and three quarters within 56.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 19, 2025
First posted
Aug 26, 2025
StartActual
Oct 31, 2025
Primary completionEst.
Mar 2027
CompletionEst.
Jun 2027
Last update
Nov 4, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Sites
21 sites added, 1 site removed
Show 21 added (21 United States)
  • Retension Clinical Site · Birmingham, United States
  • CRO Call Center · Maitland, United States
  • CRO Call Center · Decatur, United States
  • CRO Call Center · Indianapolis, United States
  • CRO Call Center · Munster, United States
  • CRO Call Center · New Orleans, United States
  • CRO Call Center · Methuen, United States
  • CRO Call Center · Overland, United States
  • CRO Call Center · Tulsa, United States
  • Retension Clinical Site · Sugar Land, United States
  • Retension Clinical Site · Birmingham, United States
  • Retension Clinical Site · Glendale, United States
  • Retension Clinical Site · Pasadena, United States
  • Retension Clinical Site · San Diego, United States
  • Retension Clinical Site · Ventura, United States
  • Retension Clinical Site · Boca Raton, United States
  • Retension Clinical Site · Jacksonville, United States
  • Retension Clinical Site · Leesburg, United States
  • Retension Clinical Site · Maitland, United States
  • Retension Clinical Site · Bloomfield Hills, United States
  • Retension Clinical Site · North Charleston, United States
Show 1 removed
  • CRO Call Center · Maitland, United States
across 2 updates, Oct 2, 2026 – Nov 4, 2026
Eligibility
Maximum age 70 Years→75 Years; 1 inclusion criterion edited, 12 removed; 4 exclusion criteria edited, 7 added, 21 removed
What changed in the criteria
Inclusion criteria
  • RemovedProvision of written informed consent before any study-specific procedure.
  • ChangedBefore Uncontrolled HTN despite being on a stable regimen of 2-5 antihypertensive medications in the following drug classes: ACE-inhibitors, ARBs, beta blockers, calcium channel blockers, mineralocorticoid receptor antagonists, or diuretics. A stable regimen is defined as being on the same medications and the same dose for at least 30 days before screening. A combination pill containing 2 separate classes of antihypertensive drugs is considered 2 antihypertensive medications.Now Uncontrolled HTN despite being on a stable regimen of 2-5 antihypertensive medications.
  • RemovedMen and nonpregnant, nonlactating women. Women must be either:
  • RemovedPostmenopausal defined as naturally ≥ 1 year without menses or < 1 year without menses and follicle-stimulating hormone ≥ 40.0 IU/L, or
  • RemovedSurgically sterile including hysterectomy, bilateral oophorectomy, and/or tubal ligation, or
  • RemovedWomen of childbearing potential must be willing to use 2 acceptable methods of birth control (unless they have agreed to follow the definition of true abstinence). The minimal requirement for adequate contraception should be started the day of Visit T1 (Day 1), continuing during the Treatment Period and for at least 30 days after the last dose of study drug. Acceptable methods of birth control include:
  • RemovedOral, implantable, injectable, or topical birth control medications. Note: Oral birth control medication must be started ≥ 30 days before the first dose of treatment in the Placebo Run-in.
  • RemovedPlacement of an intrauterine device with or without hormones.
  • RemovedBarrier methods including condom or occlusive cap with spermicidal foam or spermicidal jelly.
  • RemovedVasectomized male partner who is the sole partner for this patient.
  • RemovedTrue abstinence when this is the preferred and usual lifestyle of the patient. Periodic abstinence (eg, calendar, ovulation, symptothermal, postovulation methods), declaration of abstinence for the duration of a trial, and withdrawal are not acceptable methods of contraception.
  • RemovedNegative pre-study urine drugs of abuse screen, except for positive findings attributable to medications that are not prohibited (e.g., tetrahydrocannabinol [THC]) if prescribed by a physician for an established medical condition and are on a stable dose for at least 4 weeks prior to Screening Visit (S1).
  • RemovedIf taking a PDE5 inhibitor, must be willing to pause use during the study period.
Exclusion criteria
  • RemovedCurrently enrolled in a study with an investigational product or any other type of medical research within 30 days before randomization.
  • RemovedActive pancreatitis.
  • RemovedA history of drug abuse.
  • RemovedAbuses alcohol defined as average weekly intake greater than 21 units for males or 14 units for females. One unit is equivalent to a 12 oz beer, 1 measure of spirits, or 1 glass of wine.
  • RemovedHistory or presence of gastrointestinal, hepatic, or renal disease or other conditions that would be known to interfere with the absorption, distribution, metabolism, or excretion of drugs.
  • EditedRecent (within 3 months before the Screening Visit [Visit S1]) myocardial infarction; unstable angina leading to hospitalization; uncontrolled, symptomatic atrial fibrillation, or any cardiac arrhythmia that has not been clinically stable for at least 3 months prior to the S1 (stability is defined as the absence of new symptoms related to the arrhythmia and no changes in anti-arrhythmic medication or dosage within the 90 days preceding S1); hemodynamically significant aortic stenosis or other clinically significant left ventricular outflow tract obstruction (eg, hypertrophic obstructive cardiomyopathy), coronary artery bypass graft; percutaneous coronary intervention; carotid surgery or stenting; cerebrovascular accident; transient ischemic attack; endovascular procedure or surgical intervention for peripheral vascular disease; or plans to undergo a major surgical or interventional procedure (eg, percutaneous coronary intervention, coronary artery bypass graft, carotid or peripheral revascularization)screening. Participants with implantable pacemakers or automatic implantable cardioverter defibrillators may be considered if deemed by the Investigator to be stable for the previous 3 months.
  • RemovedUncontrolled hypothyroidism, including thyroid-stimulating hormone > 1.5 × the upper limit of normal (ULN) at the Screening Visit (Visit S1 or Unscheduled visits prior to the T1 visit); patients stabilized on thyroid replacement therapy for at least 6 weeks before randomization are allowed.
  • AddedUncontrolled hypothyroidism
  • EditedLiver disease or dysfunction, including:
  • RemovedPositive serology for hepatitis B surface antigen and/or hepatitis C antibodies at the Screening Visit (Visit S1 or Unscheduled visits prior to the T1 visit, or
  • RemovedAlanine aminotransferase (ALT), aspartate aminotransferase (AST) ≥ 2 × ULN, and/or total bilirubin (TB) ≥ 2 × ULN at the Screening Visit (Visit S1or Unscheduled visits prior to the T1 visit). If TB ≥ 1.2 × ULN, a reflex indirect (unconjugated) bilirubin will be obtained, and if consistent with Gilbert's syndrome or if the patient has a history of Gilbert's syndrome, the patient may be enrolled in the study.
  • RemovedNote: At the discretion of the Investigator, a repeat of ALT and/or AST may be completed before randomization. For those patients who have a repeat ALT and/or AST, the repeat value will be used to determine eligibility. Also, if the patient tests positive for the hepatitis C antibody, but the optional reflexive test for hepatitis C RNA is negative, the patient can be enrolled.
  • RemovedRenal dysfunction or glomerulonephritis, including estimated glomerular filtration rate (eGFR) by Chronic Kidney Disease-Epidemiology Collaboration (CKD-EPI) formula < 45 mL/min/1.73 m2 at the Screening Visit (Visit S1).
  • RemovedActive infection or major illness, other than mild viral illness within 30 days prior to T1 visit; positive for HIV antibody.
  • AddedRenal dysfunction (<45 mL/min/1.73m²) or glomerulonephritis
  • AddedActive infection or major illness
  • RemovedHematologic or coagulation disorders or a hemoglobin level < 10.0 g/dL at the Screening Visit (Visit S1or Unscheduled visits prior to the T1 visit) or anticipated initiation of erythropoietin-stimulating agents and/or planned transfusion within 2 months after screening
  • RemovedActive malignancy, including a malignancy requiring surgery, chemotherapy, and/or radiation in the 5 years before Screening. Nonmetastatic basal or squamous cell carcinoma of the skin and cervical carcinoma in situ are allowed.
  • RemovedUnexplained creatine kinase (CK) > 3 × ULN at any time before randomization, which is not associated with recent trauma or physically strenuous activity. Patients with an explained CK elevation must have a single repeat CK ≤ 3 × ULN before randomization.
  • RemovedBlood donation, participation in multiple blood draws, clinical study, major trauma, blood transfusion, or surgery with or without blood loss within 30 days before randomization.
  • RemovedUse of any experimental or investigational drug(s) within 30 days before the Screening Visit (Visit S1) or for at least five t1/2 lives for investigational biologics (whichever is longer).
  • RemovedAn employee or contractor of the facility conducting the study, or a family member of the principal investigator, co-investigator, or any Sponsor personnel
  • RemovedIs unwilling to comply with and complete study procedures or considered by the Investigator to be unsuitable for any other reason that may either place the participant at increased risk during participation or interfere with the interpretation of study outcomes, after reviewing the medical and psychiatric history, physical examination, and laboratory evaluation.
  • AddedHematologic or coagulation disorders
  • AddedActive malignancy
  • AddedUnexplained creatine kinase (CK) >3 × ULN at any time before randomization
  • EditedA known history of temporary or permanent partial or total vision loss including, but not limited to, participants with non-arteritic anterior ischemic optic neuropathy (NAION).

…and 5 more changes, on the record history on ClinicalTrials.gov ↗

Oct 2, 2026
Interventions
Arm changed RTN-001→RTN-001 (15 mg); Matching Placebo→Placebo. Arms added: RTN-001 (30 mg)·RTN-001 (45 mg)
Oct 2, 2026
Secondary outcomes
3 edited, 3 description edited
What changed in the outcomes
  • EditedMean change in pre-dose office-seated SBP at 2, 8, and 12 weeksTime frame: 2, 8, and 12 weeks
  • EditedMean change in pre-dose central SBP at 2, 4, 8, and 12 weeksTime frame: 2, 4, 8 and 12 weeks → 2, 4, 8, and 12 weeks
  • EditedMean change in 24-hour ambulatory SBP at 2, 4, 8, and 12 pre-dose office-seated DBPTime frame: 2, 4, 8, and 12 weeks
  • DescriptionMean change in 24-hour ambulatory SBP at 4 and 12 weeks: how it is measured was reworded
  • DescriptionMean change in percentage of participants achieving peripheral SBP < 130 mm Hg and/or DBP < 80 mm Hg at t=0 (pre-dose) at 2, 4, 8, and 12 weeks: how it is measured was reworded
  • DescriptionMean change in predose central DBP at 2, 4, 8, and 12 weeks: how it is measured was reworded
Oct 2, 2026
Contact
Study contact changed: i•••@retensionpharmaceuticals.com · •••2024→c•••@retensionpharmaceuticals.com · •••2024; removed i•••@retensionpharmaceuticals.com · •••3773. See the current contact
Oct 2, 2026
Site contacts
Changed at 1 site. See the sites
Show the site
  • Retension Clinical Site · Birmingham, United StatesContact p•••@worldwide.com→none listed
Nov 4, 2026
Show all 2 updates
  1. Nov 4, 2026
    11 sites added, 1 site removed
    Show 11 added (11 United States)
    • Retension Clinical Site · Birmingham, United States
    • Retension Clinical Site · Glendale, United States
    • Retension Clinical Site · Pasadena, United States
    • Retension Clinical Site · San Diego, United States
    • Retension Clinical Site · Ventura, United States
    • Retension Clinical Site · Boca Raton, United States
    • Retension Clinical Site · Jacksonville, United States
    • Retension Clinical Site · Leesburg, United States
    • Retension Clinical Site · Maitland, United States
    • Retension Clinical Site · Bloomfield Hills, United States
    • Retension Clinical Site · North Charleston, United States
    Show 1 removed
    • CRO Call Center · Maitland, United States
    Site contacts Changed at 1 site. See the sites
    Show the site
    • Retension Clinical Site · Birmingham, United StatesContact p•••@worldwide.com→none listed
  2. Oct 2, 2026
    10 sites added
    Show 10 added (10 United States)
    • Retension Clinical Site · Birmingham, United States
    • CRO Call Center · Maitland, United States
    • CRO Call Center · Decatur, United States
    • CRO Call Center · Indianapolis, United States
    • CRO Call Center · Munster, United States
    • CRO Call Center · New Orleans, United States
    • CRO Call Center · Methuen, United States
    • CRO Call Center · Overland, United States
    • CRO Call Center · Tulsa, United States
    • Retension Clinical Site · Sugar Land, United States
    Eligibility Maximum age 70 Years→75 Years; 1 inclusion criterion edited, 12 removed; 4 exclusion criteria edited, 7 added, 21 removed
    What changed in the criteria
    Inclusion criteria
    • RemovedProvision of written informed consent before any study-specific procedure.
    • ChangedBefore Uncontrolled HTN despite being on a stable regimen of 2-5 antihypertensive medications in the following drug classes: ACE-inhibitors, ARBs, beta blockers, calcium channel blockers, mineralocorticoid receptor antagonists, or diuretics. A stable regimen is defined as being on the same medications and the same dose for at least 30 days before screening. A combination pill containing 2 separate classes of antihypertensive drugs is considered 2 antihypertensive medications.Now Uncontrolled HTN despite being on a stable regimen of 2-5 antihypertensive medications.
    • RemovedMen and nonpregnant, nonlactating women. Women must be either:
    • RemovedPostmenopausal defined as naturally ≥ 1 year without menses or < 1 year without menses and follicle-stimulating hormone ≥ 40.0 IU/L, or
    • RemovedSurgically sterile including hysterectomy, bilateral oophorectomy, and/or tubal ligation, or
    • RemovedWomen of childbearing potential must be willing to use 2 acceptable methods of birth control (unless they have agreed to follow the definition of true abstinence). The minimal requirement for adequate contraception should be started the day of Visit T1 (Day 1), continuing during the Treatment Period and for at least 30 days after the last dose of study drug. Acceptable methods of birth control include:
    • RemovedOral, implantable, injectable, or topical birth control medications. Note: Oral birth control medication must be started ≥ 30 days before the first dose of treatment in the Placebo Run-in.
    • RemovedPlacement of an intrauterine device with or without hormones.
    • RemovedBarrier methods including condom or occlusive cap with spermicidal foam or spermicidal jelly.
    • RemovedVasectomized male partner who is the sole partner for this patient.
    • RemovedTrue abstinence when this is the preferred and usual lifestyle of the patient. Periodic abstinence (eg, calendar, ovulation, symptothermal, postovulation methods), declaration of abstinence for the duration of a trial, and withdrawal are not acceptable methods of contraception.
    • RemovedNegative pre-study urine drugs of abuse screen, except for positive findings attributable to medications that are not prohibited (e.g., tetrahydrocannabinol [THC]) if prescribed by a physician for an established medical condition and are on a stable dose for at least 4 weeks prior to Screening Visit (S1).
    • RemovedIf taking a PDE5 inhibitor, must be willing to pause use during the study period.
    Exclusion criteria
    • RemovedCurrently enrolled in a study with an investigational product or any other type of medical research within 30 days before randomization.
    • RemovedActive pancreatitis.
    • RemovedA history of drug abuse.
    • RemovedAbuses alcohol defined as average weekly intake greater than 21 units for males or 14 units for females. One unit is equivalent to a 12 oz beer, 1 measure of spirits, or 1 glass of wine.
    • RemovedHistory or presence of gastrointestinal, hepatic, or renal disease or other conditions that would be known to interfere with the absorption, distribution, metabolism, or excretion of drugs.
    • EditedRecent (within 3 months before the Screening Visit [Visit S1]) myocardial infarction; unstable angina leading to hospitalization; uncontrolled, symptomatic atrial fibrillation, or any cardiac arrhythmia that has not been clinically stable for at least 3 months prior to the S1 (stability is defined as the absence of new symptoms related to the arrhythmia and no changes in anti-arrhythmic medication or dosage within the 90 days preceding S1); hemodynamically significant aortic stenosis or other clinically significant left ventricular outflow tract obstruction (eg, hypertrophic obstructive cardiomyopathy), coronary artery bypass graft; percutaneous coronary intervention; carotid surgery or stenting; cerebrovascular accident; transient ischemic attack; endovascular procedure or surgical intervention for peripheral vascular disease; or plans to undergo a major surgical or interventional procedure (eg, percutaneous coronary intervention, coronary artery bypass graft, carotid or peripheral revascularization)screening. Participants with implantable pacemakers or automatic implantable cardioverter defibrillators may be considered if deemed by the Investigator to be stable for the previous 3 months.
    • RemovedUncontrolled hypothyroidism, including thyroid-stimulating hormone > 1.5 × the upper limit of normal (ULN) at the Screening Visit (Visit S1 or Unscheduled visits prior to the T1 visit); patients stabilized on thyroid replacement therapy for at least 6 weeks before randomization are allowed.
    • AddedUncontrolled hypothyroidism
    • EditedLiver disease or dysfunction, including:
    • RemovedPositive serology for hepatitis B surface antigen and/or hepatitis C antibodies at the Screening Visit (Visit S1 or Unscheduled visits prior to the T1 visit, or
    • RemovedAlanine aminotransferase (ALT), aspartate aminotransferase (AST) ≥ 2 × ULN, and/or total bilirubin (TB) ≥ 2 × ULN at the Screening Visit (Visit S1or Unscheduled visits prior to the T1 visit). If TB ≥ 1.2 × ULN, a reflex indirect (unconjugated) bilirubin will be obtained, and if consistent with Gilbert's syndrome or if the patient has a history of Gilbert's syndrome, the patient may be enrolled in the study.
    • RemovedNote: At the discretion of the Investigator, a repeat of ALT and/or AST may be completed before randomization. For those patients who have a repeat ALT and/or AST, the repeat value will be used to determine eligibility. Also, if the patient tests positive for the hepatitis C antibody, but the optional reflexive test for hepatitis C RNA is negative, the patient can be enrolled.
    • RemovedRenal dysfunction or glomerulonephritis, including estimated glomerular filtration rate (eGFR) by Chronic Kidney Disease-Epidemiology Collaboration (CKD-EPI) formula < 45 mL/min/1.73 m2 at the Screening Visit (Visit S1).
    • RemovedActive infection or major illness, other than mild viral illness within 30 days prior to T1 visit; positive for HIV antibody.
    • AddedRenal dysfunction (<45 mL/min/1.73m²) or glomerulonephritis
    • AddedActive infection or major illness
    • RemovedHematologic or coagulation disorders or a hemoglobin level < 10.0 g/dL at the Screening Visit (Visit S1or Unscheduled visits prior to the T1 visit) or anticipated initiation of erythropoietin-stimulating agents and/or planned transfusion within 2 months after screening
    • RemovedActive malignancy, including a malignancy requiring surgery, chemotherapy, and/or radiation in the 5 years before Screening. Nonmetastatic basal or squamous cell carcinoma of the skin and cervical carcinoma in situ are allowed.
    • RemovedUnexplained creatine kinase (CK) > 3 × ULN at any time before randomization, which is not associated with recent trauma or physically strenuous activity. Patients with an explained CK elevation must have a single repeat CK ≤ 3 × ULN before randomization.
    • RemovedBlood donation, participation in multiple blood draws, clinical study, major trauma, blood transfusion, or surgery with or without blood loss within 30 days before randomization.
    • RemovedUse of any experimental or investigational drug(s) within 30 days before the Screening Visit (Visit S1) or for at least five t1/2 lives for investigational biologics (whichever is longer).
    • RemovedAn employee or contractor of the facility conducting the study, or a family member of the principal investigator, co-investigator, or any Sponsor personnel
    • RemovedIs unwilling to comply with and complete study procedures or considered by the Investigator to be unsuitable for any other reason that may either place the participant at increased risk during participation or interfere with the interpretation of study outcomes, after reviewing the medical and psychiatric history, physical examination, and laboratory evaluation.
    • AddedHematologic or coagulation disorders
    • AddedActive malignancy
    • AddedUnexplained creatine kinase (CK) >3 × ULN at any time before randomization
    • EditedA known history of temporary or permanent partial or total vision loss including, but not limited to, participants with non-arteritic anterior ischemic optic neuropathy (NAION).

    …and 5 more changes, on the record history on ClinicalTrials.gov ↗

    Secondary outcomes 3 edited, 3 description edited
    What changed in the outcomes
    • EditedMean change in pre-dose office-seated SBP at 2, 8, and 12 weeksTime frame: 2, 8, and 12 weeks
    • EditedMean change in pre-dose central SBP at 2, 4, 8, and 12 weeksTime frame: 2, 4, 8 and 12 weeks → 2, 4, 8, and 12 weeks
    • EditedMean change in 24-hour ambulatory SBP at 2, 4, 8, and 12 pre-dose office-seated DBPTime frame: 2, 4, 8, and 12 weeks
    • DescriptionMean change in 24-hour ambulatory SBP at 4 and 12 weeks: how it is measured was reworded
    • DescriptionMean change in percentage of participants achieving peripheral SBP < 130 mm Hg and/or DBP < 80 mm Hg at t=0 (pre-dose) at 2, 4, 8, and 12 weeks: how it is measured was reworded
    • DescriptionMean change in predose central DBP at 2, 4, 8, and 12 weeks: how it is measured was reworded
    Interventions Arm changed RTN-001→RTN-001 (15 mg); Matching Placebo→Placebo. Arms added: RTN-001 (30 mg)·RTN-001 (45 mg)
    Contact Study contact changed: i•••@retensionpharmaceuticals.com · •••2024→c•••@retensionpharmaceuticals.com · •••2024; removed i•••@retensionpharmaceuticals.com · •••3773. See the current contact
    + 3 other changes: oversight details, description and data sharing statement

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07142356
Lead sponsor
Retension Pharmaceuticals. Inc.
Responsible party
Sponsor
First posted
Aug 26, 2025
Start date
Oct 31, 2025
Primary completion
Mar 2027 (estimated)
Completion
Jun 2027 (estimated)
Last update
Nov 4, 2026

Study contacts

Clinical Information
Contact
clinicalinformation@retensionpharmaceuticals.com
7036242024

Oversight

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

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