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Mineralys’ pill cuts blood pressure in kidney disease patients

By Thomson Reuters May 30, 2026 | 10:19 AM

May 30 (Reuters) – Mineralys Therapeutics’ experimental drug significantly reduced blood pressure in patients with chronic kidney disease, according to new data presented at a major European medical ​conference on Saturday.

Chronic kidney disease affects more than 37 ‌million Americans, according to the Centers for Disease Control and Prevention, and is closely tied to high blood pressure.

The findings are based on an analysis of a late-stage trial testing the once-daily pill, lorundrostat, in 800 ‌patients ​with uncontrolled or resistant high blood pressure.

Among ⁠the 192 patients with ⁠CKD, the pill showed a placebo-adjusted reduction in systolic blood pressure of 9.6 mmHg (millimeters of mercury) at 12 weeks, while reductions were slightly higher in those without kidney disease, at ​12.2 mmHg.

About 71% of CKD patients were taking three or more blood pressure drugs at baseline.

The reductions were “statistically significant and ⁠clinically meaningful,” the company said.

Lorundrostat also ⁠cut levels of a protein in urine called ​albumin, a key sign of kidney damage, by more than half ​in a subgroup of CKD patients who had elevated ‌levels.

Mineralys reported last year that the drug significantly reduced blood pressure in patients with difficult-to-treat hypertension in two trials.

Hypertension affects about 1.4 billion people worldwide and is a major cause of ⁠premature death, according to the World Health Organization. It is common in people with CKD and is linked to a higher risk of ⁠heart disease and ‌worsening kidney function.

The data comes as the ⁠field grows more competitive. AstraZeneca’s hypertension pill Baxfendy ​was ‌recently approved in the U.S. — the first drug ​in a ⁠class that works by blocking aldosterone, a hormone linked to high blood pressure, to win that clearance.

Lorundrostat also works by blocking aldosterone production, and is under review by the U.S. FDA, with a decision expected by December.

(Reporting by Kamal Choudhury in Bengaluru; Editing ​by Shilpi Majumdar)