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AstraZeneca to seek approval for blood pressure drug by year-end

Published by Global Banking & Finance Review

Posted on August 30, 2025

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· Last updated: January 22, 2026

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AstraZeneca to seek approval for blood pressure drug by year-end
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By Pushkala Aripaka (Reuters) -AstraZeneca plans to file for regulatory approval of its experimental blood pressure treatment before the end of the year, a senior company executive said, about a

AstraZeneca Aims for Year-End Approval of Blood Pressure Drug

By Pushkala Aripaka

(Reuters) -AstraZeneca plans to file for regulatory approval of its experimental blood pressure treatment before the end of the year, a senior company executive said, about a product seen as key to the drugmaker's long-term sales strategy.

The company is aiming for potential approvals in 2026 for the drug, baxdrostat, starting with the U.S. and the EU, said Ruud Dobber, president of AstraZeneca's biopharmaceuticals unit, ahead of a presentation of advanced trial data at a medical conference on Saturday.

Baxdrostat targets blood pressure-regulating hormone aldosterone, a novel approach compared with older treatments like diuretics and ACE inhibitors, which do not address hormonal drivers.

AstraZeneca expects peak annual sales for the drug to exceed $5 billion.

Keenly watched data showed that 2mg of baxdrostat, added to standard treatment, reduced systolic blood pressure by 9.8 millimetres of mercury (mmHg) from the baseline at 12 weeks, when adjusted for placebo, in patients with hard-to-control hypertension.

At the 1mg dose, that pressure exerted on the arteries by the heart's pumping action was lowered by 8.7 mmHg.

Physicians polled by TD Cowen wished to see a 10-12 mmHg fall in placebo-adjusted blood pressure, the brokerage said on Friday.

Mineralys Therapeutics' rival drug, lorundrostat, in March showed a placebo-adjusted reduction in systolic blood pressure by 9.1 mmHg at six weeks with a 50mg dose. The U.S. company also expects to submit data to the FDA by year-end.

"There's a huge acknowledgement that hypertension needs to be treated in a much more aggressive way," Dobber said.

High blood pressure affects over 1 billion people, according to the World Health Organization, and aggravates risk of heart attacks or strokes.

A small percentage of patients - 1.1% - taking baxdrostat developed hyperkalaemia, marked by high potassium levels in the blood. Hyperkalaemia was also observed with Mineralys' lorundrostat.

(Reporting by Pushkala Aripaka in Bengaluru; Editing by Sahal Muhammed)

Key Takeaways

  • AstraZeneca plans to file for approval of baxdrostat by year-end.
  • Baxdrostat targets aldosterone, a hormone regulating blood pressure.
  • The drug could achieve peak annual sales exceeding $5 billion.
  • Trial data shows significant blood pressure reduction with baxdrostat.
  • High blood pressure affects over 1 billion people globally.

Frequently Asked Questions

What is the expected approval timeline for baxdrostat?
AstraZeneca plans to file for regulatory approval of baxdrostat before the end of the year, with potential approvals expected in 2026.
How does baxdrostat work compared to older treatments?
Baxdrostat targets the blood pressure-regulating hormone aldosterone, offering a novel approach compared to older treatments like diuretics and ACE inhibitors.
What are the anticipated sales figures for baxdrostat?
AstraZeneca expects peak annual sales for baxdrostat to exceed $5 billion.
What were the results of the clinical trials for baxdrostat?
In clinical trials, 2mg of baxdrostat reduced systolic blood pressure by 9.8 mmHg from baseline at 12 weeks, while the 1mg dose lowered it by 8.7 mmHg.
What risks are associated with baxdrostat?
A small percentage of patients, about 1.1%, experienced hyperkalaemia, which is characterized by high potassium levels in the blood.

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