Hypertension Clinical Trials

502 recruiting

Hypertension Trials at a Glance

839 actively recruiting trials for hypertension are listed on ClinicalTrialsFinder across 6 cities in 95 countries. The largest study group is Not Applicable with 353 trials, with the heaviest enrollment activity in Boston, Beijing, and Chicago. Lead sponsors running hypertension studies include University of Alabama at Birmingham, Mayo Clinic, and Vanderbilt University Medical Center.

Browse hypertension trials by phase

Treatments under study

Understanding Hypertension Clinical Trials

The SPRINT trial, published in 2015, reshaped hypertension management by showing that targeting a systolic blood pressure below 120 mmHg — rather than the then-standard 140 mmHg — reduced cardiovascular events and death by 25%, leading to updated treatment guidelines worldwide. Chlorthalidone, losartan, amlodipine, and essentially every major blood pressure medication in use today was established through clinical trials over the past several decades. Current hypertension trials are now tackling persistent challenges including treatment-resistant hypertension, medication adherence, renal denervation as a device-based alternative, and RNA-based therapies that could control blood pressure for months with a single injection.

Why Consider a Clinical Trial?

Hypertension is the most prevalent modifiable risk factor for heart disease, stroke, kidney disease, and premature death worldwide, affecting nearly half of all adults. While many effective medications exist, real-world blood pressure control rates remain disappointingly low — less than half of treated hypertensive patients achieve their targets. The reasons are multifaceted: some patients require four or more medications to control their blood pressure (resistant hypertension), side effects cause many patients to reduce or stop their medications, and the daily pill burden leads to poor long-term adherence. Clinical trials are actively testing solutions to each of these problems. For patients with resistant hypertension — defined as blood pressure that remains above target despite three optimized medications including a diuretic — clinical trials may offer access to novel mechanisms of action not available through standard prescriptions. Device-based approaches like renal denervation, long-acting injectable medications, and gene-silencing therapies (RNA interference) that could provide months of blood pressure control from a single dose represent genuinely new paradigms in hypertension management. Even for patients with more typical hypertension, trials studying optimized combination pills, digital health interventions for adherence, and community-based management programs may provide meaningful improvements in care.

Frequently Asked Questions

Common questions about Hypertension clinical trials

No. While many novel therapy trials focus on resistant hypertension, there are trials for all stages of hypertension. Some trials study people with newly diagnosed hypertension, comparing first-line treatment strategies. Others focus on preventing hypertension in people with elevated blood pressure that has not yet crossed the diagnostic threshold.

Renal denervation is a minimally invasive catheter procedure that reduces the activity of nerves around the kidney arteries that contribute to high blood pressure. Clinical trials have shown it can lower blood pressure by 5-10 mmHg on average. Side effects are generally related to the catheter procedure itself and are uncommon. Long-term safety data from trials is encouraging, but the procedure is still being studied.

Some trials require a medication washout period so researchers can measure the study intervention's independent effect on blood pressure. This is done under close monitoring with frequent blood pressure checks. Other trials are add-on studies where the new treatment is tested alongside your current medications. The specific requirements will be clearly explained before enrollment.

Trials typically use standardized automated blood pressure measurement protocols to minimize variability. Many trials also require 24-hour ambulatory blood pressure monitoring at defined time points, which provides a more comprehensive picture than office readings alone. Some trials now incorporate home blood pressure monitoring with connected devices that transmit readings to the research team.

Yes. Trials also study lifestyle interventions (structured exercise programs, dietary approaches like DASH), digital health tools for medication adherence, community health worker programs, and device-based treatments like renal denervation. These non-pharmacological trials are important for developing approaches that complement or reduce the need for medication.

Showing 120 of 839 trials

Recruiting

Genetics of Type 2 Diabetes in West Africans

HypertensionDiabetes
National Human Genome Research Institute (NHGRI)10,000 enrolled5 locationsNCT00837122
Recruiting

Diabetes and Heart Disease Risk in Blacks

ObesityCardiovascular DiseasesHypertension+1 more
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)2,000 enrolled1 locationNCT00001853
Recruiting

Natural History of Noncirrhotic Portal Hypertension

Cystic FibrosisTurner SyndromeImmunologic Deficiency Syndrome+2 more
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)400 enrolled1 locationNCT02417740
Recruiting
Phase 3

A Phase III Renal Outcomes and Cardiovascular Mortality Study to Investigate the Efficacy and Safety of Baxdrostat in Combination With Dapagliflozin in Participants With Chronic Kidney Disease and High Blood Pressure

Chronic Kidney Disease and Hypertension
AstraZeneca5,000 enrolled759 locationsNCT06742723
Recruiting

Hypertension Explored in Long-term Postpartum Follow-up in Later Life

Cardiovascular DiseasesHypertensionCerebrovascular Disorders+1 more
University of Oxford200 enrolled1 locationNCT06187012
Recruiting
Not Applicable

Hypertension Management in Young Adults Personalised by Echocardiography and Clinical Outcome.

Hypertension
University of Oxford750 enrolled1 locationNCT03762499
Recruiting
Phase 2

Spironolactone for Pulmonary Arterial Hypertension

Pulmonary Arterial Hypertension
National Institutes of Health Clinical Center (CC)70 enrolled1 locationNCT01712620
Recruiting
Phase 3

EASi-PROTKT™ - A Study to Test Vicadrostat (BI 690517) Taken Together With Empagliflozin in People With Type 2 Diabetes, High Blood Pressure, and Cardiovascular Disease

Cardiovascular DiseasesHypertensionDiabetes Mellitus, Type 2
Boehringer Ingelheim11,800 enrolled1152 locationsNCT07064473
Recruiting
Not Applicable

The Effects of Brief Periods of Exercise on Blood Pressure

Hypertension (HTN)
University of Hartford45 enrolled1 locationNCT07453550
Recruiting
Not Applicable

Cardiometabolic Adaptations to Concurrent Training: Effect of Effort Configuration on Postmenopausal Women

PostmenopausalHypertension
Universidade da Coruña60 enrolled1 locationNCT07377383
Recruiting
Not Applicable

Dynamic and Isometric Strength Training in Older Adults With Hypertension

HypertensionElderly (People Aged 65 or More)
Raphael Mendes Ritti Dias60 enrolled1 locationNCT07448818
Recruiting
Phase 4

24-hour Effect of Rocklatan Compared With Latanoprost in Open Angle Glaucoma and Ocular Hypertension Patients

Open Angle GlaucomaOcular Hypertension
Mayo Clinic30 enrolled1 locationNCT07325240
Recruiting
Not Applicable

Genes Associated With Development of Pulmonary Arterial Hypertension in Patients With Congenital Shunt Lesions

Genetic TestingPulmonary Arterial HypertensionHeart Defects, Congenital
Universitaire Ziekenhuizen KU Leuven21 enrolled1 locationNCT02691689
Recruiting
Not Applicable

Non-invasive Spinal Cord Stimulation and Blood Pressure Regulation After Spinal Cord Injury

Spinal Cord InjuryAutonomic DysreflexiaOrthostatic Hypertension
University of Louisville40 enrolled2 locationsNCT07504055
Recruiting
Not Applicable

Early TIPS in Patients With Liver Cirrhosis and Ascites

Liver CirrhosisPortal HypertensionAscites Hepatic
University Hospital Freiburg134 enrolled1 locationNCT06576934
Recruiting

Freiburg TIPS Registry

Liver CirrhosisPortal Vein ThrombosisPortal Hypertension+3 more
University Hospital Freiburg2,000 enrolled1 locationNCT05782556
Recruiting
Not Applicable

Effects of Terlipressin and Somatostatin on Portal Pressure in Patients Undergoing Living Donor Liver Transplantation

Liver TransplantationPortal Hypertension
Istanbul Medipol University Hospital50 enrolled1 locationNCT07304466
Recruiting
Phase 2

A Study to Learn About the Study Medicine (Called PF-07868489) in People With Pulmonary Arterial Hypertension Who Have Previously Participated in a Clinical Study With PF-07868489

Pulmonary Hypertension
Pfizer36 enrolled44 locationsNCT07073820
Recruiting
Not Applicable

CART BP Pro-Guided Blood Pressure Management for Uncontrolled Hypertension

Hypertension
Korea University Anam Hospital400 enrolled3 locationsNCT07465549
Recruiting
Phase 1

Study of Intravenous ZMA001 in Healthy Subjects

Pulmonary Arterial Hypertension PAH
National Heart, Lung, and Blood Institute (NHLBI)96 enrolled1 locationNCT05967299