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baxdrostat   Click here for help

GtoPdb Ligand ID: 12362

Synonyms: Baxfendy® | CIN-107 | CIN107 | RO6836191
Approved drug
baxdrostat is an approved drug
Compound class: Synthetic organic
Comment: Baxdrostat (CIN-107, formerly RO6836191 [1]) is a selective, oral aldosterone synthase (CYP11B2) inhibitor. It inhibits aldosterone biosynthesis but does not alter plasma cortisol, which demonstrates its selectivity for CYP11B2 [4]. Baxdrostat is being developed by CinCor Pharma as a potential intervention for treatment resistant hypertension.
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2D Structure
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Physico-chemical Properties
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Hydrogen bond acceptors 5
Hydrogen bond donors 1
Rotatable bonds 4
Topological polar surface area 62.3
Molecular weight 363.19
XLogP 2.31
No. Lipinski's rules broken 0

Generated using the Chemistry Development Kit (CDK) (Willighagen EL et al. Journal of Cheminformatics vol. 9:33. 2017, doi:10.1186/s13321-017-0220-4; https://cdk.github.io/)

SMILES / InChI / InChIKey
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Canonical SMILES CCC(=O)N[C@@H]1CCCc2c1cncc2c1ccc2c(c1)CCC(=O)N2C
Isomeric SMILES CCC(=O)N[C@@H]1CCCc2c1cncc2c1cc2c(cc1)N(C(=O)CC2)C
InChI InChI=1S/C22H25N3O2/c1-3-21(26)24-19-6-4-5-16-17(12-23-13-18(16)19)14-7-9-20-15(11-14)8-10-22(27)25(20)2/h7,9,11-13,19H,3-6,8,10H2,1-2H3,(H,24,26)/t19-/m1/s1
InChI Key VDEUDSRUMNAXJG-LJQANCHMSA-N

Generated using the Chemistry Development Kit (CDK) (Willighagen EL et al. Journal of Cheminformatics vol. 9:33. 2017, doi:10.1186/s13321-017-0220-4; https://cdk.github.io/)

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Summary of Clinical Use Click here for help
Baxdrostat (CIN-107) was progressed to clinical evaluation. It was investigated in patients with uncontrolled or treatment-resistant hypertension [3], or for potential to reduce aldosterone levels in patients with primary aldosteronism/hyperaldosteronism. Pharmacokinetics and safety data from a phase 1 trial in healthy volunteers were published in January 2023 [4]. The baxdrostat hypertension Phase 3 program has 3 trial components [2]. First approval was granted by the US FDA in May 2026, to treat hypertension in combination with other antihypertensive drugs.
Clinical Trials
Clinical Trial ID Title Type Source Comment References
NCT05432167 A Study to Evaluate CIN-107 for the Treatment of Patients With Uncontrolled Hypertension and Chronic Kidney Disease Phase 2 Interventional CinCor Pharma, Inc.
NCT04605549 A Study of CIN-107 in Adults With Primary Aldosteronism Phase 2 Interventional CinCor Pharma, Inc.
NCT05137002 A Study of CIN-107 in Patients With Uncontrolled Hypertension Phase 2 Interventional CinCor Pharma, Inc.
NCT06034743 A Study to Investigate the Efficacy and Safety of Baxdrostat in Participants With Uncontrolled Hypertension on Two or More Medications Including Participants With Resistant Hypertension Phase 3 Interventional AstraZeneca Known as the BaxHTN Phase III trial. 2
NCT06168409 A Study to Investigate the Effect of Baxdrostat on Ambulatory Blood Pressure in Participants With Resistant Hypertension Phase 3 Interventional AstraZeneca 2
NCT06344104 A Study to Investigate the Efficacy and Safety of Baxdrostat in Participants With Uncontrolled Hypertension on Two or More Medications Including Participants With Resistant Hypertension Phase 3 Interventional AstraZeneca