Innovative Six-Month Injection Shows Promise in Reducing Blood Pressure

Thu 29th May, 2025

A recent clinical trial conducted by researchers from Queen Mary University of London has revealed that a new six-month injection can significantly lower blood pressure in patients who do not respond well to conventional treatments. The findings, published in the Journal of the American Medical Association (JAMA), suggest that this treatment could provide a much-needed solution for individuals struggling with hypertension.

The global study, known as KARDIA-2, included 663 participants suffering from high blood pressure that remained inadequately controlled despite standard medication. Participants received an injection of a novel medication called zilebesiran, in addition to their ongoing blood pressure treatments. The results indicated that this combination therapy was more effective in reducing blood pressure levels compared to standard medication alone.

This advancement is particularly crucial given that approximately one in three adults in the UK experiences high blood pressure. If left untreated, hypertension can lead to serious cardiovascular issues, including heart attacks and strokes. The lead investigator of the study, Dr. Manish Saxena, emphasized the importance of this finding, stating that hypertension poses a significant global health challenge due to poor management rates. He noted that the long-lasting nature of zilebesiran -- requiring only two injections per year -- could greatly assist millions in managing their condition.

Zilebesiran represents a new class of therapy that utilizes RNA interference technology to inhibit the production of a protein called angiotensinogen in the liver. This mechanism helps to relax blood vessels, thereby lowering blood pressure levels. The injection is administered subcutaneously, making it a convenient option for patients.

Looking ahead, further research is planned with a subsequent Phase 2 study, KARDIA-3, aimed at evaluating the effectiveness of zilebesiran in patients with high blood pressure who also have established cardiovascular disease or are at high risk for such conditions. Additionally, a larger global outcomes study is set to commence later this year to assess the impact of this treatment on reducing major cardiovascular events.

The promise of zilebesiran as a potential game-changer in hypertension management underscores the necessity for continuous innovation in treatments to address this prevalent health issue.


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