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Expert Interview

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Discussing the topline results of Mineralys Therapeutics' Launch-HTN and Advance-HTN trials of Lorundrostat for the Treatment of Uncontrolled or Resistant Hypertension

Ticker(s): MLYS

Who's the expert?

Institution: HCA Healthcare

  • Cardiologist in practice for over 11 years.
  • Currently manages 30 patients that have both nHCM and Chronic Stable Angina.
  • Uses eplerenone and spirnolactone currently as 4th line option for hypertension

Interview Questions
Q1.

What is your experience with spironolactone or eplerenone?

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Q2.

How much of a detriment is hyperkalemia as an AE for treatment-resistant hypertension?

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Q3.

How do you think lorundrostat will be used commercially?

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Q4.

How do you define uncontrolled versus treatment-resistant hypertension, and which patient population do you think would benefit more from Lorundrostat’s aldosterone synthase inhibition mechanism?

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Q5.

What are your thoughts on the hyperkalemia risk associated with Lorundrostat, including the appropriate cutoff level (5.5 vs. 6.0 mmol/L), symptom differences between levels, and potential factors causing variations in hyperkalemia rates across clinical trials?

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Q6.

How do Lorundrostat’s blood pressure-lowering effects compare to MRAs like spironolactone, and do you believe it should be used before or after MRAs in the treatment sequence for resistant hypertension?

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Q7.

Do you think cardiovascular outcomes trials (CVOT) are necessary for Lorundrostat’s commercial success, and what percentage of patients achieving blood pressure control would make the drug clinically meaningful?

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