Summary
Coenzyme Q10 has reached Preclinical as its most advanced recorded development stage across any indication, and the database holds no approval for Hypertension. No registered clinical trial in this database tests Coenzyme Q10 specifically in Hypertension. The evidence below comes from published literature only, so any clinical signal has not yet been tested prospectively against this condition in a registered study. The literature layer holds 14 publications for this pair: 5 Cochrane reviews, 2 meta-analyses, 1 systematic review, 1 randomised controlled trial publication and 5 clinical trial publications. Publication years run from 2009 to 2026. Because at least one synthesis-level source exists (systematic review, meta-analysis or Cochrane review), this pair has been assessed beyond single studies, although the synthesis may concern a different indication.
The RepurpOS disease-intelligence file for Essential Hypertension ranks 376 candidate therapeutics from Open Targets, ChEMBL, DGIdb and PubMed; only a minority carry direct clinical evidence, and this page covers one of those. Spontaneous remission context recorded for the condition: Not well-characterized as population baseline; routinely framed as irreversible in clinical culture despite contrary trial evidence.
Evidence table
| Evidence tier | C · Preliminary |
|---|---|
| Evidence score | 35.0 (trials 0.0, literature 30.0, tier 5, approved bonus 0.0) |
| Registered trials | 0 total: 0 recruiting, 0 active / not yet recruiting, 0 completed, 0 other |
| Linked publications | 14 (5 Cochrane reviews, 5 clinical trial publications, 2 meta-analyses, 1 systematic review, 1 randomised controlled trial publication) |
| Agent type | Supplement |
| Development stage (any indication) | Preclinical |
| Mechanism / class | Herbal antihypertensive interventions: a narrative review · Halma M, et al. · 2024 |
| Data sources | OSMF Chronic Disease Review |
How the evidence score is calculated
- Each registered trial scores by status (recruiting / active / enrolling 3, completed 2.5, not yet recruiting 2, unknown 1, terminated / withdrawn / suspended 0.5) plus a phase bonus (phase 3-4 +2, phase 2 +1, phase 1 +0.5). The trial component is capped at 30.
- Each literature item scores by design (Cochrane review 5, meta-analysis 4, systematic review 3, RCT 3, clinical trial publication 2, curated reference 1.5, other PubMed record 1). The literature component is capped at 30.
- The existing evidence tier adds 15 (A / Strong), 10 (B / Moderate), 5 (C / Preliminary) or 0 (D / Anecdotal).
- Agents approved for any indication (max clinical phase 4) add 5, because an approved agent has an established safety profile that lowers the barrier to repurposing trials.
- The score ranks what has been studied, not what works. It does not read effect sizes or directions of effect.
Registered clinical trials
No registered trial links Coenzyme Q10 to Hypertension in the current OSMF trial extract.
Published literature
- Clinical trial publication Effect of compound fish oil capsules on microvascular function in hypertensive individuals: a triple-blind, randomized, placebo-controlled pilot trialLiu B, Wang W, Teng A et al. · Food & function · 2026 · PMID 41914515
- Clinical trial publication Effects of curcumin and/or coenzyme Q10 supplementation on metabolic control in subjects with metabolic syndrome: a randomized clinical trialSangouni AA, Taghdir M, Mirahmadi J et al. · Nutrition journal · 2022 · PMID 36192751
- Cochrane review Dose-Response Effect of Coenzyme Q10 Supplementation on Blood Pressure among Patients with Cardiometabolic Disorders: A Grading of Recommendations Assessment, Development, and Evaluation (GRADE)-Assessed Systematic Review and Meta-Analysis of Randomized Controlled TrialsZhao D, Liang Y, Dai S et al. · Advances in nutrition (Bethesda, Md.) · 2022 · PMID 36130103
- Cochrane review Coenzyme Q10 as Adjunctive Therapy for Cardiovascular Disease and Hypertension: A Systematic ReviewSue-Ling CB, Abel WM, Sue-Ling K · The Journal of nutrition · 2022 · PMID 35348726
- Clinical trial publication Effect of Monacolin K and COQ10 supplementation in hypertensive and hypercholesterolemic subjects with metabolic syndromeMazza A, Lenti S, Schiavon L et al. · Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie · 2018 · PMID 30021394
- Cochrane review Review: Beyond conventional therapies: Complementary and alternative medicine in the management of hypertension: An evidence-based reviewWong AP, Kassab YW, Mohamed AL et al. · Pakistan journal of pharmaceutical sciences · 2018 · PMID 29348109
- Cochrane review The Effects of Coenzyme Q10 Supplementation on Blood Pressures Among Patients with Metabolic Diseases: A Systematic Review and Meta-analysis of Randomized Controlled TrialsTabrizi R, Akbari M, Sharifi N et al. · High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2018 · PMID 29330704
- Systematic review Recent Developments in the Role of Coenzyme Q10 for Coronary Heart Disease: a Systematic ReviewAyers J, Cook J, Koenig RA et al. · Current atherosclerosis reports · 2018 · PMID 29766349
- Meta-analysis Nutraceuticals with a clinically detectable blood pressure-lowering effect: a review of available randomized clinical trials and their meta-analysesBorghi C, Cicero AF · British journal of clinical pharmacology · 2017 · PMID 26852373
- Cochrane review Blood pressure lowering efficacy of coenzyme Q10 for primary hypertensionHo MJ, Li EC, Wright JM · The Cochrane database of systematic reviews · 2016 · PMID 26935713
- Clinical trial publication The Effect of Coenzyme Q10 Supplementation on Pro-Inflammatory Factors and Adiponectin in Mildly Hypertensive Patients: A Randomized, Double-Blind, Placebo-Controlled TrialBagheri Nesami N, Mozaffari-Khosravi H, Najarzadeh A et al. · International journal for vitamin and nutrition research. Internationale Zeitschrift fur Vitamin- und Ernahrungsforschung. Journal international de vitaminologie et de nutrition · 2015 · PMID 26780394
- Clinical trial publication Nutraceuticals for Serum Lipid and Blood Pressure Control in Hypertensive and Hypercholesterolemic Subjects at Low Cardiovascular RiskMazza A, Lenti S, Schiavon L et al. · Advances in therapy · 2015 · PMID 26202829
- Randomized controlled trial A randomized, double-blind, placebo-controlled crossover study of coenzyme Q10 therapy in hypertensive patients with the metabolic syndromeYoung JM, Florkowski CM, Molyneux SL et al. · American journal of hypertension · 2012 · PMID 22113168
- Meta-analysis Blood pressure lowering efficacy of coenzyme Q10 for primary hypertensionHo MJ, Bellusci A, Wright JM · The Cochrane database of systematic reviews · 2009 · PMID 19821418
Mechanism and notes
Recorded mechanism or class: Herbal antihypertensive interventions: a narrative review · Halma M, et al. · 2024.
OSMF's existing evidence tier for this pair is C (Preliminary), derived from the strength of the disease association recorded in OSMF Chronic Disease Review. The tier describes how well the drug-disease link is documented, not how well the drug works.
Frequently asked questions
Is Coenzyme Q10 approved for Hypertension?
Coenzyme Q10 has reached Preclinical as its most advanced recorded development stage across any indication, and the database holds no approval for Hypertension. Approval status for the specific indication should always be confirmed with the relevant regulator and prescribing information.
Is Coenzyme Q10 in clinical trials for Hypertension?
No registered clinical trial in this database tests Coenzyme Q10 specifically in Hypertension. The evidence below comes from published literature only, so any clinical signal has not yet been tested prospectively against this condition in a registered study.
What does the evidence show for Coenzyme Q10 in Hypertension?
Synthesis-level literature links Coenzyme Q10 to Hypertension, but no registered trial in this database tests the pair, so the evidence is observational, pooled from other indications, or pre-dates registry practice. OSMF's existing evidence tier for this pair is C (Preliminary), derived from the strength of the disease association recorded in OSMF Chronic Disease Review. The tier describes how well the drug-disease link is documented, not how well the drug works.
Cite this page
Data: ClinicalTrials.gov, PubMed, Open Targets, ChEMBL, DGIdb and the OSMF therapeutic agent database. Last updated 2026-07-05. Page built 2026-10-07.