Summary
Indapamide has reached the approved stage (maximum clinical phase 4) for at least one indication, so its use in Hypertension would be drug repurposing rather than first-in-human development. This does not mean it is approved for Hypertension. ClinicalTrials.gov lists 8 registered trials linking Indapamide to Hypertension: 1 is currently recruiting; 1 is active or not yet recruiting; 4 have completed; 2 are terminated, withdrawn, suspended or of unknown status. The most advanced is Phase 4 (NCT05683301). It plans or enrolled 1981 participants. Registration activity spans 2019 to 2026. The literature layer holds 13 publications for this pair: 5 Cochrane reviews, 2 meta-analyses, 1 systematic review and 5 clinical trial publications. Publication years run from 2004 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 | A · Strong |
|---|---|
| Evidence score | 79.5 (trials 29.5, literature 30.0, tier 15, approved bonus 5.0) |
| Registered trials | 8 total: 1 recruiting, 1 active / not yet recruiting, 4 completed, 2 other |
| Linked publications | 13 (5 Cochrane reviews, 5 clinical trial publications, 2 meta-analyses, 1 systematic review) |
| Agent type | Drug (Small molecule) |
| Development stage (any indication) | Approved |
| Mechanism / class | Not recorded |
| Data sources | Open Targets, ChEMBL |
| Linked via biomarker / target | ACE |
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trial scores by status (recruiting / active / enrolling 3, completed 2.5, not yet recruiting 2, unknown 1, terminated / withdrawn / suspended 0.5) plus a phase bonus (phase 3-4 +2, phase 2 +1, phase 1 +0.5).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
| NCT ID | Title | Status | Phase | Enrolment |
|---|---|---|---|---|
| NCT05683301 | Treatment Optimisation for Blood Pressure With Single-Pill Combinations in India 2022 | completed | Phase 4 | 1,981 |
| NCT05878561 | A Study to Evaluate the Efficacy and Safety of BR1015 Combination Therapy 2022 | completed | Phase 3 | 248 |
| NCT05820880 | Efficacy and Safety of Perindopril 5 mg / Indapamide 1.25 mg / Amlodipine 5 mg Fixed Combination in Hypertension 2019 | completed | Phase 3 | 532 |
| NCT04686643 | Phase III Study to Evaluate the Efficacy and Safety of AGSAVI in Patients With Essential Hypertension 2021 | status unknown | Phase 3 | 306 |
| NCT05110898 | Efficacy and Safety Study of the Fixed-dose Combination of Olmesartan + Indapamide When Compared to the Isolated Drugs in the Treatment of Hypertension. 2022 | status unknown | Phase 3 | 400 |
| NCT06212648 | Evaluate the Efficacy and Safety of SPC1001 and Monotherapy in Patients With Essential Hypertension 2022 | completed | Phase 2 | 253 |
| NCT06826872 | Efficacy and Safety of SPC1001 in Patients With Essential Hypertension 2024 | recruiting | Phase 2 | 252 |
| NCT07421414 | A Study to Evaluate the Pharmacokinetics and the Safety After Administration of BR1015-A and Co-administration of BR1015-3 and BR1015-2 Under Fed Conditions 2026 | not yet recruiting | Phase 1 | 48 |
Published literature
- Clinical trial publication Efficacy and Safety of Fimasartan/Indapamide Combination Therapy versus Fimasartan Monotherapy in Patients with Essential Hypertension Inadequately Responding to Fimasartan 30 mg (FINEDUO): A Randomized, Double-Blind, Multicenter, Phase III StudyYoun JC, Lee SY, Yu CW et al. · Drug design, development and therapy · 2026 · PMID 42163997
- Clinical trial publication Three Low-Dose Antihypertensive Agents in a Single Pill after Intracerebral HemorrhageTrident Research Group, Anderson CS, Chow CK et al. · The New England journal of medicine · 2026 · PMID 42019018
- Cochrane review Low-Dose Triple-Pill of Telmisartan, Amlodipine, and Indapamide for Initial Hypertension Treatment: A GRADE-Assessed Meta-analysis of Randomized TrialsShubietah A, Elgendy MS, Emara A et al. · High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2026 · PMID 41222871
- Clinical trial publication Pooled randomised QUARTET trials assessing effectiveness of a single pill for hypertensionMarschner S, Huffman MD, Quintans D et al. · Open heart · 2025 · PMID 41419232
- Clinical trial publication Long-Term Efficacy and Safety of a Novel Low-Dose Triple Single-Pill Combination for the Treatment of HypertensionSalam A, de Silva HA, Ojji D et al. · Global heart · 2025 · PMID 41180852
- Clinical trial publication Multicenter, Randomized, Double-Blind, Parallel, Phase 2 Clinical Trial to Compare and Evaluate the Efficacy and Safety of SPC1001 and Monotherapy in Patients With Essential HypertensionShin J, Kim S, Han K et al. · Clinical therapeutics · 2025 · PMID 41162308
- Meta-analysis Benefit of treatment based on indapamide mostly combined with perindopril on mortality and cardiovascular outcomes: a pooled analysis of four trialsChalmers J, Mourad JJ, Brzozowska-Villatte R et al. · Journal of hypertension · 2023 · PMID 36633311
- Cochrane review Efficacy of Single-Pill, Triple Antihypertensive Therapy in Patients with Uncontrolled Hypertension: A Systematic Review and Meta-analysisHabboush S, Sofy AA, Masoud AT et al. · High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2022 · PMID 35325410
- Cochrane review [Effects of clinical medicine on salt sensitivity hypertension: a systematic review and meta-analysis]Wang Y, Liu XB, Cao J et al. · Zhonghua yi xue za zhi · 2019 · PMID 31434418
- Systematic review The effect of indapamide vs. bendroflumethiazide for primary hypertension: a systematic reviewMacfarlane TV, Pigazzani F, Flynn RWV et al. · British journal of clinical pharmacology · 2019 · PMID 30312512
- Meta-analysis Hydrochlorothiazide vs chlorthalidone, indapamide, and potassium-sparing/hydrochlorothiazide diuretics for reducing left ventricular hypertrophy: A systematic review and meta-analysisRoush GC, Abdelfattah R, Song S et al. · Journal of clinical hypertension (Greenwich, Conn.) · 2018 · PMID 30251403
- Cochrane review Blood pressure-lowering efficacy of monotherapy with thiazide diuretics for primary hypertensionMusini VM, Nazer M, Bassett K et al. · The Cochrane database of systematic reviews · 2014 · PMID 24869750
- Cochrane review A systematic review and meta-analysis of the efficacy and safety of a fixed, low-dose perindopril-indapamide combination as first-line treatment of hypertensionKang S, Wu YF, An N et al. · Clinical therapeutics · 2004 · PMID 15038948
Mechanism and notes
No mechanism of action is recorded for this pair in the source databases.
OSMF's existing evidence tier for this pair is A (Strong), derived from the strength of the disease association recorded in Open Targets and ChEMBL, in this case via the biomarker or target ACE. The tier describes how well the drug-disease link is documented, not how well the drug works.
Frequently asked questions
Is Indapamide approved for Hypertension?
Indapamide has reached the approved stage (maximum clinical phase 4) for at least one indication, so its use in Hypertension would be drug repurposing rather than first-in-human development. This does not mean it is approved for Hypertension. Approval status for the specific indication should always be confirmed with the relevant regulator and prescribing information.
Is Indapamide in clinical trials for Hypertension?
ClinicalTrials.gov lists 8 registered trials linking Indapamide to Hypertension: 1 is currently recruiting; 1 is active or not yet recruiting; 4 have completed; 2 are terminated, withdrawn, suspended or of unknown status. The most advanced is Phase 4 (NCT05683301). It plans or enrolled 1981 participants. Registration activity spans 2019 to 2026.
What does the evidence show for Indapamide in Hypertension?
Indapamide has both completed registered trials and synthesis-level publications linked to Hypertension. That is the strongest profile in this database, but the summaries here do not extract effect sizes, so read the linked reviews for direction and magnitude of benefit. OSMF's existing evidence tier for this pair is A (Strong), derived from the strength of the disease association recorded in Open Targets and ChEMBL, in this case via the biomarker or target ACE. 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.