Summary
Moxonidine 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 1 registered trial linking Moxonidine to Hypertension: 1 has completed. The most advanced is Phase 3 (NCT00160277). It plans or enrolled 100 participants. Registered activity dates to 2005. The literature layer holds 7 publications for this pair: 2 Cochrane reviews and 5 clinical trial publications. Publication years run from 2015 to 2025. 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 | 44.5 (trials 4.5, literature 20.0, tier 15, approved bonus 5.0) |
| Registered trials | 1 total: 0 recruiting, 0 active / not yet recruiting, 1 completed, 0 other |
| Linked publications | 7 (5 clinical trial publications, 2 Cochrane reviews) |
| Agent type | Drug (Small molecule) |
| Development stage (any indication) | Approved |
| Mechanism / class | Not recorded |
| Data sources | Open Targets, ChEMBL |
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trial scores by status (recruiting / active / enrolling 3, completed 2.5, not yet recruiting 2, unknown 1, terminated / withdrawn / suspended 0.5) plus a phase bonus (phase 3-4 +2, phase 2 +1, phase 1 +0.5).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 |
|---|---|---|---|---|
| NCT00160277 | Efficacy and Safety of Moxonidine in Indian Patients 2005 | completed | Phase 3 | 100 |
Published literature
- Clinical trial publication Potential of Combination Pharmacotherapy in Patients with Arterial Hypertension and Prediabetes: Focus on Organ ProtectionSkibitsky VV, Gutova SR, Fendrikova AV · Kardiologiia · 2025 · PMID 40195776
- Clinical trial publication MARRIAGE: A Randomized Trial of Moxonidine Versus Ramipril or in Combination With Ramipril in Overweight Patients With Hypertension and Impaired Fasting Glucose or Diabetes Mellitus. Impact on Blood Pressure, Heart Rate and Metabolic ParametersValensi P, Jambart S · Journal of cardiovascular pharmacology and therapeutics · 2024 · PMID 38828542
- Cochrane review Not first-line antihypertensive agents, but still effective-The efficacy and safety of imidazoline receptor agonists: A network meta-analysisÉrszegi A, Viola R, Bahar MA et al. · Pharmacology research & perspectives · 2024 · PMID 38807350
- Clinical trial publication Influence of Moxonidine and Bisoprolol on Morphofunctional Condition of Arterial Wall and Telomerase Activity in Postmenopausal Women with Arterial Hypertension and Osteopenia. The Results from a Moscow Randomized StudyDudinskaya E, Tkacheva O, Bazaeva E et al. · Cardiovascular drugs and therapy · 2022 · PMID 34524565
- Clinical trial publication [New possibilities of using moxonidin for blood pressure control in female patients with osteopenia]Dudinskaya EN, Tkachyeva ON, Bazaeva EV et al. · Kardiologiia · 2018 · PMID 30081801
- Cochrane review Impact of Antihypertensive Agents on Central Systolic Blood Pressure and Augmentation Index: A Meta-AnalysisMcGaughey TJ, Fletcher EA, Shah SA · American journal of hypertension · 2016 · PMID 26289583
- Clinical trial publication Aortic remodelling following the treatment and regression of hypertensive left ventricular hypertrophy: a cardiovascular magnetic resonance studyRipley DP, Negrou K, Oliver JJ et al. · Clinical and experimental hypertension (New York, N.Y. : 1993) · 2015 · PMID 25271354
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. The tier describes how well the drug-disease link is documented, not how well the drug works.
Frequently asked questions
Is Moxonidine approved for Hypertension?
Moxonidine 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 Moxonidine in clinical trials for Hypertension?
ClinicalTrials.gov lists 1 registered trial linking Moxonidine to Hypertension: 1 has completed. The most advanced is Phase 3 (NCT00160277). It plans or enrolled 100 participants. Registered activity dates to 2005.
What does the evidence show for Moxonidine in Hypertension?
Moxonidine 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. 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.