Zilebesiran in Patients With Hypertension Not Adequately Controlled and With Either Established Cardiovascular Disease or High Risk for Cardiovascular Disease
Public ClinicalTrials.gov record NCT07181109. Field values are reproduced from the official study page; the official ClinicalTrials.gov record remains the source of truth for eligibility, enrollment, and contact information.
Data is sourced from official ClinicalTrials.gov public API records. Always review the official ClinicalTrials.gov record for the latest information.
Official title
ZENITH: A Phase 3 Global, Randomized, Double-blind, Placebo-controlled Study to Evaluate the Efficacy and Safety of Zilebesiran in Addition to Standard of Care in Reducing Major Adverse Cardiovascular Events in Adult Patients With Hypertension Not Adequately Controlled and With Either Established Cardiovascular Disease or High Risk for Cardiovascular Disease
Study identification
- NCT ID
- NCT07181109
- Recruitment status
- Recruiting
- Study type
- Interventional
- Phase
- Phase 3
- Lead sponsor
- Alnylam Pharmaceuticals
- Industry
- Enrollment
- 11,000 participants
Conditions and interventions
Conditions
Not listed
Interventions
Not listed
Eligibility (public fields only)
- Age range
- 18 Years and older
- Sex
- All
- Healthy volunteers
- Healthy volunteers not accepted
This page does not interpret eligibility. Detailed inclusion and exclusion criteria are on the official ClinicalTrials.gov record.
Study timeline
- Start date
- Sep 21, 2025
- Primary completion
- Sep 29, 2030
- Completion
- Sep 29, 2030
- Last update posted
- May 13, 2026
2025 – 2030
United States locations
- U.S. sites
- 247
- U.S. states
- 36
- U.S. cities
- 202
| Facility | City | State | ZIP | Site status |
|---|---|---|---|---|
| Clinical Trial Site | Birmingham | Alabama | 35205 | Not yet recruiting |
| Clinical Trial Site | Birmingham | Alabama | 35211 | Recruiting |
| Clinical Trial Site | Fairhope | Alabama | 36532 | Recruiting |
| Clinical Trial Site | Foley | Alabama | 36535 | Recruiting |
| Clinical Trial Site | Huntsville | Alabama | 35801 | Not yet recruiting |
| Clinical Trial Site | Huntsville | Alabama | 35805 | Recruiting |
| Clinical Trial Site | Sheffield | Alabama | 35660 | Recruiting |
| Clinical Trial Site | Chandler | Arizona | 85224 | Recruiting |
| Clinical Trial Site | Gilbert | Arizona | 85296 | Recruiting |
| Clinical Trial Site | Glendale | Arizona | 85308 | Not yet recruiting |
| Clinical Trial Site | Mesa | Arizona | 85213 | Not yet recruiting |
| Clinical Trial Site | Phoenix | Arizona | 85015 | Recruiting |
| Clinical Trial Site | Phoenix | Arizona | 85020 | Recruiting |
| Clinical Trial Site | Sun City West | Arizona | 85375 | Recruiting |
| Clinical Trial Site | Tempe | Arizona | 85283 | Not yet recruiting |
| Clinical Trial Site | Tucson | Arizona | 85715 | Recruiting |
| Clinical Trial Site | Tucson | Arizona | 85741 | Recruiting |
| Clinical Trial Site | Yuma | Arizona | 85364 | Recruiting |
| Clinical Trial Site | Little Rock | Arkansas | 72204 | Recruiting |
| Clinical Trial Site | Little Rock | Arkansas | 72205 | Recruiting |
| Clinical Trial Site | Beverly Hills | California | 90211 | Recruiting |
| Clinical Trial Site | Chula Vista | California | 91910 | Recruiting |
| Clinical Trial Site | Covina | California | 91723 | Recruiting |
| Clinical Trial Site | Escondido | California | 92025 | Recruiting |
| Clinical Trial Site | Glendale | California | 91206 | Recruiting |
| Clinical Trial Site | Huntington Beach | California | 92648 | Not yet recruiting |
| Clinical Trial Site | La Jolla | California | 92037 | Not yet recruiting |
| Clinical Trial Site | Lancaster | California | 93534 | Recruiting |
| Clinical Trial Site | Long Beach | California | 90815 | Recruiting |
| Clinical Trial Site | Lynwood | California | 90262 | Recruiting |
| Clinical Trial Site | Newhall | California | 91321 | Recruiting |
| Clinical Trial Site | Northridge | California | 91325 | Recruiting |
| Clinical Trial Site | Pasadena | California | 91105 | Recruiting |
| Clinical Trial Site | San Diego | California | 92111 | Recruiting |
| Clinical Trial Site | San Dimas | California | 91773 | Recruiting |
| Clinical Trial Site | San Ramon | California | 94583 | Not yet recruiting |
| Clinical Trial Site | Tarzana | California | 91356 | Recruiting |
| Clinical Trial Site | Toluca Lake | California | 91602 | Recruiting |
| Clinical Trial Site | Torrance | California | 90502 | Not yet recruiting |
| Clinical Trial Site | Tustin | California | 92780 | Recruiting |
| Clinical Trial Site | Vista | California | 92081 | Recruiting |
| Clinical Trial Site | Walnut Creek | California | 94598 | Recruiting |
| Clinical Trial Site | Bridgeport | Connecticut | 06610 | Recruiting |
| Clinical Trial Site | Waterbury | Connecticut | 06708 | Not yet recruiting |
| Clinical Trial Site | Boca Raton | Florida | 33434 | Recruiting |
| Clinical Trial Site | Brandon | Florida | 33511 | Recruiting |
| Clinical Trial Site | Fleming Island | Florida | 32003 | Recruiting |
| Clinical Trial Site | Fort Lauderdale | Florida | 33308 | Recruiting |
| Clinical Trial Site | Hialeah | Florida | 33012 | Recruiting |
| Clinical Trial Site | Hollywood | Florida | 33024 | Recruiting |
| Clinical Trial Site | Homestead | Florida | 33030 | Recruiting |
| Clinical Trial Site | Jacksonville | Florida | 32205 | Recruiting |
| Clinical Trial Site | Jacksonville | Florida | 32216 | Recruiting |
| Clinical Trial Site | Jensen Beach | Florida | 34957 | Recruiting |
| Clinical Trial Site | Leesburg | Florida | 34748 | Recruiting |
| Clinical Trial Site | Melbourne | Florida | 32934 | Recruiting |
| Clinical Trial Site | Miami | Florida | 33126 | Not yet recruiting |
| Clinical Trial Site | Miami | Florida | 33134 | Recruiting |
| Clinical Trial Site | Miami | Florida | 33135 | Recruiting |
| Clinical Trial Site | Miami | Florida | 33155 | Recruiting |
| Clinical Trial Site | Miami | Florida | 33169 | Not yet recruiting |
| Clinical Trial Site | Miami | Florida | 33186 | Recruiting |
| Clinical Trial Site | Orlando | Florida | 32825 | Recruiting |
| Clinical Trial Site | Palm Springs | Florida | 33406 | Recruiting |
| Clinical Trial Site | Tampa | Florida | 33615 | Recruiting |
| Clinical Trial Site | Wellington | Florida | 33449 | Recruiting |
| Clinical Trial Site | Winter Park | Florida | 32789 | Not yet recruiting |
| Clinical Trial Site | Atlanta | Georgia | 30342 | Recruiting |
| Clinical Trial Site | Brunswick | Georgia | 31520 | Recruiting |
| Clinical Trial Site | Columbus | Georgia | 31901 | Recruiting |
| Clinical Trial Site | Columbus | Georgia | 31904 | Recruiting |
| Clinical Trial Site | Conyers | Georgia | 30012 | Recruiting |
| Clinical Trial Site | Conyers | Georgia | 30094 | Recruiting |
| Clinical Trial Site | Fayetteville | Georgia | 30214 | Recruiting |
| Clinical Trial Site | Hinesville | Georgia | 31313 | Not yet recruiting |
| Clinical Trial Site | Johns Creek | Georgia | 30024 | Recruiting |
| Clinical Trial Site | Lawrenceville | Georgia | 30044 | Recruiting |
| Clinical Trial Site | Macon | Georgia | 31201 | Recruiting |
| Clinical Trial Site | Stonecrest | Georgia | 30038 | Not yet recruiting |
| Clinical Trial Site | Suwanee | Georgia | 30024 | Not yet recruiting |
| Clinical Trial Site | Thomasville | Georgia | 31792 | Not yet recruiting |
| Clinical Trial Site | Arlington Heights | Illinois | 60005 | Not yet recruiting |
| Clinical Trial Site | Chicago | Illinois | 60611 | Not yet recruiting |
| Clinical Trial Site | Chicago | Illinois | 60640 | Recruiting |
| Clinical Trial Site | Hazel Crest | Illinois | 60429 | Recruiting |
| Clinical Trial Site | Oak Brook | Illinois | 60523 | Recruiting |
| Clinical Trial Site | Orland Park | Illinois | 60462 | Recruiting |
| Clinical Trial Site | Springfield | Illinois | 62701 | Recruiting |
| Clinical Trial Site | Tinley Park | Illinois | 60477 | Recruiting |
| Clinical Trial Site | Avon | Indiana | 46123 | Recruiting |
| Clinical Trial Site | Carmel | Indiana | 46290 | Not yet recruiting |
| Clinical Trial Site | Evansville | Indiana | 47714 | Recruiting |
| Clinical Trial Site | Evansville | Indiana | 47715 | Recruiting |
| Clinical Trial Site | Franklin | Indiana | 46131 | Not yet recruiting |
| Clinical Trial Site | Greenfield | Indiana | 46140 | Recruiting |
| Clinical Trial Site | South Bend | Indiana | 46617 | Recruiting |
| Clinical Trial Site | Valparaiso | Indiana | 46383 | Recruiting |
| Clinical Trial Site | Hutchinson | Kansas | 67502 | Recruiting |
| Clinical Trial Site | Topeka | Kansas | 66606 | Recruiting |
| Clinical Trial Site | Wichita | Kansas | 67214 | Recruiting |
| Clinical Trial Site | Wichita | Kansas | 67218 | Recruiting |
| Clinical Trial Site | Bowling Green | Kentucky | 42101 | Recruiting |
| Clinical Trial Site | Lexington | Kentucky | 40503 | Recruiting |
| Clinical Trial Site | Versailles | Kentucky | 40383 | Recruiting |
| Clinical Trial Site | Hammond | Louisiana | 70403 | Recruiting |
| Clinical Trial Site | Lafayette | Louisiana | 70503 | Recruiting |
| Clinical Trial Site | New Orleans | Louisiana | 70112 | Not yet recruiting |
| Clinical Trial Site | Opelousas | Louisiana | 70570 | Recruiting |
| Clinical Trial Site | Shreveport | Louisiana | 71105 | Recruiting |
| Clinical Trial Site | Slidell | Louisiana | 70458 | Not yet recruiting |
| Clinical Trial Site | Zachary | Louisiana | 70791 | Recruiting |
| Clinical Trial Site | Baltimore | Maryland | 21215 | Not yet recruiting |
| Clinical Trial Site | Baltimore | Maryland | 21229 | Recruiting |
| Clinical Trial Site | Beltsville | Maryland | 20705 | Recruiting |
| Clinical Trial Site | Bowie | Maryland | 20715 | Recruiting |
| Clinical Trial Site | Lanham | Maryland | 20706 | Recruiting |
| Clinical Trial Site | Rockville | Maryland | 20850 | Recruiting |
| Clinical Trial Site | Flint | Michigan | 48504 | Recruiting |
| Clinical Trial Site | Petoskey | Michigan | 49770 | Not yet recruiting |
| Clinical Trial Site | Shelby | Michigan | 48315 | Recruiting |
| Clinical Trial Site | Southfield | Michigan | 48075 | Recruiting |
| Clinical Trial Site | Troy | Michigan | 48085 | Recruiting |
| Clinical Trial Site | Troy | Michigan | 48098 | Recruiting |
| Clinical Trial Site | Richfield | Minnesota | 55423 | Recruiting |
| Clinical Trial Site | Saint Cloud | Minnesota | 56303 | Not yet recruiting |
| Clinical Trial Site | Jackson | Mississippi | 39216 | Recruiting |
| Clinical Trial Site | Olive Branch | Mississippi | 38654 | Recruiting |
| Clinical Trial Site | Port Gibson | Mississippi | 39150 | Recruiting |
| Clinical Trial Site | Ridgeland | Mississippi | 39157 | Recruiting |
| Clinical Trial Site | Tupelo | Mississippi | 38801 | Not yet recruiting |
| Clinical Trial Site | Kansas City | Missouri | 64108 | Not yet recruiting |
| Clinical Trial Site | Kansas City | Missouri | 64111 | Recruiting |
| Clinical Trial Site | Kansas City | Missouri | 64151 | Recruiting |
| Clinical Trial Site | St Louis | Missouri | 63136 | Recruiting |
| Clinical Trial Site | St Louis | Missouri | 63141 | Not yet recruiting |
| Clinical Trial Site | Fremont | Nebraska | 68025 | Recruiting |
| Clinical Trial Site | Omaha | Nebraska | 68114 | Not yet recruiting |
| Clinical Trial Site | Las Vegas | Nevada | 89102 | Not yet recruiting |
| Clinical Trial Site | Las Vegas | Nevada | 89121 | Recruiting |
| Clinical Trial Site | Las Vegas | Nevada | 89148 | Recruiting |
| Clinical Trial Site | Portsmouth | New Hampshire | 03801 | Not yet recruiting |
| Clinical Trial Site | Brick | New Jersey | 08724 | Recruiting |
| Clinical Trial Site | Bridgewater | New Jersey | 08807 | Recruiting |
| Clinical Trial Site | Flemington | New Jersey | 08822 | Recruiting |
| Clinical Trial Site | Albuquerque | New Mexico | 87106 | Recruiting |
| Clinical Trial Site | New Windsor | New York | 12553 | Recruiting |
| Clinical Trial Site | North Massapequa | New York | 11758 | Recruiting |
| Clinical Trial Site | Poughkeepsie | New York | 12601 | Not yet recruiting |
| Clinical Trial Site | Riverhead | New York | 11901 | Recruiting |
| Clinical Trial Site | Rosedale | New York | 11422 | Recruiting |
| Clinical Trial Site | Saratoga Springs | New York | 12866 | Not yet recruiting |
| Clinical Trial Site | The Bronx | New York | 10461 | Recruiting |
| Clinical Trial Site | West Seneca | New York | 14224 | Recruiting |
| Clinical Trial Site | Westfield | New York | 14787 | Recruiting |
| Clinical Trial Site | Durham | North Carolina | 27704 | Recruiting |
| Clinical Trial Site | Greenville | North Carolina | 27834 | Recruiting |
| Clinical Trial Site | High Point | North Carolina | 27260 | Recruiting |
| Clinical Trial Site | Jacksonville | North Carolina | 28546 | Recruiting |
| Clinical Trial Site | Kings Mountain | North Carolina | 28086 | Recruiting |
| Clinical Trial Site | Monroe | North Carolina | 28112 | Recruiting |
| Clinical Trial Site | Statesville | North Carolina | 28625 | Recruiting |
| Clinical Trial Site | Fargo | North Dakota | 58104 | Recruiting |
| Clinical Trial Site | Beavercreek | Ohio | 45431 | Recruiting |
| Clinical Trial Site | Cincinnati | Ohio | 45212 | Recruiting |
| Clinical Trial Site | Cincinnati | Ohio | 45219 | Recruiting |
| Clinical Trial Site | Columbus | Ohio | 43213 | Recruiting |
| Clinical Trial Site | Dayton | Ohio | 45409 | Recruiting |
| Clinical Trial Site | Dayton | Ohio | 45429 | Not yet recruiting |
| Clinical Trial Site | Lima | Ohio | 45801 | Recruiting |
| Clinical Trial Site | Maumee | Ohio | 43537 | Recruiting |
| Clinical Trial Site | Moraine | Ohio | 45439 | Recruiting |
| Clinical Trial Site | Edmond | Oklahoma | 73013 | Not yet recruiting |
| Clinical Trial Site | Moore | Oklahoma | 73160 | Recruiting |
| Clinical Trial Site | Norman | Oklahoma | 73069 | Recruiting |
| Clinical Trial Site | Oklahoma City | Oklahoma | 73120 | Recruiting |
| Clinical Trial Site | Camp Hill | Pennsylvania | 17701 | Recruiting |
| Clinical Trial Site | Horsham | Pennsylvania | 19044 | Recruiting |
| Clinical Trial Site | Linwood | Pennsylvania | 19061 | Recruiting |
| Clinical Trial Site | Media | Pennsylvania | 19063 | Recruiting |
| Clinical Trial Site | Uniontown | Pennsylvania | 15401 | Recruiting |
| Clinical Trial Site | Columbia | South Carolina | 29205 | Recruiting |
| Clinical Trial Site | Greenville | South Carolina | 29607 | Recruiting |
| Clinical Trial Site | Greer | South Carolina | 29650 | Recruiting |
| Clinical Trial Site | Sioux Falls | South Dakota | 57104 | Not yet recruiting |
| Clinical Trial Site | Chattanooga | Tennessee | 37404 | Not yet recruiting |
| Clinical Trial Site | Chattanooga | Tennessee | 37412 | Recruiting |
| Clinical Trial Site | Knoxville | Tennessee | 37909 | Recruiting |
| Clinical Trial Site | Knoxville | Tennessee | 37923 | Recruiting |
| Clinical Trial Site | Allen | Texas | 75013 | Recruiting |
| Clinical Trial Site | Amarillo | Texas | 79106 | Recruiting |
| Clinical Trial Site | Amarillo | Texas | 79124 | Recruiting |
| Clinical Trial Site | Arlington | Texas | 76012 | Recruiting |
| Clinical Trial Site | Arlington | Texas | 76015 | Not yet recruiting |
| Clinical Trial Site | Austin | Texas | 78735 | Recruiting |
| Clinical Trial Site | Austin | Texas | 78759 | Recruiting |
| Clinical Trial Site | Beaumont | Texas | 77702 | Recruiting |
| Clinical Trial Site | Carrollton | Texas | 75006 | Recruiting |
| Clinical Trial Site | Dallas | Texas | 75226 | Not yet recruiting |
| Clinical Trial Site | Dallas | Texas | 75235 | Not yet recruiting |
| Clinical Trial Site | Dallas | Texas | 75246 | Not yet recruiting |
| Clinical Trial Site | Duncanville | Texas | 75137 | Recruiting |
| Clinical Trial Site | El Paso | Texas | 79905 | Not yet recruiting |
| Clinical Trial Site | Euless | Texas | 76040 | Recruiting |
| Clinical Trial Site | Houston | Texas | 77002 | Recruiting |
| Clinical Trial Site | Houston | Texas | 77024 | Recruiting |
| Clinical Trial Site | Houston | Texas | 77025 | Recruiting |
| Clinical Trial Site | Houston | Texas | 77036 | Recruiting |
| Clinical Trial Site | Houston | Texas | 77043 | Recruiting |
| Clinical Trial Site | Houston | Texas | 77061 | Recruiting |
| Clinical Trial Site | Houston | Texas | 77070 | Recruiting |
| Clinical Trial Site | Houston | Texas | 77095 | Recruiting |
| Clinical Trial Site | Houston | Texas | 77429 | Recruiting |
| Clinical Trial Site | Humble | Texas | 77338 | Recruiting |
| Clinical Trial Site | Katy | Texas | 77450 | Recruiting |
| Clinical Trial Site | Kingwood | Texas | 77339 | Not yet recruiting |
| Clinical Trial Site | Laredo | Texas | 78041 | Recruiting |
| Clinical Trial Site | McAllen | Texas | 78503 | Recruiting |
| Clinical Trial Site | McKinney | Texas | 75069 | Not yet recruiting |
| Clinical Trial Site | McKinney | Texas | 75071 | Recruiting |
| Clinical Trial Site | Mesquite | Texas | 75149 | Recruiting |
| Clinical Trial Site | Missouri City | Texas | 77459 | Recruiting |
| Clinical Trial Site | Paris | Texas | 75462 | Recruiting |
| Clinical Trial Site | Pasadena | Texas | 77504 | Recruiting |
| Clinical Trial Site | Plano | Texas | 75024 | Recruiting |
| Clinical Trial Site | Port Arthur | Texas | 77642 | Recruiting |
| Clinical Trial Site | San Antonio | Texas | 78220 | Recruiting |
| Clinical Trial Site | San Antonio | Texas | 78229 | Recruiting |
| Clinical Trial Site | San Antonio | Texas | 78231 | Recruiting |
| Clinical Trial Site | San Antonio | Texas | 78258 | Recruiting |
| Clinical Trial Site | Sherman | Texas | 75092 | Recruiting |
| Clinical Trial Site | Sugar Land | Texas | 77479 | Recruiting |
| Clinical Trial Site | Tomball | Texas | 77375 | Recruiting |
| Clinical Trial Site | Waco | Texas | 76712 | Recruiting |
| Clinical Trial Site | Bountiful | Utah | 84010 | Recruiting |
| Clinical Trial Site | Bountiful | Utah | 84025 | Recruiting |
| Clinical Trial Site | Layton | Utah | 84041 | Recruiting |
| Clinical Trial Site | Arlington | Virginia | 22205 | Recruiting |
| Clinical Trial Site | Danville | Virginia | 24541 | Recruiting |
| Clinical Trial Site | Falls Church | Virginia | 22042 | Recruiting |
| Clinical Trial Site | Manassas | Virginia | 20109 | Recruiting |
| Clinical Trial Site | Newport News | Virginia | 23606 | Recruiting |
| Clinical Trial Site | Norfolk | Virginia | 23502 | Recruiting |
| Clinical Trial Site | Richmond | Virginia | 23219 | Recruiting |
| Clinical Trial Site | Suffolk | Virginia | 23435 | Recruiting |
| Clinical Trial Site | Winchester | Virginia | 22601 | Recruiting |
| Clinical Trial Site | Bellevue | Washington | 98007 | Recruiting |
| Clinical Trial Site | Kenosha | Wisconsin | 53144 | Recruiting |
Site contact phone numbers, emails, and investigator names are intentionally not displayed here. Open the official ClinicalTrials.gov record for site contact information.
Non-U.S. locations
This page focuses on the U.S. directory. The official record also lists 342 non-U.S. sites.
About this trial record page
- What this page shows
- Public field values for ClinicalTrials.gov record NCT07181109, including study identification, conditions, interventions, eligibility (age, sex, healthy volunteer), timeline, and U.S. site list.
- What this page does not do
- No medical advice, eligibility judgments, treatment recommendations, study quality scoring, or AI-generated medical summaries. No site contact phone numbers, emails, or investigator names.
- Where the data comes from
- Sourced from the official ClinicalTrials.gov public API. The official record is the source of truth.
- Last refresh
- Last update posted May 13, 2026 · Synced May 18, 2026
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Open the official record
The complete protocol, eligibility criteria, and contact information for NCT07181109 live on ClinicalTrials.gov.