Minocycline for Resistant Hypertension

This study is looking into how minocycline hydrochloride, an antibiotic, might help people with high blood pressure that hasn't responded to other treatments (resistant hypertension). Researchers want to see if minocycline hydrochloride 100 mg taken twice daily can lower blood pressure. They also want to understand if any blood pressure changes are linked to changes in your gut bacteria (gut microbiota), gut inflammation, or other body processes. You could be eligible if you are 18 to 100 years old and have uncontrolled resistant hypertension, even while taking three or more blood pressure medications. The study aims to enroll 120 participants and will measure your 24-hour systolic blood pressure, gut microbiome, and gut inflammation after 3 months to see if the treatment is successful. The current recruitment status is unclear.

Study design
This is an interventional study where 120 participants will be randomly assigned to receive either minocycline hydrochloride or a placebo. Neither you nor the researchers will know which treatment you are receiving (blinded).
What's involved
You would participate for 3 months, with 3 visits: screening, randomization, and a 3-month follow-up. These visits include medical history, questionnaires, blood and urine/saliva tests, stool samples, and blood pressure measurements. Some participants will also have brain imaging.
Compensation
Not stated in the trial record.
Follow-up
Your blood pressure, gut microbiome, and gut inflammation will be measured at 3 months after starting treatment.

AI-generated from the public study record. Only the study team can confirm whether you're eligible — confirm details with them before making decisions.

NCT06246396

Antihypertensive Mechanisms of Minocycline in Resistant Hypertension

Recruiting
PHASE4Ages 18+InterventionalTreatment
University of Florida
~120 participants
Updated 2026-03-06 on ClinicalTrials.gov
What's tested:Minocycline HydrochloridePlacebo

At a glance

Recruiting sites
1 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
24-h systolic blood pressure
Measured over 3 months
+3 more outcomes measured
Hypertension, Resistant to Conventional Therapy
1 sites across 1 states
Florida1
  • Steven M Smith, PharmD, MPH · PRINCIPAL_INVESTIGATOR · University of Florida

Opens a ready-to-send draft in your own email app — review before sending.

Do you actually qualify for this trial?

Add a private profile and we'll compare every criterion below against your situation — and tell you which ones are met, uncertain, or excluding.

Check eligibility for this trial ~2 min · HIPAA-protected · delete anytime
Eligibility criteria

Inclusion

Age ≥18 years
Uncontrolled TRH, defined as uncontrolled blood pressure (mean 24-hour ambulatory systolic BP ≥125 mm Hg or diastolic BP ≥80 mm Hg) while being adherent to a stable (no changes in ≥14 days prior) antihypertensive regimen of 3 or more drugs, including an adequately dosed diuretic or unable to tolerate a diuretic.
The participant agrees to have all study procedures performed

Exclusion

Known hypersensitivity or contraindication to minocycline or other tetracyclines
Recent (≤3 months prior), ongoing, or expected use of oral antibiotics
Estimated glomerular filtration rate (eGFR) of \<45mL/min/1.73m2, using the MDRD equation
Known secondary hypertension
History of hypertensive crisis, defined as any in-patient hospitalizations for hypertensive crisis/emergency within the past year
History of orthostatic hypotension, defined as two or more episode(s) of orthostatic hypotension (reduction of SBP of \>20 mm Hg or DBP of \>10 mm Hg within 3 minutes of standing) in the past year
History of myocardial infarction, unstable angina, syncope, or cerebrovascular accident in prior 6 months
Evidence of alcoholism or drug abuse
Severe comorbid conditions (i.e., neoplasms or HIV positive or AIDS)
Current pregnancy or anticipated pregnancy during the study.
  • 24-h systolic blood pressure3 months

    Change in mean 24-hour ambulatory systolic blood pressure

  • Gut microbiome3 months

    Change in butyrate-producing gene abundance

  • Gut inflammation and leakiness3 months

    Change in gut-homing inflammatory T-helper cells

  • Neuroinflammation3 months

    Change in \[18F\]FEPPA radiotracer uptake on PET/MR imaging