CinCor Pharma
The business, the turning points, and the decisions behind them.
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Sections to complete:02 · 05
01 / WHAT IT BUILT
What the company did
CinCor Pharma was a Waltham, Massachusetts-based clinical-stage biopharmaceutical company focused on developing drugs for resistant and uncontrolled hypertension as well as chronic kidney disease. Its lead candidate was baxdrostat (CIN-107), an oral small-molecule inhibitor of aldosterone synthase — a potentially leading next-generation aldosterone synthase inhibitor that lowers aldosterone without affecting cortisol. In its BrigHtn Phase 2 trial, baxdrostat demonstrated a statistically significant lowering of systolic blood pressure in patients with treatment-resistant hypertension, with Phase 1 trials showing no serious adverse events. Having raised about $418 million, the company was acquired by AstraZeneca: the deal was announced in January 2023 at a 121% premium and completed in early March 2023 through a tender offer of about $1.3 billion upfront, plus a non-tradable contingent value right payable on a regulatory submission — a combined value of up to about $1.8 billion. CinCor's shares were delisted from Nasdaq, and baxdrostat joined AstraZeneca's cardiorenal portfolio alongside Farxiga.
02 / FAILURE REASONS
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03 / EVENT HISTORY
Events in the structured record
- Phase 2 success
In the BrigHtn Phase 2 trial, baxdrostat demonstrated statistically significant lowering of systolic blood pressure in treatment-resistant hypertension; Phase 1 trials showed no serious adverse events.
- Acquired by AstraZeneca
In January 2023 AstraZeneca announced the acquisition at a 121% premium; completed in early March 2023 via tender offer at about $1.3 billion upfront plus a contingent value right on a regulatory submission, for a combined value of up to about $1.8 billion. CinCor was delisted from Nasdaq and baxdrostat joined AstraZeneca's cardiorenal portfolio.
04 / CONTEMPORARY REBUILD ASSESSMENT
Difficulty of rebuilding this project today
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Overall assessment: Not completed
05 / CAUSAL CHAIN / AFTERMATH
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