TheraRadar
Data updated: May 26, 2026

BENICAR HCT (hydrochlorothiazide)

Cardiovascular Approved 2003-06-05

BENICAR HCT is indicated for the treatment of Hypertension.

Source: FDA Label • COSETTE • Thiazide Diuretic

How BENICAR HCT Works

Benicar HCT combines two antihypertensive agents with complementary mechanisms. Olmesartan medoxomil is an angiotensin II receptor blocker (ARB) that selectively blocks the binding of angiotensin II to the $AT_1$ receptor in vascular smooth muscle, inhibiting its vasoconstrictor effects. Hydrochlorothiazide is a thiazide diuretic that acts on the renal tubular mechanisms of electrolyte reabsorption, directly increasing the excretion of sodium and chloride. This diuretic action reduces plasma volume and decreases peripheral vascular resistance, further lowering blood pressure.

1
Indication
--
Phase 3 Trials
22
Years on Market

Details

Status
Prescription
First Approved
2003-06-05
Routes
ORAL
Dosage Forms
TABLET

Companies

BENICAR HCT Approval History

2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
Original
New Indication
New Form
Label Update
57 FDA actions from 2003 to 2025
Apr 2025 SUPPL
Label · Labeling
Aug 2020 SUPPL
Label · Labeling
May 2016 SUPPL
Mfg · Manufacturing (CMC)

What BENICAR HCT Treats

1 indications

BENICAR HCT is approved for 1 conditions since its original approval in 2003. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Hypertension
Source: FDA Label

BENICAR HCT Boxed Warning

FETAL TOXICITY When pregnancy is detected, discontinue BENICAR HCT as soon as possible [see Warnings and Precautions (5.1) ] . Drugs that act directly on the renin-angiotensin system can cause injury and death to the developing fetus [see Warnings and Precautions (5.1) ] . WARNING: FETAL TOXICITY See full prescribing information for complete boxed warning. When pregnancy is detected, discontinue BENICAR HCT as soon as possible ( 5.1 ). Drugs that act directly on the renin-angiotensin system can ...

BENICAR HCT Competitive Set

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Filters applied: drops same-active-ingredient (505(b)(2) reformulations), route-mismatch (topical vs systemic), and cross-therapeutic-area matches in same-indication rings.

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Clinical Trial Registry

45 trials
Trial Sponsor ID Phase Status Title
NCT03892148 ProDUCT-HF CHU-428 2018-A02971-54 Ph 4 completed Protocol of Diuretics Use in Congestive Therapy in Heart Failure
NCT04654312 HCTox Ph 1 completed Study to Evaluate the Influence of Hydrochlorothiazide on Dermal Photosensitivity and DNA Stability - a Pilot Study (HCTox Study)
NCT02373163 INTERVENCION results posted INTERVENCION Trial Ph 4 completed INTERVENCION Trial
NCT03109795 ATLAS results posted 201701762 Ph 4 terminated Anxiety-mediated Impairments in Large Elastic Artery Function and the Autonomic Nervous System
NCT05917275 HT-PREDICT 114516 2023-505239-10-00 Ph 4 recruiting Multi-Omics to Predict the Blood Pressure Response to Antihypertensives
NCT03179163 H2SPharm results posted STUDY3224 5R01HL093238, 120058 Ph 1, Ph 2 terminated Peripheral Vascular Effects of Sulfhydryl-containing Antihypertensive Pharmacotherapy on Microvessels in Humans
NCT01983462 VANISH results posted 201307779 Ph 2 terminated Vascular Dysfunction in Human Obesity Hypertension
NCT01647932 CLOROTIC SEMI-IC-CLOR Ph 3 completed Safety and Efficacy of the Combination of Loop With Thiazide-type Diuretics in Patients With Decompensated Heart Failure
NCT03461003 NICHE results posted HSC-MS-17-1014 UL1TR003167 Ph 4 completed N-of-1 Trials In Children With Hypertension
NCT03387657 INT14905 U1111-1186-2718 Ph 1 completed A Drug to Drug Interaction Study of Sotagliflozin With Hydrochlorothiazide
NCT00667719 results posted CSAH100A2301 2008-001242-10 Ph 3 completed A Long Term Safety Study to Test the Combination of Aliskiren/ Amlodipine / Hydrochlorothiazide in Participants With Essential Hypertension
NCT02699125 guanhctz results posted guanhctz Ph 4 completed Treatment of OSA Associated Hypertension With Alpha 2 Agonist or Diuretic
NCT02710071 nebhctz results posted 110342 Ph 4 completed Treatment of OSA Associated Hypertension With Nebivolol or Hydrochlorothiazide
NCT03170336 ANTI-UPRO GGH2016422H Ph 4 completed A New Application of Amiloride in the Treatment of Patient With Chronic Kidney Disease In Reducing Urinary PROtein
NCT00765947 results posted CSPP100A2360 Ph 4 completed Efficacy and Tolerability of an Aliskiren-based Treatment Algorithm in Patients With Mild to Moderate Hypertension
NCT01519635 results posted 2011DR3137 Ph 4 completed Effect of Aliskiren and Hydrochlorothiazide on Kidney Oxygenation in Patients With Hypertension
NCT04197622 HCTZ IMIMFTCL/HCTZ Ph 1 completed Generation of Biological Samples Positive to Hydrochlorothiazide for Anti-doping Control
NCT03889145 ID-TAH-1301 Ph 1 completed A Study to Evaluate the Drug-drug Interaction Between Telmisartan, Amlodipine and Hydrochlorothiazide
NCT00649389 results posted CS8635-A-U301 Ph 3 completed Safety and Efficacy Study of a Triple Combination Therapy in Subjects With Hypertension
NCT02875886 DD NL54748.078.15 Ph 4 completed DD-study: Diet or Diuretics for Salt-sensitivity in Chronic Kidney Disease
NCT00994253 2009-083 Ph 4 withdrawn Evaluating the Effect of Aliskiren Versus HCTZ on Coronary Flow Reserve in Hypertensive Type II Diabetics
NCT01748123 PCORI-EGID 4231 00041242 Ph 4 withdrawn EBMtrialcentral- Comparing Initial Diuretic Therapies Using a Collaborative Network
NCT00976495 results posted MB102-035 EUDRACT #: 2009-010221-39 Ph 2 completed Effects of Dapagliflozin on Kidney Function (Glomerular Filtration Rate) in Subjects With Type 2 Diabetes
NCT02739672 ID-TAH-102 Ph 1 completed Clinical Trial to Compare the Pharmacokinetics of TAH Tablet in Comparison to the Co-administration of Telmisartan, Amlodipine and Hydrochlorothiazide in Healthy Male Volunteers
NCT03032315 ID-TAH-103 Ph 1 completed Compare the Pharmacokinetics of TAH(80/10/12.5) Tablet in Comparison to the Co-administration of Telmisartan, Amlodipine and Hydrochlorothiazide in Healthy Male Volunteers
NCT01975246 results posted 1348.1 Ph 3 completed Add-on to Micamlo BP Trial
NCT01365481 results posted CVAL489K2305 2009-017594-37 Ph 3 completed Safety and Tolerability of Valsartan in Children 6 to 17 Years of Age
NCT02222480 BR-FHC-CT-201-BZ Ph 2 completed A Clinical Trial to Evaluate Efficacy, Tolerability, and Pharmacokinetic-Pharmacodynamic Relationship of Fimasartan/Hydrochlorothiazide
NCT01692301 results posted CLCZ696A2216 2012-002899-14 Ph 2 completed Study of the Safety and Efficacy of LCZ696 on Arterial Stiffness in Elderly Patients With Hypertension
NCT01480791 CSPP100ACA03T Ph 2 withdrawn Aliskiren vs Hydrochlorothiazide in Hypertensive Type II Diabetic Patients on Resistance Arteries
NCT01922141 ASSESS CSPP100A2370 2013-001562-42 Ph 4 withdrawn Aliskiren Study of Safety and Efficacy in Senior Hypertensives
NCT01276288 results posted 1245.42 2010-019624-31 Ph 1 completed Pharmacodynamics and Pharmacokinetics of Empagliflozin and Torasemide in Patients With Type 2 Diabetes
NCT00926289 results posted 502.550 2008-007711-32 Ph 4 completed Telmisartan 80mg Plus Hydrochlorothiazide 25mg First Line in Moderate or Severe Hypertension
NCT01172431 WestChinaH Ph 4 completed Indapamide Versus Hydrochlorothiazide in Elderly Hypertensive Patients With Renal Insufficiency
NCT02072330 TAK-536TCH/CCT-001 JapicCTI-121962 Ph 2, Ph 3 completed Study to Evaluate the Efficacy and Safety of Combined Administration of TAK-536CCB and Hydrochlorothiazide in Patients With Grade I or II Essential Hypertension.
NCT00605072 AVEC results posted IA0127 K23AG030057 Ph 2 completed The Antihypertensives and Vascular, Endothelial and Cognitive Function Trial
NCT01138423 TARGET UMCU-Vasc-14A Ph 4 completed Treatment of Adiposity Related hypErTension (TARGET)
NCT00797862 ACCELERATE results posted CSPA100A2307 Ph 3 completed Aliskiren and the Calcium Channel Blocker Amlodipine Combination as an Initial Treatment Strategy for Hypertension
NCT00980187 AISHA RO-SCL-IQ v 1.0/04.07 Ph 4 completed A Comparison of Indapamide SR 1.5 mg With HCTZ 25 mg, in Combination With an ACE-inhibitor, in Patients With Mild to Moderate AHT and Type 2 DM
NCT00760266 ACTION results posted CSPP100A2411 Ph 4 completed Blood Pressure Lowering of Aliskiren HCTZ Compared to HCTZ in Stage 2 Systolic Hypertension in Older Population
NCT00797316 AIMS results posted CSPP100A2410 Ph 4 completed Aliskiren Plus HCTZ Compared to Aliskiren in Metabolic Syndrome Patients With Stage 2 Systolic Hypertension
NCT00654745 results posted CS-8663-403 Ph 4 completed 18 Week Study Evaluating Safety and Efficacy of Olmesartan, Amlodipine, and Hydrochlorothiazide, in Type 2 Diabetics
NCT00621153 CAESAR results posted D2452L00016 Ph 4 completed Candesartan Effect in Second Stage Arterial Hypertension
NCT00605202 results posted Lakritsi ja hypokalemia Ph 4 completed Effect of Licorice and Hydrochlorothiazide on Plasma Potassium
NCT00923533 A657-BR-CT-103 Ph 1 completed A Study to Evaluate the Safety and Pharmacokinetics After Oral Concurrent Administration of Fimasartan and Hydrochlorothiazide in Healthy Male Volunteers
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Active Pipeline

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Ongoing clinical trials by development phase

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Key Completed Trials

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Completed studies with published results, ranked by significance

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Trial Timeline

Full development history with FDA approval milestones

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Understanding FDA Approval Types
Count Type What it means
- ORIG Original approval - drug first enters market
- SUPPL - Efficacy New indication (new disease/condition approved)
- SUPPL - Labeling Label text changes (warnings, dosing updates)
- SUPPL - Manufacturing Production changes (new facility)
- SUPPL - Chemistry Formulation changes (new dosage strength)

Green lines in the timeline show ORIG and Efficacy approvals - the clinically meaningful milestones.

BENICAR HCT FDA Label Details

Indications & Usage

FDA Label (PDF)

BENICAR HCT is indicated for the treatment of Hypertension.

⚠️ BOXED WARNING

WARNING: FETAL TOXICITY When pregnancy is detected, discontinue BENICAR HCT as soon as possible [see Warnings and Precautions (5.1) ] . Drugs that act directly on the renin-angiotensin system can cause injury and death to the developing fetus [see Warnings and Precautions (5.1) ] . WARNING: FETAL TO...

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Data Sources

Data sourced from official FDA and NIH databases. Click links to verify on original sources.