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QGC001 + hydrochlorothiazide is a combination of firibastat (QGC001, RB-150) and hydrochlorothiazide developed for the treatment of hypertension. **Firibastat** is a first-in-class, orally active brain aminopeptidase A inhibitor that reduces blood pressure by inhibiting the conversion of angiotensin II to angiotensin III in the brain, thus modulating the brain renin-angiotensin system and decreasing sympathetic tone and vasopressin release. **Hydrochlorothiazide** is a thiazide diuretic that lowers blood pressure primarily through inhibition of sodium reabsorption in the distal tubules of the kidney, leading to increased excretion of sodium and water. The rationale for combining these drugs is to provide complementary antihypertensive effects through dual mechanisms acting both centrally (firibastat) and peripherally (hydrochlorothiazide).
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