Balcinrenone + Dapagliflozin for Chronic Kidney Disease

Not yet recruiting at 31 trial locations
AC
AC
Overseen ByAstraZeneca Clinical AstraZeneca Clinical
Age: 18+
Sex: Any
Trial Phase: Phase 3
Sponsor: AstraZeneca
Must be taking: ACEi, ARB
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Pivotal Trial (Near Approval)This treatment is in the last trial phase before FDA approval
Prior Safety DataThis treatment has passed at least one previous human trial

What You Need to Know Before You Apply

What is the purpose of this trial?

The purpose of this study is to evaluate the efficacy, safety and tolerability of balcinrenone in fixed combination with dapagliflozin, compared with dapagliflozin, in patients with CKD Stage 3b and 4 (eGFR ≥ 15 to \< 45 mL/min/1.73 m2) administered orally once daily in addition to SoC.

This is a population with high unmet medical need and an increased risk of CKD progression, who are frequently excluded from interventional trials.

Are You a Good Fit for This Trial?

This trial is for adults with moderate to severe chronic kidney disease (CKD stage 3b or 4, eGFR between 15 and less than 45) who are at high risk of their kidney disease getting worse. Participants should be able to take oral medication daily.

Inclusion Criteria

Serum/plasma K+ ≤ 5.0 mmol/L
I am 18 years old or older.
I have chronic kidney disease with moderate to severe reduced kidney function.
See 2 more

Exclusion Criteria

UACR ≥ 5000 mg/g or UPCR ≥ 7000 mg/g at screening
SBP > 180 mmHg or DBP > 110 mmHg at screening
SBP < 90 mmHg at screening
See 15 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive either balcinrenone/dapagliflozin or dapagliflozin alone, administered once daily in addition to standard of care

Up to 46 months

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

What Are the Treatments Tested in This Trial?

Trial Overview

The study compares a new combination pill (balcinrenone plus dapagliflozin) versus dapagliflozin alone, both taken once daily along with standard care, to see which works better and is safer for people with CKD stages 3b and 4.

How Is the Trial Designed?

2

Treatment groups

Experimental Treatment

Active Control

Group I: Balcinrenone/dapagliflozinExperimental Treatment1 Intervention
Group II: DapagliflozinActive Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

AstraZeneca

Lead Sponsor

Trials
4,491
Recruited
290,540,000+

Sir Pascal Soriot

AstraZeneca

Chief Executive Officer since 2012

Veterinary Medicine from École nationale vétérinaire d'Alfort, MBA from HEC Paris

Dr. Cristian Massacesi

AstraZeneca

Chief Medical Officer since 2021

MD from Marche Polytechnic University, Oncology training at Royal Marsden Hospital, Kaplan Comprehensive Cancer Center, and European Institute of Oncology

Pascal Soriot

AstraZeneca

Chief Executive Officer since 2012

Veterinary Medicine from École nationale vétérinaire d'Alfort, MBA from HEC Paris

Cristian Massacesi

AstraZeneca

Chief Medical Officer since 2021

MD from Marche Polytechnic University, Medical Oncology training at Royal Marsden Hospital, Kaplan Comprehensive Cancer Center, and European Institute of Oncology