ACTIVE_NOT_RECRUITING

A Phase III Study to Investigate the Efficacy and Safety of Baxdrostat in Combination With Dapagliflozin on CKD Progression in Participants With CKD and High Blood Pressure.

Study Overview

This clinical trial focuses on testing the efficacy of different digital interventions to promote re-engagement in cancer-related long-term follow-up care for adolescent and young adult (AYA) survivors of childhood cancer.

Description

The purpose of this study is to measure the efficacy and safety of baxdrostat/dapagliflozin in participants ≥ 18 years of age with CKD and HTN. This study consists of a screening, a 4-week dapagliflozin run-in period for participants untreated with SGLT2i at baseline; a 24-month double-blind period in which participants will receive either baxdrostat/dapagliflozin or placebo/dapagliflozin; and approximately 12-week open-label period in which all participants will discontinue baxdrostat/placebo and receive dapagliflozin alone. Site visits will take place at 2-, 4-, 8-, and 16- weeks following randomisation. Thereafter visits will occur approximately every 4 months, until the 24-month visit at which time baxdrostat/placebo will be discontinued. Participants will continue open-label dapagliflozin for another 12-weeks (approximately), where reassessment of eGFR will occur for the primary efficacy endpoint. In the event of premature discontinuation of blinded study intervention, participants will continue in the study and receive open-label dapagliflozin monotherapy, unless the participant meets dapagliflozin specific discontinuation criteria, in which case all study interventions will be discontinued.

Official Title

A Phase III, Randomised, Double-Blind Study to Assess the Efficacy, Safety and Tolerability of Baxdrostat in Combination With Dapagliflozin Compared With Dapagliflozin Alone on Chronic Kidney Disease (CKD) Progression in Participants With CKD and High Blood Pressure

Quick Facts

Study Start:2024-03-29
Study Completion:2028-02-24
Study Type:Not specified
Phase:Not Applicable
Enrollment:Not specified
Status:ACTIVE_NOT_RECRUITING

Study ID

NCT06268873

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Ages Eligible for Study:18 Years
Sexes Eligible for Study:ALL
Accepts Healthy Volunteers:No
Standard Ages:ADULT, OLDER_ADULT
Inclusion CriteriaExclusion Criteria
  1. 1. Participants of any sex and gender must be ≥ 18 years old, or older, at the time of signing the informed consent.
  2. 2. Participants with CKD and eGFR ≥ 30 and \< 90 mL/min/1.73 m2 at screening
  3. 3. Urine albumin creatinine ratio \> 200 mg/g (22.6 mg/mmol) and \< 5000 mg/g (565 mg/mmol) at screening
  4. 4. Participants with history of HTN and a SBP ≥ 130 mmHg at screening and ≥ 120 mmHg at the randomisation visit
  5. 5. Stable and maximum tolerated dose of an ACE inhibitor or an ARB (not both) for at least 4 weeks prior to Screening Visit
  6. 6. Central laboratory serum potassium must meet the following criteria at the Screening Visit, based on screening eGFR:
  7. * for participants with screening eGFR ≥ 45 mL/min/1.73 m2, potassium must be ≥ 3.0 and ≤ 4.8 mmol/L at the Screening Visit
  8. * for participants with screening eGFR \< 45 mL/min/1.73 m2, potassium must be ≥ 3.0 and ≤ 4.5 mmol/L at the Screening Visit
  1. 1. Systolic blood pressure \> 180 mmHg, or DBP \> 110 mmHg at screening.
  2. 2. Known hyperkalaemia, defined as potassium of ≥ 5.5 mmol/L within 3 months at screening.
  3. 3. Serum sodium \< 135 mmol/L at the Screening Visit, determined as per central laboratory.
  4. 4. Diabetes mellitus:
  5. 5. New York Heart Association functional HF class IV at screening.
  6. 6. Stroke, transient ischaemic cerebral attack, valve implantation or valve replacement, carotid surgery, or carotid angioplasty, acute coronary syndrome, or hospitalisation for worsening heart failure within previous 3 months prior to randomisation.
  7. 7. Any dialysis (including for acute kidney injury) within 3 months prior to Screening Visit.
  8. 8. Any acute kidney injury within 3 months prior to the Screening Visit
  9. 9. History of organ transplant or bone marrow transplant, or planned organ transplant within 6 months following randomisation (including kidney transplant).
  10. 10. History or ongoing allergy/hypersensitivity, as judged by the investigator, to SGLT2 inhibitor (eg, empagliflozin) or ASI.
  11. 11. Any clinical condition requiring systemic immunosuppression therapy other than stable maintenance therapy for at least 3 months prior to Visit 1.
  12. 12. Any use of mineralocorticoid receptor antagonists (such as spironolactone, eplerenone, or finerenone), potassium-sparing diuretics (such as triamterene or amiloride), or potassium binders (such as sodium zirconium cyclosilicate, patiromer, or sodium polystyrene sulfonate) within 4 weeks prior to screening.

Contacts and Locations

Study Locations (Sites)

Research Site
Fairhope, Alabama, 36532
United States
Research Site
Phoenix, Arizona, 85016
United States
Research Site
Surprise, Arizona, 85374
United States
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Tucson, Arizona, 85710
United States
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Searcy, Arkansas, 72143
United States
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Beverly Hills, California, 90211
United States
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Canyon Country, California, 91351
United States
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Fremont, California, 94538
United States
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Fullerton, California, 92835
United States
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Lincoln, California, 95648
United States
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Los Alamitos, California, 90720
United States
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San Francisco, California, 94110
United States
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Stanford, California, 94305
United States
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Tarzana, California, 91356
United States
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Arvada, Colorado, 80002
United States
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Denver, Colorado, 80220
United States
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New Britain, Connecticut, 06051
United States
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Boca Raton, Florida, 33487
United States
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Boynton Beach, Florida, 33435
United States
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Edgewater, Florida, 32132
United States
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Fort Lauderdale, Florida, 33316
United States
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Hialeah, Florida, 33012
United States
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Hollywood, Florida, 33021
United States
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Jacksonville, Florida, 32204
United States
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Lake City, Florida, 32055
United States
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Lake Worth, Florida, 33467
United States
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Melbourne, Florida, 32901
United States
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Miami, Florida, 33165
United States
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Miami Lakes, Florida, 33014
United States
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New Port Richey, Florida, 34652
United States
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Ocoee, Florida, 34761
United States
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Orlando, Florida, 32806
United States
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Orlando, Florida, 32808
United States
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Port Charlotte, Florida, 33952
United States
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Port Orange, Florida, 32127
United States
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Riverview, Florida, 33578
United States
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Winter Haven, Florida, 33880
United States
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Atlanta, Georgia, 30344
United States
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Conyers, Georgia, 30094
United States
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Macon, Georgia, 31210
United States
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Champaign, Illinois, 61822
United States
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Hazel Crest, Illinois, 60429
United States
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Huntley, Illinois, 60142
United States
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Rockford, Illinois, 61107
United States
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Evansville, Indiana, 47714
United States
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Fort Wayne, Indiana, 46804
United States
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Hutchinson, Kansas, 67502
United States
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Wichita, Kansas, 67214
United States
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Bethesda, Maryland, 20889
United States
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Lanham, Maryland, 20706
United States
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Boston, Massachusetts, 02114
United States
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Boston, Massachusetts, 02115
United States
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New Bedford, Massachusetts, 02740
United States
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Detroit, Michigan, 48202
United States
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Pontiac, Michigan, 48341
United States
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Saint Joseph, Michigan, 49085
United States
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City of Saint Peters, Missouri, 63376
United States
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Kansas City, Missouri, 64111
United States
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Kansas City, Missouri, 64128
United States
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Kansas City, Missouri, 64151
United States
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St Louis, Missouri, 63136
United States
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Eatontown, New Jersey, 07724
United States
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Binghamton, New York, 13905
United States
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Manhasset, New York, 11030
United States
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Middletown, New York, 10940
United States
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New York, New York, 10016
United States
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Niagara Falls, New York, 14304
United States
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Orchard Park, New York, 14127
United States
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Rockville Centre, New York, 11570
United States
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Greenville, North Carolina, 27834
United States
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Jacksonville, North Carolina, 28546
United States
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New Bern, North Carolina, 28562
United States
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Statesville, North Carolina, 28625
United States
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Wilmington, North Carolina, 28401
United States
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Wilmington, North Carolina, 28412
United States
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Columbus, Ohio, 43213
United States
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Columbus, Ohio, 43215
United States
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Maumee, Ohio, 43537
United States
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Chester, Pennsylvania, 19013
United States
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Langhorne, Pennsylvania, 19047
United States
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Uniontown, Pennsylvania, 15401
United States
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East Providence, Rhode Island, 02914
United States
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East Providence, Rhode Island, 02915
United States
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Providence, Rhode Island, 02904
United States
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Charleston, South Carolina, 29414
United States
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Columbia, South Carolina, 29203
United States
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Sioux Falls, South Dakota, 57104
United States
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Chattanooga, Tennessee, 37421
United States
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Memphis, Tennessee, 38105
United States
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Memphis, Tennessee, 38115
United States
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Arlington, Texas, 76015
United States
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Austin, Texas, 78726
United States
Research Site
Austin, Texas, 78751
United States
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Dallas, Texas, 75230
United States
Research Site
Dallas, Texas, 75246
United States
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Houston, Texas, 77004
United States
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Houston, Texas, 77040
United States
Research Site
Houston, Texas, 77084
United States
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Houston, Texas, 77099
United States
Research Site
Humble, Texas, 77338
United States
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Lewisville, Texas, 75057
United States
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Odessa, Texas, 79761
United States
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Pasadena, Texas, 77504
United States
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San Antonio, Texas, 78212
United States
Research Site
San Antonio, Texas, 78231
United States
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Salt Lake City, Utah, 84115
United States
Research Site
Salt Lake City, Utah, 84132
United States
Research Site
Burlington, Vermont, 05401
United States
Research Site
Arlington, Virginia, 22205
United States
Research Site
Manassas, Virginia, 20110
United States
Research Site
Newport News, Virginia, 23606
United States
Research Site
Salem, Virginia, 24153
United States
Research Site
Woodbridge, Virginia, 22192
United States

Collaborators and Investigators

Sponsor: AstraZeneca

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates

Study Start Date2024-03-29
Study Completion Date2028-02-24

Study Record Updates

Study Start Date2024-03-29
Study Completion Date2028-02-24

Terms related to this study

Keywords Provided by Researchers

  • Chronic kidney disease
  • Hypertension
  • Blood pressure
  • Baxdrostat
  • Dapagliflozin

Additional Relevant MeSH Terms

  • Chronic Kidney Disease and Hypertension