RECRUITING

Phase III Study Investigating Heart Failure and Cardiovascular Death With Baxdrostat in Combination With Dapagliflozin

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

Participants include men and women ≥ 40 years of age with T2DM, established CV disease, a history of HTN with an SBP of at least 130 mmHg at screening, who meet the predefined serum potassium level, and with at least one additional risk factor for HF. The study will include an optional pre-screening period to facilitate sites' identification of potentially eligible participants to enter the full screening assessments. Participants will not be required to visit the site and no informed consent is required for the optional pre-screening period. The pre-screening assessments do not replace the full screening tests at Visit 1. Upon entering the screening period, all consented participants (after signature of screening ICF) will be screened during an up to 14-day screening period. Participants who meet all screening inclusion/exclusion criteria but are not treated with SGLT2i or are treated for less than 4 weeks will enter a run-in period with dapagliflozin 10 mg once daily for at least 4 weeks (and not more than 6 weeks) before randomisation. Site visits will take place at approximately 2-, 4-, 8-, 16-, and 34-weeks following randomisation. Thereafter visits will occur approximately every 4 months. The study closure procedures will be initiated when the predetermined number of the first secondary endpoint events (ie, the composite of hospitalisation for HF or CV death) is predicted to have occurred i.e., the PACD. In case of premature discontinuation of the blinded study intervention, participants will remain in the study. Unless a participant meets the dapagliflozin specific discontinuation criteria, they will continue to receive open label dapagliflozin 10 mg. It is important that the scheduled study visits and data collection continue according to the study protocol.

Official Title

A Phase III, Randomised, Placebo-controlled, Event-driven Study to Evaluate the Effect of Baxdrostat in Combination With Dapagliflozin Compared With Dapagliflozin Alone on the Risk of Incident Heart Failure and Cardiovascular Death

Quick Facts

Study Start:2025-03-14
Study Completion:2029-12-17
Study Type:Not specified
Phase:Not Applicable
Enrollment:Not specified
Status:RECRUITING

Study ID

NCT06677060

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:40 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 ≥ 40 years old at the time of signing the informed consent.
  2. 2. Diagnosed with T2DM and requiring treatment
  3. 3. Established CV disease (ischaemic heart disease, cerebrovascular disease, peripheral arterial disease)
  4. 4. History of HTN and an SBP ≥ 130 mmHg at screening and ≥ 120 mmHg at the Randomisation Visit.
  5. 5. Central laboratory serum potassium must meet the following criteria at the Screening
  6. * for participants with screening eGFR ≥ 45 mL/min/1.73 m2, potassium must be
  7. * 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
  8. 6. At least one additional risk factor for HF:
  9. * Age ≥ 70 years
  10. * UACR \> 20 mg/g
  11. * eGFR \< 60 mL/min/1.73 m2
  12. * History of polyvascular disease (at least two of: ischaemic heart disease, cerebrovascular disease, and peripheral arterial disease)
  13. * History of atrial fibrillation or atrial flutter
  14. * NT-proBNP \> 125 ng/L
  1. 1. Previously confirmed diagnosis and treatment of heart failure
  2. 2. An eGFR \< 30 mL/min/1.73 m2 at screening
  3. 3. Known hyperkalaemia, defined as potassium ≥ 5.5 mmol/L within 3 months prior to screening
  4. 4. Type 1 diabetes mellitus or uncontrolled T2DM with HbA1c \> 10.5% (\> 91 mmol/mol) at screening
  5. 5. Serum sodium \< 135 mmol/L at screening, determined as per central laboratory assessment
  6. 6. Stroke, transient ischaemic cerebral attack, valve implantation or valve replacement, carotid surgery, carotid angioplasty, or cardiac surgery, within 3 months prior to randomisation
  7. 7. Myocardial infarction within 3 months prior to randomisation, or within 1 month prior to randomisation when there is no further planned revascularisation
  8. 8. Percutaneous coronary intervention within 1 month prior to randomisation
  9. 9. Known severe hepatic impairment, defined as Child-Pugh Class C, based on records that confirm documented medical history
  10. 10. Documented history of adrenal insufficiency
  11. 11. Any dialysis (including for acute kidney injury) within 3 months prior to screening
  12. 12. Any acute kidney injury within 3 months prior to screening
  13. 13. History or known allergy/hypersensitivity to the study treatment, as judged by the Investigator (eg, SGLT2i or active substance or excipients)
  14. 14. History of organ transplant or bone marrow transplant, or planned organ transplant within 6 months following randomisation (including kidney transplant)
  15. 15. Any clinical condition requiring systemic immunosuppression therapy other than maintenance therapy (stable for at least 3 months prior to screening)
  16. 16. Drug or alcohol abuse that in the Investigator's judgement makes the participant a poor candidate for the study
  17. 17. Any use of mineralocorticoid receptor antagonists (such as spironolactone, eplerenone, or finerenone) or aldosterone synthase inhibitor within 4 weeks prior to screening and/or during the study
  18. 18. Concomitant therapy with strong inducers of cytochrome P450
  19. 19. Use of potassium-sparing diuretics (such as triamterene or amiloride) and direct renin inhibitor (eg, aliskiren) at the time of screening
  20. 20. Use of potassium binders (such as sodium zirconium cyclosilicate, patiromer, or sodium polystyrene sulfonate) within 4 weeks prior to screening

Contacts and Locations

Study Contact

AstraZeneca Clinical Study Information Center
CONTACT
1-877-240-9479
information.center@astrazeneca.com

Study Locations (Sites)

Research Site
Centreville, Alabama, 35042
United States
Research Site
Fairhope, Alabama, 36532
United States
Research Site
Mobile, Alabama, 36608
United States
Research Site
Glendale, Arizona, 85308
United States
Research Site
Dublin, California, 94568
United States
Research Site
Huntington Beach, California, 92648
United States
Research Site
Inglewood, California, 90301
United States
Research Site
Lakewood, California, 90805
United States
Research Site
Lincoln, California, 95648
United States
Research Site
San Diego, California, 92120
United States
Research Site
San Dimas, California, 91773
United States
Research Site
San Francisco, California, 94121
United States
Research Site
Thousand Oaks, California, 91360
United States
Research Site
Englewood, Colorado, 80110
United States
Research Site
Waterbury, Connecticut, 06708
United States
Research Site
Crystal River, Florida, 34429
United States
Research Site
Fort Lauderdale, Florida, 33316
United States
Research Site
Gainesville, Florida, 32608
United States
Research Site
Hialeah, Florida, 33012
United States
Research Site
Jacksonville, Florida, 32216
United States
Research Site
Lakeland, Florida, 33813
United States
Research Site
Miami, Florida, 33135
United States
Research Site
Palmetto Bay, Florida, 33157
United States
Research Site
Canton, Georgia, 30114
United States
Research Site
Columbus, Georgia, 31904
United States
Research Site
Suwanee, Georgia, 30024
United States
Research Site
Woodstock, Georgia, 30189
United States
Research Site
Chicago, Illinois, 60621
United States
Research Site
Indianapolis, Indiana, 46202
United States
Research Site
Munster, Indiana, 46321
United States
Research Site
South Bend, Indiana, 46617
United States
Research Site
El Dorado, Kansas, 67042
United States
Research Site
Lenexa, Kansas, 66219
United States
Research Site
Wichita, Kansas, 67218
United States
Research Site
Paducah, Kentucky, 42001
United States
Research Site
Baltimore, Maryland, 21229
United States
Research Site
Beltsville, Maryland, 20705
United States
Research Site
Potomac, Maryland, 20854
United States
Research Site
New Bedford, Massachusetts, 02740
United States
Research Site
Roslindale, Massachusetts, 02131
United States
Research Site
Troy, Michigan, 48098
United States
Research Site
Columbia, Missouri, 65201
United States
Research Site
Saint Louis, Missouri, 63136
United States
Research Site
Missoula, Montana, 59804
United States
Research Site
Norfolk, Nebraska, 68701
United States
Research Site
Omaha, Nebraska, 68134
United States
Research Site
Portsmouth, New Hampshire, 03801
United States
Research Site
Albuquerque, New Mexico, 87102
United States
Research Site
Brooklyn, New York, 11220
United States
Research Site
Massapequa, New York, 11758
United States
Research Site
Charlotte, North Carolina, 28277
United States
Research Site
Durham, North Carolina, 27701
United States
Research Site
Monroe, North Carolina, 28112
United States
Research Site
New Bern, North Carolina, 28562
United States
Research Site
Raleigh, North Carolina, 27607
United States
Research Site
Beavercreek, Ohio, 45431
United States
Research Site
Cincinnati, Ohio, 45219
United States
Research Site
Cincinnati, Ohio, 45220
United States
Research Site
Columbus, Ohio, 43215
United States
Research Site
Norman, Oklahoma, 73069
United States
Research Site
Grants Pass, Oregon, 97527
United States
Research Site
Medford, Oregon, 97504
United States
Research Site
Horsham, Pennsylvania, 19044
United States
Research Site
Greenville, South Carolina, 29615
United States
Research Site
Mount Pleasant, South Carolina, 29464
United States
Research Site
North Charleston, South Carolina, 29405
United States
Research Site
Morristown, Tennessee, 37813
United States
Research Site
Nashville, Tennessee, 37203
United States
Research Site
Abilene, Texas, 79606
United States
Research Site
Austin, Texas, 78704
United States
Research Site
Beaumont, Texas, 77702
United States
Research Site
El Paso, Texas, 79905
United States
Research Site
Mesquite, Texas, 75149
United States
Research Site
Paris, Texas, 75462
United States
Research Site
Pearland, Texas, 77584
United States
Research Site
Sugar Land, Texas, 77479
United States
Research Site
Woodway, Texas, 76712
United States
Research Site
Roy, Utah, 84067
United States
Research Site
Burke, Virginia, 22015
United States
Research Site
Charlottesville, Virginia, 22911
United States
Research Site
Falls Church, Virginia, 22042
United States
Research Site
Richmond, Virginia, 23249
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 Date2025-03-14
Study Completion Date2029-12-17

Study Record Updates

Study Start Date2025-03-14
Study Completion Date2029-12-17

Terms related to this study

Keywords Provided by Researchers

  • Heart failure: Baxdrostat; Dapagliflozin; cardiovascular

Additional Relevant MeSH Terms

  • Heart Failure