Status:

RECRUITING

A Phase III Renal Outcomes and Cardiovascular Mortality Study to Investigate the Efficacy and Safety of Baxdrostat in Combination With Dapagliflozin in Participants With Chronic Kidney Disease and High Blood Pressure

Lead Sponsor:

AstraZeneca

Conditions:

Chronic Kidney Disease and Hypertension

Eligibility:

All Genders

18+ years

Phase:

PHASE3

Brief Summary

International, Multicenter, Double-Blind, Placebo-Controlled and Event-driven study to assess efficacy, safety and Tolerability of Baxdrostat in combination with Dapagliflozin on renal outcomes and ca...

Detailed Description

The purpose of this study is to investigate the efficacy, safety, and tolerability of baxdrostat in combination with dapagliflozin, compared with placebo and dapagliflozin, in reducing the risk of the...

Eligibility Criteria

Inclusion Criteria:

  1. Participants of any sex and gender must be ≥ 18 years of age at the time of signing the informed consent.

  2. Participants with (a) or (b):

    a) eGFR 30-59 mL/min/1.73 m² (local or central laboratory value) AND:

    • UACR ≥ 30 mg/g (3.39 mg/mmol) and < 500 mg/g (56.5 mg/mmol) (central laboratory value only), or

    • UACR ≥ 500 mg/g (56.5 mg/mmol) and ≤ 5000 mg/g (565 mg/mmol) (local or central laboratory value), or

    • UPCR ≥ 700 mg/g (79 mg/mmol) and ≤ 7000 mg/g (790 mg/mmol) (local laboratory value only).

      (b) eGFR 60-75 mL/min/1.73 m² (local or central laboratory value) AND:

    • UACR ≥ 500 mg/g (56.5 mg/mmol) ) and ≤ 5000 mg/g (565 mg/mmol) (local or central laboratory value), or

    • UPCR ≥ 700 mg/g (79 mg/mmol) and ≤ 7000 mg/g (790 mg/mmol) (local laboratory value only)

  3. [obsolete]

  4. Participants with history of HTN and a SBP ≥ 130 mmHg (the most recent value within 4 weeks prior to screening or at the Screening Visit) and ≥ 120 mmHg at the Randomisation Visit.

  5. Stable and maximum tolerated dose of an ACEi or an ARB (not both) for at least 4 weeks prior to Screening Visit.

  6. Participants with:

    1. Serum or plasma potassium ≥ 3.0 and ≤ 4.8 mmol/L if eGFR ≥ 45 mL/min/1.73 m2 (local or central laboratory values)
    2. Serum or plasma potassium ≥ 3.0 and ≤ 4.5 mmol/L if eGFR < 45 mL/min/1.73 m2 (local or central laboratory values)

Exclusion Criteria:

  1. Systolic blood pressure > 180 mmHg, or diastolic BP > 110 mmHg at screening.
  2. Known hyperkalaemia, defined as potassium of ≥ 5.5 mmol/L within 3 months at screening.
  3. Serum sodium < 135 mmol/L (central or local laboratory values obtained within 4 weeks prior to screening or at the Screening Visit).

4. Participants with T1DM will be excluded, except:

  1. For US only: patients with T1DM treated with SGLT2i for at least 4 months, without DKA during that period, and who have experience with ketone monitoring are eligible for inclusion.

  2. For Japan only: patients with T1DM treated with dapagliflozin 10 mg for at least 4 months, without DKA during the period of dapagliflozin treatment are eligible for inclusion.

    5 Uncontrolled T2DM with HbA1c > 10.5% (> 91 mmol/mol) (central or local laboratory values obtained within 3 months prior to screening or at the Screening Visit).

    6 New York Heart Association functional HF class IV at screening.

    7 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.

    8 Documented history of adrenal insufficiency.

    9 Any dialysis (including for acute kidney injury) within 3 months prior to Screening Visit.

    10 Any acute kidney injury within 3 months prior to the Screening Visit.

    11 History of organ transplant or bone marrow transplant, or planned organ transplant within 6 months following randomisation (including kidney transplant).

    12 Any clinical condition requiring systemic immunosuppression therapy other than maintenance therapy (stable for at least 3 months prior to Visit 1).

Key Trial Info

Start Date :

March 3 2025

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 18 2029

Estimated Enrollment :

5000 Patients enrolled

Trial Details

Trial ID

NCT06742723

Start Date

March 3 2025

End Date

December 18 2029

Last Update

March 27 2026

Active Locations (756)

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1

Research Site

Fairhope, Alabama, United States, 36532

2

Research Site

Surprise, Arizona, United States, 85374

3

Research Site

Tucson, Arizona, United States, 85710

4

Research Site

Beverly Hills, California, United States, 90211