Kwadukuza

Researchers are investigating the effectiveness, safety, and tolerability of combining baxdrostat with dapagliflozin compared to dapagliflozin alone in people with chronic kidney disease (CKD) and high blood pressure. This Phase III, international, multicenter, double-blind, placebo-controlled study aims to see if this combination reduces risks such as significant kidney function decline, kidney failure, heart failure events, or cardiovascular death. The study includes a 4-week run-in period where participants not previously treated with SGLT2 inhibitors receive dapagliflozin alone. After this, participants are randomly assigned to receive either baxdrostat plus dapagliflozin or placebo plus dapagliflozin in a double-blinded manner. Study visits occur frequently initially (at 2, 4, 8, 16, 34, and 52 weeks after randomization) and then approximately every 4 months. If participants stop the blinded treatment early, they continue dapagliflozin alone unless specific criteria require its discontinuation. Participants will undergo regular assessments including blood pressure monitoring and laboratory tests related to kidney function and cardiovascular health. The primary outcome measures the reduction in risk of major kidney and heart events over up to 37 months. Even if participants stop the study treatment, they will continue follow-up visits and data collection to ensure comprehensive safety and efficacy evaluation throughout the study duration.

Researchers are evaluating ziltivekimab as a treatment for people living with heart failure and inflammation. This Phase 3 study compares ziltivekimab to a placebo in participants with heart failure who have mild to preserved ejection fraction and systemic inflammation. The study aims to assess the effect of ziltivekimab on cardiovascular death, heart failure hospitalization, or urgent heart failure visits over a period of up to 4 years. Participants will receive monthly injections of either ziltivekimab or a placebo using a pre-filled syringe or a pen-injector. The study medication is administered subcutaneously once a month for up to 4 years. The trial includes up to 20 clinic visits during which participants will be monitored and assessed. During the study, participants will use a study app on their phone to record all injections and complete questionnaires. Researchers will monitor participants for key outcomes like cardiovascular events and heart failure episodes from the time of randomization until the end of the study. Safety and health status will be regularly evaluated throughout the study period, which may last up to 48 months.

Researchers are evaluating the efficacy and safety of SAR441566, an oral tablet medication, in adults with moderate-to-severe ulcerative colitis (UC). This Phase 2, multinational, multicenter, randomized, double-blind, placebo-controlled, dose-ranging study aims to determine how well different doses of SAR441566 help patients achieve clinical remission, measured by the modified Mayo Score, after 12 weeks of treatment. The study includes a screening period lasting up to 28 days plus an additional 7 days if needed. The main treatment period lasts 52 weeks and consists of a 12-week double-blind induction phase followed by a 40-week maintenance phase, ending with a 2-week follow-up after treatment. Participants receive either SAR441566 or a matching placebo orally as tablets. After the main study, eligible participants not joining a long-term study may enter an open-label treatment period for up to 40 weeks. The main study involves 12 visits, and the open-label phase includes 8 visits. During the study, participants will be monitored through clinical assessments and scoring of disease activity. Researchers will track remission rates at week 12 and evaluate long-term safety and efficacy during the maintenance and open-label periods. The total time involved for participants can be up to 59 weeks, including screening, treatment, follow-up, and optional open-label extension.

This research aims to evaluate the effectiveness and safety of a fixed-dose combination of fluticasone propionate (Fp) and albuterol sulfate (ABS) delivered via an integrated electronic module multidose dry powder inhaler (eMDPI) compared to ABS alone in reducing severe clinical asthma exacerbations in patients with asthma. The study also assesses the efficacy of a low dose of Fp/ABS versus ABS and examines the impact on systemic corticosteroid exposure. This is a phase 3 randomized, double-blind, active-controlled trial involving patients diagnosed with asthma for at least one year. Participants will receive either a high dose or low dose of Fp/ABS or ABS alone through oral inhalation powder during a double-blind treatment period lasting a minimum of 24 weeks. The study includes a 2-week screening phase, a 2 to 4-week run-in period, and the treatment phase. Because this is an event-driven study, the total duration for individual participants may extend up to approximately 42 months depending on enrollment timing and study completion. During the study, participants will be closely monitored for time to first severe clinical asthma exacerbation while using the inhaler device. Safety and tolerability will be evaluated throughout the study. Researchers will also track systemic corticosteroid use and overall asthma control. The minimum participation time is 28 weeks, including screening and run-in, with extended monitoring possible based on study events and criteria.

Researchers are evaluating the safety, tolerability, and effectiveness of long-acting lenacapavir (LEN) combined with other medicines in adolescents and children living with HIV-1 who weigh at least 35 kg and have previously been treated for HIV-1. The study focuses on treatment-experienced participants and aims to learn more about LEN's pharmacokinetics and safety when used alongside an optimized background regimen (OBR). Participants will receive LEN either as tablets taken without regard to food or as subcutaneous injections, combined with an optimized background regimen prescribed by the investigator. The study is open-label and single-arm, focusing on the effects of LEN combined with OBR over the course of the trial. During the study, participants will be monitored for LEN levels in their blood at Week 26, as well as for any treatment-emergent adverse events or laboratory abnormalities through Week 26. Researchers will assess the participants' health, laboratory tests, and side effects to better understand the drug's safety and antiviral activity. The study includes adolescents and children up to 17 years old who meet specific health criteria and treatment histories.

Researchers are evaluating the safety, tolerability, and how the body processes bictegravir/lenacapavir (BIC/LEN) in children and adolescents aged 2 to 17 years with virologically suppressed HIV-1 who are on stable and complex antiretroviral regimens. This Phase 2/3 open-label study aims to confirm the appropriate dose of the lenacapavir loading dose and the BIC/LEN fixed-dose combination while assessing safety through 24 weeks. Participants will receive oral tablets of lenacapavir and the BIC/LEN fixed-dose combination without regard to food. The study includes different age and weight cohorts to evaluate steady-state pharmacokinetics and to confirm dosing in children and adolescents. The treatment period lasts up to 24 weeks, during which dosing and effects will be monitored. During the study, participants will undergo assessments including measurements of drug concentration levels (Cmax, AUCtau, Ctrough) from Day 1 through Week 24. Researchers will monitor treatment-emergent adverse events and laboratory abnormalities throughout this period. The study involves regular safety evaluations and pharmacokinetic analyses to understand how BIC/LEN behaves and is tolerated in the pediatric population.

Researchers are evaluating the effect of balcinrenone/dapagliflozin compared with dapagliflozin alone on cardiovascular death and heart failure events in patients with chronic heart failure and impaired kidney function who recently experienced a heart failure event. This is a Phase III, international, randomized, double-blind, parallel-group, active-controlled study involving approximately 700 sites in about 40 countries. Participants will be randomly assigned in a 1:1:1 ratio to receive one of three treatments once daily: a capsule of balcinrenone/dapagliflozin 15 mg/10 mg with a placebo tablet, a capsule of balcinrenone/dapagliflozin 40 mg/10 mg with a placebo tablet, or a dapagliflozin 10 mg tablet with a placebo capsule. The study is event-driven, with an estimated average duration of 22 months that includes a screening period, a 20-month blinded treatment phase, and a one-month follow-up on open-label dapagliflozin. During the study, participants will be monitored for the time to first occurrence of cardiovascular death, heart failure hospitalization, or heart failure events without hospitalization over approximately 38 months. Assessments include clinical evaluations, laboratory tests, and safety monitoring throughout the study and follow-up period to track treatment effects and patient outcomes.

Researchers are evaluating whether the drug zilebesiran can reduce the risk of major cardiovascular events such as cardiovascular death, nonfatal heart attacks, strokes, or heart failure in adults who have hypertension that is not well controlled and who either have established cardiovascular disease or are at high risk for it. This Phase 3 global study is designed to continue until enough cardiovascular events have occurred to assess the treatment's effect. Participants will be randomly assigned to receive either zilebesiran or a placebo, both given as injections under the skin (subcutaneous administration). All participants will continue with their standard care, which includes treatment with at least two antihypertensive medications, one of which must be a diuretic such as a thiazide or loop diuretic. The study is double-blind, so neither participants nor researchers know who is receiving the active drug or placebo. During the study, participants will be closely monitored for cardiovascular events including heart attacks, strokes, heart failure hospitalizations, and cardiovascular deaths over approximately five years. Researchers will collect data on these events to determine the time until the first occurrence of any of these outcomes. Safety assessments and standard clinical evaluations will also be performed throughout the study period to ensure participant well-being.