The effect of severe renal impairment on the pharmacokinetics, safety and tolerability of balcinrenone.
Chandrali S Bhattacharya, Hans Ericsson, Susanne Johansson...
https://pubmed.ncbi.nlm.nih.gov/39962632/Actively Recruiting
Led by AstraZeneca · Updated on 2026-10-13
3850
Participants Needed
852
Research Sites
N/A
Total Duration
Researchers are conducting a Phase III international study to evaluate the effects of balcinrenone combined with dapagliflozin compared to dapagliflozin alone in patients with chronic heart failure HF and impaired kidney function who have recently experienced a heart failure event. The study aims to assess the impact of these treatments on cardiovascular death and heart failure events, including hospitalizations and other HF-related episodes. Participants are randomly assigned to one of three groups one receiving balcinrenonedapagliflozin 15 mg10 mg capsule plus placebo another receiving balcinrenonedapagliflozin 40 mg10 mg capsule plus placebo and a third group receiving dapagliflozin 10 mg tablet plus placebo capsule. All treatments are given once daily orally, alongside standard care for heart failure and kidney impairment. The study is conducted across approximately 700 sites in about 40 countries. During the trial, participants will be monitored over approximately 36 months for cardiovascular death, heart failure hospitalizations, and heart failure events without hospitalization. Assessments include heart failure symptom scores measured at 24 weeks post-randomization. Researchers will also track total occurrences of cardiovascular and heart failure events, as well as overall mortality. This long-term follow-up aims to evaluate treatment effects on these important health outcomes.
CONDITIONS
Study to Evaluate the Effect of Balcinrenone/Dapagliflozin in Patients With Heart Failure and Impaired Kidney Function
A
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AstraZeneca
Lead Sponsor
This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
| Factors | Balcinrenone 15 mg + dapagliflozin 10 mg | Balcinrenone 40 mg + dapagliflozin 10 mg | Dapagliflozin 10 mg | Current standard SGLT2‑inhibitor therapy |
|---|---|---|---|---|
| What it is | Fixed‑dose oral capsule combining balcinrenone 15 mg with dapagliflozin 10 mg taken once daily | Fixed‑dose oral capsule combining balcinrenone 40 mg with dapagliflozin 10 mg taken once daily | Oral dapagliflozin 10 mg once daily | Use of the SGLT2 inhibitor dapagliflozin 10 mg once daily as guideline‑recommended heart failure therapy, including in patients with chronic kidney disease |
| Primary use | Treatment to reduce cardiovascular death and heart failure events in patients with HF and impaired kidney function | Treatment to reduce cardiovascular death and heart failure events in patients with HF and impaired kidney function | Treatment to reduce cardiovascular death and heart failure events in patients with HF and impaired kidney function | Prevention of worsening heart failure outcomes and progression of CKD in heart failure populations, per current care guidelines |
| Evidence status | Currently under investigation in a Phase 3 randomized trial; phase 2b data suggested reduction in albuminuria but definitive outcomes not yet known | Currently under investigation in a Phase 3 randomized trial; phase 2b data suggested albuminuria reduction trends without clear outcomes | Proven to reduce cardiovascular death and heart failure hospitalizations across heart failure and CKD populations | Guideline‑supported therapy with strong evidence for reducing HF progression and adverse renal outcomes |
| Important risks | Safety profile not fully established in Phase 3; phase 2b data showed tolerability with limited potassium elevation | Safety profile not fully established in Phase 3; phase 2b data indicated tolerability with limited hyperkalemia signal | Generally well tolerated; known risks include genital infections and volume depletion | Well‑characterized safety profile in HF‑CKD populations |
| Important limitations | Efficacy and safety outcomes are not yet available; albuminuria reduction was observed in small early trial | Clinical benefit yet to be demonstrated; early data limited to surrogate renal markers | While effective, renal impairment may limit use or require monitoring | Not a randomized arm in the trial; comparison is based on external evidence |
| Patient impact | Impact on heart failure outcomes not yet known | Impact on heart failure outcomes not yet known | Shown to reduce risk of hospitalization and cardiovascular death in HF‑CKD populations | Established therapy that improves outcomes in heart failure and slows kidney disease progression |
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
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Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 to 2 visits depending on eligibility assessments
Duration - Approximately 36 months
Participants are randomly assigned to receive balcinrenone/dapagliflozin at one of two doses or dapagliflozin alone, taken once daily alongside standard care.
Regular study visits for monitoring and assessments
Study Type
INTERVENTIONAL
Masking
QUADRUPLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
3
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Chandrali S Bhattacharya, Hans Ericsson, Susanne Johansson...
https://pubmed.ncbi.nlm.nih.gov/39962632/AstraZeneca
Lead Sponsor