Clinical trial • Phase II • Cardiology|Nephrology
BAXDROSTAT for Chronic kidney disease|Hypertension
Phase II trial of BAXDROSTAT for Chronic kidney disease|Hypertension.
Overview
- Trial Therapeutic Area
- Cardiology|Nephrology
- Trial Disease
- Chronic kidney disease|Hypertension
- Trial Stage
- Phase II
- Drug Modality
- Small molecule
Key dates
- Initial CTIS Submission Date
- 07-10-2025
- First CTIS Authorization Date
- 16-02-2026
Trial design
Randomised, baxdrostat + dapagliflozin (forxiga 10 mg film-coated tablets, oral; dapagliflozin 10 mg indicated for product forxiga) versus baxdrostat + dapagliflozin placebo (dapagliflozin placebo). dose/schedule for baxdrostat not specified in provided data; dapagliflozin available as forxiga 10 mg (maxdailydoseamount=10 mg).-controlled Phase II trial across 11 sites in Bulgaria, Spain.
- Randomised
- Yes
- Comparator
- Baxdrostat + Dapagliflozin (Forxiga 10 mg film-coated tablets, oral; dapagliflozin 10 mg indicated for product Forxiga) versus Baxdrostat + Dapagliflozin placebo (Dapagliflozin Placebo). Dose/schedule for Baxdrostat not specified in provided data; dapagliflozin available as Forxiga 10 mg (maxDailyDoseAmount=10 mg).
- Target Sample Size
- 190
Eligibility
Recruits 190 No vulnerable populations selected (isVulnerablePopulationSelected=false). Participants must be ≥ 18 years of age and provide informed consent. Subject information and informed consent form documents for adults are provided (L1_SIS and ICF adults); no assent or paediatric consent procedures are indicated..
- Vulnerable Population
- No vulnerable populations selected (isVulnerablePopulationSelected=false). Participants must be ≥ 18 years of age and provide informed consent. Subject information and informed consent form documents for adults are provided (L1_SIS and ICF adults); no assent or paediatric consent procedures are indicated.
Inclusion criteria
- {"criterion_text":"- Participants of any sex and gender must be ≥ 18 years of age at the time of signing the informed consent."}
- {"criterion_text":"- Participants with eGFR ≥ 30 and < 90 mL/min/1.73 m2 at screening"}
- {"criterion_text":"- Participants with UACR > 200 mg/g (22.6 mg/mmol) and < 5000 mg/g (565 mg/mmol) at screening"}
- {"criterion_text":"- Participants with history of HTN and a SBP ≥ 130 mmHg at screening and ≥ 120 mmHg at the randomisation visit."}
- {"criterion_text":"- Stable and maximum daily tolerated dose of either an ACE inhibitor or an ARB (not both) for at least 4 weeks prior to the screening visit, if not medically contraindicated."}
- {"criterion_text":"- Participants with: (a) Serum or plasma potassium ≥ 3.0 and ≤ 4.8 mmol/L if eGFR ≥ 45 mL/min/1.73 m2. (b) Serum or plasma potassium ≥ 3.0 and ≤ 4.5 mmol/L if eGFR < 45 mL/min/1.73 m2."}
- {"criterion_text":"- Contraceptive use should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies. Applicable to female participants."}
Exclusion criteria
- {"criterion_text":"- Systolic blood pressure > 180 mmHg, or diastolic blood pressure > 110 mmHg at screening."}
- {"criterion_text":"- Any dialysis (including for acute kidney injury) within 3 months prior to the screening"}
- {"criterion_text":"- Any acute kidney injury within 3 months prior to the screening visit."}
- {"criterion_text":"- Prohibited concomitant medications"}
- {"criterion_text":"- Known hyperkalaemia, defined as potassium of ≥ 5.5mmol/L within 3 months before screening"}
- {"criterion_text":"- Serum sodium < 135 mmol/L at the Screening Visit (values obtained within 4 weeks prior to screening or at the Screening Visit)."}
- {"criterion_text":"- Diabetes mellitus: (a) T1DM at the screening visit (b) Uncontrolled T2DM at screening: HbA1C > 10.5% (> 91mmol/mol)"}
- {"criterion_text":"- New York Heart Association functional HF class IV at screening"}
- {"criterion_text":"- Any use of mineralocorticoid receptor antagonists, aldosterone synthase inhibitors, potassium-sparing diuretics, or potassium binders within 4 weeks prior to screening"}
- {"criterion_text":"- Stroke, transient ischaemic cerebral attack, valve implantation or valve replacement, carotid surgery, or carotid angioplasty, acute coronary syndrome, or hospitalisation for worsening HF within previous 3 months prior to randomisation."}
- {"criterion_text":"- Known severe hepatic impairment, defined as Child-Pugh Class C, based on records that confirm documented medical history."}
- {"criterion_text":"- Documented history of adrenal insufficiency."}
Endpoints
Primary endpoints
- {"endpoint_text":"- Change from baseline in UACR at Week 12","definition_or_measurement_approach":"Change from baseline in UACR at Week 12 (UACR measured at Week 12 compared with baseline)."}
Recruitment
- Planned Sample Size
- 190
- Recruitment Window Months
- 12
- Consent Approach
- Informed consent obtained from adult participants (participants must be ≥ 18 years). Subject information and informed consent form documents for adults are provided (documents include adult ICFs). Available protocol/synopsis documents include Spanish and Bulgarian language materials (e.g. L1_SIS and ICF Adult_redacted (manualVersion includes '3.0 ES') and D1_Protocol Synopsis_Lay Language_BG).
Geography
- Total Number Of Sites
- 11
- Total Number Of Participants
- 28
Bulgaria
- Earliest CTIS Part Ii Submission Date
- 21-10-2025
- Latest Decision Or Authorization Date
- 16-02-2026
- Processing Time Days
- 118
- Number Of Sites
- 7
- Number Of Participants
- 16
Sites
- Site Name
- Kalimat Medical Center Ltd.
- Contact Person Name
- Ivelina Mihaleva
- Contact Person Email
- Ivelina_mbg@yahoo.com
- Site Name
- Medical Center Medicabilis Ltd.
- Contact Person Name
- Sarkis Kalustian
- Contact Person Email
- d_rkalustian@abv.bg
- Site Name
- Medical Center Berbatov Ltd.
- Contact Person Name
- Dimitar Berbatov
- Contact Person Email
- dimitar_berbatov@mail.bg
- Site Name
- Rahila Angelova Mbal AD
- Department Name
- Hemodialysis department
- Contact Person Name
- Vyara Tserovska
- Contact Person Email
- v.tserovska@mail.bg
- Site Name
- MBAL Sveta Karidad EAD
- Department Name
- First Department of Internal Medicine
- Contact Person Name
- Pavel Stanchev
- Contact Person Email
- dr.p.stanchev@abv.bg
- Site Name
- Diagnostic-Consultative Center Alexandrovska EOOD
- Contact Person Name
- Tsvetan Gatev
- Contact Person Email
- dr.tsvetan.gatev@abv.bg
- Site Name
- Medical Center Pulmovision Ltd.
- Contact Person Name
- Petar Megerov
- Contact Person Email
- megerov@pulmovision.com
Spain
- Earliest CTIS Part Ii Submission Date
- 15-01-2026
- Latest Decision Or Authorization Date
- 16-02-2026
- Processing Time Days
- 32
- Number Of Sites
- 4
- Number Of Participants
- 12
Sites
- Site Name
- Hospital Germans Trias I Pujol
- Department Name
- Nephrology
- Contact Person Name
- Maria Isabel Troya Saborido
- Contact Person Email
- mitroya.germanstrias@gencat.cat
- Site Name
- Clinica Universidad De Navarra
- Department Name
- Nephrology
- Contact Person Name
- Nuria Garcia Fernandez
- Contact Person Email
- nrgarcia@unav.es
- Site Name
- Clinica Universidad De Navarra
- Department Name
- Nephrology
- Contact Person Name
- Nuria Garcia Fernandez
- Contact Person Email
- nrgarcia@unav.es
- Site Name
- Hospital Clinico Universitario De Valencia
- Department Name
- Nephrology
- Contact Person Name
- Jose Luis Gorriz Teruel
- Contact Person Email
- jlgorriz@gmail.com
Sponsor
Primary sponsor
- Full Name
- AstraZeneca AB
- Organisation Type
- Pharmaceutical company
- Country Of Registered Address
- Sweden
Investigational products
- Investigational Product Name
- Baxdrostat
- Active Substance
- BAXDROSTAT
- Modality
- Small molecule
- Routes Of Administration
- ORAL USE
- Route
- oral
- Investigational Product Name
- Forxiga 10 mg film-coated tablets
- Active Substance
- DAPAGLIFLOZIN
- Modality
- Small molecule
- Routes Of Administration
- ORAL USE
- Route
- oral
- Authorisation Status
- EU/1/12/795/011
- Starting Dose
- 10 mg
- Dose Levels
- 10 mg
- Maximum Dose
- 10 mg
- Investigational Product Name
- Dapagliflozin Placebo
- Modality
- Other
- Combination Treatment
- Yes
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