Clinical trial • Phase IV • Nephrology
DAPAGLIFLOZIN for Kidney transplant recipient
Phase IV trial of DAPAGLIFLOZIN for Kidney transplant recipient.
Overview
- Trial Therapeutic Area
- Nephrology
- Trial Disease
- Kidney transplant recipient
- Trial Stage
- Phase IV
- Drug Modality
- Small molecule
Key dates
- Initial CTIS Submission Date
- 18-12-2025
- First CTIS Authorization Date
- 09-03-2026
Trial design
Randomised, control arm: matching placebo (over-encapsulated tablet manufactured by the capital region hospital pharmacy). experimental arm: sglt2 inhibitor (forxiga; active substance dapagliflozin) - product listed as forxiga 10 mg film-coated tablets; treatment duration 12 months in addition to standard post-transplant care. Phase IV trial across 3 sites in Denmark.
- Randomised
- Yes
- Comparator
- Control arm: matching placebo (over-encapsulated tablet manufactured by the Capital Region Hospital Pharmacy). Experimental arm: SGLT2 inhibitor (Forxiga; active substance dapagliflozin) - product listed as Forxiga 10 mg film-coated tablets; treatment duration 12 months in addition to standard post-transplant care.
- Target Sample Size
- 184
- Trial Duration For Participant
- 365
Eligibility
Recruits 184 No vulnerable populations selected. Participants are adults (age ≥ 18) and must have "Obtained written informed consent". Subject information and informed consent form documents are provided (e.g. L1_SIS and ICF adults, participant information brochure). Assent is not applicable..
- Pregnancy Exclusion
- • Pregnancy
- Vulnerable Population
- No vulnerable populations selected. Participants are adults (age ≥ 18) and must have "Obtained written informed consent". Subject information and informed consent form documents are provided (e.g. L1_SIS and ICF adults, participant information brochure). Assent is not applicable.
Inclusion criteria
- {"criterion_text":"- •\tObtained written informed consent"}
- {"criterion_text":"- •\tMale or female patients, age ≥ 18 years."}
- {"criterion_text":"- •\tNon-diabetic Kidney Transplant Recipient"}
- {"criterion_text":"- •\teGFR> 25 ml/min/1.73m2 within the last 3 months pre randomization"}
- {"criterion_text":"- •\tImmunosuppressive must include Tacrolimus"}
Exclusion criteria
- {"criterion_text":"- •\tPatients who is treated (diet or antidiabetics) for diabetes type 1 or 2 before randomization"}
- {"criterion_text":"- •\teGFR< 25 ml/min/1.73m2 (before randomization)"}
- {"criterion_text":"- •\tAlanine aminotransferase (ALAT) > 3 x upper normal limit"}
- {"criterion_text":"- •\tBilirubin > 2 x upper normal limit"}
- {"criterion_text":"- •\tPregnancy"}
- {"criterion_text":"- •\tPositive plasma hCG"}
- {"criterion_text":"- •\tBreastfeeding"}
- {"criterion_text":"- •\tKnown allergy towards SGLT2i or the content substance"}
- {"criterion_text":"- •\tPatients with chronic intestinal diseases, including inflammatory bowel diseases (e.g., Crohn’s disease and ulcerative colitis) and structural conditions such as short bowel syndrome."}
Endpoints
Primary endpoints
- {"endpoint_text":"- •\tPost Transpalnt Diabetes Mellitus incidence after 6 and 12 months follow-up","definition_or_measurement_approach":""}
Secondary endpoints
- {"endpoint_text":"- Prediabetes incidence after 6 and 12 month follow-up","definition_or_measurement_approach":""}
- {"endpoint_text":"- eGFR change after 6 and 12 month follow up.","definition_or_measurement_approach":"Change in estimated glomerular filtration rate (eGFR) measured at baseline, 6 months and 12 months."}
- {"endpoint_text":"- Proteinuria determined by Albumin/creatinine ratio (U-ACR) (mg/g)","definition_or_measurement_approach":"Measured as urinary albumin-to-creatinine ratio (U-ACR) in mg/g."}
- {"endpoint_text":"- Change in creatinine and Cholesterol after 6 and 12 month follow-up","definition_or_measurement_approach":"Serum creatinine and cholesterol measured at baseline, 6 months and 12 months."}
- {"endpoint_text":"- Incidence og urinaty tract infection determined by (positive urine culture)","definition_or_measurement_approach":"Incidence defined by positive urine culture."}
- {"endpoint_text":"- Incidence of kidney transplant rejection (biopsy verified)","definition_or_measurement_approach":"Biopsy-verified transplant rejection events."}
- {"endpoint_text":"- Renal composite outcome o\tIncidence of graft failure (defined as return to dialysis or retransplantation) o\tIncidence of ESRD (defined as eGFR<15 ml/min/1.73m2) o\tIncidence of > 25% increase in creatinine","definition_or_measurement_approach":"Composite defined by listed components: graft failure (return to dialysis or retransplantation); ESRD defined as eGFR <15 ml/min/1.73m2; >25% increase in creatinine."}
- {"endpoint_text":"- Change in Systolic blood pressure (SysBP) (mmHg) and diastolic blood pressure (DiaBP) (mmHg)","definition_or_measurement_approach":"Change in measured systolic and diastolic blood pressure in mmHg."}
- {"endpoint_text":"- Relative incidence of out-of-target measures of clinical routine blood Tacrolimus levels","definition_or_measurement_approach":"Incidence of tacrolimus blood levels outside target range as per routine clinical measurements."}
- {"endpoint_text":"- Urine biomarkers indicative of podocyt and tubular function from selected sites","definition_or_measurement_approach":"Measurement of specified urinary biomarkers of podocyte and tubular function (details not provided)."}
- {"endpoint_text":"- Incidence of Adverse events","definition_or_measurement_approach":""}
- {"endpoint_text":"- Incidence of Serious adverse events","definition_or_measurement_approach":""}
- {"endpoint_text":"- Incidence of serious adverse reactions","definition_or_measurement_approach":""}
- {"endpoint_text":"- Incidence of death (all cause mortality)","definition_or_measurement_approach":"All-cause mortality events recorded."}
- {"endpoint_text":"- Incidence of Major Adverse Cardiac Events (MACE)","definition_or_measurement_approach":""}
- {"endpoint_text":"- Change in score for Short Form Health Survey 36 between baseline and after 12 month follow-up","definition_or_measurement_approach":"Change in SF-36 score from baseline to 12 months."}
Recruitment
- Planned Sample Size
- 184
- Recruitment Window Months
- 37
- Consent Approach
- Written informed consent is required from all participants (inclusion criterion: "Obtained written informed consent"). Participants are adults (≥ 18). Subject information and ICF documents are provided (documents listed include L1_SIS and ICF adults, participant information brochure, other subject information - data protection). Languages of the consent documents are not specified in the provided data. Assent is not applicable.
Geography
- Total Number Of Sites
- 3
- Total Number Of Participants
- 184
Denmark
- Earliest CTIS Part Ii Submission Date
- 09-03-2026
- Latest Decision Or Authorization Date
- 09-03-2026
- Processing Time Days
- 0
- Number Of Sites
- 3
- Number Of Participants
- 184
Sites
- Site Name
- Copenhagen University Hospital
- Department Name
- Dept. Nephrology
- Contact Person Name
- Mads Hornum
- Contact Person Email
- Mads.Hornum@regionh.dk
- Site Name
- Odense University Hospital
- Department Name
- Dept. Nephrology
- Contact Person Name
- Lotte Lange
- Contact Person Email
- Lotte.Borg.Lange@rsyd.dk
- Site Name
- Aarhus Universitet
- Department Name
- Dept. Nephrology
- Contact Person Name
- Henrik Birn
- Contact Person Email
- hb@clin.au.dk
Sponsor
Primary sponsor
- Full Name
- Odense University Hospital
- Organisation Type
- Hospital/Clinic/Other health care facility
- Country Of Registered Address
- Denmark
Third parties
- {"country":"Denmark","full_name":"Odense University Hospital","duties_or_roles":"sponsorDuties code: 1","organisation_type":"Hospital/Clinic/Other health care facility"}
Investigational products
- Investigational Product Name
- Forxiga 10 mg film-coated tablets
- Active Substance
- DAPAGLIFLOZIN
- Modality
- Small molecule
- Routes Of Administration
- ORAL USE
- Route
- Oral
- Authorisation Status
- Authorised (marketing authorisation EU/1/12/795/009)
- Starting Dose
- 10 mg
- Maximum Dose
- 10 mg
- Investigational Product Name
- The placebo medicinal product is manufactured by the Capital Region Hospital Pharmacy (Region Hovedstadens Apotek). The placebo tablet is white, round, and biconvex, with a diameter of 8 mm. It consists of lactose monohydrate, potato starch, gelatin A, purified water, magnesium stearate (MF2V), and talc. The tablets are over-encapsulated in an opaque hard gelatin capsule identical in appearance to the capsule containing the active Forxiga® tablet. For further details, please refer to document G1_sIMPD_Q Placebo.
- Modality
- Other
- Routes Of Administration
- ORAL USE
- Route
- Oral
- Combination Treatment
- Yes
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