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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