A Phase III Renal Outcomes and Cardiovascular Mortality Study to Investigate the Efficacy and Safety of Baxdrostat in Combination With Dapagliflozin in Participants With Chronic Kidney Disease and High Blood Pressure

Recruiting now · Phase 3 · Has a placebo group

Conditions studied: Chronic Kidney Disease and Hypertension

In brief

International, Multicenter, Double-Blind, Placebo-Controlled and Event-driven study to assess efficacy, safety and Tolerability of Baxdrostat in combination with Dapagliflozin on renal outcomes and cardiovascular mortality in participants with chronic kidney disease and high blood pressure

Key facts

Study ID: NCT06742723
Run by: AstraZeneca
People needed: 5000
Starts: 2025-03-03
Expected to finish: 2029-12-18
Last updated by the study team: 2026-07-28

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

Participants of any sex and gender must be ≥ 18 years of age at the time of signing the informed consent.
Participants with (a) or (b):
a) eGFR 30-59 mL/min/1.73 m² (local or central laboratory value) AND:
UACR ≥ 30 mg/g (3.39 mg/mmol) and < 500 mg/g (56.5 mg/mmol) (central laboratory value only), or
UACR ≥ 500 mg/g (56.5 mg/mmol) and ≤ 5000 mg/g (565 mg/mmol) (local or central laboratory value), or
UPCR ≥ 700 mg/g (79 mg/mmol) and ≤ 7000 mg/g (790 mg/mmol) (local laboratory value only).
(b) eGFR 60-75 mL/min/1.73 m² (local or central laboratory value) AND:
UACR ≥ 500 mg/g (56.5 mg/mmol) ) and ≤ 5000 mg/g (565 mg/mmol) (local or central laboratory value), or
UPCR ≥ 700 mg/g (79 mg/mmol) and ≤ 7000 mg/g (790 mg/mmol) (local laboratory value only)
[obsolete]
Participants with history of HTN and a SBP ≥ 130 mmHg (the most recent value within 4 weeks prior to screening or at the Screening Visit) and ≥ 120 mmHg at the Randomisation Visit.
Stable and maximum tolerated dose of an ACEi or an ARB (not both) for at least 4 weeks prior to Screening Visit.
Participants with:
Serum or plasma potassium ≥ 3.0 and ≤ 4.8 mmol/L if eGFR ≥ 45 mL/min/1.73 m2 (local or central laboratory values)
Serum or plasma potassium ≥ 3.0 and ≤ 4.5 mmol/L if eGFR < 45 mL/min/1.73 m2 (local or central laboratory values)

You may not qualify if…

Systolic blood pressure > 180 mmHg, or diastolic BP > 110 mmHg at screening.
Known hyperkalaemia, defined as potassium of ≥ 5.5 mmol/L within 3 months at screening.
Serum sodium < 135 mmol/L (central or local laboratory values obtained within 4 weeks prior to screening or at the Screening Visit).
Participants with T1DM will be excluded, except:
For US only: patients with T1DM treated with SGLT2i for at least 4 months, without DKA during that period, and who have experience with ketone monitoring are eligible for inclusion.
For Japan only: patients with T1DM treated with dapagliflozin 10 mg for at least 4 months, without DKA during the period of dapagliflozin treatment are eligible for inclusion.
5 Uncontrolled T2DM with HbA1c > 10.5% (> 91 mmol/mol) (central or local laboratory values obtained within 3 months prior to screening or at the Screening Visit).
6 New York Heart Association functional HF class IV at screening.
7 Stroke, transient ischaemic cerebral attack, valve implantation or valve replacement, carotid surgery, or carotid angioplasty, acute coronary syndrome, or hospitalisation for worsening heart failure within previous 3 months prior to randomisation.
8 Documented history of adrenal insufficiency.
9 Any dialysis (including for acute kidney injury) within 3 months prior to Screening Visit.
10 Any acute kidney injury within 3 months prior to the Screening Visit.
11 History of organ transplant or bone marrow transplant, or planned organ transplant within 6 months following randomisation (including kidney transplant).
12 Any clinical condition requiring systemic immunosuppression therapy other than maintenance therapy (stable for at least 3 months prior to Visit 1).

Where it is running

Research Site — Lakeland, Florida, United States (enrolling)
Research Site — Ocoee, Florida, United States (enrolling)
Research Site — Lake City, Florida, United States (enrolling)
Research Site — Surprise, Arizona, United States (enrolling)
Research Site — Melbourne, Florida, United States (enrolling)
Research Site — Fremont, California, United States (enrolling)
Research Site — Fairhope, Alabama, United States (enrolling)
Research Site — Beverly Hills, California, United States (enrolling)
Research Site — Los Alamitos, California, United States (enrolling)
Research Site — Los Angeles, California, United States (enrolling)
Research Site — Concord, California, United States (enrolling)
Research Site — Tucson, Arizona, United States (enrolling)
Research Site — Stanford, California, United States (enrolling)
Research Site — Tarzana, California, United States (enrolling)
Research Site — Arvada, Colorado, United States (enrolling)
Research Site — Fullerton, California, United States (enrolling)
Research Site — New Britain, Connecticut, United States (enrolling)
Research Site — Washington D.C., District of Columbia, United States (enrolling)
Research Site — Boca Raton, Florida, United States (enrolling)
Research Site — Boynton Beach, Florida, United States (enrolling)
Research Site — Edgewater, Florida, United States (enrolling)
Research Site — Fort Lauderdale, Florida, United States (enrolling)
Research Site — Hollywood, Florida, United States (enrolling)
Research Site — Jacksonville Beach, Florida, United States (enrolling)
Research Site — Port Charlotte, Florida, United States (enrolling)

Full record on ClinicalTrials.gov

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