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Active (not recruiting) Phase 3 NCT06087835

Study to Investigate Efficacy, Safety, and Tolerability of Zibotentan/Dapagliflozin Compared to Dapagliflozin in Participants With Chronic Kidney Disease and High Proteinuria (ZENITH High Proteinuria)

Phase 3 – large-scale trial before approval
Conditions: Chronic Kidney Disease With High Proteinuria

Sponsor: AstraZeneca

trial.available_in: БГ
Overview
This is a Phase III, randomised, multicentre, double-blinded study to evaluate efficacy, safety and tolerability of treatment with zibotentan/dapagliflozin and dapagliflozin alone in participants with chronic kidney disease (CKD) and high proteinuria
Who can participate
Inclusion Criteria: 1. Participant must be ≥ 18 years of age and of legal age of consent in the jurisdiction in which the study is taking place, at the time of signing the informed consent. 2. Diagnosis of CKD, defined as eGFR ≥ 20 and \< 90 mL/min/1.73 m2 and UACR \> 700 mg/g (\> 79 mg/mmol) or UPCR \> 1000 mg/g (\> 113 mg/mmoL). 3. All female participants must have a negative serum pregnancy test result at screening. 4. Female participants must be either * not of child-bearing potential or * women of child bearing potential (WOCBP) using at least one highly effective birth control method for at least 3 months prior to first dose of study intervention 5. Capable of giving signed informed consent 6. Provision of signed informed consent prior to any study specific procedure. 7. Provision of electronic informed consent prior to completion of the optional Study Participant Feedback Questionnaire (SPFQ). 8. Provision of signed and dated written Optional Genomics Initiative Research Information and Consent Form prior to collection of samples for optional genomics imitative research that supports the Genomic Initiative. 9. Receiving RAASi therapy (ACEi or ARB), and for the patient maximum tolerated labelled daily dose, that has been stable for at least 4 weeks. Exclusion Criteria: 1. Participants with NYHA class III or class IV Congestive HF at the time of enrolment. 2. Participants hospitalised for HF during the last 6 month prior to screening. 3. Evidence of rales or jugular venous distention on physical examination. 4. Participants with type 1 diabetes mellitus. 5. History of any life-threatening ventricular dysrhythmia (continuous or paroxysmal). 6. Blood pressure above 160 mmHg systolic. 7. Blood pressure below 90 mmHg systolic. 8. Participants hospitalised for heart disease or cardiac procedures or for COVID-19 during the last 3 months prior to screening. 9. History of solid organ transplantation or bone marrow transplant. 10. History or ongoing allergy/hypersensitivity, as judged by the Investigator, to SGLT2i therapy (eg, dapagliflozin, canagliflozin, empagliflozin or other SGLT2 inhibitors) or Endothelin Receptor Antagonists (eg, ambrisentan, atrasentan, bosentan, or other). 11. Any condition with a life expectancy of less than 2 years based on investigator´s clinical judgment. 12. Malignancy within the past 5 years. Exceptions to this criterion include non-melanoma skin cancer and curatively treated cervical carcinoma in situ. 13. Significant liver disease as judged by the investigator or severe hepatic impairment with AST or ALT \> 3 × ULN; or total bilirubin \> 2 × ULN at time of screening. An isolated increase in bilirubin in participants with known Gilbert's syndrome is not a reason for exclusion. 14. Known blood-borne diseases. 15. Clinically significant, unstable, or uncontrolled medical condition as assessed by the Investigator. 16. Participants on renal replacement therapy or previous kidney transplant. 17. Known history of drug or alcohol abuse within 12 months of screening. 18. Participants on treatment with strong or moderate CYP3A4 inducer. 19. Participants on systemic immunosuppression therapy other than stable maintenance therapy defined as prednisone 10 mg/day (or equivalent) or less, aziothioprine 100 mg/day or less; MMF 1000 mg/day or less for at least 3 months prior to Visit 1. Inhaled, nasal or dermatological steroids are also allowed. 20. Participants treated or expecting to be treated with tolvaptan, any other ERAs, or budesonide (where used to treat IBD or IgAN). 21. Participation in another clinical study with a study intervention administered in the last 3 months.
Locations 28
Argentina (1)
Research Site
Ciudad de Buenos Aires
Australia (1)
Research Site
Gosford
Brazil (1)
Research Site
Belém
Bulgaria (1)
Research Site
Dobrich
Canada (1)
Research Site
London , Ontario
China (1)
Research Site
Baotou
Denmark (1)
Research Site
Aalborg
France (1)
Research Site
La Tronche
India (1)
Research Site
Bangalore
Israel (1)
Research Site
Ashkelon
Italy (1)
Research Site
Bergamo
Japan (1)
Research Site
Chūōku
Malaysia (1)
Research Site
Alor Star
Mexico (1)
Research Site
Mazatlán
Netherlands (1)
Research Site
Amersfoort
Norway (1)
Research Site
Bodø
Poland (1)
Research Site
Chrzanów
Slovakia (1)
Research Site
Lučenec
South Africa (1)
Research Site
Benoni
South Korea (1)
Research Site
Ansan-si
Spain (1)
Research Site
Girona
Sweden (1)
Research Site
Gothenburg
Taiwan (1)
Research Site
Kaohsiung City
Thailand (1)
Research Site
Bangkok
Turkey (1)
Research Site
Adapazarı
United Kingdom (1)
Research Site
Cardiff
United States (1)
Research Site
Huntsville , Alabama
Vietnam (1)
Research Site
Haiphong
Technical details
Status
Active (not recruiting)
Phase
Phase 3
Study type
INTERVENTIONAL
Sex
Male and female
Minimum age
18 Years
Maximum age
95 Years
Healthy volunteers
No
Start date
07.11.2023
Completion date
18.02.2027
Registry ID
NCT06087835
Source
anzctr
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