EASi-KIDNEY™ (The Studies of Heart & Kidney Protection With BI 690517 in Combination With Empagliflozin)
Recruiting · NCT06531824 · Interventional (participants receive a specific treatment) · Lead sponsor: Boehringer Ingelheim
View the official record on ClinicalTrials.gov →Interventions studied
What this trial is about
This study is open to adults with chronic kidney disease at risk of progression. People with and without type 2 diabetes can take part in this study. The study is open to people who take other medicines called angiotensin converting enzyme inhibitors (ACEi) or angiotensin receptor blockers (ARB). People who already take empagliflozin or any other sodium-glucose cotransporter-2 inhibitor (SGLT2i) can also join. The study is also open to people who currently do not take any of these treatments. The purpose of this study is to find out whether a medicine called BI 690517 helps people with chronic kidney disease when taken in combination with a study medicine called empagliflozin. Worsening of kidney function increases the risk for kidney failure, cardiovascular disease, and heart failure hospitalisation. After a run-in period, during which participants are confirmed to be receiving clinically appropriate renin-angiotensin system blockade and are established on empagliflozin, they are randomly assigned (by chance) to 1 of 2 groups. One group receives BI 690517 tablets, and the other group receives placebo tablets. Placebo tablets look like BI 690517 but do not contain any medicine. Participants take 1 study tablet once a day, in addition to empagliflozin, for the duration of the study. The doctors document when participants experience worsening of their kidney disease, go to hospital due to heart failure, or die of cardiovascular problems during the study. The time to these events is compared between the 2 treatment groups to see whether the treatment works. The study continues until the required number of events have occurred which is about 3 to 4 years. During this time, participants visit the study site about 5 times within the first 6 months. Then they visit the study site every 6 months. At the visits, doctors regularly check participants' health, take blood and urine samples, measure blood pressure and weight, check kidney function, and take note of any unwanted effects.
Who can take part
Inclusion criteria
- Evidence of chronic kidney disease (CKD) at risk of kidney disease progression is defined on the basis of local laboratory results recorded at least 3 months before and at the time of the Screening visit, and requires:
- Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) eGFR ≥20 \<45 mL/min/1.73m² (irrespective of diabetes status); or
- No self-reported diabetes: CKD-EPI eGFR ≥45 \<90 mL/min/1.73m² with urine albumin-to-creatinine ratio (uACR) ≥150 mg/g (or protein-to-creatinine ratio ≥225 mg/g); or
- Self-reported diabetes: CKD-EPI eGFR ≥45 \<90 mL/min/1.73m² with uACR ≥30 mg/g (or protein-to-creatinine ratio ≥45 mg/g).
- Neither requires an Aldosterone Synthase inhibitor (ASi) or Mineralocorticoid Receptor Antagonist (MRA), nor that such treatment is definitely inappropriate.
- Key
Exclusion criteria
- Blood potassium of \>5.2 mmol/L at screening visit
- Blood Alanine Transaminase (ALT) or Aspartate Transaminase (AST) \>3x Upper Limit of Normal (ULN) at Screening visit (only one is required, with ALT preferred)
- Known liver cirrhosis
- On dialysis, functioning kidney transplant, or scheduled living donor transplant
- Treated with new immunosuppression therapy for new (or relapse/flare of pre-existing) kidney disease within the last 60 days
- Receiving more than one Renin-Angiotensin System (RAS) inhibitor (i.e. on dual therapy with two of an Angiotensin-Converting Enzyme inhibitor (ACEi), Angiotensin Receptor Blocker (ARB) or direct renin inhibitor)
- Currently treated with an Mineralocorticoid Receptor Antagonist (MRA) (e.g. spironolactone, eplerenone, finerenone)
- Currently treated with systemic mineralocorticoid replacement therapy (e.g. fludrocortisone) Further exclusion criteria apply.
Where it is running
60 locations listed across 28 US states.
- Apogee Clinical Research - Huntsville, Alabama, United States
- Southwest Kidney Institute - Surprise, Arizona, United States
- National Heart Institute - Beverly Hills, California, United States
- Olive View - UCLA Medical Cente - Sylmar, California, United States
- Interventional Cardiology Medical Group - West Hills, California, United States
- South Denver Cardiology Associates - Littleton, Colorado, United States
- Flourish Research - Boca Raton, Florida, United States
- University of Florida Health Shands Hospital - Gainesville, Florida, United States
- Florida Kidney Physicians LLC - Jacksonville Beach, Florida, United States
- Total Research Group, LLC - Miami, Florida, United States
- Emory University School of Medicine - Atlanta, Georgia, United States
- Joseph Maxwell Cleland Atlanta VA Medical Center - Decatur, Georgia, United States
- East Coast Institute For Research LLC - Macon, Georgia, United States
- Kootenai Research Services - Coeur d'Alene, Idaho, United States
- Northwestern University - Chicago, Illinois, United States
- University of Kansas Medical Center - Kansas City, Kansas, United States
- Kansas Nephrology Research Institute, LLC - Wichita, Kansas, United States
- University of Louisville - Louisville, Kentucky, United States
- Medstar Health Research Institute - Baltimore, Maryland, United States
- Lake Michigan Nephrology - Saint Joseph, Michigan, United States
- St. Clair Nephrology Research, LLC - Shelby, Michigan, United States
- Minneapolis VA Health Care System - Minneapolis, Minnesota, United States
- Southwest Mississippi Nephrology, Pllc - Brookhaven, Mississippi, United States
- Great Plains Nephrology - North Platte, Nebraska, United States
- VA Southern Nevada Healthcare System - North Las Vegas, Nevada, United States
- Sierra Nevada Specialty Care - Reno, Nevada, United States
- Seacoast Kidney and Hypertension Specialists - Portsmouth, New Hampshire, United States
- Advanced Heart Care, LLC - Bridgewater, New Jersey, United States
- UNM Health Science Center - Albuquerque, New Mexico, United States
- VA New York Harbor Healthcare System - New York, New York, United States
- Metrolina Nephrology Associates, PA - Charlotte, North Carolina, United States
- Metrolina Nephrology Associates, PA - Charlotte, North Carolina, United States
- Carolina Kidney Associates - Greensboro, North Carolina, United States
- Brookview Hills Research Associates LLC - Winston-Salem, North Carolina, United States
- University Hospitals Cleveland Medical Center - Cleveland, Ohio, United States
- Northeast Endocrine Metabolic Associates - Philadelphia, Pennsylvania, United States
- Temple University - Philadelphia, Pennsylvania, United States
- Clinical Renal Associates - Upland, Pennsylvania, United States
- Nephrology Associates, Inc - East Providence, Rhode Island, United States
- University of Tennessee - Memphis, Tennessee, United States
- Research Management, Inc - Austin - Austin, Texas, United States
- Dallas Nephrology Associates Medical Clinic - DeSoto, Texas, United States
- Academy Of Diabetes, Thyroid And Endocrine, PA - El Paso, Texas, United States
- P&I Clinical Research, LLC - Lufkin, Texas, United States
- Texas Institute for Kidney and Endocrine Disorders - Lufkin, Texas, United States
- Renal Specialists of Houston, PA - Pasadena, Texas, United States
- University Health - San Antonio, Texas, United States
- University of Virginia Health System - Charlottesville, Virginia, United States
- Kidney and Hypertension Specialists, PLLC - Manassas, Virginia, United States
- Tidewater Physicians Multispecialty Group - Newport News, Virginia, United States
- Salem VA Medical Center - Salem, Virginia, United States
- Providence Medical Research Center - Spokane, Washington, United States
- Universitätsklinikum Aachen, AöR - Aachen, Germany
- Aalborg Universitetsshospital - Aalborg, Denmark
- Centenario Hospital Miguel Hidalgo - Aguascalientes, Mexico
- Ospedale SS. Antonio e Biagio e C. Arrigo - AOUAL - Alessandria, Italy
- Hospital Ampang - Ampang, Malaysia
- Korea University Ansan Hospital - Ansan-si, South Korea
- Ansteel Group General Hospital - Anshan, China
- Antrim Area Hospital - Antrim, United Kingdom
Showing 60 of 557 listed sites. See the official record for the complete list.
Read the full protocol, contacts and eligibility on ClinicalTrials.gov →