Phase 3 Clinical Trial with Dapagliflozin in Chronic Kidney Disease in Adolescents and Young Adult Patients

Last updated: December 11, 2024
Sponsor: University Hospital Goettingen
Overall Status: Active - Recruiting

Phase

3

Condition

Kidney Disease

Nephropathy

Kidney Failure (Pediatric)

Treatment

Placebo

Dapagliflozin

Clinical Study ID

NCT05944016
UMG DOUBLE PRO-TECT 2023
  • Ages 10-39
  • All Genders

Study Summary

Recent trials have demonstrated positive renal outcomes of sodium-glucose co-transporter-2 inhibitors (SGLT2i) additive to angiotensin-converting-enzyme inhibitors (ACEis) in adult patients with diabetic and non-diabetic chronic kidney disease (CKD). These trials included no children. The hypothesis of DOUBLE PRO-TECT Alport is to demonstrate superiority of the SGLT2i dapagliflozin in preventing progression of the chronic kidney disease Alport syndrome in children and young adults at early stages of disease. Preventing the rise of albuminuria by dapagliflozin would result in a very significant delay of end-stage kidney failure (ESKF) and improved quality of life. If successful, DOUBLE PRO-TECT Alport will change the treatment recommendations for children with CKD, who have a very high unmet medical need.

Eligibility Criteria

Inclusion

Key inclusion criteria:

Early stages of CKD with established diagnosis of Alport syndrome at visit 1 (screening)

  • adolescents ≥ 10 to < 18 years with albuminuria (UACR ≥ 300mg/g creatinine) AND

  • eGFR ≥ 30 ml/min/1.73 m2 OR

  • adults ≥ 18 to < 40 years with albuminuria (UACR ≥ 500mg/g creatinine) AND

  • eGFR ≥ 60 ml/min/1.73 m2

  1. Molecular-genetic diagnosis or diagnosis established by kidney biopsy

  2. Stable RAS blockade as background therapy.

  3. Signed and dated written informed consent.

Exclusion

Key exclusion criteria:

  1. Medical history that might limit the individual's ability to take trial treatments.

  2. Treatment with any SGLT2 inhibitor or within 4 weeks prior to Visit 1.

  3. eGFR<60 mL/min/1.73 m2 (CKD-EPI) or requiring dialysis or afterkidney-transplantation

  4. Uncontrolled arterial hypertension (blood pressure above 145/95 mmHg).

  5. Known hypersensitivity or allergy to the investigational products.

  6. Any previous or current alcohol or drug abuse.

  7. Participation in another trial with an investigational drug ongoing.

  8. Women, who are nursing or pregnant, or who are not practicing an acceptable methodof birth control.

Study Design

Total Participants: 102
Treatment Group(s): 2
Primary Treatment: Placebo
Phase: 3
Study Start date:
March 25, 2024
Estimated Completion Date:
December 31, 2026

Connect with a study center

  • Universitätsklinikum Heidelberg - Children

    Heidelberg, Baden-Württenberg 69120
    Germany

    Active - Recruiting

  • LMU Klinikum

    München, Bayern 80336
    Germany

    Active - Recruiting

  • v. Haunersches Kinderhospital

    München, Bayern 81337
    Germany

    Active - Recruiting

  • Clementine Kinderhospital

    Frankfurt, Hessen 60316
    Germany

    Active - Recruiting

  • University Medicine Goettingen - Adults

    Göttingen, Lower Saxony 37075
    Germany

    Active - Recruiting

  • University Medicine Goettingen - Childrens Hospital

    Göttingen, Lower Saxony 37075
    Germany

    Active - Recruiting

  • Universitätsklinik Köln - Adults

    Köln, Nordrhein-Westfalen 50937
    Germany

    Active - Recruiting

  • Universitätsklinik Köln - Children

    Köln, Nordrhein-Westfalen 50937
    Germany

    Active - Recruiting

  • Universitätsklinik Münster - Adults

    Münster, Nordrhein-Westfalen 48149
    Germany

    Site Not Available

  • Universitätsklinikum Münster - Children

    Münster, Nordrhein-Westfalen 48149
    Germany

    Active - Recruiting

  • Universitätsklinik Leipzig - Children

    Leipzig, Sachsen 04103
    Germany

    Active - Recruiting

  • Universitätsklinikum Leipzig - Adults

    Leipzig, Sachsen 04103
    Germany

    Active - Recruiting

  • Charite Berlin - Adults

    Berlin, 10117
    Germany

    Active - Recruiting

  • Charite Berlin - Children

    Berlin, 10117
    Germany

    Active - Recruiting

  • Universitätsklinikum Hamburg-Eppendorf - Adults

    Hamburg, 20246
    Germany

    Active - Recruiting

  • Universitätsklinikum Hamburg-Eppendorf - Children

    Hamburg, 20251
    Germany

    Active - Recruiting

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