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Active, not recruiting Phase 3

EASi-KIDNEY™ (The Studies of Heart & Kidney Protection With BI 690517 in Combination With Empagliflozin)

NCT06531824 · tracked via the Priya Life Science Italy tracker
Phase
Phase 3
Started
2024-08-30
Last updated
2026-10-01

Condition(s) studied

Kidney Disease, Chronic

Investigational drug(s) / intervention(s)

BI 690517 →Placebo matching BI 690517Empagliflozin →

BI 690517: BI 690517 (called Type M randomized treatment)

Placebo matching BI 690517: Placebo matching BI 690517

Empagliflozin: Empagliflozin (called Type E)

Study summary

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.

Eligibility

Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
Key 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: 1. Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) eGFR ≥20 \<45 mL/min/1.73m² (irrespective of diabetes status); or 2. 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 3. 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.

Primary outcome measure(s)

  • Time to first occurrence of the primary composite outcome of: (i) Kidney disease progression*; or (ii) Hospitalization for heart failure; or (iii) Cardiovascular death. — up to 4 years
    Kidney disease progression is defined as kidney failure or a sustained decline of ≥40% in estimated Glomerular Filtration Rate (eGFR) from randomization

Trial sites (558)

FacilityCityRegionStatus
Apogee Clinical Research Huntsville Alabama
Southwest Kidney Institute Surprise Arizona
National Heart Institute Beverly Hills California
Olive View - UCLA Medical Cente Sylmar California
Interventional Cardiology Medical Group West Hills California
South Denver Cardiology Associates Littleton Colorado
Flourish Research Boca Raton Florida
University of Florida Health Shands Hospital Gainesville Florida
Florida Kidney Physicians LLC Jacksonville Beach Florida
Total Research Group, LLC Miami Florida
Emory University School of Medicine Atlanta Georgia
Joseph Maxwell Cleland Atlanta VA Medical Center Decatur Georgia
East Coast Institute For Research LLC Macon Georgia
Kootenai Research Services Coeur d'Alene Idaho
Northwestern University Chicago Illinois
University of Kansas Medical Center Kansas City Kansas
Kansas Nephrology Research Institute, LLC Wichita Kansas
University of Louisville Louisville Kentucky
Medstar Health Research Institute Baltimore Maryland
Lake Michigan Nephrology Saint Joseph Michigan
St. Clair Nephrology Research, LLC Shelby Michigan
Minneapolis VA Health Care System Minneapolis Minnesota
Southwest Mississippi Nephrology, Pllc Brookhaven Mississippi
Great Plains Nephrology North Platte Nebraska
VA Southern Nevada Healthcare System North Las Vegas Nevada
Sierra Nevada Specialty Care Reno Nevada
Seacoast Kidney and Hypertension Specialists Portsmouth New Hampshire
Advanced Heart Care, LLC Bridgewater New Jersey
UNM Health Science Center Albuquerque New Mexico
VA New York Harbor Healthcare System New York New York
Metrolina Nephrology Associates, PA Charlotte North Carolina
Metrolina Nephrology Associates, PA Charlotte North Carolina
Carolina Kidney Associates Greensboro North Carolina
Brookview Hills Research Associates LLC Winston-Salem North Carolina
University Hospitals Cleveland Medical Center Cleveland Ohio
Northeast Endocrine Metabolic Associates Philadelphia Pennsylvania
Temple University Philadelphia Pennsylvania
Clinical Renal Associates Upland Pennsylvania
Nephrology Associates, Inc East Providence Rhode Island
University of Tennessee Memphis Tennessee

+ 518 more sites — see the full list on the official registry below.

Official registry record

This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.

View NCT06531824 on ClinicalTrials.gov ↗ ← All trials in Italy