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Clinical Trials in the UK / NCT06087835
Active, not recruiting Phase 3

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)

NCT06087835 · tracked via the Priya Life Science UK tracker
Sponsor
AstraZeneca
Phase
Phase 3
Started
2023-11-07
Last updated
2026-08-19

Condition(s) studied

Chronic Kidney Disease With High Proteinuria

Investigational drug(s) / intervention(s)

Zibotentan/DapagliflozinDapagliflozin

Zibotentan/Dapagliflozin: Participants will receive zibotentan/dapagliflozin in fixed-dose combination as per the arms they are randomized to

Dapagliflozin: Participants will receive dapagliflozin as per the arms they are randomized to

Study summary

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

Eligibility

Sex
ALL
Min age
18 Years
Max age
95 Years
Healthy volunteers
No
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. 22. Involvement in the planning and/or conduct of the study (applies to both AstraZeneca staff and/or staff at the study site). 23. Inability of the participant, in the opinion of the investigator, to understand and/or comply with IMP, procedures and/or follow-up OR any conditions that, in the opinion of the investigator, may render the participant unable to complete the study. 24. Previous randomisation in the present study. 25. Women who are pregnant, breast-feeding, or women with intent of getting pregnant. 26. Women who are not willing to use adequate contraception or cannot, in the opinion of the investigator, understand and/or comply with the study procedures.

Primary outcome measure(s)

Trial sites (296)

FacilityCityRegionStatus
Research Site Huntsville Alabama
Research Site Sun City West Arizona
Research Site Bakersfield California
Research Site Huntington Park California
Research Site Los Alamitos California
Research Site Los Angeles California
Research Site Northridge California
Research Site Oxnard California
Research Site San Carlos California
Research Site San Dimas California
Research Site Tarzana California
Research Site Victorville California
Research Site Arvada Colorado
Research Site Denver Colorado
Research Site Boynton Beach Florida
Research Site Hialeah Florida
Research Site Hollywood Florida
Research Site Jacksonville Florida
Research Site Jensen Beach Florida
Research Site Miami Florida
Research Site Miami Florida
Research Site Orlando Florida
Research Site Fayetteville Georgia
Research Site Champaign Illinois
Research Site Chicago Illinois
Research Site Hinsdale Illinois
Research Site Island Lake Illinois
Research Site Skokie Illinois
Research Site Bowling Green Kentucky
Research Site Shreveport Louisiana
Research Site Silver Spring Maryland
Research Site Flint Michigan
Research Site Flint Michigan
Research Site Troy Michigan
Research Site City of Saint Peters Missouri
Research Site Albany New York
Research Site Middletown New York
Research Site Orchard Park New York
Research Site Greenville North Carolina
Research Site Jacksonville North Carolina

+ 256 more sites — see the full list on the official registry below.

On this site

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More AstraZeneca trials in the UK

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 NCT06087835 on ClinicalTrials.gov ↗ ← All trials in the UK