About this trial
The goal of this clinical trial is to evaluate whether dapagliflozin can reduce the risk of worsening kidney function or death from cardiovascular or renal causes in adults with advanced chronic kidney disease (CKD), with or without type 2 diabetes. The main questions it aims to answer are:
1. Does dapagliflozin reduce the rate of decline in kidney function or progression to end-stage kidney disease in adults with advanced CKD? 2. Does dapagliflozin reduce the risk of death from cardiovascular or renal causes in patients with advanced CKD?
Researchers will compare dapagliflozin to a placebo to see if dapagliflozin improves kidney and cardiovascular outcomes in this high-risk population.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Adult patients aged eighteen or older.
Patients with advanced chronic kidney disease (i.e., eGFR < 20 mL/min/1.73m2)not on dialysis
Disqualifiers
Autosomal dominant polycystic kidney disease (ADPKD).
Type 1 diabetes mellitus
Patients on SGLT2 inhibitors.
History of ketoacidosis in the last 3 months.
Trial design
Parallel
Treatments tested in this trial
Dapagliflozin 10 mg
DrugDapagliflozin 10 mg will be added in addition to standard of care
Treatment groups
Trial outcomes
Primary outcomes
Change in the eGFR slope
To determine whether dapagliflozin is superior to standard of care only in reducing the eGFR slope.
Time to start of renal replacement therapy
Kidney failure is defined as need for renal replacement therapy either by hemodialysis or kidney transplant
Secondary outcomes
Incidence of hospitalization for heart failure
To determine if dapagliflozin is superior to standard of care only in reducing the incidence of heart failure
Number of participants with all-cause mortality
To determine whether dapagliflozin is superior to standard of care only in reducing all-cause mortality
Sponsors and contacts
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