Can a diabetes drug protect failing kidneys?
NCT ID NCT05309785
First seen Jun 27, 2026 · Last updated Jul 14, 2026 · Updated 2 times
Summary
This study looks at whether canagliflozin, a drug used for diabetes, can safely reduce protein in the urine (a sign of kidney damage) in people with advanced chronic kidney disease (CKD), including those on dialysis. About 35 adults with CKD stage 4 or 5 will take the drug for up to 26 weeks. The goal is to see if it helps protect the kidneys without causing serious side effects.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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34 people
The number who actually took part.
- Started
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Nov 2022
- Finished
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Jul 2026
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: (Substudy 1- SIP-AKiD-1): * adult patients with eGFR \<30 ml/min/1.73m2 * urine albumin to creatinine ratio (UACR) \>200 mg/g * not receiving dialysis. (Substudy 2- SIP-AKiD-2): * adult patients on hemodialysis for at least 3 months * without significant residual renal function, defined as a urine output \<250 ml/24h. Exclusion Criteria: * Age \<18 years * type 1 diabetes * history of euglycemic ketoacidosis * known hypersensitivity to SGLT-2 inhibitors * recurrent severe genital or urinary tract infections * history of atraumatic amputation, gangrene, or active skin ulcer * use within the last 48 h of an SGLT-2 inhibitor or a combined SGLT-1 and SGLT-2 inhibitor * liver disease defined by an ALT \> 3.0 times the upper limit of normal \[ULN\] or total bilirubin \>1.5 times the ULN or liver cirrhosis of any stage * gastrointestinal surgery or gastrointestinal disorder that could interfere with trial medication absorption * pregnancy * currently breastfeeding * any other clinical condition that would jeopardize patient safety while participating in this trial. * Patients receiving digoxin, phenobarbital, phenytoin, rifampin, or ritonavir will be excluded if these agents cannot be safely discontinued
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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McGill University Health Center
Montreal, Quebec, Canada
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Other studies related to the condition(s) this trial covers.
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