New hope for kidney stone sufferers: drug and diet combo tested in major trial
NCT ID NCT06653738
First seen Jun 27, 2026 · Last updated Aug 04, 2026 · Updated 4 times
Summary
This study tests two approaches to prevent kidney stones from coming back in people who have had them before. One approach uses a daily pill called empagliflozin (a diabetes drug) and the other gives personalized diet advice based on urine tests. The trial will involve 400 adults with calcium-based kidney stones and will last 3 years.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 400 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jul 2026
- Expected to finish
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Sep 2030
An estimate. End dates often move.
- 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: 1. Written, informed consent. 2. Age 18 years or older. 3. Recurrent kidney stone disease with 2 or more stone episodes in the last 10 years prior to randomization. 4. Last kidney stone containing 50% or more of CaOx, CaP or a mixture of both. 5. If taking guideline-recommended medications for kidney stone prophylaxis (e.g. citrate salts), patients must have been on a stable regimen for at least 60 days before randomization and willing to remain on this stable regimen for the duration of the study. Exclusion criteria: 1. Known history of secondary or Mendelian causes of calcium nephrolithiasis 2. Type I diabetes mellitus 3. History of ketoacidosis 4. Chronic Kidney Disease (CKD) stage 4 or 5 (defined as CKD-EPI eGFR \<30 mL/min) 5. Kidney transplant recipient 6. History of recurrent urinary tract infections, defined as \>3 episodes within the year prior to randomization 7. Heart failure. Symptomatic patients with suspected heart failure must be evaluated before study enrollment 8. Treatment with an SGLT2i within 4 weeks prior to randomization. 9. Active cancer treatment 10. Pregnancy and/or breastfeeding. Women of childbearing potential (i.e., premenopausal women who have not undergone surgical sterilization and are sexually active with a male partner) must have a negative urine or blood pregnancy test prior to enrollment 11. Known allergy to the study drug 12. Inability to understand and follow the study procedures 13. Vulnerable individual, e.g. individual incapable of judgement or currently incarcerated or otherwise institutionalized (priosner), or refugee 14. Concomitant participation in another interventional clinical trial within 4 weeks prior to randomization and during the current trial 15. Prior enrollment in the EMPASTONE trial
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
21 sites in 4 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Charité University Medicine Berlin
NOT_YET_RECRUITINGBerlin, 10117, Germany
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Hôpital Européen Georges Pompidou
NOT_YET_RECRUITINGParis, 75908, France
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Hôpital Tenon
NOT_YET_RECRUITINGParis, 75020, France
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Inselspital Bern
RECRUITINGBern, 3010, Switzerland
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Kantonsspital Aarau
NOT_YET_RECRUITINGAarau, 5001, Switzerland
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Kantonsspital Baden
NOT_YET_RECRUITINGBaden, 5404, Switzerland
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Kantonsspital Chur
NOT_YET_RECRUITINGChur, 7000, Switzerland
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Kantonsspital Fribourg
NOT_YET_RECRUITINGFribourg, 1708, Switzerland
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Kantonsspital Luzern
NOT_YET_RECRUITINGLucerne, 6016, Switzerland
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Kantonsspital Neuchâtel
NOT_YET_RECRUITINGNeuchâtel, 2000, Switzerland
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Kantonsspital Olten
NOT_YET_RECRUITINGOlten, 4600, Switzerland
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Kantonsspital Sion
NOT_YET_RECRUITINGSion, 1950, Switzerland
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Kantonsspital St. Gallen
NOT_YET_RECRUITINGSankt Gallen, 9007, Switzerland
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Lausanne University Hospital (CHUV)
NOT_YET_RECRUITINGLausanne, 1011, Switzerland
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Regionalspital Lugano
NOT_YET_RECRUITINGLugano, 6900, Switzerland
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University Hospital Amiens-Picardie
NOT_YET_RECRUITINGAmiens, 80054, France
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University Hospital Basel
NOT_YET_RECRUITINGBasel, 4031, Switzerland
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University Hospital Geneva (HUG)
NOT_YET_RECRUITINGGeneva, 1211, Switzerland
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Università della Campania "Luigi Vanvitelli"
NOT_YET_RECRUITINGNaples, 80131, Italy
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Universitätsspital Zürich
NOT_YET_RECRUITINGZurich, 8091, Switzerland
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Verona University Hospital
NOT_YET_RECRUITINGVerona, 37134, Italy
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Other studies related to the condition(s) this trial covers.
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