Can a diabetes drug protect kidneys in polycystic disease? new trial aims to find out
NCT ID NCT07280585
First seen Jun 24, 2026 · Last updated Jul 29, 2026 · Updated 3 times
Summary
This phase 3 trial tests whether the drug dapagliflozin can slow the loss of kidney function in adults with autosomal dominant polycystic kidney disease (ADPKD), a common genetic cause of kidney failure. The study will enroll 420 people aged 18 to 60 with rapid disease progression. Participants will take either 10 mg of dapagliflozin or a placebo daily for 36 months, and researchers will measure changes in kidney function over time.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Dapagliflozin (a drug that helps the kidneys remove sugar from the blood, also used for diabetes and heart failure)
- What this could lead to
- If it works, this could provide a new treatment option to slow kidney decline in people with polycystic kidney disease, potentially delaying the need for dialysis or transplant.
- What could go wrong
- This is a phase 3 trial, but the drug is already approved for other conditions. It may not slow kidney function loss in this specific disease, and side effects like urinary tract infections or dehydration are possible.
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 420 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Dec 2025
- Expected to finish
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May 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 to 60 years
- 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: * Male and female patients with ADPKD (modified Ravine criteria) ≥ 18 and ≤ 60 years * Patients 18 - 39 years: eGFR ≥25 ml/min; patients 40 - 60 years: eGFR ≥25 and \<90 ml/min/1.73 m2 * Indicators of rapid progression, either of the following: * Mayo class 1D-E * Mayo class 1C AND EITHER 1. Truncating PKD1 mutation OR 2. eGFR loss \> 3ml/min/year (determined by ≥ 4 creatinine values within 4 years, ≥ 6 months measurement intervals) OR 3. PROPKD score \> 6 (patient history) * IF patient is on ACE-I /ARBs: stable dose for 4 weeks before screening Exclusion Criteria: * Treatment with tolvaptan, somatostatin analogue, lithium or SGLT2i within the last 3 months before screening * Medical history of diabetic ketoacidosis, necrotizing fasciitis or organ transplantation * Diabetes mellitus type 1 or any type of diabetes mellitus due to insulin deficiency * Uncontrolled ongoing urinary tract or genital infections * Known intolerance of the study medication ingredients * Uncontrolled grade 2 hypertension (\>160/100 mmHg) * Symptomatic hypotension, or systolic blood pressure \<90 mmHg * Primary renal disease other than ADPKD * Hepatic impairment (aspartate transaminase \[AST\] or alanine transaminase \[ALT\]\>3x the up-per limit of normal \[ULN\]; or total bilirubin \>2x ULN at time of enrolment) * Pregnancy, breastfeeding or women of child-bearing potential not using effective contraception method * Not able to comply with the study protocol, in the investigator's judgement * Not able to provide informed consent * Participation in any other interventional clinical trial in the last 2 months
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Genom att skicka in godkänner du våra Användarvillkor
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 study's own enquiry address
This study publishes an address for enquiries. See it below .
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The places running it
30 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
Show contact details
Enter your email to view the contact information for this study.
Genom att skicka in godkänner du våra Användarvillkor
Locations
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Charite Universitaetsmedizin Berlin KöR
RECRUITINGBerlin, Germany
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Erasmus Universitair Medisch Centrum Rotterdam
RECRUITINGRotterdam, Netherlands
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Fundacio Hospital Universitari Vall D'Hebron Institut De Recerca
NOT_YET_RECRUITINGBarcelona, Spain
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Fundacio Puigvert
NOT_YET_RECRUITINGBarcelona, Spain
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Goethe University Frankfurt
RECRUITINGFrankfurt, Germany
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Klinikum Der Landeshauptstadt Stuttgart gKAöR
RECRUITINGStuttgart, Germany
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Klinikum Dortmund gGmbH
RECRUITINGDortmund, Germany
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Klinikum Nürnberg
NOT_YET_RECRUITINGNuremberg, Bavaria, 90471, Germany
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Klinikum der Technischen Universitaet Muenchen
RECRUITINGMünchen, Germany
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LMU Klinikum Muenchen AöR
RECRUITINGMünchen, Germany
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Leids Universitair Medisch Centrum
NOT_YET_RECRUITINGLeiden, Netherlands
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Medical Center - University of Freiburg
NOT_YET_RECRUITINGFreiburg im Breisgau, 79106, Germany
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Medizinische Hochschule Hannover
RECRUITINGHanover, Germany
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Medizinische Universitaet Innsbruck
RECRUITINGInnsbruck, Austria
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Robert Bosch Gesellschaft für Medizinische Forschung mbH
RECRUITINGStuttgart, Baden-Wurttemberg, 70376, Germany
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Universitaet Leipzig
RECRUITINGLeipzig, Germany
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Universitaetsklinikum Aachen AöR
RECRUITINGAachen, Germany
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Universitaetsklinikum Carl Gustav Carus Dresden an der Technischen Universitaet Dresden AöR
RECRUITINGDresden, Germany
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Universitaetsklinikum Duesseldorf AöR
RECRUITINGDüsseldorf, Germany
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Universitaetsklinikum Heidelberg AöR
RECRUITINGHeidelberg, Germany
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Universitaetsklinikum Jena KöR
RECRUITINGJena, Germany
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Universitaetsklinikum Schleswig-Holstein AöR
RECRUITINGKiel, Germany
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Universitaetsklinikum Schleswig-Holstein AöR
RECRUITINGLübeck, Germany
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Universitaetsmedizin Goettingen
RECRUITINGGöttingen, Germany
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Universitaetsmedizin der Johannes Gutenberg-Universitaet Mainz KöR
RECRUITINGMainz, Germany
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Universitair Medisch Centrum Groningen
RECRUITINGGroningen, Netherlands
Contact Email: •••••@•••••
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University Medical Center Hamburg-Eppendorf
RECRUITINGHamburg, Germany
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Universitätsklinikum Köln
RECRUITINGCologne, Germany
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Vorarlberger Krankenhaus-Betriebsgesellschaft
RECRUITINGFeldkirch, Austria
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Zentrum Fuer Nieren Hochdruck Und Stoffwechselerkrankungen
NOT_YET_RECRUITINGHanover, Germany
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