Efficacy and Safety of Lorundrostat in Addition to Sodium-Glucose Cotransporter-2 Inhibitors (SGLT2i) in Subjects With Hypertension and Chronic Kidney Disease (CKD) With Albuminuria

NCT ID: NCT06150924

Last Updated: 2025-07-08

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-12-14

Study Completion Date

2025-04-23

Brief Summary

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This is a randomized, double-blind (DB), placebo controlled, crossover study with a two-period, two-sequence (2x2) design evaluating the efficacy and safety of 25 mg QD lorundrostat (an aldosterone synthase inhibitor \[ASI\]) in addition to a SGLT2i for the treatment of hypertension in subjects with CKD and albuminuria while receiving stable treatment with an Angiotensin-converting enzyme inhibitor (ACEi) or an Angiotensin receptor blocker (ARB). Subjects will be at least 18 years old with hypertension, and mild to severe CKD with albuminuria at the Screening Visit.

Detailed Description

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The study consists of up to a 2-week Screening period, a 2-week run-in period where subjects will either begin study provided dapagliflozin 10 mg or continue on their regularly prescribed SGLT2i, and two DB 4-week treatment periods separated by a 4-week washout period. Subjects will be randomized (1:1) to two treatment sequences: lorundrostat-placebo (LP) and placebo-lorundrostat (PL).

Conditions

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Chronic Kidney Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Caregivers

Study Groups

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Cohort 1

Group Type EXPERIMENTAL

Lorundrostat 25mg+SGLT2i QD, Washout, Placebo+SGLT2i QD

Intervention Type DRUG

Period 1 - Lorundrostat 25mg QD + SGLT2i QD 4 weeks; Washout - Placebo QD + SGLT2i QD 4 weeks; Period 2 - Placebo QD + SGLT2i QD 4 weeks

Cohort 2

Group Type EXPERIMENTAL

Placebo QD + SGLT2i QD, Washout, Lorundrostat 25mg+SGLT2i QD

Intervention Type DRUG

Period 1 - Placebo QD + SGLT2i QD 4 weeks; Washout - Placebo QD + SGLT2i QD 4 weeks; Period 2 - Lorundrostat 25mg + SGLT2i QD 4 weeks

Interventions

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Lorundrostat 25mg+SGLT2i QD, Washout, Placebo+SGLT2i QD

Period 1 - Lorundrostat 25mg QD + SGLT2i QD 4 weeks; Washout - Placebo QD + SGLT2i QD 4 weeks; Period 2 - Placebo QD + SGLT2i QD 4 weeks

Intervention Type DRUG

Placebo QD + SGLT2i QD, Washout, Lorundrostat 25mg+SGLT2i QD

Period 1 - Placebo QD + SGLT2i QD 4 weeks; Washout - Placebo QD + SGLT2i QD 4 weeks; Period 2 - Lorundrostat 25mg + SGLT2i QD 4 weeks

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. At Screening, UACR of 200-5000 mg/g, inclusive, in first morning urine void
2. At Screening, eGFRs of ≥30 mL/min/1.73 m2
3. At Screening, AOBP SBP of 135-180 mmHg, inclusive
4. On a stable treatment with an ACEi or ARB for at least 2 months prior to Screening
5. At Screening, body mass index (BMI) of \>18 kg/m2

Exclusion Criteria

1. Subjects with known hypersensitivity to lorundrostat or any of its respective excipients
2. Subjects with known hypersensitivity to dapagliflozin or any of its respective excipients (subjects beginning dapagliflozin only)
3. At Screening, serum potassium \>5.0 mmol/L
4. History of clinically significant hyponatremia within 1 year prior to Screening
5. Use of epithelial sodium channel (ENaC) inhibitors or Mineralocorticoid receptor antagonist (MRAs), including, but not limited to amiloride, triamterene, spironolactone, eplerenone, finerenone, from 4 weeks prior to the Screening Visit and during study participation. With the exception of MRAs in primary aldosteronism
6. Medical history of kidney disease related to autoimmune diseases (lupus, anti-neutrophil cytoplasmic antibody \[ANCA\] vasculitis), multiple myeloma or other known paraproteins, infiltrative diseases of the kidney, obstructive nephropathy, cystic kidney diseases, and renal transplantation
7. Medical history of advanced liver disease, including cirrhosis
8. Medical history of active autoimmune disease or recent (within 30 days) or anticipated need for immunosuppressive therapy
9. Diabetes mellitus with a glycosylated hemoglobin (HbA1c) \>10% (\>86 mmol/mol) at Screening
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Mineralys Therapeutics Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Arizona Kidney Disease & Hypertension Centers (AKDHC) - Thunderbird Office

Glendale, Arizona, United States

Site Status

Arizona Kidney Disease & Hypertension Centers (AKDHC) - Thomas Office

Phoenix, Arizona, United States

Site Status

Balboa Nephrology Medical Group, Inc. (BNMG) - California Institute of Renal Research (CIRR) - Chula Vista

Chula Vista, California, United States

Site Status

Balboa Nephrology Medical Group, Inc. (BNMG) - El Centro

El Centro, California, United States

Site Status

Amicis Research Center - Granada Hills

Granada Hills, California, United States

Site Status

Balboa Nephrology Medical Group, Inc. (Bnmg) - La Mesa

La Mesa, California, United States

Site Status

Academic Medical Research Institute (AMRI) - Los Angeles

Los Angeles, California, United States

Site Status

Amicis Research Center

Northridge, California, United States

Site Status

Amicis Research Center - Vacaville

Vacaville, California, United States

Site Status

Colorado Kidney Care (Denver Nephrology) - Denver Office

Denver, Colorado, United States

Site Status

Qway Research

Coconut Grove, Florida, United States

Site Status

Indago Research and Health Center

Hialeah, Florida, United States

Site Status

Elixia Pines, LLC

Hollywood, Florida, United States

Site Status

Elixia Central Florida, LLC

Orlando, Florida, United States

Site Status

Infigo Clinical Research, Llc

Sanford, Florida, United States

Site Status

Genesis Clinical Research - Tampa

Tampa, Florida, United States

Site Status

Palm Beach Diabetes and Endocrine Specialists, PA (PBDES) - West Palm Beach Office

West Palm Beach, Florida, United States

Site Status

American Clinical Trials Llc

Acworth, Georgia, United States

Site Status

Nephrology of the Golden Isles - Brunswick

Brunswick, Georgia, United States

Site Status

ClinCept, LLC

Columbus, Georgia, United States

Site Status

Georgia Nephrology, Llc

Lawrenceville, Georgia, United States

Site Status

Nephrology Associates of Kentuckiana, PSC (NAK)

Louisville, Kentucky, United States

Site Status

Lcms Health University Medical Center New Orleans

New Orleans, Louisiana, United States

Site Status

Northwest Louisiana Nephrology, Llc - Shreveport

Shreveport, Louisiana, United States

Site Status

Tufts University School of Medicine (Tusm) - Tufts Medical Center (Tmc) (Tufts-New England Medical Center)

Boston, Massachusetts, United States

Site Status

Elixia MKC, LLC

Pontiac, Michigan, United States

Site Status

Kansas City Kidney Consultants (Arms, Dodge, Robinson, Wilber & Crouch, Inc.) - Kansas City

Kansas City, Missouri, United States

Site Status

Seacoast Kidney & Hypertension Specialists - Portsmouth Office

Portsmouth, New Hampshire, United States

Site Status

Suny Downstate Medical Center - Parkside Dialysis Center

Brooklyn, New York, United States

Site Status

Nephrology Associates, PC

Fresh Meadows, New York, United States

Site Status

Nephrology Associates

Fresh Meadows, New York, United States

Site Status

Triad Internal Medicine

Asheboro, North Carolina, United States

Site Status

Nephrology Associates, Pllc - Winston-Salem

Winston-Salem, North Carolina, United States

Site Status

Nephrology Consultants - Oklahoma City

Oklahoma City, Oklahoma, United States

Site Status

Columbia Nephrology

Columbia, South Carolina, United States

Site Status

Southeast Renal Research Institute

Chattanooga, Tennessee, United States

Site Status

Dallas Nephrology Associates (Dna) - Renal Disease Research Institute (Rdri)

Dallas, Texas, United States

Site Status

Liberty Research Center

Dallas, Texas, United States

Site Status

R&H Clinical Research

Katy, Texas, United States

Site Status

E T Nephrology Associates - Lufkin

Lufkin, Texas, United States

Site Status

Prx Research

Mesquite, Texas, United States

Site Status

Gamma Medical Research, Inc

Mission, Texas, United States

Site Status

Chrysalis Clinical Research (CCR)

St. George, Utah, United States

Site Status

Mendez Center for Clinical Research, LLC

Woodbridge, Virginia, United States

Site Status

Countries

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United States

Other Identifiers

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MLS-101-206

Identifier Type: -

Identifier Source: org_study_id

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