Ganagliflozin on the Progression of Kidney Disease in Subjects With Type 2 Diabetes Mellitus and Chronic Kidney Disease

NCT ID: NCT07116928

Last Updated: 2025-11-18

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

NOT_YET_RECRUITING

Clinical Phase

PHASE4

Total Enrollment

1244 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-11-30

Study Completion Date

2031-12-30

Brief Summary

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This study aims to investigate the impact of adding Ganagliflozin tablets to the current background therapy on preventing the progression of kidney disease in subjects with type 2 diabetes and chronic kidney disease. The efficacy and safety will be evaluated by comparing the effects of Ganagliflozin tablets and placebo tablets added to the current background treatment over 120 weeks

Detailed Description

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A phase IV clinical study on the efficacy and safety of Ganagliflozin in treating patients with type 2 diabetes and chronic kidney disease (multicenter, randomized, double-blind, placebo parallel controlled). 1244 subjects all received a stable dose of ACEi or ARB for at least 4 weeks before enrollment.

Efficacy assessment: Compared with the placebo group, time to the first occurrence of kidney disease progression and the changes in eGFR slope, UACR, and score of KDQOL-36 were evaluated.

Conditions

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T2DM (Type 2 Diabetes Mellitus) CKD - Chronic Kidney Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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ganagliflozin

50 mg Once daily, 120 weeks

Group Type EXPERIMENTAL

ganagliflozin

Intervention Type DRUG

50 mg Once daily, 120 weeks

placebo

50 mg Once daily, 120 weeks

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

50 mg Once daily, 120 weeks

Interventions

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ganagliflozin

50 mg Once daily, 120 weeks

Intervention Type DRUG

Placebo

50 mg Once daily, 120 weeks

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Male or female individuals aged 18 years and above;
* Meets the diagnostic criteria for T2DM;
* Meets the diagnostic criteria for CKD, during the screening period(CKD-EPI Formula): eGFR ≥ 30 to \< 60 mL/min/1.73m\^2, and UACR is ≥ 30 to \< 5000 mg/g; Or eGFR ≥ 60 to \< 90 mL/min/1.73m\^2, and UACR is ≥ 300 to \< 5000 mg/g ;
* HbA1c ≥ 6.5% to ≤ 12%;
* If there are no contraindications or special instructions, all subjects must take a stable dose of ACEi or ARB at least 4 weeks before randomization;

Exclusion Criteria

* Patients with type 1 diabetes or other special types of diabetes;
* A medical history or clinical evidence indicating that the subjects have other primary kidney diseases and secondary kidney diseases other than type 2 diabetes (including but not limited to lupus nephritis, ANCA-related nephritis);
* History of kidney transplantation;
* Blood potassium level \> 5.5 mmol/L during the screening period.
* New York Heart Association (NYHA) classification of grade IV during the screening period;
* Experienced ketoacidosis, myocardial infarction, unstable angina pectoris, stroke, transient ischemic attack (TIA), hospitalization due to heart failure, or hospitalization due to urinary tract infection or acute kidney injury within 12 weeks before the screening period;
* Receiving ACEi and ARB in combination;
* Receiving mineralocorticoid receptor antagonists (MRA) or direct renin inhibitors (DRI) within 8 weeks before randomization;
* Receiving drugs with immunosuppressive effects (such as cyclophosphamide, cyclosporine A, tacrolimus, etc.) or biological agents (rituximab, belimumab, etc.) during the 12 weeks before the screening period;
* Receiving SGLT-2 inhibitors or GLP-1 receptor agonists within 8 weeks before the screening, or have previously used SGLT-2 inhibitor drugs and discontinued due to poor efficacy.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hangzhou Zhongmei Huadong Pharmaceutical Co., Ltd.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Shanghai sixth People's Hospital

Shanghai, Shanghai Municipality, China

Site Status

Countries

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China

Central Contacts

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Xiaofen Qian

Role: CONTACT

+86-0571-89908582

Wanting Zhang

Role: CONTACT

+86-0571-89905517

Facility Contacts

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Weiping Jia

Role: primary

021-64369181

Jian Zhou

Role: backup

Other Identifiers

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HDHYJ-LC-2

Identifier Type: -

Identifier Source: org_study_id

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