NCT03594110

Brief Summary

The primary aim of the study is to investigate the effect of empagliflozin on kidney disease progression or cardiovascular death versus placebo on top of standard of care in patients with pre-existing chronic kidney disease. After completion of the interventional part of the study (primary study completion) a subset of participants will be followed up in a post-trial observational (non-interventional) manner for cardio-renal outcomes (estimated study completion date).

Trial Health

93
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
6,609

participants targeted

Target at P75+ for phase_3

Timeline
Completed

Started Jan 2019

Longer than P75 for phase_3

Geographic Reach
8 countries

240 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

July 10, 2018

Completed
10 days until next milestone

First Posted

Study publicly available on registry

July 20, 2018

Completed
7 months until next milestone

Study Start

First participant enrolled

January 31, 2019

Completed
3.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 5, 2022

Completed
1.1 years until next milestone

Results Posted

Study results publicly available

July 27, 2023

Completed
11 months until next milestone

Study Completion

Last participant's last visit for all outcomes

July 2, 2024

Completed
Last Updated

July 20, 2025

Status Verified

June 1, 2025

Enrollment Period

3.4 years

First QC Date

July 10, 2018

Results QC Date

June 30, 2023

Last Update Submit

June 30, 2025

Conditions

Outcome Measures

Primary Outcomes (2)

  • Interventional Part: Time to First Occurrence of Kidney Disease Progression or Cardiovascular Death ('as Adjudicated')

    Time to first occurrence of kidney disease progression (KDP) or cardiovascular death is reported as incidence rate of first occurrence of KDP or adjudicated cardiovascular death. Incidence rate= (Number of patients who experienced the event of first occurrence of KDP or cardiovascular death)\*100/(patient years at risk (pt-yrs at risk). pt-yrs at risk= sum of time at risk \[days\] over all patients in a treatment group / 365.25. Kidney disease progression was defined as: * end stage kidney disease (defined as the initiation of maintenance dialysis or receipt of a kidney transplant) OR * a sustained decline in estimated glomerular filtration rate (eGFR) to \<10 mL/min/1.73m\^2 OR * renal death OR * a sustained decline of ≥40% in eGFR from randomisation.

    From the day of randomisation to the day of the final follow-up visit in the interventional part of the trial, up to 1136 days.

  • Overall Study: Time to the First Occurrence of Kidney Disease Progression or Cardiovascular Death ('as Adjudicated')

    Time to first occurrence of kidney disease progression (KDP) or cardiovascular death is reported as incidence of progression of kidney disease or death from cardiovascular causes in the interventional part of the trial and in the post-trial follow-up (non-interventional part). Incidence rate= (Number of patients who experienced the event of first occurrence of KDP or cardiovascular death)\*100/(patient years at risk (pt-yrs at risk). pt-yrs at risk= sum of time at risk \[days\] over all patients in a treatment group / 365.25. Kidney disease progression was defined as: * a sustained decline in eGFR to less than 10 mL/min/1.73m\^2 OR * renal death OR * sustained decline of more than 40% in eGFR from randomization.

    From the day of randomization in the interventional part of the trial until the individual day of end of study in the non-interventional part of the trial. Up to 1869 days.

Secondary Outcomes (11)

  • Key Secondary Endpoint: Interventional Part - Time to First Hospitalization for Heart Failure ('as Adjudicated') or Cardiovascular Death ('as Adjudicated')

    From the day of randomisation to the day of the final follow-up visit of the interventional part, up to 1140 days.

  • Key Secondary Endpoint: Interventional Part - Time to Occurrences of All-cause Hospitalizations (First and Recurrent Combined)

    From the day of randomisation to the day of the final follow-up visit of the interventional part, up to 1140 days.

  • Key Secondary Endpoint: Interventional Part - Time to Death From Any Cause ('as Adjudicated')

    From the day of randomisation to the day of the final follow-up visit in the interventional part of the trial, up to 1140 days.

  • Interventional Part: Time to First Occurrence of Kidney Disease Progression

    From the day of randomisation to the day of the final follow-up visit of the interventional part, up to 1136 days.

  • Interventional Part: Time to Cardiovascular Death ('as Adjudicated')

    From the day of randomisation to the day of the final follow-up visit of the interventional part, up to 1140 days.

  • +6 more secondary outcomes

Study Arms (2)

Empagliflozin 10 mg

EXPERIMENTAL

Patients with evidence of chronic kidney disease (CKD) at risk of kidney disease progression, with or without diagnosed diabetes mellitus administered orally once daily 10 milligram (mg) film-coated tablets of empagliflozin.

Drug: Empagliflozin

Placebo

PLACEBO COMPARATOR

Patients with evidence of chronic kidney disease (CKD) at risk of kidney disease progression, with or without diagnosed diabetes mellitus administered orally once daily film-coated tablets of placebo to match empagliflozin.

Drug: Matching placebo

Interventions

Taken daily with or without food

Empagliflozin 10 mg

Taken daily with or without food

Placebo

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Age ≥18 years or at "full age" as required by local regulation
  • Evidence of chronic kidney disease at risk of kidney disease progression defined by at least 3 months before and at the time of Screening Visit
  • CKD-EPI eGFR ≥20 to \<45 mL/min/1.73m² or
  • CKD-EPI eGFR ≥45 to \<90 mL/min/1.73m² with urinary albumin:creatinine ratio ≥200 mg/g (or protein:creatinine ratio ≥300 mg/g);
  • Clinically appropriate doses of single agent RAS-inhibition with either ACEi or ARB unless such treatment is either not tolerated or not indicated
  • A local Investigator judges that the participant neither requires empagliflozin (or any other SGLT-2 or SGLT-1/2 inhibitor), nor that such treatment is inappropriate;

You may not qualify if:

  • Currently receiving SGLT-2 or SGLT-1/2 inhibitor
  • Diabetes mellitus type 2 and prior atherosclerotic cardiovascular disease with an eGFR \>60 mL/min/1.73m2 at Screening
  • Receiving combined ACEi and ARB treatment
  • Maintenance dialysis, functioning kidney transplant, or scheduled living donor transplant
  • Polycystic kidney disease
  • Previous or scheduled bariatric surgery
  • Ketoacidosis in the past 5 years
  • Symptomatic hypotension, or systolic blood pressure \<90 or \>180 mmHg at Screening
  • ALT or AST \>3x ULN at Screening
  • Hypersensitivity to empagliflozin or other SGLT-2 inhibitor
  • Any intravenous immunosuppression therapy in last 3 months; or anyone currently on \>45 mg prednisolone (or equivalent)
  • Use of an investigational medicinal product in the 30 days prior to Screening visit
  • Known to be poorly compliant with clinic visits or prescribed medication
  • Medical history that might limit the individual's ability to take trial treatments for the duration of the study (e.g. severe respiratory disease; history of cancer or evidence of spread within last 4 years, other than non-melanoma skin cancer; or recent history of alcohol or substance misuse)
  • Current pregnancy, lactation or women of childbearing potential (WOCBP), unless using highly-effective contraception
  • +1 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (240)

Nephrology Consultants, LLC

Huntsville, Alabama, 35805, United States

Location

Aventiv Research, Inc

Mesa, Arizona, 85210, United States

Location

Southern California Permanente Medical Group

San Diego, California, 92123, United States

Location

University of California Los Angeles

Sylmar, California, 91342, United States

Location

University of California Los Angeles

Torrance, California, 90502, United States

Location

Yale University School of Medicine

New Haven, Connecticut, 06510, United States

Location

Chase Medical Research, LLC

Thomaston, Connecticut, 06787, United States

Location

Midland Florida Clinical Reearch Center, LLC

DeLand, Florida, 32720, United States

Location

University of Florida

Gainesville, Florida, 32610, United States

Location

East Coast Institute for Research, LLC

Jacksonville, Florida, 32216, United States

Location

East Coast Clinical Research, Inc

Lake City, Florida, 32055, United States

Location

Total Research Group, LLC

Miami, Florida, 33126, United States

Location

Hanson Clinical Research Center, Inc.

Port Charlotte, Florida, 33952, United States

Location

Emory University

Atlanta, Georgia, 30322, United States

Location

The Jones Center for Diabetes and Endocrine Wellness

Macon, Georgia, 31210, United States

Location

Cedar Crosse Research Center

Chicago, Illinois, 60607, United States

Location

Northwestern University

Chicago, Illinois, 60611, United States

Location

University of Kansas Medical Center

Kansas City, Kansas, 66160, United States

Location

Saint Elizabeth Healthcare

Covington, Kentucky, 41011, United States

Location

Lexington VA Health Care System - Troy Bowling Campus

Lexington, Kentucky, 40502, United States

Location

Medstar Health Research Institute

Baltimore, Maryland, 21239, United States

Location

Kidney Care and Transplant Services of New England, PC

West Springfield, Massachusetts, 01089, United States

Location

Saint Clair Specialty Physicians

Roseville, Michigan, 48066, United States

Location

Clinical Research Consultants, LLC

Kansas City, Missouri, 64111, United States

Location

VA Southern Nevada Healthcare System

North Las Vegas, Nevada, 89086, United States

Location

Seacoast Kidney and Hypertension Specialists

Portsmouth, New Hampshire, 03801, United States

Location

SUNY Downstate Medical Center

Brooklyn, New York, 11203, United States

Location

Mountain Kidney and Hypertension Associates, PA

Asheville, North Carolina, 28801, United States

Location

The University of North Carolina at Chapel Hill

Chapel Hill, North Carolina, 27514, United States

Location

Brookview Hills Research Associates LLC

Winston-Salem, North Carolina, 27103, United States

Location

Wake Forest University Health Sciences

Winston-Salem, North Carolina, 27157, United States

Location

University Hospitals of Cleveland

Cleveland, Ohio, 44106, United States

Location

Cleveland Clinic

Cleveland, Ohio, 44195, United States

Location

Thomas Jefferson University

Philadelphia, Pennsylvania, 19114, United States

Location

Carolina Diabetes & Kidney Center

Sumter, South Carolina, 29150, United States

Location

Regional Health Clinical Research

Rapid City, South Dakota, 57701, United States

Location

Research Institute of Dallas

Dallas, Texas, 75231, United States

Location

Renal Disease Research Institute

Dallas, Texas, 75246, United States

Location

Academy Of Diabetes, Thyroid And Endocrine, PA

El Paso, Texas, 79935, United States

Location

Pioneer Research Solutions, Inc.

Houston, Texas, 77099, United States

Location

P&I Clinical Research, LLC

Lufkin, Texas, 75904, United States

Location

Texas Institute for Kidney and Endocrine Disorders

Lufkin, Texas, 75904, United States

Location

Clinical Advancement Center PLLC

San Antonio, Texas, 78212, United States

Location

University of Texas Health Science Center at San Antonio

San Antonio, Texas, 78229, United States

Location

University of Utah Health Sciences Center

Salt Lake City, Utah, 84108, United States

Location

Salem VA Medical Center

Salem, Virginia, 24153, United States

Location

Providence Medical Research Center

Spokane, Washington, 99204, United States

Location

Kelowna General Hospital

Kelowna, British Columbia, V1Y 1T2, Canada

Location

Kidney Care Centre - Surrey

Surrey, British Columbia, V3T 5H6, Canada

Location

Vancouver General Hospital

Vancouver, British Columbia, V5Z 1M9, Canada

Location

St. Paul's Hospital

Vancouver, British Columbia, V6Z 1Y6, Canada

Location

LMC Clinical Research Inc. (Brampton)

Brampton, Ontario, L6S 0C6, Canada

Location

Cambridge Cardiac Care Centre

Cambridge, Ontario, N1R 6V6, Canada

Location

LMC Clinical Research Inc. (Thornhill)

Concord, Ontario, L4K 4M2, Canada

Location

LMC Endocrinology Centres (Etobicoke) Ltd.

Etobicoke, Ontario, M9R 4E1, Canada

Location

London Health Science Centre, University Campus

London, Ontario, N6A 4G5, Canada

Location

LMC Clinical Research Inc. (Ottawa)

Nepean, Ontario, K2J 0V2, Canada

Location

Lakeridge Health Oshawa

Oshawa, Ontario, L1G 2B9, Canada

Location

LMC Clinical Research Inc. (Bayview)

Toronto, Ontario, M4G 3E8, Canada

Location

Toronto General Hospital

Toronto, Ontario, M5G 2N2, Canada

Location

Fadia El Boreky Medicine Professional

Waterloo, Ontario, N2J 1C4, Canada

Location

Clinical Research Solutions Inc.

Waterloo, Ontario, N2J 3Z4, Canada

Location

Montreal Clinical Research Institute (IRCM)

Montreal, Quebec, H2W 1R7, Canada

Location

Hôpital du Sacré-Coeur de Montréal

Montreal, Quebec, H4J 1C5, Canada

Location

CHUS Hopital Fleurimont

Sherbrooke, Quebec, J1H 5N4, Canada

Location

CHU de Quebec-Universite Laval Research Centre

Québec, G1R 2J6, Canada

Location

IUCPQ (Laval University)

Québec, G1V 4G5, Canada

Location

Beijing AnZhen Hospital

Beijing, 100029, China

Location

Cardiovascular Institute and Fu Wai Hospital

Beijing, 100037, China

Location

Xiangya Hospital, Central South University

Changsha, 410008, China

Location

Xinqiao Hospital

Chongqing, 400037, China

Location

The Second Affiliated Hospital Zhejiang University School of Medicine

Hangzhou, 310000, China

Location

Jinzhou Central Hospital

Jinzhou, 121000, China

Location

Jinling Hospital

Nanjing, 210002, China

Location

Shanghai Fifth People's Hospital affiliated to Fudan University

Shanghai, 200240, China

Location

Shenzhen People's Hospital

Shenzhen, 518020, China

Location

Huazhong University of Science and Technology Union Shenzhen Hospital

Shenzhen, 518052, China

Location

People's Hospital of Sichuan Province

Sichuan, 610031, China

Location

SuZhou Kowloon Hospital

Suzhou, 215000, China

Location

The Central Hospital of Wuhan

Wuhan, 430014, China

Location

Wuhan Fourth Hospital

Wuhan, 430033, China

Location

Henan Provincial People's Hospital

Zhengzhou, 450003, China

Location

Zhuzhou Central Hospital

Zhuzhou, 412000, China

Location

Zhuzhou Central Hospital

Zhuzhou, 412007, China

Location

Studienzentrum Aschaffenburg

Aschaffenburg, 63739, Germany

Location

Universitätsklinikum Augsburg

Augsburg, 86156, Germany

Location

Herz- und Diabeteszentrum Nordrhein-Westfalen, Bad Oeynhausen

Bad Oeynhausen, 32545, Germany

Location

Vivantes Netzwerk fĂ¼r Gesundheit GmbH

Berlin, 12351, Germany

Location

Ärztezentrum Helle Mitte

Berlin, 12627, Germany

Location

Klinikum Bielefeld gGmbH

Bielefeld, 33604, Germany

Location

Städtisches Klinikum Braunschweig gGmbH

Braunschweig, 38126, Germany

Location

Universitätsklinikum Carl Gustav Carus Dresden

Dresden, 01307, Germany

Location

Universitätsklinikum DĂ¼sseldorf

DĂ¼sseldorf, 40225, Germany

Location

Agaplesion Markus Krankenhaus

Frankfurt, 60431, Germany

Location

ClinPhenomics GmbH & Co KG, Frankfurt

Frankfurt, 60594, Germany

Location

Nierenzentrum Freiburg

Freiburg im Breisgau, 79100, Germany

Location

Nephrologisches Zentrum Göttingen

Göttingen, 37075, Germany

Location

Universitätsklinikum Halle/S.

Halle, 06120, Germany

Location

Zentrum fĂ¼r Nieren-, Hochdruck und Stoffwechselerkrankungen

Hanover, 30453, Germany

Location

Medizinische Hochschule Hannover

Hanover, 30625, Germany

Location

Dialysezentrum Heilbronn ĂœBAG fĂ¼r Nephrologie und Dialyse

Heilbronn, 74075, Germany

Location

Nephrologisches Zentrum Hoyerswerda

Hoyerswerda, 02977, Germany

Location

Universitätsklinikum Jena

Jena, 07747, Germany

Location

Städt. Klinikum, Karlsruhe, Moltkestr.

Karlsruhe, 76133, Germany

Location

Klinikum St. Georg gGmbH

Leipzig, 04129, Germany

Location

Universitätsmedizin der Johannes Gutenberg-Universität Mainz

Mainz, 55131, Germany

Location

Universitätsklinikum Mannheim GmbH

Mannheim, 68167, Germany

Location

Nephrologisches Zentrum Mettmann

Mettmann, 40822, Germany

Location

Klinikum der Universität MĂ¼nchen - Campus Innenstadt

MĂ¼nchen, 80337, Germany

Location

Dialysezentrum Neckarsulm

Neckarsulm, 74172, Germany

Location

KfH Kuratorium fĂ¼r Dialyse und Nierentransplantation e.V.

Nuremberg, 90471, Germany

Location

MVZ Diaverum Potsdam

Potsdam, 14469, Germany

Location

Universitätsklinikum Regensburg

Regensburg, 93053, Germany

Location

Robert-Bosch-Krankenhaus GmbH

Stuttgart, 70376, Germany

Location

Universitätsklinikum Ulm

Ulm, 89081, Germany

Location

Nephrologisches Zentrum Velbert

Velbert, 42549, Germany

Location

MVZ DaVita Viersen GmbH

Viersen, 41751, Germany

Location

Nephrologisches Zentrum Villingen-Schwenningen

Villingen-Schwenningen, 78052, Germany

Location

Gemeinschaftspraxis fĂ¼r Nephrologie und Rheumatologie

Wiesbaden, 65191, Germany

Location

Universitätsklinikum WĂ¼rzburg AĂ–R

WĂ¼rzburg, 97080, Germany

Location

Azienda Ospedaliera Santi Antonio e Biagio e Cesare Arrigo

Alessandria, 15121, Italy

Location

A.O. Policlinico Giovanni XXIII di Bari

Bari, 70124, Italy

Location

Policlinico S. Orsola Malpighi

Bologna, 40138, Italy

Location

ASST degli Spedali Civili di Brescia

Brescia, 25123, Italy

Location

A. O. Ospedale Civile di Vimercate e Circolo di Desio

Desio, 20832, Italy

Location

Osp. S. Giovanni di Dio

Florence, 50143, Italy

Location

Ospedale S. Cuore di GesĂ¹

Gallipoli, 73014, Italy

Location

Azienda Ospedaliera San Martino

Genova, 16132, Italy

Location

Ospedale della Versilia

LIDO DI Camaiore (LU), 55043, Italy

Location

A.O.U.Policlinico G.Martino

Messina, 98124, Italy

Location

Milano Fondazione IRCCS Ca'Granda-Ospedale Maggiore Policlinico

Milan, 20122, Italy

Location

IRCCS San Raffaele

Milan, 20132, Italy

Location

AOU UniversitĂ  degli Studi della Campania Luigi Vanvitelli

Napoli, 80138, Italy

Location

Azienda Ospedaliera Universitaria di Padova

Padua, 35128, Italy

Location

A.O. Univ. Policlinico "Paolo Giaccone"

Palermo, 90127, Italy

Location

Poli Univ A. Gemelli

Roma, 00168, Italy

Location

Azienda Ospedaliera Sant'Andrea-UniversitĂ  di Roma La Sapienza

Roma, 00189, Italy

Location

IRCCS Ospedale "Casa Sollievo della Sofferenza"

SAN Giovanni Rotondo (FG), 71013, Italy

Location

Ospedale Ignazio Veris delli Ponti

Scorrano (LE), 73020, Italy

Location

Ospedale Martini

Torino, 10141, Italy

Location

A.O. Univ. Integrata di Verona

Verona, 37126, Italy

Location

Aichi Medical University Hospital

Aichi, 480-1195, Japan

Location

Chubu Rosai Hospital

Aichi, Nagoya, 455-8530, Japan

Location

Fukui Prefectural Hospital

Fukui, 910-8526, Japan

Location

Fukuoka University Hospital

Fukuoka, Fukuoka, 814-0180, Japan

Location

Joumou Ohashi Clinic

Gumma, Maebashi, 371-0046, Japan

Location

Maebashi Hirosegawa Clinic

Gunma, 371-0022, Japan

Location

Ota Diabetes Clinic

Gunma, 373-0861, Japan

Location

University of Tsukuba Hospital

Ibaraki, Tsukuba, 305-8576, Japan

Location

Medical Corporation Seijinkai Ikeda Hospital

Kagoshima, 893-0024, Japan

Location

Tokai University Hospital

Kanagawa, 259-1193, Japan

Location

Koukan Clinic

Kawasaki, 210-0852, Japan

Location

Kobe University Hospital

Kobe, 650-0017, Japan

Location

Tohoku University Hospital

Miyagi, Sendai, 980-8547, Japan

Location

Nagoya University Hospital

Nagoya, 466-8560, Japan

Location

Kawasaki Medical School Hospital

Okayama, Kurashiki, 701-0192, Japan

Location

Okayama University Hospital

Okayama, Okayama, 700-8558, Japan

Location

AMC Nishi-umeda Clinic

Osaka, 530-0001, Japan

Location

Kansai Electric Power Hospital

Osaka, 553-0003, Japan

Location

Iwasaki Internal Medicine Clinic

Osaka, 577-0802, Japan

Location

Shiga University of Medical Science Hospital

Shiga, Otsu, 520-2192, Japan

Location

Tokyo-Eki Center-building Clinic

Tokyo, 103-0027, Japan

Location

Juntendo University Hospital

Tokyo, Bunkyo-ku, 113-8431, Japan

Location

The University of Tokyo Hospital

Tokyo, Bunkyo-ku, 113-8655, Japan

Location

Shin Clinic

Tokyo, Ota-ku, 144-0051, Japan

Location

Center Hospital of the National Center for Global Health and Medicine

Tokyo, Shinjuku-ku, 162-8555, Japan

Location

Hospital Sultanah Bahiyah

Alor Setar, Kedah, 05460, Malaysia

Location

Hospital Ampang

Ampang, 68000, Malaysia

Location

University Kebangsaan Malaysia

Cheras, Kuala Lumpur, 56000, Malaysia

Location

Hospital Pulau Pinang

Georgetown, Pulau Pinang, 10450, Malaysia

Location

Hospital Raja Permaisuri Bainun

Ipoh, Perak, 30450, Malaysia

Location

Hospital Sultanah Aminah

Johor Bahru, 80100, Malaysia

Location

Hospital Kajang

Kajang, Selangor, 43000, Malaysia

Location

Hospital Serdang

Kajang, Selangor, 43000, Malaysia

Location

Hospital Kuala Lumpur

Kuala Lumpur, 50586, Malaysia

Location

University of Malaya Medical Centre

Kuala Lumpur, 59100, Malaysia

Location

Hospital Selayang

Kuala Selangor, 68100, Malaysia

Location

Hospital Sultanah Nur Zahirah

Kuala Terengganu, 20400, Malaysia

Location

Hospital Tengku Ampuan Afzan

Kuantan, 25100, Malaysia

Location

Sarawak General Hospital

Kuching, Sarawak, 93586, Malaysia

Location

Hospital Kulim

Kulim, Kedah, 9000, Malaysia

Location

Hospital Melaka

Malacca, 75400, Malaysia

Location

Hospital Pakar Sultanah Fatimah

Muar town, 84000, Malaysia

Location

Hospital Tuanku Ja'afar

Seremban, Negeri Sembilan, 70300, Malaysia

Location

Pusat Perubatan UiTM Jalan Hospital

Sungai Buloh, 47000, Malaysia

Location

Hospital Sultan Abdul Halim

Sungai Petani, 8000, Malaysia

Location

Hospital Taiping

Taiping, Perak, 34000, Malaysia

Location

Antrim Area Hospital

Antrim, BT41 2RL, United Kingdom

Location

Ulster Hospital

Belfast, BT16 1RH, United Kingdom

Location

Belfast City Hospital

Belfast, BT9 7AB, United Kingdom

Location

Queen Elizabeth Hospital

Birmingham, B15 2TH, United Kingdom

Location

Oakenhurst Medical Practice

Blackburn, BB2 1AX, United Kingdom

Location

Royal Sussex County Hospital

Brighton, BN2 5BE, United Kingdom

Location

Southmead Hospital

Bristol, BS10 5NB, United Kingdom

Location

West Suffolk Hospital

Bury St Edmunds, IP33 2QZ, United Kingdom

Location

Kent & Canterbury Hospital, Oncology Department, Canterbury

Canterbury, CT1 3NG, United Kingdom

Location

University Hospital of Wales

Cardiff, CF14 4XW, United Kingdom

Location

St Helier Hospital

Carshalton, SM5 1AA, United Kingdom

Location

Cheltenham General Hospital

Cheltenham, GL53 7AN, United Kingdom

Location

Hathaway Medical Centre

Chippenham, SN14 6GT, United Kingdom

Location

University Hospital Coventry

Coventry, CV2 2DX, United Kingdom

Location

Darent Valley Hospital, Chemotherapy Unit

Dartford, DA2 8DA, United Kingdom

Location

Royal Derby Hospital

Derby, DE22 3NE, United Kingdom

Location

Dorset County Hospital

Dorchester, DT1 2JY, United Kingdom

Location

Ninewells Hospital & Medical School

Dundee, DD1 9SY, United Kingdom

Location

Royal Infirmary of Edinburgh

Edinburgh, EH16 4SA, United Kingdom

Location

Royal Devon and Exeter Hospital

Exeter, EX2 5DW, United Kingdom

Location

Queen Elizabeth University Hospital

Glasgow, G51 4TF, United Kingdom

Location

Gloucestershire Royal Hospital

Gloucester, GL1 3NN, United Kingdom

Location

Hull Royal Infirmary

Hull, HU3 2JZ, United Kingdom

Location

Ipswich Hospital

Ipswich, IP4 5PD, United Kingdom

Location

Queen Elizabeth Hospital

Kings Lynn, PE30 4ET, United Kingdom

Location

St James's University Hospital

Leeds, LS9 7TF, United Kingdom

Location

University Hospitals of Leicester

Leicester, LE5 4PW, United Kingdom

Location

Aintree University Hospital

Liverpool, L9 7AL, United Kingdom

Location

The Royal London Hospital

London, E1 1BB, United Kingdom

Location

North Middlesex Hospital

London, N18 1QX, United Kingdom

Location

Royal Free Hospital

London, NW3 2QG, United Kingdom

Location

King's College Hospital

London, SE5 9RS, United Kingdom

Location

St George's Hospital

London, SW17 0QT, United Kingdom

Location

Hammersmith Hospital

London, W12 0HS, United Kingdom

Location

Altnagelvin Area Hospital

Londonderry, BT47 6SB, United Kingdom

Location

Freeman Hospital

Newcastle, NE7 7DN, United Kingdom

Location

Daisy Hill Hospital

Newry, BT35 8DR, United Kingdom

Location

Norfolk and Norwich University Hospital

Norwich, NR4 7UY, United Kingdom

Location

Nottingham City Hospital

Nottingham, NG5 1PB, United Kingdom

Location

Churchill Hospital

Oxford, OX3 7LE, United Kingdom

Location

St Bartholomew's Medical Centre (OxFed)

Oxford, OX3 9RF, United Kingdom

Location

Derriford Hospital

Plymouth, PL6 5FP, United Kingdom

Location

Wessex Kidney Centre

Portsmouth, PO6 3LY, United Kingdom

Location

Royal Berkshire Hospital

Reading, RG1 5AN, United Kingdom

Location

Queen's Hospital

Romford, RM7 0AG, United Kingdom

Location

Salford Royal Hospital

Salford, M6 8HD, United Kingdom

Location

Northern General Hospital

Sheffield, S5 7AU, United Kingdom

Location

Lister Hospital

Stevenage, SG1 4AB, United Kingdom

Location

University Hospitals of North Midlands

Stoke-on-Trent, ST4 6QG, United Kingdom

Location

Great Western Hospital

Swindon, SN3 6BB, United Kingdom

Location

Princess Royal Hospital

Telford, TF1 6TF, United Kingdom

Location

Royal Cornwall Hospital

Truro, TR1 3LQ, United Kingdom

Location

Walsall Manor Hospital

Walsall, WS2 9PS, United Kingdom

Location

Related Publications (15)

  • Mottl A, Scott C, Green JB, Heerspink HJL, Mann JFE, McGill JB, Nangaku M, Rosenstock J, Rossing P, Li L, Li N, Vaduganathan M, Agarwal R; CONFIDENCE Trial Investigators. Baseline Kidney Function, Albuminuria, and Urine Albumin-Creatinine Ratio Reduction with Finerenone, Empagliflozin, or Both: Post Hoc Analyses of CONFIDENCE Trial. J Am Soc Nephrol. 2025 Nov 6. doi: 10.1681/ASN.0000000928. Online ahead of print. No abstract available.

  • Uster A, Desai N, Navaneethan SD, Pfarr E, Mazo AR. Empagliflozin Reduces Risk of Hospitalization in Patients With Chronic Kidney Disease in the EMPA-KIDNEY Trial. Clin Ther. 2025 Dec;47(12):1091-1096. doi: 10.1016/j.clinthera.2025.09.005. Epub 2025 Oct 4.

  • Zhou J, Williams C, Staplin N, Judge PK, Mayne KJ, Agrawal N, Arimoto R, Green JB, Cherney DZI, Tuttle KR, Leal J, Clarke P, Emberson JR, Preiss D, Wanner C, Landray MJ, Baigent C, Haynes R, Herrington WG, Mihaylova B; EMPA-KIDNEY Collaborative Group. Effects of empagliflozin on quality of life and healthcare use and costs in chronic kidney disease: a health economic analysis of the EMPA-KIDNEY trial. EClinicalMedicine. 2025 Jul 8;85:103338. doi: 10.1016/j.eclinm.2025.103338. eCollection 2025 Jul.

  • Oshima M, Buizen L, Jongs N, Levin A, Chertow GM, Wheeler DC, Heerspink HJL, Arnott C, Jardine MJ, Mahaffey KW, Pollock C, Herrington WG, Perkovic V, Neuen BL. Sodium-Glucose Cotransporter 2 Inhibition and Hospitalizations in Patients with CKD: A Meta-Analysis of Kidney Outcome Trials. Clin J Am Soc Nephrol. 2025 Jul 14;20(9):1206-1214. doi: 10.2215/CJN.0000000771.

  • Mayne KJ, Sardell RJ, Staplin N, Judge PK, Zhu D, Sammons E, Cherney DZI, Cheung AK, Maggioni AP, Nangaku M, Rossello X, Tuttle KR, Ihara K, Iwata T, Wanner C, Emberson J, Preiss D, Landray MJ, Baigent C, Haynes R, Herrington WG; EMPA-KIDNEY Collaborative Group. Frailty, Multimorbidity, and Polypharmacy: Exploratory Analyses of the Effects of Empagliflozin from the EMPA-KIDNEY Trial. Clin J Am Soc Nephrol. 2024 Sep 1;19(9):1119-1129. doi: 10.2215/CJN.0000000000000498. Epub 2024 Jun 27.

  • EMPA-KIDNEY Collaborative Group; Herrington WG, Staplin N, Agrawal N, Wanner C, Green JB, Hauske SJ, Emberson JR, Preiss D, Judge P, Zhu D, Dayanandan R, Arimoto R, Mayne KJ, Ng SYA, Sammons E, Hill M, Stevens W, Wallendszus K, Brenner S, Cheung AK, Liu ZH, Li J, Hooi LS, Liu W, Kadowaki T, Nangaku M, Levin A, Cherney DZI, Maggioni AP, Pontremoli R, Deo R, Goto S, Rossello X, Tuttle KR, Steubl D, Massey D, Brueckmann M, Landray MJ, Baigent C, Haynes R; EMPA-KIDNEY Collaborative Group. Long-Term Effects of Empagliflozin in Patients with Chronic Kidney Disease. N Engl J Med. 2025 Feb 20;392(8):777-787. doi: 10.1056/NEJMoa2409183. Epub 2024 Oct 25.

  • Natale P, Tunnicliffe DJ, Toyama T, Palmer SC, Saglimbene VM, Ruospo M, Gargano L, Stallone G, Gesualdo L, Strippoli GF. Sodium-glucose co-transporter protein 2 (SGLT2) inhibitors for people with chronic kidney disease and diabetes. Cochrane Database Syst Rev. 2024 May 21;5(5):CD015588. doi: 10.1002/14651858.CD015588.pub2.

  • Mayne KJ, Staplin N, Keane DF, Wanner C, Brenner S, Cejka V, Stegbauer J, Judge PK, Preiss D, Emberson J, Trinca D, Dayanandan R, Lee R, Nolan J, Omata A, Green JB, Cherney DZI, Hooi LS, Pontremoli R, Tuttle KR, Lees JS, Mark PB, Davies SJ, Hauske SJ, Steubl D, Bruckmann M, Landray MJ, Baigent C, Haynes R, Herrington WG; EMPA-KIDNEY Collaborative Group. Effects of Empagliflozin on Fluid Overload, Weight, and Blood Pressure in CKD. J Am Soc Nephrol. 2024 Feb 1;35(2):202-215. doi: 10.1681/ASN.0000000000000271. Epub 2023 Dec 12.

  • EMPA-KIDNEY Collaborative Group. Impact of primary kidney disease on the effects of empagliflozin in patients with chronic kidney disease: secondary analyses of the EMPA-KIDNEY trial. Lancet Diabetes Endocrinol. 2024 Jan;12(1):51-60. doi: 10.1016/S2213-8587(23)00322-4. Epub 2023 Dec 4.

  • EMPA-KIDNEY Collaborative Group. Effects of empagliflozin on progression of chronic kidney disease: a prespecified secondary analysis from the empa-kidney trial. Lancet Diabetes Endocrinol. 2024 Jan;12(1):39-50. doi: 10.1016/S2213-8587(23)00321-2. Epub 2023 Dec 4.

  • The EMPA-KIDNEY Collaborative Group; Herrington WG, Staplin N, Wanner C, Green JB, Hauske SJ, Emberson JR, Preiss D, Judge P, Mayne KJ, Ng SYA, Sammons E, Zhu D, Hill M, Stevens W, Wallendszus K, Brenner S, Cheung AK, Liu ZH, Li J, Hooi LS, Liu W, Kadowaki T, Nangaku M, Levin A, Cherney D, Maggioni AP, Pontremoli R, Deo R, Goto S, Rossello X, Tuttle KR, Steubl D, Petrini M, Massey D, Eilbracht J, Brueckmann M, Landray MJ, Baigent C, Haynes R. Empagliflozin in Patients with Chronic Kidney Disease. N Engl J Med. 2023 Jan 12;388(2):117-127. doi: 10.1056/NEJMoa2204233. Epub 2022 Nov 4.

  • Tuttle KR, Levin A, Nangaku M, Kadowaki T, Agarwal R, Hauske SJ, Elsasser A, Ritter I, Steubl D, Wanner C, Wheeler DC. Safety of Empagliflozin in Patients With Type 2 Diabetes and Chronic Kidney Disease: Pooled Analysis of Placebo-Controlled Clinical Trials. Diabetes Care. 2022 Jun 2;45(6):1445-1452. doi: 10.2337/dc21-2034.

  • Almaimani M, Sridhar VS, Cherney DZI. Sodium-glucose cotransporter 2 inhibition in non-diabetic kidney disease. Curr Opin Nephrol Hypertens. 2021 Sep 1;30(5):474-481. doi: 10.1097/MNH.0000000000000724.

  • Piperidou A, Loutradis C, Sarafidis P. SGLT-2 inhibitors and nephroprotection: current evidence and future perspectives. J Hum Hypertens. 2021 Jan;35(1):12-25. doi: 10.1038/s41371-020-00393-4. Epub 2020 Aug 10.

  • Gonzalez DE, Foresto RD, Ribeiro AB. SGLT-2 inhibitors in diabetes: a focus on renoprotection. Rev Assoc Med Bras (1992). 2020 Jan 13;66Suppl 1(Suppl 1):s17-s24. doi: 10.1590/1806-9282.66.S1.17.

Related Links

MeSH Terms

Conditions

Renal Insufficiency, Chronic

Interventions

empagliflozin

Condition Hierarchy (Ancestors)

Renal InsufficiencyKidney DiseasesUrologic DiseasesFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesMale Urogenital DiseasesChronic DiseaseDisease AttributesPathologic ProcessesPathological Conditions, Signs and Symptoms

Results Point of Contact

Title
Boehringer Ingelheim, Call Center
Organization
Boehringer Ingelheim

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

July 10, 2018

First Posted

July 20, 2018

Study Start

January 31, 2019

Primary Completion

July 5, 2022

Study Completion

July 2, 2024

Last Updated

July 20, 2025

Results First Posted

July 27, 2023

Record last verified: 2025-06

Data Sharing

IPD Sharing
Will share

After the study is completed and the primary manuscript is accepted for publishing, researchers can use this following link https://www.mystudywindow.com/msw/datasharing to request access to the clinical study documents regarding this study, and upon a signed "Document Sharing Agreement". Also, Researchers can use the following link https://www.mystudywindow.com/msw/datasharing to find information in order to request access to the clinical study data, for this and other listed studies, after the submission of a research proposal and according to the terms outlined in the website. The data shared are the raw clinical study data sets.

Shared Documents
STUDY PROTOCOL, SAP, CSR
Time Frame
After all regulatory activities are completed in the US and EU for the product and indication, and after the primary manuscript has been accepted for publication.
Access Criteria
For study documents - upon signing of a 'Document Sharing Agreement'. For study data - 1. after the submission and approval of the research proposal (checks will be performed by both the independent review panel and the sponsor, including checking that the planned analysis does not compete with sponsor's publication plan); 2. and upon signing of a 'Data Sharing Agreement'.
More information

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