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Praliciguat

Phase 2

Focal Segmental Glomerulosclerosis | Small molecule | Nephrology |Akebia Therapeutics, Inc.|Trials Updated: Oct 1, 2026

Praliciguat target and mechanism

Molecular targetGUCY1B1, GUCY1A2, GUCY1A1
Target classActivator
ModalitySmall molecule

Also known as Praliciguat (Part A)

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials1
Total Enrollment60

FDA Designations

No designations recorded

Praliciguat clinical trials

Praliciguat · 1 trial · 1 indication

Phase 2 1
NCT07268638A Study of Praliciguat in Participants With Focal Segmental Glomerulosclerosis (FSGS)Focal Segmental Glomerulosclerosis
RECRUITING60 Analytics
PHASE2RECRUITING
A Study of Praliciguat in Participants With Focal Segmental Glomerulosclerosis (FSGS)
Focal Segmental GlomerulosclerosisUnlock trial analytics

Study Endpoints

Primary Endpoints

Change from Baseline in urine protein-to-creatinine ratio (UPCR) (Part A)
Baseline (Day 1) and up to Week 24
Proportion of participants with TEAEs, serious adverse events (SAEs), and treatment-emergent adverse events of special interest (AESIs). (Part A)
Time Frame: Up to Week 52

Secondary Endpoints

Percentage of Participants with Partial Remission at Week 24 (Part A)
Up to Week 24
Plasma concentrations of praliciguat (Part A)
Week 24, Week 32, and Week 36
Incidence of TEAEs, SAEs, and AESIs in the long-term safety extension (Part B)
From Week 48 Part A through study completion
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Study Design & Arms

AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Praliciguat (Part A)EXPERIMENTALPraliciguat will be administered daily with dose escalation to a target dose during a 24-week double-blind period, followed by a 24-week open-label treatment period.
Placebo (Part A)PLACEBO_COMPARATORMatching placebo will be administered daily for 24 weeks
Experimental: Long-term safety extension praliciguat (Part B)EXPERIMENTALPraliciguat will be administered daily

Interventions

NameTypeDescription
Praliciguat (Part A)DRUGOral Tablet
Placebo (Part A)OTHEROral Tablet
Praliciguat (Part B)DRUGOral Tablet
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites30

Inclusion Criteria (Part A): 1. UPCR ≥1 (g/g) during screening. 2. On maximally tolerated ACEi or ARB per principal investigator discretion within 1 month of informed consent. 3. Estimated glomerular filtration rate ≥25 milliliters per minute per 1.73 square meters by Chronic Kidney Disease Epidemi...

Countries:United States
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Recent Changes (Last 90 Days)

MEDIUMOct 1, 2026NCT07268638lastUpdatePostDate: changed
MEDIUMOct 1, 2026NCT07268638lastUpdatePostDate: changed
LOWAug 14, 2026NCT07268638lastUpdatePostDate: changed
LOWAug 14, 2026NCT07268638lastUpdatePostDate: changed
LOWAug 14, 2026NCT07268638lastUpdatePostDate: changed

Frequently asked questions about Praliciguat

What is Praliciguat used for?

Praliciguat is being studied for the treatment of focal segmental glomerulosclerosis (FSGS), a kidney condition. It is an investigational small molecule in Phase 2 clinical development and is not approved for any indication. The ongoing study is enrolling adults with FSGS in the United States.

What does Praliciguat target?

Praliciguat targets GUCY1B1, GUCY1A2, and GUCY1A1 and acts as an activator of these targets. This small molecule is designed to act on the soluble guanylate cyclase pathway. It is being evaluated in focal segmental glomerulosclerosis, a nephrology indication.

Who is developing Praliciguat?

Praliciguat is being developed by Akebia Therapeutics, Inc., which trades under the ticker AKBA. The company is sponsoring the Phase 2 clinical program evaluating the drug in patients with focal segmental glomerulosclerosis. Akebia Therapeutics is a biopharmaceutical company focused on kidney disease.

What phase is Praliciguat in?

Praliciguat is in Phase 2 clinical development. It is an investigational drug and has not been approved by the FDA for any indication. The Phase 2 study in focal segmental glomerulosclerosis is currently recruiting participants.

What clinical trials is Praliciguat in?

Praliciguat is being evaluated in one clinical trial, NCT07268638, titled A Study of Praliciguat in Participants With Focal Segmental Glomerulosclerosis (FSGS). The Phase 2 trial is recruiting, is randomized, double-blind, and placebo-controlled, and plans to enroll 60 participants aged 18 years and older in the United States.

Is Praliciguat the same as Praliciguat (Part A)?

Yes, Praliciguat (Part A) refers to the same drug as Praliciguat. The parenthetical designation distinguishes a portion of the clinical program rather than a different compound. Both names refer to the small molecule being developed by Akebia Therapeutics for focal segmental glomerulosclerosis.