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Baxdrostat and dapagliflozin

Phase 3

Heart Failure | Small molecule | Cardiovascular |AstraZeneca PLC|Last Updated: May 18, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindCONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment11,300
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT06677060Phase III Study Investigating Heart Failure and Cardiovascular Death With Baxdrostat in Combination With DapagliflozinPHASE3 RECRUITING 11,300Mar 14, 2025Dec 17, 2029May 18, 2026942 United States, Argentina +33
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Study Endpoints
Primary Endpoints
To determine if baxdrostat/dapagliflozin is superior to placebo/dapagliflozin in reducing the risk of an HF event or CV death
Event driven; Up to 38 months

Time to first occurrence of any of the components of the composite of: * Hospitalisation for HF * HF without hospitalisation * CV death

Secondary Endpoints
To determine whether baxdrostat/dapagliflozin is superior to placebo/dapagliflozin in reducing the risk of hospitalisation for HF or CV death
Event driven; Up to 38 months
To determine whether baxdrostat/dapagliflozin is superior to placebo/dapagliflozin in reducing the risk of HF events
Event driven; Up to 38 months
To determine whether baxdrostat/dapagliflozin is superior to placebo/dapagliflozin in reducing the risk of CV death
Event driven; Up to 38 months
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposePREVENTION
Treatment Arms
ArmTypeDescription
Baxdrostat/DapagliflozinEXPERIMENTALParticipants randomised to the baxdrostat/dapagliflozin arm will initially receive a dose of baxdrostat lower dose and dapagliflozin. For participants that meet the up-titration criteria, baxdrostat may be up-titrated to higher dose.
Placebo/DapagliflozinEXPERIMENTALPatients will receive a dose of dapagliflozin in combination with matching placebo
Interventions
NameTypeDescription
Baxdrostat and dapagliflozinDRUGbaxdrostat tablet and dapagliflozin tablet
Placebo and dapagliflozinOTHERplacebo tablet and dapagliflozin tablet
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Eligibility Criteria
Age Range40 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites942

Inclusion Criteria: * Participants of any sex and gender must be ≥ 40 years old at the time of signing the informed consent. * Diagnosed with T2DM and requiring treatment * Established CV disease (ischaemic heart disease, cerebrovascular disease, peripheral arterial disease) * History of HTN and an...

Countries:United StatesArgentinaAustraliaBrazilBulgariaCanadaChinaCzechiaDenmarkFranceGermanyGreeceHungaryIndiaIsraelItalyJapanMalaysiaMexicoNetherlandsPeruPhilippinesPolandRomaniaSlovakiaSouth AfricaSouth KoreaSpainSwedenTaiwanThailandTurkey (Türkiye)UkraineUnited KingdomVietnam
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Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT06677060primaryCompletionDate: changed
LOWMay 24, 2026NCT06677060studyFirstPostDate: changed