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Baxdrostat/dapagliflozin

Phase 3

Chronic Kidney Disease and Hypertension | Small molecule | Cardiovascular |AstraZeneca PLC|Last Updated: Jun 2, 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-BlindACTIVE_CONTROLLEDDMCBiomarker
Total Trials3
Total Enrollment7,772
FDA Designations
No designations recorded
Clinical Trials (3)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT06742723A Phase III Renal Outcomes and Cardiovascular Mortality Study to Investigate the Efficacy and Safety of Baxdrostat in Combination With Dapagliflozin in Participants With Chronic Kidney Disease and High Blood PressurePHASE3 RECRUITING 5,000Mar 3, 2025Dec 18, 2029Jun 2, 2026761 United States, Argentina +40
NCT06268873A Phase III Study to Investigate the Efficacy and Safety of Baxdrostat in Combination With Dapagliflozin on CKD Progression in Participants With CKD and High Blood Pressure.PHASE3 ACTIVE NOT_RECRUITING 2,554Mar 29, 2024Feb 24, 2028May 12, 2026565 United States, Argentina +36
NCT07222917A Phase IIb Study to Evaluate the Effect of Dapagliflozin in Combination With Baxdrostat Compared With Baxdrostat on Albuminuria in Participants With Chronic Kidney Disease and High Blood Pressure.PHASE2 RECRUITING 218Dec 5, 2025May 24, 2027May 18, 202671 United States, Argentina +9
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Study Endpoints
Primary Endpoints
To determine whether baxdrostat/dapagliflozin is superior to placebo/dapagliflozin in reducing the risk of the composite endpoint of ≥ 50% sustained decline in eGFR, kidney failure, Heart Failure events(HF), or CV death.
Up to 37 months

Time to the first occurrence of any of the components of the composite of: Kidney disease progression * ≥ 50% sustained decline in eGFR * Onset of kidney failure: * Sustained eGFR \< 15 mL/min/1.73 m2 or * Chronic dialysis treatment or * Receiving a kidney transplant or * Death with a renal primary cause (death due to kidney failure when dialysis is not given) CV events * HF with or without hospitalisation * CV death

To determine whether baxdrostat/dapagliflozin is superior to dapagliflozin alone to slow CKD progression, assessed as the effect on change in eGFR over time.
Baseline - 2 years + 12 weeks

Change from baseline in eGFR to post treatment.

To determine whether baxdrostat/dapagliflozin is superior to baxdrostat/matching placebo at reducing albuminuria.
Up to 12 weeks

Change from baseline in UACR

Secondary Endpoints
To determine whether baxdrostat/dapagliflozin is superior to placebo/dapagliflozin in reducing the risk of the composite endpoint of ≥ 50% sustained decline in eGFR, kidney failure or CV death.
Up to 37 months
To determine whether baxdrostat/dapagliflozin is superior to placebo/dapagliflozin in reducing the risk of MACE (Major Adverse Cardiac Events).
Up to 37 months
To determine whether baxdrostat/dapagliflozin is superior to placebo/dapagliflozin in reducing the risk of the composite endpoint of CV (cardiovascular) death.
Up to 37 months
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Baxdrostat/dapagliflozinEXPERIMENTALParticipants randomised to the baxdrostat/dapagliflozin arm will initially receive a lower dose of baxdrostat and standard dose dapagliflozin. For participants that meet the up-titration criteria, baxdrostat may be up-titrated to higher dose.
Placebo/dapagliflozinPLACEBO_COMPARATORPatients will receive one dose of dapagliflozin comparator in combination with matching placebo daily.
DapagliflozinACTIVE_COMPARATORPatients will receive one dose of dapagliflozin (active comparator) in combination with placebo matching baxdrostat daily
Baxdrostat /placeboPLACEBO_COMPARATORPatients will receive one dose of baxdrostat comparator in combination with placebo matching dapagliflozin daily
Interventions
NameTypeDescription
Baxdrostat/dapagliflozinDRUGbaxdrostat tablet dapagliflozin tablet
Placebo/dapagliflozinDRUGdapagliflozin tablet placebo tablet
Dapagliflozin in combination with placeboDRUGdapagliflozin tablet placebo tablet
Baxdrostat/PlaceboDRUGbaxdrostat tablet placebo tablet
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites761

Inclusion Criteria: 1. Participants of any sex and gender must be ≥ 18 years of age at the time of signing the informed consent. 2. Participants with (a) or (b): a) eGFR 30-59 mL/min/1.73 m² (local or central laboratory value) AND: * UACR ≥ 30 mg/g (3.39 mg/mmol) and \< 500 mg/g (56.5 mg/mmo...

Countries:United StatesArgentinaAustraliaBelgiumBrazilBulgariaCanadaChileChinaColombiaCzechiaDenmarkEgyptFranceGermanyGreeceHungaryIndiaIsraelItalyJapanMalaysiaMexicoNetherlandsPeruPhilippinesPolandRomaniaSaudi ArabiaSerbiaSingaporeSlovakiaSouth AfricaSouth KoreaSpainSwedenTaiwanThailandTurkey (Türkiye)UkraineUnited KingdomVietnam
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Recent Changes (Last 90 Days)
LOWJun 2, 2026NCT06742723lastUpdatePostDate: changed
LOWJun 2, 2026NCT06742723lastUpdatePostDate: changed
LOWJun 2, 2026NCT06742723lastUpdatePostDate: changed
LOWMay 26, 2026NCT07222917primaryCompletionDate: changed
LOWMay 26, 2026NCT06742723primaryCompletionDate: changed
LOWMay 26, 2026NCT06268873primaryCompletionDate: changed
LOWMay 24, 2026NCT07222917studyFirstPostDate: changed
LOWMay 24, 2026NCT06742723studyFirstPostDate: changed
LOWMay 24, 2026NCT06268873studyFirstPostDate: changed