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Zibotentan

Phase 2

Chronic Kidney Disease | Small molecule | Nephrology |AstraZeneca PLC|Last Updated: Jul 30, 2024

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 Trials2
Total Enrollment569
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT04724837Zibotentan and Dapagliflozin for the Treatment of CKD (ZENITH-CKD Trial)PHASE2 COMPLETED 542Apr 28, 2021Jun 1, 2023Jul 30, 2024164 United States, Argentina +17
NCT04991571Study to Collect Samples for MIST Analysis of Zibotentan and Bioavailability of Zibotentan and Dapagliflozin in Heatlhy ParticipantsPHASE1 COMPLETED 27Jul 29, 2021Oct 22, 2021Nov 23, 20211 United States
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Study Endpoints
Primary Endpoints
Change in Urinary Albumin to Creatinine Ratio (UACR) From Baseline to Week 12
From baseline (Week 0 [Day 1]) until Week 12 (Day 84)

The effect of zibotentan 1.5/dapagliflozin 10 mg versus dapagliflozin 10 mg on UACR was assessed.

Part 1: Metabolites in Safety Testing sampling
Day 1 through Day 6 (pre-dose, 30 min; 1, 2, 4, 6, 8, 12 and 24 hours post dose)

Plasma sample will be collected to understand the PK profiling of zibotentan metabolites and to meet the regulatory requirements.

Part 2: Area under plasma concentration time curve from zero to infinity (AUCinf)
Day 1 through Day 3 of each treatment period

Relative bioavailability of zibotentan and dapagliflozin after dosing with two different FDC formulations and dosing with separate formulations of zibotentan and dapagliflozin will be evaluated.

Part 2: Area under the plasma concentration curve from zero to the last quantifiable concentration (AUClast)
Day 1 through Day 3 of each treatment period

Relative bioavailability of zibotentan and dapagliflozin after dosing with two different FDC formulations and dosing with separate formulations of zibotentan and dapagliflozin will be evaluated.

Part 2: Maximum observed plasma drug concentration (Cmax)
Day 1 through Day 3 of each treatment period

Relative bioavailability of zibotentan and dapagliflozin after dosing with two different FDC formulations and dosing with separate formulations of zibotentan and dapagliflozin will be evaluated.

Part 2: Observed concentration at 24 hours post-dose (C24)
Day 1 through Day 3 of each treatment period

Relative bioavailability of zibotentan and dapagliflozin after dosing with two different FDC formulations and dosing with separate formulations of zibotentan and dapagliflozin will be evaluated.

Secondary Endpoints
Change in UACR From Baseline to Week 12
From baseline (Week 0 [Day 1]) until Week 12
Change in Office Systolic Blood Pressure From Baseline to Week 12
From baseline (Week 0 [Day 1]) until Week 12 (Day 84)
Change in Office Diastolic Blood Pressure From Baseline to Week 12
From baseline (Week 0 [Day 1]) until Week 12 (Day 84)
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Study Design & Arms
AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Zibotentan Dose A + DapagliflozinEXPERIMENTALParticipants will receive once daily oral dose A of zibotentan and 10 mg dapagliflozin for 12 weeks.
Zibotentan Dose B + DapagliflozinEXPERIMENTALParticipants will receive once daily oral dose B of zibotentan and 10 mg dapagliflozin for 12 weeks.
Placebo + DapagliflozinEXPERIMENTALParticipants will receive once daily oral dose of dapagliflozin 10 mg and placebo for 12 weeks.
Part 1EXPERIMENTALParticipants will be administered with zibotentan once daily for 5 days.
Part 2: Treatment Sequence ABCEXPERIMENTALEach participant will receive 3 single-dose treatments of zibotentan and dapagliflozin (Treatment A; Treatment B; Treatment C) in 3 treatment periods, separated by a washout period of at least 7 days between treatment periods.
Part 2: Treatment Sequence BCAEXPERIMENTALEach participant will receive 3 single-dose treatments of zibotentan and dapagliflozin (Treatment B; Treatment C; Treatment A) in 3 treatment periods, separated by a washout period of at least 7 days between treatment periods.
Part 2: Treatment Sequence CABEXPERIMENTALEach participant will receive 3 single-dose treatments of zibotentan and dapagliflozin (Treatment C; Treatment A; Treatment B) in 3 treatment periods, separated by a washout period of at least 7 days between treatment periods.
Interventions
NameTypeDescription
ZibotentanDRUGParticipants will receive zibotentan as per the arms they are randomized.
DapagliflozinDRUGParticipants will receive 10 mg dapagliflozin as per the arms they are randomized.
PlaceboDRUGParticipants will receive placebo as per the arms they are randomized to.
Zibotentan (Treatment A)DRUGZibotentan capsule will be administered orally as multiple doses in Part 1 and as single dose in Part 2.
Dapagliflozin (Treatment A)DRUGDapagliflozin tablet will be administered orally as single dose in Part 2.
Zibotentan/Dapagliflozin - Formulation 1 (Treatment B)DRUGZibotentan/Dapagliflozin tablet will be administered orally as single dose in Part 2.
Zibotentan/Dapagliflozin - Formulation 2 (Treatment C)DRUGZibotentan/Dapagliflozin tablet will be administered orally as single dose in Part 2.
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Eligibility Criteria
Age Range18 Years — 130 Years
SexALL
Healthy VolunteersNo
Study Sites164

Inclusion Criteria: Participants are eligible to be included in the study only if all of the following criteria apply: * Diagnosis of Chronic kidney disease (CKD), defined as: (a) eGFR chronic kidney disease epidemiology collaboration (CKD-EPI) ≥ 20 mL/min/1.73 m\^2, and (b) UACR ≥ 150 and ≤ 50...

Countries:United StatesArgentinaAustraliaBrazilBulgariaCanadaCroatiaDenmarkGeorgiaHungaryItalyJapanMalaysiaNetherlandsPolandSlovakiaSouth AfricaSpainUkraine
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