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Zibotentan/Dapagliflozin

Phase 3

Chronic Kidney Disease With High Proteinuria | Small molecule | Nephrology |AstraZeneca PLC|Last Updated: May 15, 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 Trials2
Total Enrollment2,059
FDA Designations
No designations recorded
Clinical Trials (2)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT06087835Study to Investigate Efficacy, Safety, and Tolerability of Zibotentan/Dapagliflozin Compared to Dapagliflozin in Participants With Chronic Kidney Disease and High Proteinuria (ZENITH High Proteinuria)PHASE3 ACTIVE NOT_RECRUITING 1,835Nov 7, 2023Feb 18, 2027May 15, 2026296 United States, Argentina +28
NCT06942910A Study to Investigate the Effects of Zibotentan/Dapagliflozin Combination Compared to Dapagliflozin Alone in Adult Participants With Chronic Kidney Disease and High ProteinuriaPHASE2 RECRUITING 224May 7, 2025Jul 31, 2026Apr 17, 202615 Russia
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Study Endpoints
Primary Endpoints
Change in eGFR from baseline
At month 24

To determine whether zibotentan and dapagliflozin in fixed dose combination is superior to dapagliflozin alone to slow decline in kidney function

Change in log-transformed Urinary Albumin to Creatinine Ratio (UACR) from baseline
At Week 12

To estimate the efficacy of zibotentan and dapagliflozin in FDC versus dapagliflozin alone in reducing albuminuria

Secondary Endpoints
Change in Urine Albumin to Creatinine Ratio (UACR) from baseline to each participant's mean level
at Month 9
Time to the first occurrence of any of the components of the renal composite endpoint of 40% sustained decline in eGFR or ESKD or renal death
Through study completion, approximately 38 months
Change in Urine Protein to Creatinine Ratio (UPCR) from baseline to each participant's mean level
at Month 9
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Zibotentan/Dapagliflozin dose A or Zibotentan/Dapagliflozin dose BEXPERIMENTALDrug dose (dose A or B) are determined based on eGFR values. Participants will receive daily oral dose of zibotentan/dapagliflozin in fixed dose combination.
Dapagliflozin aloneACTIVE_COMPARATORParticipants will receive daily oral dose of dapagliflozin.
Interventions
NameTypeDescription
Zibotentan/DapagliflozinDRUGParticipants will receive zibotentan/dapagliflozin in fixed-dose combination as per the arms they are randomized to
DapagliflozinDRUGParticipants will receive dapagliflozin as per the arms they are randomized to
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Eligibility Criteria
Age Range18 Years — 95 Years
SexALL
Healthy VolunteersNo
Study Sites296

Inclusion Criteria: 1. Participant must be ≥ 18 years of age and of legal age of consent in the jurisdiction in which the study is taking place, at the time of signing the informed consent. 2. Diagnosis of CKD, defined as eGFR ≥ 20 and \< 90 mL/min/1.73 m2 and UACR \> 700 mg/g (\> 79 mg/mmol) or UP...

Countries:United StatesArgentinaAustraliaAustriaBrazilBulgariaCanadaChinaDenmarkFranceGermanyIndiaIsraelItalyJapanMalaysiaMexicoNetherlandsNorwayPolandSlovakiaSouth AfricaSouth KoreaSpainSwedenTaiwanThailandTurkey (Türkiye)United KingdomVietnamRussia
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Recent Changes (Last 90 Days)
MEDIUMMay 26, 2026NCT06942910primaryCompletionDate: changed
LOWMay 26, 2026NCT06087835primaryCompletionDate: changed
LOWMay 24, 2026NCT06942910studyFirstPostDate: changed
LOWMay 24, 2026NCT06087835studyFirstPostDate: changed