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balcinrenone/ dapagliflozin

Phase 1

Healthy Participants | Small molecule | Other |AstraZeneca PLC|Last Updated: Aug 12, 2025

Success Probability

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Market & Valuation

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Trial Design

RandomizedCONTROLLED
Total Trials1
Total Enrollment14

FDA Designations

No designations recorded

Clinical trial landscape

balcinrenone/ dapagliflozin · 1 trial · 1 indication

Phase 1 1
NCT06979388A Study to Investigate the Effect of Food on Balcinrenone/Dapagliflozin Pharmacokinetics in Fed and Fasted State and Pharmacokinetics of Balcinrenone When Dosed With a P-gp Inhibitor in Healthy Participants.Healthy Participants
COMPLETED14 Analytics
PHASE1COMPLETED
A Study to Investigate the Effect of Food on Balcinrenone/Dapagliflozin Pharmacokinetics in Fed and Fasted State and Pharmacokinetics of Balcinrenone When Dosed With a P-gp Inhibitor in Healthy Participants.
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Study Endpoints

Primary Endpoints

Area under concentration-time curve from time zero to infinity (AUCinf)
From Day 1 to Day 10
Area under concentration-curve from time 0 to the last quantifiable concentration (AUClast)
From Day 1 to Day 10
Maximum observed drug concentration (Cmax)
From Day 1 to Day 10
Terminal elimination half-life (t1/2λz)
From Day 1 to Day 10
Time to reach maximum observed concentration (tmax)
From Day 1 to Day 10
Apparent volume of distribution based on the terminal phase (Vz/F)
From Day 1 to Day 10
Apparent total body clearance (CL/F)
From Day 1 to Day 10
Renal Clearance (CLR) (balcinrenone only)
From Day 1 to Day 10
Drug concentration in plasma at 24 hours post-dose (C24)
From Day 1 to Day 10

Secondary Endpoints

Number of participants with adverse events (AEs) and serious adverse events (SAEs)
From Screening (Day -28 to Day -2) until Follow-up (Day 12 to Day 14)
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelCROSSOVER
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Treatment ABCEXPERIMENTALParticipants will receive Treatment A (reference, fasted), balcinrenone/dapagliflozin capsule on Day 1 and then followed by a washout period of 72 hours. On Day 4, participants will receive Treatment B (fed), balcinrenone/dapagliflozin capsule dosed together with food, followed by a washout period of 72 hours. On Day 7, participants will receive Treatment C (quinidine, fasted), balcinrenone/dapagliflozin capsule dosed together with a P-gp inhibitor tablets (2 doses of quinidine separated by 4 hours, 1 hour prior and 3 hours post balcinrenone/dapagliflozin administration, respectively).
Treatment ACBEXPERIMENTALThe participants will receive Treatment A (reference, fasted), balcinrenone/dapagliflozin capsule on Day 1 and then followed by washout period of 72 hours. On Day 4, participants will receive Treatment C (quinidine, fasted), balcinrenone/dapagliflozin capsule dosed together with a P-gp inhibitor tablets (2 doses of quinidine separated by 4 hours, 1 hour prior and 3 hours post balcinrenone/dapagliflozin administration, respectively), followed by a washout period of 72 hours. On Day 7, participants will receive Treatment B (fed), balcinrenone/dapagliflozin capsule dosed together with food.
Treatment BCAEXPERIMENTALThe participants will receive Treatment B (fed), balcinrenone/dapagliflozin capsule dosed together with food on Day 1 and then followed by washout period of 72 hours. On Day 4, participants will receive Treatment C (quinidine, fasted), balcinrenone/dapagliflozin capsule dosed together with a P-gp inhibitor tablets (2 doses of quinidine separated by 4 hours, 1 hour prior and 3 hours post balcinrenone/dapagliflozin administration, respectively), followed by a washout period of 72 hours. On Day 7, participants will receive Treatment A (reference, fasted), balcinrenone/dapagliflozin capsule.
Treatment BACEXPERIMENTALThe participants will receive Treatment B (fed), balcinrenone/dapagliflozin capsule dosed together with food on Day 1 and then followed by washout period of 72 hours. On Day 4, participants will receive Treatment A (reference, fasted), balcinrenone/dapagliflozin capsule and then followed by washout period of 72 hours. On Day 7 participants will receive Treatment C (quinidine, fasted), balcinrenone/dapagliflozin capsule dosed together with a P-gp inhibitor tablets (2 doses of quinidine separated by 4 hours, 1 hour prior and 3 hours post balcinrenone/dapagliflozin administration, respectively).
Treatment CABEXPERIMENTALThe participants will receive Treatment C (quinidine, fasted), balcinrenone/dapagliflozin capsule dosed together with a P-gp inhibitor tablets (2 doses of quinidine separated by 4 hours, 1 hour prior and 3 hours post balcinrenone/dapagliflozin administration, respectively), followed by a washout period of 72 hours. On Day 4, participants will receive Treatment A (reference, fasted), balcinrenone/dapagliflozin capsule and then followed by washout period of 72 hours. On Day 7, participants will receive Treatment B (fed), balcinrenone/dapagliflozin capsule dosed together with food.
Treatment CBAEXPERIMENTALThe participants will receive Treatment C (quinidine, fasted), balcinrenone/dapagliflozin capsule dosed together with a P-gp inhibitor tablets (2 doses of quinidine separated by 4 hours, 1 hour prior and 3 hours post balcinrenone/dapagliflozin administration, respectively), followed by a washout period of 72 hours. On Day 4, participants will receive Treatment B (fed), balcinrenone/dapagliflozin capsule dosed together with food, followed by a washout period of 72 hours. On Day 7, participants will receive Treatment A (reference, fasted), balcinrenone/dapagliflozin capsule.

Interventions

NameTypeDescription
balcinrenone/ dapagliflozinDRUGParticipants will be receiving balcinrenone/ dapagliflozine in fasted or fed condition.
quinidineDRUGParticipants will be receiving quinidine orally in fasted condition.
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Eligibility Criteria

Age Range18 Years to 55 Years
SexALL
Healthy VolunteersYes
Study Sites1

Main Inclusion Criteria: * Have a Body Mass Index (BMI) between 18 and 30 kg/m2 inclusive and weigh at least 50 kg and no more than 100 kg inclusive. * All females of childbearing potential must have a negative pregnancy test. * Females of childbearing potential must not be lactating and if heteros...

Countries:United Kingdom
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Frequently asked questions about balcinrenone/ dapagliflozin

What is Balcinrenone?

Balcinrenone is an investigational small molecule being developed by AstraZeneca PLC (AZN) as a combination product with dapagliflozin. It is being studied in healthy volunteers and in patients with chronic kidney disease, kidney failure, and hepatic impairment. The drug is in clinical development, including Phase 1 and Phase 3 trials.

What is Balcinrenone used for?

Balcinrenone, in combination with dapagliflozin, is being studied for use in chronic kidney disease, specifically in patients with CKD stage 3b and 4. It is also being investigated in healthy participants and in patients with kidney failure or hepatic impairment to assess its safety and pharmacokinetics.

Who makes Balcinrenone?

Balcinrenone is being developed by AstraZeneca PLC, a biopharmaceutical company listed on the stock exchange under the ticker AZN. AstraZeneca is conducting clinical trials of the balcinrenone/dapagliflozin combination across multiple countries, including China, the United Kingdom, and the United States.

What phase is Balcinrenone in?

Balcinrenone is in clinical development, with trials in Phase 1 and Phase 3. The Phase 3 trial, BalanceD-CKD, is not yet recruiting and will evaluate the drug in patients with chronic kidney disease. Phase 1 trials have been completed in healthy participants to study pharmacokinetics.

What clinical trials is Balcinrenone in?

Balcinrenone is being studied in several trials. NCT06651021 is a completed Phase 1 PK study in healthy Chinese participants. NCT06979388 is a completed Phase 1 food effect and drug interaction study. NCT07624305 is a Phase 3 trial in chronic kidney disease, and NCT07754331 is a Phase 1 study in kidney failure patients on haemodialysis.

Is Balcinrenone the same as Balcinrenone/dapagliflozin?

Balcinrenone is the same as balcinrenone/dapagliflozin, which is the combination product being developed. The drug is studied as a fixed combination with dapagliflozin in clinical trials, and the name balcinrenone/dapagliflozin is used to refer to this investigational therapy.