Recent Updates
Recently added Catalysts

Balcinrenone/dapagliflozin

Phase 3

Renal Insufficiency, Chronic | Small molecule | Nephrology |AstraZeneca PLC|Last Updated: Jun 3, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
Premium
Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
Premium
Trial Design
RandomizedDouble-BlindACTIVE_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment2,800
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT07624305A Phase III Study to Evaluate the Effect of Balcinrenone/Dapagliflozin in Patients With CKD Stage 3b and 4 (BalanceD-CKD)PHASE3 NOT YET_RECRUITING 2,800Sep 1, 2026Jul 1, 2030Jun 3, 202645 Argentina, Canada +6
Unlock Drug Trial Details
Study Endpoints
Primary Endpoints
Time from randomization to first occurrence of cardiovascular death, death from kidney failure, kidney failure, sustained 50% or greater decline in eGFR, and heart failure event
Up to 46 months.

Time to first occurrence of any of the components of the composite: * CV death * Death from kidney failure * Onset of kidney failure * Initiation of maintenance dialysis or * Kidney transplantation * Sustained ≥ 50% decline from baseline in eGFR * HF with or without hospitalisation

Secondary Endpoints
Time from randomization to first occurrence of cardiovascular death, death from kidney failure, kidney failure and sustained 50% or greater decline in eGFR.
Up to 46 months.
Change from baseline in urinary albumin to creatinine ratio to Week 24
Baseline to Week 24
Time from randomization to first occurrence of cardiovascular death or heart failure event.
Up to 46 months.
Unlock Study Endpoints
Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Balcinrenone/dapagliflozinEXPERIMENTALPatient receives once daily 1 capsule balcinrenone 15 mg and dapagliflozin 10 mg and 1 placebo tablet matching dapagliflozin.
DapagliflozinACTIVE_COMPARATORPatient receives once daily 1 placebo capsule matching balcinrenone and dapagliflozin and 1 tablet dapagliflozin 10 mg.
Interventions
NameTypeDescription
Balcinrenone/dapagliflozinDRUGbalcinrenone/dapagliflozin 15 mg/10 mg and matching placebo for dapagliflozin 10 mg
DapagliflozinDRUGdapagliflozin 10 mg and matching placebo for balcinrenone/dapagliflozin
Unlock Study Design Details
Eligibility Criteria
Age Range18 Years — 99 Years
SexALL
Healthy VolunteersNo
Study Sites45

Inclusion Criteria: * Age ≥ 18 years * Diagnosis of CKD and at least one of the following: 1. eGFR ≥ 15 to \< 45 mL/min/1.73 m2 AND: UACR ≥ 30 mg/g (central laboratory) or UACR ≥ 100 mg/g (local laboratory ) or UPCR ≥ 200 mg/g (local laboratory). 2. eGFR ≥ 15 to \< 30 mL/min/1.73 m2 and UACR \...

Countries:ArgentinaCanadaGermanyJapanPolandSouth KoreaTaiwanVietnam
Unlock Eligibility Criteria
Recent Changes (Last 90 Days)
LOWJun 4, 2026NCT07624305NEW_TRIAL: changed
LOWJun 4, 2026NCT07624305NEW_TRIAL: changed
LOWJun 4, 2026NCT07624305NEW_TRIAL: changed
LOWJun 4, 2026NCT07624305NEW_TRIAL: changed
LOWJun 4, 2026NCT07624305NEW_TRIAL: changed