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Empagliflozin

Phase 3

Chronic Kidney Disease | Small molecule | Nephrology |Eli Lilly and Company|Last Updated: Jul 20, 2025

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDBiomarker
Total Trials1
Total Enrollment6,609

FDA Designations

No designations recorded

Clinical trial landscape

Empagliflozin · 9 trials · 4 indications

Phase 3 5Phase 1 4
NCT03594110EMPA-KIDNEY (The Study of Heart and Kidney Protection With Empagliflozin)Chronic Kidney Disease
COMPLETED6,609 Analytics
NCT03448419This Study Tests Empagliflozin in Patients With Chronic Heart Failure With Reduced Ejection Fraction (HFrEF). The Study Looks at How Far Patients Can Walk in 6 Minutes and at Their Heart Failure SymptomsHeart Failure
COMPLETED312 Analytics
NCT04509674EMPACT-MI: A Study to Test Whether Empagliflozin Can Lower the Risk of Heart Failure and Death in People Who Had a Heart Attack (Myocardial Infarction)Myocardial Infarction
COMPLETED6,522 Analytics
NCT04157751A Study to Test the Effect of Empagliflozin in Patients Who Are in Hospital for Acute Heart FailureHeart Failure
COMPLETED530 Analytics
NCT03057951EMPagliflozin outcomE tRial in Patients With chrOnic heaRt Failure With Preserved Ejection Fraction (EMPEROR-Preserved)Heart Failure
COMPLETED5,988 Analytics
PHASE3COMPLETED
EMPA-KIDNEY (The Study of Heart and Kidney Protection With Empagliflozin)
Chronic Kidney DiseaseUnlock trial analytics
PHASE3COMPLETED
This Study Tests Empagliflozin in Patients With Chronic Heart Failure With Reduced Ejection Fraction (HFrEF). The Study Looks at How Far Patients Can Walk in 6 Minutes and at Their Heart Failure Symptoms
Heart FailureUnlock trial analytics
PHASE3COMPLETED
EMPACT-MI: A Study to Test Whether Empagliflozin Can Lower the Risk of Heart Failure and Death in People Who Had a Heart Attack (Myocardial Infarction)
Myocardial InfarctionUnlock trial analytics
PHASE3COMPLETED
A Study to Test the Effect of Empagliflozin in Patients Who Are in Hospital for Acute Heart Failure
Heart FailureUnlock trial analytics
PHASE3COMPLETED
EMPagliflozin outcomE tRial in Patients With chrOnic heaRt Failure With Preserved Ejection Fraction (EMPEROR-Preserved)
Heart FailureUnlock trial analytics

Study Endpoints

Primary Endpoints

Interventional Part: Time to First Occurrence of Kidney Disease Progression or Cardiovascular Death ('as Adjudicated')
From the day of randomisation to the day of the final follow-up visit in the interventional part of the trial, up to 1136 days.

Time to first occurrence of kidney disease progression (KDP) or cardiovascular death is reported as incidence rate of first occurrence of KDP or adjudicated cardiovascular death. Incidence rate= (Number of patients who experienced the event of first occurrence of KDP or cardiovascular death)\*100/(patient years at risk (pt-yrs at risk). pt-yrs at risk= sum of time at risk \[days\] over all patients in a treatment group / 365.25. Kidney disease progression was defined as: * end stage kidney disease (defined as the initiation of maintenance dialysis or receipt of a kidney transplant) OR * a sustained decline in estimated glomerular filtration rate (eGFR) to \<10 mL/min/1.73m\^2 OR * renal death OR * a sustained decline of ≥40% in eGFR from randomisation.

Overall Study: Time to the First Occurrence of Kidney Disease Progression or Cardiovascular Death ('as Adjudicated')
From the day of randomization in the interventional part of the trial until the individual day of end of study in the non-interventional part of the trial. Up to 1869 days.

Time to first occurrence of kidney disease progression (KDP) or cardiovascular death is reported as incidence of progression of kidney disease or death from cardiovascular causes in the interventional part of the trial and in the post-trial follow-up (non-interventional part). Incidence rate= (Number of patients who experienced the event of first occurrence of KDP or cardiovascular death)\*100/(patient years at risk (pt-yrs at risk). pt-yrs at risk= sum of time at risk \[days\] over all patients in a treatment group / 365.25. Kidney disease progression was defined as: * a sustained decline in eGFR to less than 10 mL/min/1.73m\^2 OR * renal death OR * sustained decline of more than 40% in eGFR from randomization.

Change From Baseline to Week 12 in Exercise Capacity as Measured by the 6-Minutes-Walking-Test (6MWT) Distance
At baseline and at week 12

Change from baseline to week 12 in exercise capacity as measured by the distance walked in 6 minutes in standardised conditions. If repeated 6MWT measurements were available for the same day, the longest distance was used for analysis. Change from baseline was defined as the distance walked in 6 minutes at week 12 minus the baseline value. Baseline value was defined as the last available measurement before start of treatment with randomised study medication. If a participant was present at the visit at week 12 but did not perform the 6MWT, the participant was evaluated as having walked a distance of 0 meter. If no value was available for week 12, an imputed value was used. Patients with missing week 12 data who had no clinical event were ranked below any patient with non-missing data, but above the patients who had clinical events. Patients who died before week 12 were ranked below the patients in all categories above.

Composite of Time to First Heart Failure Hospitalisation or All-cause Mortality
From randomisation or first study drug administration (if randomisation occurred after first drug administration), until individual day of trial completion. Up to 1004 days.

The composite of time to first heart failure hospitalization or all-cause mortality is reported as the incidence rate of the first occurrence of hospitalization for heart failure (HHF) or death, whichever is earliest. The incidence rate was calculated as: the number of patients with an event for hospitalization for heart failure or death by treatment group during time at risk divided by the total time patients were at risk in that treatment group multiplied by 100 (per 100 Pt-years, Pt as abbreviation of patient).

Percentage of Pairwise Comparisons With Wins of Clinical Benefit, a Composite of Death, Number of Heart Failure Events (HFEs), Time to the First HFE and ≥5-point Difference in CfB in KCCQ-TSS After 90 Days of Treatment
Up to 90 days. For KCCQ-TSS: at baseline and at day 90.

Clinical benefit, a composite of death, number of HFEs, time to first HFE and change from baseline (CfB) in Kansas City Cardiomyopathy Questionnaire-Total Symptom Score (KCCQ-TSS) after 90 days of treatment. All patients randomised to empagliflozin are compared to all patients randomised to placebo within strata. For any two patients, a patient will win, i.e. achieve a better clinical outcome, as determined by assessing the following criteria sequentially, stopping when an advantage for either patient is shown: 1. Death: death is worse than no death; earlier death is worse; tied if not possible to determine. 2. Number of HFEs: more HFEs is worse; tied, if same number of HFEs. 3. Time to first HFE: earlier HFE is worse; tied, if not possible to determine. 4. KCCQ-TSS CfB at Day 90: more positive CfB is better; the threshold for the difference is \>= 5 for a win; tied, if difference \< 5. The KCCQ-TSS ranges from 0 to 100, where a higher score reflects a better outcome. pct. = percentage

Time to First Event of Adjudicated Cardiovascular (CV) Death or Adjudicated Hospitalisation for Heart Failure (HHF)
From randomization until completion of the planned treatment phase, up to 1403 days.

Failure with preserved Ejection Fraction (HFpEF). The incidence rate per 100 patient years (pt-yrs) is presented and calculated as followed: Incidence rate per 100 pt-yrs = 100 \* number of patients with event / time at risk \[years\]. Time at risk \[years\] = Sum of time at risk \[days\] over all patients in a treatment group / 365.25. Patients without a specific endpoint event were censored at the last date the patient was known to be free of the event or at the end of the planned treatment period, whichever was earlier.

AUC0-tz (Area Under the Concentration-time Curve of Empagliflozin in Plasma Over the Time Interval From 0 to the Last Quantifiable Data Point)
1:00 [hour (h): minute] before drug administration and 0:20h, 0:40h, 1:00h, 1:30h, 2:00h, 2:30h, 3:00h, 4:00h, 6:00h, 8:00h, 10:00h, 12:00h, 24:00h, 34:00h, 48:00h, and 72:00h after drug administration.

This outcome measure presents area under the concentration-time curve of Empagliflozin in plasma over the time interval from 0 to the last quantifiable data point. Time frame description: The time -1:00 hour (h) was approximate; the procedure was to be performed and completed within 2h before drug administration. PKS including participants with available data for AUC0-tz (area under the concentration-time curve of Empagliflozin in plasma over the time interval from 0 to the last quantifiable data point).

AUC0-72 (Area Under the Concentration-time Curve of Linagliptin in Plasma Over the Time Interval From 0 to 72 Hours)
1:00 [hour (h): minute] before drug administration and 0:20h, 0:40h, 1:00h, 1:30h, 2:00h, 2:30h, 3:00h, 4:00h, 6:00h, 8:00h, 10:00h, 12:00h, 24:00h, 34:00h, 48:00h, and 72:00h after drug administration.

This outcome measure presents area under the concentration-time curve of Linagliptin in plasma over the time interval from 0 to 72 hours. Time frame description: The time -1:00h was approximate; the procedure was to be performed and completed within 2h before drug administration. PKS including participants with available data for AUC0-72 (area under the concentration-time curve of Linagliptin in plasma over the time interval from 0 to 72 hours).

Cmax (Maximum Measured Concentration of Empagliflozin Analyte in Plasma)
1:00 [hour (h): minute] before drug administration and 0:20h, 0:40h, 1:00h, 1:30h, 2:00h, 2:30h, 3:00h, 4:00h, 6:00h, 8:00h, 10:00h, 12:00h, 24:00h, 34:00h, 48:00h, and 72:00h after drug administration.

This outcome measure presents maximum measured concentration of Empagliflozin analyte in plasma. Time frame description: The time -1:00h was approximate; the procedure was to be performed and completed within 2h before drug administration. PKS including participants with available data for Cmax (maximum measured concentration of Empagliflozin analyte in plasma).

Cmax (Maximum Measured Concentration of Linagliptin Analyte in Plasma)
1:00 [hour (h): minute] before drug administration and 0:20h, 0:40h, 1:00h, 1:30h, 2:00h, 2:30h, 3:00h, 4:00h, 6:00h, 8:00h, 10:00h, 12:00h, 24:00h, 34:00h, 48:00h, and 72:00h after drug administration.

This outcome measure presents maximum measured concentration of Linagliptin analyte in plasma. Time frame description: The time -1:00h was approximate; the procedure was to be performed and completed within 2h before drug administration. PKS including participants with available data for Cmax (maximum measured concentration of Linagliptin analyte in plasma).

Area Under the Concentration-time Curve of the Analyte in Plasma Over the Time Interval From 0 to the Last Quantifiable Data Point (AUC0-tz) for Empagliflozin
Pharmacokinetic samples were collected at 1:30 hours: minutes pre dose and 0:30, 1:00, 1:30, 2:00, 2:30, 3:00, 4:00, 5:00, 6:00, 7:00, 8:00, 10:00, 12:00, 24:00, 34:00, 48:00 and 72:00 hours:minutes post dose

Area under the concentration-time curve of the analyte in plasma over the time interval from 0 to the last quantifiable data point (AUC0-tz) for empagliflozin. Plasma concentrations and/or parameters of a subject were to be considered as non-evaluable,if for example: * The subject experienced emesis that occurred at or before 2 times median tmax of the respective treatment (median tmax was to be determined excluding the subjects experiencing emesis) * A predose concentration was \>5% Cmax value of that subject * Missing samples/concentration data at important phases of pharmacokinetic (PK) disposition curve. Pharmacokinetic parameter set (PKS): This subject set included all subjects in the treated set (TS) who provided at least one primary or secondary PK parameter that was not excluded according to the description above. Thus, a subject was to be included in the PKS even if he/she contributed only one PK parameter value for one period to the statistical assessment.

AUC0-tz for Metformin.
Pharmacokinetic samples were collected at 1:30 hours: minutes pre dose and 0:30, 1:00, 1:30, 2:00, 2:30, 3:00, 4:00, 5:00, 6:00, 7:00, 8:00, 10:00, 12:00, 24:00, 34:00, 48:00 and 72:00 hours:minutes post dose

AUC0-tz for metformin.

Area Under the Concentration-time Curve of the Analyte in Plasma Over the Time Interval From 0 to 72 Hours (AUC0-72) for Linagliptin
Pharmacokinetic samples were collected at 1:30 hours: minutes pre dose and 0:30, 1:00, 1:30, 2:00, 2:30, 3:00, 4:00, 5:00, 6:00, 7:00, 8:00, 10:00, 12:00, 24:00, 34:00, 48:00 and 72:00 hours:minutes post dose

Area under the concentration-time curve of the analyte in plasma over the time interval from 0 to 72 hours (AUC0-72) for Linagliptin

Maximum Measured Concentration of the Empagliflozin in Plasma (Cmax)
Pharmacokinetic samples were collected at 1:30 hours: minutes pre dose and 0:30, 1:00, 1:30, 2:00, 2:30, 3:00, 4:00, 5:00, 6:00, 7:00, 8:00, 10:00, 12:00, 24:00, 34:00, 48:00 and 72:00 hours:minutes post dose

Maximum measured concentration of the empagliflozin in plasma (Cmax)

Cmax for Metformin in Plasma
Pharmacokinetic samples were collected at 1:30 hours: minutes pre dose and 0:30, 1:00, 1:30, 2:00, 2:30, 3:00, 4:00, 5:00, 6:00, 7:00, 8:00, 10:00, 12:00, 24:00, 34:00, 48:00 and 72:00 hours:minutes post dose

Cmax for metformin in plasma.

Cmax for Linagliptin in Plasma
Pharmacokinetic samples were collected at 1:30 hours: minutes pre dose and 0:30, 1:00, 1:30, 2:00, 2:30, 3:00, 4:00, 5:00, 6:00, 7:00, 8:00, 10:00, 12:00, 24:00, 34:00, 48:00 and 72:00 hours:minutes post dose

Cmax for linagliptin in plasma.

AUC0-tz of Empagliflozin in Plasma
-1:00 hour(h) before the drug administration and 0:30h, 1:00h, 1:30h, 2:00h, 2:30h, 3:00h, 4:00h, 5:00h, 6:00h, 7:00h, 8:00h, 10:00h, 12:00h, 24:00h, 34:00h, 48:00h and 72:00h after drug administration

Area under the concentration-time curve of empagliflozin in plasma over the time interval from 0 to the time of the last quantifiable concentration (AUC0-tz)

AUC0-tz of Metformin in Plasma
-1:00 hour(h) before the drug administration and 0:30h, 1:00h, 1:30h, 2:00h, 2:30h, 3:00h, 4:00h, 5:00h, 6:00h, 7:00h, 8:00h, 10:00h, 12:00h, 24:00h, 34:00h, 48:00h and 72:00h after drug administration

Area under the concentration-time curve of metformin in plasma over the time interval from 0 to the time of the last quantifiable concentration (AUC0-tz)

Cmax of Empagliflozin in Plasma
-1:00 hour(h) before the drug administration and 0:30h, 1:00h, 1:30h, 2:00h, 2:30h, 3:00h, 4:00h, 5:00h, 6:00h, 7:00h, 8:00h, 10:00h, 12:00h, 24:00h, 34:00h, 48:00h and 72:00h after drug administration

Maximum measured concentration of the empagliflozin in plasma

Cmax of Metformin in Plasma
-1:00 hour(h) before the drug administration and 0:30h, 1:00h, 1:30h, 2:00h, 2:30h, 3:00h, 4:00h, 5:00h, 6:00h, 7:00h, 8:00h, 10:00h, 12:00h, 24:00h, 34:00h, 48:00h and 72:00h after drug administration

Maximum measured concentration of the metformin in plasma

AUC(0-∞) for Empagliflozin
1 hour (h) before drug administration and 20 min (m), 40m, 1h, 1.5h, 2h, 2.5h, 3h, 3.5h, 4h, 6h, 8h, 10h, 12h, 24h, 34h, 48h and 72h after drug administration

Area under the concentration-time curve of the empagliflozin in plasma over the time interval from 0 extrapolated to infinity

AUC(0-∞) for Metformin
1 hour (h) before drug administration and 20 min (m), 40m, 1h, 1.5h, 2h, 2.5h, 3h, 3.5h, 4h, 6h, 8h, 10h, 12h, 24h, 34h, 48h and 72h after drug administration

Area under the concentration-time curve of the metformin in plasma over the time interval from 0 extrapolated to infinity

Cmax for Empagliflozin
1 hour (h) before drug administration and 20 min (m), 40m, 1h, 1.5h, 2h, 2.5h, 3h, 3.5h, 4h, 6h, 8h, 10h, 12h, 24h, 34h, 48h and 72h after drug administration

Maximum measured concentration of the empagliflozin in plasma

Cmax for Metformin
1 hour (h) before drug administration and 20 min (m), 40m, 1h, 1.5h, 2h, 2.5h, 3h, 3.5h, 4h, 6h, 8h, 10h, 12h, 24h, 34h, 48h and 72h after drug administration

Maximum measured concentration of the metformin in plasma

Secondary Endpoints

Key Secondary Endpoint: Interventional Part - Time to First Hospitalization for Heart Failure ('as Adjudicated') or Cardiovascular Death ('as Adjudicated')
From the day of randomisation to the day of the final follow-up visit of the interventional part, up to 1140 days.
Key Secondary Endpoint: Interventional Part - Time to Occurrences of All-cause Hospitalizations (First and Recurrent Combined)
From the day of randomisation to the day of the final follow-up visit of the interventional part, up to 1140 days.
Key Secondary Endpoint: Interventional Part - Time to Death From Any Cause ('as Adjudicated')
From the day of randomisation to the day of the final follow-up visit in the interventional part of the trial, up to 1140 days.
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Empagliflozin 10 mgEXPERIMENTALPatients with evidence of chronic kidney disease (CKD) at risk of kidney disease progression, with or without diagnosed diabetes mellitus administered orally once daily 10 milligram (mg) film-coated tablets of empagliflozin.
PlaceboPLACEBO_COMPARATORPatients with evidence of chronic kidney disease (CKD) at risk of kidney disease progression, with or without diagnosed diabetes mellitus administered orally once daily film-coated tablets of placebo to match empagliflozin.
EmpagliflozinEXPERIMENTAL -
10 mg EmpagliflozinEXPERIMENTAL -
Empagliflozin+Linagliptin FDCEXPERIMENTALOne tablet fix dose combination (FDC)
Empagliflozin+Linagliptin single tabletsACTIVE_COMPARATOR -
Test TreatmentEXPERIMENTALHigh dose empagliflozin/linagliptin/metformin XR fixed dose combination tablet
Reference TreatmentEXPERIMENTALSingle tablets of empagliflozin + linagliptin + metformin XR
Fixed dose combinationEXPERIMENTALSingle dose empagliflozin/metformin
Single tablets combinationACTIVE_COMPARATORsingle doses empagliflozin and metformin
12.5 mg empagliflozin/850 mg metforminEXPERIMENTAL24 subjects (12 male and 12 female) will be assigned to 2 treatment sequences. cross-over design was adopted to ensure each patient would take fixed dose combination tablets of 12.5 mg empagliflozin/850 mg metformin and single 10 mg empagliflozin, 2.5 mg empagliflozin, 850 mg metformin tablets single dose in randomized order
5 mg empagliflozin/850 mg metforminEXPERIMENTAL24 subjects (12 male and 12 female) will be assigned to 2 treatment sequences. cross-over design was adopted to ensure each patient would take fixed dose combination tablets of 5 mg empagliflozin/850 mg metformin and single Empagliflozin(5mg) and metformin (850mg) tablets single dose in randomized order
12.5 mg empagliflozin/500 mg metforminEXPERIMENTAL24 subjects (12 male and 12 female) will be assigned to 2 treatment sequences. cross-over design was adopted to ensure each patient would take fixed dose combination tablets of 12.5 mg empagliflozin/500 mg metformin and single 10 mg empagliflozin, 2.5 mg empagliflozin, 500 mg metformin tablets single dose in randomized order
5 mg empagliflozin/500 mg metforminEXPERIMENTAL24 subjects (12 male and 12 female) will be assigned to 2 treatment sequences. cross-over design was adopted to ensure each patient would take fixed dose combination tablets of 5 mg empagliflozin/500 mg metformin and single Empagliflozin(5mg) and metformin (500mg) tablets single dose in randomized order

Interventions

NameTypeDescription
EmpagliflozinDRUGTaken daily with or without food
Matching placeboDRUGTaken daily with or without food
PlaceboDRUGFilm-coated tablet
Placebo to EmpagliflozinDRUGFilm-coated tablet
LinagliptinDRUG -
Empagliflozin/linagliptin/metformin HClDRUGOnce daily
Metformin HClDRUGOnce daily
metforminDRUGsingle dose of metformin given as tablets
empagliflozin/metforminDRUGSingle dose empagliflozin/metformin given as fixed-dose combination tablet
5 mg empagliflozin/850 mg metformin FDCDRUG5 mg empagliflozin/850 mg metformin FDC
12.5 mg empagliflozinDRUG10 mg empagliflozin tablet and 2.5 mg empagliflozin tablet
850 mg metforminDRUG850mg metformin tablet
5 mg empagliflozinDRUG5 mg empagliflozin
12.5 mg empagliflozin/850 mg metformin FDCDRUG12.5 mg empagliflozin/850 mg metformin FDC
12.5 mg empagliflozin/500 mg metformin FDCDRUG12.5 mg empagliflozin/500 mg metformin FDC
5 mg empagliflozin/500 mg metformin FDCDRUG5 mg empagliflozin/500 mg metformin FDC
500 mg metforminDRUG500 mg metformin
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites240

Inclusion Criteria: * Age ≥18 years or at "full age" as required by local regulation * Evidence of chronic kidney disease at risk of kidney disease progression defined by at least 3 months before and at the time of Screening Visit * CKD-EPI eGFR ≥20 to \<45 mL/min/1.73m² or * CKD-EPI eGFR ≥45 ...

Countries:United StatesCanadaChinaGermanyItalyJapanMalaysiaUnited KingdomAustraliaGreeceNorwayPolandPortugalSpainSwedenArgentinaBrazilBulgariaDenmarkFranceHungaryIndiaIsraelNetherlandsRomaniaRussiaSerbiaSouth KoreaUkraineBelgiumCzechiaColombiaMexicoSingaporeSouth Africa
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Frequently asked questions about Empagliflozin

What is Empagliflozin used for?

Empagliflozin is a small molecule being studied for chronic kidney disease, heart failure, myocardial infarction, type 2 diabetes, and type 1 diabetes. It is developed by Eli Lilly and Company (LLY) and is currently in Phase 3 clinical development for these indications.

How does Empagliflozin work?

Empagliflozin is a sodium-glucose cotransporter 2 (SGLT2) inhibitor, which works by blocking glucose reabsorption in the kidneys, leading to increased glucose excretion in urine. This mechanism helps lower blood sugar levels and may provide organ protection in conditions like chronic kidney disease and heart failure.

Who makes Empagliflozin?

Empagliflozin is developed by Eli Lilly and Company, a pharmaceutical company traded on the NYSE under the ticker symbol LLY. The drug is currently in Phase 3 clinical trials for chronic kidney disease and other indications.

What phase is Empagliflozin in?

Empagliflozin is in Phase 3 clinical development. It is an investigational drug and has not been approved by the FDA. The most advanced trial, EMPA-KIDNEY (NCT03594110), is a completed Phase 3 study in chronic kidney disease with 6,609 participants.

What clinical trials is Empagliflozin in?

Empagliflozin has four completed clinical trials. Three are Phase 1 bioequivalence studies in healthy volunteers: NCT02266472, NCT02758171, and NCT03259490. The fourth is EMPA-KIDNEY (NCT03594110), a Phase 3 trial in chronic kidney disease with 6,609 participants across multiple countries.

Is Empagliflozin the same as Jardiance?

Empagliflozin is the active ingredient in the brand-name drug Jardiance. While the data provided does not mention Jardiance, empagliflozin is widely known as the generic name for this medication, which is used to treat type 2 diabetes and other conditions.