EMPA-KIDNEY (The Study of Heart and Kidney Protection With Empagliflozin)
Chronic Kidney Disease

About this trial
This is an interventional treatment trial for Chronic Kidney Disease
Eligibility Criteria
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 to <90 mL/min/1.73m² with urinary albumin:creatinine ratio ≥200 mg/g (or protein:creatinine ratio ≥300 mg/g);
- Clinically appropriate doses of single agent RAS-inhibition with either ACEi or ARB unless such treatment is either not tolerated or not indicated
- A local Investigator judges that the participant neither requires empagliflozin (or any other SGLT-2 or SGLT-1/2 inhibitor), nor that such treatment is inappropriate;
Key Exclusion Criteria:
- Currently receiving SGLT-2 or SGLT-1/2 inhibitor
- Diabetes mellitus type 2 and prior atherosclerotic cardiovascular diseasee with an eGFR >60 mL/min/1.73m2 at Screening
- Receiving combined ACEi and ARBf treatment
- Maintenance dialysis, functioning kidney transplant, or scheduled living donor transplant
- Polycystic kidney disease
- Previous or scheduled bariatric surgery
- Ketoacidosis in the past 5 years
- Symptomatic hypotensiond, or systolic blood pressure <90 or >180 mmHg at Screening
- ALT or AST >3x ULN at Screening
- Hypersensitivity to empagliflozin or other SGLT-2 inhibitor
- Any intravenous immunosuppression therapy in last 3 months; or anyone currently on >45 mg prednisolone (or equivalent)
- Use of an investigational medicinal product in the 30 days prior to Screening visit
- Known to be poorly compliant with clinic visits or prescribed medication
- Medical history that might limit the individual's ability to take trial treatments for the duration of the study (e.g. severe respiratory disease; history of cancer or evidence of spread within last 4 years, other than non-melanoma skin cancer; or recent history of alcohol or substance misuse)
- Current pregnancy, lactation or women of childbearing potential (WOCBP), unless using highly-effective contraception
- Type 1 diabetes mellitus
Sites / Locations
- Nephrology Consultants, LLC
- Aventiv Research Inc.
- Southern California Permanente Medical Group
- University of California Los Angeles
- University of California Los Angeles
- Yale University School of Medicine
- Chase Medical Research, LLC
- Midland Florida Clinical Reearch Center, LLC
- University of Florida
- East Coast Institute for Research, LLC
- East Coast Clinical Research, Inc
- Total Research Group, LLC
- Hanson Clinical Research Center, Inc.
- Emory University
- The Jones Center for Diabetes and Endocrine Wellness
- Cedar Crosse Research Center
- Northwestern University
- University of Kansas Medical Center
- Saint Elizabeth Healthcare
- Lexington VA Health Care System - Troy Bowling Campus
- Medstar Health Research Institute
- Kidney Care and Transplant Services of New England, PC
- Saint Clair Specialty Physicians
- Clinical Research Consultants, LLC
- VA Southern Nevada Healthcare System
- Seacoast Kidney and Hypertension Specialists
- SUNY Downstate Medical Center
- Mountain Kidney and Hypertension Associates, PA
- The University of North Carolina at Chapel Hill
- Brookview Hills Research Associates LLC
- Wake Forest University Health Sciences
- University Hospitals of Cleveland
- Cleveland Clinic
- Thomas Jefferson University
- Carolina Diabetes & Kidney Center
- Regional Health Clinical Research
- Research Institute of Dallas
- Renal Disease Research Institute
- Academy Of Diabetes, Thyroid And Endocrine, PA
- Pioneer Research Solutions, Inc.
- P&I Clinical Research, LLC
- Texas Institute for Kidney and Endocrine Disorders
- Clinical Advancement Center PLLC
- University of Texas Health Science Center at San Antonio
- University of Utah Health Sciences Center
- Salem VA Medical Center
- Providence Medical Research Center
- Kelowna General Hospital
- Kidney Care Centre - Surrey
- Vancouver General Hospital
- St. Paul's Hospital
- LMC Clinical Research Inc. (Brampton)
- Cambridge Cardiac Care Centre
- LMC Clinical Research Inc. (Thornhill)
- LMC Endocrinology Centres (Etobicoke) Ltd.
- London Health Science Centre, University Campus
- LMC Clinical Research Inc. (Ottawa)
- Lakeridge Health Oshawa
- LMC Clinical Research Inc. (Bayview)
- Toronto General Hospital
- Fadia El Boreky Medicine Professional
- Clinical Research Solutions Inc.
- Montreal Clinical Research Institute (IRCM)
- Hôpital du Sacré-Coeur de Montréal
- CHUS Fleurimont
- CHU de Quebec-Universite Laval Research Centre
- IUCPQ (Laval University)
- Beijing AnZhen Hospital
- Cardiovascular Institute and Fu Wai Hospital
- Xiangya Hospital, Central South University
- Xinqiao Hospital
- The Second Affiliated Hospital Zhejiang University School of Medicine
- Jinzhou Central Hospital
- Jinling Hospital
- Shanghai Fifth People's Hospital affiliated to Fudan University
- Shenzhen People's Hospital
- Huazhong University of Science and Technology Union Shenzhen Hospital
- People's Hospital of Sichuan Province
- SuZhou Kowloon Hospital
- The Central Hospital of Wuhan
- Wuhan Fourth Hospital
- Henan Provincial People's Hospital
- Zhuzhou Central Hospital
- Zhuzhou Central Hospital
- Studienzentrum Aschaffenburg
- Universitätsklinikum Augsburg
- Herz- und Diabeteszentrum Nordrhein-Westfalen, Bad Oeynhausen
- Vivantes Netzwerk für Gesundheit GmbH
- Ärztezentrum Helle Mitte
- Klinikum Bielefeld gGmbH
- Städtisches Klinikum Braunschweig gGmbH
- Universitätsklinikum Carl Gustav Carus Dresden
- Universitätsklinikum Düsseldorf
- Agaplesion Markus Krankenhaus
- ClinPhenomics GmbH & Co KG, Frankfurt
- Nierenzentrum Freiburg
- Nephrologisches Zentrum Göttingen
- Universitätsklinikum Halle/S.
- Zentrum für Nieren-, Hochdruck und Stoffwechselerkrankungen
- Medizinische Hochschule Hannover
- Dialysezentrum Heilbronn ÜBAG für Nephrologie und Dialyse
- Nephrologisches Zentrum Hoyerswerda
- Universitätsklinikum Jena
- Städt. Klinikum, Karlsruhe, Moltkestr.
- Klinikum St. Georg gGmbH
- Universitätsmedizin der Johannes Gutenberg-Universität Mainz
- Universitätsklinikum Mannheim GmbH
- Nephrologisches Zentrum Mettmann
- Klinikum der Universität München - Campus Innenstadt
- Dialysezentrum Neckarsulm
- KfH Kuratorium für Dialyse und Nierentransplantation e.V.
- MVZ Diaverum Potsdam
- Universitätsklinikum Regensburg
- Robert-Bosch-Krankenhaus GmbH
- Universitätsklinikum Ulm
- Nephrologisches Zentrum Velbert
- MVZ DaVita Viersen GmbH
- Nephrologisches Zentrum Villingen-Schwenningen
- Gemeinschaftspraxis für Nephrologie und Rheumatologie
- Universitätsklinikum Würzburg AÖR
- Azienda Ospedaliera Santi Antonio e Biagio e Cesare Arrigo
- A.O. Policlinico Giovanni XXIII di Bari
- Policlinico S. Orsola Malpighi
- ASST degli Spedali Civili di Brescia
- A. O. Ospedale Civile di Vimercate e Circolo di Desio
- Osp. S. Giovanni di Dio
- Ospedale S. Cuore di Gesù
- Azienda Ospedaliera San Martino
- Ospedale della Versilia
- A.O.U.Policlinico G.Martino
- Milano Fondazione IRCCS Ca'Granda-Ospedale Maggiore Policlinico
- IRCCS San Raffaele
- AOU Università degli Studi della Campania Luigi Vanvitelli
- Azienda Ospedaliera Universitaria di Padova
- A.O. Univ. Policlinico "Paolo Giaccone"
- Poli Univ A. Gemelli
- Azienda Ospedaliera Sant'Andrea-Università di Roma La Sapienza
- IRCCS Ospedale "Casa Sollievo della Sofferenza"
- Ospedale Ignazio Veris delli Ponti
- Ospedale Martini
- A.O. Univ. Integrata di Verona
- Chubu Rosai Hospital
- Aichi Medical University Hospital
- Fukui Prefectural Hospital
- Fukuoka University Hospital
- Joumou Ohashi Clinic
- Maebashi Hirosegawa Clinic
- Ota Diabetes Clinic
- University of Tsukuba Hospital
- Medical Corporation Seijinkai Ikeda Hospital
- Tokai University Hospital
- Koukan Clinic
- Kobe University Hospital
- Tohoku University Hospital
- Nagoya University Hospital
- Kawasaki Medical School Hospital
- Okayama University Hospital
- AMC Nishi-umeda Clinic
- Kansai Electric Power Hospital
- Iwasaki Internal Medicine Clinic
- Shiga University of Medical Science Hospital
- Juntendo University Hospital
- The University of Tokyo Hospital
- Shin Clinic
- Center Hospital of the National Center for Global Health and Medicine
- Tokyo-Eki Center-building Clinic
- Hospital Sultanah Bahiyah
- Hospital Ampang
- University Kebangsaan Malaysia
- Hospital Pulau Pinang
- Hospital Raja Permaisuri Bainun
- Hospital Sultanah Aminah
- Hospital Kajang
- Hospital Serdang
- Hospital Kuala Lumpur
- University of Malaya Medical Centre
- Hospital Sultanah Nur Zahirah
- Hospital Tengku Ampuan Afzan
- Sarawak General Hospital
- Hospital Kulim
- Hospital Melaka
- Hospital Pakar Sultanah Fatimah
- Hospital Selayang
- Hospital Tuanku Ja'afar
- Pusat Perubatan UiTM Jalan Hospital
- Hospital Sultan Abdul Halim
- Hospital Taiping
- Antrim Area Hospital
- Ulster Hospital
- Belfast City Hospital
- Queen Elizabeth Hospital
- Oakenhurst Medical Practice
- Royal Sussex County Hospital
- Southmead Hospital
- West Suffolk Hospital
- Kent & Canterbury Hospital, Oncology Department, Canterbury
- University Hospital of Wales
- St Helier Hospital
- Cheltenham General Hospital
- Hathaway Medical Centre
- University Hospital Coventry
- Darent Valley Hospital, Chemotherapy Unit
- Royal Derby Hospital
- Dorset County Hospital
- Ninewells Hospital & Medical School
- Royal Infirmary of Edinburgh
- Royal Devon and Exeter Hospital
- Queen Elizabeth University Hospital
- Gloucestershire Royal Hospital
- Hull Royal Infirmary
- Ipswich Hospital
- Queen Elizabeth Hospital
- St James's University Hospital
- University Hospitals of Leicester
- Aintree University Hospital
- Altnagelvin Area Hospital
- The Royal London Hospital
- North Middlesex Hospital
- Royal Free Hospital
- King's College Hospital
- St George's Hospital
- Hammersmith Hospital
- Freeman Hospital
- Daisy Hill Hospital
- Norfolk and Norwich University Hospital
- Nottingham City Hospital
- Churchill Hospital
- St Bartholomew's Medical Centre (OxFed)
- Derriford Hospital
- Wessex Kidney Centre
- Royal Berkshire Hospital
- Queen's Hospital
- Salford Royal Hospital
- Northern General Hospital
- Lister Hospital
- University Hospitals of North Midlands
- Great Western Hospital
- Princess Royal Hospital
- Royal Cornwall Hospital
- Walsall Manor Hospital
Arms of the Study
Arm 1
Arm 2
Experimental
Placebo Comparator
Empagliflozin 10 mg
Placebo
Patients 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.
Patients 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.