ClinicalTrials.gg
RecruitingNCT06600412Kidney ABCUpdated Sep 23, 2026

The Evaluation of the Drug R3R01 for the Excretion of Protein in the Urine in Patients With Diabetic Kidney Disease.

A Phase 2 interventional study of R3R01 and Placebo in Diabetic Kidney Disease, sponsored by River 3 Renal Corp.. Recruiting at 1 site in Denmark. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-23.

Sponsored by River 3 Renal Corp. · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Started Oct 2024; still recruiting 2 years 1 month later.

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Phase
Phase 2
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 41 studies in Diabetic Nephropathies with a site in Denmark — 5 open to participants now, 5 under way, none of them phase 3. Diabetic Nephropathies · Denmark.

Planned enrollment
18th of 35
60 · median 60
Started
2024
the only one that year
Phase 2
14 of 41
3 open now
Registered
40th of 41
by date

Among the 41 studies in Diabetic Nephropathies with a site in Denmark, this one is the 18th largest by planned enrollment of the 35 interventional ones that give a count, is the only one that started in 2024, is one of 14 in phase 2, and was the 40th registered.

Diabetic Nephropathies

543 studies on the registry are indexed under Diabetic Nephropathies; 110 are open to participants now.

Browse Diabetic Nephropathies studies →

Open to participants now

5 of the 41 studies in Diabetic Nephropathies with a site in Denmark are open now. Recruiting first, the newest first:

All 5 open studies →

A study can be open while its sites in Denmark have not opened yet or have stopped. Only those recruiting at a site in Denmark →

Who these studies take

Of the 50 Diabetic Nephropathies studies recruiting now, 23 (46%) set no upper age limit and 16 (32%) stop at 75 or younger; 5 take children under 18; 8 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 41 studies in Diabetic Nephropathies with a site in Denmark, or all of them as a file.
02

Study summary

The goal of this clinical trial is to to investigate whether the drug R3R01 has a beneficial effect on the amount of protein excreted in the urine in adult patients (above 18 years of age) with type 2 diabetes and resulting kidney disease.

The main questions it aims to answer are:

  1. Does 3 months of treatment with 200mg of the drug R3R01 morning and evening have a beneficial effect on the amount of protein excreted in the urine in patients with type 2 diabetes and kidney disease?
  2. Does R3R01 have an effect on kidney function and daily blood pressure?

Researchers will compare the results of 40 people who take R3R01 to 20 people who receive an inactive substance (placebo).

Participants will receive R3R01 or the placebo as an oral tablet and undergo a selection of medical examinations - such as:

  • blood samples
  • urine tests
  • kidney tests involving a radiolabelled marker which is injected into the bloodstream and monitored via blood samples
  • 24 hour blood pressure monitoring via a wearable device
  • urine pregnancy test (if applicable)
Read the detailed description

An increasing amount of evidence suggests that lipid dysmetabolism and accumulation in the kidneys play a central role in the pathogenesis of kidney disease. This lipotoxicity, in turn, may contribute to the development of albuminuria and chronic kidney disease.

One may surmise that interventions that reduce or prevent the progression of kidney lipid accumulation protect against the progression of kidney disease, including diabetic kidney disease (DKD). Therefore, it is possible inhibiting cholesterol absorption, might effectively protect against lipid accumulation and related disease in the kidneys.

R3R01 is an ATP-binding cassette transporter A1 (ABCA1) inducer, which increases the efflux of cholesterol from the intracellular space in the kidney.

Persons with type 2 diabetes with moderate and severe albuminuria have a poor renal and cardiovascular prognosis. As albuminuria is viewed both as a risk marker but also as a target for intervention, any treatment with antiproteinuric effects could be beneficial. The role of ABCA1 inducer treatment on kidney parameters in diabetic kidney disease is not known. By investigating the impact of ABCA1 inducer treatment on albuminuria, it will be determined whether this intervention may represent a future treatment option.

This study is a single center, double-blind, placebo controlled, parallel group randomized (2:1) study, in 60 people with type 2 diabetes with moderate or severe albuminuria and estimated glomerular filtration rate (eGFR) above 30 ml/min/1.73m2. 40 people will take R3R01 whilst 20 people receive the placebo.

The study's primary objective is to evaluate the effect of 12 weeks treatment with R3R01 on albuminuria in the study population. In addition to a 12 week treatment period, there will be a follow-up period of approximately 24 weeks (168 days). The expected total duration of study participation is up to 36 weeks for each patient.

03

Conditions studied

  • Diabetic Kidney Disease
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Adults (above 18 years of age) with controlled type 2 diabetes ( less than 10.5%).
  2. Stable antihypertensive treatment 4 weeks before start of study drug and throughout study duration.
  3. Titrated to the maximal dose or maximal tolerated dose of renin-angiotensin blocking treatment.
  4. Stable treatment with lipid lowering agents for at least 4 weeks.
  5. People on SGLT2-Inhibitors should be on a stable dose of the drug for at least 3 months.
  6. UACR >30 mg/g and \< 5000 mg/g on two consecutive measurements.
  7. >30 ml/min/1.73 m2 (CKD-EPIcrea formula).
  8. Abdominal obesity Women: > 80 cm, Men: > 95 cm or fasting triglyceride >2.0 mmol/l.
  9. Systolic blood pressure ≥110 mmHg and ≤160 mmHg.
  10. Both female patients, as well as female partners of male patients who are of must be willing to not become pregnant for the complete duration of the study and 90 days after the last dose of study medication.
  11. Males (including sterilized subjects) whose female partners have child-bearing potential, must agree to use male (condoms) during the period from the time of signing the form through 90 days after the last dose of study drug. They must agree to immediately inform the investigator if their partner becomes pregnant during the study.

Exclusion criteria

Exclusion Criteria:

  1. Polycystic kidney disease, ANCA-associated vasculitis, or lupus nephritis.
  2. Ongoing cancer treatment.
  3. therapy or immunosuppression the prior 6 months.
  4. Nephrotic syndrome.
  5. Impaired liver function ().
  6. Pregnancy or lactation.
  7. Failure to understand patient information or to collaborate with the investigator.
  8. Females of (those who are not surgically sterilized or for at least 1 year) are excluded from participation in the study unless they agree to use highly effective .
  9. History of to study drug and/or any of its .
  10. Hereditary galactose intolerance, total lactase deficiency or glucose-galactose malabsorption.
  11. Active or planned treatment with a medication that interacts with R3R01.
  12. Any other medical condition(s) that might put the patient at risk or influence study results in the investigators opinion, or that the investigator deems unsuitable for the study including drug or alcohol abuse or psychiatric, behavioral, or cognitive disorders sufficient to interfere with the patient's ability to understand and comply with the protocol instructions or follow-up procedures.
Terms in these criteria, in plain language(10)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

HbA1c

A blood test of average blood sugar over the past two to three months, given as a percentage or in mmol/mol. 6.5% (48 mmol/mol) or more is the usual threshold for diabetes, normally confirmed by a second test.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
60 participants (estimated)

Study arms

  • Experimental
    R3R01

    R3R01 oral tablet (200 mg twice daily) for 12 weeks

    Drug: R3R01

  • Placebo comparator
    Placebo

    Placebo oral tablet twice daily for 12 weeks

    Drug: Placebo

Interventions

  • DrugR3R01

    R3R01 is an ATP-binding cassette transporter A1 (ABCA1) inducer, which increases the efflux of cholesterol from the intracellular space in the kidney. Please refer to arm/group description for further information.

  • DrugPlacebo

    Please refer to arm/group description for further information.

06

What researchers measure

Primary outcomes

  1. Urinary albumin-to-creatinine ratio (UACR)

    Urinary albumin-to-creatinine ratio (UACR) (Change from baseline to end of treatment at 12 weeks (84 days).

    Time frame: 12 weeks (84 days)

Secondary outcomes

  1. Measured or Estimated Glomerular Filtration Rate

    Measured glomerular filtration rate (GFR) with plasma clearance of 99Tc-DTPA or eGFR measured with the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equation based on creatinine and/or cystatin C (change from baseline to end of treatment at 12 weeks (84 days)).

    Time frame: 12 weeks (84 days)

  2. 24 hours ambulatory blood pressure

    24 hours ambulatory blood pressure (change from baseline to end of treatment at 12 weeks (84 days)).

    Time frame: 12 weeks (84 days)

  3. Plasma Pharmacokinetics

    R3R01 plasma concentrations will be measured to determine Maximum plasma concentration (Cmax)

    Time frame: 24 weeks (168 days)

  4. Plasma Pharmacokinetics

    R3R01 plasma concentrations will be measured to determine minimum blood plasma concentration (Cmin)

    Time frame: 24 weeks (168 days)

  5. Plasma Pharmacokinetics

    R3R01 plasma concentrations will be measured to determine the half-life (T1/2)

    Time frame: 24 weeks (168 days)

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Oct 2024 (actual). Primary completion is estimated for Apr 2027, 29 months after the start.

Of 32 industry-sponsored phase 2 interventional studies under Diabetic Nephropathies, half reached primary completion within 20 months of starting (the median), counting those still running; a quarter within 14 and three quarters within 28. This study's planned 29 months is above that.

Counting every sponsor, half of 52 studies reached it within 21 months; a quarter within 13 and three quarters within 31.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 4, 2024
First posted
Sep 19, 2024
StartActual
Oct 10, 2024
Primary completionEst.
Apr 1, 2027
CompletionEst.
Apr 1, 2027
Last update
Sep 23, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 23, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06600412
Lead sponsor
River 3 Renal Corp.
Collaborators
Region Hovedstadens Apotek, Copenhagen University Hospital at Herlev, Q2 Solutions, LUMIS International GmbH
Responsible party
Sponsor
First posted
Sep 19, 2024
Start date
Oct 10, 2024
Primary completion
Apr 1, 2027 (estimated)
Completion
Apr 1, 2027 (estimated)
Last update
Sep 23, 2026

Study contacts

Minh-Nguyêt Duong
Contact
mnduong@narrowrivermgmt.com
+31628443389
Peter Rossing, dr.med.
principal investigator · Steno Diabetes Center Copenhagen

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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