ClinicalTrials.gg
RecruitingNCT07055282Updated Sep 4, 2026

SGLT2i in Kidney Stones

An Early Phase 1 interventional study of Empagliflozin (Jardiance®) in Kidney Stones, sponsored by University of Chicago. Recruiting at 1 site in United States. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2026-09-04.

Sponsored by University of Chicago · Early Phase 1, Interventional, and Treatment

From the registry’s dates

  • Started Nov 2025; still recruiting 11 months later.
Phase
Early Phase 1
Study type
Interventional
Enrollment
32
Allocation
Non-randomized
Ages
18 Years to 70 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 193 studies in Kidney Calculi with a site in United States — 42 open to participants now, 58 under way, none of them phase 3. Kidney Calculi · United States.

Planned enrollment
96th of 165
32 · median 47
Started
2025
with 18 others
Phase 1
8 of 193
5 open now
Primary completion
2028-11
later than 48 of 57 live
Registered
171st of 193
by date
Lead sponsor
9 of 193
University of Chicago

Among the 193 studies in Kidney Calculi with a site in United States, this one is the 96th largest by planned enrollment of the 165 interventional ones, is one of 19 that started in 2025, is one of 8 in phase 1, reaches primary completion later than 48 of the 57 other live ones, and was the 171st registered.

By phase

193 studies; the count open now beside each. This study's row is marked.

No phase113 · 29 open
Observational28 · 5 open
Phase 216 · 1 open
Phase 413 · 1 open
Phase 1this study8 · 5 open
Phase 38 · 0 open
Phase 1/26 · 1 open
Phase 2/31 · 0 open

By the year they started

First in 1998; this study’s year is marked. 19 started in 2025.

Size and results

Median enrollment 47 across the 165 interventional studies, 122 across the 28 observational. Of the 116 that completed or were terminated, 51 (44%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 193 studies in Kidney Calculi with a site in United States, or all of them as a file.
02

Study summary

This study is looking at whether empagliflozin, a medication typically used for diabetes and heart conditions, may affect factors that contribute to kidney stone formation. The research focuses on people who have had calcium-based kidney stones, i.e. calcium oxalate or calcium phosphate stones.

Previous studies in those without kidney stones found that empagliflozin increased urinary citrate levels without raising urine pH. The investigators are testing whether similar effects occur in people with a history of kidney stones.

Participants will take empagliflozin daily for 4 weeks. The investigators will collect 24-hour urine samples before and after treatment to measure various factors that influence stone formation, including citrate levels, pH, and calculated stone formation risk. The investigators will enroll 32 participants: 16 with a history of calcium oxalate stones and 16 with calcium phosphate stones.

Results from this study may inform future larger clinical trials investigating empagliflozin as a kidney stone prevention strategy.

Read the detailed description

This is a single-center, prospective pilot study designed to evaluate the effects of the sodium-glucose co-transporter 2 inhibitor (SGLT2i), empagliflozin, on urinary risk factors in individuals with recurrent idiopathic calcium phosphate (CaP) or calcium oxalate (CaOx) kidney stones. Although empagliflozin is FDA-approved for other indications, it is being used off-label in our study to explore its potential for kidney stone prevention. The investigators' goal is to assess changes in urinary parameters relevant to stone formation, including citrate excretion, pH, and other metabolic markers.

Eligible participants will be adults aged 18 to 70 years with a documented history of CaP or CaOx kidney stones. Participants will be asked to stop certain medications and supplements prior to and during the study period if deemed safe by their primary care provider or nephrologist.

Each participant will complete two in-person study visits at the University of Chicago Clinical Research Center (CRC), a special research clinic, over approximately 4 weeks. They will also collect two 24-hour urine samples-one before starting the study drug and one at the end of the study. In addition, participants will take empagliflozin 10 mg once daily during the 4-week period and complete a brief phone or video check-in around the 2-week mark.

Laboratory tests and physical measurements will be performed during each visit. All urine samples will be analyzed by a central clinical laboratory (Litholink), and select samples will be stored for future analysis. Participants will be compensated for completing the study.

This pilot study is not intended to support a new drug indication or FDA labeling change. The findings will inform the design of a larger, hypothesis-driven study on the use of SGLT2 inhibitors in kidney stone prevention.

03

Conditions studied

  • Kidney Stones

Browse trials for

Keywords

  • kidney stones
  • SGLT2i
  • empagliflozin
  • calcium kidney stones
  • kidney stone
  • calcium kidney stone
04

Who can participate

Ages eligible
18 Years to 70 Years
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

Calcium phosphate (CaP) stone participants:

  • Age 18-70
  • History of at least one calcium phosphate (hydroxyapatite) stone

    • Defined as at least 50% of stone material on most recent stone analysis

Calcium oxalate (CaOx) stone participants:

  • Age 18-70
  • History of at least one calcium oxalate stone

    • Defined as at least 50% of stone material on most recent stone analysis.

Other inclusion criteria considerations: The investigators will study balanced numbers of male and females. Prior studies did not have balanced representation of male and female sexes. In prior studies, less than 40% were female, or sex data is not presented. Study of both male and female sex is crucial with kidney stones and therapies that affect citrate and pH because there are well established epidemiologic differences in stone type and physiologic differences in acid-base handling by sex. Epidemiologically, younger women are more likely to have CaP stones, and this is likely because they have higher urine pH.

Exclusion criteria

Exclusion Criteria:

  • History of primarily brushite, uric acid, cysteine, or struvite stones
  • History of severe acid-base abnormality, very low (less than 100mg/day) or very high (greater than 1500mg/day) urine citrate
  • Participants who cannot stop diuretic medication or alkali supplementation for the course of the study period
  • Use of drugs that can directly affect proximal tubule function (e.g., topiramate)
  • Diagnosis of complete distal renal tubular acidosis
  • Diagnosis of chronic kidney disease ( \<60 mL/min/1.73m²)
Terms in these criteria, in plain language(1)

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.

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.

05

Study design

Phase
Early Phase 1
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
32 participants (estimated)

Study arms

  • Active comparator
    CaP (Calcium Phosphate) stone patients

    Defined as \>50% calcium phosphate content on most recent stone analysis Age 18-70 years

    Drug: Empagliflozin (Jardiance®)

  • Active comparator
    CaOx (Calcium Oxalate) stone patients

    Defined as \>50% calcium oxalate content on most recent stone analysis Age 18-70 years

    Drug: Empagliflozin (Jardiance®)

Interventions

  • Empagliflozin (Jardiance®), 10 mg tablet taken orally once daily for 4 weeks. Dispensed at baseline by the Investigational Drug Service. It will be administered at home by participants.

06

What researchers measure

Primary outcomes

  1. Change in calcium phosphate

    Calcium phosphate supersaturation will be measured or calculated at baseline and study completion. The investigators will calculate change in calcium phosphate supersaturation for all participants and within each group.

    Time frame: 4 weeks

  2. Change in urine citrate

    Urine citrate will be measured or calculated at baseline and study completion. The investigators will calculate change in urine citrate for all participants and within each group.

    Time frame: 4 weeks

  3. Change in pH

    pH will be measured or calculated at baseline and study completion. The investigators will calculate change in pH for all participants and within each group.

    Time frame: 4 weeks

  4. Calcium oxalate supersaturation

    Calcium oxalate supersaturation will be measured or calculated at baseline and study completion. The investigators will calculate change in calcium oxalate supersaturation for all participants and within each group.

    Time frame: 4 weeks

Secondary outcomes

  1. Change in 24-hour urine citrate excretion (mg/day) from baseline to 4 weeks

    24-hour urine citrate excretion will be measured at baseline and study completion. The change from baseline to 4 weeks will be calculated for each participant and compared between CaP and CaOx stone groups.

    Time frame: 4 weeks

  2. Change in urine pH from baseline to 4 weeks

    Urine pH will be measured at baseline and study completion. The change from baseline to 4 weeks will be calculated for each participant and compared between groups.

    Time frame: 4 weeks

  3. Change in calcium phosphate supersaturation from baseline to 4 weeks

    Calcium phosphate supersaturation will be calculated using EQUIL2 at baseline and 4 weeks. The change will be calculated for each participant and compared between groups.

    Time frame: 4 weeks

  4. Change in calcium oxalate supersaturation from baseline to 4 weeks

    Calcium oxalate supersaturation will be calculated using EQUIL2 at baseline and 4 weeks. The change will be calculated for each participant and compared between groups.

    Time frame: 4 weeks

07

Study locations

1 of 1 sites recruiting
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Nov 2025 (actual). Primary completion is estimated for Nov 2028, 35 months after the start.

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

Registered
Jun 24, 2025
First posted
Jul 8, 2025
StartActual
Nov 20, 2025
Primary completionEst.
Nov 1, 2028
CompletionEst.
Nov 1, 2028
Last update
Sep 4, 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 4, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07055282
Responsible party
Sponsor
First posted
Jul 8, 2025
Start date
Nov 20, 2025
Primary completion
Nov 1, 2028 (estimated)
Completion
Nov 1, 2028 (estimated)
Last update
Sep 4, 2026

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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Studies of the drug tested here: Empagliflozin

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