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Not yet recruitingNCT07116928GLOW-CKDUpdated Nov 18, 2025

Ganagliflozin on the Progression of Kidney Disease in Subjects With Type 2 Diabetes Mellitus and Chronic Kidney Disease

A Phase 4 interventional study of ganagliflozin and Placebo in T2DM (Type 2 Diabetes Mellitus) and CKD - Chronic Kidney Disease, sponsored by Hangzhou Zhongmei Huadong Pharmaceutical Co., Ltd.. Not yet recruiting at 1 site in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-11-18.

Sponsored by Hangzhou Zhongmei Huadong Pharmaceutical Co., Ltd. · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
1,244
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This study aims to investigate the impact of adding Ganagliflozin tablets to the current background therapy on preventing the progression of kidney disease in subjects with type 2 diabetes and chronic kidney disease. The efficacy and safety will be evaluated by comparing the effects of Ganagliflozin tablets and placebo tablets added to the current background treatment over 120 weeks

Read the detailed description

A phase IV clinical study on the efficacy and safety of Ganagliflozin in treating patients with type 2 diabetes and chronic kidney disease (multicenter, randomized, double-blind, placebo parallel controlled). 1244 subjects all received a stable dose of ACEi or ARB for at least 4 weeks before enrollment.

Efficacy assessment: Compared with the placebo group, time to the first occurrence of kidney disease progression and the changes in eGFR slope, UACR, and score of KDQOL-36 were evaluated.

02

Conditions studied

  • T2DM (Type 2 Diabetes Mellitus)
  • CKD - Chronic Kidney Disease
03

In context

Diabetes Mellitus, Type 2

9,359 studies on the registry are indexed under Diabetes Mellitus, Type 2; 1,318 are open to participants now.

This study's planned enrollment of 1,244 is above the median of 80 across 7,525 interventional studies indexed under Diabetes Mellitus, Type 2.

Browse Diabetes Mellitus, Type 2 studies →

Lead sponsor

Hangzhou Zhongmei Huadong Pharmaceutical Co., Ltd. is the lead sponsor of 49 studies on the registry; 38 are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

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

Inclusion criteria

  • Male or female individuals aged 18 years and above;
  • Meets the diagnostic criteria for T2DM;
  • Meets the diagnostic criteria for CKD, during the screening period(CKD-EPI Formula): eGFR ≥ 30 to \< 60 mL/min/1.73m\^2, and UACR is ≥ 30 to \< 5000 mg/g; Or eGFR ≥ 60 to \< 90 mL/min/1.73m\^2, and UACR is ≥ 300 to \< 5000 mg/g ;
  • HbA1c ≥ 6.5% to ≤ 12%;
  • If there are no contraindications or special instructions, all subjects must take a stable dose of ACEi or ARB at least 4 weeks before randomization;

Exclusion criteria

Exclusion Criteria:

  • Patients with type 1 diabetes or other special types of diabetes;
  • A medical history or clinical evidence indicating that the subjects have other primary kidney diseases and secondary kidney diseases other than type 2 diabetes (including but not limited to lupus nephritis, ANCA-related nephritis);
  • History of kidney transplantation;
  • Blood potassium level > 5.5 mmol/L during the screening period.
  • New York Heart Association (NYHA) classification of grade IV during the screening period;
  • Experienced ketoacidosis, myocardial infarction, unstable angina pectoris, stroke, transient ischemic attack (TIA), hospitalization due to heart failure, or hospitalization due to urinary tract infection or acute kidney injury within 12 weeks before the screening period;
  • Receiving ACEi and ARB in combination;
  • Receiving mineralocorticoid receptor antagonists (MRA) or direct renin inhibitors (DRI) within 8 weeks before randomization;
  • Receiving drugs with immunosuppressive effects (such as cyclophosphamide, cyclosporine A, tacrolimus, etc.) or biological agents (rituximab, belimumab, etc.) during the 12 weeks before the screening period;
  • Receiving SGLT-2 inhibitors or GLP-1 receptor agonists within 8 weeks before the screening, or have previously used SGLT-2 inhibitor drugs and discontinued due to poor efficacy.
05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
1,244 participants (estimated)

Study arms

  • Experimental
    ganagliflozin

    50 mg Once daily, 120 weeks

    Drug: ganagliflozin

  • Placebo comparator
    placebo

    50 mg Once daily, 120 weeks

    Drug: Placebo

Interventions

  • Drugganagliflozin

    50 mg Once daily, 120 weeks

  • DrugPlacebo

    50 mg Once daily, 120 weeks

06

What researchers measure

Primary outcomes

  1. The average change in eGFR as measured by the total slope of eGFR from baseline to week 120

    Time frame: Baseline to Week 120

Secondary outcomes

  1. Time to the first occurrence of kidney disease progression

    The progression of kidney disease is defined as: 1. maintenance dialysis or 2. receipt of a kidney transplant or 3. sustained decline in eGFR to \< 15 mL/min/1.73m\^2 or 4. a sustained decline of ≥ 40% in eGFR from baseline or 5. doubling of serum creatinine or 6. renal death

    Time frame: from baseline to Week 120

  2. The proportion of subjects with a total slope of eGFR greater than -3 mL/min/1.73 m²/year from baseline to week 120

    Time frame: from baseline to week 120

  3. The average change in eGFR as measured by the total slope of eGFR from baseline to week 2 and week 8,from week 2 and week 8 to week 120

    Time frame: from baseline to week 2 and week 8,from week 2 and week 8 to week 120

  4. The changes in urine albumin-to-creatinine ratio (UACR) at each visit compared to the baseline

    Time frame: from baseline to week 120

  5. Changes in the scores of the Kidney Disease Quality of Life-36 Scale (KDQOL-36) compared to the baseline

    The higher the score, the better the patient's quality of life related to CKD

    Time frame: from baseline to week 120

  6. Changes in the scores of the European Five-Dimensional Health Scale (EQ-5D-5L) compared to the baseline

    Higher the score means the better quality of life

    Time frame: from baseline to week 120

Other outcomes

  1. time to the first occurrence of cardiovascular death, non-fatal myocardial infarction, non-fatal stroke, or hospitalization for heart failure

    Time frame: from baseline to week 120

  2. Changes in liver stiffness measurement (LSM) of liver transient elastography

    Time frame: from baseline to week 52 and 120

  3. change in the staging of diabetic retinopathy measured by non-mydriatic fundus photography

    Time frame: from baseline to week 52 and 120

  4. Changes in control attenuation index (Cap) of liver transient elastography

    Time frame: from baseline to week 52 and 120

07

Study locations

1 site
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 18, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07116928
Lead sponsor
Hangzhou Zhongmei Huadong Pharmaceutical Co., Ltd.
Responsible party
Sponsor
First posted
Aug 12, 2025
Start date
Nov 30, 2025 (estimated)
Primary completion
Oct 30, 2031 (estimated)
Completion
Dec 30, 2031 (estimated)
Last update
Nov 18, 2025

Study contacts

Xiaofen Qian
Contact
qianxiaofen@eastchinapharm.com
+86-0571-89908582
Wanting Zhang
Contact
zhangwanting@eastchinapharm.com
+86-0571-89905517

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Aug 2025. You cannot join it, but the record below documents what was studied.

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