ClinicalTrials.gg
RecruitingNCT07175051EMPA-CKDUpdated May 19, 2026

Targeting the Pathophysiology of Sickle Cell-Related Kidney Disease Using the SGLT2 Inhibitors, Empagliflozin

A Phase 2 interventional study of Empagliflozin (oral) in Sickle Cell Anemia (HbSS, or HbSβ-thalassemia0) and Albuminuria, sponsored by University of Illinois at Chicago. Recruiting at 1 site in United States. Open to participants aged 18 Years to 60 Years. Per ClinicalTrials.gov, last updated 2026-05-19.

Sponsored by University of Illinois at Chicago · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Started Apr 2026; still recruiting 7 months later.
Phase
Phase 2
Study type
Interventional
Enrollment
20
Allocation
Not applicable
Ages
18 Years to 60 Years
Sex
All
01

Where this study stands

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

Among 14 studies in Anemia, Sickle Cell by University of Illinois at Chicago — 3 open to participants now, 5 under way, none of them phase 3. Anemia, Sickle Cell · University of Illinois at Chicago.

Planned enrollment
11th of 13
20 · median 45
Started
2026
the only one that year
Phase 2
3 of 14
2 open now
Registered
12th of 14
by date

Among the 14 studies in Anemia, Sickle Cell by University of Illinois at Chicago, this one is the 11th largest by planned enrollment of the 13 interventional ones, is the only one that started in 2026, is one of 3 in phase 2, and was the 12th registered.

By phase

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

No phase8 · 1 open
Phase 2this study3 · 2 open
Phase 1/22 · 0 open
Observational1 · 0 open

By the year they started

First in 2007; this study’s year is marked. 1 started in 2026.

Size and results

Median enrollment 45 across the 13 interventional studies, 75 across the 1 observational. Of the 9 that completed or were terminated, 3 (33%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 14 studies in Anemia, Sickle Cell by University of Illinois at Chicago, or all of them as a file.
02

Study summary

Sickle cell anemia (SCA) is an inherited red blood disorder. The kidneys are among the most commonly affected organ systems in SCA. The Food and Drug Administration (FDA) has approved empagliflozin as a treatment to reduce the decline of kidney function in those with kidney disease. The proposed research study aims to determine whether empagliflozin can prevent the progression of kidney dysfunction in patients with sickle cell anemia (SCA) who are at high risk of developing advanced chronic kidney disease (CKD).

03

Conditions studied

  • Sickle Cell Anemia (HbSS, or HbSβ-thalassemia0)
  • Albuminuria

Keywords

  • Empa-CKD
  • Sickle Cell-Related Kidney Disease
04

Who can participate

Ages eligible
18 Years to 60 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

  • Documentation of SCA genotype (HbSS or HbSβ0-thalassemia)
  • Albuminuria defined by a UACR of 100 - 2,000 mg/g creatinine at the screening
  • (Hb) ≥ 5.5 g/dL during screening
  • For participants taking Endari, the dose of Endari must be stable for at least one month prior to signing the ICF and with no anticipated need for dose adjustments during the study
  • For participants on crizanlizumab or chronic red blood cell transfusions, the therapy must have started at least 3 months prior to consent
  • For participants taking an angiotensin converting enzyme inhibitor (ACEi) or angiotensin II receptor blocker (ARB), the dose must be stable for at least 3 months prior to signing the ICF and with no anticipated need for dose adjustments during the study, in the opinion of the Investigator
  • Participants must demonstrate regular compliance with clinic visits and outpatient management
  • Participants, if female and of , will use highly effective methods of from study start to 30 days after the last dose of the study drug
  • Participant has provided documented or assent

Exclusion criteria

Exclusion Criteria:

  • Concurrent diagnosis of diabetes mellitus
  • Female who is breast feeding, pregnant, or unwilling to use as described in the protocol
  • Prior or intolerance to a sodium-glucose cotransporter-2 inhibitor (SGLT2i)
  • Active or open leg ankle ulcer
  • Chronic urinary tract infection
  • Hospitalized for sickle cell crisis or other vaso-occlusive event within 14 days prior to signing consent
  • Hepatic dysfunction characterized by (ALT) >5×
  • Participants with acute bacterial infection requiring antibiotic use should delay screening/enrollment until the course of antibiotic therapy has been completed
  • Participants with known active hepatitis A, B, or C or who are known to be (HIV) positive
  • Moderate to severe CKD (defined by an \< 30 mL/min/1.73m2, on chronic dialysis, or having received a kidney transplantation)
  • History of within the past 2 years prior to treatment Day 1 requiring chemotherapy and/or radiation (with the exception of local therapy for non-melanoma skin malignancy)
  • History of unstable or deteriorating cardiac or pulmonary disease within 6 months prior to consent including but not limited to the following:

    1. Unstable angina pectoris or myocardial infarction or elective coronary intervention
    2. Uncontrolled arrhythmias
  • Any condition affecting drug absorption, such as major surgery involving the stomach (e.g. bariatric surgery) or small intestine (prior cholecystectomy is acceptable)
  • Participated in another clinical trial of an agent (or medical device) within 30 days or 5 half-lives of agent, whichever is longer, or is currently participating in another trial of an investigational agent or medical device)
  • Medical, psychological, or behavioral conditions, which, in the opinion of the Investigator, may preclude safe participation, confound study interpretation, interfere with compliance, or preclude
  • to MRI (certain pacemakers, electronic implants, shrapnel in the eyes, or certain intracranial aneurysm clips)
Terms in these criteria, in plain language(13)

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.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

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.

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.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

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.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

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.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
20 participants (estimated)

Study arms

  • Experimental
    Treatment

    Empagliflozin

    Drug: Empagliflozin (oral)

Interventions

06

What researchers measure

Primary outcomes

  1. Efficacy of empagliflozin - urine biomarker: Adenosine

    Adenosine (umol/g creatinine) average values from Screening \& Visit 1 compared to average values from Visit 5 \& 6.

    Time frame: From enrollment to the end of treatment at 48 weeks

  2. Efficacy of empagliflozin - urine biomarker: Nephrin

    Nephrin (ng/g creatinine) average values from Screening \& Visit 1 compared to average values from Visit 5 \& 6.

    Time frame: From enrollment to the end of treatment at 48 weeks

  3. Efficacy of empagliflozin - urine biomarker: Kidney injury molecule-1

    Kidney injury molecule-1 (ng/g creatinine) average values from Screening \& Visit 1 compared to average values from Visit 5 \& 6.

    Time frame: From enrollment to the end of treatment at 48 weeks

  4. Efficacy of empagliflozin R2* Cortical Oxygenation on kidney fMRI

    fMRI-derived R2\* average values from Visit 1 compared to the values from Visit 6.

    Time frame: From enrollment to the end of treatment at 48 weeks

Secondary outcomes

  1. Effects of empagliflozin on UACR

    Change in UACR (mg/g creatinine) average values from Screening \& Visit 1 compared to average values from Visit 5 \& 6

    Time frame: From enrollment to the end of treatment at 48 weeks

  2. Effects of empagliflozin on 24-hour urine protein

    24-hour urine protein (g/24 hours) average values from Screening \& Visit 1 compared to average values from Visit 5 \& 6.

    Time frame: From enrollment to the end of treatment at 48 weeks

  3. Effects of empagliflozin on measures of eGFR

    eGFR calculated by race-free serum creatinine and cystatin C-based equations (mL/min/1.73m2), average values from Screening \& Visit 1 compared to average values from Visit 5 \& 6

    Time frame: From enrollment to the end of treatment at 48 weeks

  4. Effects of empagliflozin on serum biomarker: suPAR

    suPAR pg/mL average values from Screening \& Visit 1 compared to average values from Visit 5 \& 6.

    Time frame: From enrollment to the end of treatment at 48 weeks

  5. Effects of empagliflozin on serum biomarker: Et-1

    ET-1 pg/mL average values from Screening \& Visit 1 compared to average values from Visit 5 \& 6.

    Time frame: From enrollment to the end of treatment at 48 weeks

  6. Effects of empagliflozin on serum biomarker: VCAM-1

    VCAM-1 ng/mL average values from Screening \& Visit 1 compared to average values from Visit 5 \& 6.

    Time frame: From enrollment to the end of treatment at 48 weeks

  7. Effects of empagliflozin on serum biomarker: sFLTI-1

    sFLTI-1 ng/L average values from Screening \& Visit 1 compared to average values from Visit 5 \& 6.

    Time frame: From enrollment to the end of treatment at 48 weeks

07

Study locations

1 of 1 sites recruiting
  • University of Illinois Chicago, Sickle Cell Center
    Chicago, Illinois 60302, United States
    Recruiting
    • Santosh L Saraf, MD · Contactssaraf@uic.edu · 312-996-5680
    • Anand Srivastava, MD · Contact
08

References and documents

Publications

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Individual participant data

Plan to share: No

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 Apr 2026 (actual). Primary completion is estimated for Oct 2029, 42 months after the start.

Of 58 non-industry phase 2 interventional studies under Anemia, Sickle Cell, half reached primary completion within 54 months of starting (the median), counting those still running; a quarter within 42 and three quarters within 117. This study's planned 42 months is below that.

Counting every sponsor, half of 92 studies reached it within 46 months; a quarter within 24 and three quarters within 73.

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

Registered
Aug 21, 2025
First posted
Sep 16, 2025
StartActual
Apr 8, 2026
Primary completionEst.
Oct 2029
CompletionEst.
Oct 2030
Last update
May 19, 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 May 19, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07175051
Responsible party
Santosh L Saraf (Associate Professor, University of Illinois at Chicago) — Principal investigator
First posted
Sep 16, 2025
Start date
Apr 8, 2026
Primary completion
Oct 2029 (estimated)
Completion
Oct 2030 (estimated)
Last update
May 19, 2026

Study contacts

Santosh L Saraf, MD
Contact
ssaraf@uic.edu
312-996-5680
Anand Srivastave, MD
Contact

Oversight

Data monitoring committee
Yes
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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